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 worldââ¬â¢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 organizationââ¬â¢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 organizationââ¬â¢s financial, physical, human and information resources to achieve the organizationââ¬â¢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 businessââ¬â¢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 INTRODà UCTION Prior to 1984,à obsessive-compulsive disorder (OCD)à wasà consideredà aà rare disorder andà one difficultà to treat (Ià )à . In 1984 theà Epidemiologic Catchmentà Area (ECA) initial survey resultsà became available for the first time, andà OCà Dà prevalence figuresà showed thatà 2. 5à %à ofà theà population mà età diagnosticà criteriaà for OCD (2,3)à . Finalà survey results publishedà in 1988à (4) confirmed theseà earlier reports. Inà addition, a 6-monthà point prevalence ofà 1. 6%à was observed,à andà aà lifeà timeà prevalenceà of 3. 0% wasà found.OCD isà an illness of secrecy, andà frequently theà patientsà presentà to physicians inà specialties other than psychiatry. Anà other factor contributing to under diagnosis ofà this disorderà is thatà psychiatrists mà a y fail to ask screening questionsà that would identifyà OCD. Theà following case study isà an exampleà ofà a patientà with moderately severe OCDà whoà presentedà toà aà residentà psychiatryà clinicà ten years prior to being diagnosedà with OCD. The patientà wasà compliant withà out patient treatment for theà entire timeà periodà and was treatedà forà majorà depressiveà disorderà and border line personality disorder with medication s andà supportiveà psychotherapy.The patient never discussedà her OCD symptomsà with her doctorsà but in retrospect had offered many cluesà that might have allowedà aà swifterà diagnosis and treatment. CASEà HISTORY Simran Ahuja was a 29 yearà old,à divorced,à indian female who workedà as a file clerk. Sheà was followed as anà out patientà at theà sameà residentà clinic sinceà 1971. Ià first saw her 2012. PAST PSYCHIATRIC HISTORY Simran had beenà seen in theà residentà out pati entà clinic since July of 1984. Priorà toà this sheà had not beà enà in psychiatric treatment. Sheà had never been hospitalizedà .Her initialà complaints were depression and anxietyà and she had been placed onà an phenelzineà and responded well. Herà depressionà wasà initially thoughtà to beà secondary to amphetamine withdrawal, since sheà had been usingà dietà pillsà for 10à years. She statedà that at firstà sheà took them to lose weight,à butà continued forà soà long because people at work had noted that sheà concentratedà betterà and that her job performance had improved. In addition,à her past doctors hadà allà commented on her limità edibility toà changeà and her neediness, insecurity,à lowà self-esteem,à and poor boundaries. In addition,à her past doctors had notedà her promiscuity.All notedà her poor attention span and limited capacityà for insight. Neurologicalà testing during her ini tialà evaluation had shown theà possibility of non-dominant parietalà lobeà deficits. Testingà was repeatedà in 1989 andà showed â⬠à problems in attention ,à recent visual and verbal memoryà (withà a greater deficità in visual memory),à abstract thoughtà , cognitive flexibility, useà of mathematical operations, and visual analysis. A possibility of right temporal dysfunction isà suggested. â⬠à IQ testing showed aà coà m bine d score of 77 on the Adult Weschlerà IQ test ,à whichà indicated borderlineà mentalà retardationà .Over the yearsà the patient had been maintainedà on variousà antidepressantsà and antianxiety agents. Theseà includedà phenelzine,à trazadone, desipramine, alprazolam, clonazapam,à and hydroxyzine. Currentlyà sheà was on fluoxetineà 20à mgà daily and clonazaparn 0. 5 mgà twiceà a day and 1. 0 mg at bedtime . The antidepressantsà had been effective over the years in treating her depression. Sheà hasà never usedà mà ore clonazapam than prescribed and there was no history ofà abuseà of alcohol or street drugs. Also, there was no historyà of discreetà manic episodes andà sheà wasà never treated with neurolepics.PAST MEDI CAL HISTORY She suffered fromà gasà troesophageal reflux andà was maintainedà symptom free on a combinationà ofà ranitidineà andà omeprazole. PSYCHOSOCIALà HISTORY Simran à wasà bornà andà raise d inà aà large city. She had a brother who wasà 3 years younger. Sheà describedà her fatherà as morose , withdrawn,à and recalledà that he has said, â⬠à I don'tà likeà myà children. Herà father wasà physically andà verbally abusive throughout herà childà hood. Sheà hadà always longedà for a good relationshipà with himà . Sheà describedà her mother asà theà family martyr and theà glue thatà heldà theà family together.She stated thatà sh eà wasà veryà closeà to herà mother;à her mother always listenedà to her and wasà alwaysà available to talk with her. Sheà was a poor student,à had difficulty all through school , and described herselfà as â⬠à always disruptingà theà class by talking or runningà around. â⬠à Sheà hadà aà best friend through grade school whomà sheà stated â⬠à desertedâ⬠herà in highà school. Sheà had maintainedà few closeà friends sinceà then . She à graduated high school with much difficulty andà effort. Sheà dated onà group datesà but never alone. Her husbandà left herà whileà she wasà pregnant with herà son.The husbandà was aà bus driverà and had not hadà aà role in theirà livesà since theà divorce. Aftà e r theà divorce,à she movedà backà to her parentà s'à homeà with her sonà andà remained there until getting herà own apartmentà 3 years ago. FAMILY HISTORY Simr anââ¬â¢sà motherà had twoà seriousà suicide attempts atà age 72 and wasà diagnosed with majorà depressiveà disorder with psychotic featuresà and OCD. She also had non-insulin dependentà diabetesà mellitus and irritableà bowelà syndrome. Herà brother was treatedà for OCDà as an outpatientà for theà pastà 20 years and also has Hodgkin's Disà ease, currently in remission.The brother's diagnosis ofà OCD was kept secret fromà herà and did not becomeà availableà to her until her mother died. Her fatherà isà alive and well. MENTAL STATUS EXAM Sheà was aà thinà ,à bleachedà blond womanà who appeared herà statedà age. Sheà was dressed inà skinà tightà ,à provocativeà clothing,à costume jewelry earringsà that eclipsed her earsà and hung to herà shoulders, heavyà make-up andà elaboratelyà styled hair. Sheà had difficultyà sittingà stillà and fidgetedà constantlyà inà herà chair. H er body language through outà the interviewà wasà sexually provocative. Her speech wasà rapid,à mildly pressured,à andà sheà rarely finishedà a sentence.Sheà describedà herà moodà as ââ¬Å"anxious. â⬠Her affect appeared anxious. Herà thoughtà processes showed mildà circumstantiality and tangentiality. More significantà was her inability to finish aà thoughtà as exhibited by her inà completeà sentences. COURSEà OF TREATMENT Initialà sessions with theà patient wereà spentà gathering historyà and forming a workingà alliance. Althoughà sheà showed aà goodà responseà byà slowingà down enough to finishà sentences and focus onà conversationsà ,à sheà could not tolerateà the sideà effects andà refusedà toà continue taking the medicationà . Theà winterà ofà 1993-94à wasà particularlyà harsh.Theà patientà missedà many sessions because ofà bad weather. A patternà beganà to à emergeà ofà aà consistentà increaseà in the numberà of phoneà calls thatà sheà madeà to the office voiceà mail toà cancelà a session. Whenà she was questioned about her phoneà messages she stated,à â⬠à I always repeatà calls to make sure myà messageà is received. â⬠Sinceà theà most recent cancellation generatedà no less than six phone calls ,à sheà was asked why aà second call wouldn'tà beà enough ââ¬Å"to beà sure . â⬠Sheà laughedà nervously andà said,à â⬠à Ià always repeatà things. â⬠With careful questioningà the followingà behaviorsà were uncovered.The patient checkedà all locksà and windows repeatedlyà beforeà retiring. Sheà checked theà iron a dozen timesà before leaving the house . Sheà checkedà her doorà lockà â⬠à aà hundredà timesâ⬠beforeà sheà was able toà get in herà car. The patientà washed her hands frequently. Sh e carried disposableà washcloths inà her purse â⬠à so Ià can wash asà oftenà as I need tooà . â⬠à Sheà said peopleà at work laughà at herà for washingà soà much. But sheà statedà ,à ââ¬Å"Ià can' t help it. I've been this wayà sinceà I wasà aà little girl. â⬠Whenà questionedà about telling formerà doctorsà about this,à theà patientà stated that sheà had neverà talkedà about it with her doctors.Sheà statedà thatà everyone that knewà herà simply knewà thatà thisà wasà theà wayà sheà was:à â⬠à It'sà justà me . â⬠à Inà fact , sheà stated, â⬠à I didn'tà think my doctorsà wouldà careâ⬠¦ .à I've alwaysà been thisà wayà soà ità ââ¬Ësà not somethingà you canà change . â⬠Over the nextà few sessions, it becameà clearà that her argumentsà with her boyfriend centeredà onà his annoyance with her needà toà const antly repeatà things. This wasà what sheà always referred toà as â⬠à talking too muchà . â⬠à Inà sessions ità wasà observed thatà herà anxiety,à neediness and poor boundariesà aà rose over issues of misplacing things in her purse and insurance forms that were incorrectlyà filledà out.Inà fact,à when Ià attempted to correct theà insurance forms for her, I had difficulty because of her need to repeat theà instructions to meà 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 ââ¬Å"magicalâ⬠number of times. About 70% of OCD patients suffer from both bsessions and compulsions; obsessions alone occur in 25%, whilst compulsions alone are rare. 1nà she spentà ten minutes checking and recheckingà theà formà against the receipts. Sheà became convinced that she'dà done it wrong, her anxiety would increase, andà sheà wouldà getà the forms outà and checkà them again. Herà need to includeà me in thisà checkingà wasà so greatà that sheà was almost physically onà topà ofà myà chair. In theà followingà weeks,à se ssion sà focusedà onà educating theà patient aboutà OCD. Herà dose of fluoxetineà was increasedà to 40 mgà aà day but discontinued becauseà of severe restlessness and insomnia.She continued toà take 20à mg ofà fluoxetine a day. Startingà another medication inà addition to fluoxetineà was difficult because of the patientà ââ¬Ësà obsessiveà thoughtsà aboutà weight gain, theà numberà ofà pillsà sheà wasà taking, and theà possible side effects . Finally,à theà patient agreed to try addingà clomipramine to her medications. Theà results wereà dramatic. Sheà feltà â⬠à more relaxed â⬠and had less anxiety. Sheà began to talk, forà theà firstà time, about herà abusiveà father. She said,à â⬠à His behavior was always supposedà to be the familyà secret. I feltà so afraidà andà anxious I didn'tà dare tellà anyone.But nowà Ià feel better. I don't care whoà knows. Ità à ¢â¬Ësà cost myà motherà tooà muchà toà stayà silent. â⬠à à à à à à à Atà this timeà theà plan is to begin behavioral therapy withà theà patientà inà addition to medication sà andà supportive therapy toà deal wità h herà difficulties with relationships. DISCUSSION This isà a complicatedà caseà with multiple diagnoses: borderlineà mentalà retardation,à attention deficit disorder,à borderlineà personalityà disorder,à aà historyà ofà major depressive disorder andà obsessive compulsive disorder. Given theà levelà ofà complexity ofà thisà case and theà patient ââ¬Ësà own silenceà about herà symptoms,à ità isà not urprisingà that thisà patient's OCD remainedà undiagnosedà forà soà long. However,à inà reviewingà the literatureà and the case,à it is instructive toà lookà aà t theà evidence thatà mightà haveà ledà to an earlier diagnosis. Fir st ofà all,à thereà was theà findingà of soft neurological deficits. The patientà ââ¬Ës Neuropsychological testing suggestedà problemsà withà visuospacialà functioningà n visual memory,à as well asà attentional difficultiesà andà aà low IQ. In theà past,à her doctors were so impressedà with her history ofà cognitive difficultiesà thatà neuropsychological testing wasà orderedà on two separate occasions.Fourà studies in theà recent literature haveà shown consistent findings ofà right hemispheric dysfunction,à specificallyà difficultiesà in visuospatialà tasks, associatedà with OCDà (6,7,8,9). The patient also had a historyà of chronic dieting,à andà althoughà extremelyà thin, she continue d to beà obsessed with notà gainingà a single pound. This wasà aà patient who took dietà pills for 10à years and whoà see earliest memoriesà involvedà her father's disapproval ofà her bodà yà ha bitus. Eatingà disorders aà reviewed byà someà cliniciansà asà a formà ofà O C D. Oà C D.Swedo and Rapoport (II)à also noteà an increased incidenceà ofà eating disorders in childrenà andà adolescentsà withà OCD. Whileà this wasà no doubt true,à the underlyingà obsessionalà content pointed directlyà to OCD and should haveà generated a list of screening questionsà for OCD. This underscoresà theà need to beà vigilant for diagnostic clues and to perform one'sà own diagnostic assessment whenà assuming the treatmentà of anyà patient. While theà literatureà makesà it clear that OCDà runs in families,à theà patient was unaware of theà illnessà in her familyà until afterà her diagnosisà was madà e.Ità would have beà enà helpful to know this informationà from theà beginningà as it shouldà immediatelyà raise a suspicion of OCD in a patientà presentingà with complaintsà ofà depression and anxiety. Finally,à her diagnosis of borderlineà personalityà disorderà madeà ità easier to passà off her observableà behaviorà in the office asà furtherà evidenceà ofà herà character structure. The diagnosis of borderlineà personalityà disorder wasà clear. Sheà used theà defense of splittingà as evidence d by her descriptionsà of her fightsà with her boyfriend . Hà e was eitherà ââ¬Å"wonderfulâ⬠or aà ââ¬Å"complete bastard. â⬠Herà relationships wereà chaoticà and unstable.She had no close friends outsideà of her family. Sheà exhibitedà affective instability, markedà disturbance of bodyà imageà and impulsive behaviors. However, it was difficult to discern whether herà symptoms were trulyà character logicalà orà dueà insteadà to her underlyingà OCD and relatedà anxiety. For instance,à theà inà stabilityà in her relationships was,à inà part,à the resultà ofà her OCD , sinceà once sheà began to obsessà onà something,à sheà repeatedà herself so muchà thatà sheà frequentlyà drove others intoà aà rage. Aà study by Ricciardi,à investigatedà DSM-III-R Axis II diagnoses following treatment for OCD.Overà halfà ofà theà patients in the studyà no longer met DSM-III-Rà criteria for personality disorders afterà behavioralà andà /à or pharmacological treatmentà ofà theirà OCD. Theà authorsà conclude thatà thisà raises questionsà aboutà tà he validityà of an Axisà II diagnosisà in theà faceà ofà OCD. One might also beginà to wonder how manyà patientsà with personalityà disordersà have undiagnosedà Oà CD? Rasmussenà and Eisenà found a very high comorbidity ofà other Axis I diagnoses in patientsà with OCD. Thirty-onà eà percent of patients studiedà wereà also diagnosed with majorà depression, andà anxiety disorders accounted for twenty-four per cent.Other coexisting disordersà included eating disorders, alcoholà abuseà and dependence, and Tourette's syndrome. Baer,à investigatedà the comorbidityà of Axisà II disordersà in patientsà with OCDà and found that 52à percentà metà the criteria forà at least oneà personalityà disorderà with mixed,à dependentà and histrionic beingà theà most common disorders diagnosedà . Givenà theà frequency of comorbidity in patientà sà with OCD,à it wouldà be wise to includeà screening questionsà inà everyà psychiatricà evaluation. Theseà needà notà be elaborate. Questions aboutà checking,à washing,à and ntrusive,à unwanted thoughts can beà simpleà and direct. Inà eliciting aà family history,à specificà questions aboutà family membersà who checkà repeatedlyà orà washà frequentlyà shouldà be included. Simply asà king ifà anyà family memberà hasà OCDà mà ayà notà elicità theà informationà , sinceà family members mayà also be undiagnosed. Inà summary, thisà caseà represents a complicatedà diagnosticà puzzle. Herà past physiciansà did not have theà informationà we dà oà todayà to unravelà theà tangled skeinsà of symptoms. Ità isà important to beà alertà forà theà possibilityà that thisà patient ââ¬Ës story is not anà 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 ââ¬Ëobsessive-compulsive disorderââ¬â¢, 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 ââ¬Ëobsessive-compulsive disorderââ¬â¢ under the guidance of Mrs. Girija Singh. Also this project project is as per cbse guidelines 2012-2013. Teacherââ¬â¢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 GIRLSââ¬â¢ 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 organizationââ¬â¢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 à |à 4 Pages The national nursing shortage is predicted to continue to rise to levels that have not been seen since the 1960ââ¬â¢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. 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Registered nurses have differentRead MoreNurses Are The Largest Population Of Health Care Professionals Essay1191 Words à |à 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. ââ¬Å"Registered Nurses are the largest population of health care professionalsâ⬠(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 à |à 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 à |à 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 RNââ¬â¢s in the workplaceRead MoreThe Issue of Nursi ng Shortage in the United States1102 Words à |à 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 â⬠¦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 à |à 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 à |à 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 allâ⬠¦show more contentâ⬠¦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 à |à 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 grandmotherââ¬â¢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 ââ¬Å"Script. â⬠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 artistââ¬â¢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 Gardnerââ¬â¢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 ââ¬Å"Oxford Art Onlineâ⬠from the dropdown menu under ââ¬Å"Online Resources Digital Imagesâ⬠on the front page of the library website) ? Look in your Gardnerââ¬â¢s textbook to see where an art work is on display.
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