Friday, January 24, 2020

Marketing :: essays research papers

1. A. An economic system is a nations system for allocating its resources among its citizens. Economic systems differ in terms of who owns or controls the four basic factors of production: labor, capital, entrepreneurs, and natural resources. In planned economies, the government all or most factors. In market economies, which are based on the principles of capitalism, individuals control the factors of production. Most countries today have mixed market economies that are dominated by one of these systems but include elements of the other. The process of privatization is an important means by which many of the world’s planned economies are moving toward mixed market systems. 2. A. The most common forms of business ownership are the sole proprietorship, the partnership, the cooperative, and the regular corporation. Each form has several advantages and disadvantages. The form under which a business chooses to organize is crucial because it affects both long-term strategy and day-to-day decision making. In addition to advantages and disadvantages, entrepreneurs must consider their preferences and long-range requirements 3. B. The difference forms of competition advantage are critical to international business. With an absolute advantage, a country engages in international trade because it can produce a product more efficiently than any other nation. But more often, countries trade because they enjoy comparative advantages: They can produce some items more efficiently than they produce other items. The import-export balance including the balance of trade and the balance of payments, and exchange rate differences in national currencies affect the international economic environment and are important element of international business. 4. A. Social responsibility refers to an organization’s response to social needs. Until the second half of the nineteenth century, because business often paid little attention to these needs. Since then however both public pressure and government regulation especially as a result of the great depression of the 1930s and the social activism of the 1960s and the 1970s have forced business to consider the public welfare at least to some degree. A trend toward increased social consciousness, including a heightened sense of environment activism has recently emerged. 5. A Management is the process of planning, organizing, directing, and controlling an organization’s financial, physical, human and information resources to achieve the organization’s goal. Planning means determining what the company needs to do and how best to get to get it done. Organizing means determining how best to arrange a business’s resources and the necessary jobs into an overall structure.

Thursday, January 16, 2020

A Case Study of Obsessive Impulsive Disorder

A Case Study of Obsessive-Compulsive Disorder: Some Diagnostic Considerations INTROD  UCTION Prior to 1984,  obsessive-compulsive disorder (OCD)  was  considered  a  rare disorder and  one difficult  to treat (I  )  . In 1984 the  Epidemiologic Catchment  Area (ECA) initial survey results  became available for the first time, and  OC  D  prevalence figures  showed that  2. 5  %  of  the  population m  et  diagnostic  criteria  for OCD (2,3)  . Final  survey results published  in 1988  (4) confirmed these  earlier reports. In  addition, a 6-month  point prevalence of  1. 6%  was observed,  and  a  life  time  prevalence  of 3. 0% was  found.OCD is  an illness of secrecy, and  frequently the  patients  present  to physicians in  specialties other than psychiatry. An  other factor contributing to under diagnosis of  this disorder  is that  psychiatrists m  a y fail to ask screening questions  that would identify  OCD. The  following case study is  an example  of  a patient  with moderately severe OCD  who  presented  to  a  resident  psychiatry  clinic  ten years prior to being diagnosed  with OCD. The patient  was  compliant with  out patient treatment for the  entire time  period  and was treated  for  major  depressive  disorder  and border line personality disorder with medication s and  supportive  psychotherapy.The patient never discussed  her OCD symptoms  with her doctors  but in retrospect had offered many clues  that might have allowed  a  swifter  diagnosis and treatment. CASE  HISTORY Simran Ahuja was a 29 year  old,  divorced,  indian female who worked  as a file clerk. She  was followed as an  out patient  at the  same  resident  clinic since  1971. I  first saw her 2012. PAST PSYCHIATRIC HISTORY Simran had been  seen in the  resident  out pati ent  clinic since July of 1984. Prior  to  this she  had not be  en  in psychiatric treatment. She  had never been hospitalized  .Her initial  complaints were depression and anxiety  and she had been placed on  an phenelzine  and responded well. Her  depression  was  initially thought  to be  secondary to amphetamine withdrawal, since she  had been using  diet  pills  for 10  years. She stated  that at first  she  took them to lose weight,  but  continued for  so  long because people at work had noted that she  concentrated  better  and that her job performance had improved. In addition,  her past doctors had  all  commented on her limit  edibility to  change  and her neediness, insecurity,  low  self-esteem,  and poor boundaries. In addition,  her past doctors had noted  her promiscuity.All noted  her poor attention span and limited capacity  for insight. Neurological  testing during her ini tial  evaluation had shown the  possibility of non-dominant parietal  lobe  deficits. Testing  was repeated  in 1989 and  showed †Ã‚  problems in attention ,  recent visual and verbal memory  (with  a greater deficit  in visual memory),  abstract thought  , cognitive flexibility, use  of mathematical operations, and visual analysis. A possibility of right temporal dysfunction is  suggested. †Ã‚  IQ testing showed a  co  m bine d score of 77 on the Adult Weschler  IQ test ,  which  indicated borderline  mental  retardation  .Over the years  the patient had been maintained  on various  antidepressants  and antianxiety agents. These  included  phenelzine,  trazadone, desipramine, alprazolam, clonazapam,  and hydroxyzine. Currently  she  was on fluoxetine  20  mg  daily and clonazaparn 0. 5 mg  twice  a day and 1. 0 mg at bedtime . The antidepressants  had been effective over the years in treating her depression. She  has  never used  m  ore clonazapam than prescribed and there was no history of  abuse  of alcohol or street drugs. Also, there was no history  of discreet  manic episodes and  she  was  never treated with neurolepics.PAST MEDI CAL HISTORY She suffered from  gas  troesophageal reflux and  was maintained  symptom free on a combination  of  ranitidine  and  omeprazole. PSYCHOSOCIAL  HISTORY Simran   was  born  and  raise d in  a  large city. She had a brother who was  3 years younger. She  described  her father  as morose , withdrawn,  and recalled  that he has said, †Ã‚  I don't  like  my  children. Her  father was  physically and  verbally abusive throughout her  child  hood. She  had  always longed  for a good relationship  with him  . She  described  her mother as  the  family martyr and the  glue that  held  the  family together.She stated that  sh e  was  very  close  to her  mother;  her mother always listened  to her and was  always  available to talk with her. She  was a poor student,  had difficulty all through school , and described herself  as †Ã‚  always disrupting  the  class by talking or running  around. †Ã‚  She  had  a  best friend through grade school whom  she  stated †Ã‚  deserted† her  in high  school. She  had maintained  few close  friends since  then . She   graduated high school with much difficulty and  effort. She  dated on  group dates  but never alone. Her husband  left her  while  she was  pregnant with her  son.The husband  was a  bus driver  and had not had  a  role in their  lives  since the  divorce. Aft  e r the  divorce,  she moved  back  to her parent  s'  home  with her son  and  remained there until getting her  own apartment  3 years ago. FAMILY HISTORY Simr an’s  mother  had two  serious  suicide attempts at  age 72 and was  diagnosed with major  depressive  disorder with psychotic features  and OCD. She also had non-insulin dependent  diabetes  mellitus and irritable  bowel  syndrome. Her  brother was treated  for OCD  as an outpatient  for the  past  20 years and also has Hodgkin's Dis  ease, currently in remission.The brother's diagnosis of  OCD was kept secret from  her  and did not become  available  to her until her mother died. Her father  is  alive and well. MENTAL STATUS EXAM She  was a  thin  ,  bleached  blond woman  who appeared her  stated  age. She  was dressed in  skin  tight  ,  provocative  clothing,  costume jewelry earrings  that eclipsed her ears  and hung to her  shoulders, heavy  make-up and  elaborately  styled hair. She  had difficulty  sitting  still  and fidgeted  constantly  in  her  chair. H er body language through out  the interview  was  sexually provocative. Her speech was  rapid,  mildly pressured,  and  she  rarely finished  a sentence.She  described  her  mood  as â€Å"anxious. † Her affect appeared anxious. Her  thought  processes showed mild  circumstantiality and tangentiality. More significant  was her inability to finish a  thought  as exhibited by her in  complete  sentences. COURSE  OF TREATMENT Initial  sessions with the  patient were  spent  gathering history  and forming a working  alliance. Although  she  showed a  good  response  by  slowing  down enough to finish  sentences and focus on  conversations  ,  she  could not tolerate  the side  effects and  refused  to  continue taking the medication  . The  winter  of  1993-94  was  particularly  harsh.The  patient  missed  many sessions because of  bad weather. A pattern  began  to   emerge  of  a  consistent  increase  in the number  of phone  calls that  she  made  to the office voice  mail to  cancel  a session. When  she was questioned about her phone  messages she stated,  Ã¢â‚¬ Ã‚  I always repeat  calls to make sure my  message  is received. † Since  the  most recent cancellation generated  no less than six phone calls ,  she  was asked why a  second call wouldn't  be  enough â€Å"to be  sure . † She  laughed  nervously and  said,  Ã¢â‚¬ Ã‚  I  always repeat  things. † With careful questioning  the following  behaviors  were uncovered.The patient checked  all locks  and windows repeatedly  before  retiring. She  checked the  iron a dozen times  before leaving the house . She  checked  her door  lock  Ã¢â‚¬ Ã‚  a  hundred  times† before  she  was able to  get in her  car. The patient  washed her hands frequently. Sh e carried disposable  washcloths in  her purse †Ã‚  so I  can wash as  often  as I need too  . †Ã‚  She  said people  at work laugh  at her  for washing  so  much. But she  stated  ,  Ã¢â‚¬Å"I  can' t help it. I've been this way  since  I was  a  little girl. † When  questioned  about telling former  doctors  about this,  the  patient  stated that she  had never  talked  about it with her doctors.She  stated  that  everyone that knew  her  simply knew  that  this  was  the  way  she  was:  Ã¢â‚¬ Ã‚  It's  just  me . †Ã‚  In  fact , she  stated, †Ã‚  I didn't  think my doctors  would  care†¦ .  I've always  been this  way  so  it  Ã¢â‚¬Ëœs  not something  you can  change . † Over the next  few sessions, it became  clear  that her arguments  with her boyfriend centered  on  his annoyance with her need  to  const antly repeat  things. This was  what she  always referred to  as †Ã‚  talking too much  . †Ã‚  In  sessions it  was  observed that  her  anxiety,  neediness and poor boundaries  a  rose over issues of misplacing things in her purse and insurance forms that were incorrectly  filled  out.In  fact,  when I  attempted to correct the  insurance forms for her, I had difficulty because of her need to repeat the  instructions to me  over and over. The Introduction Obsessive compulsive disorder (OCD) is an anxiety disorder characterised by persistent obsessional thoughts and/or compulsive acts. Obsessions are recurrent ideas, images or impulses, which enter the individual's mind in a stereotyped manner and against his will. Often such thoughts are absurd, obscene or violent in nature, or else senseless. Though the patient recognises them as his own, he feels powerless over them.Similarly,compulsive acts or rituals are stereotyped behaviou rs, performed repetitively without the completion of any inherently useful task. The commonest obsession involved is fear of contamination by dirt, germs or grease, leading to compulsive cleaning rituals. Other themes of obsessions include aggression, orderliness, illness, sex, symmetry and religion. Other compulsive behaviors include checking and counting, often in a ritualistic manner, and over a â€Å"magical† number of times. About 70% of OCD patients suffer from both bsessions and compulsions; obsessions alone occur in 25%, whilst compulsions alone are rare. 1n  she spent  ten minutes checking and rechecking  the  form  against the receipts. She  became convinced that she'd  done it wrong, her anxiety would increase, and  she  would  get  the forms out  and check  them again. Her  need to include  me in this  checking  was  so great  that she  was almost physically on  top  of  my  chair. In the  following  weeks,  se ssion s  focused  on  educating the  patient about  OCD. Her  dose of fluoxetine  was increased  to 40 mg  a  day but discontinued because  of severe restlessness and insomnia.She continued to  take 20  mg of  fluoxetine a day. Starting  another medication in  addition to fluoxetine  was difficult because of the patient  Ã¢â‚¬Ëœs  obsessive  thoughts  about  weight gain, the  number  of  pills  she  was  taking, and the  possible side effects . Finally,  the  patient agreed to try adding  clomipramine to her medications. The  results were  dramatic. She  felt  Ã¢â‚¬ Ã‚  more relaxed † and had less anxiety. She  began to talk, for  the  first  time, about her  abusive  father. She said,  Ã¢â‚¬ Ã‚  His behavior was always supposed  to be the family  secret. I felt  so afraid  and  anxious I didn't  dare tell  anyone.But now  I  feel better. I don't care who  knows. It  Ã ¢â‚¬Ëœs  cost my  mother  too  much  to  stay  silent. †   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  At  this time  the  plan is to begin behavioral therapy with  the  patient  in  addition to medication s  and  supportive therapy to  deal wit  h her  difficulties with relationships. DISCUSSION This is  a complicated  case  with multiple diagnoses: borderline  mental  retardation,  attention deficit disorder,  borderline  personality  disorder,  a  history  of  major depressive disorder and  obsessive compulsive disorder. Given the  level  of  complexity of  this  case and the  patient ‘s  own silence  about her  symptoms,  it  is  not urprising  that this  patient's OCD remained  undiagnosed  for  so  long. However,  in  reviewing  the literature  and the case,  it is instructive to  look  a  t the  evidence that  might  have  led  to an earlier diagnosis. Fir st of  all,  there  was the  finding  of soft neurological deficits. The patient  Ã¢â‚¬Ëœs Neuropsychological testing suggested  problems  with  visuospacial  functioning  n visual memory,  as well as  attentional difficulties  and  a  low IQ. In the  past,  her doctors were so impressed  with her history of  cognitive difficulties  that  neuropsychological testing was  ordered  on two separate occasions.Four  studies in the  recent literature have  shown consistent findings of  right hemispheric dysfunction,  specifically  difficulties  in visuospatial  tasks, associated  with OCD  (6,7,8,9). The patient also had a history  of chronic dieting,  and  although  extremely  thin, she continue d to be  obsessed with not  gaining  a single pound. This was  a  patient who took diet  pills for 10  years and who  see earliest memories  involved  her father's disapproval of  her bod  y  ha bitus. Eating  disorders a  reviewed by  some  clinicians  as  a form  of  O C D. O  C D.Swedo and Rapoport (II)  also note  an increased incidence  of  eating disorders in children  and  adolescents  with  OCD. While  this was  no doubt true,  the underlying  obsessional  content pointed directly  to OCD and should have  generated a list of screening questions  for OCD. This underscores  the  need to be  vigilant for diagnostic clues and to perform one's  own diagnostic assessment when  assuming the treatment  of any  patient. While the  literature  makes  it clear that OCD  runs in families,  the  patient was unaware of the  illness  in her family  until after  her diagnosis  was mad  e.It  would have be  en  helpful to know this information  from the  beginning  as it should  immediately  raise a suspicion of OCD in a patient  presenting  with complaints  of  depression and anxiety. Finally,  her diagnosis of borderline  personality  disorder  made  it  easier to pass  off her observable  behavior  in the office as  further  evidence  of  her  character structure. The diagnosis of borderline  personality  disorder was  clear. She  used the  defense of splitting  as evidence d by her descriptions  of her fights  with her boyfriend . H  e was either  Ã¢â‚¬Å"wonderful† or a  Ã¢â‚¬Å"complete bastard. † Her  relationships were  chaotic  and unstable.She had no close friends outside  of her family. She  exhibited  affective instability, marked  disturbance of body  image  and impulsive behaviors. However, it was difficult to discern whether her  symptoms were truly  character logical  or  due  instead  to her underlying  OCD and related  anxiety. For instance,  the  in  stability  in her relationships was,  in  part,  the result  of  her OCD , since  once she  began to obsess  on  something,  she  repeated  herself so much  that  she  frequently  drove others into  a  rage. A  study by Ricciardi,  investigated  DSM-III-R Axis II diagnoses following treatment for OCD.Over  half  of  the  patients in the study  no longer met DSM-III-R  criteria for personality disorders after  behavioral  and  /  or pharmacological treatment  of  their  OCD. The  authors  conclude that  this  raises questions  about  t  he validity  of an Axis  II diagnosis  in the  face  of  OCD. One might also begin  to wonder how many  patients  with personality  disorders  have undiagnosed  O  CD? Rasmussen  and Eisen  found a very high comorbidity of  other Axis I diagnoses in patients  with OCD. Thirty-on  e  percent of patients studied  were  also diagnosed with major  depression, and  anxiety disorders accounted for twenty-four per cent.Other coexisting disorders  included eating disorders, alcohol  abuse  and dependence, and Tourette's syndrome. Baer,  investigated  the comorbidity  of Axis  II disorders  in patients  with OCD  and found that 52  percent  met  the criteria for  at least one  personality  disorder  with mixed,  dependent  and histrionic being  the  most common disorders diagnosed  . Given  the  frequency of comorbidity in patient  s  with OCD,  it would  be wise to include  screening questions  in  every  psychiatric  evaluation. These  need  not  be elaborate. Questions about  checking,  washing,  and ntrusive,  unwanted thoughts can be  simple  and direct. In  eliciting a  family history,  specific  questions about  family members  who check  repeatedly  or  wash  frequently  should  be included. Simply as  king if  any  family member  has  OCD  m  ay  not  elicit   the  information  , since  family members may  also be undiagnosed. In  summary, this  case  represents a complicated  diagnostic  puzzle. Her  past physicians  did not have the  information  we d  o  today  to unravel  the  tangled skeins  of symptoms. It  is  important to be  alert  for  the  possibility  that this  patient ‘s story is not an  uncommon one.BIBLIOGRAPHY * Psychology book (NCERT) * Identical * Suicidal notes * A psychopath test: journey through the world of madness * Disorder of impulse control by Hucker INDEX * Introduction * Case study * Course of treatment * Discussion * Bibliography ACKNOWLEDGEMENT I would like to express my special thanks and gratitude to my teacher Mrs. Girija Singh who gave me the golden opportunity to do this wonderful project on the topic ‘obsessive-compulsive disorder’, which also helped me in doing a lot of research and I came to know about so many new things.Secon dly I would also like to thank my family and my friends who helped me a lot in finishing this project. CERTIFICATE This is to certify that Jailaxmi Rathore of class 12 has successfully completed the project on psychology titled ‘obsessive-compulsive disorder’ under the guidance of Mrs. Girija Singh. Also this project project is as per cbse guidelines 2012-2013. Teacher’s signature (Mrs. Girija Singh) (Head of psychology department) 2012-2013 PSYCHOLOGY PROJECT NAME OF THE CANDIDATE: JAILAXMI RATHORE CLASS: XII ARTS B SCHOOL: MGD GIRLS’ SCHOOL

Wednesday, January 8, 2020

How to Get Your High School Diploma Online

A growing number of teenagers are earning their high school diplomas through the internet. Distance learning is often a great option for students who need to stay home for health reasons, desire to work at their own pace, find themselves unable to concentrate on their work in the traditional setting, or need to schedule their learning around a career (such as acting). Finding an online high school can be a challenge; many schools make big claims but few live up to their promises. Parents generally have two options for their children: private online schools or public online schools. Private online schools function much like traditional private schools, while public schools must follow national and state regulations. Private Online High Schools For the most part, private schools act independently of government regulation. Just like traditional private schools, they create their own regulations and have their own learning philosophy, which varies greatly from school to school. Tuition is often high since parents are charged for all costs related to their childs education, including hardware and software.These high schools may or may not be accredited by the proper regional association. If you choose a school that is not accredited, check with the academic advisers of a few colleges to make sure that the schools transcript will be accepted should your child apply to attend a college.Many well-established universities are beginning to offer online high schools; these schools are probably the best bet since they are tied to credible institutions that have been around for years. A few schools to consider include: Allied National High SchoolPenn Foster High SchoolKeystone National High SchoolChrista McAuliffe Academy OnlineMore online private high schools... Online Charter Schools If your state allows charter schools, you may be able to enroll in an online high school for free. Charter schools are publicly funded but have more freedom from government control than regular public schools. This is one of the best deals out there since public schools are not allowed to charge tuition and are generally accredited by the proper organization. States such as Minnesota and California have provisions in their state laws that permit students to enroll in charter programs that are paid for by the government. Schools Blue Sky in Minnesota offers students the chance to earn a diploma without paying for classes or materials. Choice2000 in California is completely online, completely free, and completely accredited by the Western Association of Schools and Colleges. Some schools even provide computer equipment and hands-on materials free of charge.Find a no-cost program in your area by searching the directory of online public charter schools. Transitioning to an Online Program Whether you choose a private school or a public school, do a little investigating before you enroll your teenager. Interviewing the school of your choice can be a great way to make sure that youll get the resources you need and checking with the correct regional accreditation board can ensure that your school is properly accredited. Finally, make sure your child is emotionally and academically prepared to learn through the internet. Many students struggle being away from social events and friends and have difficulty avoiding the many distractions in the home. But, if your teenager is prepared and you choose the right school, online learning can be a great asset to her future.See: Online High School Profiles

Monday, December 30, 2019

The National Nursing Shortage - 1724 Words

The national nursing shortage is an ever-growing concern, and it is essential for healthcare organizations to confront the looming issue. Possible solutions to the nursing shortage include retaining older nurses who are looking to retire, increasing the amount of students graduating from nursing schools, and drawing nurses back to the bedside who have left the nursing workforce (Hatcher, 2006). Leaders must assess the nursing turnover in their organization, and they must strategize on ways to retain those nurses. Organizations must implement techniques to retain older nurses to help combat the national nursing shortage and prevent a national healthcare disaster (Keller Burns, 2010). The purpose of this paper is to identify the demographic breakdown of an organization, explain how the organization’s environment is conducive and non-conducive for older workers, and describe tactics to retain older workers. Demographic Data Southern Ohio Medical Center is a 222-bed hospital in Portsmouth, Ohio. The organization employs 2,414 full time and part time employees (Southern Ohio Medical Center, 2015). The employees in the organization cover a broad range of ages with 79% of employees being female (Southern Ohio Medical Center, 2015). Employees under the age of 25 years old constitute 13% of the employees within the organization and employees between the ages of 26 years old and 34 years old constitute around 24% of employees in the organization (Southern Ohio Medical Center,Show MoreRelatedThe National Nursing Shortage904 Words   |  4 Pages The national nursing shortage is predicted to continue to rise to levels that have not been seen since the 1960’s (Fasoli, 2010). Managers must create an environment that is conducive to employees. The leader needs to promote organizational commitment and retain employees by promoting a positive culture on the unit. Nurses want an environment wh ere they can provide high-quality care to patients and leaders must help facilitate and maintain this environment. Employees also want to feel like theirRead MoreRetaining The National Nursing Shortage1643 Words   |  7 PagesRetaining Employees Nearing Retirement The national nursing shortage is an ever-growing concern and it is essential for health care organizations to confront the looming issue. Possible solutions to the nursing shortage include retaining older nurses who are looking to retire, increasing the amount of students graduating from nursing schools, and drawing nurses who have left the nursing workforce back to the bedside (Hatcher, 2006). Leaders must assess the nursing turnover in their organization and strategizeRead MoreNursing Shortage Reform And Patient Advocacy Act1560 Words   |  7 Pagesbe many issues existing in the nursing profession. One of the most affective issues in nursing is the decreasing number of staff nurses. With inadequate staffing, nurses are demanded to have more responsibilities thus causing more stress on the nurse. This increase in responsibility causes nurses to neglect many aspects of their patients’ care. Patient care is suffering from the shortage of nurses as there is an increase in adv erse patient outcomes due to the shortage. Also, there is evidence thatRead MoreThe Impact Of The Nursing Shortage On The Profession Of Nursing Essay1412 Words   |  6 PagesThe Impact of the Nursing Shortage on the Profession of Nursing Nurses make up the single largest health profession in the U.S. Nurses perform many different patient care task and deliver critical health care services in many different settings, including hospitals, nursing homes, ambulatory care clinics, hospice, home health care and public health facilities. The distinction among the different types of nursing reflects education, role and medical background. Registered nurses have differentRead MoreNurses Are The Largest Population Of Health Care Professionals Essay1191 Words   |  5 Pages A continuous shortage of nursing has been the attention in the nation for many years. A significant contributor to the decline of quality care is the shortage of registered nurses. â€Å"Registered Nurses are the largest population of health care professionals† (AACN, 2014) and still there is shortage of nurses. Nurses play a pivotal role in patient care in hospitals, long term care facilities, community, hospice, schools, and at home. The care nurses provide is directly linked to the cost, availabilityRead MoreTitle Viii Nursing Workforce Development1537 Words   |  7 Pages Title VIII Nursing Workforce Development Julie Schlick Nebraska Methodist College The health care industry is in need of a strong nursing workforce that can provide quality care. The present nursing shortage is only predicted to worsen as the baby boomers retire and health care needs expand. The shortage is projected to reach more than one million nurses, and reform is needed to increase the interest in nursing therefore funding is needed for this transformation ((AmericanRead MoreDemand Versus Supply Essay1232 Words   |  5 PagesStates continues to be an issue with increasing shortages of registered nurses (RN) and the increasing demand for health care services. There is a higher demand for registered nurses because of the increase in population, aging baby boomers, and increase in chronic diseases. The shortage of registered nurses impacts the health status and quality of life of the population. Factors that impact health care are the importance of supplying adequate nursing personnel and retaining RN’s in the workplaceRead MoreThe Issue of Nursi ng Shortage in the United States1102 Words   |  4 Pagesï » ¿Nursing Shortages Introduction The shortage of nurses in the United States has been discussed often and has been fully reported in the media over the past several decades. There have been reports of shortages so critical that they actually have become †¦a national security concern (Nelson, 2002). Moreover, the reasons for the shortages and potential solutions for this crisis are extremely well covered in the scholarly literature. In this paper, an article in the peer-reviewed Health MarketingRead MoreNursing Shortage: Causes, Concerns, and Impacts1839 Words   |  7 Pagesï » ¿Nursing Shortage: As many people in the United States are increasingly desperate for an employment opportunity, the nursing field or profession continues to have a huge need for staff. According to studies by employment services, the nursing profession is regularly ranked as one of the hot hiring sectors of the coming decade. Nonetheless, the supply of staff in this field seems not to catch up with the demand for nurses despite of the increased rate of unemployment. The need for more nursesRead MoreNurses Shortages On Quality Patient Care1318 Words   |  6 PagesNurse Shortages On Quality Patient Care. Eras of high vacancy rates for RNs in hospitals have come and gone, but the current shortage is different. According to the 2002 estimation by the workforce commission of the American Hospital Association, nursing shortages has reflected vital changes in general public demographics, vocation expectations, work attitudes and worker dissatisfaction. Undoubtedly, the current situation may well continue over several decades. In addition, a federal government

Sunday, December 22, 2019

Screening at Aiports After September 11, 2001 Essay

On September 11, 2001, there were a series of four coordinated attacks against the United States by a known terrorist group, Al-Qaeda, in New York City and Washington, D.C. (Associated Press, 2003). These attacks changed the security of aviation throughout the nation. After 9/11, the image of general aviation (GA) was tarnished because the 9/11 hijackers trained in small GA aircraft in the United States (Elias, 2010). Even though the hijackers trained on GA aircraft the area of aviation that experienced the largest overhaul is screening at public airports. Many experts say that since general aviation airports vary intensely in characteristics it would be difficult to implement intense security to all of these airports because they are all†¦show more content†¦Airports that are generally small, for example, Red Stewart Airfield in Waynesville, OH, are not seen as a risk to experts in aviation security. As opposed to GA airports that are larger in size, or in close proximity t o critical assets like the White House (Elias, 2010). Airports that are larger or close to critical assets like the White House are required to conduct background checks for all of their pilots going to and from the airport (Elias, 2010). They do this so that they can keep track of where the pilot is around these high-risk areas. Experts in charge want to make sure they keep a look out for any terrorist activity that could potentially be coming out of a GA airport around high profile targets. It is said that if they imposed security measures such as these at all GA airports it would not be cost effective, and that given the current resources it would not be an effective security measure to implement on such a large scale. The threat to GA operations is not directed at the actual infrastructure of the operations, but more at terrorists exploiting GA assets to attack high profile targets, as stated earlier. Not only is there an issue with critical infrastructure having the potential t o be exploited by terrorists, but since GA airports are so diverse and spread out so widely they have more access to nuclear and chemical power plants. CommercialShow MoreRelatedThe Intelligence Community Essay2227 Words   |  9 Pagesfailures, many of which have made history. One of the most prominent failures in U.S history was the attacks on September 11, 2011. Now most people would start to read this essay and think they know everything about what happened that day because it has been so publicized. However, for me it was different. Yes, I was alive when it happened, but I was too young to understand. The September 11th attacks have been of particular interest to me due to the fact that they happened right in my backyard. One

Saturday, December 14, 2019

Paper on Intramuros Free Essays

I entered through the gate along And Street and the first thing I noticed was the presence of security guards wearing nice blue uniforms with large hats. I only found out later that they were wearing Guardia Civil attire and it did add a Spanish touch, as well as added security in the district. I would see dozens of them during my trip. We will write a custom essay sample on Paper on Intramuros or any similar topic only for you Order Now The first museum I visited was the Kiss Heritage Center as it was the one closest to where I entered. One officer was kind enough to direct to me to the museum and I found myself walking along And Street. It was not long before I saw a sales making TTS way through the old streets of Intramural. The streets did feel old and also most of the buildings along the road looked old and had a hint of Spanish influence. And as I was walking to the Kiss Heritage Center, I passed by the Placid del Asana, which was the first clear tribute to the Spanish influence I saw. It was painted in the unmistakable bright red and yellow colors of the Spanish flag. After my tour of the Heritage Center, my next stop was the Case Manila at the Plaza San Luis Complex. As I got closer, I noticed the concrete streets turn into cobblestone and the buildings had more of that Spanish tinge. The area around the Plaza San Luis Complex, which is situated Just across the San Austin Church and Museum, was clearly restored and maintained to recreate Intramural as it was during the colonization: a city for the privileged Spanish and messiest. The Case Manila Museum provided a closer look into lifestyle of the Messiest and the Spanish elite. They did a great re-creation of the interior of a Spanish home. I would have preferred to have a closer look at the rooms but they limited viewers to a red carpet path that goes around and throughout the museum. The display was very ell-thought out and even the tiniest of details, especially in the Cochin, were present. Some of the furniture and even some of the design looked familiar to me, and I realized I had seen similar wooden furniture at my grandmother’s ancestral home back in Zebu. The rooms were very huge, especially the salsa area, and it was very hot despite the many electric fans placed in the corners of the rooms. I can only imagine how hot it was for the Spanish residents, mores for those who came from Spain, where they had a more welcoming climate. Being sent to the Philippines could eave been the last thing any Spaniard would have wanted. However, at least they were better off than the people living outside the walls of Intramural. I exited the museum through an old, worn-down stone staircase and outside I could see a stone fountain and the Spanish-era architecture of the Complex. When I went down the hoping for memorabilia or at least replicas of any antiquities of the Spanish period. I could not help but laugh at all the odd trinkets they were selling, which had nothing to do with Spanish. Origami dragons and a Kim Possible action figure were Just a pair f things that seemed very out of place. I crossed the street over to the San Austin Church and it Just so happened that I visited in the middle of a wedding ceremony. The stone church walls were old and worn down but the interior was amazing. It is a great testament to how Spain brought about Christianity to the Philippines. The museum was huge and it would take you at least an hour to view everything on display. They showcased statues of the Holy Family, the saints, apostles and other Catholic figures. They had giant paintings of Augustine priests along the corridors and a rooms devoted to the efferent Augustine churches in the Philippines and even vestments of Catholic priests. What surprised me the most during my tour around the museum was the room they called the â€Å"Script. † It was a crypt built within the monastery that held the bodies of 141 prisoners of war and it also displayed a monument to honor those fallen dead. My last stop was Fort Santiago which was on the far end of Intramural. It was a long walk and I passed by the Shrine of Freedom, another monument dedicated to the victims of war. Then I passed by the Manila Cathedral, which was still under renovation. The great structure was more evidence of the importance of Christianity which was brought upon by the Spanish rule. When I arrived at Fort Santiago, I saw a large group of people, foreigners and even some Filipinos, gathered around a tour guide. However, I decided that I would explore the area on my own. At the entrance of the actual fortress, I got to see the bronze footsteps of Racial, the last steps he took. There was also an exhibit of Irrational furniture which displayed the tables, books, paintings and all that were related to Racial. I also got to view the dungeons where recliners were kept and where even some had died. There was also a monument that honored those who passed within the fortress. My experience during the trip to Intramural gave a pretty good picture of what life was like during the Spanish era. Although it may have been a very difficult time for our country, it played an important role in our history. I really support the whole idea of remembering and preserving at least some Spanish culture and some structures. It was easy to see that the people living within Intramural during the Spanish era were living good lives (I. . Spanish and Messiest). They were living relatively extravagant lives as compared to those outside of the walls. It also repeatedly showed the significance of Christianity back then, and we can see that persevere until today. However, we must also remember that it was a place of imprisonment and death; a burial ground for others. It gives us a pretty picture of how life was like f or the average Spaniard, and a very common part of that picture is the death of thousands during those times. Even though the Spaniards built up those walls as barriers, they could not escape the reality of violence and death. How to cite Paper on Intramuros, Papers

Friday, December 6, 2019

Compare and Contrast Art History Research free essay sample

Give a brief description of the two art works o In a few sentences, describe the subject or theme the artist is depicting 3. Explain why you chose the two art works you did o This may include personal reasons for your selection (why are you drawn to them? ) o You can explain why the two art works or artists work together as a compare and contrast exercise, or as a research topic for this class (why are they important? o You can explain if you see a connection between the two art works (for example, you could chose two works which depict the same subject and you will explore how each artist represented it, or, you could address how certain cultural values or historical events shaped each artist’s work and influenced their individual styles) 4. Provide a thesis statement o Identify the main argument or conclusion you are wanting to make in comparing the two art works you have selected (this may change as you research/begin writing). We will write a custom essay sample on Compare and Contrast Art History Research or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Identify 2-3 questions you will try to answer as you conduct your research 6. Provide a bibliography or works cited list which identifies 3 sources that you will use to support your research (in addition to the Gardner’s text) o You CANNOT use Wikipedia o You must use scholarly/professional sources (art history books, online articles from art historical journals or magazines, or educational/museum/institutional websites) There are guidelines for the research paper on pages 6-10 of your Course Reader. You should use the Organizer document provided on page 9 to get started. *Remember that the Compare and Contrast Research Paper is an important assignment. It is worth 25 % of your overall grade. Please take the time and effort now to consider your research subject. The Paper Proposal represents the starting point of your research paper (due Week 13). ** This proposal is for marks. The points will be included in your final grade for your Research Paper. Getting started with resear ch/academic sources ? Look at the AAU library website to get started (library. academyart. edu). The library is located on the 6th Floor at 180 New Montgomery. o Begin searching for books using the library catalog (books can be checked out and borrowed for a 2 week loan period, with 1 renewal) o Look for scholarly journals and articles available online by searching the EBSCO database o Use additional online resources such as Oxford Art Online (select â€Å"Oxford Art Online† from the dropdown menu under â€Å"Online Resources Digital Images† on the front page of the library website) ? Look in your Gardner’s textbook to see where an art work is on display.