The Changing Urban Geography of the Inner East End and the City of London Essay Example for Free

The Changing Urban Geography of the Inner East End and the City of London Essay Tower Hamlets have been occupied for a long time, with a nitty gritty history returning to the Roman intrusion of 43AD. The world acclaimed Tower of London remains on the River Thames on the western limit of the district. It dates from the reign of William the Conqueror in the eleventh century and in the previous 900 years it has been utilized as a fortification, illustrious royal residence, zoo and state jail. Quite a bit of ward was marshland right now. As London extended and the weight for advancement heightened, the land was steadily depleted and recovered. A bunch of little networks was built up, referred to locally as the villas around the pinnacle which is the starting point of the districts name. The territories populace spread south from Spitalfields and Whitechapel as attempts to forestall flooding of the Thames permitted numerous new houses and wharves to be worked at Blackwall, Poplar, Shadwell and Wapping. These territories developed as focuses of shipbuilding and fix. Lime furnaces to make mortar for the structure business were built up, giving their name to Limehouse. The development of Bow Bridge over the River Lee in Henry 1s rule improved access to the tide factories on the east bank. It wasnt until the sixteenth century that the region truly started to flourish. During that century Whitechapel was a clamoring suburb of London, turning into an inside for exchanges, for example, metalworking, block making and tanning, not permitted in the City due to peril, commotion and smell. The disintegration of the cloisters by 1536 liberated land for building and London developed quickly. The split among east and west London got set apart with the west drawing in subjects, upper class and expert classes and the east the exchanges, industry and trade. Shipbuilding spread quickly along the riverside and got focused on the Isle of Dogs. Some state it was so named in light of the fact that Henry VIII practiced his chasing hounds there yet it might well have started from Isle of Docks. Industrial facilities and columns of terraced houses expended the country scene of the eighteenth century, with the exception of pockets of land put something aside for parks and gardens, specifically, Victoria Park, Stepney Green, Bethnal Green Gardens and Island Gardens, which stay right up 'til the present time. The sea character of the villas around the Tower was changed in appearance during the nineteenth century, with the structure of tremendous stockrooms and high walled moors. The West India Dock, which opened in 1802, was the principal encased dock based on the Thames for load taking care of and inside 26 years the East India, London and St. Katharine Docks were all working. As the workshops, docks and manufacturing plants of East London made a significant commitment to the advancement of London as world exchanging focus, it was especially to the detriment of laborers who persevered through harming working conditions. Two renowned East London strikes had a significant impact in sorting out untalented laborers into associations. In 1888, Annie Besant drove the match young ladies at Bryant and Mays production line in Bow, in their battle for better conditions. The next year saw Ben Tillet, Tom Mann and John Burns lead the dockers strike to raise wages to 5d every hour, under 3p in todays cash. Altruists of each depiction were attracted toward the East End. Dr Barnardo prepared at the Royal London Hospital in Whitechapel and established his first home for vagrants in Hope Place, Stepney in 1866. The main Ragged Day School was set up in trench side stockrooms at Mile End and is presently a gallery about the East End and the lives of its youngsters. Salvation Army author William Booth started lecturing on the Mile End Waste in 1865. In 1869 the Baroness Burdett-Coutts assembled a huge secured showcase called Columbia, in Bethnal Green. Of the numerous political figures in the wards history, George Lansbury Councilor, Mayor of Poplar, Member of Parliament and Leader of the Labor Party from 1931 to 1935 did a lot to attempt to improve conditions for nearby individuals. Sylvia Pankhurst headed the aggressor East London part of the Suffragette development dependent on Old Ford Road. The district is verifiably well known for giving shelter to those escaping oppression. In the eighteenth century, the territory was involved by the silk weavers to a great extent plummeted from the Huguenot displaced people (French Protestants getting away from Catholic abuse in France). A hundred years after the fact, Jews escaping the slaughters in Eastern Europe established a flourishing network. Simultaneously, a Chinese people group was built up in Limehouse because of dealer exchanging. Since its commencement, Tower Hamlets has proceeded with its pattern of inviting individuals of various beliefs and societies. During the twentieth century newcomers from Bangladesh settled in Spitalfields and the encompassing territories, alongside Somali and Vietnamese displaced people. With its way of life and food, the transcendent Bangladeshi people group gives such life and essentialness to the region that it has been named Banglatown. This is as a distinct difference to the mid twentieth century time frame when a significant part of the territory was obliterated by bombarding during the Second World War. The ward endured more than some other piece of London during the war twenty 4,000 homes and quite a bit of its industry were annihilated. The post war period was likewise a troublesome time as the customary dock enterprises fell into quick decay, leaving considerable regions of land and structures empty and neglected. In any case, Tower Hamlets has a past filled with reacting to the requests of time. Following quite a few years of bombed plans and plans, some portion of the ward (the entirety of the Isle of Dogs and the vast majority of Wapping) was assigned a monetary advancement zone. Thus the years since 1980 have seen enormous extension of new businesses and work, and an exceptional scene changing change has occurred. Void distribution centers have been changed over and neglected destinations have been supplanted by transcending office squares and contemporary lodging edifices, numerous with grant winning glass and steel plans. The precinct has changed significantly throughout the hundreds of years, yet a lot of its history endures today in the first road designs, place names, building legacy and the retention of individuals from a wide range of foundations into todays developing network. The Tower villages were worked in 1963 when the districts of Stepney, Poplar and Bethnal Green were combined. This region is these days known as the East End of London. The new Docklands and Riverside improvements are gradually changing the zone away from being only a common laborers region. Throughout the previous 400 years the occupants around there have by and large been experts, workers and the individuals who worked for the more extravagant city tenants. The Tower Hamlets turned into a critical modern region, in the emptying, putting away and handling of products coming into London. Anyway the working conditions in these territories have generally been shocking. The significant business during the Second World War here was the docks, however the Tower Hamlets were very seriously harmed during the Blitz. This disastrously affected the docks, and this saw the decrease of them. The London City Council delivered a post-war remaking plan, significantly after a colossal measure of individuals had moved out of the territory. This brought about the zone getting more private than modern. The territory in the district contained post-war Edwardian and Victorian porches, and as of now it was not tastefully satisfying, and didn't draw in a lot of guests to the zone. The Tower of London in any case, is an enormous spot in Britains history going back to 1067, and holds the Crown Jewels. The Tower Bridge is constantly revamped for the explanation that it draws in a colossal number of vacationers the entire all year. After the end of the docks, a huge urban age occurred, which implied that a portion of the zone was revamped totally and to an extremely exclusive expectation, a case of this being Canary Wharf, which holds various skyscraper places of business. There are presently additionally alluring lodging advancements and a greatly improved assistance and relaxation framework. Spittalfields Spitalfields lies at the core of the East End of London and is acclaimed for its clamoring road markets. Numerous individuals are attracted to Spitalfields for the wide assortment of restaurants found around the business sectors. Block Lane is known for its curry eateries, and with its prevalent Bangladeshi people group. The region is truly well known for giving asylum to those escaping abuse. In the eighteenth century, the territory was involved by the silk weavers to a great extent dropped from the Huguenot outcasts (French Protestants getting away from Catholic mistreatment in France). A hundred years after the fact, jews escaping the slaughters in Eastern Europe, established a flourishing network. No place is the interesting history of the zone preferred portrayed over throughout the entire existence of the nearby mosque. The mosque in Brick Lane has been a position of love for various religions for a long time. It was first worked as chapel by the Huguenots however changed use to turn into a gathering place when a jewish network supplanted the protestant populace. This shows how the migrants who came into this territory has changed extensively. First it was the Hugenos who came in 1700s to Fournier Street and carried the silk business with them. They came because of the oppression of French protestants in France in the late 1600s. The Eastern European Jews who relocated in the 1881 because of oppression changed the zone to a gathering place, while the Bangladeshis incorporated it with a mosque during the 1950s. By the center of the twentieth century the jewish network had generally proceeded onward and the structure was changed over once more, this time into a mosque to serve the Bangladeshi people group. With its way of life and cooking the Bangladeshi impact gives a cosmopolitan vibe to Spitalfields. The impact is striking to the point that the territory has been named Bangla Town. Compositionally, the tight paths and back streets of Spitalfields exemplify the clamoring road life of Charles Dickens London.

Evaluation of Agency's Human Resources Management Research Paper - 1

Assessment of Agency's Human Resources Management - Research Paper Example Human asset additionally involve asset arrangement whereby it incorporates choices concerning individuals and the result that the association is endeavoring to acquire. This paper will look to build up a top to bottom investigation and assessment of the chose agency’s HR the executives frameworks and procedures and afterward give proposals to progress. Beam Consortium is an office situated in the US. I did an examination that uncovered that this office has procedures and frameworks that converge between data innovation and human asset the executives. One of the agency’s significant parts of human asset forms for employing and holding is the venture asset arranging bundle (Department of Administration, 2004). In this bundle, the organization blends human asset the executives as a precept with its fundamental human asset procedures and exercises, inside the field of data innovation specifically (Lawler, 2004). With the crisis of big business asset arranging programming, this office included its critical parts of wanting to join information preparing frameworks programs that normalize schedules and coordinate data from and inside different applications towards a solitary all inclusive database (Briscoe, Schuler, and Tarique, 2011). As indicated by the human asset chief of Ray Consortium, coordination of big business asset arran ging as a significant part of the agency’s human asset framework encouraged quicker and simpler linkage of the agency’s human asset modules and budgetary modules. Besides, this office has a presentation examination process that assesses employees’ execution, capacities, and capacities and gives an efficient stage to fulfilling. This methodology targets spurring, assembling, and encouraging their enthusiasm towards their separate occupations (Lawler, 2004). In recognizing antecedents of various areas of the organization, this office utilizes modules of human asset that interface execution of a worker through a solitary database that

Pneumonia Dq question Assignment Example | Topics and Well Written Essays - 250 words

Pneumonia Dq question - Assignment Example The inclining factors for mucormycosis are kartoacidosis, uncontrolled diabetes mellitus, strong tumors, and renal disappointment. Pneumonic mucormycosis by and large happens breathing in the contagious sporangiospores. The clinical intercessions for rewarding mucormycosis include 3-pronged incorporation of careful and clinical methodologies, along with tending to inclining hidden conditions (Spellberg and Edwards, 2012). 2. Some research facility test esteems are strange. The pH esteem is 7.5 and this figure is high. The high pH esteems are unusual and are basically experienced among patients with hypertension (Kontoyiannis and Lewis, 2013). PaO2 is additionally anomalous low at 59mmHg. This represents a condition that is regular among patients having pheumonia. 3. Three medicines are applied in patients with aspiratory mucormycosis. The medicines are; hyperbaric oxygen treatment, medical procedure and venture down treatment. Hyperbaric oxygen treatment applies high grouping of oxygen, which obstructs the improvement of mucorales in vitro. Medical procedure is additionally a treatment choice. Sinus sores are extremely huge and ought to be finished with insignificant deferral, because of the forceful trait of the mucor disease. Venture down treatment involves treatment of parenteral lipid amphotericin B. The treatment is antifungal. The prescriptions include use of antifungal specialists. Exemplary anti-microbials like echinocandins are usually utilized. Amphotericin B is additionally applied as liposomal definitions, with the point of limiting harmfulness (Bitar and Van,

Curley’s Wife “Of Mice and Men”

In Of Mice and Men, character imagery lets the peruser see what life resembled in the 1930’s. A considerable lot of the characters depict someone in particular that could have been living in the 1930’s. This book is about the experiences of two men, George Milton and the intellectually handicapped Lennie Small.They were transient laborers who needed to look for work during the Great Depression. You see the companionship between the two men, and how they care for one another and attempt to ensure one another. Creator John Steinbeck works admirably of communicating character imagery in the story.He shows how in those days, the American dream was amazingly difficult to achieve due to The Great Depression, and inconsistent rights towards ladies and the intellectually extraordinary. Curley’s spouse represents how ladies were treated in the 1930’s. In the 1930’s ladies were treated as objects.They had no rights or opportunity. It was inconceivable for lad ies to achieve the American dream, since lady were property of a man, giving them no freedom to be some different option from a housewife.My first model on how Curley’s spouse was treated as an article is just in her name, she doesn’t have one. In the story Curley’s spouse is tended to as Curley’s wife. You never discover her name. This gave her and all ladies a persona of uselessness, that they were simply put on the earth to be abused housewives and not have anyplace near indistinguishable open doors from men. Since ladies didn’t have numerous open doors other than prostitution, Curley’s spouse didn’t have a lot of an energizing life. At the point when her better half Curley was not around she would get lonely.In this statement, Curley’s spouse communicates her depression, â€Å"’I get desolate,' she said ‘you can converse with individuals, yet I can't converse with no one however Curley, else he gets frantic. H ow'd you like not to converse with no one? ‘† (Steinbeck 87) Curley’s spouse says this statement when all the men got down to business, including her husband.It shows that she invests all her energy alone, in her home as the men work in the fields. She is likewise not permitted to converse with anybody however her significant other who invests the entirety of this energy in the fields, so she has a feeling that she is living alone all her life.Many individuals imagined for the American dream, particularly Curley’s spouse. Curley’s spouse longed for being a generously compensated on-screen character. In this statement Curley;s spouse is communicating her fantasy about being an actress,†Ã¢â‚¬â„¢Coulda been in the motion pictures, a' had decent garments †¦ An' I coulda sat in them enormous lodgings, a' had pitchers took of me.When they had them sneak peaks I coulda went to them, a' spoke in the radio, an' it wouldn'ta cost me a penny since I was in the pitcher. †¦ Because this folks says I was a whiz. ’† (Steinbeck 88) Here she is longing for a superior life than the one she has now.But as a result of the timespan it was exceptionally difficult for ladies to achieve their fantasies not to mention be permitted to have them. In Of Mice and Men, character imagery lets the peruser see what life resembled in the 1930’s. Curley;s spouse represented the degree of equity that ladies had in the timespan that occurred in the story.Women were property and items. Steinbeck works superbly of imagery of ladies through Curley’s spouse. He shows how in those days, the American dream was incredibly difficult to achieve in view of The Great Depression, and inconsistent rights towards ladies and the intellectually unique.

Beryllium :: Research Papers Essays

Beryllium Beryllium is an exceptionally harmful metal and whenever presented to it, at or over the limit esteems, it can prompt an incessant beryllium ailment (CBD) (for example berylliosis) or an intense beryllium ailment. Poisonous introduction to beryllium is regularly through an inward breath pathway. Beryllium has an assortment of impacts. Some beryllium joins with a protein and is stored in the liver, spleen and kidneys, however the beryllium when bound with a natural protein, a hapten, can bring about the ceaseless type of the illness which is accepted to be a postponed extreme touchiness invulnerable reaction. The major toxicological impacts of beryllium are on the respiratory tract,specifically the lungs and their alveoli. Beryllium and its extraordinary trademark prompted it being utilized generally in an assortment of ventures preceding is know poisonous impacts. Today it is realize that beryllium is an exceptionally harmful material which brings about destroying poisonous consequences for the lungs. There has been uncommon increments in the guideline in beryllium use in order to ensure those that legitimately handle and work with the metal. With postulations guidelines, beryllium is genuinely sheltered to work with and use in an assortment of items and businesses. In the accompanying content, there will be a portrayal of beryllium befuddling history and harmful impacts on the respiratory arrangement of man. Beryllium has the image Be. In the more seasoned substance writing, beryllium is called glucinium after the Greek word glykys meaning sweet, in light of Vauquelin's underlying depiction and perception of Beryllium. Beryllium's nuclear number is 4, its nuclear weight is 9.01 and in its unadulterated metal structure it dissolves at 1278 degrees Celsius. The Beryllium component, an antacid earth metal which has a place with bunch II of the occasional table, was first found in 1798 by L.M. Vauquelin. Vauquelin,a French physicist, was accomplishing work with aluminum and saw a white powder that was in no way like that of aluminum or any of its subordinates. Vauquelin named this puzzle powder, gluinium due to its sweet taste resembled that of glucose. In 1828, Wohler, a German metallurgist decreased it to its metallic structure and renamed it beryllium.(figure 2) There was no business utilization of beryllium until 1918 when Cooper licensed a beryllium-aluminum compound, which transform into the 'kick off', into expanding beryllium's application. Following Cooper's patent of the beryllium compound, Charles II in 1921, was captivated by beryllium's light weight, outrageous firmness, high warmth ingestion and intriguing atomic cross segment.

CPW Thursday liveblog

CPW Thursday liveblog My approximate CPW schedule 6:36am: Alarm clock goes off. SNOOZE. 6:45am: I actually wake up. I look outside and see that the bad weather hasnt yet arrived. Hmm. 7:35am: Nance picks me up; we head in to campus together. 8:10am: I drop off the CPW Festival programs at CopyTech (the campus copy center) to be copied 1000 doubled-sided, folded copies are on their way for tonights event. 8:20am: Ben starts spreading the word about all of the airport delays and closings, including OHare in Chicago. 8:25am: CPW Registration opens; I take my post at the Help Desk. 8:50am: The first student I recognize arrives: Candice from Utah =) 9:42am: The 100th student arrives! 9:55am: Snively! 10:30am: Its starting to get windy, but still no precipitation. 10:55am: Dean Marilee Jones has arrived! 11:13am: It has started to rain. Lots of umbrellas on the campus tour. 11:30am: Kevin 11 quizzes me about his application. I say, Did you design a pinball machine for a nursing home? Kevin 11: No! I designed an arcade machine for a hospital. Doh! So close, yet so far. 11:45am: I talk to Stevens mom on the phone from Tennessee. Hi! 1:10pm: Edmund says, You really are good at the 45 minute conversations, Matt. Im tired from 90 straight minutes of talking, but it was great to talk to a family from Nebraska and our head Educational Counselor from South Korea. Now, my shift is over. Nearly half of the students have arrived. I have time for a quick break, then go talk to prospective members of the Classes of 2012 and 2013 (!). 3:31pm: I cant walk more than 10 feet without getting stopped in the halls. Its awesome, but Im starting to lose my voice! Im now getting ready for the Abroad Panel. Its always a fun panel, so Im looking forward to it =) 3:46pm: Almost all set for the MIT Abroad Panel! The Powerpoint is running off of this laptop, so no more liveblogging for the next hour or so 5:24pm: Abroad Panel is over. Sam was a panelist, and did an awesome job talking about MISTI and his experiences in Germany. 5:56pm: Quick rest in the office. The weather hasnt been quite as bad as Id feared, but the rain is starting to pick up a bit now. At least theres no more sleet. 6:05pm: I get a chance to upload some pictures from earlier today. Tim the Beaver made an appearance, welcoming and hugging students: Kevin 11 shows off his nerd-tastic shirt: Ben and Mollie register a student: 8:20pm: Ive been running around getting the Student Welcome and the Festival all set. Now, with the Festival 10 minutes away, Im taking time for a quick breather before things get started. The Welcome and Festival are two of my favorite CPW events, so Im pretty excited. Students are filing into Rockwell Cage the site of the Student Welcome and Im happy to see that most people are traveling in groups, having already made friends on campus. This is going to be a great way to cap off a great day. 12:59am: What a day! I have finally reached my bed. The Festival has ended, and I think people had a good time. The Welcome was awesome, too I wish I could step like the A Phi As, and I wish I could sing like the Logs. My voice is shot now from talking so much, and while Im exhausted, I fear Im still too excited to sleep. Anyway, its time to sign off for the night. Happy CPW Thursday!

Privacy and Security Concerns Regarding Health Information - Case Study Discussions - 825 Words

Privacy and Security Concerns Regarding Health Information - Case Study Discussions (Case Study Sample) Content: Privacy and Security Concerns Regarding Health Information - Case Study Discussions Name Institution Privacy and Security Concerns Regarding Health Information - Case Study Discussions Case 4.8: E-Mail Goes Astray The management of Kaiser Permanente, particularly Registry and Information Technology (IT) personnel, are responsible for the violation of clients’ confidentiality. Before carrying out the system upgrade exercise, the IT and registry staff failed to set up suitable measures so as to guarantee smooth transition. Specifically, Kaiser Permanente’s registry and IT personnel did not institute structures that would ensure that clients’ data does not become mixed up. Such oversight led to the catastrophic phenomenon whereby confidential messages were emailed to the wrong customers. If the registry and IT departments had appropriately coordinated the system upgrade, client information would not be jumbled. Messages would thus be for warded to the correct email addresses. The aforementioned violation of client privacy could dissuade Kaiser Permanente customers from using the company’s online platform while executing health-related tasks. Clients would be wary about the confidentiality of any data that is transmitted through the company’s online system. According to Sankar, Mora, Mertz and Jones (2003), patients mostly provide medical information freely if clients are not concerned about the exposure of such data to the public (Sankar, Mora, Mertz & Jones, 2003). The authors’ above comments reflect the unwillingness of Kaiser Permanente clients to generously submit information through online means. Customers could opt for the tedious face-to-face method of accessing healthcare services. So as to regain client confidence with regard to confidentiality, Kaiser Permanente could set up a communication system that automatically rejects commands that entail sendin g information to the wrong customer. Further, Kaiser Permanente ought to promulgate the existence of such a system to the company’s clients. The firm could send out invitations to all customers, asking any willing client to ask for a free demonstration about the effectiveness of the system. Case 4.17: Patients’ Files Used for Obscene Calls Healthcare institutions need to carry out background verifications on new workers whose tasks would entail accessing private client data. Such checks would cover issues such as workers’ criminal history so as to forecast possible motives for misusing patients’ information. Healthcare institutions would also investigate new workers’ medical history with the aim of predicting potential incidences relating to abuse of clients’ confidential data. Other new workers’ data that ought to be looked into by healthcare institutions includes employees’ employment history. On this front, healthcare institutions would contact former employers of the new workers so as to investigate if the fresh members of staff have previously engaged in misuse of confidential clients’ data. Zivin, et. al. (2008) concur that background checks on new employees are permissible as per the 2003 Medicare Prescription Drug, Improvement, and Modernization Act (Zivin, et. al., 2008). The orthopedic technician falls into the category of healthcare professionals that are described by the above-mentioned authors. The hospital  could have avoided the orthopedic technician’s misuse of clients’ data in two ways. Firstly, the hospital could have thoroughly vetted the orthopedic technician, thereby establishing the employee’s criminal history. Such awareness would have suitably alerted the hospital of the dangers of bringing the orthopedic technician into contact with the personal information of young clients. In addition, the hospital’s IT department could have frequent ly updated the passwords used to gain access to the institution’s automated system. Such caveats would have prevented the orthopedic technician from obtaining the confidential patients’ data that the employee used to assault customers. Based on the above expose, the hospital system was to blame with regard to the violation of security. The main error that is attributable to the system relates to its inability to detect suspicious activity. To this end, the system did not ‘notice’ the unusually large quantity of client data (for nine-fifty-four patients) that the orthopedic technician gained access to. In addition, the system did not have an inbuilt capacity for frequently detecting old passwords and updating the same. The above faults facilitated the orthopedic technician’s breach of confidential data. Nevertheless, the hospital ought not to be made liable to the misdemeanor of the orthopedic technician. Rather, the healthcare institution sho uld be held responsible for the civil wrong of failing to maintain a dynamic system. Criminal charges for the assault on patients ought to be leveled against the orthopedic technician. Case 4.44: University Tightens Computer Security Information systems  at university medical centers are particularly vulnerable to computer hackers based on several factors. Such systems are bound to contain medical data about persons with various health issues. Considering that hackers are usually pe...

What Do We Call The Electoral College - Free Essay Example

Sample details Pages: 6 Words: 1660 Downloads: 2 Date added: 2019/05/23 Category Politics Essay Level High school Tags: Electoral College Essay Did you like this example? As you are standing at the polls on that important Tuesday in November, every four years, most Americanrs believe they are voting for the next presidential candidate but they are voting for your slate of electors for your state. The electors who are appointed, are the ones who cast their ballots for the next presidential candidate. This process is called the Electoral College. Don’t waste time! Our writers will create an original "What Do We Call The Electoral College" essay for you Create order The electoral college dates back to the founders who drew up the Constitution in 1787, the Founding Fathers seen this process as a compromise. Over the years, the process has not changed much. Many Americars feel that this process is unfair and changes are needed. Currently, there is a debate on whether the Electoral College is fair and if reform needs to happen. As Thomas Jefferson stated A democracy is nothing more than mob rule, where fifty-one percent of the people may take away the rights of the other forty-nine. Going back in time, the Founding Fathers were not willing to allow ordinary citizens to vote for their president directly. They were afraid that the people would not be able to make a well-informed choice. They feared that the people would vote for the candidate from their own state, only. They decided that a selected group of people should select the president. The parties nominated candidates for president and vice president and then picked electors to vote for them. The person who received the most votes would become president and the second-place person would become vice president. This system lasted until the 1800s. That year it was decided that the system needed changing as there was a tie between two candidates. The Twelfth Amendment to the Constitution (ratified in 1804) clarified the Electoral College procedur e. It stated that each elector would vote for one person for president and one vote for vice president. Before deciding on the Electoral College, the founders considered other solutions. They thought maybe Congress elects the president or just the State Legislature, or just to have a direct vote. The Founders believed this would solve the political issues and the best option would be creating the Electoral College, they stated it would balance the high-populated and low populated states and give compromise. Selecting the electors is a two-step process. Each Political party, Democratic and Republican, nominate electors at their state convention or congressional district. The electors are usually state elected officials, party leaders or people with a strong affiliation with the presidential candidates (National Archives and Records Administration Website, n.d.). In some states, they are picked by party leadership, leading to a more controlled process. State law determines how the electors are picked from each state. These potential electors are picked before the November General Election and the electors are not officially picked until election day (General Election). Under Article II of the Constitution, each state is allocated a number of electoral votes equal to its number of seats in Congress plus two for its Senators. The number of electoral votes each state is given is based on the United States census that is updated every ten years. These numbers determine the number of seats each state has in the United States House of representative. Each elector nominated gets to cast two votes, one for President and one for Vice President. The United States has a total of 538 electoral votes, one for every member of Congress and the Senate as well as 3 for Washington DC. The District of Columbia operates as a state for voting purposes (Geer, Schiller, Segal, Herrera, 2016). For a president candidate to become president they need to win a majority of 270 of the electoral votes (Geer, Schiller, Segal, Herrera, 2016). California has the most electoral votes, they have 55. Then we have Texas with 38 and Florida and New York with 29, these are the larger states that each candidate hopes to win (National Archives and Records Administration Website, n.d.). The candidates tend to campaign in these states because of the high electoral votes. Some states have much lower votes and the candidates do not usually campaign in these states. When the voters go to the polls and make their vote for the electors, this is called the popular vote. Itrs important to remember that our President is not chosen by the nation-wide pop ular vote, the total Electoral College vote determines the winner. In the Presidential Election in 2000, Albert Gore Jr. and George W. Bush the popular vote winner was Albert Gore Jr. and George W. Bush had the majority of electoral votes (National Archives and Records Administration Website, n.d.). Also, in the 2016 election, Donald J. Trump received fewer popular votes than Hilary Clinton, but received a majority of electoral votes (National Archives and Records Administration Website, n.d.). In 48 of the 50 states, the candidate who receives the most popular votes wins all that states electoral votes. This is called the winner-takes-all rule. Only two states do not follow the winner-takes-all rule. In Maine and Nebraska, the electoral votes are split among the candidates. In these two staters the winner receives two electoral votes and the winner of each congressional district receives one electoral. This system permits the electors to be awarded to more than one candidate. The November General Election is the first important step in naming our next President. As I stated earlier this is done on the first Tuesday after the first Monday in November. The people go to the polls and cast their vote for their electors. After this day, the Governor of each State prepares seven original Certificates of Ascertainment listing the persons appointed as electors. Each certificate includes the names of the electors by the voters and the number of votes received. Each certificate must be signed by the Governor and carry the seal of the state. The winning electors meet in their state capitals on the Monday after the second Wednesday in December. This is the day they cast their vote for the president and vice president. The electors record their votes on six Certificates of Vote, which are paired with the six-remaining original Certificates of Ascertainment. They send the sealed results to Washington. On January 6th, the results are read in the presence of t he entire Congress. The winner of that Presidential election becomes official. On January 20th, the president-elect takes the oath of office as the President of the United States of America (National Archives and Records Administration Website, n.d.). There are many arguments and or debates on if the Electoral College should be changed or stayed the same. Many people state itrs an unfair process, small states get more power and its complicated and Americars do not want to vote because of that. Americanrs, think it is wrong for the winning party in a state be awarded all the electoral votes for that state. The winner may win a certain state by just a few popular votes. As stated earlier, the 2000 and 2016 election, the nation-wide popular vote is not necessary the winner of the election. When this happens, it can make voters feel their voice does not matter or count. People see this as unfair and think a new way of electing our president should be in place. Another complaint is how the parties do their campaigns and only focus on the larger states and ignore the smaller states. A few positive things about having the Electoral College, it directs more power to the states. The states are participating in the selection of ou r president by electing the electors and the Republican Verse Democrats structure creates more stability. The National Popular Vote (NPV) is trying to make changes to the Electoral College, they are trying to do the opposite of what the founders wanted. They want to make the presidential election only based on popular vote in-conjunction with the electoral college. They do not want to amend the Constitution but they ask the states to sign a contract to give their presidential electors to the winner of the national popular vote instead of the staters popular vote. The National Popular Vote bill currently has passed in a total of 36 state legislative chambers in 23 states and 12 states have enacted it into law (National Popular Vote Website, n.d., para. 2). This bill ensures that every vote, in every state, will matter in every presidential election (National Popular Vote Website, n.d., para. 9). If this fully passes, they are taking away each staters individual sovereignty. We are the United States of America and each state is sovereign, one union. Another suggestion on reforming the Electoral College is direct election with instant runoff voting (IRV). Instant runoff voting (IRV) could be used for Presidential elections with or without the Electoral College. With a direct vote, voters would rank their preferences rather than marking only one candidate. Then, when the votes are counted, if no single candidate has a majority, the candidate with the lowest number of votes is eliminated. The ballots are then counted again, this time tallying the second-choice votes from those ballots indicating the eliminated candidate as the first choice. The process is repeated until a candidate receives a majority. The issues with this type of voting, some voters would be disenfranchised in the final selection. This would be due to the fact of exhausted votes by the process of elimination of the lowest scoring candidate based on preference of the voters (Fair Vote Website, n.d.). As a citizen in the United States everyone has a right, duty and responsibility to make their voice heard. The Electoral College protects the people from the people and understanding how the Electoral College began and why the Founding Fathers decided this was the best option for our country gives a new appreciation for the process. The American creed is laid out in the Declaration of Independence, which outlines the basic tents of democracy, the self-evident truths upon which democracy in the United States is based and which have been continuously professed since the founding (Maisel, 2016, p. 26).

International Market Expansion - 1770 Words

There are always business risk when it comes to expanding a company, especially from an international standpoint. There are many strategic risk that needs to be evaluated in order to expand the company successfully. Examining the possible risk of foreign currency exposure, basic functions of international banking/financial market, support of long term financing of operations, and assessment of opportunities that can be implemented within the company. There are risk on three dimensions of international finance, economic trends of the country, impact of globalization and monetary system. All of these situations will be discussed in this paper. Bose Corporation continuously look for new opportunities to expand their product portfolio.†¦show more content†¦It is important for investors to consider and understand the changes of influence foreign exchange market have on the stocks. So the investors need to know the currency exposure of the company portfolio. Bose has a strong international presence. The company makes all kind of technological devices for all the major markets in United States (US), Europe, Canada, Australia, Asia, the Central America and South America (Bose Corporation Swat Analysis, 2013). The establishment of Bose company being an internationally market is already there, and currency/transaction exposure can affect the company. Bose Corporation sells automotive systems for vehicle manufacturers, professional audio products for musicians, noise reduction products for pilots, material testing instruments for universities and products for homebuilding and remodeling. The organization is diverse in their products and selling them outside of its home country will cause currency exposure. It is best to prepare a strategic plan for currency exposure of Bose products, due to the transactions risk faced by companies involved in international trade. Completing financial obligations after a trade has been made will decrease the currency and fluctuations of exchange rates. This involves the exposure of assets, stocks and the sensitivity of asset return within the corporation. What will be discussed are additional information on international market.Show MoreRelatedRetailers and International Markets: Motives for Expansion4800 Words   |  20 PagesRetailers and International Markets: Motives for Expansion Nicholas Alexander University of Edinburgh, Edinburgh, UK International retailing is not a new phenomenon. The Woolworths operation, for example, was introduced into the United Kingdom from the United States in the first decade of the twentieth century. Neither is international retailing limited to a few countries; many of Europe s leading retailers have multinational interests. The French group Carrefour has operations in other EuropeanRead MoreInternational Business Expansion: Two Markets, One Product1881 Words   |  8 PagesConclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.11 7. References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.12 TITLE: A case of international expansion of two markets and one product. EXECUTIVE SUMMARY Over the years, the nature and dynamics of Guysuco Company’s engagement with the overseas markets have gone through a shift. Overseas expansion and competiveness are increasingly dependent on firm level capabilities rather on its national traditional products. The processRead MoreBuild-a-Bear International Expansion Into the Chinese Toy Market7895 Words   |  32 PagesCEO Maxine Clark, and there are now over four hundred Build-A-Bear Workshop stores worldwide. They have 346 wholly owned subsidiaries in the U.S., Puerto Rico, Canada, the U.K., Ireland and France. There are also 62 franchised retail stores in International locations – Australia, Belgium, Denmark, Germany, Japan, The Netherlands, Norway, South Korea, Russia, Singapore, South Africa, Sweden, Taiwan and Thailand. The company employs 1200 full-time and 4800 part-time employees. Build-A-Bear WorkshopRead MoreStrategic Analysis Of Glaxosmithkline s Foreign Market Expansion And International Operations Essay11 38 Words   |  5 Pagesrole in GlaxoSmithKline’s foreign market expansion and international operations. 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Financial markets are typically defined by having transparent pricing, basic regulations on tradingRead Moreâ€Å"the Rapid Expansion of International Financial Market Since Early 1980s Have Integrated the World Economy†. Discuss.1252 Words   |  6 Pagesâ€Å"The rapid expansion of international financial market since early 1980s have integrated the world economy†. Discuss. The international financial system is a structure of markets within which organizations and individuals trade to support economic commitments made across national borders where buyers and sellers participate in the trade of assets such as equities, bonds, currencies and derivatives. Financial markets are typically defined by having transparent pricing, basic regulations on tradingRead MoreCompensation and Benefit in Dominos Pizza Essay1302 Words   |  6 Pagessmall pizza store in Ypsilanti, Michigan. Since that time, our store count and geographic reach have grown substantially (Dominos Pizza). 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Juvenile Justice and Rehabilitation - 2500 Words

Juvenile Justice and Rehabilitation When discussing rehabilitation or punishment for juvenile delinquents, I believe there should be rehabilitation over punishment. Granted there are numerous cases that completely warrant punishment, but punishment isn’t always the answer. Adults are usually given second, third and fourth chances to change their lives. And sometimes rehabilitation isn’t involved. I believe since adolescents still have plenty of time to get counseling or learn about themselves and why they acted the way they did, there is always an opportunity for them to change. Adolescents don’t have the same thought process as adults. They tend to react emotionally, so if their emotions are flying high, adolescents aren’t always able†¦show more content†¦Of course if probation is handed down by a judge, it should really fit the crime. In the end with the evidence presented and the background or history of the offender being a factor, it’s still the judge that makes the fina l decision. There are many cases though where the offender receiving just probation doesn’t fit the crime. Such as the case of the state vs. Ethan Couch. He killed four people while driving under the influence and only received 10 years probation. His defense claimed the teen suffered from â€Å"affluenza† and the judge called the teen a victim in need of treatment (CNN.com, 2013). Many debates and petitions have already started circulating about getting the verdict overturned and even having the judge removed from the bench. The general public knows and had voiced that if this teen was from a middle class or poor family, he would have been sent directly to jail. But with these courtroom ‘players’, this is an example of a judge and a defense lawyer believing rehabilitation and counseling will help a teen turn his life around. As long as the juvenile follows the conditions that were handed down to them, and does not commit any other crimes, then they will e ventually be taken off probation. In that case it’s all up to the juvenile to change their ways. Many say this is the best method for rehabilitation, especially if the juvenile checks in their probation officer or counselors when they are supposed to. Some believe rehabilitation isShow MoreRelatedCjs 240 Intro to Juvenile Justice the Juvenile Justice Systems Need to Focus on Rehabilitation1888 Words   |  8 PagesThe Juvenile Justice System’s Need to Focus on Rehabilitation The Juvenile Justice System’s Need to Focus on Rehabilitation Amanda R. Molnar Axia College of the University of Phoenix The Juvenile Justice System Needs to Focus on Rehabilitation The juvenile justice system has long been in debate over whether its focus should be rehabilitation or punishment. From its birth in the early 20th century, the juvenile justice system has changed its focus from punishment to rehabilitation and backRead MoreThe Juvenile Justice System And Rehabilitation And Reforming Youth Into Law Abiding Citizens Essay2350 Words   |  10 PagesFor Youth Justice (2012), â€Å"On any given day, approximately 2,700 young people are locked up in adult prisons† (p. 4). This is hard to understand, because the United States has a juvenile justice system that is centered on rehabilitation and reforming youth into law-abiding citizens. Campaign For Youth Justice (2012) also claimed, â€Å"On any given night in America, 10,000 children are held in adults jails and prisons† (p. 3). 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United States Presidential Leadership Styles...

United States Presidential Leadership Styles: Mid-Twentieth Century Presidents look inward and upward to know what to do, and what makes up their inner beings, not their outer, are what really matter to the people they lead. Presidents have powerful motives, both personal and patriotic, that help them to commit to the highest office in our country even when their decisions are not popular. According to Thomas, (2012) we must try to remember that the most important decisions a President makes in a crisis, with the clock ticking, are lonely ones, and a wrong judgment about the enemy could mean destruction of thousands of lives. The Eisenhower and Kennedy presidencies in the mid-twentieth century can be evaluated to compare their effectiveness or ineffectiveness as president, contrast their leadership styles, and explain the importance of direct leadership of the President to the people of the United States. Eisenhower, the general, was honored for winning the Great War, but was most proud of not fighting one. Ike, as he was called from childhood, understood that there can be power in mystery and was known for operating by indirection, doing one thing while seeming to say another. He had an innate ability to focus on the main issue without distraction and possessed an ability to delegate responsibility trusting the people to whom he delegated. Following the French defeat in 1954, his administration blocked reunification and began to build up South Vietnam, both economicallyShow MoreRelatedAn Examination of Americas Two Party System Essay1697 Words   |  7 PagesAn Examination of Americas Two Party System Democracy in the United States is based on the indirect representation of the people by elected officials who are usually chosen by direct vote. 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This book even covers perspectives on abortion, homosexuality, and whether or not electoral cleavages have shifted. A large point of Fiorina’s is his take on the 2004 election

Methamphetamine abuse Free Essays

Methamphetamine abuse is a major problem in the United States, as it increases spreads from Western parts of the country to other parts. With its root in the Hawaii, it has gradually spread to the Southern and Mid-west part of the states; and is increasingly associated with unsafe and frivolous behaviors that predispose to transmission of infectious diseases like hepatitis B and C, and even the dreaded virus, HIV.   Of course, the later condition makes it more worrisome for the government, health care workers and Drug agency. We will write a custom essay sample on Methamphetamine abuse or any similar topic only for you Order Now It is associated with brain damage, serious cardiovascular disorder, behavioral changes, psychotic symptoms, depression, and deleterious effects in pregnant women. This is a situation where an individual consumes methamphetamine in quantities that are above a therapeutic abuse, without prescription, and for unsolicited personal gains. It presents with short term gains such as euphoria accompanied by rush, high level of activity and increased attention. Methamphetamine is used as therapeutic drug in attention deficit syndrome, and is used to treat narcolepsy, a sleep disorder. Methamphetamine is a Schedule II stimulant. This implies that it had a high addiction tendency and increased potential for abuse. Although it is only available through a prescription that can not be refilled, it is abused by many within the country. Most of these are man aged 18-25white. Etiology The cause of this abuse can not be divorced fro the use of drug for personal or group work. In most cases of abuses [ if not all], methamphetamine is taken as a   neuroactive stimulant to produce short term effects in the individual. Such effects include: euphoria, rush, increase rate of breathing, Increased attention and concentration, Increased activity and wakefulness, reduced appetite and decreased fatigue. It also increases libido. These short term advantages are associated with a good feeling in the user. Besides, it does not last long enough, and as a compensatory mechanism, methamphetamine drub users and chronic abuser engage in continual use of drug, increased consumption frequency. Sometimes, they take high dose of the drug to increase the effect of the drug on their behavior such as improved sexual performance, better attention and increased tendency to work better and more effectively. Methamphetamine comes in a variety of forms. It can be smoked, snorted, injected, or orally ingested. The method that is adopted by a region depends on the cultural behaviour with respect to other abused drugs and the pattern of choice has changed over time. Of these methods, smoking is commonest because of its faster rate of absorption into the brain to produce the desired effects. One other factor that contributes to Methamphetamine abuse is that it is e readily available at local clandestine laboratories. Although it is manufactured by foreign specialized laboratories, the ingredients for its manufacture are readily available over the counter at affordable prices; as a result, it is produced for local use. This contributes greatly to its widespread use. Pathogenesis Methamphetamine is similar to amphetamine but they do not share essentially the same properties of site of action. It is particularly similar to dopamine structurally. Its primary site of action is the brain.   Although t shares certain similar behavioral and physiological effects with cocaine, it is different from it in its mechanism of action. It has a high retention rate in the body. This implies that is not readily eliminated from the system via excretion or detoxification in the liver. Since its primacy site of action is the brain, its absorption and long stay in there increase its stimulant action. Central to this action is the fact it increases the levels of the brain chemical dopamine. Dopamine is a neurotransmitter that is involved in emotional motivation, pleasure, and motor function.   Methamphetamine blocks dopamine re-uptake, while increasing the release of dopamine, leading to much higher concentrations in the synapse, which can be toxic to nerve terminals. This has an implication in chronic abusers, their increased frequency of consumption or ingestion of higher concentration potentates these effects and makes dopamine readily available for its deleterious effects on neurons. Clinical Features The symptoms of methamphetamine abuse and sign elicited on examination arise from the euphoria of short term effect, and the toxic effects of dopamine by virtue of long term use. The short term effects have been mentioned earlier. The long term effects are usually negative: one of such is addiction. Association with chronic consumption of the methamphetamine is increased tolerance for the substance. This creates a preparatory ground for addiction. Other symptoms seen in chronic abusers of methamphetamine include anxiety, confusion, insomnia, mood disturbances, and violent behavior. They also can display a number of psychotic features, including paranoia, visual and auditory hallucinations, and delusions.   Memory Loss, Aggressive or violent behavior, Mood disturbances, severe dental problems, Weight loss also form part of features seen in this category of people. Treatment The alarming rate of spread of methamphetamine indulgence across the nations is worrisome for health care providers. It is equally a headache for every member of the community interested in safe sexual behavior, peace and progress; those averse towards violence and communal clashes which have been associated with methamphetamine abuse. In the midst of this sad picture emerges the god news that methamphetamine abuse can both be prevented and more interestingly treated. Since the disorder includes brain damage which presents in functional and behavioral disturbances, the treatment options available are targeted at these. Treatment of methamphetamine intoxication is primarily supportive. Treatment of methamphetamine abuse is behavioral; cognitive behavior therapy, contingency management, and the Matrix Model have proven effective. Treatments by use of drugs are under investigation. REFERENCES Winslow BT, Voorhees KI, Pehl KA., Methamphetamine abuse. Swedish Medical Center Family Medicine Residency, Littleton, Colorado 80121, USA. http://www.drugabuse.gov/about/organization/cewg/pubs.html. http://www.nida.nih.gov/ResearchReports/Methamph Injury associated with methamphetamine use: A review of the literature Hawaii Med J. 1997;56:34–6, 44. [PubMed]; Murray JB. Psychophysiological aspects of amphetamine-methamphetamine abuse. J Psychol. 1998;132:227–237. †¦ www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1448174 Psychophysiological aspects of amphetamine-methamphetamine abuse. From: The Journal of Psychology | Date: 3/1/1998 | Author: Murray, John B. †¦ www.encyclopedia.com/doc/1G1-20565391.html Thomas Ernst, PhD, Linda Chang, MD, Maria Leonido–Yee, MD and Oliver Speck, PhD Evidence for long-term neurotoxicity associated with methamphetamine abuse http://www.neurology.org/cgi/content/abstract/54/6/1344 Methamphetamine Abuse During Pregnancy: Outcome and Fetal Effects BERTIS B. LITTLE, MA, PhD, LAURA M. SNELL, MPH and LARRY C. GILSTRAP, III, MD ttp://acogjnl.highwire.org/cgi/content/abstract/72/4/541    How to cite Methamphetamine abuse, Essay examples

Case Study- Ajay Mahajan (Appendicitis)

Question: Discuss about the Case Study of Ajay Mahajan (Appendicitis). Answer: Appendix is a narrow blind ended pouch that extends from inferior part of the large intestines cecum. It is about four inches long, located in right iliac region (Waugh, 2015). The sub mucosa layer of the appendix has lymphoid tissue masses which implies that it play a role in our immune system. Few suggest that it stores beneficial bacteria and helps in re-booting the digestive tract after an illness whereas others suggest that it is a vestigial organ and serves no purpose (Waugh, 2015). Appendix often gets inflamed of its inner lining and parts called as appendicitis (Lewis, 2013). Its incidence is high among pediatrics caused by an infection (Marilyn, 2015). Due to a bacterial/ viral infection, the inner lining of appendix gets inflamed and lymphoid tissue swells. This obstructs the appendiceal lumen and so increases intra luminal pressure and causes continuous secretion and stagnation of fluids and mucus. It leads to distention of the appendix and multiplication of bacteria that stimulates production of white blood cells to fight against the infection. This increases body temperature as Mr. Ajay manifests (Martin, 2014). This also causes formation of pus which again increases intra luminal pressure causing severe increasing abdominal pain, nausea and vomiting as Mr. Ajay manifests. If obstruction increases further above that of the appendiceal veins, venous outflow obstruction occur leading to ischemia. This causes loss of epithelial integrity allowing invasion of bacteria into the wall. After few hours, thrombosis may develop in the appendicular artery and veins, leading to formation of abscess causing gangrene (Lewis, 2013) and perforation in 24-36 hours (Hinkle, 2014). Finally the appendix ruptures and infected material spills into the abdominal cavity causing peritonitis which is a life threatening condition requiring immediate surgery to remove appendix (Hinkle, 2014, Bennington, 2014). Mr. Ajay was febrile due to ruptured appendix. If untreated, affects the homeostasis of the patient leading to septic shock and death. The only option in appendicitis is removal of appendix called appendectomy which is done by two methods. Laproscopic appendectomy involves making three incisions on the abdomen and insertion of tubes through each incision and removal of appendix is done. This could be feasible in developing countries as fewer narcotics are used (Ali, 2011, Smink, 2014). Laproscopy is best performed but it takes more time and is costly (Kahil, 2011, Ohtani, 2012).In certain cases open appendectomy is performed in which appendix is removed through a single large incision. It is mostly done in case of ruptured appendix (Wong, 2012). Laproscopy was planned for Mr. Ajay but then converted to open type due to ruptured appendix which was supported by a study that 14.7% needs conversion (Ali, 2011). 2. Assessment of ventilation, circulation and consciousness prior to patients discharge from PARU Mr. Ajay should be assessed for airway patency by checking position of tongue and presence of secretions as he produces snoring sound. He should be assessed for rate, rhythm, depth and pattern of respiration as it is decreased due to anesthetic effects. The forcefulness of exhaled air should be assessed by placing cupped hand over the patients nose and mouth (Lewis, 2013). He should be observed for symmetry of chest wall movement which helps to detect improper ventilation. Note for the use of accessory and abdominal muscles during respiration to rule out respiratory distress. Auscultate the breath sounds to indentify obstructed airway. He is known asthmatic and so note for the presence of wheezes and crackles which indicates bronchospasm. Connect pulse oximetry to oxygen saturation as the PaO2 is 96% (Wong, 2012). Note the characteristics of sputum and mucus to identify pulmonary edema. Monitor vital signs once in every 15 minutes to understand the progress of the patient. To determine the stability of the patient compare the pre and post operative vital signs. The pulse pressure should be noted. Cardiac monitor should be connected (Lewis, 2013). Note for cyanosis and dehydration by assessing the color, moisture and temperature of the skin. He has hypotension, rapid pulse, cold, clammy skin indicating progressing hypovolemic shock (Hinkle, 2014). He is in semiconscious state, so assess his level of consciousness, orientation to place, person and time, memory and ability to follow instructions. Assess for size and equal reactivity of the pupil to know the motor and sensory status. Effects of anesthesia and surgery on ventilation, circulation and consciousness Anesthesia is defined as a total or partial loss of consciousness (Douglas, 2012). There are various types as general, local, regional anesthesia and conscious sedation. For Mr. Ajay open appendectomy was done under general anesthesia in which there is loss of sensation, unconsciousness, skeletal muscles relaxation, inability to feel pain and eliminating responses like coughing, vomiting, gagging and sympathetic nervous system responsiveness (Lewis, 2013). Mr. Ajay produced snoring sound which is more common in post operative period due to airway compromise caused by obstruction, hypoxemia and hypoventilation. It was supported by Hedenstirena in 2012 that anesthesia affects respiration causing changes in matching of alveolar ventilation, lung perfusion and oxygenation of arterial blood. There will be a fall in resting lung volume and reduction of functional residual capacity occurs due to loss of muscle tone caused by anesthesia. This fall causes closure of airway leading to alveolar collapse (atelectasis). He is a heavy smoker and substance abuser, so is at high risk for developing airway obstruction (Lewis, 2013). In case of decreased consciousness, the tongue falls back due to flaccid muscles and blocks the airway (Hinkle, 2014). The base of the tongue falls backward against the soft palate and occludes the pharynx which is mostly present in supine position causing snoring sound (Lewis, 2013). He develops snoring due to obstruction of airway. Obstruction is caused by the retained thick secretions due to stimulation by anesthetic agents (Hinkle, 2014). Due to irritation of larynx by anesthetic agents and endotracheal tube, laryngeal edema and laryngospasm may occur (Douglas, 2012). He had snoring which could also be due to hypoxemia caused by alveolar collapse. He also has hypotension with blood pressure 90/50 mm Hg due to bronchial obstruction caused by retained secretions and manifests decreased breath sounds and oxygen saturation. It also develops in case of hypoxemia and low cardiac output due to suppression of respiratory centre. Mr. Ajay is in semiconscious state due to the effect of anesthesia. This may cause aspiration of gastric contents into the lungs causing closure of airways. This is a serious emergency by causing dyspnea, tachypnea and decreased oxygen saturation. It is common among asthma and Chronic Obstructive Pulmonary Disorder patients. As Mr. Ajay is known asthmatic, he is at risk for developing bronchospasm causing snoring sound. Mr. Ajay has decreased respiratory rate-10 breaths/min, Blood pressure-90/50 mmHg and Oxygen saturation- 94% as he has hypoventilation which is a common complication in the post anesthetic period. This is evidenced by a study conducted by Saraswat in 2015. It occurs as a result of medullary depression and poor muscle tone of respiratory muscles (Lewis, 2013). He has hypotension with blood pressure 90/50 mm Hg due to unreplaced fluid and blood losses during surgery (Hinkle, 2014). He is infused with 1 L Normal Saline for 6 hours to replace fluid and maintain homeostasis. He is drowsy as anesthesia depresses central nervous system. He felt cold with body temperature 35C due to the loss of heat from exposed body organs to outside air and so Bair Hugger warmer was applied. He felt pain due to surgical manipulation (Lewis, 2013). 3. Discharge involves leaving of the patient from the hospital or any other health care setting to the home or is transferred to another setting (Douglas, 2012). Discharge should be planned from the time of return of patient from operating room and should be based on physicians order. Discharge planning is a multidisciplinary process that involves action by various health care professionals. This ensures that the patient has a plan for continuing care after leaving the hospital (Douglas, 2012). For Mr. Ajay, the discharge plan should include description of clients condition at discharge, current medication to take, diet modifications, activity level, restrictions, incision care, planned appointment at the physicians office and signs and symptoms of complications or drug reactions to be observed. At the time of discharge, he should be explained about his condition and the entire course of treatment. Advice to quit smoking as it may delay wound healing process and may irritate the incision area. Instruct to avoid use of drugs as it may affect the healing process and respiratory effort in post anesthetic period. The patient should be advised as not to take pain medications unnecessarily without the prescription of doctor. Demonstrate the pain management techniques such as splinting the incision with pillows during coughing and sneezing to prevent removal of sutures (Lewis, 2013). Instruct the patient to perform deep breathing exercise to promote ventilation. Advice the patient to take semi fowlers position as it relieves abdominal tension and prevents pain (Vera, 2013). Instruct Mr. Ajay to avoid bending, moving and lifting heavy objects as it may irritate the incision site and lead to removal of sutures. Advice the patient to take a small and frequent diet meal with high calories initially. Ask him to increase the amount of food gradually as tolerated. Instruct to take fluids at least 2-3 L/ day to compensate fluid and blood losses during surgery and also to prevent constipation. Normal activities could be resumed as early as possible (after 5 days) and can plan for alternate periods of rest and activities. This promotes normalization of organ function and stimulates peristalsis (Vera, 2013). Demonstrate the techniques of wound care. Instruct the patient to follow up after 10 days to note the progress of the patient. Inform him to consult the physician in between in case of complications such as increased body temperature, vomiting, severe pain, bleeding in incision site, weight loss or changes in bowel and bladder function. References Ali, S.M. (2011). Laproscopy versus open appendectomy: Saudi Journal of gastroenterology. 17 (4). Retrieved from www.ncbi.nlm.nih.gov PMC3023097. Appendectomy: (2014). Surgical removal of the appendix. American College of Surgeons. https://search2. facs.org/search?q=appendectomysa=searchsite=my_collection client=my_collectionproxystylesheet=my_collectionoutput=xml_no_dtd. Appendicitis. (2014). National Institute of Diabetes mellitus and digestive and kidney diseases. Retrieved from https:// digestive. niddk.nih.gov/diseases /pubs/appendicitis. Bennington, C. (2014). Ruptured appendix: Everyday health. Retrieved from www.everydayhealth.comguiderupt. Douglas, C. (2012). Potter and Perrys Fundamentals of Nursing- Australian version. (4th ed.). St. Louis, Missouri: Elsevier Hedenstirena, G. (2012). Respiratory Function During Anesthesia: Effects On Gas Exchange. 2 (1). doi: 10.1002/cphy.c080111. Hinkle, J.L. (2014). Brunners and Suddarths Textbook of Medical Surgical Nursing. (13th ed.). Philadelphia: Lippincott Williams and Wilkins. Kahil, j. (2011). Laproscopy versus open appendectomy: A comparison of primary outcome measures: Saudi Journal of gastroenterology. Retrieved from https://www.saudijgastro.com/text.asp? Lewis, S.M., Heitkemper, M. M., Dirksen, S.R. (2013). Medical Surgical Nursing: Assessment and Management of Clinical Problems. (9th ed.). Missouri: Mosby. Martin, R.F. (2014). Acute appendicitis: clinical manifestations and diagnosis. Retrieved from https://www.uptodate. com/home. Ohtani, H. (2012). Meta- analysis of the results of randomized controlled trials that compared Laproscopic and open Surgery for acute appendicitis: Journal of Gastrointestinal surgery. 16(10), 1929-1939. doi:10.1007/s11605-012-1972-9 Saraswat,V. (2015). Effects of anesthesia techniques and drugs: Indian Journal of Anesthesia. 59(9). Retrieved from www.ijaweb.orgarticle. Smink, D. (2014). Acute appendicitis: management. Retrieved from https://www.uptodate. com/home. Vera, M. (2013). 4 Appendectomy Nursing Care Plans- Nurse Labs. Retrieved from nurses labs. com Nursing care plans. Waugh, A. (2015). Ross and Wilson Anatomy and Physiology in Health and illness. (12th ed.). Philadelphia: Churchill Livingstone. Wong, L. (2013). Wongs Essentials of pediatric nursing. (9th ed.). Churchill livingstone: Elsevier.

Cultural Immersion free essay sample

How does your search through the literature and internet impact your expectations as you plan your group immersion activities (Part 2 of the Cultural Immersion Project)? [about 200 words] 5. In APA style, list the scholarly sources and internet/media sources that you used for this part of the immersion project. Next, you will share some of your experience in the Cultural Immersion Project Part 1 Forum. Discuss with your group some of the most interesting things you found in your reading and internet/media search. Also, describe any challenges you anticipate in the remainder of the project (Parts 2 and 3). Do not attach your paper. Students do not open attachments in Discussion Board posts. Rather, share what you found interesting in your search. Interact with at least two classmates who explored a different culture. Your thread (about 350 words) is due by 11:59 p. We will write a custom essay sample on Cultural Immersion or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page m. (ET) on Thursday, and your replies (about 200 words each) are due by 11:59 p. m. (ET) on Sunday of Module/Week 2. *Please note that the research you do for Part 1 amp; Part 2 are necessary for the completion of Part 3. Organize all the notes and references you have gathered thus far to enable you to easily accomplish the final part of this project. This part involves scholarly resources and internet/media resources related to the culture you will be exploring. The culture may be a different ethnicity, religion, cultural group, or have other significantly different cultural features (e. g. , the elderly in nursing homes, disabled children, disabled adults, the homeless, prisoners, etc. ). As a reminder, you cannot select a cultural group that you have had previous experience with. For example, if you’ve interacted with many Cubans previously, you cannot do the Cuban culture for your immersion project. This also applies to your cultural background. For example, if you are a White student from an Irish background, you cannot do your immersion project on the Irish culture since you will already be exploring the Irish culture as part of your cultural family background paper. No double-dipping. The culture you select must by new for you. For parts 2 and 3, you will also need to be able to participate in cultural group activities and interview a person from your selected cultural group. (See parts 2 and 3 handouts for information on those later activities). You will read 3 scholarly resources on your cultural population of interest (must be dated 2005 or later). A pertinent unassigned chapter from McGoldrick may count as one of these sources; however, the Hays and Erford text chapters may not count as a source. You must also use the internet or media to examine at least 3 significant media resources related to the culture. For example, on the internet, you may find the following culturally useful and prominent types of sources: * online newspapers from the country * internet radio broadcasts * music of the country/group * movies or videos * culturally-specific online magazines or websites * organizations You will answer the questions below. This is not a paper. There is no need for a title page, abstract, citations, or a reference page. First person may be used in your answers. A rough word estimate is beside each question. The quality of your answer is more important than the

Senior Leadership Team and Its Characteristics

5 Tips for Writing the Michigan State Admissions Essay

5 Tips for Writing the Michigan State Admissions Essay SAT / ACT Prep Online Guides and Tips So you’ve decided to apply to Michigan State University. You’ve made a great choice- not only is it one of the top public universities in the nation, 95% of undergraduates land jobs or go onto graduate school after graduation! Additionally, 25 of its undergraduate programs are ranked in the top 20 nationally, including the best supply chain management and logistics program in the country. And like most top schools, the MSU application requires you to submit an application essay. This guide will walk you through everything you need to know about writing and submitting the Michigan State admissions essay, including: A discussion of the Michigan State admissions standards, Where to find the Michigan State application, and Five tips to write a Michigan State admissions essay that will get you in. So let’s get started! What Is the Michigan State Admissions Essay? The Michigan State essay is a required (and important!) element of your Michigan State application. The essay is basically a personal statement designed to help admissions counselors get to know you better. Sure, they’ll see your transcript and test scores, but Michigan State also wants to know who you are beyond the data, too. The essay is also important because Michigan State is a moderately competitive school that has an acceptance rate of 66%, which means that 66 out of 100 students who apply to MSU are admitted each year. That means your essay is a key part of an admissions counselor’s decision-making process. (If you’re not familiar with the school’s admissions requirements, be sure to check out this comprehensive guide on Michigan State’s admittance policies.) As we mentioned earlier, you’ll submit one finished essay as part of your complete Michigan State application packet. As of 2018, Michigan State requires prospective students to submit all their application materials- including the MSU essay- via the Common App or the Coalition App, which are online platforms that let you fill out one application and submit it to multiple universities. Luckily for you, Michigan State doesn’t require you to fill out an additional application supplement. In other words, the Michigan State admissions essay is the same essay you’ll fill out for either the Common App or the Coalition App! But that also means that you only have one chance to help MSU’s admissions counselors determine whether you’re a good fit for the university. Now that you have a general idea about what the Michigan State admissions essay is and how to submit it, here are three final, important things to keep in mind: #1: MSU doesn’t favor one application over the other. They treat Common App and Coalition App submissions equally in their decision-making process. (If you’re still not sure which application to use, here’s a comprehensive guide that helps you choose the right one for you!) #2: You can only submit one application per academic year. So if you have both applications filled out, send one or the other- not both. Sending two applications can cause errors in the admissions system and lead to your application getting rejected. #3: The Common App and the Coalition App have different prompts. Each application asks slightly different questions, so it’s important to pick the application that allows you to write the strongest essay. Now it’s time to take a closer look at the different Common App and Coalition App prompts and give you some general tips for picking the best MSU essay prompt for you. The Common App Essay Prompts 1. Some students have a background, identity, interest, or talent that is so meaningful they believe their application would be incomplete without it. If this sounds like you, then please share your story. 2. The lessons we take from obstacles we encounter can be fundamental to later success. Recount a time when you faced a challenge, setback, or failure. How did it affect you, and what did you learn from the experience? 3. Reflect on a time when you questioned or challenged a belief or idea. What prompted your thinking? What was the outcome? 4. Describe a problem you've solved or a problem you'd like to solve. It can be an intellectual challenge, a research query, an ethical dilemma-anything that is of personal importance, no matter the scale. Explain its significance to you and what steps you took or could be taken to identify a solution. 5. Discuss an accomplishment, event, or realization that sparked a period of personal growth and a new understanding of yourself or others. 6. Describe a topic, idea, or concept you find so engaging that it makes you lose all track of time. Why does it captivate you? What or who do you turn to when you want to learn more? 7. Share an essay on any topic of your choice. It can be one you've already written, one that responds to a different prompt, or one of your own design. For the Common App, you’re given seven essay prompts and asked to answer one. The prompts themselves fall into a few general categories: Overcoming a challenge Solving a problem Showing personal growth Sharing your interests and personality This list gives you a general sense for what admissions counselors expect to see in your essay. You will likely only discuss one or two of these in a prompt, so don’t worry about having to address every single category in your response. Having to choose just one prompt can be pretty overwhelming- it’s hard to know where to start! Here are some things you can do to make picking a topic easier. Read through this guide that explains each prompt. Getting an expert explanation on each prompt can help you pick one that works for you. Eliminate the prompts you don’t like- or don’t understand. Go with your gut...as long as your gut doesn’t make you cross every option off your list. Consider the categories. Take a look at the general categories we have listed above, and think back to the essays you did well on in school. Is there a category you feel most comfortable writing about? If so, pick a prompt that aligns with that topic. Keep in mind that no matter the topic you choose, the Common App limits your response to 250 to 650 words. It’s harder to write shorter responses, so make sure you plan ahead and give yourself plenty of time to write a great essay. The Coalition App Essay Prompts Tell a story from your life, describing an experience that either demonstrates your character or helped to shape it. Describe a time when you made a meaningful contribution to others in which the greater good was your focus. Discuss the challenges and rewards of making your contribution. Has there been a time when you’ve had a long-cherished or accepted belief challenged? How did you respond? How did the challenge affect your beliefs? What is the hardest part of being a teenager now? What’s the best part? What advice would you give a younger sibling or friend (assuming they would listen to you)? Submit an essay on a topic of your choice. As you can see, the Common App and Coalition App provide slightly different essay prompts. You’ll still submit one essay, though the Coalition App gives you two fewer prompts to choose from. Like the Common App, the Coalition App prompts fall into a few general categories: Sharing your interests or personality Helping others and/or your community Facing challenges Experiencing personal growth So not only are the essay prompts themselves differ from the Common App, the Coalition App’s response categories are also a little different. (Here’s another helpful tip: looking at the response categories and comparing them to the Common App’s can be a good way of helping you to decide which application is right for you.) So now that you’ve seen the Coalition App prompts, how do you choose one? Here are some tips for picking the best Coalition App prompt for you: Make a list of life’s meaningful moments. What are the top ten life-changing experiences of your life? Jot these down. Keep in mind they don’t have to be huge- sometimes the smallest things make the biggest impact. Now look at the list. Do any of those stories fit with a prompt? Do a timed writing. Write down each topic on a separate sheet of paper. Set a timer and give yourself five minutes to write whatever comes to mind about each prompt. When you’ve done that for all five prompts, look to see if one topic inspired you more than the others. Read a walk-through of each essay topic. A little bit of expert guidance can help you better understand how to answer each prompt. No matter which prompt you choose, you’ll have limited space for your response. Unlike the Common App, the Coalition Application does not give a firm word count, though their website recommends you limit your essay length to 500 to 550 words. That’s slightly shorter than the maximum limit for the Common App essays, so keep that in mind if you struggle with essay length. Image courtesy of Joel Dinda 5 Tips for Writing a Killer Michigan State Admissions Essay By now you’ve had a chance to consider- and hopefully choose!- the perfect MSU essay prompt. Here are our top five tips for writing a Michigan State University essay that makes you stand out from the crowd! Be authentic. Jim Cotter, the Director of Undergraduate Admissions for Michigan State University, says being authentic is the most important element of a strong Michigan State essay. He explains, â€Å"We don’t want a student to create something that they’re not. We want them to tell us who they are, what their real experiences are, and how they’ve developed as an individual because of those experiences.† In other words, tell the truth...and be yourself! Tell a story. To write a stand-out MSU essay examples are key. That’s why it’s important to use storytelling to help answer the prompt! For example, if you want to talk about a time you gave back to the community, tell a story about a specific event (like shaving your head for charity)! Be descriptive. This ties into our â€Å"tell a story† tip above. Details are what make a story come alive! If you’re writing about a challenging time in your life, do more than just tell the reader what happened. Show them where you were, what you saw, and how you felt by using descriptive language. Write long, edit short. Staying within word limits can be hard. That’s why we recommend you don’t worry about essay length when you write your first draft. Just focus on getting your answer down on paper even if you go hundreds of words over the maximum length. Then you can focus on whittling your essay down until you land in the word count sweet spot. Embrace the 3 R’s. Re-read, revise, and review. Never, ever submit the first draft of your essay! Even the best writers in the world revise their work multiple times. Also, don’t be afraid to ask your parents and teachers to give you feedback on your work. They’ll be able to give you a new, fresh perspective on your work! Your Next Steps If you’re looking to beef up your rà ©sumà © to make sure you’re one of MSU’s ideal candidates, try fitting some community service into your schedule. Here’s a list of the nine best places to do community service, and here’s a discussion of how volunteering benefits both your college application and your life!One key piece of your application are letters of recommendation, so you need to ask for those as soon as possible. Check out this guide that goes over how- and when!- to ask for letters of recommendation. Now that you’re ready to write your essays, get the skinny on how to write the perfect application essay introduction. Want to write the perfect college application essay? Get professional help from PrepScholar. Your dedicated PrepScholar Admissions counselor will craft your perfect college essay, from the ground up. We'll learn your background and interests, brainstorm essay topics, and walk you through the essay drafting process, step-by-step. At the end, you'll have a unique essay that you'll proudly submit to your top choice colleges. Don't leave your college application to chance. Find out more about PrepScholar Admissions now: