What is the association between the use of daily chlorhexidine baths - Free Essay Example

Sample details Pages: 7 Words: 2211 Downloads: 7 Date added: 2019/10/10 Category Nursing Essay Type Research paper Did you like this example? The purpose of this paper is to determine if traditional soap and water should be replaced with chlorhexidine for daily bathing purposes for hospitalized patients to prevent spread of HAIs. Literature regarding history of chlorhexidine in bathing patients will be reviewed. Chlorhexidine has been used for over 25 years in clinical settings and continues to be used for skin cleansing and hand washing to prevent spread of HAIs in hospitalized patients. Don’t waste time! Our writers will create an original "What is the association between the use of daily chlorhexidine baths?" essay for you Create order Positive effects of chlorhexidine have been documented with most of them supporting effective prevention of HAIs in patients. Most HAIs are spread by health professionals from patient to patients and thus hand washing with chlorhexidine helps reduce spread of the same. This research will also highlight some evidence of effectiveness of chlorhexidine as a way of prevention of spread of various HAIs including CAUTIs. Most studies have not found any adverse effects in patients who use chlorhexidine for bathing apart from hearing loss and hypersensitivity for some patients. In nursing research, it is important that methods used provide data that can be applied within the context. Use of case study in this case will help come up with real experiences of nurses and patients in real time in the real world. Qualitative methods will also be useful because they provide real insights to the issues affecting the stipulated population. The research will utilize qualitative research methods and case study as the tradition of choice. Interviews as well as observation will be used to collect data and triangulation will be used triangulation to ensure rigor in the research results. Introduction Infections acquired in hospitals have been associated with extended stay in hospital, increased healthcare costs and fatalities (Noto et al., 2015). Most patients with compromised immune systems are at a great risk of acquisition of healthcare-associated infections (HAI). Patients in intensive care unit are at the highest risk of infections and thus will be the basis of this research. There are many ways that have been utilized to help reduce HAI such as hand hygiene and bundles for insertion.HAI has been defined as any infection acquired in a hospital or a health setting (Noto et al., 2015). The infections can be spread by health care professionals who are in constant contact with different patients or through equipment used in hospitals everyday (Noto et al., 2015). Among infections that can be spread include hospital-acquired pneumonia, urinary tract infections and puerperal fever. These infections have been prevented in many ways among then use of traditional soap and water and t hrough use chlorhexidine cleansing of bath water. Chlorhexidine has been used to reduce bacterial burden on skin and thus reducing infections (Noto et al., 2015). This research aims at determining if use of chlorhexidine in cleansing daily baths reduces the number of infections in HAI and CAUTI patients. Most researchers have emphasized the need to use chlorhexidine in bathing water as compared to water and soap. Patients’ bath basins in hospitals have been found to be reservoirs of bacteria which play a part in development of HAIs. To reach conclusive results the research will utilize qualitative methods with case study as the preferred tradition. Qualitative research is important in healthcare because researchers are able to get information about why patients and healthcare professionals behave the way they do. In this case, utilization of case study methods will allow usage of a wide variety of approaches such as intrinsic, collective and instrumental (Anderson, 2010). This will generally ensure that the results of the res earch are valid and reliable. Research questions RQ1: Should traditional soap and water be replaced with chlorhexidine for daily baths for HAI and CAUTI patients? Tradition There are many ways used to conduct qualitative research. This research will utilize case study tradition of qualitative research.   Case study method has undergone substantial development over the years (Anderson, 2010). They have the capability of helping readers understand a complex issue and sometimes add strength to what is already known about the subject. They also give a researcher an opportunity to explain contextual analysis of different events and their relationships (Anderson, 2010). There has been a lot of documentation of an increase in the number of infections in the ICU (O’Horo et al., 2012). Numerous studies have also credited use of chlorhexidine in baths as way of reducing HAIs including CAUTIs. Case studies will help me gain insight as to why chlorhexidine is preferred over traditional soap and water in bathing patients in ICU (O’Horo et al., 2012). Given the expansive nature of this method, it will be possible to know causes of infections and thus have the ability gauge whether use of chlorhexidine is the best method of preventing infections among hospitalized patients. Literature review Introduction to chlorhexidine Chlorhexidine is a topical antiseptic that has been utilized globally for some decades. It has generally been used in children and adults as hand wash, vaginal antisepsis and body washes among others (Weinstein et al., 2008). Chlorhexidine is water soluble that connects to the negatively charged bacterial cell wall which in turn changes the bacterial cell osmotic balance (Weinstein et al., 2008). When used in low concentrations, chlorhexidine affects the cell integrity but when used in high concentrations it leads to death of the cells. Effects of daily chlorhexidine bathing on infection with pathogens One of the main effects of using chlorhexidine is that it significantly reduces HAIs. Climo et al. (2013) found that use of chlorhexidine reduces hospital acquired bloodstream infections. Noto et al. (2015) conducted a research with an aim of determining if daily bathing of critically ill patients with chlorhexidine could reduce incidences of HAI. The researchers found out that using chlorhexidine in daily baths did not reduce HAIs among central line-associated bloodstream infections or catheter-associated urinary tract infections patients. According to the conclusion of this study, there is no difference in using traditional soap and water and chlorhexidine in bathing patients in preventing cases of HAIs. Chlorhexidine has the capability of reducing infections because it reduces vancomycin-resistant enterococci on patients’ skin and healthcare professionals’ hands (Climo et al., 2013; Huang et al., 2016). Huang et al. (2016) noted that daily bathing with chlorhexidine is known to reduce mortality in hospitalized patients. CAUTI patients also showed less infections and spread of MRSA was also lower when patients were bathed daily with chlorhexidine. Huang et al. (2016) from their study concluded that bathing patients daily with chlorhexidine will significantly reduce HAIs in ICU and thus recommended this. Most of literature reviewed shows that there is a positive correlation between infections and use of chlorhexidine in baths rather than use of soap and water for patients in hospital and especially in ICU where infections are prevalent (O’Horo et al., 2012). Evidence supporting effectiveness of chlorhexidine for infection control The most important interventions in hospitals today in prevention of pathogens are hand washing and skin antisepsis. Chlorhexidine has been used for over 25 years in the clinical settings and has been shown to decrease skin flora and transient bacteria (Weinstein et al., 2008). Chlorhexidine has also been said to have residual skin activity which prevents any rapid regrowth of skin organisms thus enhancing the duration of skin antisepsis. This means when chlorhexidine is used in hand scrubs, there is a reduction in the numbers of bacteria on the skin as compared to soap and water (Weinstein et al., 2008). Apart from hand scrubs chlorhexidine can be used in insertion and maintenance of devices like catheters. Before insertion of devices, skin preparation is done using chlorhexidine to ensure that skin is decolonized against microorganisms which in turn reduces infections. According to Weinstein et al. (2008) methicillin-resistant staphylococcus aureus (MRSA) is one cause of HAIs in hospitals. About 8%-44% of patients admitted in ICU are affected by MRSA that colonize their skin (Weinstein et al., 2008). Chlorhexidine has been known to decolonize the skin of patients in the ICU that is mostly transmitted by health professionals from patient to patient (Weinstein et al., 2008). In this case decolonization of the skin using chlorhexidine is more effective than using soap and water. Health professionals will also have less MRSA on the skin and thus cannot transmit the same to their patients. Soap and water cannot decolonize the skin which in turn provides an opportunity for the organisms to regrow and thus encouraging infections. Adverse effects One of the most common reactions to chlorhexidine is contact dermatitis (Weinstein et al., 2008). Other cases include hypersensitivity and anaphylaxis. There are no known negative effects for wiping or bathing neonates with chlorhexidine and thus this continues to be encouraged (O’Horo et al., 2012). Huang et al. (2016) documented cases which patients in study developed rashes during experiments. However, the rashes were not as result of chlorhexidine but other causes. Many studies developed have not experienced any adverse effects due to use of chlorhexidine apart from those documented by Weinstein et al. (2008) such as hearing loss and hypersensitivity. More research therefore needs to be undertaken to ensure that chlorhexidine is safe for bathing patients to completely replace it with soap and water (O’Horo et al., 2012). Methods While some researchers have concluded that chlorhexidine leads to reduced rates of HAIs acquisition (Climo et al., 2013) others feel that there is no difference whether soap and water are used instead (Noto et al., 2015). This research therefore aims at establishing whether soap and water should be replaced with chlorhexidine with the target population being intensive care unit patients. The rate of intensive care unit infections high and always lead to extended hospital stay (Huang et al., 2016). Replacing normal soap and water bath with chlorhexidine may result in reduced infections in ICU which is the main aim of this research. Methodology used in this research will be mostly observational of patients at certain intervals. Use of case study methods of qualitative research will be equally important to the study because data collected will be analyzed within the context in which it was collected. The data collected will also be large and thus will provide extra information that may be useful to the entire research. A good example is information regarding chlorhexidine baths collected from nurses will help in understanding the situations when it is necessary and when the alternative is the best option. Sample Curtis et al. (2000) noted that sampling is one of the fundamental areas in qualitative researches.   Sample used in the research should always be relevant to research questions presented in the paper and should always have the capability of providing rich information on the subject of study (Curtis et al., 2000). The sample in the research will be hospitalized patients in intensive care unit (ICU) setting. ICU patients are most susceptible to infections and thus will be perfect for the research. The sample will include 100 participants who have been admitted for various reasons and are deemed to be susceptible to acquire HAIs. From the time of admission, half of the participants will bath daily with water cleansed with chlorhexidine (group 1) while the other half will use soap and water (group 2). After two weeks, the groups will exchange with group 1 bathing using soap and water while group 2 using chlorhexidine for their baths. The experiment will go on for one month when the re sults will be analyzed. Data Collection Participant observation will be one main method of data collection. Observation will ensure that participants follow instructions carefully. Participant observation will also help in analyzing any other outside factors that might affects results of the research. Data to be recorded include primary reason for admission, presence of infectionsand length of hospital stay. Data previously collected in documents such as interviews and direct observations by health observations will also be utilized. Data collected from the research will be compared to data from other studies. This will help either dispute or agree with earlier versions of studies that researched the same topic. Health professionals will also be involved in interviews to get their point of view on use of water and soap versus the use of chlorhexidine for daily bathing of patients. Data collection using qualitative research has come under scrutiny and many researchers are concerned with how to maintain rigor. To ensure rigo r in the research, a checklist of design methods and analysis will be introduced. This will act as a way of reducing biasness of the researcher and maintaining objectivity of the results. Triangulation of data is also another method that will be used to ensure validity if data collected. Limitations Use of qualitative methods in research has concerns on a researcher’s subjectivity and external validity of the results. The researcher is the primary instrument of data collection and analysis. This can lead to biasness in the results of the study. This is because during the research, a researcher is left to make decisions and come to conclusions about the subjects and case being investigated. A researcher could decide to use data that only agrees with what he expected while conducting the research and thus undermining the real results of the study. On external validity, it becomes hard to compare the results of the single case study to the entire population. Researchers feel it is impossible to apply the results of one case study to an entire population. A final limitation is the amount of data collected might cause a challenge in analyzing. Data collected using qualitative method is usually huge and thus takes time to collect and analyze it.

Roles of Union Management in an Organization - 1496 Words

Week 5 Final Paper Marcie Wallace BUS 372 Professor Motley February 4, 2013 When we try to describe management, our first notion is generally of a manager who obtains a role and who has charge over its people. However, in the case of cognoscente employees, who oversee each other, management is seen as in action, one that can appoint everyone. Hence, when we describe management as a personification, we modify it to something that alludes to managers only. Such a description is not only a restricting one, it is one that does not rationalize for the way work and obligation has changed. Many influences affect single and group etiquette in the workplace. Many of these are external to the workplace, and include guidance of universal†¦show more content†¦Category | Role | Activity | Informational | Monitor | Seek and receive information; scan periodicals and reports; maintain personal contact with stakeholders. | | Disseminator | Forward information to organization members via memos, reports, and phone calls. | | Spokesperson | Transmit information to outsiders via reports, memos, and speeches. | Interpersonal | Figurehead | Perform ceremonial and symbolic duties, such as greeting visitors and signing legal documents. | | Leader | Direct and motivate subordinates; counsel and communicate with subordinates. | | Liaison | Maintain information links both inside and outside organization via mail, phone calls, and meetings. | Decisional | Entrepreneur | Initiate improvement projects; identify new ideas and delegate idea responsibility to others. | | Disturbance handler | Take corrective action during disputes or crises; resolve conflicts among subordinates; adapt to environments. | | Resource allocator | Decide who gets resources; prepare budgets; set schedules and determine priorities. | | Negotiator | Represent department during negotiations of union contracts, sales, purchases, and budgets. | (Mintzberg, 1972) It is important to keep in mind that not everyone is meant to be a manager. 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Promo Plan Free Essays

Students also benefit from the trainers experience, knowledge and enthusiastic support. Target Market: Students that want to develop managerial skills and a global business perspective to secure work in international business environments or with international clients or colleagues. Target Market Choice: Young people that normally have time to study and have a big interest in learning new things and gaining new skills. We will write a custom essay sample on Promo Plan or any similar topic only for you Order Now People in our target market want to improve themselves, they are ambitious and career-oriented. Demographics: Age: 18-25 Gender: Income: $ minimal, parental support additional Location: Urban and Suburban English is essential Languages: Cultural Considerations Men and Women Beef and pork are off the menu for nearly all Indians. By no means can beef or pork snacks be served at the presentation for the Indian delegation. A ‘yes’ may not be followed by the expected course of action. Many cultures take ‘yes’ to mean yes’. For other cultures, ‘yes’ can mean anything from ‘it is my intention’ to a simple desire to avoid confrontation Indians will be very conscious of how they are treated by each other as well as by business visitors. There is an expectation that one should be treated with the level of respect they deserve due to their status or position, both in the equines environment and in society as a whole. Promotional Technique’s: will Promote this course on two different types of advertising techniques: Online and Events, these two work incredibly great in ILLS, we count with many way to promote via online like Faceable, Twitter etc.. And we provide events all around Sydney to reach all kinds of public and make social interaction easier to the international public. Effectiveness: Having these two types of advertising its proven to be successful in the past and having already a large range of social media at IL SC we make a big impression on young students that are browsing the internet often, in the case of events and personal advertising, having a more personal approach to people its really important for making a bond with the student and we have a lot of cultural diversity in the administration of the college that helps us to promote the course as well. Financial performance: Online is the cheapest, fastest and the more effective way to promote the course. Local and international events aren’t that hard either, the events that are made by IL SC are managed real carefully and the various brochures and leers that we hand out are incredibly detailed and well done. Objectives: My goals for my promotional activities are: 200 new followers on Faceable 100 new followers on twitter 1000 hand out flyers all around Delhi Promotional Activity Resources Timing Budget Who 1. Postage for the expedition of the printed material Postage Australia to India September 2014 $5000 John 2. Ads in Indian youth magazines Launch advertising in popular Indian youth magazines September 2014 – September 2014 $75000 George 3. Ads in Indian daily newspapers Launch advertising in Indian newspapers $100000 . Marketing assistant In Delhi to support the Marketing September 2014 -? September 2014 $35000 5. TV commercial Commercial and show it as many times as possible December 2014 – February 2014 $248000 6. Leaflets that will be laid out in Indian travel agencies 1 ooh leaflets August 2014 $2000 Paul 7. Brochures that will be laid out in Indian travel agencies 10000 brochures Paul 8. Social Media On IL Sac’s social media sites August 2014 – December 2014 $0 9. Online banner promotion in total 500’000 banners Contact our marketing agency and let our marketing assistant in Delhi organize it September 2014 – September 2015 $10000 10. Online pop-up-ads in total 1,000,000 pop-ups Let our marketing assistant in Delhi organize it September 2014 -? September 201 5 $20000 Policies and Procedures: Legislative: The economic liberation’s process began in India in the 1 adds, the process of setting up businesses and incorporation of entities has become more transparent and organized. Things that ILLS should consider: Seek legal advice on protecting intellectual property. There could be potential violations of intellectual property and copyrights. Adopt an appropriate legal ND tax structure from inception use a qualified legal and tax firm with a presence in India to review all contracts Ethical: ILLS has to ensure that the human rights of its employees and local people in countries in which it operates are protected. Security: All files password-safes. How to cite Promo Plan, Papers

Principles of Economics Donald Trump

Questions: 1.According to the article, Donald Trump dislikes big global firms. Explain why, outline his planned policy changes and discuss how these policies could affect US consumers.2.Multinational companies (MNCs) boomed in the 1990s. Examine the key factors that contributed to the growth of the market power of MNCs. 3.The profits of multinationals have dropped by 25% and a 30-year window of arbitrage is closing. What is meant by arbitrage and according to the article, what are the factors leading to the current rise of local companies at the expense of global ones? Answers: 1.Donald Trump dislikes big firms because of the profit and business nature. In his view, tax policy for the multinational corporation is complicated. The multinational corporation takes the extra profit at home when tax rate is low. Furthermore, high tax rate negatively affect their business policies and the cross-border supply chain. Trump dislikes the outsourcing of manufacturing process that is done by the multinational corporations in china or elsewhere (economist.com 2017). Donald Trump planned to impose higher tax rate on the US based multinational corporations to repatriate foreign earning in US. As he was against the trade rule, he decided to disappoint NAFTA, the trade deal between US, CANADA and Mexico. However, later Trump had a tax reform plan, where corporation tax would be slashed to encourage business firm to send back profits to US. New policies are planned to encourage domestic business firm to make profit instead of MNCs (Capri 2017). The policy had been planned to boost up economic growth through increasing capital inflows. The capital can be invested for developing infrastructure for any productive purpose. US economy has been experiencing slower growth rate after global financial crisis. Capital inflow may increase investment and production in different sector of the economy. Economic growth can boost up aggregate demand of US consumers. 2. The growth of multinational corporations started during early 1990s. The key factor for the growth of MNCs is global economies of scale. MNCs make joint venture with companies in other country. As discussed by Taylor and Thrift (2012), agreements are made regarding division of production, recruitment of employees, use of resources, market and others. Due to economies of scale and the big size, the companies can affect government policies significantly in terms of employment, production, tax rate. The MNCs can use resources of the host country at a cheap rate to make enormous profit. These companies often get tax break in order to encourage economic activities.Economies of scale and production efficiency provide them the economic power in the global market as they can reap profit at a lower cost because of the facility of outsourcing. 3. Arbitrage is the purchase or sale of same product simultaneously in different markets. Firms use the method of arbitrage to make increasing profits by taking advantage of different prices for same asset. In the context of US economy, the local firm can copy or use technology, ideas acquired by the global firms in order to bring innovation in their business (economist 2017.com). Innovation can increase brand value of the domestic firms in the global market and may increase prospect of the export from US economy. As per the article, innovation in business reduces the cost of building costly office and factory abroad. As stated by Dewhurst, Harris and Heywood (2012), domestic firms can bring efficiency in production and global supply-chain management process through the innovation. Efficient production brings economies of scale in domestic production and facilitates terms of trade. Reduction in corporation tax rate on the profit earned by domestic firm facilitates the local firms in making profit. References Capri, A., 2017. Forbes Welcome. Available at: https://www.forbes.com/sites/alexcapri/2016/12/22/2017-is-going-to-be-a-disruptive-year-for-u-s-multinational-firms-thanks-to-trump/#605580803c56 [Accessed 16 Feb. 2017]. Dewhurst, M., Harris, J. and Heywood, S. 2012. The global companys challenge. Available at: https://www.mckinsey.com/business-functions/organization/our-insights/the-global-companys-challenge [Accessed 16 Feb. 2017]. economist.com 2017. The multinational company is in trouble Available at: https://www.economist.com/news/leaders/21715660-global-firms-are-surprisingly-vulnerable-attack-multinational-company-trouble [Accessed 16 Feb. 2017]. Taylor, M. and Thrift, N., 2012.The geography of multinationals: Studies in the spatial development and economic consequences of multinational corporations(Vol. 37). Routledge.

Impeachment of Samuel Chase free essay sample

An examination of the first impeachment in U.S. history that of Samuel Chase in the 18th century. This paper presents a detailed description of the impeachment of Samuel Chase. The writer provides an overview of what an impeachment is and how it is implemented. The writer takes the reader on an exploratory journey through the life of Samuel Chase and discusses the impeachment proceedings that he was subjected to. The writer ends the paper with the conclusion of the impeachment attempt. Mention the name Monica Lewinski and it brings immediate recognition. It is the name of the intern whom then president William Jefferson Clinton had an affair with. That affair and the disclosure of the affair led to a snowball of disaster for the president that ended in an impeachment. Mention the name Richard Nixon and it brings an immediate recognition of another former president who violated public trust. He was about to face impeachment proceedings when he resigned from the presidency. We will write a custom essay sample on Impeachment of Samuel Chase or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page These are very famous cases but they are not the only cases of impeachment that have ever been heard in America. Many years ago, when the nation was still in its infancy there was another impeachment hearing. The impeachment proceedings of Samuel Chase occurred during the 18th century and provided a blueprint for future American proceedings.

Free Essays on Socrates- Euthyphro

In Euthyphro, just like in the Apology, Socrates is once again found defending himself. In both texts Socrates uses cross-examination as a means to proving his innocence and discovering the â€Å"truth.† In this text, Socrates is trying to define the meanings of pious and impious. Socrates, who is always in search of discovering some sort of â€Å"truth†, relies on the great theologian, Euthyphro. Socrates, at this point in time, is on trial for corrupting the minds of the youth and claiming that there are new gods trying to convince others that the old gods no longer exist. Socrates figured that during the trial Meletus would have to charge the both of them instead of just him alone. Euthyphro, who is considered a faultless power of his time, is in the process of prosecuting his own father. This is what sparks the interest of Socrates to persuade Euthyphro to educate him about the difference between piety and impiety. Socrates informs Euthyphro that he believes that he is a man of knowledge, but continues to question him. Euthyphro responds to the questions proposed by Socrates who in the next breath informs him that he is inaccurate. His sense and knowledge of piety has now been questioned leaving Euthyphro with a sense of uncertainty. Socrates uses cross-examination and logic to defend himself against Meletus during the trial. Socrates cross-examines Meletus and interrogates him by asking (I think more of implying) if he teaches false theology that can and eventually will corrupt the impressionable minds of the youth. He also tags on to that question who improves them? Meletus responds that Socrates is responsible for corrupting the minds of the youth and everyone improves them. Socrates defends himself by saying that he would never want to live amongst a population full of damage and harm. If he were to corrupt the minds of the youth he would be bringing harm towards them, therefore contradicting what he stated earl... Free Essays on Socrates- Euthyphro Free Essays on Socrates- Euthyphro In Euthyphro, just like in the Apology, Socrates is once again found defending himself. In both texts Socrates uses cross-examination as a means to proving his innocence and discovering the â€Å"truth.† In this text, Socrates is trying to define the meanings of pious and impious. Socrates, who is always in search of discovering some sort of â€Å"truth†, relies on the great theologian, Euthyphro. Socrates, at this point in time, is on trial for corrupting the minds of the youth and claiming that there are new gods trying to convince others that the old gods no longer exist. Socrates figured that during the trial Meletus would have to charge the both of them instead of just him alone. Euthyphro, who is considered a faultless power of his time, is in the process of prosecuting his own father. This is what sparks the interest of Socrates to persuade Euthyphro to educate him about the difference between piety and impiety. Socrates informs Euthyphro that he believes that he is a man of knowledge, but continues to question him. Euthyphro responds to the questions proposed by Socrates who in the next breath informs him that he is inaccurate. His sense and knowledge of piety has now been questioned leaving Euthyphro with a sense of uncertainty. Socrates uses cross-examination and logic to defend himself against Meletus during the trial. Socrates cross-examines Meletus and interrogates him by asking (I think more of implying) if he teaches false theology that can and eventually will corrupt the impressionable minds of the youth. He also tags on to that question who improves them? Meletus responds that Socrates is responsible for corrupting the minds of the youth and everyone improves them. Socrates defends himself by saying that he would never want to live amongst a population full of damage and harm. If he were to corrupt the minds of the youth he would be bringing harm towards them, therefore contradicting what he stated earl...

Aspects of Psychology - Disease Process, Classification, and Essay

Aspects of Psychology - Disease Process, Classification, and Reimbursement Methods (U3IP&DB) - Essay Example ?unit record system,’ that is, keep a ‘unit record’ for each patient, with all records of the patients successive hospitalizations in the patients unit file. The record itself is usually organized in either the ‘traditional’ or the clinical record, the patients chart, or simply the chart.† This is one way to keep information that is necessary to treat a patient together and organized, and it is highly comprehensive. The unit record systems keeps details in chronological order, saves times, ensures up-to-date information, avoids multiple entries, is economical, and saves space. One common way of recording data is to use the Bradma data writing system, and â€Å"The Bradma card made of plastic contains the patients name, record No., address, year of birth, telephone number etc.† (Ramanand, Chandran, and Badrinath, 1982, pg. 1). The records contain referral letters, ophthalmology records, the case sheets, special specific medical record forms, admission records, discharge summaries, progress notes, operative orders, anaesthesia records, retina drawings, and graphic sheets. The records are filed according to a serial filing system. They are coded according to ICD-9CM and indexed according to the patients’ alpha index, patients’ number index, diagnostic index, and operation index (Ramanand, Chandran, and Badrinath, 1982). Hospital, patient and medical records: FAQs. (2008). New Jersey Hospital Association. Retrieved June 23, 2008, from http://209.85.215.104/search?q=cache:OobispXxTRkJ:www.njha.com/librarysection/faq.aspx+%22unit+record+system%22+medical&hl=en&ct=clnk&cd=4&gl=us Ramanand, B.C.; A. Chandran; and S.S. Badrinath. (1982). Medical records in specialty hospitals. Indian Journal of Ophthalmology. Retrieved June 23, 2008, from http://www.ijo.in/article.asp?issn=0301-4738;year=1982;volume=30;issue=4;spage=363;epage=365;aulast=Bhat These types of records are organized according to information that has been documented, and are the

Letter to Law Client Personal Statement Example | Topics and Well Written Essays - 750 words

Letter to Law Client - Personal Statement Example Incorporating does have other benefits as well, including many tax benefits. For instance, some sole proprietors are required to pay the federal tax rate and a self-employment tax, meaning you are being taxed twice; corporations are never allowed to do this. In response to your questions regarding Bubba, there are a few causes for concern here, but a few issues that may still keep you in the clear. First, Bubba is not a regular employee; as you stated, he came down to help out with some extra work. Second, you did not tell Bubba to do this; you gave him different directions. If Bubba is willing to admit to this, then you may safe and the responsibility may fall on him. However, the medical bills are truly an issue-if one person injures another person it is generally required that the person that caused the injury pay for the medical bills of the other. Next, these individuals were clearly blocking the entrance to your place of business, which is very close to trespassing. It sounds like they were still on public property, however, and the actions of Bubba are still an issue-had he asked them and they refused, calling the police would have been a better alternative. Still, the situation does not mean you necessarily have to go bankrupt or lose everything, or even lose the business itself. If these individuals have health insurance, they may only be asking for their deductibles to be paid. Therefore, this may amount to only a few thousand dollars. Also, it depends on the extent of their injuries. If any type of surgery is involved, this will certainly be expensive. However, if it is just a few bruises and broken bones we are concerned about, the issue should not cost as much. If Bubba is not willing to take the blame on his own, because he was there on your accord, the liability very well could fall onto the restaurant, and again, some kind of payment will probably be expected. There are a few things that you can do in this issue in order to prepare yourself. First, I would suggest incorporating as quickly as possible to protect all of your personal assets. This way, only the business, and not everything else, is at risk in this case. Second, I suggest talking to Bubba and seeing how far he is willing to go to assist you with the situation. Third, it may be wise to talk to the people or their attorney, and find out what kinds of medical issues and bills are being considered. It may be easier and less costly to simply settle with the people and pay for their deductibles rather than going to court and possibly spending much more money. Also, if this is done, it is very unlikely that these individuals will have any reason to take the business away. Therefore, my suggestion is to reach out to start the incorporation process, and then to reach out to these individuals to see what can be done to resolve this issue. Taking these steps will probably save you from losing your business, or losing anything else at the expense of Bubba. Thank you and please do not hesitate to contact me if you need

Personal Ethics Action Plan Term Paper Example | Topics and Well Written Essays - 2500 words

Personal Ethics Action Plan - Term Paper Example For achieving my targets I will follow a professional path to attain leadership position in an organization. Life Balance Goals Being a leader in any type of professional organization whether it is a manufacturing company or a services consultancy, I will lead the organization by presenting myself as a role model to be followed and I will motivate and guide my team members by setting positive and productive examples. I would change the mindset of the members of my organization by creating an awareness and sense of understanding of changing scenarios in this world. For being a successful manager I will create a sense of responsibility and sense of involvement in the members of my organization by giving the workers and staff recognition and rewards and by channelizing the benefits of the success of the organization towards the individuals who made the success possible, to make them own the company. I believe in individual success based on collective and organizational success. For bein g a successful professional I will learn to analyze and understand what my seniors and sub-ordinates demand from me and I will utilize my skills and natural abilities to deliver what is demanded of me. I believe that internal satisfaction is more important than apparent success. Considering the above mentioned ideas and beliefs I have identified five life balance goals: 1. I will stay enthusiastic, passionate and motivated towards my professional life and will follow a set of moral and ethical values which will serve as a guideline and deciding factor in my professional as well as my personal life. 2. My personal and professional life will be interrelated to each other and I will select a career and organization according to my beliefs and interests. I will depict my beliefs in my social interactions. 3. I will always proceed with a flexible approach which can be adjusted with the changing scenario. 4. I will try to create a learning environment around me in which exchange of knowle dge is possible and I will try to learn new skills from my colleagues and teammates and will share my experiences and knowledge with them. 5. I will try to grow by developing my technical skills and expertise. 6. I will chalk out a clear plan for my daily routine and will analyze the day’s work and interactions at the end of each day and will plan the next day in accordance with my analysis. Ethics A set of beliefs and values which are based on one’s own perception of the environment and behaviors around him based on past experiences are known as ethics. These ideas and beliefs govern the social behavior of individual and serve as a guideline which helps the individual to distinguish between right and wrong practices and behaviors. Cultural and social environment have remarkable effects on the ethical values of individuals and societies. I think that ethics are beliefs and ideas which vary from person to person and totally depends on the way that particular person perc eives things happening around him. The social structure and the behavioral aspects of a society affects the thinking of an individual that is why the ethical values depend on the social and cultural background of a person however ethical beliefs of a person depends highly on the way of thinking of an individual. Associating ethics with a group or a society is a very common practice but all the

Health Issues of Homeless Population

Health Issues of Homeless Population Introduction A person is contemplated homeless if there is no roof over his head to live. The statistics, which prevail only, relate to masses that are counted as homeless and meet the requirements for local government aid. The quota of households proclaimed in need of urgent housing in United Kingdom increased by about 25% over the last four years. The enormous numbers of people classified have complicated social, health and psychological requirements, and in the past years a great number of centres have been set up to dispense foremost care to people belonging to homeless group. Importance of public health Personal medical services regulation body has made this practicable; earlier, the network of general practitioner (GP) fundholding was a hurdle to chief care for vagrant people with complicated and unsolved issues. The nationally increased general practitioner (GP) agreement will in all likelihood put forward inducements for supervision of vagrant people. The existing obstacles for this group can be seen in suc a way that In a report to the Office of the Deputy Prime Minister, they incorporated the appointment procedures, opening times of surgery, financial disincentives, location and discrimination. Causes for differentiation comprise of impressions that they are violent, antisocial, migrant, or ‘undeserving’. Furthermore, the situation was dealt with some vagrant people face even more risk of being excluded due to their gender, age, sexual orientation or ethnic background. In primary safekeeping, demanding conduct can be a matter of question, but classification of an i ndividual as ‘undeserving’ or ‘deserving’ takes no description of the social elements for example poverty and unemployment, which can conduct to homelessness. Doctors are encouraged by the general media council to permit personal views about patients’ gender, culture, race, age or sexuality to preconceive the idea the safekeeping they get. Because of it a challenge is being placed on clinicians not to eliminate people from health centers because of homelessness or possible drug culture. (Anne, 2005). Common health problems Drugs People without home have a larger proportion of dangerous morbidity and humanity than the other general population. The major health requirement is drug reliance,and the use of illegal drugs, which cause numerous morbidity (including viral hepatitis B and C), septicemia, HIV infection, deep vein thrombosis, abscesses, endocarditis, cellulitis and encephalitis. Adjacent to this, many will be using numerous drugs, mainly heroin and cocaine.Typically for drugs users, principles make these rules. Controlled drugs should be authorized to those patients only who have actually accepted GP, drugs worker and patient. Now there are nations approved results of drug cure,and the policy will rely on those who use drugs independent situations, for example, some drug users will insisted to detoxify from opioids (clearly it is then reasonable to work to an outcome of cessation of drug use). For disorganized drug users, this outcome is not much sensible at first demonstration and the goal must be to establish health and social obligating’s. This (harm reduction) will involve a reduction in the amount of the drugs used, upgrading in physical health, less sinful action and improved relationships (personal/family). (Phill, 2003) Alcohol Many vagrant people have a persistent history of serious alcohol dependence with hepatobiliary, gastrointestinal, cardiovascular, neurological, or metabolic complications. Not to forget that the risk of suicide because of depression is still there. Frequently the vagrant users of alcohol will come to the extensive practitioner with an appeal for urgent detoxification. This should not be undertaken without sufficient preparatory support and assessment. Particularly, uncontrolled detoxification can conduct to convulsions (mainly in the initial 24 hours), which can cause death. The drug of choice to accomplish removal is chlordiazepoxide. Earlier Clomethiazole (Heminevrin) was taken, but this is more toxic when excessively taken and has larger causing dependency capacity. A treatment of vitamins is used instead which also requires to be recommended large dose of thiamine for a single week followed by prolongation vitamin B blend strong. (Phil, 2003) Smoking In the regular population, smoking have decreases since last 30 years. As stated by the General Household Survey, 27% of adult population smokes. One of the government investigation carried out about smoking (among homeless people) was managed in 1996 by Gill. They found that the levels of the smoking were: 90% of homeless people 85% of public in night shelters 68% of hostel inhabitants 49% of private sector leased residence. Current research in England (southwest) and Wales noted that 94% of Big Issue vendors reported smoking cigarettes. (Hellen, 2003). Mental Health The most common health issue in homeless people is drug-induced, psychosis, schizophrenia, depression and anxiety states.The direction of the link with homelessness is uncertain; mental ill health can be a cause and also can be an effect. As compared with the usual population, mental illness is overrepresented in young people (typically rough sleepers), the principal conditions being schizophrenia, affective disorder, psychoses and substance misuse (including alcohol).Dual diagnosis is common and many of the homeless people who are mentally ill have a history of illegal actions. The crimes mainly consist of acquisitive crime or alcohol habit, damage to property or mischief while drunken. A very less men have a history of violent crime. Almost less than 1/3 of homeless people.For some old people, mental illness is the excess to homelessness.(Richard Michael, 2008). Practice organizations There has many debates conducted on whether primary care is better provided through specialized general activities working with homeless people than through common activities.It has been talked that a specialized extensive pursuit for vagrant people is best to put on these vagrant drug users in doomsday with an excess of health troubles. And as well as stabilizing the severe medical states such applications can direct the vagrant person in right use of basic care. When these results have been attained the patient is motivated to lodge with a normal practice. This change can be hard not just for patients but also for medical practitioners when there is a powerful personal liability. Consequently, we ponder that a specialized performance requires the assistance of a committed GP liaison worker. Specialized common practices for vagrant people are only possible in large areas of the city. For village vagrant inhabitants, the answer lays in increment of existing normal basic healthcare se rvices. Another problem in basic care provision for vagrant people is the tightness between practice-based work and outreach work. The quarrel for outreach is depended mainly on a wrong supposition that vagrant people are short-lived and do not approach basic care.(James, 1994) Working with primary care organizations Historically the organized multiagency functioning for the advantage of vagrant people has been hard to attain, for causes comprising lack of lucidity about the correct responsibilities and employments given by differing agencies, problems in sharing information, and nonfulfillment to answer in a coordinated manner. The Royal College of General Practitioners suggests that homelessness problems should be considered as component of the basic primary care organization (PCO) agenda. In a Statement on Homelessness and Primary Care it says that PCOs should give services for in progress homelessness woks, obtain a fine understanding of the numbers of vagrant people in their region and the issues they face, and should encourage multiagency connections and the sharing of conventions and operating ways that make coordinated care and integrated working easier. Working with hospitals When sick, vagrant people look for the help later than other people. They are over-symbolized in presence at emergency departments and hospital accidents. Whether their lodged complaints would be managed in a better manner in basic care is not evident; the reason behind most of the attendances is intentional self-harm or overdose of medication, so the elevated attendance speed could cast back the high commonness of serious ailment in this category of vagrant people. The GP will wish a vagrant patient with acute disease to stay in the medical care center until fully healthy for discharge, and in vagrant users of drugs this may be assisted by instruction of substitute medication on the hospital rooms. The chief purpose should be to keep the users of drugs in a hospital room and not allow them take their own discharge because of acquiring minimal substitute medication. Because the GP may wish to press on these instructions of doctors even after discharge, practices working with users of drugs require evenly matched connections with services to the inpatients. Present day many users of the drugs taking methadone are liberated out either in the absence of medication or with adequate amount of medicine for just a single day. This puts excessive pressure upon basic care. (Healthy Life, healthy people) Working with other stakeholders Joint working not only consisted of healthcare associates but also other services providers to vagrant people incorporating social services departments, housing departments, and non-statutory companies. Lastly, and most significantly, GPs should search for to work in association with vagrant people themselves, the ‘consumers. User involvement: active or passive? In trivialized categories, involvement of patients can be an efficient means to better healthcare. In the case of vagrant people, stigmatization, isolation and absence of choice show large hurdles. By implying these patients we can recognize pauses in the work and alter training correspondingly. Similar efforts go some way to respond to the social exclusion, which subscribes to sick-health. The fundamental principle is that all individuals, regardless of status, must be permitted chances to take part in resolutions influencing them. To this end, advocacy groups and self-help will sometimes be of help in finding out the essential requirements. An experimental study carried out at the NFA (No Fixed Abode) Health Centre for Homeless People, Leeds, focused to decide the most efficient and suitable ways to facilitate and encourage the involvement of patient. 30 patients attending by random selections, appointments fulfilled a structured questionnaire investigating their behaviors to becoming actively counted in the service. The solutions showed that most of them were keenly interested in impacting the run of the health care center and desired to be a part of the decisions, which could change the recipients of future regarding the service. They depicted interest in making a contrast, to pass on their practical knowledge, or to restore something. Some candidates, specifically the ones who were trying to lower their use of drugs, revealed a feeling that participation in the NFA would dispense a perfect chance to focus their lives again. But the desire for participation was not accepted everywhere: some contemplated no requirement for modification or judged the NFA plainly as a service to provide their medical requirements, and a small number of people said they did not get the time.(Health Development Agency) Health Promotion And Psychological behavior change Propaganda of health to vagrant people is feared with problems—not because the masses are so diverse. When asked, sellers of theBig Issue(who themselves are vagrant) gave some prime concern to lessening of uncertainty from the injection of drug. Here are few practical means of promotion of health in primary healthcare: Offer immunization of hepatitis B to that vagrant who inject drug. A speeded up program (0, 7, 21 days) outcomes in immensely better fulfillment charges than the customary (0, 1, 6 month) program. A booster should be given at twelve months Urge vagrant users of drugs to avail needle exchange programs, which may lower the commonness of hepatitis C. Injecting instruments should not be shared. Be alert of death from overdosing of heroin. Recommend the patient not to self-inject when alone and guide in opposition to the use of other drugs, including alcohol or benzodiazepines, with heroin; be alert of deficiency of tolerance after voluntary or enforced sobriety. In the time ahead, courses for vagrant people may consist of peer management of naloxone for excessive drug dose. (Bengt Monica, 2006) Conclusion In a nutshell, there are few great models of the foremost care service donation to notify the healthcare of on the streets people. These models have been originated from labouring with vagrant masses as well as composing the best performance evolved from associated fields for instance the use of substance. Basic care health service providers seeking to propose healthcare to vagrant populations have the chance to be the part of swiftly developing circle of healthcare with complexes to carry both the practices of the clinic and continue the development of the professionals. References Anne, R. (2005). Health visiting. UK: Elsevier. Bengt, L. Monica, E. (2006). Contextualizing Salutogenesis and antonovasky in public health development. Health Promtion International Vol. 21, No. 3. Healthy Lives, Healthy People. Accessed from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216096/dh_127424.pdf. Health Development Agency. Accessed from: http://www.nice.org.uk/nicemedia/documents/homelessness_smoking.pdf Hellen, G. (2003). People in society: Modern studies. UK: Nelson Thornes Ltd. James, C. (1994). Homelessness and Ill-Health. UK: Royal College of Physicians Phil, R. (2008). Working with young homeless people. UK: Jessica Kingsley Richard, W Michael, M. (2003). Social Determinants of Health. UK: WHO library.

Cloned Zoos Essay -- Research Paper Animals Cloning Papers

Cloned Zoos Imagine an earth where every animal lives within an enclosed area where all humankind can see them. Yet, within these enclosures are the only places humans can see these animals alive. Why? It is because the animals' habitats have been damaged and completely destroyed for the needs and usage of human kind. These enclosed areas are called Cloned Zoos: The Final Stronghold of the World's Biodiversity. These cloned zoos are full of cloned animals that have been brought back from the dead or from the edge of extinction. Humankind has come to a point where all life on earth is controlled by human hands and where without the help of humans no animals will survive. Can you imagine a world where this instance has become reality? Could humankind allow this atrocity to happen? Will they allow this atrocity to happen? Well, some scientists are trying to avert this tragedy from occurring by using cloning to preserve those animals that are endangered or rapidly approaching the brink of extinction. The technology for cloning is improving and some scientists are turning to this technology as a way to preserve the genes of species faced with extinction due to weak reproductive abilities or a population, which is split and unable to reach another population. A member of an endangered species can be cloned and reintroduced into the original or a distant and unreachable population. Another option is the member being cloned can be brought back to life after it has died in order that its genes are still part of the gene pool. An estimated one hundred species go extinct each and every day, which means that approximately 36,500 species would go extinct every year (British Broadcasting Corporation, 2003). This extinction trend coul... .... (October 2, 2003). http://www.noonanrusso.com/imedia/ikit/act2/html/faqs.html Tobin, Kate. CNN.com-Nature: First cloned endangered species dies 2 days after birth. January 12, 2001. 18 September 2003 http://www.cnn.com/2001/NATURE/01/12/cloned.gaur/ Weise, Elizabeth. USA Today: The crËme of the clone crop. September 28, 2003. 18 September 2003 http://www.usatoday.com/news/health/2003-09-29-clone-table.htm Westphal, Sylvia Pagan. "So simple, almost anyone can do it." New Scientist. 17 August 2002: 16-17. Wright, Richard T. Biology: Through the Eyes of Faith. San Francisco: Harper & Row, Publishers, 1989. [1] The zona pellucida is "the extracellular matrix of the egg," (Campbell, Reece, Mitchell, 1999, p. 940), a protective layer of the egg. [2] "Fitness is a measure of potential success," (English 107), for a species within a given environment. Cloned Zoos Essay -- Research Paper Animals Cloning Papers Cloned Zoos Imagine an earth where every animal lives within an enclosed area where all humankind can see them. Yet, within these enclosures are the only places humans can see these animals alive. Why? It is because the animals' habitats have been damaged and completely destroyed for the needs and usage of human kind. These enclosed areas are called Cloned Zoos: The Final Stronghold of the World's Biodiversity. These cloned zoos are full of cloned animals that have been brought back from the dead or from the edge of extinction. Humankind has come to a point where all life on earth is controlled by human hands and where without the help of humans no animals will survive. Can you imagine a world where this instance has become reality? Could humankind allow this atrocity to happen? Will they allow this atrocity to happen? Well, some scientists are trying to avert this tragedy from occurring by using cloning to preserve those animals that are endangered or rapidly approaching the brink of extinction. The technology for cloning is improving and some scientists are turning to this technology as a way to preserve the genes of species faced with extinction due to weak reproductive abilities or a population, which is split and unable to reach another population. A member of an endangered species can be cloned and reintroduced into the original or a distant and unreachable population. Another option is the member being cloned can be brought back to life after it has died in order that its genes are still part of the gene pool. An estimated one hundred species go extinct each and every day, which means that approximately 36,500 species would go extinct every year (British Broadcasting Corporation, 2003). This extinction trend coul... .... (October 2, 2003). http://www.noonanrusso.com/imedia/ikit/act2/html/faqs.html Tobin, Kate. CNN.com-Nature: First cloned endangered species dies 2 days after birth. January 12, 2001. 18 September 2003 http://www.cnn.com/2001/NATURE/01/12/cloned.gaur/ Weise, Elizabeth. USA Today: The crËme of the clone crop. September 28, 2003. 18 September 2003 http://www.usatoday.com/news/health/2003-09-29-clone-table.htm Westphal, Sylvia Pagan. "So simple, almost anyone can do it." New Scientist. 17 August 2002: 16-17. Wright, Richard T. Biology: Through the Eyes of Faith. San Francisco: Harper & Row, Publishers, 1989. [1] The zona pellucida is "the extracellular matrix of the egg," (Campbell, Reece, Mitchell, 1999, p. 940), a protective layer of the egg. [2] "Fitness is a measure of potential success," (English 107), for a species within a given environment.

Enthalpy of formation of calcium carbonate Essay

Objective To determine the enthalpy of formation of calcium carbonate Procedures A. Reaction of calcium with dilute hydrochloric acid 1. 1. 0909 g of calcium metal was weighed out accurately. 2. 100 cm3 of approximately 1 M hydrochloric acid was pipetted. and placed in a plastic beaker. 3. The initial temperature of the acid was determined 4. The weighed calcium was added into the acid and stirred thoroughly with the thermometer until all the metal had reacted. 5. The maximum temperature attained by the solution was recorded. 6. The experiment was repeated with 1. 0538g calcium metal. Results: Experiment no. 1 2. Mass of Ca used/ g 1. 0909 1. 0538 Initial temp. of solution/ ? 27 26 final temp. of solution/ ? 55 52 Temperature change/ ? 28 26 Calculations and Discussion: 1. What does the term â€Å"heat of formation† of a substance mean? Heat of formation refers to the heat change when one mole of a substance is formed from its constituent elements is their standard states under standard conditions. 2. What are â€Å"standard conditions† for thermochemical calculations? Standard conditions is defined as elements or compounds appear in their normal physical states at a pressure of 1 atm (101325 Nm-2/760mmHg) and at temperature of 25 oC (298 K). Moreover, the solution should have unit activity(1mol dm-3 ). 3. Write the equation for the formation of calcium carbonate under standard conditions. (Call this Equation 1) Ca(s) + C(s) + 3/2 O2(g) –> CaCO3(s) 4. Write an ionic equation for the reaction taken place. (Call this Equation 2) Ca(s) + 2H+(aq. ) ? Ca2+(aq. ) + H2(g) 5. Assuming (a) the solution in the plastic beaker has the same specific heat capacity as water, i. e. , 4. 2 kJg-1K-1 and (b) density of the acid is the same as that of water, i. e. , 1. 0 g cm-3. Calculate, in each experiment, the heat change in the reaction between the calcium and the acid per gram of calcium. For the first experiment: ?Energy evolved by the reaction= Energy absorbed by the acid ?By E = mc? T, ?H per gram of calcium = [(100/1000)(4200)(28)]/ 1. 0909 = -10780J g-1 = -10. 780kJ g-1 For the second experiment: ?Energy evolved by the reaction= Energy absorbed by the acid ?By E = mc? T, ?H per gram of calcium = [(100/1000)(4200)(26)]/ 1. 0538 = -10362J g-1 = -10. 362kJ g-1 6. Calculate the average heat evolved by one mole of calcium. For the first experiment:?H per one mole of calcium =[(100/1000)(4200)(28)]/ [1. 0909/40. 08] =-432066 J mol-1 =-432. 066 kJ mol-1 For the second experiment: ?H per one mole of calcium =[(100/1000)(4200)(26)]/ [1. 0538/40. 08] =-415329 J mol-1 =-415. 329 kJ mol-1 Average ? H per one mole of calcium (? Hx) =(432. 066 +415. 329)/2 =-423. 698 kJ mol-1 7. Why is the exact concentration of the hydrochloric acid unimportant? Approximate concentration of hydrochloric acid is not considered as one of the errors. In the reactions, limiting agents, i. e. calcium and calcium carbonate, must be reacted completely. Only these matter in the reaction but not the amount of H+(aq) provided in hydrochloric acid. Indeed, the concentration of the hydrochloric acid just affects the rate of the reaction. Therefore the exact concentration of hydrochloric acid is unimportant provided that there is enough H+(aq) to react with limiting agents completely. 8. Should we measure the volume of acid with a measuring cylinder? Why? The measuring cylinder should not be used to measure the volume of acid. This is because the heat absorbed by the acid must be counted when calculating the heat change of the reaction. As the acid has very high specific heat capacity, the errors in calculating the heat change of the reaction will be very significant if the heat absorbed by acid is not taken into account. Thus, the volume of acid should be obtained accurately to apply into E=mc? T in order to calculate the heat absorbed by the acid accurately. As the scale of the measuring cylinder is far from accurate, the pipette should be used instead. B. Reaction of calcium carbonate with dilute hydrochloric acid 1. 3. 0940g of dry powdered calcium carbonate was weighed out accurately and placed directly into a clean dry plastics cup. 2. 100 cm3 of approximately 1 M hydrochloric acid was pipetted into another beaker. 3. The acid was poured on the carbonate in the plastic beaker. 4. The solution was stirred briskly with the thermometer and the maximum temperature reached by the solution. was recorded. 5. The experiment was repeated with 2. 7400g of dry powdered calcium carbonate. Results: Experiment no. 1 2 Mass of CaCO3 used/ g 3. 0940 2. 7400 Initial temp. of solution/ ? 26 25 final temp. of solution/ ? 28 27 Temperature change/ ? 2 2 Calculations and Discussion: 1. Write an ionic equation for the reaction taken place. (Call this Equation 3) CO32-(aq. ) + 2 H+(aq. ) ? CO2(g) + H2O(l) 2. Calculate the average heat evolved by one mole of calcium carbonate. (Making the same assumptions as in Part A) For the first experiment: ?Energy evolved by the reaction= Energy absorbed by the acid ?By E = mc? T, ?H per mole of calcium carbonate = [(100/1000)(4200)(2)]/[(3. 0940/(40. 08+12. 01+16Ãâ€"3)] =840 /[(3. 0940)/(100. 09)] =-27174 J mol-1 =-27. 174 kJmol-1 For the second experiment: ?Energy evolved by the reaction= Energy absorbed by the acid ? By E = mc? T, ?H per mole of calcium carbonate = [(100/1000)(4200)(2)]/[(2.7400/(40. 08+12. 01+16Ãâ€"3)] =840 /[(2. 7400)/(100. 09)] =-30685 J mol-1 =-30. 685 kJmol-1 Average ? H per one mole of calcium (? Hy) =(27. 174 +30. 685)/2 =-29. 080kJ mol-1 3. Draw an energy-cycle linking Equations 1, 2 and 3 together, you must include reactions that had not been performed in the experiment. 2H+(aq. ) +Ca(s) + C(s) + 3/2 O2(g) CaCO3(s) + 2H+(aq. ) ?Hx ? Hy Ca2+(aq. ) + H2(g) + C(s) + 3/2 O2(g) Ca2+(aq. ) + CO2(g) + H2O(l) 4.. Besides your experimental results, what other information do you need to enable you to calculate the heat of formation of calcium carbonate? Look up these necessary data from any suitable source. The enthalpy change of formation of water: -286 kJ mol-1 The enthalpy change of formation of carbon dioxide: -393 kJ mol-1 5. Calculate the heat of formation of calcium carbonate. ?H? f [CaCO3(s) ] =? Hx +? H? f [CO2(g)] +? H? f [H2O(l) ] -? Hy =-423. 698-393-286+29. 080 =-1073. 6 kJ mol-1 6. As far as you can, list out the major sources of inaccuracy in the experiment and suggest ways to improve them whenever possible. Sources of error: – Heat loss to surrounding by evaporation, conduction and radiation. -The thermometer absorbed some energy. – The specific heat capacity and the density of the solution are not actually the same as those of the water. -Some of the samples failed to dissolve completely? – The reading of the thermometer is not accurate enough. -The experiment was not exactly carried out under standard conditions. -Some heat was gained by the gases, a considerable amount of heat is loss to surroundings when the gases are releasing. -The lid covering the plastic cups cannot prevent heat loss efficiently. -Heat capacities of plastic cups and thermometer were ignored. -The samples were not pure calcium and pure calcium carbonate due to air oxidation and reaction with moisture in air. Improvements -Use the vacuum flask calorimeter with a cork stopper instead of the polystyrene foam cup -Use a more accurate reading thermometer (e. g. Beckmann thermometer) – Find out the specific heat capacity of other materials other than water. -Use sand paper to remove the oxide layer on calcium metal. -Use powdered calcium instead of the granules in order to increase the rate of reaction ,so that the heat loss to the surroundings can be reduced 7. State the law which you have used in order to answer Question (5). The heat of formation of calcium carbonate cannot be determined directly by calorimetric experiments as there are several experimental difficulties : -The extent of the reaction cannot be controlled -Heat evolved cannot be separated into appropriate terms -Direct combustion of calcium can be violent -Side reactions may arise, for example, 2Ca(s) + O2(g) 2CaO(s) C(s) + O2(g) CO2(g) Then ,Hess’s Law is applied to calculate the heat of formation of calcium carbonate. Hess’s law states that the energy change for any chemical or physical process is independent of the pathway or number of steps required to complete the process provided that the final and initial reaction conditions are the same. In other words, an energy change is path independent, only the initial and final states being of importance. This path independence is true for all state functions 8. State the law which you have used in order to answer Question (7) depends? Why is this principle useful? The law of conservation of energy states that energy can neither be created nor destroyed but can be changed from one form to another. In order to achieve the answer, Hess’s law is used. Hess’s law states that the total enthalpy change of a reaction is independent of the route by which the reaction takes place. In other words, the standard enthalpy change of a reaction depends on the differences in standard enthalpy between the reactants and the products. It means that the enthalpy of the reaction system is conserved. As the absolute enthalpy of a substance is not possible to be determined and only the difference between reactants and products can be measured experimentally. This law helps us to define the standard enthalpy change of a reaction. Conclusion The enthalpy of formation of calcium carbonate is -1073. 6kJ mol-1. Reference http://hk. knowledge. yahoo. com/question/? qid=7006100200879 http://hk. knowledge. yahoo. com/question/question? qid=7007111800043 http://www. answers. com/8. %09Should+we+measure+the+volume+of+acid+with+a+measuring+cylinder%3F+Why%3F http://hk. search. yahoo. com/search/kp? ei=UTF-8&p=word%E6%89%93%E5%88%86%E7%B7%9A&rd=r1&fr2=tab-web&fr=FP-tab-web-t F. 6 Chemistry Notes Section III by Ms Sin W L.

3 Types of Headings

3 Types of Headings 3 Types of Headings 3 Types of Headings By Mark Nichol Headings are second-generation headlines, words or phrases that introduce sections of a piece of content and thus help a writer organize the content into smaller components. This post describes three categories of headings and their functions. 1. Question Headings A question heading, as you might have guessed, is a heading in the interrogative case. A question heading like â€Å"How Do Widgets Make Your Job Easier?† directs a reader’s attention because it implies that the text that follows the heading will answer that question. Question headings are useful in content that serves as an informational resource, such as an instructional procedure, a troubleshooting guide, or a website’s FAQ (frequently asked questions) page. But they can also serve to organize more qualitative information intended to expand readers’ knowledge, such as headings that ask the difference between various political systems, religions, or philosophies. 2. Statement Headings Statement headings are those that include a noun and a verb, forming a complete thought. Newspaper headlines are the model for this form: â€Å"Widgets Make Your Job Easier† is an example of a statement heading. Statement headings are ideal for straightforward content when question headings aren’t appropriate or desired. They express a fact or an opinion, and they signal that the content following them will provide details that support that fact or argue that opinion. 3. Topic Heading A topic heading consists of a single word or a short (or not-so-short) phrase that serves as a label identifying the topic of the content that follows: Sample topic headings include â€Å"Widgets,† â€Å"Benefits of Widgets,† and â€Å"How to Use Widgets to Make Your Job Easier.† Topic headings can introduce functional content, but they’re the type of heading best suited for leisure reading content intended to entertain rather than inform. Topic headings can be the most challenging to write because they don’t necessarily provide much information. The first two examples, above, for instance, aren’t very specific; only the third one matches the sample question and statement headings for utility. Topic headings do invite more creativity, including wordplay and alliteration, but â€Å"Workout Widgets† and â€Å"Widgets and Gadgets,† for example, might require more context, like an image, or a transitional sentence at the end of the previous section, to be of much use. Also, note that the more conceptual a topic heading is, the less likely it is to support an online search, because it probably includes fewer keywords than an equivalent heading formatted according to one of the other heading styles. 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 Style category, check our popular posts, or choose a related post below:50 Incorrect Pronunciations That You Should AvoidPrecedent vs. PrecedenceWhat the Heck are "Peeps"?

NO IRISH NEED APPLY †History Essay

NO IRISH NEED APPLY – History Essay Free Online Research Papers One of the worst things to happen in the eighteenth century caused by the failure of the potato crop was the Great Potato Famine in Ireland. Potatoes were the food of the poor in Ireland and the entire country depended on them. The cause for the failure was the fungus called the potato blight. Between 1845 and 1850 around an eighth of the population died from the Famine. The Irish were affected so greatly because of rapid population growth. Because there were so many people there were more people who suffered from it. Have you ever wondered why there is so many people of Irish descent on the east coast and how they got hear? Well, most came around the same time period and for the same reason, jobs. Millions of Irish people came here because they heard of how great it is and they had nowhere else to go. Most Irish where catholic and Catholics and were not accepted anywhere else. In Ireland thousands were dieing a day from what we know today as the Great Potato Famine. When they came to America they were treated cruelty because so many of them had come with no money. They were considered bums that didn’t deserve jobs. Thousands of Irish immigrants were treated unfairly and with extreme cruelty. Imagine this Life Imagine you’ve been living off of basically one food for your entire life, every day you farm this food, you eat this food and you sell this food, not much else can grow on the land you live on which isn’t even yours, the owners let u live there if u grow enough food, it’s the same for everyone in your country; than one day your plants start rotting and eventually stop growing at all. You find out your neighbor cant grow any either and that a virus is killing all your plants and everyone else’s plants stop growing too. Pretty soon your landowner kicks you off his land, you have no food and no shelter, and your friends and family start dieing daily. What would you do? The only thing there is to do, get on a boat and sail to America. 1, 2 This was the life of thousands of Irish men and women, when they could no longer grow potatoes they could no longer survive in Ireland. Taking the risk of sailing to America was almost a bigger risk than staying in Ireland. Thousands died on the trip over. They started calling the over packed ship filled with sick men and women â€Å"coffin ships.† They had a choice between staying in Ireland and living longer than most did that went on the ships but surely dieing sooner than the ones that made it to America, or taking the risk of dieing on the ship but living what they thought would be a great life and becoming rich. Most took the second choice. 2 From 1846 to 1855 an estimated 2.1 million men women and children fled Ireland. Out of that 2.1 million people who fled 1.8 million went to North America and 1.5 million of them came to the United States of America. Thousands of the people who ended up in Canada soon made their way to the United States.2 In America The Irish immigrants in the United States were described as â€Å"urban pioneers.† The cities in America with the biggest Irish populations were Boston, Philadelphia, New York, San Francisco and Chicago. By 1860, nearly one fourth of the population in Boston and New York were Irish born. The poorest of the Irish lived on the rim of the cities in small dumpy towns. During the 1850’s at least thirty thousand Irish families were living in basements in cellars in New York City with no light and with their homes slightly flooding. 2 Living in these conditions many of the Irish were catching diseases like pneumonia, yellow fever, and tuberculosis. Irish made up sixty percent of the people living in homeless housing. Because of the suffering these people went through many came down with mental illnesses. In New York fifty percent of the people in insane asylums from 1849 to 1859 were Irish refugees or kids of the Irish refugees. The amount of Irish arrested or in jail was extremely higher than any other group of people. 1 By the 1870’s The Irish were the most publicly underprivileged of the Americans of European descent. The Irish had made bad names for themselves early in their immigration here. Because there were so many of the Irish people they were not liked by the American citizens because they were taking many jobs and homes in the areas.1 Discrimination Discrimination against the Irish Catholics reached its worst when the Know Nothing Movement was made in the 1850’s. This movement tried to keep Catholics from running for office. The Irish Protestants opposed this because with most of the citizens in their town being both Catholic and Irish, they wanted a good chance of having an Irishman in office.1 In some areas riots broke out between rival laborers from different parts of Ireland and American laborers over building jobs. It was not out of the ordinary for the Irish men, women and children to be discriminated against in social events. But it was out of the ordinary for a Catholic to marry a Protestant and was looked down upon in the community. Neither priests nor ministers believed that they should intermarry. Religious schools were created to keep Catholics and Protestants from mixing. These schools kept almost fifty percent of the Irish children and young adults out of public schools. Around 1860 signs were being put up saying â€Å"HELP WANTED- NO IRISH NEED APPLY.† Soon to be called â€Å"the NINA signs.† A song had been written called â€Å"No Irish Need Apply† by John F. Poole and had a huge impact on the Irish and sparked a slight rebellion. They held tight to the jobs they had and refused to let any other immigrant groups or African Americans to work those jobs. 1 The Irish Catholics were stereotyped many times. George Potter (an Irish historian) said the Irish were stereotyped as violent (even among themselves), alcoholics, voted illegally, and relied on violent or criminal gangs. George Potter quoted newspapers from the time: You will scarcely ever find an Irishman dabbling in counterfeit money, or breaking into houses, or swindling; but if there is any fighting to be done, he is very apt to have a hand in it. Even though Pat might meet with a friend and for love knock him down,' noted a Montreal paper, the fighting usually resulted from a sudden excitement, allowing there was but little malice prepense in his whole composition. The Catholic Telegraph of Cincinnati in 1853, saying that the name of Irish has become identified in the minds of many, with almost every species of outlawry, distinguished the Irish vices as not of a deep malignant nature, arising rather from the transient burst of undisciplined passion, like drunk, disorderly, fighting, etc., not like robbery, cheating, swindling, counterfeiting, slandering, calumniating, blasphemy, using obscene language, c.1 They were discriminated against in local newspapers and in various other types of media. The picture to the right was drawn by German cartoonist Thomas Nast and published in an 1876 Harpers Weekly Magazine. The picture is showing bishops in the form of an alligator attacking public schools.1, 5 Religion Another reason the Irish were hated was because of their religions. The Irish were Catholic and even though America was supposed to be free and not segregated or prejudice, there was on exception, Catholics. From the 1820’s through the 1860’s two thirds of the Irish refugees were Catholic, the rest were mostly Protestant. The Protestants obviously not hated against as bad as the Catholics. Irish Catholic is a expression used to say a person is Irish and practices the Roman catholic Religion.3 Southern Irish Families The Irish made up a very small percentage of the southern population, so most of them stuck together in cities like New Orleans. They were not as discriminated against their, they became political leaders in the Democratic Party and supported slavery. Beginning as manual laborers they worked their way up the economic ladder and were granted over the usual financial rank. 1 The religion of the Irish concerned the local southerners very little. The native southerners knew how important they Irish were to the protection of slavery. The Protestant Irish had a big part in the making of the development of this country, the United States of America seal of approval was designed by Charles Thomson, an Irishman. 1 Irish in the Government Irish Catholics became a big part of law enforcement very quickly. In 1855 in New York City, three hundred and five out of one thousand one hundred and forty nine policemen were Irish natives. In 1860 in Chicago forty-nine out of one hundred and seven police were Irish natives. The Irish have been known for being very organized and many of the catholic leaders in the United States of America have been Irish. 1 They have also been known to lead labor unions and the Democratic Party in some regions. Irish men usually voted eighty to ninety-five percent Democratic. In 1928 an Irishman by the name of Al Smith was the first Irish Catholic to run in the presidential elections but lost to Herbert Hoover.1 Closing The Irish suffered more than any other group of immigrants from Europe. They suffered harsh times and had to work hard to gain respect. Even though some Irish were out of hand and violent, many helped shape the country into what it is today. Millions died, thousands went insane, and thousands made it and brought themselves up from nothing. They had to fight to keep their jobs and that is what they did, and even though they wee harassed and hated, they still made it in the end. Bibliography 1) Wikipedia â€Å"Irish American†. http://en.wikipedia.org/wiki/Irish-American#Catholics 2) Lalor, Brian: The Encyclopedia of Ireland. New Haven: Yale University Press, 2003. 3) Wikipedia â€Å"Irish Catholics† http://en.wikipedia.org/wiki/Irish_Catholic 4) Gorman, Michael: Ireland by the Irish. Galley Press, 1963. 5) Wikipedia â€Å"Thomas Nast†. http://en.wikipedia.org/wiki/Thomas_Nast Research Papers on NO IRISH NEED APPLY - History EssayThe Effects of Illegal Immigration19 Century Society: A Deeply Divided EraGenetic EngineeringLifes What IfsWhere Wild and West MeetTwilight of the UAWNever Been Kicked Out of a Place This NiceAssess the importance of Nationalism 1815-1850 EuropeQuebec and CanadaAppeasement Policy Towards the Outbreak of World War 2

The Theory-Approach Linkage Assignment Example | Topics and Well Written Essays - 250 words

The Theory-Approach Linkage - Assignment Example Developed knowledge from qualitative research findings also adds to existing theory and facilitates development of new theories in answering qualitative research questions (Indiana, n.d.). This mutual relationship is evident in the articles that I reviewed towards my proposed study. The researchers applied existing knowledge to guide their studies to delimit their research scopes and identify variables for consideration and their levels. Two of the articles relied on general theories while one specified theories that informed its construct. Theory development from qualitative research approach is however common among the reviewed articles (Lorber and Savic, 2011; Su, Jeckins and Liu, 2012; Saccomanno and Zipp, 2011). Saccomano and Zipp’s article is the best example of theory alignment approach because it explicitly identifies a theory and applies the theory in informing the research. It applies the â€Å"Path-goal theory† to develop background information on expected relationship between leadership competence and the ability and tendency to delegate and to construct variables for the study (Saccomanno and Zipp, 2011, p. 524). Background information on different leadership styles and their characteristics facilitated the researchers’ construction of research hypotheses and informed research methodology. The research’s findings add to the existing knowledge in nurse leadership by proposing a theory that confidence in delegation of duties among nurses is independent of leadership styles (Saccomanno and Zipp,

Schooling and Educational Opportunities for Females in the UK - Essay

Schooling and Educational Opportunities for Females in the UK - Changes - Essay Example This comparison paper looks at the present state of post-16 educational opportunities for females (Archer et al, 2007) in contrast with those available to them in the 1950 and 1960s in the Post World War II era (Evans, 1991). It is evident that much has flowed under the bridge and the past has contributed to the present in a very effective manner. While the Archer article adopts a more clinical research based stance, the merit of the Evans piece is that it is personal and engaging as well. Only at certain points, she guides us as to the points she wants to make. In their paper entitled ‘Class, gender, heterosexuality and schooling: paradoxes within working-class girls' engagement with education and post-16 aspirations’ as published in the British Journal of Sociology of Education of March 2007, the authors discuss ways in which inner-city and ethnically diverse working-class girls' constructions of hetero-femininities mediate and shape their engagement or disengagement w ith education and schooling. This study was based on data collected from 89 urban working-class youth in London. The authors mainly touched upon three main ways through which these young women used heterosexual femininities to construct capital and generate identity value and worth- these were (1) through investment in appearance using glamorous hetero-femininities, (2) through heterosexual relationships with boyfriends, and (3) through the ‘ladette’ phenomena. They maintain that young women's investments in particular forms of heterosexual working-class femininity can affect very deeply their engagement or disengagement from schooling and education. They focus on the paradoxes that arise when these constructions interact with other oppressive power structures. Class, Gender, Heterosexuality and Schooling Paradoxes- A Detailed Analysis Archer et al. (2007) start off by commenting on the lower academic scores that boys typically achieve compared to girls in the GCSE and other competitive examinations and seek to determine the reasons for this. This underachievement is a cause of concern for many countries- from the UK to New Zealand. However, as Epstein and others have noted, it is not as simple as this because a more detailed look indicates that not all boys are doing badly and indeed, not all girls are doing well. There are complexities of social class, gender and ethnicity that underlie these results which must be addressed. Amazingly, Kenway (2003, page ix) found that girls leaving school early had more problems than boys in securing employment.

Shakespearean tragedies vs greek tragedies Research Paper

Shakespearean tragedies vs greek tragedies - Research Paper Example This paper aims to show elements of Greek tragedy that are present in Shakespearean tragedy, even though differences between them also exist. Macbeth Crime and punishment are the themes in Shakespeare famous tragedy, Macbeth. The lead character Macbeth is the typical Greek tragic hero because he has a tragic character flaw. This is â€Å"hubris† which also means extreme arrogance or pride that exceeds what is realistic. More accurately in ancient Greek context, it is actually a legal term that refers to actions that not only physically hurt, but also humiliate the victim, for the personal enjoyment of the abuser (Cohen, 1991). The crime therefore is not only in the harm caused but more in the pleasure taken by the abuser. In Greek tragedy, hubris, breach of hospitality, and murder are sins that are surely followed by punishment (Khare, 1998). In Greek tragedy, Paris displayed hubris when, despite the hospitality shown him by Menelaus of Sparta, he kidnapped Menelaus’ wi fe Helen, and because of this the city of Troy was destroyed. In comparison, Macbeth showed all three - hubris in his ambition to be king, murder in killing Duncan, Banquo, Lady Macduff and her children, and breach of hospitality when he murders King Duncan who was then a guest in his house. Many have likened Macbeth to Oedipus in Greek tragedy, because Oedipus was likewise guilty of all three sins. Like Macbeth, Oedipus also meets a violent death as punishment, which may be seen as the embodiment of â€Å"Nemesis† (Greek goddess of revenge) from another world (Khare, 1998, p. 196). In Greek tragedy, the Fates act as prophetesses who predict the future. In Shakespeare, the predictions are made by the three witches â€Å"or weird sisters† (Coddon, 1989). Witches are more in line with English culture and tradition, thus combining an English element with a Greek tragic element. In both instances, however, the predictions made by the Greek Fates and the Shakespearean witch es are not straightforward and have a hidden meaning that leads the hero to greater trouble. Finally, for both heroes, there is a realization in the end as well as spiritual growth, although it may have come too late for redemption. There are differences in plot between Macbeth and Oedipus, however. Oedipus committed parricide unknowingly, but Macbeth was fully aware of the evil of his deed. Oedipus reflects the classical Greek tragic element of divine intervention, which is the â€Å"perfect embodiment† in classic Greek literature. On the other hand, Macbeth is the â€Å"Renaissance† figure who â€Å"can be understood and ultimately criticised only by reference to defined standards of moral philosophy† (Sanders, 1968, p. 308). Macbeth also embodies elements of Western Christianity, whereas Oedipus reflects pre-Christian philosophy. Therefore, while Oedipus may be powerful in the ancient times because it conformed to the ethical standard of the day of Sophocles; likewise for Macbeth, which in its own style portrayed the ethical standard of Elizabethan England. The tragedy of Oedipus was the working of the gods in a divine-centric era. In Macbeth, man was the center and cause of the tragic act which reflected the Renaissance philosophy. Julius Caesar Julius Caesar is seen as a colossal hero, like Oedipus, who â€Å"

My professional and academic goals related to wardens school of nursing Essay Example for Free

My professional and academic goals related to wardens school of nursing Essay My Professional and Academic Goals related to Waldens School of Nursing Perspectives I have been a nurse for 14 years, mostly in the Emergency Department, and have become aware of the growing population and the need for Family Nurse Practitioners (FNP’s). According to Walden’s University Catalog (DEC. 2013a), FNP’s are defined as â€Å"advanced practice registered nurses with the knowledge and skills to assess and manage health issues in patients of all age groups, from birth through senior years. † My goal as a FNP is to provide advanced health care with a holistic approach including: disease prevention, health maintenance, health promotion, restorative care, and a positive social change. I have chosen Walden University through high recommendations from my colleagues. They have enlightened me on the positive impact Walden School of Nursing has made in their personal and professional careers. Walden’s vision and mission statement reinforced my decision to become a part of the Walden Family Nurse Practitioner School of Nursing. According to Walden University Catalog (DEC. 2013b) their vision is focused on a distinctive different 21st –century learning community that provides immediate solutions of critical societal challenges and advancing global good. My vision agrees that healthcare professionals need to focus on advanced 21st century technology and the societal challenges that arise and promote a positive social change. Walden University Catalog (DEC.2013b) defines positive social change â€Å"as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies. Positive social change results in the improvement of human and social conditions. † I plan to implement social change with the knowledge and education that the Walden School of Nursing provides while supporting and recognizing the many cultures in the community.