Doctors Riot essays

Doctor's Riot essays In former times body-snatching, or digging up bodies for dissections was much more heard of than at present. The fear if it was so great, that often, in the neighborhood where medical students were pursuing their studies, persons who lost friends and family members would have a watch kept over their graves for several nights, to prevent them from being dug up. Neither the high social position nor sex of the dead provided a barrier to this disturbance of the graves. Although it was established that for thorough instruction in medical science, subjects for dissection were necessary, yet no one outside of the medical profession could be found to authorize body-snatching. In the winter of 1787 and 1788, medical students of New York City dug up bodies more frequently than usual. Usually, the students had contented themselves with ripping open the graves of strangers and Negroes, about whom there was little concern. This winter, however, they dug up respectable people, even young women, of whom they made an indecent exposure. The stories did not lose anything by reputation, and soon the conduct of physicians and medical students became a town talk. The graveyards were easily accessible while there are plenty of men to be found, who, for a small sum, would dig up any body anyone desired. In 1788 the towns only shelter for the ill was New York Hospital, a three-story structure atop a small hill west of Broadway between Duane and Reade streets.1 Due to the fact that British soldiers had left the place in horrible condition, the facility could not be used for practice of medicine. Two of its rooms had been altered by the professors of the nearby Columbia College into dissecting rooms for the students. A mere accident caused this state of feeling to culminate and suddenly break out into action. On Sunday, April 13th, some boys were playing in the rear of the New York Hospital as they...

Example of Two Sample T Test and Confidence Interval

Example of Two Sample T Test and Confidence Interval Sometimes in statistics, it is helpful to see worked out examples of problems.   These examples can help us in figuring out similar problems.   In this article, we will walk through the process of conducting inferential statistics for a result concerning two population means. Not only will we see how to conduct a hypothesis test about the difference of two population means, we will also construct a confidence interval for this difference.   The methods that we use are sometimes called a two sample t test and a two sample t confidence interval. The Statement of the Problem Suppose we wish to test the mathematical aptitude of grade school children.   One question that we may have is if higher grade levels have higher mean test scores. A simple random sample of 27 third graders is given a math test, their answers are scored, and the results are found to have a mean score of 75 points with a sample standard deviation of 3 points. A simple random sample of 20 fifth graders is given the same math test and their answers are scored. The mean score for the fifth graders is 84 points with a sample standard deviation of 5 points. Given this scenario we ask the following questions: Does the sample data provide us with evidence that the mean test score of the population of all fifth graders exceeds the mean test score of the population of all third graders?What is a 95% confidence interval for the difference in mean test scores between the populations of third graders and fifth graders? Conditions and Procedure We must select which procedure to use. In doing this we must make sure and check that conditions for this procedure have been met. We are asked to compare two population means. One collection of methods that can be used to do this are those for two-sample t-procedures. In order to use these t-procedures for two samples, we need to make sure that the following conditions hold: We have two simple random samples from the two populations of interest.Our simple random samples do not constitute more than 5% of the population.The two samples are independent of one another, and there is no matching between the subjects.The variable is normally distributed.Both the population mean and standard deviation are unknown for both of the populations. We see that most of these conditions are met.   We were told that we have simple random samples.   The populations that we are studying are large as there are millions of students in these grade levels. The condition that we are unable to automatically assume is if the test scores are normally distributed. Since we have a large enough sample size, by the robustness of our t-procedures we do not necessarily need the variable to be normally distributed. Since the conditions are satisfied, we perform a couple of preliminary calculations. Standard Error The standard error is an estimate of a standard deviation. For this statistic, we add the sample variance of the samples and then take the square root. This gives the formula: (s1 2 / n1 s22 / n2)1/2 By using the values above, we see that the value of the standard error is (32 / 27 52 / 20)1/2 (1 / 3 5 / 4 )1/2 1.2583 Degrees of Freedom We can use the conservative approximation for our degrees of freedom. This may underestimate the number of degrees of freedom, but it is much easier to calculate than using Welchs formula. We use the smaller of the two sample sizes, and then subtract one from this number. For our example, the smaller of the two samples is 20. This means that the number of degrees of freedom is 20 - 1 19. Hypothesis Test We wish to test the hypothesis that fifth-grade students have a mean test score that is greater than the mean score of third-grade students. Let ÃŽ ¼1 be the mean score of the population of all fifth graders. Similarly, we let ÃŽ ¼2 be the mean score of the population of all third graders. The hypotheses are as follows: H0: ÃŽ ¼1 - ÃŽ ¼2 0Ha: ÃŽ ¼1 - ÃŽ ¼2 0 The test statistic is the difference between the sample means, which is then divided by the standard error. Since we are using sample standard deviations to estimate the population standard deviation, the test statistic from the t-distribution. The value of the test statistic is (84 - 75)/1.2583. This is approximately 7.15. We now determine what the p-value is for this hypothesis test. We look at the value of the test statistic, and where this is located on a t-distribution with 19 degrees of freedom. For this distribution, we have 4.2 x 10-7 as our p-value. (One way to determine this is to use the T.DIST.RT function in Excel.) Since we have such a small p-value, we reject the null hypothesis. The conclusion is that the mean test score for fifth graders is higher than the mean test score for third graders. Confidence Interval Since we have established that there is a difference between the mean scores, we now determine a confidence interval for the difference between these two means. We already have much of what we need. The confidence interval for the difference needs to have both an estimate and a margin of error. The estimate for the difference of two means is straightforward to calculate. We simply find the difference of the sample means. This difference of the sample means estimates the difference of the population means. For our data, the difference in sample means is 84 – 75 9. The margin of error is slightly more difficult to compute. For this, we need to multiply the appropriate statistic by the standard error. The statistic that we need is found by consulting a table or statistical software. Again using the conservative approximation, we have 19 degrees of freedom. For a 95% confidence interval we see that t* 2.09. We could use the T.INV function in Excel to calculate this value. We now put everything together and see that our margin of error is 2.09 x 1.2583, which is approximately 2.63. The confidence interval is 9  Ã‚ ± 2.63. The interval is 6.37 to 11.63 points on the test that the fifth and third graders chose.

A study of relationship between service advertising strategies and Dissertation

A study of relationship between service advertising strategies and consumers responses within hospitality industry - Dissertation Example Results The following mean ranges have been used for the substantive interpretations of the means: 1.00-1.49 – strongly disagree; 1.50-2.49 – slightly disagree; 2.50 – 3.49 – neutral; 3.50-4.49 – slightly agree; and 4.50 – 5.00 – strongly agree. Table 1a. Descriptive statistics: The advertisement caught my attention. Mean Std. Deviation Advert 1 3.94 0.80 Advert 2 3.76 0.86 Advert 3 4.17 0.66 Total 3.96 0.79 On the capacity of the advertisement to catch their attention, the means for all three advertisements all suggest agreement. Table 1b. One-way ANOVA: The advertisement caught my attention. Sum of Squares df Mean Square F Sig. Between Groups 12.40 2.00 6.20 10.30 0.00 Within Groups 261.77 435.00 0.60 Â   Â   Total 274.18 437.00 Â   Â   Â   The one-way ANOVA suggests that there is a significant difference among the three advertisements’ ratings on attention getting capacity (F=10.30, p=.00). The post hoc tests in Table A1 (Appendix A) indicates that Ad 3 received significantly higher means than the other two advertisements. Ad 1 is likewise more effective than Ad 2 on this aspect. Table 2a. Descriptive statistics: The advertisement elicited my interest in the hotel being advertised. Mean Std. Deviation Advert 1 3.84 0.63 Advert 2 3.79 0.72 Advert 3 3.99 0.58 On the capability of the advertisement to elicit interest in the hotel, all means suggest agreement by the respondents. Table 2b. One-way ANOVA: The advertisement elicited my interest in the hotel being advertised Sum of Squares df Mean Square F Sig. Between Groups 3.31 2.00 1.65 3.98 0.02 Within Groups 180.79 435.00 0.42 Â   Â   Total 184.09 437.00 Â   Â   Â   On the capability of the advertisement to elicit interest in the hotel being advertised, the F-value indicates that there is indeed a significant difference among the ratings given to the 3 advertisements (F=3.98, p=.02). Table A2 (Appendix A) indicates that Ad 3 garnered significant ly higher ratings than the other two advertisements on this facet. Table 3a. Descriptive statistics: I felt the conviction that what is shown in this advertisement must be true, and developed a positive disposition on my part. Mean Std. Deviation Advert 1 3.33 0.82 Advert 2 4.10 0.78 Advert 3 4.26 0.62 On the conviction that what is shown in this advertisement must be true and developing a positive disposition on the respondents, Ad 2 and 3 garnered agreement. However, Ad 1 received a neutral rating. Table 3b. One-way ANOVA: I felt the conviction that what is shown in this advertisement must be true, and developed a positive disposition on my part. Sum of Squares df Mean Square F Sig. Between Groups 72.18 2.00 36.09 64.61 0.00 Within Groups 242.99 435.00 0.56 Â   Â   Total 315.17 437.00 Â   Â   Â   The one-way ANOVA for statement 3 suggests that there are significant differences yielded for the ratings given to the 3 groups (F=64.61, p=.00). The results in Table A3 (Appendix A) indicates that Ad 3 got higher ratings than the other two ads on this facet, whereas Ad 2 received a higher rating compared to Ad 1. Table 4a. Descriptive statistics: I would like to know more information about this hotel by looking it up in the telephone directory and calling this hote

Economic Essay Example | Topics and Well Written Essays - 1500 words - 3

Economic - Essay Example The solid boost in quantities sold jointly with an upsurge in iron ore prices forced sales values to a new record of $11.3 billion which is up by 83% as against the past year’s level. Pricing in the Iron ore market For the past 40 years, the prices of iron ore have been determined in private discussions among the small fistful of mineworkers and steelworkers which reign both spot and contract markets. By tradition, the first contract attained amongst these two groups places a yardstick to be adopted by the remainder of the industry.2 This yardstick scheme of pricing iron ore has on the other hand in current years started to collapse, with contributors along both demand and supply chains bidding for a change to short time pricing. Since most of the other commodities were already following a matured market based pricing system, it is likely for iron ore to go behind. Even though exchange-authorized iron ore exchange contracts have grew during the past few years, so far no switch over has instituted a good futures market for the mostly seaborne $88 billion a year iron ore trade (Financial Times, 2009). The need for change in the country The need for change in the country will be due to the following factors: i Economic growth in the long-run for Western Australia’s economic growth will carry on to be well-built for the next 20-30 years. ii The demand for labour under such circumstances will persist to develop more quickly than the ability of the state to supply. This demand will have to be met by the government from the states’ natural population or from the present migration plans. iii It is estimated that a whopping additional 224,000 workers will be needed by 2016 in Western Australia. iv This will result in demand for training people, housing requirements will be more, and there will be the need for drastic growth in infrastructure as well. The demand for production with reference to Isoquant and Isocosts curve theory The principle of subs titution discloses a basic theory of neoclassical location theory. Without a doubt, it may be debated that in a neoclassic site, the position of factories is a practice in changeover as 'trade-offs' are made amongst the different location elements. Thus procurement and allocation costs are interchanged for one another; for instance if a site is near the market then its procurement costs substitute for distribution costs. At the same time if a factory is situated near the sources of raw material substitutes, distribution costs for procurement costs. If a cheap labour location has to be considered then the factory needs to compare the impact of lesser labour costs for high transportation costs or vice versa that is lower transportation costs for higher labour costs. The theory is that in reality firms are boosted to scatter production to low wage areas to make precisely this form of permutation as productions grow. As the production matures, neither the low wage region or the 'least t ransport cost will provide a solution (Hayter, 2004). Figure showing all possible combinations of optimal input for a given output Source: Hayter, 2004 The above graph illustrates the production theory. In this specific theoretical position, an isoquant

Clarence killed Essay Example for Free

Clarence killed Essay This reveals that Richard plans to have Clarence killed, before his brother enters Richard utters,  Dive thoughts, down to my soul: here Clarence comes  This shows the audience that he is not going to be his true self in the next scene as if his thoughts dive down to his soul then they will be too deep down to surface, yet Clarence is not aware of his brothers falsities, and yet again, because of his acting ability Clarence thinks that his brother loves him. Richard claims not to know the reason Clarence is in the tower. That you should be new-chistend in the Tower  But whats the matter, Clarence may I know?  But he himself reveals his part in Clarences imprisonment in the soliloquy previous to this scene,  About a prophecy, which says that G?  Clarences naivety is seen the most before his murder when he says in desperation,  And I will send you to my brother Gloucester  Who shall reward you better for my life   And even after the murderers tell him that his brother hates him he is adamant that they are wrong. This scene, when Clarence is trying to bargain with the murderers, shows how dangerous Richards intelligence is, as little does Clarence know, it is his brother that wants him killed. Richard has lured Clarence into a web of deceit in which Clarence has become susceptible to Richards lies showing how dangerously alluring Richard is in this play  Richards other personalities include, confident to the audience, in his soliloquies where he is his self. Lover to Anne,  Your beauty was the cause of that effect Loving Uncle to the princes,  Where it seems best unto your royal self..  Leader of his people, a devout pious man,  O do not swear , my lord Buckingham  and many, many more. This makes him alluring because his many sides make him an intriguing character as he his not two dimensional like the rest of the cast. His multiple personas make him dangerously alluring because it is difficult to say which of his personas his is utilising, and it would be difficult to believe him as it would be hard to tell whether what he is saying is an act. For example when he is speaking with Clarence he seems genuinely concerned about his brother, From whence this present day he is deliverd?  Ã‚  We are not safe, Clarence, we are not safe!  Perhaps without the aid of the soliloquies we would not know otherwise?.  To conclude, I personally think that the two words Dangerously alluring do justice to Richards manipulative ways. Richard suffers from chronic ambitiousness, and as a result he does not have a conscience. Richard lures people into his web of deceit and quickly exterminates them if they do not fit the mould. He is a dangerous character as; I think he does not see people as human but as pawns to manipulate on the way to the throne. The factor that makes him most alluring is his multiple personalities which he explores throughout the play. His chameleonic ways are perilous because he can swap quickly for personality to personality making him interesting to the audience. This is not only perilous to the people around him, but also to himself as if he plays all of these characters he will soon lose himself in all of the pretence. By the end of the play he begins to deteriorate as personally I think that once he has achieved his main goal, he does not know what to do with himself, he quickly becomes paranoid and as a strong, dangerously alluring character, he collapses, and is no longer appealing to the audience. He become guilty, mistrustful, and vicious compared to his previous character which oozed charisma. No longer is he Richard, the anti hero with an alluring personality, but Richard III who no longer has control over a world which he once had wrapped around his little finger. Once upon a time Richard was dangerously alluring but towards the end he becomes dangerously aware.

Rebirth in Sylvia Plaths Lady Lazarus, Fever 103, Getting There, and C

Rebirth in Lady Lazarus, Fever 103, Getting There, and Cut  Ã‚     Ã‚  Ã‚   The Ariel-period poems of Sylvia Plath demonstrate her desire for rebirth, to escape the body that was "drummed into use" by men and society. I will illustrate the different types of rebirth with examples from the Ariel poems, including "Lady Lazarus," "Fever 103," "Getting There," and "Cut." "Lady Lazarus," the last of the October poems, presents Plath as the victim with her aggression turned towards "her male victimizer (33)." Lady Lazarus arises from Herr Doktor's ovens as a new being, her own incarnation, "the victim taking on the powers of the victimizers and drumming herself into uses that are her own" (33). Linda Bundtzen also sees the poem as "an allegory about the woman artist's struggle for autonomy. The female creature of a male artist-god is asserting independent creative powers" (33). Plath confronts Herr Doktor: Herr God, Herr Lucifer Beware Beware. Out of the ash I rise with my red hair And I eat men like air. (Plath 246-247) Lady Lazarus after her psychic death became stronger than her creator: " Male- female antagonism ends with the woman defiantly asserting power over her body and releasing its energies for her own ends" (Bundtzen 233). While the outcome of the poem is positive, "Plath turns on herself, identifying with her oppressor, and sadistically punishes her body in the process of recreating it" (Bundtzen 237). Plath did not see the rebirth process as a pleasant experience, but one that is expected of her "I guess you could say I've got a call" (Plath 245). She, however, sees the benefits that come from her suffering and continues the process again and again. "Fever 103" is also about a women releasing herself from... ...poems what she thought she could not or did not achieve in life: the ability to do as she wanted, to be a mother and wife but not constricted into a domestic hell or to be pinned down by the oppressive society which did not accept her for being a poetess. She was able to "still speak from within her "deeper self" through her writing" (Kinsey-Clinton 1).    Works Cited Alvarez, A. Sylvia Plath : A Memoir. New York: Harper and Row, 1985. Bundtzen, Lynda K. Plath's Incarnations: Woman and the Creative Process. USA: University of Michigan, 1988. Kinsey-Clinton, Michelle. Once Upon a Time. (Online) Available http://www.sapphireblue.com/abyss404.html , August 17, 1998. Perloff, Marjorie. "Angst and Animism in the Poetry of Sylvia Plath". Journal Of Modern Literature. 1970: 57-74 . Plath Sylvia. The Collected Poems. New York: Harper Perennial, 1992.   

Closed Head Injury

Closed Head Injury Case Study Y. W. is a 23-year-old male student from Thailand studying electrical engineering at the university. He was ejected from a moving vehicle, which was traveling 70 mph. His injuries included a severe closed head injury with an occipital hematoma, bilateral wrist fractures, and a right pneumothorax. During his neurologic intensive care unit (NICU) stay, Y. W. was intubated and placed on mechanical ventilation, had a feeding tube inserted and was placed on tube feedings, had a Foley catheter to down drain (DD), and had multiple IVs inserted. He developed pneumonia 1 month after admission.Closed Head Injuries: Closed head injuries result from a blow to the head as occurs, for example, in a car accident when the head strikes the windshield or dashboard. These injuries cause two types of brain damage. 1. Define the term primary head injury. A primary head injury (or primary impact) is also known as a â€Å"coup injury. † The injury occurs under the site of impact with an object such as a hammer or a rock. The brain strikes the skull after the head strikes the object of impact (Lewis, et al, Fig 57-14). This is the site of the direct impact of the brain on the skull.Often there is edema around the site of impact. 2. Define the term secondary head injury. The secondary head injury is also known as contrecoup injury occurs on the side opposite the area that was impacted. These injuries tend to be more severe and overall patient prognosis depends on the amount of bleeding around the contusion site (Lewis, et al, 1425). Often it is the secondary brain injuries that show few initial symptoms and then have serious side effects days to weeks later. 3. What is normal intracranial pressure (ICP), and why is increased ICP so clinically important?Normal intracranial pressure ranges from 5 to 15 mm Hg. A sustained pressure above the upper limit is considered abnormal. Pressure changes in the brain effect the brain’s compliance. Complianc e is the â€Å"expandability of the brain† With low compliance, small changes in volume occur and result in greater increases in pressure. Elevated intracranial pressure is clinically significant because â€Å"it diminishes CPP, increases risks of brain ischemia and infarction, and is associated with a poor prognosis† (Lewis, et al, p. 1425-1427). 4. Identify at least five signs and symptoms (S/S) of increased ICP. signs and symptoms of increased ICP are †¢Decreased LOC (level of consciousness) †¢Respiratory problems (maintaining a patent airway is critical in the patient with increased ICP. Pt is at increased risk of airway obstruction (Lewis, et al, p. 1434). †¢Elevated systolic BP due to ischemia and pressure on the brainstem. †¢Bradycardia due to the ischemia and pressure on the brainstem as well. †¢Pulmonary edema due to increased sympathetic activity as a result of increased intercranial pressure. 5. List 4 medication classifications that the ICU nurses could use to decrease or control increased ICP.Some of the medications that the ICU nurses could use to decrease or control increased ICP would be: †¢Opioids (morphine sulfate and fentanyl) †¢IV anesthetic sedative propofol (Diprivan) to manage anxiety and agitation. †¢Vecuronium (Norcuron), cisatracurium besylate (Nimbex): nondepolarizing neuromuscular blocking agents: achieve complete ventilatory control in the treatment of refractory intracranial hypertension. (These agents paralyze muscles without blocking pain or noxious stimuli, therefore they are used in combination with sedatives, analgesics, or benzodiazepines (Lewis, p. 436)). †¢Dexmedetomidine (Precedex): alpha-2 agonist; used for continuous IV sedation of intubated and mechanically ventilated patients in the ICU setting for up to 24 hours. †¢Benzodiazepines are usually avoided in the ICU in management of the patient with increased ICP because of the hypotensive effect and long hal f-life. (Lewis, et al, p. 1436). 6. List 8 nursing measures that the ICU nurses could use to decrease or control increased ICP. * Maintain the patient in the head-up position. Elevation of the head of the bed reduces sagittal sinus pressure, promotes drainage from the head via the valveless venous system through the jugular veins, and decreases the vascular congestion that can produce cerebral edema† (Lewis, et al, p. 1436) * Position the bed so that it lowers the ICP while optimizing the CPP; not above 30 degrees. * Turn the patient with slow, gentle movements. Rapid changes in position may increase ICP. * Avoid extreme hip flexion—this risks raising intra-abdominal pressure which increases ICP. Turn pt every 2 hrs (minimum). * Protect the patient with ICP from self-injury with adequate padding on the bed.Because of likelihood of decreased LOC, confusion, agitation, and the possibility of seizures increase the risk for injury. * Be prepared to explain situations to fam ily and caregivers and the patient. With increased ICP, anxiety is likely and the prognosis can be distressing. By providing short, simple explanations that are appropriate, it allows the patient and the caregiver to acquire the amount of information they desire (Lewis, p. 1438). * Decorticate or decerebrate posturing is a reflex response in some patients with increased ICP. The nurse can use turning, skin care, and even passive range of motion. Monitor fluid and electrolyte status. Disturbances can have an adverse effect on ICP. Closely monitor IV fluids with the use of an accurate intravenous infusion control device or pump; monitor intake and output and daily weights. (Lewis, et al, 1437) * Perform neurological assessments every hour. 7. Y. W. ’s medication list includes clindamycin 150 mg per feeding tube q6h, ranitidine (Zantac elixir) 150 mg per feeding tube bid, and phenytoin (Dilantin) 100 mg IV piggyback (IVPB) tid. Indicate the reasons for each. †¢Clindamycin 1 50 mg per feeding tube q6h: Treatment of respiratory tract infections; to treat Y.W. ’s pneumonia. (Skyscape, 2012). †¢Ranitidine (Zantac elixir) 150 mg per feeding tube BID: Used to treat and prevent stress ulcers (stress-induced GI bleeding in critically ill patients). Due to head injury, overstimulation of the vagus nerve from TBI. †¢Phenytoin (Dilantin) 100 mg IVPB TID: Used to treat and prevent tonic-clonic seizures and complex partial seizures. Seizure is seen in 5% of patients with a non-penetrating head injury (Lewis, et al, p. 1445). 8. A STAT portable chest x-ray (CXR) is ordered after each central venous catheter (CVC) is inserted.According to hospital protocol, no one is permitted to infuse anything through the catheter until the CXR has been read by the physician or radiologist. What is the purpose of the CXR, and why isn’t fluid infused through the catheter until after the CXR is read? The chest x-ray confirms the proper placement of the central venous catheter. If fluid is infused through the catheter before a CXR has confirmed placement, the patient is at high risk for systemic infection or possible pneumothorax (which would occur if the catheter were to be entered into the lung by mistake instead of the superior vena cava).CASE STUDY PROGRESS Y. W. spent 2 months in acute care and is now on your rehabilitation unit. He follows commands but tends to get agitated with too much stimulation. His tracheostomy site is well healed, and the pneumonia is finally resolving. He is still receiving supplemental tube feeding and has some continued incontinence of both bowel and bladder. Y. W. has a supportive group of friends who are students at the university; several of them are also from Thailand. 9. Y. W. ’s latest lab results are as follows: Na 149 mmol/L, K 4. mmol/L, Cl 119 mmol/L, total CO2 21 mmol/L, BUN 12 mg/dl, creatinine 1. 2 mg/dl, glucose 123 mg/dl, WBC 15. 4 thou/cmm, Hgb 14. 9 g/dl, Hct 36. 4%, platelets 140 t hou/cmm. Are any of these of concern to you, and what would you suggest to correct them? I am concerned about 3 of the labs. Sodium: high (increased); hypernatremia; high sodium levels cause neurologic problems including intense thirst, lethargy, agitation, seizures, postural hypotension, weakness, and decreased skin turgor. Chloride: High, increased; High chloride levels occur because of increased sodium levels.It is important to correct the sodium level so the chloride level can follow suit. Again, hypernatremia and the nurse must watch out for dysrhythmias, HTN, and impaired mental response. –> Correcting increased sodium would include: Hypotonic saline (via IV) and 5% dextrose in water (IV)- (Lewis, et al, p. 312) WBC count:15. 4 increased; this increased level indicates infection. This can be attributed to the patient’s diagnosis of Pneumonia. Administration of appropriate antibiotics will help bring the white count back to a normal level. 0. Are you surprised by Y. W. ’s agitated behavior? Explain. YM’s agitation is of no surprise. Patients that have head injuries often express agitation easily. Increased intracranial pressure and the head injury the patient has experienced can cause agitated behavior to arise. It is imperative for the nurse to use interventions to decrease the agitated behavior which can further lead to feelings of anxiety. Providing a calm and non-stimulating environment, free of stressors, is a good way to do this (Lewis, et al, p. 1438).Also, the nurse can elevate the bed 15-30 degrees with appropriate oxygenation applied. 11. Outline a general rehabilitation plan for Y. W. based on the above data. The rehab plan will include -physical therapy- working on gross motor skills, walking, sitting, transferring, and range of motion -occupational therapy- aids in completion of ADLs and learning of new techniques to complete these tasks of daily living -nutrition- proper nutrition to keep patient nourished and als o consuming enough vitamins/minerals/proteins to aide in healing. nursing staff- administer antibiotics, pain medications, and supportive care. -speech therapy- to evaluate and aide with swallowing, eating/drinking, and eventually verbal communication improvements. 12. Y. W. ’s mother has just arrived in the United States and speaks no English. What measures can be taken to facilitate communication between medical personnel and the mother? First and foremost the nurse should find out what language is the mother’s native language. Most people are unaware but it is not safe to assume there is one language that will apply to an entire country.Quite a few countries speak a language based on their village. The nurse will need to acquire an interpreter that will speak the language that best suits the mother. If the patient’s friends/classmates are around, they can also be used to aid in interpretation and communication between health care staff and family. 13. Y. W. à ¢â‚¬â„¢s mother will need a place to stay while in the United States. What can you do to facilitate the initial contact with the Thai community? Hopefully the other Thai students are around or could make a suggestion for the patient’s mother.I would also ask the social worker if they know of any thai-specific cultural centers in the area. I could check with the interpreter, and see if they have a lead. I would also google Thai community San Diego and see what I could find. 14. What special discharge planning considerations are there in this case? Discharge considerations for this patient will involve knowing where the patient is discharging to. The nurse will need to know if the patient is staying in the US and continuing with follow-up outpatient rehab with our facility and if not, then where will they be.The nurse and other members of the healthcare/rehab team need to educate the patient on his injury and what comes next for him in terms of rehabilitation. The nurse needs t o consider what modifications YM has made to his lifestyle post injury. Discharge planning should include an outpatient schedule for OT, PT and Speech (assuming he will stay here). Education for caregivers and family is also very important so that the patient has a support system available during the recovery and rehabilitation process.The patient will need to be sent home with any tools he will need for ADLs, with medications or supplements that are still necessary for recovery. If the patient is in need of special services or devices (i. e. wheelchair, ramps, vehicle to accommodate special devices, etc. ), a case manager should be sought out to ensure that these needs are met. References Lewis, et al, (2011). Medical-Surgical Nursing Assessment and Management of Clinical Problems. 8th ed. Vol 1. St Louis, Missouri: Mosby. Skyscape. (2010). Skyscape Medical Resources (Version 1. 9. 11) [Mobile application software]. Retrieved from http://itunes. apple. com/

Does Immigration Contribute to a Better America

Does Immigration Contribute to a Better America? Ever since this country was first discovered and settled, people from countries all over the world left their homelands and migrated to the â€Å"New World†. People from Spain, Germany, France, England and Asia traveled great distances to reach a new land of opportunity, to perhaps escape religious persecution or tyrant rulers. For centuries America has been viewed as a place for a fresh start, a place where anybody can come and begin a new life and follow their hopes and dreams. Even today people come to America for the exact same reasons that they did all those years before.However unlike the immigration of our ancestors, the immigrants of today aren’t able to just come here and do what they want without anybody noticing. Today most people view immigration as a problem to the United States. One of the most easily recognizable groups of today’s immigrants comes from Mexico. The Mexican immigrants often come here f or better economic and living opportunities than they had at home. But no matter how much these immigrants want to better their lives for themselves and their families, most Americans feel that they are trouble and a drain on our resources.Despite what many think, the Mexican immigrants are helping our nation. The immigrants take many low end jobs that Americans do not want or are over qualified for, they can also boost our economy with the money they earn from working, and they diversify the nation. Immigration does and will contribute to a better America. Most of the immigrants that come to America from Mexico are just looking for a better life for themselves and their families. The immigrants know that there are plenty of jobs in America for them and they are willing to risk being arrested just for a better opportunity.With all these people eager to work, you would think the immigrants would be more accepted by the American people. There are many jobs that most Americans simply w ill and do not want to take due to low pay and amount of work. But thanks to immigrants that would love to have the opportunity to work in our country these jobs are taken. With each immigrant that comes and gets a job, more money is spent within the American economy. The more money spent in the economy will eventually help it grow making us a more prosperous nation financially.The more money the immigrants spend in the US the more demand they cause for the people who make the goods they purchase. But the immigrants do not only help our country when they make money in the US, many send money home to their loved ones to help pay for things they need. Immigration does not only help the economy of the US, it also benefits the country that the immigrant comes from. According to Philippe Legrain, a journalist and economist, â€Å"migrants from poor countries working in rich ones send home much more – $200 billion a year officially,† (The Case for Immigration).With all this money coming and going from immigrants, it’s unbelievable that we look down on immigration. The people who make the immigration laws are blind to the fact that the migrants help our economy. Instead of trying to keep migrants out we should allow them easier access into our nation for work, and then when they are ready they should be allowed to leave. Once immigrants get into the US many become stuck and unable to go home because it is too risky. If we allowed them to move freely most would just come temporarily to get enough money for what they need back home.According to Legrain, â€Å"Most migrants do not want to leave home forever: they want to go work abroad for a while to earn enough to buy a house or set up a business back home. † (The Case for Immigration). Of course some of the migrants would want to stay, but there wouldn’t be an overwhelming number of them. The immigrants that do settle would not only contribute to our work force and economy, they will add diversity to our country. Having many people from all over the world is something that can be beneficial to any country. Many of America’s venture-capital backed start-ups have immigrant founders. Legrain) With introduction of new peoples come new ideas, cultural experiences, and skills that can all be used to benefit our country. High skilled people from other countries could help American companies develop new drugs, technologies, appliances and even new architectural ideas. † Twenty-one of Britain’s Nobel-prize winners arrived in the country as refugees. † (Legrain) The foreigners with new ideas could spark the next big American innovation with their different ways of thinking and perspective. Since they are new to our country they see differently than we do, and can have a completely different view on things.This cultural diversity can also transform little towns into cities with the new people inhabiting them. The immigrants could bring in their c ultures and help build our towns into culturally diverse cities that would maybe attract tourists and new residents. Although there are many benefits of immigration, many believe that the immigrants would take away from American workers and steal jobs. However this is not true, many immigrants cannot compete with American workers due to skill differences and jobs they are willing to do.Also, there aren’t a fixed number of jobs going around for everyone, and immigrant workers are not substitutes for American ones. These fallacies are really what deter many American people from lowering the immigration laws and allowing more immigrants into the country. If the people of our country knew the benefits of having more immigrants, the laws wouldn’t be so strict and more migrants would be allowed to come and work in our country. It is time that the government really recognizes the benefits of immigration to our country.More immigrants means more working people, more working pe ople means a lower unemployment rate and more money being spent in our country. The more money spent in the US means a better economy which is something that this country needs. We need to allow the immigrants into our country not only to help us, but to help them make money for themselves and their families. If America truly is an equal opportunity country, then we need to give all people the same opportunities. Sources: â€Å"Philippe Legrain. † The Case for Immigration :. N. p. , n. d. Web. 27 Sept. 2012. http://www. philippelegrain. com/the-case-for-immigration/.

A Study of the Themes of Friendship Duncan MacInnes Essays

A Study of the Themes of Friendship Duncan MacInnes Essays A Study of the Themes of Friendship Duncan MacInnes Essay A Study of the Themes of Friendship Duncan MacInnes Essay In this essay I will analyse the themes of friendship and betrayal in the book, explaining the ways they change the readers perceptions of the characters. I will also look at how they influence the decisions made by the main characters. When I follow the theme of friendship, I will do it through the relationships between the three main characters, Cameron, Andy and McDunn. I will show the themes are present in the various ways and times that these characters double cross each other. Complicity is a story about an amoral journalist, Cameron, who is on the tail of a huge story. He has a mole who is informing him about his article. At the same time the police are investigating a series of murders for which Cameron has no alibi, but a possible link to the crimes. Because of this he was accused of the killings. He sets about finding out the identity of the real killer. Who turns out to be his trusted childhood friend, Andy. A chase ensues and Andy captures Cameron and their friendship decided the outcome. When left with an ultimatum of hand me over or turn me loose Cameron could not betray his friend. The structure of the book is very important to the understanding of the various themes and the author has an interesting way of breaking up the story. The murder scenes are described in a way that is realistic due to the coarse nature of the language, for example, the use of gratuitous expletives in the dialogue. You fucking little cunt!. This language could be heard on the streets of Edinburgh whereas if the book was written in the Queens English, it would be almost surreal because people do not naturally talk like that. The book is graphic in its description: scenes and locations are described using words which are colloquial, this shows the authors Scottish heritage. Onomatopoeic adjectives, such as. You raise the log, bringing it down again and again. Are used to provide s clearer image in the readers mind. This style startles the reader at first, but is gripping once one has adjusted to it. Another interesting structural abnormality is that the murder scenes are all described i n the second person. You raise the log, bringing it down again and again. Iain Banks did this so that it is very hard to identify the killer, Andy or Cameron. This second person description made me think who is you and confused me. This contributes to the general paranoia throughout the book. The author creates this paranoia as it emphasises the idea of complicity, being an accomplice, and shows that Cameron doesnt really understand how or why he is involved. Scenes from Camerons childhood are re-played intermittently, in flashback form. This again shows the confused nature of the book. The reflecting that Cameron does shows he is lost and bewildered in the events surrounding him. This is used to contrast the theme of friendship at the early stages in his life and later on. He has a great friend in the flashbacks but in the present day he has something closer to an enemy. The theme of betrayal is rife from start to finish. This is shown in the examples I will focus upon. Starting with the flashbacks to when Cameron was very young. He and Andy went, despite parental warnings, onto a local frozen loch. With all the tomfoolery Andy cracked the ice and fell through. When Andy could not lever himself out and was calling for his assistance. Cameron didnt want to risk his own life. He then risked Andys by running the half-mile to the village to fetch help. This was early in their friendship and the betrayal was too great to forgive: Andy on occasion reminisced bitterly later on in the book. Cameron also thinks back on his cowardice and it is quite obvious that this experience changed both of their outlooks on life. This relates to my point because it was the incidents like this that exposed the frailties in Cameron and Andys relationship. There is Cameron letting Andy down when he needed help most but adversely, Andy, by never forgiving Cameron is not being a true friend. There is always an element of failure about the relationship, neither can rely absolutely upon the other. A second time during childhood, also shown in flashback by the author, the boys found themselves in trouble. When playing on land owned by Andys parents they were discussing sex and out of curiosity on Camerons part and a bit of misleading on Andys they ended up having their first homosexual experience: Andy tricked Cameron into fondling him. This incident which goes beyond friendship led me to consider their innocence how easily the boys got the boundaries confused and the naivity with which they entered into these actions. This shows Andys betrayal of Cameron by manipulating him in a sexual manner. This affects their friendship, but it seems to bring them closer together. An example of their innocence was shown when, just before the groping incident Cameron asks Have you got hair on yours then? talking about Andys genitalia. Then afterwards when they are going home the boys meet a man. This man then hits and rapes Andy. Cameron starts to run in fear for his own safety. Whilst running away he realises that he could never forgive himself for betraying his friend twice. He turns back and picking up a branch hits the man, who dies. The boys decided that no-one needed to know about any of that days goings on. This shows the strength of their early friendship as they could keep a secret, contrasting with how it later falls apart. This secret was kept as a symbol of their friendship until Cameron was arrested. When he realised it was Andy who had set him up he told the police: breaking the ultimate bond of their friendship. Perhaps this act of treachery would buy my freedom from the burden of buried horror that bound me to Andy for 20 years This shows the disintegration of their friendship, because of the betrayal by telling the police. I think that this was a very important part in the novel. It made me think, now one of the ties that made their friendship unique is broken, their relationship becomes so much more volatile. Andy has a problem forgiving people. He never forgives Cameron for leaving him on the loch, despite the fact that he was young and didnt know any better. He becomes very angry when his sister dies, he swears revenge upon those who harmed her. When he uses Cameron sexually that is okay, but when he is raped by the man, he shows no remorse in killing him. Throughout the book Andy was killing people and leaving his best friend, Cameron with little evidence to prove his innocence. When Cameron asked Andy if he thought the informant was a hoaxer, he was re-assured. All the time Andy was the informant and had a grand plan to have Cameron blamed. This shows a role reversal since childhood. When they were younger Cameron betrayed Andy, now it is Andy who betrays Cameron, pretending to be his friend whilst framing him for murder. This shows the theme of betrayal because Andy is not forgiving him for actions long in the past. This shows he is not being a good friend, they would forgive and for get, not let guilt hang over someone they cared about like the Sword of Damocles. When Andy talked about the affluent men he killed he did so with venom. They treated people like shit it was like theyd forgotten their humanity. He felt they had betrayed those who were less fortunate than themselves. His technique often involves betraying his victims. When killing the dealer of snuff films (videos of real people being brutally killed) he masquerades as a fellow producer to gain entrance into his home. He is betraying the trust of his victims, they presume his intentions are good. He is betraying society, killing these people is making the world unsafe and uncivilised by letting crime override the law. In effect he is making society an easier place for criminal activities to flourish. When being questioned by the police about the murders Cameron develops a friendship with one of the policemen Inspector McDunn. This friendship is ironic because McDunn is interrogating Cameron about the murders and its his job to prove Cameron guilty. Originally McDunn thought Cameron was guilty but as the story unfurls he has his doubts. The problem is that there is no evidence against anyone else. Eventually Cameron suspects Andy. Cameron allies himself with the police to find the now psychotic and dangerous Andy. The betrayal theme is ironic because Cameron is now trying to prove Andy guilty to save his own neck. In normal circumstances one would expect that Cameron and Andy would rally round to provide an alibi so that the enemy McDunn could hurt neither. Here the friends are McDunn and Cameron. McDunn shows the characteristics of a good friend towards Cameron providing support for him when he breaks down, giving him cigarettes and trusting him when no-one else will give him the time of day. It is difficult though to tell if McDunn did this because he genuinely felt for Cameron or because he thought it would speed up the process of finding the guilty party and was betraying Camerons trust. I look at McDunn, The one friendly face in here. This shows that McDunn likes and trusts him. Cameron needs this support to prove his innocence. This relates back to the title of the essay because it shows an interesting twist in the development of the themes of friendship and betrayal. It also shows that the friendship McDunn offers Cameron could be false. He could be pretending so that he may gain information for his case. This when considered by the reader forces them to come to a conclusion as to whether McDunn has good intentions or not. When Iain Banks created the story and characters I think he did it to make a point about the modern world He shows by the actions of the characters that he despises the idea of the ostentatious Thactcherite eighties. Their avaricious actions make the reader dislike them and so make Banks point. The book is a well crafted story but is also used as a vessel for Iain Banks political statements and it is because of this that it is immensely enjoyable.

Use these 8 words to describe yourself during a job interview.

Use these 8 words to describe yourself during a job interview. You know you’re going to be asked about yourself in a job interview, so don’t get caught tongue-tied. It’s smart to have a small collection of adjectives that describe you well and show you off in your best light- bonus points if they aren’t the same old tired words everybody else is using. Often the best strategy here is to think of action verbs, then modify them into adjective form. Think about how you would sincerely describe yourself- both personally and at the office- then put together a list and memorize it for ultimate interview success.Here are some 8 powerful examples interviewers are sure to love.1. CommunicativeCommunication is one of the most highly valued skills by most employers, so this is a shrewd word to use. It suggests that you’re a people person, you are effective at disseminating information, you care about connecting with your clients and coworkers, and you are intelligent enough to do so clearly and professionally. Plus, you c an segue this into concrete examples of how you used your communication skills to problem solve.2. DrivenIf you’d rather, â€Å"ambitious† works here, as well- any adjective that shows you are not just showing up to work for the paycheck and the free coffee is great. These words prove that you are in it to win it- both to advance yourself in your career and, in the meantime, to advance the company and its most important goals. Subtext: no one is going to need to hound or micromanage you to keep you motivated. You’re â€Å"self-motivating.†3. MeticulousThis word hints at your attention to detail, your precision, your organizational skills, your ability to prioritize, and the fact that you hate letting anything slip through any cracks. If you’re meticulous, you’re thorough and self-managing and trustworthy. See how much work this kind of word can do?4. Reliableâ€Å"Consistent† or â€Å"accountable† are also good ones. Youâ€℠¢re in it for the team- you don’t just show up for you. You realize that your work is part of an ecosystem of other people’s projects and you don’t let anybody down. You’re not late for work, or for meetings. You can be relied upon to do your job, do it well, and deliver whatever needs to be done.5. ImpactfulGo ahead and say what a difference you made at your last gig. Go ahead and gloat. You come on the job and get things done. You can totally brag here at this point, and throw in a mention of any accomplishments or awards you may have earned along the way. This word shows you don’t just make promises; you get results.6. PersistentYou don’t quit until the job is done (and done well). What’s more, you’ll get the project done on time. You’ll put in the extra work until the solution is found. This conveys that you’re â€Å"results-oriented,† as well.7. FlexibleYou’re not rigid. You think outside the bo x. You’re able to adapt to challenging circumstances and find the work-around that no one else can see. You adapt on the go and keep adapting. You’re the kind of employer everybody wants because you’re willing to do things outside the purview of your job description- provided it makes sense for the company and for the goals of your team.8. Team playerIt’s always good to round off a list of descriptors of yourself with something that conveys a bit of humility- your willingness to sacrifice your own time and ambitions now and then for the good of the group. â€Å"Team player† transitions easily enough to a description of how you’re also a â€Å"leader†Ã¢â‚¬ ¦ for those of you who want to score that last bonus point.

Low culture and Street Art Essay Example | Topics and Well Written Essays - 1250 words

Low culture and Street Art - Essay Example By formal definition, â€Å"street art† pertains to visual art performed and generated in public spaces especially on streets that may be viewed by the greater population and which may consist of graffiti artwork, street photography, sculpture, multimedia-based public art, guerrilla art, street paintings and poster designs with slogan, sticker art, as well as other creations that can find association with artistic endeavor that yields civic exposure and appreciation. Such denotation reflects how street art is treated in response to its primary aim under a variety of approach and themes as diverse as cultures and genres that bear impact upon the minds of street artists. Eventually, prominent street art figures across half the century prior to the second millennium beginning with the 70s to the present like C. Sherman, B. Kruger, K. Haring, J. Shabazz, and B. Cunningham have, in a way or the other, liberated art to a degree that it reaches out to establish connection with the he art of human nature. As an artists who functions on a conceptual framework, Barbara Kruger imparts a postmodern vision of public artistry via the power of black, white, and red in layered photography though she confesses â€Å"I feel uncomfortable with the term public art, because I’m not sure what it means; if it means what I think it does, then I don’t do it.† Kruger’s works are characteristic of collage between images and captions carrying bold depictions of truth typically of the issues dealing with individualism.