Tuesday, August 25, 2020

Case study Example | Topics and Well Written Essays - 500 words - 65

Contextual investigation Example It has been exceptionally forceful in its benefit obligation; utilizing its projects and undertakings as methods for correspondence to exhibit its items and administrations to a bigger populace. This has exhibited to be much more compelling than the customary method of holding promoting efforts. The general crucial Toyota is to add to the general public and the economy by delivering excellent items and administrations. This is accomplished through the Toyota way, which is a way of thinking, based on five standards: testing long haul dreams and moving toward them with imagination, Kaizen for example consistently improve business forms. Genchi Genbustu which, implies setting off to the source to check the realities so as to settle on precise choices; invigorating cooperation and execution lastly regard for the others and the earth by obligation regarding it. Along these lines, Toyotas idea of practical portability is vital to accomplishing the Toyota way, which has confidence in regarding the environment, and dealing with it. The Toyota National Parks venture has been fruitful. Parks remembered for this association are Yellowstone National Park, Great Smoky Mountains National Park, Everglades National park, the Golden Gate Bridge Foundation, Yosemite National park, the Grand Canyon and the Santa Monica National Recreational stores. The program attempts to draw in with the guests at the recreation center by and by and open them to Toyota’s crossover vehicles which when utilized in a characteristic setting can get messages about supportable versatility. A corporate picture study which was as of late directed shows that Toyota positioned most elevated among its rivals to be specific Toyota, Honda, Ford and GM when it came to pointers, for example, ‘Leader in High MPG’, ‘Leader in Technology Development’, ‘Environmentally Friendly Vehicles’ and in the ‘Wins Environmental Awards’ (107). I would propose that Toyota engages in much more exercises that raise ecological well disposed mindfulness. They ought to be proactive

Saturday, August 22, 2020

Woodstock (401 words) Essay Example For Students

Woodstock (401 words) Essay WoodstockWOODSTOCK 99’From Peace, Love, and Music to Rapes, Riots, and Raw SewageOn the most recent night of the multi day occasion, know as Woodstock, held in Rome, New York, at Giffiss Technology Park †a decompressed Air Force base numerous individuals have said that an uproar happened. Yet, as a general rule the genuine mob happeneds of the course of the multi day occasion, not as a solitary clamorous, dangerous occasion however as a moderate movement breaking down of the chains that may hold 225,000 individuals together. What happened isn’t extremely difficult to depict. With nothing more to hold them together, the group indured the warmth, the sewage, the rubbish, and the medications until every one of that was left was the inclination of remaining in a drained, filthy horde of individuals and toward the end realizing you are in solitude. We will compose a custom article on Woodstock (401 words) explicitly for you for just $16.38 $13.9/page Request now Considering all the bedlam the occasion will stand out forever as a standout amongst other stage performances ever. Over the multi day occasions eminent groups, for example, Limp Bizkit, Kid Rock, Korn, Rage Against the Machine, Metallica, and the Red Hot Chili Peppers played on two phases and engaged an in excess of 200,000 individuals. Alongside the raves that were held each night, with DJ’s, for example, FatBoySlim and the Chemical Brothers facilitating them, this celebration appeared to greatest scope of music then the other two. However, it was the one having the greatest mishap record. Beside the mobs on the most recent night the New York State police have made forty capture for violations commited during the celebration and are examining in excess of ninety other announced wrongdoings, including eight sex offenses. So far the passing check from Woodstock remains at four: Two individuals dead because of warmth depletion and one from a respiratory failure, and a ladies wa s hit by a vehicle. Some accuse the high ticket costs, which were $150 just as the fierce warmth, costly expense for food and filtered water, terrible conditions and voracious advertisers for the tumult the reason and evaluated $600,000 in harm. Others have singled out forceful craftsmen like Limp Bizkit and Korn, which as I would see it is a nitwit pardon for any demonstration of brutality. â€Å"Any time you put 220,000 children on a section of black-top and you charge those costs, something will go wrong,† Lars Ulrich of Metallica. Music Essays

Sunday, July 26, 2020

Blown Back to Oz

Blown Back to Oz On Sunday morning the Design/Build/Fly team rolled out of bed at 6:30 AM, roughed up and ready to fly on the last day of the competition. We had one more mission to fly and we wanted to re-fly a mission as well in order to score a little higher. We were on the clockthe weather forecasted heavy rain and a thunderstorm starting around noon, in which case the competition would go on hold and awards would be given based on the current scores. The last mission was the emergency medical mission: the assignment was to carry a two-pound payload (distributed between four blocks arranged to simulate medical attendants standing next to patients on gurneys) for three laps around the course in as short a time as possible. We knew that our Corn Dog was the fastest plane at the competitionhowever, the heavy winds of Saturday showed no signs of dying down, and Corn Dog was a little worse for wear after yesterdays heavy flying. The time to beat was 1 minute and 55 seconds. Corn Dogs turn came while the sun was still out, and we quickly moved outside, packed the cargo into the payload bay, and got ready to fly.   Loading up. Corn Dog took off smoothly into the wind, turned around, and completed two and a half laps with no problems at all. As it came around the final turn to approach the finish line, a collective gasp went up from the crowd (along with fearful yelps and held breaths from we the team members) as Corn Dog yelped a loud SNAP and began making the very unhealthy-sounding buzzing sound of an electric razor. Corn Dog dipped out of the airthen fluttered back up againthen dipped again and charged forward through the finish line with a final time of 1 minute and 49 seconds. Success! But Corn Dog was still in the air, still buzzing loudly, and stumbling around looking like it had broken a leg. As we held our breaths and crossed our fingers, Adam (our pilot) turned Corn Dog around and landed it intact on the pavement.   Coming in literally on a wing and a prayer. Cue sighs of relief and thunderous applause. Adam (who we are forever and ever indebted to for his amazing flying, and who has also guest-blogged for MITAdmissions), told us that hed lost control of one of the ailerons (so Corn Dog was indeed a crippled dog for the last 100 feet or so of the flight). Examining the plane revealed that that aileron had undergone flutter, where it essentially resonates with the air going over it and vibrates wildly out of control. For Corn Dog, this meant that a lot of Bad Forces were exerted on the wingand our beautiful composite wing layup buckled pretty badly. See those wrinkles? Those are caused by the Bad Forces put on the wing by the aileron flutter. As the more experienced members of the team set about the very delicate task of repairing and reinforcing our wing in anticipation of reflying our last mission and shaving a few more seconds off our time, the rest of us found lunch at Chipotle and then camped the scoreboard for updates. Eventually it refreshed, and there we werewith our punishing weight of 4.66 pounds balanced out by our excellent mission score (in fact, the highest mission score), we sat at a solid fifth place, ten points ahead of Penn State. Performing surgery on Corn Dog. We attempted a reflight later that afternoon, but our wing couldnt take itas soon as we finished one lap, that uncomfortable buzzing sound returned and Adam quickly turned Corn Dog around and landed it before it exploded in flight. This time it was the other aileron that failed. We called it a wrap and spent the rest of the afternoon huddling in the wind and watching the other teams fly (and in many cases, crash) their planes between spats of rain and thunder. Were very happy with our fifth-place finish, but we also took home a few lessons from the competition. Predominant is the fact that, though Corn Dog was designed well and constructed beautifully, it was way too heavyand therefore lost out to lighter planes that didnt perform as well on the missions. Corn Dog was a very structurally solid plane (hence why its still in one piece), but that meant that Corn Dog was conservative. Planes that pushed the envelope a little more, using less power and less structure and flying a little less stably, gained more from the decreased weight than they lost in performance. The University of Southern California, for instance, had a mission score only 80 percent of oursbut since their plane was less than half the weight of Corn Dog, and mission score is divided by weight, USC finished with in first place with a whopping 407.24 while we settled in fifth with a meager 210.87. And so we packed up Corn Dog and came home to MIT. Were going to be bringing our A-game next year, thoughso be prepared. Corn Dog, Jr. is on its way. For now, if youre ever in building 33, stop by the hangar and pay a visit to Corn Dog, one of the sexiest RC planes to ever fly the Kansas winds. Signing off, Allan

Friday, May 22, 2020

The Ethical Code Of Ethics - 4083 Words

INTRODUCTION This essay will discuss the ethical code that has major influence on audit failure and what scholars are saying towards auditor’s credibility and auditor’s code of ethics because when a company goes bankrupt the auditor’s independence is questioned and shaken (Moore et al 2006). It will also show what legislative body governing auditors are doing because users of financial statement are searching for auditors whose obligations covers: report of correct records, assurance that the financial statement is of true and fair view, company guards against errors and fraud, auditors are abiding by the rules and so on (Percy 2007). In light of ethical principle, we will discuss its role in audit failure in the last few decades showing†¦show more content†¦This practice is addressed here on account of the capacity of the free market to rebuff auditor failure; the dynamism indicated by members in connection to the deliberate appropriation of new self-administrative approaches and the high costs and questionable adequacy of the new regulations embraced (Arruà ±ada 2004). A more reasonable methodology that would give the business time to find the productive blend of administrations, quality shields what s more, firm structures is exhorted (Arruà ±ada 2004). Current administrative propensities, the primary component of which is obligatory evaluating, safeguarding against threats and progressively incapable regulation. BODY/ DISCUSSION The Fundamental Principles are situated out as a part assortment of the International Federation of Accountant (IFAC), auditors are obliged to apply ethical norms that are at any rate as stringent as those expressed in the International ethical Standards Board for Accountants Code of Ethics for Proficient Accountants (the IESBA Code). The Fundamental Principles set out the commitments placed on all auditors, regardless of whether they are practice. The five standards are situated out beneath: †¢ Integrity: implies not merely honesty, but fair dealing and truthfulness, straightforward, honest and sincere in the approach to professional work. †¢ Objectivity/independence: Auditor must be fair and avoid conflict of interest, prejudice. An auditor should The Ethical Code Of Ethics - 4083 Words INTRODUCTION This essay will discuss the ethical code that has major influence on audit failure and what scholars are saying towards auditor’s credibility and auditor’s code of ethics because when a company goes bankrupt the auditor’s independence is questioned and shaken (Moore et al 2006). It will also show what legislative body governing auditors are doing because users of financial statement are searching for auditors whose obligations covers: report of correct records, assurance that the financial statement is of true and fair view, company guards against errors and fraud, auditors are abiding by the rules and so on (Percy 2007). In light of ethical principle, we will discuss its role in audit failure in the last few decades showing the unexceptional high rate of accounting and audit scandal. The situation has turn into a basic issue in corporate America. A vast, freely exchanged partnership gets an unqualified audit report, and presently from that point falls with the news that the financial statements are terribly misquoted. In what manner can this happen over and over unless there are some kinds of problem with the ways these organizations are audited, such as audit of groups, private and public sector. According to Sarbanes-Oxley Act of 2002 the end goal to restore the trust and faith of the public in auditors was the formation of the Public Company Accounting Oversight Board. However, legislators have been utilizing audit failure as reasons to present extraShow MoreRelatedThe Ethics Of An Ethical Code1367 Words   |  6 PagesAn ethical code is a set of morals that a person or group determines to assist their own selves when it comes to decision-making. An ethical code is something that is pretty stable and should not vary based on the context of the situation. Some people form ethical codes that they follow on a micro level, such as only buying American made products from the grocery store, or they could be on a grander scale, such as how a CEO would lead a company. Most successful marketers have a similar ethical codeRead MoreEthical Codes Of Ethics And Ethics2307 Words   |  10 PagesIntroduction Humans has been discussing and thinking of the complex theories of ethics and how they relate to mankind for centuries. The history of human ethical philosophy is far greater and more complex than this paper can ever truly attempt to define or explain. Great philosophers like Aristotle, Machiavelli, Kant and Mills have already taken on the aforementioned task. This paper is not an attempt to replicate their work or explain their work, instead this paper will look to take the theoriesRead MoreThe Ethical Code Of Ethics4083 Words   |  17 PagesINTRODUCTION This essay will discuss the ethical code that has major influence on audit failure and what scholars are saying towards auditor’s credibility and auditor’s code of ethics because when a company goes bankrupt the auditor’s independence is questioned and shaken (Moore et al 2006). It will also show what legislative body governing auditors are doing because users of financial statement are searching for auditors whose obligations covers: report of correct records, assurance that the financialRead MoreThe Code Of Ethics And Its Ethical Standards Essay1311 Words   |  6 PagesThe formal definition of ethics is as follows, moral principles that govern a person’s behaviour or the conducting of an activity or alternatively the branch of knowledge that deals with moral principles. (Ethics definition: dictionary.com, 2014) The Code and Standards where first created in the 1960s and have been updated regularly since then. The Code of Ethics is an ethical benchmark for investment professionals around the world. The standards have generally been adopted regardless of job functionRead MoreThe Ethical Implications Of A Code Of Ethics1755 Words   |  8 Pageswhere they question the ethical implications associated with decisions they or their colleagues make. These scenarios that occur from day to day can result in reduced productivity, employee turnover and mistrust in the work environment. An employee at any level within an organization should be expected to follow a well-defined, structured Code of Ethics outlining the organizations expectations. There was a period prior to well documented and publicized corporate ethics scandals that organizationsRead MoreCode Of Ethics And Ethical Guidelines1547 Words   |  7 PagesCode of Ethics and Ethical Guidelines There are many ethical codes and guidelines a supervisor should follow. One of the most important ethical codes refers to competency. The American Counseling Association (2014) and the Association for Counselor Education and Supervision (ACES) (2011) both reiterate the importance of competency professionally as a counselor and supervisor. Counselors are only to practice within their scope of competence. This is based on the counselor’s education, training, experienceRead MoreThe Ethical Dilemma With The Code Of Ethic1352 Words   |  6 Pagesin an ethical dilemma. However, when a situation such as accepting gift from client can turn into something different. When it comes time to terminate a client some client’s may feel a sense of generosity or appreciation for the therapist work. At this point and time, some clients, may show their appreciation towards their therapist with a gift. Some may said that this is something that is completely harmless and that there is no need to be concern. However, many do not understand the ethical dilemmaRead MoreEthical Issues And Codes Of Ethics1891 Words   |  8 PagesIntroduction The National Association of Social Workers has a Code of Ethics that every social worker should keep in mind when working with clients. The Code of Ethics is a set of written principles that discuss important conduct and behavior that is created by the organization to serve as a guide for the social work profession. The purpose of the Code of Ethics is to allow those in the profession to conduct themselves ethically and to engage in ethical decision making. Behaving ethically can be a struggleRead MoreThe Ethical Codes Of Human Research Ethics1035 Words   |  5 Pagesof Psychology as a science was the implementation of ethical codes of conduct in regards to both humans and animals. Milgram’s (1963) obedience experiment prompted various issues related to human research ethics. In Milgram’s initial experiment, participants were asked to electric shock others in order to test their level of obedience to an authority figure. According to the British Psychological So ciety (BPS) Code of Human Research Ethics (2010), Milgram put the studies participants at more thanRead MoreEthical Codes Across Cultures : Ethics774 Words   |  4 PagesEthical Codes Across Cultures According to Abiodun and Oyeniyi (2010), ethics addresses issues of good and bad and with moral issues and duties. Ethics sets rules of conduct in place in the hopes of providing guidelines for human behaviors focused on the preservation of a society. In the United States, National Conference of State Legislatures (NCSL) has put instruction or guides specific to restriction for legislators in relation to restrictions on gifts from lobbyists to legislators. Some states

Friday, May 8, 2020

Essay on The Legalization of Same Sex Marriage - 3182 Words

There is a war being fought over how to define the term marriage. This argument is fierce due the fact that the definition of marriage is being challenged on the basis of it’s morality or, in other words, whether it is right or wrong. Many conservative organizations such as religious and other social conservative groups contend that the definition of marriage should remain as or return to being the formal union of one man and one woman or in other words, a heterosexual couple, via legal commitments and/or religious ceremonies citing religious and social reasons. The other more liberal groups such as gay rights groups on the other hand contend that the traditional view is outdated and that nations should either adopt or retain the†¦show more content†¦In order to analyze this issue from in a normative ethical manner one must analyze it from the perspective of its three major branches. These branches are deontology, consequentialism and virtue ethics. The first major br anch of the tree of normative ethics to be analyzed is the field of deontology. This of course raises the question of how to define this term. Deontology is the blanket term for a broad array of normative ethical theories that all state that an action is determined as being either right or wrong morally based on whether it is in adherence to a given system of rules as opposed to the consequences of the action or the moral character of the moral agent (any individual of whom is capable of making moral decisions) who committed this act. The main opposing force against the legalization of the formal marriage of two consenting adults of the same sex comes from those proclaim to be adherents of some variant or another of the deontological perspective. There are two main deontological perspectives that form the basis for opposing the expansion of the definition of marriage to include same sex couples. The loudest voice of opposition to the idea of legitimizing same sex marriages sex among this group of naysayers comes from the believers in the divine command theory. This theory postulates that the moral wrongness or rightness of a given action is based solely on theShow MoreRelatedLegalization Of Same Sex Marriage Essay963 Words   |  4 PagesKaye Shannelle Romuar Alfritz Arevalo Angelika Figueroa Legalization of Same-Sex Marriage I. Introduction Same-sex marriage can also be called gay marriage. This is a marriage between two males or two females, in either a religious setting or in a civil ceremony. Same-sex unions are recorded in the history of a number of cultures but this type of marriage is rare, or doesn’t exist in other cultures .The first law that provided same-sex marriage for the people was in 2001 in the Netherlands. As of JulyRead MoreLegalization Of Same Sex Marriage1594 Words   |  7 PagesWhy The Nationwide Legalization Of Same Sex Marriage Will Greatly Benefit The Economy Same-sex marriage has been a long debated issue in the United States. Since the nationwide legalization of same-sex marriage in countries such as Holland, Belgium, and Canada American gay couples have been pushing harder for equal marriage rights under the law. Opponents claim that allowing same-sex unions would not only lead to less stable marriages and higher divorce rates for heterosexual couples, but also precipitateRead MoreThe Legalization Of Same Sex Marriage930 Words   |  4 Pagesof legalizing same-sex marriage all across the nation, after years of social, political, and cultural mobilizations of members of the lesbian, gay, bisexual, and transgender (LGBT) community and allies. However, this achievement is not an end it itself. Leaders of the marriage equality movement, as well as community members, ask: Now what? This proposed project attempts to provide an answer for this question by looking at the perceived impact of the legalization of same-sex marriage among Black LG BTsRead MoreThe Legalization Of Same Sex Marriage938 Words   |  4 PagesRights To All Most people believe that they deserve the rights they are granted by the government. A citizen who pays their taxes, serves their community and abides by the law should be afforded the same rights as any American. However, not all citizens are afforded equal rights. Lesbians, gays, bi-sexual, and transgender (LGBT) are consistently denied rights that are typically taken for granted by the average American. Specifically, gay and lesbians couples are denied the right to marry even ifRead MoreThe Legalization Of Same Sex Marriage2317 Words   |  10 PagesCavataio PHL 118: Intro to Philosophy 8/14/14 Gary Fuller One of the most heated and debated topics today is the legalization of same-sex marriage. No matter where you look, people are always expressing their opinion on this issue. Politicians, athletes, and celebrities are some of the many people who continually come out with either support or opposition of same-sex marriage. History has shown that issues regarding equality and rights take time to move forward. The women’s suffrage movementRead MoreThe Legalization Of Same Sex Marriage1091 Words   |  5 PagesThe legalization of same-sex marriage is a hot topic in the U.S. approving, it in all fifty states can be harmful to the country. Same-sex marriage should not have been legalized in the United States. First, legalizing can be harmful to the society, Second, same-sex marriage it always denies a child a father or a mother, Third, legalizing It Offends some religions and violates tradition. In addition, It means all citizens should have understood of the consequences before maki ng the decision. OneRead MoreThe Legalization Of Same Sex Marriage1411 Words   |  6 PagesNikta Kalatari Writing Assignment #1 The proposead legalization of same-sex marriage is one of the most significant issues in contemporary American family law. Presently, it is one of the most vigorously advocated reforms discussed in law reviews, one of the most explosive political questions facing lawmakers, and one of the most provocative issues emerging before American courts. If same-sex marriage is legalized, it could be one of the most revolutionary policy decisions in the history of AmericanRead MoreThe Legalization Of Same Sex Marriage1294 Words   |  6 Pages The Legalization of Homosexual Marriage Brandon Taylor Wichita State University Gay marriage, also known as homosexual or same-sex marriage, has been a major topic in our country ever since it was allowed in Massachusetts whenever the state’s Supreme Court ruled the ban as unconstitutional. It was legalized in thirty seven of the fifty states before the Supreme Court’s ruling on June 26, 2015 that it was unconstitutional to deny marriage to a same sex couple (ProCon.org, 2015). The Merriam-WebsterRead MoreThe Legalization of Same Sex Marriage 1623 Words   |  6 Pageshow the citizens value their morals. An every day American would think that being with the same sex is not normal, or is frowned upon. Recent studies show that half of all Americans believe that gay men and lesbians have a constitutional right to marry (Craighill). Same-sex marriage has caused many conflicts around the country and even the world with multiple stand points. World views on same-sex marriage are changing day to day. â€Å"Of the 15 countries worldwide to permit gay m en and lesbians to marryRead MoreLegalization Of Same Sex Marriages1390 Words   |  6 PagesLegalization of Same Sex Marriages As a Muslim, in my opinion same sex marriage is not right and same sex marriage should not be legalized. Out of this statement comes the question: what is the purpose and meaning of marriage. Can we ever explain marriage in the context of a bond between two males or two females. Can this relationship be called a â€Å"Marriage†? Whether we disguise this relationship with the label of marriage, does it become accepted into society as a real marriage? Or are we fooling

Wednesday, May 6, 2020

Local Environmental Issues Free Essays

The environmental problem that is significant in my city would be the water having chemicals in it that causes different parts of town to be on a boil water alert quite often. Due to industrial facilities, large amounts of toxic chemicals and other pollutants are being released into our water. This causes problems for the fish in the ocean and it contaminated our drinking water. We will write a custom essay sample on Local Environmental Issues or any similar topic only for you Order Now This can also cause health problems for the persons consuming the water and even for those swimming in it. In order for a stop to be put to this, we need to have laws enforced in order to protect our rivers and beaches. The waterways are continually used for dumping grounds for toxic chemicals by polluters. This is causing a great health hazard that can be prevented if laws were put in place. There are several processing plants that contribute to the toxic chemicals being placed into the waterways. Industrial facilities also contribute to the chemicals polluting the water which is also linked to cancer that is being put into the St. John’s River. This problem is liable to cause birth defects or even fertility problems. Some of the chemicals discharged are lead, mercury, and dioxin. Not only do the toxins contaminate drinking water but it also contaminates the fish that we as people normally eat. There needs to be a law put in place that will not allow these pollutants to enter into our waterways with the probability of causing cancer or other health problems. There should be a reduction in the toxic chemicals discharged to safer alternatives. Permits should be issued with limits on the amount of toxins discharged by giving penalties and warning letters to those that don’t abide by it. Policies should be adopted that allow for water to be clean so that we as the people can be healthy. How to cite Local Environmental Issues, Papers

Tuesday, April 28, 2020

The Corruption Of Power In Rome Essays - Julius Caesar,

The Corruption of Power in Rome The Corruption of Power in Rome Julius Caesar was murdered on the Ides of March in 44 B.C. by the people he trusted and thought were his friends. The justification for his death was that he was too ambitious and wanted too much power. The very concept of government in Rome was against dictatorship, to which Caesar posed a great threat. Although Rome recognized the need for a distinct leader, the power given to the leader was not absolute. The Romans devised a system to avoid dictatorship and retain freedom, but at the same time maintain control of the affairs of the Empire. These leaders, originally given the title of praetor, meaning "to lead the way" (Asimov 24), were elected. Their terms of office were for one year and they could not succeed themselves. Two praetors were elected each year and they both had to agree on issues before action was taken. Later, the title was changed to consul, which is another way to say partners. Praetors' and consul's main responsibility was to manage the armed forces of Rome and to lead the armies in warfare. Quaestors were also selected two at a time for one year terms. Their main role was to serve as judges and to supervise all criminal trials. The Senate was designed to advise the Praetors or Consuls. It originally consisted of one hundred representatives of clans that made up the city. The men were chosen based on their age, experience and wisdom; the word senate is Latin for "old men". The Senators, or Patricians, were expected to be obeyed. In fact, the praetors had to "bow to the will of the senate" (Asimov 24). This system of governing worked well for several centuries. The government of Rome gradually evolved, as did the citizen's opinion on dictatorship. The Senate became corrupt with many Patricians being easily bribed. Almost all of the power belonged to a distinct few. The idea of a dictator no longer caused fear, it was no longer unacceptable. By the time Julius Caesar was a consul, the number had increased to three. Pompey, Crassus and Caesar all had grudges against the Senate for one reason or another. Caesar was upset because the Senate had tried to undercut his campaign for consulship. The three consuls formed a private coalition, known as the First Triumvirate. Together Pompey, Crassus and Caesar succeed in getting Caesar elected consul and in passing legislation that mainly benefited them. Caesar became the governor of Cisalpine Gaul and part of Transalpine Gaul, where Rome had considerable power. Right after he took on the new position the territory was threatened by Switzerland. Immediately he crushed them and kept going. These wars, which began in 58 B.C. and helped Caesar to establish his reputation as a great military leader, were known as the Gallic Wars. Nine years later in 49 B.C., after constant warfare, he had stormed over eight hundred towns and conquered the area that is now France. Both Pompey and the Senate were envious of Caesar's success and they were also fearful of his ambitions. They ordered Caesar to give up command and return to Rome. He defied this order, therefore committing treason, and ended up fighting Pompey's army. Caesar followed Pompey's army all the way to Egypt, where he killed Pompey and met Cleopatra. He lived in Egypt with Cleopatra for a few years but eventually he went off to fight other wars, leaving Cleopatra pregnant with his child, Caesarion. In 44 B.C. Julius Caesar returned home to Rome. He was welcomed with a massive feast including twenty-two thousand tables. Caesar was declared dictator of Rome by the now submissive Senate. Caesar's actions, such as defying the Senate's order to return home, defeating the other consuls and his continuous warfare went against the concept of democracy in the Roman government. He was ignoring the Senate, whom he was supposed to submit to, and had defeated his partners who were there to avoid dictatorship and encourage accountability. He placed himself above all other Roman citizens, destroying the equality between himself, the Senate and the citizens. And finally, he accepted the title of dictator, destroying the democracy in Rome. The citizens did not even fear the loss of their beloved democracy. They now looked upon Caesar as a god. A group of Senators led by Cassius, Casca, Cinna and Brutus, who loved freedom and democracy concluded that they had to stop Caesar. No one else seemed to understand the severity of what was occurring. On March 15, 44 B.C., also known as the Ides of March, a total of sixty

Thursday, March 19, 2020

ColumbusFriend or Foe essays

ColumbusFriend or Foe essays Explore, discover and develop or seek, destroy and conquer. Almost everyone recognizes the name Christopher Columbus and understands what his role was in changing the views, lifestyles, politics, and geography of the fifteenth century modern world. Christopher Columbus discovered a world known to no European, African or Asian. He discovered the New World, the Americas. However, is todays society aware of the consequences, which came with this newfound world or are they blinded by biased history books and school texts. My view of Christopher Columbus and his glorious discovery was a traditional one. Columbus, the great explorer, heroically discovered the Americas making friends with the natives creating a new way of life for the entire world. I am sorry to say that I was misguided in my education about Christopher Columbus. Christopher Columbus was born in Genoa in 1451 the son of a weaver and by the time he reach his late teenage years he went to sea and voyaged for many years trading for various employers in Genoa, Italy. His work eventually took him to England in 1477 and West Africa in 1482. About this time he began to seek financial support for a major Atlantic expedition. Most writers and philosophers, along with Columbus, had accepted that the Earth was round, and so Columbus understood that China and Japan could be reached by sailing west. His idea was logical, but not factual. Columbus didnt count on there being giant landmasses between the two, which was never explored by anyone outside of the Eastern Hemisphere. For some years Columbus failed to obtain support for a transatlantic expedition but in March 1492 the catholic monarchs of Spain, Isabella and Ferdinand, approved his voyage and awarded him the title of Admiral of the Ocean Sea and the governorship of any new land he might discover. He set sail in August 1492 with his fleet of three ships and one hundred men and ...

Tuesday, March 3, 2020

USS Hornet (CV-12) in World War II

USS Hornet (CV-12) in World War II USS Hornet (CV-12) - Overview: Nation: United States Type: Aircraft Carrier Shipyard: Newport News Shipbuilding Company Laid Down: August 3. 1942 Launched: August 30, 1943 Commissioned: November 29, 1943 Fate: Museum Ship USS Hornet (CV-12) - Specifications: Displacement: 27,100 tons Length: 872 ft. Beam: 147 ft., 6 in. Draft: 28 ft., 5 in. Propulsion: 8 Ãâ€" boilers, 4 Ãâ€" Westinghouse geared steam turbines, 4 Ãâ€" shafts Speed: 33 knots Range: 20,000 nautical miles at 15 knots Complement: 2,600 men USS Hornet (CV-12) - Armament: 4 Ãâ€" twin 5 inch 38 caliber guns4 Ãâ€" single 5 inch 38 caliber guns8 Ãâ€" quadruple 40 mm 56 caliber guns46 Ãâ€" single 20 mm 78 caliber guns Aircraft 90-100 aircraft USS Hornet (CV-12) - Design Construction: Designed in the 1920s and early 1930s, the US Navys Lexington- and Yorktown-class aircraft carriers were built to conform to the restrictions set forth by the Washington Naval Treaty. This pact placed restrictions on the tonnage of different types of warships as well as capped each signatorys overall tonnage. These types of limitations were affirmed through the 1930 London Naval Treaty. As global tensions increased, Japan and Italy left the agreement in 1936. With the collapse of the treaty system, the US Navy began conceiving a design for a new, larger class of aircraft carrier and one which drew from the lessons learned from the Yorktown-class. The resulting design was wider and longer as well as included a deck-edge elevator system. This had been used earlier on USS Wasp. In addition to carrying a larger air group, the new design possessed a greatly increased anti-aircraft armament. Designated the Essex-class, the lead ship, USS Essex (CV-9), was laid down in April 1941. This was followed by several additional carriers including USS Kearsarge (CV-12) which was laid down on August 3, 1942 as World War II raged. Taking shape at Newport News Shipbuilding and Drydock Company, the ships name honored the steam sloop USS which defeated CSS Alabama during the Civil War. With the loss of USS Hornet (CV-8) at the Battle of Santa Cruz in October 1942, the name of the new carrier was changed to USS Hornet (CV-12) to honor its predecessor. On August 30, 1943, Hornet slid down the ways with Annie Knox, wife of Secretary of the Navy Frank Knox, serving as sponsor. Eager to have the new carrier available for combat operations, the US Navy pushed its completion and the ship was commissioned on November 29 with Captain Miles R. Browning in command. USS Hornet (CV-8) - Early Operations: Departing Norfolk, Hornet proceeded to Bermuda for a shakedown cruise and to commence training. Returning to port, the new carrier then made preparations to depart for the Pacific. Sailing on February 14, 1944, it received orders to join Vice Admiral Marc Mitschers Fast Carrier Task Force at Majuro Atoll. Arriving in the Marshall Islands on March 20, Hornet then moved south to provide support for General Douglas MacArthurs operations along the northern coast of New Guinea. With the completion of this mission, Hornet mounted raids against the Caroline Islands before preparing for the invasion of the Marianas. Reaching the islands on June 11, the carriers aircraft took part in attacks on Tinian and Saipan before turning their attention to Guam and Rota. USS Hornet (CV-8) - Philippine Sea Leyte Gulf: After strikes to the north on Iwo Jima and Chichi Jima, Hornet returned to the Marianas on June 18. The next day, Mitschers carriers prepared to engage the Japanese in the Battle of the Philippine Sea. On June 19, Hornets planes attacked airfields in the Marianas with the goal of eliminating as many land-based aircraft as possible before the Japanese fleet arrived. Successful, American carrier-based aircraft later destroyed several waves of enemy aircraft in what became known as the Great Marianas Turkey Shoot. American strikes the next day succeeded in sinking the carrier Hiyo. Operating from Eniwetok, Hornet spent the remainder of the summer mounting raids on the Marianas, Bonins, and Palaus while also attacking Formosa and Okinawa. In October, Hornet provided direct support for the landings on Leyte in the Philippines before becoming embroiled in the Battle of Leyte Gulf. On October 25, the carriers aircraft provided support for elements of Vice Admiral Thomas Kinkaids Seventh Fleet when they came under attack off Samar. Striking the Japanese Center Force, the American aircraft hastened its withdrawal. Over the next two months, Hornet remained in the area supporting Allied operations in the Philippines. With the beginning of 1945, the carrier moved to attack Formosa, Indochina, and the Pescadores before conducting photo reconnaissance around Okinawa. Sailing from Ulithi on February 10, Hornet took part in strikes against Tokyo before turning south to support the invasion of Iwo Jima. USS Hornet (CV-8) - Later War: In late March, Hornet moved to provide cover for the invasion of Okinawa on April 1. Six days later, its aircraft aided in defeating Japanese Operation Ten-Go and sinking the battleship Yamato. For the next two months, Hornet alternated between conducting strikes against Japan and providing support for Allied force on Okinawa. Caught in a typhoon on June 4-5, the carrier saw approximately 25 feet of its forward flight deck collapse. Withdrawn from combat, Hornet returned to San Francisco for repairs. Completed on September 13, shortly after the wars end, the carrier returned to service as part of Operation Magic Carpet. Cruising to the Marianas and Hawaii, Hornet helped return American servicemen to the United States. Finishing this duty, it arrived at San Francisco on February 9, 1946 and was decommissioned the following year on January 15. USS Hornet (CV-8) - Later Service Vietnam: Placed in the Pacific Reserve Fleet, Hornet remained inactive until 1951 when it moved to the New York Naval Shipyard for an SCB-27A modernization and conversion into an attack aircraft carrier. Re-commissioned on September 11, 1953, the carrier trained in the Caribbean before departing for the Mediterranean and Indian Ocean. Moving east, Hornet aided in the search for survivors from a Cathay Pacific DC-4 which was downed by Chinese aircraft near Hainan. Returning to San Francisco in December 1954, it remained on the West Coast training until assigned to the 7th Fleet in May 1955. Arriving in the Far East, Hornet aided in evacuating anti-communist Vietnamese from the northern part of the country before commencing routine operations off Japan and the Philippines. Steaming to Puget Sound in January 1956, the carrier entered the yard for a SCB-125 modernization which included the installation of an angled flight deck and a hurricane bow. Emerging a year later, Hornet returned to the 7th Fleet and made multiple deployments to the Far East. In January 1956, the carrier was selected for conversion to an anti-submarine warfare support carrier. Returning to Puget Sound that August, Hornet spent four months undergoing alterations for this new role. Resuming operations with the 7th Fleet in 1959, the carrier conducted routine missions in the Far East until the beginning of the Vietnam War in 1965. The next four years saw Hornet make three deployments to the waters off Vietnam in support of operations ashore. During this period, the carrier also became involved in recovery missions for NASA. In 1966, Hornet recovered AS-202, an unmanned Apollo Command Module before being designated the primary recovery ship for Apollo 11 three years later. On July 24, 1969, helicopters from Hornet recovered Apollo 11 and its crew after the first successful moon landing. Brought aboard, Neil Armstrong, Buzz Aldrin, and Michael Collins were housed in a quarantine unit and visited by President Richard M. Nixon. On November 24, Hornet performed a similar mission when it recovered Apollo 12 and its crew near American Samoa. Returning to Long Beach, CA on December 4, the carrier was selected for deactivation the following month. Decommissioned on June 26, 1970, Hornet moved into reserve at Puget Sound. Later brought to Alameda, CA, the ship opened as a museum October 17, 1998. Selected Sources DANFS: USS Hornet (CV-12)USS Hornet MuseumNavSource: USS Hornet (CV-12)

Sunday, February 16, 2020

Psychology Project Essay Example | Topics and Well Written Essays - 1250 words

Psychology Project - Essay Example There have been many studies done in order to determine these. The first article was entitled â€Å"Further Refining the Stress-Coping Model of Alcohol Awareness†. In this article, it was shown that coping measures as far as alcohol consumption and stress differ in regards to the type of stress that is encountered. It was hypothesized based on previous experimentation that men are more likely to encounter heavy drinking as a coping mechanism than females due to their limited coping abilities. There have also been inconsistencies in trying to diagnose whether specific people are more prone to this kind of coping measure than others. The first deals with the variability, which is experienced across the board when people deal with stress. This being that coping measures are not just maladaptive or adaptive, but each are tailored to deal with a certain type of stressor. The second is that there has not been substantial evidence and consistency in showing that gender factors play a role in coping and drinking. The experimental design for this study was a short-term design, which was based on self-reporting measures. In particular, three variables were hypothesized that could take into account for gender differences. The first is coping using the support of others. It has been shown that students that are experiencing a stressor in regards to a relationship or social situation are less likely to turn to alcohol if their coping mechanisms are more guided towards the support of others. In particular, it has been shown in women that experience an interpersonal stressor that they are less likely to drink as a coping measure due to greater social support seeking. The second hypothesis shows that the more in control of the external stressors that a person is experiencing, the less likely they are to turn to alcohol as a coping measure. The third hypothesis is based on previous research which states that men are more likely to use active seeking coping strategies and women are more likely to seek social supporting strategies for coping. Thus the use of alcohol was found to be higher in males than in females. The population had a sample size of 83 participants from different socioeconomic and cultural backgrounds. These participants were tested using many different types of surveys and testing batteries. They were prescreened with the Michigan Alcohol Screening Tests and the College Students’ Recent Life Experiences test. These stressful factors were then broken down into four core areas: life management, social relationships, school, and general social adjustment. Then, they returned for three weeks and were asked how many times they engaged in heavy drinking, which was defined as five or more alcoholic drinks. The final survey that had to take was the COPE to assess their skills in active coping, avoidant coping, and social support seeking coping. The statistics were analyzed using mixed modeling interactions and this took into account correlation coefficients and t-test values. Men that had higher scores in active coping and social support seeking coping were less likely to engage in dangerous activities involving alcohol. If men using avoidant coping measures, they were more likely to engage in the use of alcohol. For women, the same statistical data was also recorded. There is some validity to the measures that were

Sunday, February 2, 2020

Multinational businesses Essay Example | Topics and Well Written Essays - 2500 words

Multinational businesses - Essay Example (Veseth, 2010) This paper examines the phenomenon of globalization and analyzes the effect of the phenomenon by taking the example of a company (Coca-Cola). The paper is divided into sections on globalization and what it means as well as detailing the pros and cons of the process. Further, the issue of globalization in terms of whether it is consistent with economic theory is also examined. The other section is the case study of a company that has long been regarded as one of the prime beneficiaries of globalization and this section looks at the way in which globalization has benefited the company and the impact of the current recession on the prospects of the company. Globalization and the forces driving it There are many definitions of globalization depending on the way in which the phenomenon is viewed. For the purposes of this paper, it would suffice to state that globalization means the integration of markets across the world and the movement of people, goods and services across national boundaries. The phenomenon of globalization is closely tied with that of free trade and the theory of comparative advantage as proposed by one of the founding fathers of modern economics, David Ricardo. Whether the current practice of globalization is consistent with the economic theory would be examined in detail in the later paragraphs. (Bhagwati, 2004) If we examine the question as to what is globalization, we find that the term encompasses a broad range of activities that range from a) multinational companies seeking to setup operations in countries like China and India to take advantage of the lower costs of labour and the exchange rate differential that promotes exports from these countries to the Western world b) the free movement of people and ideas across countries in search of the best markets for their services because of the deregulation of the economies of the West as well as the East. (Friedman, 2005) The case for globalization seems pretty straightforward. I f a company enjoys substantial cost advantages in production because of wage and exchange rate differentials, then economic theory states that the company is better off producing in a country where the costs are low and selling in a country where the margins on its products are more. Hence, this simple notion of free trade theory underpins much of the discussion on globalization. Further, economists like Jagdish Bhagwati have shown that the countries like the United States gain in terms of having cheaper goods as well as outsourcing of jobs. The gains are in the nature of capital saved by relocating production and outsourcing functions that can be gainfully employed in the home countries for more productive purposes. The argument here is that the US gains in terms of moving up the value chain and investing in Research and Development while the activities at the bottom of the value chain like manufacturing can be done at lower costs. (Bhagwati, 2004) The case against globalization is that the process involves the movement of capital to the countries where costs are low and hence these countries build up huge reserves of foreign exchanges that lead to global imbalances in the way in which current account deficits in the US are

Saturday, January 25, 2020

Methods for Prevention of Post-ERCP Pancreatitis

Methods for Prevention of Post-ERCP Pancreatitis Prevention of post endoscopic retrograde cholangiopancreatography pancreatitis Abstract: Pancreatitis is the most common and important complication of ERCP. Several risk factors exist that help to formation and progress pancreatitis. These risk factors may be factors that are related to patient, and factors that related to Procedure, or factors related to operator. All of the risk factors should be considered and as far as possible may be lowered with attention to pathogenesis of the development of post-ERCP pancreatitis. These pathogenesis are include: sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce activation of proteolytic enzymes and inflammatory process. Some of methods and pharmacologic agent assessed for prevention pathogenesis pathway to decrease post-ERCP pancreatitis. Introduction: In about 75 percent of patients after endoscopic retrogradecholangiopancreato-graphy (ERCP) may have elevation in serum amylase ; but acute clinical pancreatitis (defined as a clinical syndrome of abdominal pain and hyperamylasemia) is less common. However, acute pancreatitis is the important complication of ERCP and need to pay attention it to prevent from its morbidity and mortality [1]. Mechanism for post ERCP pancreatitis: The exact mechanism for PEP is unknown. It needs to be a trigger event that turn on the inflammatory process, that can be the fallowing: thermal injury from sphincterotomy, mechanical obstruction to outflow of the pancreatic secretions , papillary edema from attempted multiple cannulations, sphincterotomy etc., injury from guide wire, chemical injury of the contrast, microbiological injury due to introduction of duodenal flora into the pancreas etc [2]. Risk Factors for Post-ERCP Pancreatitis: It is important to identify cases in which there are high risks for pancreatitis that we can prevent the complications of the prophylactic method such as pancreatic stenting or pharmacological prophylaxis. Assessment of both patient- and procedure-related factors is necessary to detect the high-risk cases (Table 1) [3]. Table 1: Risk Factors for Post-ERCP Pancreatitis [3]. Definition of post ERCP pancreatitis: To diagnose PEP need to be at least two of the following criteria: Epigastric pain with radiation to the back, Elevation of amylase and / or lipase at least 3 times higher than normal. Radiological imaging that suggests pancreatitis. Amylase and lipase may have an elevation despite the patients does not has any symptom. Radiological imaging is helpful when the diagnosis is difficult [4]. Methods and pharmacologic prevention of post-ERCP pancreatitis A. the Following techniques should be adhered to in order to decrease the risk of post-ERCP pancreatitis: 1. Endoscopic techniques 2. Cannulation 3. Electrocautery 4. Pancreatic stenting B. Pharnacologic prophylams: Nonsteroidal anti-inflammatory drugs Steroidal anti-inflammatory agents Other anti-inflammatory agents   Allopurinol semapimod- interleukin 10- pentoxifylline- Platelet-activating factor-Epinephrine Inhibitors of pancreatic secretion: Somatostatin- Somatostatin combined with diclofenac- octerotide- calcitonin Agents that stimulate pancreatic secretion and reduce sphincter tone: Secretin Agents that reduce of sphincter tone: Nifedipine-Nitrates-Glyceryl trinitrate botulinum toxin-topical lidocaine Inhibitors of protease activation: Gabexate mesilate- Nafamostat- Ulinastatin- C1-inhibitor- Heparin Antioxidants: N-acetylcysteine- Sodium selenite- Beta- Carotene Antimicrobial agents Antimetabolites : 5-FU (5 Fluoro Uracil)[5]. Some of the drugs that tested in different trials are described below: Pharmacological Prevention for Post-ERCP Pancreatitis: Since the introduction of ERCP, numerous pharmacologic drugs have been assessed to prevent post-ERCP pancreatitis based on their pharmacologic mechanism and their effect on one or more of the factors associated with pancreatic damage (Figure 1) [6]. 1- NSAIDs: NSAIDs (diclofenac or indomethacin) are the most drugs that are using for prevention of post-ERCP pancreatitis [7]. The European Society of Gastrointestinal Endoscopy recommends routine rectal administration of 100 mg diclofenac or indomethacin for prevention of post-ERCP pancreatitis [8]. 2- Glyceryl trinitrate: Glyceryl trinitrate reduces sphincter of Oddi pressure and may uses to prevent post-ERCP pancreatitis. ManuelMoretà ³ in his study assessed that could transdermal glyceryl trinitrate be effective in the prevention of post-ERCP pancreatitis? The results of his study show that transdermal glyceryl trinitrate patch significantly reduces post-ERCP pancreatitis [7]. 3- Nifedipine: Calcium channel inhibitors can prevent the development of experimental pancreatitis. Nifedipine is from the calcium channel blocker drugs and its effect is reducing sphincter spasm. Part done randomized, placebo-controlled trial to determine whether the calcium channel blocker nifedipine prevents post-ERCP pancreatitis. Nifedipine or placebo was administered before and within 6 hours after ERCP. This study failed to show significant effect of nifedipine in the prevention of post-ERCP pancreatitis [8]. 4-Antibiotics: Infections that occur when ERCP is done can activation proteolytic enzymes and lead to pancreatitis. Now there is this question that antibiotics can use in the prevention of post-ERCP pancreatitis. One prospective randomized controlled trial showed that the ceftazidime administration before ERCP significantly decreased the incidence of post-ERCP pancreatitis in the control group that did not receive antibiotic [9]. The quality of the study is questionable because the control group did not received no antibiotic [10]. 5- Risperidone: Ulinastatin inhibited systemic inflammatory responses and may benefit for prevention post-ERCP pancreatitis. Tsujino assessed the effect of risperidone (a selective serotonin 2A antagonist) combined with ulinastatin for the prevention of PEP in high-risk patients. In a multicenter, randomized, controlled trial, patients were randomly compared to administration ulinastatin with or without risperidone. The incidence of PEP was not significantly different between two groups, but pancreatic enzymes level were significantly lower in the risperidone+ulinastatin group as compared with ulinastatin alone [11]. 6- Indomethacin Indometacin is from nonstroidal antiinflamatory drugs that are used for prevention of post-ERCP pancreatitis. Joseph Elmunzer in a multicenter, randomized, placebo-controlled, double-blind clinical trial assigned patients that were high risk for post-ERCP pancreatitis to receive a single dose of indomethacin or placebo immediately after ERCP. Among patients at high risk for post-ERCP pancreatitis, rectal indomethacin significantly reduced the incidence of the post-ERCP pancreatitis [12]. Yaghoobi also assigned one meta-analysis to assessed rectal indomethacin for the prevention of post-ERCP pancreatitis. This meta-analysis showed that the rate of pancreatitis was significantly lower when using indomethacin as compared with placebo. [13]. 7- Corticosteroid: Corticosteroids are anti-inflammatory drugs and may be able to decrease the risk of post-ERCP pancreatitis. In a prospective randomized controlled multicentre study, administration of prednisone did not reduce the incidence of pancreatitis rather than placebo [14]. 8- N-acetyl Cysteine: N-acetyl Cysteine can reduce inflammation and may be useful in post-ERCP pancreatitis. Pezhman Alavi Nejad wants to evaluate efficacy of N-acetyl Cysteine for the Prevention of Post-endoscopic Retrograde Cholangiopancreatography Pancreatitis. He assigned a prospective double blind randomized study. There were significant reduce in the prevalence of acute pancreatitis between the groups. This study shows that NAC could be used for the prevention of post-ERCP pancreatitis [15]. 9- Aprepitant Aprepitant is one drug from the classification of neurokinin-1 receptor antagonists. Upendra Shah wants to assess the efficacy of aprepitant at preventing post-ERCP pancreatitis in high risk patients. A randomized, double-blind, placebo controlled trial assigned. Patients received either placebo or oral aprepitant. Aprepitant could not decrease the incidence of post-ERCP pancreatitis against placebo [16]. pancreatic stents: Abhishek Choudhary assessed a meta-analysis and to determined effect of pancreatic stents for prevention of post-ERCP pancreatitis. This meta-analysis of the RCTs showed that pancreatic stent placement reduces the incidence pancreatitis and hyperamylasemia [17]. Conclusion: Considering the fact that pancreatitis is the most important of the ERCP complications we should pay attention the methods for prevention of post-ERCP pancreatitis. Pancreatic stents are useful for this aim. From the pharmacologic agents, Glyceryl trinitrate, Indometacin and N-acetyl Cysteine could significantly decrease the incidence of post-ERCP pancreatitis. Other drug that assessed in this review article such as Nifedipine, Risperidone, Corticosteroids, and Aprepitant did not show significant effect for prevention of post-ERCP pancreatitis.

Friday, January 17, 2020

Mental Health Act Essay

The main purpose of this act is to allow action to be taken, where necessary, to make sure that people with mental health difficulties or learning difficulties get the care and treatment they need for their own health and safety or for the protection of other people. The Mental Health Act 1983 is the law in most of the united kingdom that allows people with a ‘mental disorder’ to be admitted to hospital, detained and treated without their consent if it is truly needed, and if for their own health and safety or for the protection of other people. The court can also admit people who they believe that could be a danger to themselves and others around them. However the hospital can only keep the person detained for a maximum of six months, but they can decide to discharge the patient but still have on going supervised community treatment. A doctor who is ‘approved’ under section 12 of the Act is approved on behalf of the Secretary of State because they have special expertise knowledge in the diagnosis and treatment of ‘mental disorders’. Doctors who are approved clinicians are automatically also approved under section 12. Section 12 approved doctors have a role in deciding whether someone should be detained in hospital under section 2 and section 3 of the Mental Health Act. An approved clinician is a doctor, a psychologist, a mental health nurse, an occupational therapist or a social worker who has been trained and approved for over at least five years to carry out certain duties under Act. Only approved clinicians can take overall responsibility for the case of someone who has been detained in hospital or put on supervised community treatment – be their ‘responsible clinician’ the legislation states that the nearest relative is someone’s husband, wife or unmarried partner and only of they have been living together for over six months. The person is unmarried or does not have a partner if next of kin will then be there children if they are over 18, however if the child is not over eighteen or there is no child present the next of kin will then be one of their parents. However, a nearest relative should be informed or consulted if mental health professionals are proposing to detain someone for treatment under the Mental Health Act unless it is not practicable to do so, or unless consultation would result in ‘unreasonable delay.’ Medication You may be required to take medication prescribed for you by your doctor if you are on a community treatment order (CTO) under the Mental Health Act. There are rules in place, called consent to treatment, that cover whether you should take it. These rules also ensure that you understand why you need to take the treatment, how it will be given to you and possible side-effects. When you are first given medication for your mental illness, your doctor should: explain what the medication is for. tell you about any side-effects. ask for your consent. What happens next? After one month, if you still give consent to continue taking your medication, your doctor will fill in a certificate to confirm this. However, if you are too unwell to give consent, your doctor must have the agreement of a Second Opinion Appointed Doctor (SOAD) for your treatment to continue. If the SOAD agrees that you should continue with all of your medication, or just some of it, they will fill in a certificate confirming this. Can I change my mind? You can change your mind at any time – even after you have agreed to continue taking your medication. You should talk to your doctor before you make any decisions. What if I do not give my consent? If you refuse your medication while on a community treatment order, your doctor cannot force you to take it. However, if your doctor believes that you may become unwell without taking the treatment, they can recall you back to hospital. Additionally, consent to treatment rules may not apply to you if: Your life is at risk. Your health will deteriorate without the treatment. You are a danger to yourself or others.

Thursday, January 9, 2020

Home Hemodialysis - 1457 Words

Qualitative and Quantitative Articles on Home Hemodialysis Elizabeth Hetherington Northeastern University Receiving hemodialysis in the in-patient or outpatient setting is uncomfortable and non-pleasurable. Thankfully, â€Å"the movement of medical care out of institutional settings into patients’ homes has increased in most industrialized countries as part of the general emergence of self- care options in the†¦show more content†¦29). This training helped patients overcome anxiety over needles, use and learn from other patients on NHHD, understand the importance of the patient-clinician relationship, overcoming the mental and physical challenges of learning while ill, and adapting to the individuals techniques. The five themes observed gave light to physicians that technology-related issues involving the machine was a barrier in training, however â€Å"the primary topics volunteered by the participants in the present study were psychosocial in nature† (Halifax, 2009, p. 31). At the end of Visaya’s research she discovered that, â€Å"in terms of the rel ationship between hemodialysis patients’ perceptions, HHD and self-care, 26 out of the 49 participants had positive perceptions regarding HHD† (Visaya, 2010, p. 26). Reflecting on the Patient Perception Survey, â€Å"49 patients found that 46.9% of the patients identified negative perceptions of HHD and 53.1% of the 49 patients identified positive perceptions of HHD† (Visaya, 2010, p. 26). The JPAT identified only 8 of the 49 participants suitable for HHD. Visaya also determined that, â€Å"when a patient scored high on the Patient Perception Survey, meaning he or she has negative perceptions regarding HHD, the patient as well had low levels of social support and communication† (Visaya, 2010, p. 26). â€Å"The associations between a hemodialysis patient’s perception regarding HHD and all other subscalesShow MoreRelatedMs. Conlon Applies The Nursing Process System Or Processes At The Unit / Team / Work Group Level846 Words   |  4 PagesMs. Co nlon applies the nursing process to systems or processes at the unit/team/work group level to improve care. Deirdre has been the primary nurse for 6 hemodialysis patients. She has involved patients and families in monthly interdisciplinary meetings to promote self-efficacy and quality of life. With the help of the interdisciplinary team Deirdre has worked collaboratively to address and reinforce nutritional needs, social/family issues, barriers to care, and safety concerns. All of her primaryRead MoreHeparin In Central Venous Catheters1250 Words   |  5 Pagesthe importance of their placement. To properly investigate central venous catheter (CVC) care; documentation will focus on Heparin flushes as it relates to renal care. The renal dialysis patient undergoes CVC placement as a basis of receiving hemodialysis treatments. It is essentially the first access point placed in preparation of a more permanent access point. Central venous catheters, fistulas, and grafts are considere d the lifeline of a dialysis patient. Their function and patency is of theRead MorePractice : Ethics And Resource Utilization1027 Words   |  5 PagesPractice ( Practice; Ethics; Resource Utilization) Ms. Mancinho continues to strive for excellence and patient care improvements in her position as staff nurse in the hemodialysis unit. She is currently the primary nurse for five of our chronic dialysis patients. 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The International segment consists of Europe and Latin America and one Asia-Pacific Unit. Their dialysis service include Hemodialysis, Peritoneal dialysis, education tools and transplant support services, in-centre, at home or in hospital, to fit their patient’s need. They manufacture and distribute variety of dialysis product and equipment, including dialysis machine, dialyzers and other dialysis related supplies. Read MoreDialysis Modalities And Treatment Of Kidney Disease2194 Words   |  9 Pagesof ESRD is to encourage some form of home dialysis. In center dialysis in the United States cost $72,000 a year, where peritoneal dialysis cost only $53,000 a year. In addition to this savings the hospital stays are twice as many days for in-center dialysis patients versus home dialysis patients. There is also a better quality of life, and lower mortality rate with patients who are in control of their dialysis at home. One problem that is an issue with home dialysis is the amount of educationRead MoreIntegra Lifesciencess Strategic Intent1544 Words   |  7 PagesSuccessful companies, that have endured, rely on their people. People set the organizational strategy and direction. Fresenius Medical Care’s Leadership Strategy The two largest hemodialysis service providers are Fresenius Medical Care and DaVita. These two companies comprise approximately 80 percent of hemodialysis services (Nilesh, 2014). Understanding customer attitude toward a company’s product offerings helps with developing processes and promotional materials designed to assure positiveRead MoreDialysis Experience Essay2931 Words   |  12 Pages Hemodialysis (HD) is one of several renal replacement therapies used for the treatment of end stage kidney disease (ESKD) and kidney failure. Dialysis removes excess fluids and waste products and restores chemical and electrolyte balance. HD involves passing the patient’s blood through an artificial semipermeable membrane to perform the filtering and excretion functions of the kidney. One important step before starting regular hemodialysis sessions is preparing the vascularRead MoreHemodialysis and Peritonial Dialysis4350 Words   |  18 PagesObjectives Aims On the completion of the seminar students gain the knowledge regarding hemodialysis and peritoneal dialysis and will utilize this knowledge with a positive attitude. Specific Objectives The group will able to; * Define dialysis * Describe the history of dialysis * Explain the principles of dialysis * Enumerate the indication of dialysis * Explain details about hemodialysis * Describe details about peritoneal dialysis * List down the Psychosocial IssuesRead MoreThe Fundamental Principles Of Knowing1583 Words   |  7 Pagesthe Nephrologists. As a hemodialysis nurse, the empirical ways of knowing or what we called the art of nursing was immediately applied to the patient. Knowing that the hemodialysis treatment is what the patient needed, the treatment was started at once as ordered by the physician. There was a factual and theoretical explanation of the nursing care. The implementation and reason of the nursing care was logical and formulated to the situation presented. During the hemodialysis treatment, the patient

Wednesday, January 1, 2020

A Case Study on Clinical Pastoral Education Essay

CLINICAL PASTORAL EDUCATION A CASE STUDY OF â€Å"AMBER BILL† A PATIENT AT ST. PAUL’S HOSPITAL IN SASKATOON BY PATRICK AMPANI CASE STUDY ROAD MAP A. INTRODUCTION AND THEOLOGY OF MINISTRY B. PATIENT’S BACKGROUND INFORMATION C. FIRST ENCOUNTER (VERBATIM) D. PRELIMINARY REFLECTION a. my initial reaction b. main issues c. my plan of action d. psychological theory at work e. spiritual assessment f. theological reflection E. SECOND ENCOUNTER (followed by preliminary reflection including session a-f) F. THIRD ENCOUNTER (followed by preliminary reflection including session a-f) G. CONCLUSION A. INTRODUCTION AND THEOLOGY OF MINISTRY: St. Paul’s Hospital is an acute health care facility†¦show more content†¦Jim was never there for the mother due to the long existing tensions between him and the family. This was a thing of concern for the patient in her dying bed. The patient was anxious about the tensions in the family, on how to deal with it and resolve it, as well, she was anxious about dying. These anxieties enveloped the entire family, and everyone wonders what’s next now that the seeming unifying factor is dying. The dynamism of the family was critical and overwhelming. When I first met Amber, she was quite conversational and lively. In spite of her inherent predicament she was engaging. She could eat and drink on her own, watched TV and sometimes with the help of the staff and her kids she walked some distance and back to her bed. But, as time went on, she declined from some of these activities due to body weakness. She could not eat or drink without being helped. She hardly sat up, or moved her legs or arms; her condition kept deteriorating gradually until everything finally shut down on December 24th, 2009. I met Amber in the course of my daily visitation routine as a chaplain in the hospital. A spiritual care-giver had left a note on my desk indicating that Amber Bill had specifically requested to see a priest. I immediately responded to that concern. As I visited with Amber, I tracked the conversation and I came to realized that Amber has some emotional concerns as she faced her lastShow MoreRelatedWhy Is Personal Meaning So Important For Individuals? How Can Religion Help One Find A Sense Of Meaning853 Words   |  4 Pagesreligion is successful as a meaning maker is accessibility. Many conservative religious groups often stress the importance of a religious worldview. The accessibility of such a view is often promoted through doctrinal teaching and creeds, religious education, and sometimes, rules of acceptable and unacceptable behavioral practices that are often done in the name of developing a system of values compatible with the religious tradition. The third reason religion is as meaning provider is a sense of transcendenceRead MorePersonal Experience In My Life1344 Words   |  6 PagesI worked hard at my studies, homework and research and I put my education above everything else. 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