1000 Word free essay sample

Events should be planned that meet the needs and desires of the single service member. 2. Community Service: The BOSS committee may elect to participate in community programs or projects that make a difference in the lives of others, in the community, and ultimately, in themselves. The service will be voluntary in nature and in accordance with the installation volunteer program. The program can be implemented in support of existing or established volunteer programs or programs developed by the BOSS committee. 3. Well Being: For single service members, Well being includes those things that single service members can directly or indirectly influence to enhance their morale, living environment, or personal growth and development. The tape measures could be made of a non stretchable material, preferably fiberglass; cloth or steel tapes are unacceptable. (AR 600-9 September 2006 / B-1 / PDF 21) How often should soldiers in the weight control program weight in? Monthly to measure progress

buy custom Lower Drinking Age essay

buy custom Lower Drinking Age essay Many young people have been involving themselves in habit of drinking alcohol and even worse taking illicit drugs. Although it is known that drinking is not healthy for people, peer pressure has been a major factor that has driven people into drinking. It has been known that most young people have a tendency of binge drinking which is even worse. Many efforts have been made to encourage young people to engage in healthy habits regarding drinking. However, most of these teenagers and youths are ignorance of the consequences for drinking. They have in turn indulged themselves into bad habits of drinking every day. In this regard, this paper will figure out different authors ideas and information regarding underage drinking. Moreover, it will look into the statistics on the rate of drinking amongst young people who are under the age of 18 years old. According to Centers for Disease Control and Prevention (2010), many young people begin drinking while they are still at their tender ages. During this age, a child may not have a wide knowledge about the negative effects of drinking. Often, such children get attracted into such habits due to the pressure from their peers. These are friends whom they meet in the neighborhood or even in schools. On the other hand, there are some who have been influences by their parents into the habits of drinking. For instance, a young boy or a young girl can easily copy what his or her parent is doing in the house. Once the parents are note in the house, the child does what he or she has seen especially for the children who have access to the drinking bars in the house. Underage drinking refers to the alcohol intake of young people under that age of 21 years. Such people are not allowed by the law to take any alcoholic drinks. Underage people are considered to be young children who are still under their parents guardianship. Hence, they are considered to be in experienced and cannot make sound decisions as concerns their life. In this regards such children are not allowed to drink. In addition, alcohol intake is harmful for human health especially in children. Alcohol intake in young people reduces and alters their brain formation. The continuous intake of alcohol may cause them to have a malfunctioned brain. According to the Centers for Disease Control and Prevention (2010), children of the ages between 13-20 years have been reported to have taken alcohol in one way or another. The children in this age group obtain alcoholic products from non-retail sources that are known to them. That is they obtain the illicit drinks from peers in the neighborhood and friends. Further survey reveals that parents are also involved in encouraging their children to take alcoholic beverages. Studies show that teenage girls take more alcohol compared to teenage boys which they obtain from school. Other group underage drinkers obtain alcoholic drinks from home in the absence of their parents. There are others who obtain the alcoholic drinks with the permission of the parents. In other circumstances, the underage drinkers re allowed to take the alcoholic drinks while their parents are drinking too. Other places where underage drinkers obtain alcoholic drinks is during events such as parties and other social gatherings. Other teenagers say that the underage drinkers obtain the alcohol from the parents of a friend. According to Centers for Disease Control and Prevention (2010), alcohol is one of the substances that is most abused especially by teenagers and youths. Underage drinkers are known to be the most active in binge drinking compared to the adult drinkers. Up to 90 percent of the alcohol taking people are young people. Other statistics on drinking by underage people state that 42 percent of the youths drunk alcohol of the same kind in 2009. While 24 percent of these were binge drinkers about 10 percent drove themselves while drunk. Most of the drinkers in these categories were binge drinkers, and a higher percentage of the underage drinkers were 8th graders and 12th graders. How to stop underage drinking in the community The effects of drinking in the young people have been severe and heart breaking. The society is slowly loosing young people that are very strong and can be very useful in the society. On the other hand, it is important to ensure that there is a healthy society. In this regard, it is helpful to consider ways of eliminating the ill-habit of alcohol abuse amongst young people. That is every person should contribute in this endeavor. It is the role of the parents and guardians to ensure that safety of their teenagers and youths. Every parent should be keen to know that the child under their custody is well behaved and that he or she is not involved in any mischievous activities. Parents and guardians should also be careful of the friends that their children are relating with while in school and college. In addition, they should ensure that the underage children have no access to alcohol (American academy of pediatrics). The society should also take it upon itself to ensure that the children are not involved in any ill-social habit at all times. That is all the underage children are supposed to be of one habit. This will come in handy as the young people affect and influence one another. As a result, the child who has poor social, habit should be dealt with immediately. It is also beneficial for the young people to engage themselves in activities that will enhance their performance in school. That is young people can involve themselves in activities that are will help them grow up emotionally. In the end each person will be able to improve on his or her performance in school and class work. Young people can also involve themselves in activities that build up the community instead of attending events that destroy their habits. For instance, instead of gaining up for a drinking session, these people can participate in community service or any other academic program. By so doing, people can be assured a bout the future of their teenagers. It is beneficial for the society to be involved in the restoration of these young people. In this regard, the rehabilitation center, hospital, and anti-drug taking centers play a significant role. That is all the teenagers and youths that have fallen into the habit of substance abuse should be assisted to save themselves from illicit behaviors of substance abuse.This is because they are not taking note of the activities and the things which their teenagers are doing. It is also helpful for the young person intending to quit substance abuse to get involved in other activities. Youths and teenagers have been known to be people that are energetic. Hence, an adolescent would require an activity that would help him or her get occupied. Such activities include sports, academic work, or social activities. These will also assist in persons realizing other abilities and talents. Consequences of the underage drinking Just like in all the other kind of drinking, underage drinkers also face consequences when involved with any drinking habits especially the binge drinkers. Most of such young people are likely to face the emotional, physical and social challenges (Windle 1991). Much often than not such young people develop a mental problem that causes them to be ineffective in school as the concentration level lowers. Underage drinkers become abusive and violent. Alcohol intake is often associated with bad sexual habits. The young people who may be involved in heavy drinking may often have a habit of engaging in poor sexual activities. These may lead to in the contamination of asexual transmitted diseases. Research has also proved that the intake of alcohol by young people can cause a significant brain damage. Brain damage can result from the fact that the body of persons under the age of 20 is still growing. During this time the brain is developing both the short term and the long term memory. Hence alcohol intake is likely to interfere with this process. As a result, the individual in alcohol abuse at a tender age may have an increased chance of suffering poor brain activity (Medical and Social Consequences, 2007). Apart from the brain damage, alcohol intake at an early age can, lead to serious addiction. That is the teenagers and youths who have had a chance to taking alcoholic drinks may result to be alcoholic addicts. That sad bit about alcoholic addiction is that such a person may latter turn to other illicit drugs including cocaine and marijuana, and later into ill-social habits. The young people who involve themselves in the habits of drinking alcohol have a tendency of driving while they are still drunk. With the high influence from peers, a person can get in to a car and drive. The unfortunate bit about driving is that such a car is likely to get involved in a serious accident. In the recent past, 33 percent of youths in Illinois were involved in serious accident and most of them died in the accidents. Other accidents are those that happen after the young people who are drunk get involved in fights. Buy custom Lower Drinking Age essay

Management Theories by Morgan, Fayol and Taylor Research Paper

Management Theories by Morgan, Fayol and Taylor - Research Paper Example The Fourteen principles that have been set down by Fayol are discussed in detail below: Specialization of Labor: Fayol’s first important principle was aimed at the specialization of labor. This is a very important aspect of management and needs to be taken into consideration while managing people. This is an important aspect of management. Specialization encourages continuous improvement in the skills and involves the development of improvements in methods. This is very beneficial for the companies and provides the company with better-skilled individuals, which in turn improves productivity. Authority: Authority plays a very important role in management and is very essential in managing people. It focuses on the right to give orders and show authority. Giving authority to a person means giving the person the right to do things. Also, a responsibility normally arises where a person is given the authority. Discipline: The next aspect is discipline this mainly deals with the idea of ensuring there is no slacking, bending of rules, and that all employees are obedient and respectful in the organization. It is essential that employees must obey and respect the rules that are prevalent in the organization. If there is effective leadership within an organization and a clear understanding between management and workers in regards to the organization’s rules, the discipline will be at the optimum level. Unity of Command: Unity of command refers to a situation where every employee has just one boss. This is essential to ensure management of the people is not confused between the needs of different people at different time. This plays a very important role as if every employee has just one boss, the employees will be more productive if the command is from one superior to avoid any confusions in the final outcome. Unity of Direction: Unity of direction is the next important aspect in the 14 principles by Fayol. This is very important just like the unity of command as if one person leads the team, all the planning is made by a single mind and the leading is much simpler since the team members need to work according to the plan.

Sicail Media Essay Example | Topics and Well Written Essays - 750 words

Sicail Media - Essay Example Easily accessible information help in the management of disasters because it alerts citizens of an impending disaster even in remote regions; hence, warn them (Foundation, 2014). For example, locals of predictable tsunami zones can access the information not only from the media houses, but also through diversified sources including the internet. Easily obtainable information is prone to theft. For example, a person may use information from other sources to benefit from it by claiming to be the publisher or editor. Management of easily accessible information is compromised by the fact that classified information cannot be passed on safely, which further give rise to the insecure nature of such information (Ugah, 2008). Immorality is mildly spread by easily accessible information because everyone can access depraved information including the under age (Schleifer, 2014). Remarkably, easily accessible information may mislead the audience because such sources are always attributed to inaccuracy of the facts surrounding an issue (Monahan, 2010). Additionally, easy information accessibility poses a huge threat to the online banking services because of possible cybercrimes leading to massive loss of money. Social media forms an important aspect of communication because it enable easy and readily available medium of communication among individuals. Additionally, it provides a forum where an individual can inform his/her family members as well as friends through mass messages on upcoming events such as weddings (Stokes, 2003). Social media forms a virtue-meeting platform where individuals from various corners of the world can share ideas. Social media platforms such as Linked In have become a valuable business tool where individuals’ stands a chance to secure a job from top managers in various companies through endorsements. Furthermore, companies leap the e of social media for effective promotion and advertisement of their products (nibusinessinfo.co.uk,

History of Tests & Measurements Essay Example | Topics and Well Written Essays - 1250 words

History of Tests & Measurements - Essay Example This essay will highlight five themes in the work of Kubiszyn and Borich (2010). Highlight on implications on the educational sector as well as teacher ability in relation to these tests will be focused on. It is evident that controversies have been witnessed in this filed. According to Kubiszyn and Borich (2010), educators need comprehensive and practical approaches for conducting assessments on their learners’ achievements and progress in the classroom setting. Their work is, therefore, one of the most comprehensive one, that teachers can incorporate in their classrooms to focus on the changes required in the classrooms. 2.0. Effects of tests on the Classroom Teacher Tests play a crucial role in the teaching and learning of concepts in the classroom setting. It is through tests that Shepard (2000) argues that teachers are able to keep track of the progress of his or her learners. Through tests, teachers are able to identify the weak points of their learners as well as their strengths. For instance, standardized tests are well known for the identification of learners’ strengths’ and weaknesses. ... Tests, according to McMillan (2000) are useful for determination of the best content to be covered by the learners. 3.0. Tests as Tools Analysts give varying views on the utility of tests, as a contributor of positive impacts in learning. Kubiszyn and Borich’s (2010), work indicates that tests are mere tools that are simply set to as a formality and no evidence can proof their validity. Not all students are in a position to understand the mechanics of all tests that are provided in the classroom. For instance, a well informed student may miss out a few particulars, in a particular test, and fail the entire exam. Does this mean that the student is a failure in that particular test or not? In this context, therefore, tests may not be regarded as useful means of assessments in the society. Tests, according to Burger & Krueger (2003) have an off-putting effect on the teaching and learning process. Tests administered during the learning process consume a lot of time that would have been used in covering the contents of the syllabus. Learners have acquired the skills of cramming certain tests used in learning process especially if they are aware that there is likelihood that those tests may be repeated at the end of the course. In short, tests overemphasize on the ability to learn fundamental skills by the learners instead of inculcating skills that will enable learners think critically and analyze situations in the society. In fact, statistics indicate that once tutors emphasize on teaching with the use of tests, there is likelihood, that learning records no change, though the scores of learning may escalate as a result of rote learning. In light to this argument, therefore, it is evident that tests cannot be indicated to be the best ways of

Assessment and Management of Pressure Ulcers: Nursing Interventions

Assessment and Management of Pressure Ulcers: Nursing Interventions Pressure ulcers continue to present a prevalent concern for patients in health care facilities and the incidence is even expected to rise further with the increasing age of the population. This is a problem that has high potential to be prevented. Therefore, the prevention, assessment, and management of decubitus ulcers are of great importance to healthcare professionals who are charged with the care for these individuals (Clarke et al., 2005). Pressure sores occur when there are localized areas of tissue damage or ulceration of the integument second to decreased blood supply disruption to these soft tissues. This occurs as a consequence of constant pressure, where the pressure exerted on an area is greater than the capillary pressure causing ischemia, friction, or shear force. Florence Nightingale, often considered the pioneer of nursing, recognized in 1860 that quality nursing care can prevent the occurrence of decubitus ulcers among patients (Ousey, 2005). Quality of care will be increased with the implementation of nursing interventions surrounding bed sores. Pressure ulcers present a cost to the health care providers, both financially and time. Pressure ulcers can increase nursing time up to 50%, which is relatively substantial considering many healthcare facilities face nursing staff shortages (Clarke et al.). According to the article written by Joan Wurster, the cost of pressure ulcers is substantial with stage one, two, and three stage ulcers costing between $2,000 and $30,000, and stage four pressure ulcers costing up to $70,000. The cost involved with treating such bed sores often times exceeds the cost of prevention by a large sum of money (Wurster, 2007). Preventative measures are, therefore, essential to implement and include interventions. There are several guidelines listed in National Guideline Clearinghouse regarding pressure ulcers including Assessment and Management of Stage I to IV Pressure Ulcers. This guideline establishes several recommendations such as assessing a patients risk using the Braden Scale, use of special pr essure reducing mattresses, managing adequate nutrition. If a pressure sore is to develop, evidence shows that a proper high-protein diet, the use of wet-dressings, and hyperbaric oxygen as treatments all promote the wound healing process. In taking such actions, the goal of the healthcare provider is that the patient will be free of pressure ulcers during hospitalization and appropriately assessed and managed if one does occur (Registered Nurses Association of Ontario, 2007). Research shows that using evidence-based guidelines, which incorporate scientific evidence and clinical expertise, are the premise of successful prevention and treatment of pressure ulcers (Clarke et al., 2005). Assessment of Patient Risk Using the Braden Scale Prompt and accurate risk assessment is critical in preventing the formation of pressure ulcers. The Braden Scale was created and is now used in countless hospitals to facilitate and guide the nursing care team in their evaluation. Not only can this assessment tool inform a health care professional of any propensities towards skin break down, but also may allow him or her to treat the condition prophylacticly if indicated. Rather than just risk assessment, the Braden Scale may be used for evaluation of the current effectiveness of ulcer care regime for patients with existing ulcers (Braden Maklebust, 2005). The Braden Scale was created in 1984 by Barbara J. Braden, to accurately and systematically describe the risk for development of pressure ulcers (Braden Maklebust, 2005). This scale includes six subscales: sensory perception, moisture, activity level, mobility, nutrition status, as well as the skins exposure to friction and shear forces. Using established guidelines, the nurse assesses the patient and associates his or her findings with a numerical value. These are combined and a patient is given a total score which is indicative of the clients risk of developing a pressure ulcer (Ousey, 2005). Final scores can range anywhere from 6-23. A person is considered at risk if their resulting score is less than 18, as this is the point research shows the relationship between ulcers and risk factors becomes relevant. The lower a patients score, the greater threat they experience of developing a pressure sore (Braden Maklebust, 2005). This information can be used to determine what preventat ive practices can be implemented, as well as the establishment of baselines to gauge the effectiveness of the practices. It should be standard protocol for healthcare facilities to have their staff use the Braden Scale or other objective risk assessment tools when appropriate. Currently, most accreditation agencies now require some form of risk assessment, yet often assessment are shortened, excluding vital factors and skewing the validity of the assessment (Braken Maklebust, 2005). It is up to hospitals, or other care facilities, to ensure that these measures are being implemented. It is best if a minimum standard protocol is established, and the frequency of assessments tailored based on the individuals needs. Recommendations suggest an assessment upon admittance and base the remaining intervals off of the stability of the patients condition. In an acute care setting it is suggested patients be reassessed at least every forty-eight hours, if not more frequently. ICU patients should be reassessed daily if they remain in a stable state or every shift if they are not (Braken Maklebust, 2005). In the e vent of the discovery of the indicators of pressure sores then increasingly aggressive preventative measures can be implemented to prevent the occurrence of ulcers, and minimize the discomfort or complications to the patient. Once standard protocols are integrated it is important to evaluate their effectiveness. Baseline values must be obtained. Since the goal surrounding this nursing intervention is reducing the frequency, it would be logical to obtain the rate at which pressure ulcers are occurring, taking into account the demographics of the patients being evaluated. Braden scale assessment totals and other assessment findings such as erythema, non-blanching hyperaemia, blisters, discoloration, and localized heat and edema, should be documented for each patient and checked for improvement for the individual (Braden Maklebust, 2005; Ousey, 2005). Proof of this documentation must be recorded. After a healthcare facility establishes a standard for using a risk assessment tool at a set interval, the rate should once again be evaluated and compared to the original figures to note any improvement. Studies have been conducted in a similar fashion to evaluate the success of employing the Braden Scale into com mon practice. A study found that patients in a large tertiary care ICU, after Horn and colleagues implemented use of the Braden Scale and preventive protocols, the incidence of pressure Ulcers among the most critically ill patients decreased from 33% to 9% ( as cited in Braden Maklebust, 2005, p. 71). Statistical analysis shows that including the use of the Braden Scale in your plan of care can reduce the rate of pressure ulcer formation substantially, making this guideline applicable to the patient goal. Use of High Specification Foam Mattress Pressure ulcers occur as a result of decreased capillary blood flow to dermal tissues, as oxygen and nutrients are not delivered, and wastes not removed. The use of support surfaces, such as mattresses, mattress overlays, or dynamic support surfaces, is an intervention for prophylactic treatment of pressure injury. In order maintain some perfusion, the external tissue pressure must remain above the capillary closing pressure of 33 mmHg. This is of extreme significance around bony prominences , including tissues over the sacrum, Ischia, greater trocanters, external malleoli, and heels, all of which are frequent areas susceptible to impaired localized skin integrity (Thomas, 2008). According to Ousey, this information is very pertinent, especially when doing a comparison to the force between bony prominences and a standard hospital mattress. These forces ranged between 70 and 100 mmHg, clearly above the capillary closing pressure. If a patient is unable to move, this pressure is too great for the body to handle, and tissue damage occurs (Ousey, 2005). The use of high specification foam mattresses cradles the body in its entirety and distributes the weight so pressure is distributed over a larger surface area (McInnes, Cullum, Bell-Syer, Dumville, 2008). The goal of replacing the mattress or using other supportive surfaces is to reduce the pressure between the patient and the supportive surface below 33mmHg, allowing for blood flow in those patients who are immobile or have decreased sensation (Thomas, 2008). Preventative transfers of patients of moderate to high risk for developing pressure ulcers to high pressure reducing surfaces has the ability to substantially decrease the prevalence of pressure related injuries. The Prevention and Management of Pressure Ulcers article states that when compared to a standard hospital mattress, a number of pressure-reducing devices lower the incidence of pressure ulcers by about 60% (Thomas, 2008, p. 243). Regulation surrounding this issue should be instituted as part of the creation of the plan of care when considering prediction and prevention of decubitus ulcers. Evidence-based research shows that there is no significant difference between eh use of alternating pressure dynamic air flow beds, silicone overlays, foam overlays, sheepskin overlays, or other air filled devices. Health care facilities should take into account the cost and ease of use when purchasing these (Reddu, Gill, Rochon, 2006). Once again, in order to evaluate effectiveness, baseline values of the grade and prevalence of ulcers must be obtained and compared with values obtained at a later time after changes in care have been implemented. It is important to note such things as the age, activity tolerance, gender, present illnesses, and type of supportive surface used to prevent the formation of an ulcer. A guideline followed in an experiment conducted by de Laat, preventative transfers were arranged prior to ulcer formation in the event of finding nonblanchable erythema or an expected immobility exceeding seventy-two hours. Following these procedures surrounding preventative transfers, as well as the sound clinical judgment, proved to be the of the strongest statistical significance in reducing the pressure ulcer density grade II-IV within a one year time period (de Laat et al., 2007). The use of pressure-reducing surfaces, especially if used as a early, is another intervention that will help reach the patie nt goal of preventing the occurrence of pressure ulcers. Managing Nutrition Insufficient nutrition predisposes individuals to developing a pressure ulcer, as well as delays the healing process of sores that do form. Proper nourishment and hydration are behind all body processes, both vital in function and not. It is imperative to maintain good nutrition to provide an optimal environment so that homeostasis may be maintained. However, it is a common occurrence that clients who are admitted to the hospital dont have optimal intake of food or water due to a variety of factors including eating nothing by mouth prior to surgery, unconsciousness, feeling of nausea, presence of illness, polypharmacy, and physical or mental disability (Ousey, 2005). These conditions may result in poor nutrition or malnutrition statuses. The problem lies in the fact that there is no definitive diagnosis for undernutrition. Weight loss and biochemical data of hepatic proteins are the accepted standard. Albumin, pre-albumin, and hemoglobin levels are analyzed. Even though these indicat ors help health care professionals evaluate possible nutrition issues and possibly identify those at risk for developing, they can fluctuate due to underlying disease or hydration status (Dorner, Posthauer, Thomas 2009; Thomas, 2008). Inadequate intake of calories, proteins, fluids, vitamins, and minerals, as well as a low body mass index, may result in impaired skin integrity. It is not yet universally accepted that nutrition status is directly linked to the development of pressure ulcers because studies have not been producing consistent results showing the relationship. On the other hand, there is an accepted correlation between nutritional status and wound care healing. Therefore, it is essential that clinical malnutrition is prevented. A well-balanced diet high in protein is necessary for the healing of pressure ulcers (Dorner, Posthauer, Thomas 2009). Increased calorie and nutrient consumption is required to overcome the hypermetabolic state and increased energy needs. Carbohydrates are needed for the synthesis of glucose, glutamine is needed to serve as a fuel source for epithelial cells, arginine is supports the formation of protein, fluids are needed to serve as a solvent and transportation, ascorbic acid for the production of collagen, and zinc for collagen formation, protein synthesis, and cell proliferation. Perhaps the most important nutrient needed for wound healing is protein. It is needed to maintain nitrogen balance and for the synthesis of enzymes involved in wound healing and collagen and connective tissue production. In order to ensure that all clients have met these nutritional needs, support may be desirable. These include consultation with a dietitian, consultation with a speech pathologist if indicated, use of nutritional supplements, enteral feeding, and parenteral nutrition (Dorner, Posthauer, Thomas 2009). All people are at risk for malnutrition whether young or old, so upon admission, all patients nutritional status should be assessed to determine existing or potential malnutrition, and referred for further help if indicated. Throughout the clients stay at the hospital, all patients intake should be monitored for nutritional value and fluid consumption. If indicated additional supplements should be given within recommended daily intake norms if needs are not met. The obtained information on nutritional status must then be compared with progress made in the healing of the pressure sore, including decreased size and depth, as well as decreased exudate. Reassessment of hepatic lab proteins and body weight may be recorded multiple times to evaluate any improvements. Adequate nutrition may prevent the development of pressure ulcers. More importantly a well balanced-high protein diet can be used in the management of pressure ulcers in the aspect of promoting healing if a pressure ulcer does develop (Ousey, 2005). Use of Moisture-retentive Dressing In the event that all preventative measures have failed, and a pressure ulcer does form, it is recommended that moisture-retentive dressings are used to encourage healing. Moist wound treatment has shown to be optimal in promoting reepithelialization. According to Thomas, Moist wound healing allows experimentally induced wounds to resurface up to 40% faster than air-exposed wounds (Thomas, 2008, p. 246). There are now dressings, called occlusive dressings that were developed to maintain the moist environment. There are other benefits to using this treatment as wounds are further protected from infection and pain is reduced (Thomas, 2008). The introduction of occlusive dressings as a primary treatment is beneficial. Several types of occlusive dressings may be used, such as polymer foams, hydrogels, hydrocolloids, alginates, and biomembranes. All of these have proven to be effective. Four out of five trials comparing hydrocolloid dressing with a moist gauze dressing demonstrated higher healing rates (Thomas, 2008, p 250). Effectiveness of treatment can be evaluated in the time needed for complete healing. Decrease in size and depth, reduced erythema , no exudates production, and increased collagen synthesis are all signs and symptoms indicating healing of pressure ulcers (Ousey, 2005). Hyperbaric Oxygen Treatment Hyperbaric oxygen (HBO) therapy for chronic wound care is a relatively new concept. Sometimes pressure sores take a prolonged period of time to heal. In HBO therapy, the patient intermittently breathes 100T% oxygen, while the pressure exerted on the body within the treatment chamber is raised to greater than 1 atmosphere absolute (Hunter, Langemo, Anderson, Hanson, Thomson, 2010, p 116). Often chronic wounds take a longer duration to heal due to ischemic injury, and hyperbaric oxygen therapy directly addresses that. These specialized conditions are at the root of why hyperbaric oxygen therapy proves to be beneficial. In these chambers, the amount of oxygen availability is significant and increased atmospheric pressure causes oxygen exchange between the air and the tissues (Hunter et al., 2010). This regime involves effective management and treatment of pressure ulcers in the event a pressure ulcer does not heal. Although not available at all facilities, hyperbaric oxygen therapy should be recognized as a treatment option for chronic pressure ulcers. Patients should be presented with the option if indicated. To ensure this alternative treatment is presented, it should become a standard requirement to document it. If this becomes the choice of therapy, it is necessary to evaluate the effectiveness of the treatment by looking for signs of ulcer healing. In one study, chronic wounds were monitored for an eight week time period with hyperbaric therapy. The results showed shrinking of wound size in all participants and even a 16% healing rate (Hunter et al, 2010). Similar standards would need to be implemented with therapy to ensure its efficacy to the individual patient. Hyperberberic oxygen treatment should not be mandatory, but recognized as an option when considering the patient goal of managing pressure ulcers. Conclusion Although pressure ulcers are a problem found in many healthcare facilities, it is a problem that has a wide range of solutions. Decubitus ulcers can negatively affect a clients quality of life and there are potential medical complication, including coma and death associated with this condition. Proper assessment and management of pressure ulcers is a reflection of quality of care. Evidence-based nursing interventions such as assessing a patients risk using the Braden Scale, use of special pressure reducing mattresses, managing adequate nutrition the use of wet-dressings, and hyperbaric oxygen as treatments, have been proven to be effective and are all of great importance in improving patient care (Registered Nurses Association of Ontario , 2007). The goal of keeping patients free of ulcers during hospitalization and proper management of pressure ulcers if one does develop, must be at the root of all tasks. Evidence Based guidelines must be established and disseminated throughout the United States, and practiced in order to reduce the frequency and improve the care surrounding pressure ulcers.

Slavery :: Slavery Essays

Thesis: Slaves managed to be the main beneficiaries of a movement so entirely unintended for them because, in a series of coincidences brought about by certain effects of Northern progress and improvement, the promotion of their interests became profitable to to the concerns of other classes. Counter-argument: some might argue that slaves could not have been the primary beneficiaries of the progress and improvement taking place in the North in 19th century america b/c there were very few slaves in the north; they were primarily concentrated in the south which was little affected by these changes and with slaves being so remote from the situation, how could they have benefited from it? --while the south obviously did not experience the level of transformation that the north and midwestern regions underwent, it did not go untouched by this era of change--it apparently made southerners even more sealed in their determination to "preserve their way of life based on slavery,"as evidenced by their attempt to secede from the Union. Merely the fact that they reacted so strongly to the changes they perceived in the North indicates the force of the effect that progress had on them. --the very fact that there were few slaves in the north and so many in the south only contributed to the progress-fueled growing distinction between the North and South, the former of whom could not understand--likely because there were so few slaves in the North--the "semifeudal economic and social system" to which the South was "hopelessly attached" due to their dependence on slavery (p. 5, Sheriff). Point: Wage laborers necessary to the realization of improvements in the 19th century began to be perceived as a morally inferior permanent underclass--this elicited fears & changes in opinion involving progress--some (i.e. Bethel society) began to think that one man's (the businessman's) profit came at another's (the worker's) expense--brought about increasing desire for moral reform--leading to 2nd Great Awakening--which in turn led to popularity of abolitionist sentiment. Point: Decreasing reliance on slavery as a necessity to the maintenance of a stable economy, coupled with the still-strong Revolutionary ideals of liberty & equality, drew attention to injustices inherent in slavery. --slaves were necessary before because men were trying to produce huge quantities to ship over to England, at first to pay back their joint-stock companies and then to secure their stability in the "New World." but in the 19th century people were settled into their ways of life, and farmers did not feel such urgency to overproduce.

Small Scale Industries Problems

Article: Information technology: a growth navigator for small scale industries in India Small scale industries (SSI) have a significant role in the Indian economy in view of its contribution to production, employment, and export. However, since 1991 small scale industries in India find themselves in an intensely competitive environment due to globalization, domestic economic liberalization, and dilution of sector specific protective measures. The formation of World Trade Organization in 1995 also forced the member countries (including India) to drastically scale down the restrictions on import. This article analyzes the various factors influencing the growth of small scale industries in India. Information Technology (IT) is one of the significant factors, which is, in general, not used by the small scale industries in India for their production and business process, in the growth of small scale industries in India. Further on the basis of Nolan's ‘Stages of growth model' the stages of use of information technology in small scale industries are studied. Small Scale Industry in India: An Analysis in the Context of Liberalization Small and Micro producers are crucial in developing economies, and their role is even greater in the largely rural economies of South Asia. In India as well, the sector is the second largest employer, after agriculture, and accounts for nearly 6 percent of the country's GDP. India was an exception in that it gave the small-scale sector large incentives, and protection, in the period 1948-1991, going to the extent of reserving certain production lines solely for the sector. In the historical context of this, this paper shall attempt to analyze the issues peculiar to a ‘smalls scale of production' in India in an increasingly globalised scenario. It shall also look at some of the other issues plaguing the sector such as credit availability and maintaining quality standards. Movement of toxic metals from small-scale industrial areas: a case study from Delhi, India In India, an estimated 70% of the total industrial pollution load is attributed to Small and Medium Enterprises (SMEs). Among SMEs, small-scale industries continue to use obsolete technologies with no stringent rules for pollution control. Consequently, waste generated from them is generally dumped without treatment. These facts are strengthened from the analysis conducted on solid waste and wastewater samples from five industrial areas, water samples of river Yamuna, the tributary of river Ganges and solid waste samples of landfill areas in Delhi. Toxic metal concentrations were analysed and found in high concentration in collected samples. Besides that, fractionation study was also done. The data obtained from this study identify that the wastes with high concentrations of toxic metals, calling for the introduction of point source control of waste generation.

Investigating radioactive decay using coins Essays

Investigating radioactive decay using coins Essays Investigating radioactive decay using coins Essay Investigating radioactive decay using coins Essay Research question: Does our radioactive modeling with coins illustrate radioactive decay? Hypothesis: I believe that it is possible to illustrate radioactive decay by trying to model it using coins. Radioactive decay is a random process and is not affected by external conditions. This means that there is no way of knowing whether or not a nucleus is going to decay within a certain period of time. However, due to the large numbers of atoms involved we can make some accurate predictions. For example, if we start with a given number of atoms then we can expect a certain number to decay in the next minute. If there were more atoms in the sample, we would expect the number decaying to be larger. As a result the rate of decay of a sample is directly proportional to the number of atoms in the sample. This proportionality means that radioactive decay is an exponential process. As a result, I believe that we can model radioactive decay using coins because by chance we should get half of the coins left each time which is exactly what half-life is. Variables: Independent variable: I am not sure about this one because I dont really think there is an independent variable in this investigation because we arent changing anything other than the number of parent coins every time we throw them. Dependant variable: Similarly, there is no real dependant variable due to the fact that there is no independent variable. Controlled Variables: Despite the fact that we cannot really identify any independent and dependant variables there are several variables that we should control. First of all, the drop height must be kept the same in all experiments and this can be done by using a rule to measure the height each time. Also the type of coins and the surface which the coins hit must be kept the same. Method of experiment: 1. Find a place where there is plenty of area so that the coins can bounce off freely. (Remember the surface must be kept the same). 2. Drop the 32 coins of the one type (lets call them parent coins) on a flat surface. 3. Count and remove all of the parent coins which are head-side up- these have decayed, 4. Replace the head-side up coins with the same number of the other type of coin ( lets call them the daughter coins) you are using. 5. Record the number of parent and daughter coins you have onto a chart and repeat the process until no parent coin is left. Method of Collecting Data: 1. In order to get accurate results do your experiment about three times and then do an average. Data Collection and Processing Data collection: Tables showing the number of parent and daughter coins at each step (Trial 1) Data presentation: Now in order to answer my research question it is vital that we draw a graph because if the graph illustrates an exponential decay curve then it would support my theory that you can in fact model radioactive decay but if it doesnt illustrate an exponential curve then it wouldnt support my theory. Conclusion and Evaluation Conclusion: In essence, the results support my theory that it is possible to model radioactive decay using coins. From the first graph we can clearly see that we have an exponential graph which is what radioactive decay is due to the fact that the rate of decay of a sample is directly proportional to the number of atoms in the sample. The other graph serves to illustrate that as the decay of the radioactive parent nuclei occurs, there is an increase in the stable daughter nuclei. Speaking about errors in this modeling exercise is very hard because this isnt really an experiment. All we are really doing is throwing coins onto a flat surface and looking at the outcome i. e. the number of head-side up parent coins. Systematic errors couldnt have occurred because we arent using any instruments to measure anything. The only random error that could have occurred would be us missing one of the head-side up coins and not removing it when we had to. Evaluation: Again because this isnt an experiment in which we have a definite independent variable and a dependant variable, there are no real weaknesses or limitations that occurred. The only weakness I can think of is that this modeling exercise relies a lot on chance. In other words, it just might have been so that not approximately half of the coins were taken of each time. It would have been a total mess if for example the first few tries only 1 coin is head-side up and then after lets say the 5th try all of them come up as head-side up. That would totally mess all the results and wouldnt support the theory of radioactivity. Other than that I cannot think of any weaknesses. Improvements: Thinking of realistic improvement for this modeling exercise isnt possible because it is a modeling exercise and not an experiment. However, it never hurts to take more trial perhaps- 10 trials and then taking averages. This would give more accurate results but then again because this experiment relies too much on chance, doing 10 trials might make the results even worse. Another improvement can be is to use much more coins, for example a hundred coins. This gives a greater possibility to monitor radioactive decay. I am sorry that I couldnt do all experiments but as you know we- the chemists- also had to do chemistry investigations and therefore we didnt have enough time to do all the experiments.

Diet Pills essays

Diet Pills essays SPECIFIC PURPOSE: The specific purpose is to persuade the audience not to use diet pills that contain ephedrine because of the adverse health problems that it causes. THESIS: Ephedrine is a great supplement for losing weight but the side effects caused by taking ephedrine are not worth the weight loss. I. Today, I am going to warn you about the consequences of taking diet pills containing ephedrine. Ephedrine is the active ingredients found in popular diet pills, over the counter decongestants, allergy medications, herbal energy boosters, and asthma remedies. In a study conducted by researchers at the University of San Francisco and California Poison Control System, of the adverse events reported form the use of ephedrine, 47% involved cardiovascular symptoms, while 18% involved the central nervous system. Hypertension was the single most frequent adverse reaction, followed by tachycardia, stroke and seizures. In total, the FDA has reported over 40 deaths and over 800 serious side effects linked to ephedrine. As an over the counter herbal supplements, the FDA does not regulate ephedrine. The FDA received testimonies of over 800 adverse events associated with the use of the diet supplement that contained ephedrine (Smith, 4). II. Ephedrine is a great supplement for loosing weight; however the risks that are involved with ephedrine are not worth the weight loss. III. We will examine the risk and effects that one takes by taking ephedrine and some ways to prevent and treat these effects. (First, let me tell you what ephedrine is.) I. Originating from the ephedrine plant, ephedrine has been advertised as a time-tested Chinese herb (ma huang) that will relieve asthma and allergy symptoms, as well as enhance athletic performance an ...

Criminal Justice Portfolio Essay Example | Topics and Well Written Essays - 1500 words

Criminal Justice Portfolio - Essay Example It may also encompass legal guarantees of access to information, protection of journalists, public’s limited access to the media and right of reply or correction†. Discussion: My position on the issue is that the press should be given complete freedom to function within its own framework of guidelines, and there should be restrictions only on careless or false reporting. My opinion is correct because the public has the right to the true facts of any information of significance, and transparency will ensure decline in corruption. According to the Final Annotated Survey of the State of the First Amendment (2005: p.2), the results show that 47% of the public felt that the amount of freedom the press enjoyed was â€Å"about right†, 39% felt that the press had too much freedom, too little freedom was the verdict of only 10%, and the remaining 4% did not know. The viewpoint of the majority is supported by McQuail (2003: p.54) who states that social responsibility theory became an essential point of reference in the growing trend towards the professionalization and self-regulation of the press. Conclusion: The small minority of the public who believe that the press should have less freedom should consider one important reason for freedom of the press: that those in high public office, in businesses or in responsible social posts will need to show results, and also keep free from wrongdoings. Introduction: According to Klay; Sewell (1996: p.241) development and application of criminal justice technology for the purpose of individual liberty is possible only in communities that share and perpetuate democratic norms. Emphasizing on â€Å"responsible use†, the democratic communitarian theory requres the use of technology to strengthen unity within the community, while exercising restraint and avoiding the creation of potentially threatening technologies. Discussion: My

Christian Bale Movie Review Example | Topics and Well Written Essays - 1000 words

Christian Bale - Movie Review Example It was no wonder hen, that Bale himself soon followed in the family footsteps. His father was fond of travelling, and the family moved excessively form place to place during bale's childhood (Tiscali 2008). This gave Bale exposure to many different interests and opportunities that developed his passion about acting. His first major break was Steven Spielberg's Empire of the Sun in 1987 when he was still a child actor (Tiscali 2008). This was followed by a little rough career patch before becoming a hit in Little Women (Tiscali 2008). As a child, his initial screen and stage appearances include "a part in a Pac-Man cereal commercial, a Lenor ad, and a West End stage debut" (Tiscali 2008). He was also a part of a theatre group at Reading (Tiscali 2008). The focus film for my presentation is the The Machinist, which would be discussed in a greater detail than the other two films under discussion, to examine the extremes to which Christian Bale pushes himself, "both physically and mentally" (LA Weekly 2007), in order to completely lose himself in the character (LA Weekly 2007) and bring... He was also a part of a theatre group at Reading (Tiscali 2008). The Machinist The focus film for my presentation is the The Machinist, which would be discussed in a greater detail than the other two films under discussion, to examine the extremes to which Christian Bale pushes himself, "both physically and mentally" (LA Weekly 2007), in order to completely lose himself in the character (LA Weekly 2007) and bring belief and life to his roles. Background: Ever since he was a child, Bale loved role-playing (LA Weekly 2007). More importantly, he was keen on taking his roles and make-belief games very seriously and was insistent that others do the same; not take fantasy as fantasy, but take it as fiction (LA Weekly 2007). This is the attitude that has kept him going in the filed of acting, where he his dedication to his roles and his extreme impersonation of the script characters has etched a glowing mark for him with the critics and the audiences alike. His father was a traveler and an adventurer (LA Weekly 2007), and this has instilled in him a sense of adventure and self-exploration that he brings to his acting and his roles, and pushes his limits beyond what other people would dare to go to achieve that level of satisfaction and excitement that is a major part of his career as well as his personal life. Discussion: The Machinist was directed by Brad Anderson (The Independent Online Edition- CB.net 2005). It was released in 2005