Wednesday, July 31, 2019

Research Hypothesis Essay

Null Hypothesis: The new developed drug has no considerable difference from the standard multi-drug regimen used by most cancer patients (Â µ1 = Â µ2). Alternative Hypothesis: The new developed drug is considerably better from the standard multi-drug regimen used by most cancer patients (Â µ1 > Â µ2). The dependent variable in the study is the so-called ‘level of efficacy’ (or in simple term, the level of effectiveness of the drug). This independent variable may be measured by: 1) T-cell counts among AIDS patients, 2) improved blood circulation (measured by blood pumped per ounce per second), and 3) rate of antibody formation. For the sake of simplicity, we shall only consider the first measure of ‘efficacy’ (T-cell counts among AIDS patients). The independent variable in the study is the ‘type of drug’ used to treat patients with AIDS. Method For the purpose of theoretical efficiency, we can assume the existence of two groups. Group A is a population sample treated with the ‘new developed drug.’ Group B is a population sample treated with the standard multi-drug regimen. Note that both drugs are assumed to have a general effect on the mitigation of AIDS among patients. A higher population mean (measured by T-cell counts) would indicate a higher ‘level of efficacy.’ Biases Experimenter bias may be exhibited in the study as: 1) error in the specification of experimental maneuver, 2) error in the measurement of outcomes, and 3) faulty interpretation of data. Because of the complexity of the study, it is very likely for the researcher to commit the second error. Selection bias is not present in the study. Ethical Issues There are two pressing ethical issues in the study. First, it is generally unethical to use an untested drug (medical) to a group of AIDS patients (although it may be argued that the drug has been tested many times in the laboratory). Second, it is dangerous to test the efficacy of two sets of drugs to ‘actual’ patients.

Tuesday, July 30, 2019

Crime and Society Crime Is the Result of Individuals Making Choices to Commit Crime Essay

Running Head: Crime and Society CCJ18 1 Crime is the result of individuals making choices to commit crime; it is not the result of their social circumstances. Discuss this statement. This paper will address sociological theories relating to why a person becomes a criminal. It has been suggested that a person may commit certain crimes for economic reasons and to provide for their families. Their personal circumstances and status in society might be the reason why a person feels their only option is to engage in criminal behaviour. Using empirical research demonstrating some reasons working class and upper-middle class convicted criminals have given for choosing to commit their crimes (Willott, Griffin, & Torrance, 2001) as well as identifying reasons why an individual may commit a violent street crime (Silverman, 2004), it will be argued that while society does influence the decisions a person makes, ultimately it is the individual’s choice as to whether they abide by the law or break it. Criminal offences can range from something as minor as a speeding ticket to more serious crimes like burglary, white-collar crime and violent crimes. In fact it has been said that minor crimes occur so frequently that they can actually be viewed as normal. (Howitt, 2009). Theories surrounding why a person may commit a crime range from genetic reasons such as Eysenck’s biological theory of crime through to learned processes for example Bandura’s social learning theory or Sutherland’s differential association (Howitt, 2009). Some criminologists have claimed that social factors are completely irrelevant and people choose how to behave. Mehlkop and Graeff (2010) for example, have cited Becker and his view that criminal behaviour has nothing to do with an individual’s social status and that choosing to engage in criminal activity is a rational process whereby a decision is made in order to benefit the offender one way or another. Conversely, Robert Merton has claimed that people living in low socio-economic environments may resort to obtaining money and basic Crime and Society CCJ18 needs through criminal means as legal opportunities are scarce (Bessant, & Watts, 2007). If it is to be assumed that a person’s  social circumstances do determine whether or not they become criminal then it can also be assumed that those who are more financially privileged would have no need to commit crime in order to meet their financial needs, but as Willott et. al (2001) have demonstrated, this is not the case. In their 1999 study, Willott and Griffin identified that working-class men excuse their criminal behaviour by claiming sole responsibility for providing for their families. In semi-structured group interviews with working-class offenders the men identified that legitimate ways to earn an income were scarce, they had been let down by the State, and that they were forced to engage in some types of crime to provide for their families. These men felt as if they are not real criminals, and it is the State and the government who are the real criminals by not providing them with opportunities to earn a legal income. They believed they were victims of circumstance. Interestingly, upper-middle class men who were interviewed in the same way excused their behaviour similarly. Willot et. al. (2001) discovered that these men used a similar excuse of having to provide for others, except in these circumstances the men felt that not only did they have to provide for their own families, but for the families of their employees too. Like the working-class men, they shunned responsibility off themselves and blamed the legal system for their criminal status, believing that they should have received some sort of special treatment and their trials should not have been heard in the same courts as ‘real criminals’. Like the working-class men, they believed they were victims of circumstance. Arguably, any adult with a family has a responsibility to provide for that family and would feel stress and pressure to provide adequately yet not everybody resorts to providing through criminal means (Slovenko, 2007). The men’s reasoning for their criminal activity 2 Crime and Society CCJ18 cannot be justified by their social circumstances. Both groups of men from different socio-economic backgrounds have chosen to engage in crime, no matter what their reasons are. Mehikop & Graeff (2010) identified rational choice theory where it is claimed that all crimes are thought through logically and specific laws are broken for very definite  reasons designed to benefit the offender. They have stated that ‘actors choose a certain action if they positively evaluate it and if they expect their peers to advocate this behaviour’ (Mehlkop, & Graeff, 2010 p.195). This appears to be the case with the men in Willott et. al.’s studies. and it can be argued that this type of crime is not the result of their social circumstances, but rather an active decision that the individual has made. While similarities in economic crime are apparent throughout different social conditions, other types of crime such as violent crime and property crime are more prevalent in poorer communities and these types of crime could occur more frequently as a result of social conditions. In the USA in 2000, violent crime made up around twenty-five per cent of all crime with the majority of these acts taking place in poorer communities. Silverman (2004), identified that the majority of these attacks were not for financial gain but rather for status. The offenders commit assaults and robberies in order to create a reputation that they are to be feared or respected thus becoming less likely to be victims of violent crime themselves. Silverman identified three personality types in these violent communities. The ‘Streets’ who are very likely to involve themselves in violent acts as they perceive these acts as being beneficial to their reputations, ‘Decents’ who would rather not be involved in these types of activities but may become involved in order to protect themselves from falling victim themselves, and the ‘Weaks’ who would never engage in any type of violent crime. 3 Crime and Society CCJ18 Silverman has noted that the Weaks simply cannot engage in violence and have no choice to make about whether or not they get involved. Although it is not stated directly, this implies that the Streets and the Decents choose how to behave and is indicative that although the social circumstances of these people does influence their decision to commit a violent offence, it is ultimately still a thoughtful decision that they make. Actively choosing to partake in criminal activity stands in direct opposition to Paternoster and Pogarsky’s (2009) claims that people who are able to think in a thoughtful and reflective way are able to make better long term decisions and therefore not likely to be involved in criminal  activity. They claim that those who take part in thoughtfully reflective decision making are able to see alternative options to an action they may be considering and therefore will chose to behave legally. The Decents in Silverman’s study do not demonstrate this reasoning. They understand that if they do not build a reputation of fear and respect for themselves then they will fall victim to crime regularly as the Weaks do, and a criminal conviction is favourable to this although they may not think that their behaviour is acceptable (Silverman, 2004). Additionally, this theory doesn’t relate to people who have committed traditionally higher-class crimes such as tax evasion or white-collar crime, which invariably take a lot of thoughtful planning and preparation (Mehlkop, & Graeff, 2010). Suggesting that every criminal act is a well thought out decision would be imprecise. Mundane crimes which have low visibility to the average person such as traffic offences or public order offences generally occur impulsively and may be due to genetic factors such as low self-control or learned behaviour (Gibbons, 1983). Claiming that a person becomes criminal by choice is quite a conservative view as demonstrated by law professor Ralph Slovenko (1999). He states that there 4 Crime and Society CCJ18 are many people who live in poverty and the majority of these people do not break the law for their own benefit, but more controversially suggests that one person might choose a criminal career in the same way another may choose a professional career. Both Willott & Griffin (1999) and Silverman (2004) have identified that some of the criminals that they studied would rather live a legitimate lifestyle and justify their actions as being a means to an end and they may not have broken the law under different financial or social circumstances. They do not believe they chose a life of crime as Slovenko has suggested. To say that a person’s social circumstances will determine whether or not they become deviant is too much of a black and white view. In Willott et. al.’s 1999 and 2001 studies, both working-class men and middle-class men cited the same reasons for committing economic crime although their social circumstances are very different. In addition, Silverman has claimed that  the Weaks in his study have no choice in their actions but the Streets and the Decents do, even if they do not like what they are doing. Perhaps the Decents would choose to behave differently in a less harsh social environment but there is no evidence in this paper to support this. Furthermore, Mehikop & Graeff (2010) have identified rational choice theory claiming that those who have broken the law have chosen to in order to benefit themselves and as Slovenko rightly points out, not everybody who is under financial pressure resorts to law breaking. This is not to claim that a person’s social circumstances do not influence their lifestyle in anyway whatsoever, but it is certainly not the penultimate factor in determining what has made a person criminal. 5 Crime and Society CCJ18 References Bessant, J., & Watts, R. (2007). Sociology Australia, 3rd edition. Crows Nest, Australia: Allen & Unwin. Gibbons, D. C. (1983). Mundane crime. Crime & Delinquency, 29(2), 213-227. Howitt, D. (2009) Introduction to Forensic and Criminal Psychology 3rd Edition. Essex: Pearson Education Limited. Mehlkop, G., & Graeff, P. (2010). Modelling a rational choice theory of criminal action: Subjective expected utilities, norms and interactions. Rationality and Society, 22(2), 189-222 Paternoster, R., & Pogarsky, G. (2009). Rational choice, agency and thoughtfully reflective decision making: The short and long-term consequences of making good choices. Journal of Quantitative Criminology, 25, 103-127 6 Silverman, D. (2004). Street crime and street culture. International Economic Review, 45(3), 761-786. Slovenko, R. (1999). Criminals by choice. International Journal of Offender Therapy and Comparative Criminology, 43, 248-249 Willott, S., & Griffin, C. (1999). Building your own lifeboat: Working-class male offenders talk about economic crime. The British Journal of Social Psychology, 38, 445-460. Crime and Society CCJ18 Willott, S., Griffin, C., & Torrance, M. (2001). Snakes and ladders: Upper-middle 7 class male offenders talk about economic crime. Criminology, 39(2), 441-466.

Monday, July 29, 2019

Can ‘Death of a Salesman’ be Described as a Tragedy Essay

Aristotle first defined a tragedy in literature as a story where the main character is a hero – a very brilliant person – except that he has one major flaw which leads to his downfall, namely, death. Shakespeare then expanded on this and produced his world famous tragedies such as Romeo and Juliet, Macbeth and Hamlet. In all of these plays, the main character is a person of high social standing and exceptionally talented, however each has a very serious flaw as well. For example, Romeo is of Italian nobility and is very efficient with a sword and dagger – but he is a fool for love and falls in love with Juliet as soon as he sees her, despite already being in love with Rosaline beforehand. That is the flaw which eventually leads to his demise. This definition has over time become the benchmark for a tragedy. Arthur Miller was an immigrant to the USA and can be seen as the opposite of Willy. Willy, however, is a proud born and bred American and holds to heart the very fundamentals of the American Dream – a very capitalistic ethos. Miller, on the other hand, had communist beliefs which eventually landed him in trouble with the government. Both Death of a Salesman and another of Miller’s plays, All My Sons both have the foundations of the American Dream and also both secretly criticize the capitalistic belief. In Death of a Salesman, Willy dies just trying to live the American Dream and he never gives up on it – an indication of his extreme optimism in all things – despite how blatantly unrealistic achieving the American Dream was for him. The characterisation of Willy Loman is also quite interesting. He strives to be like a very old, successful salesman he met that worked from home, who when he died, numerous people he knew went to his funeral. He is someone everyone can relate to and make us love him, but he also has qualities that we all loathe and make us hate him at times. This is purposefully done by Miller to only make it more shocking when Willy dies in the end – despite it is made quite obvious to readers it is inevitable. His name is also carefully planned out by Miller – Willy is an average name and nothing special, but his surname is a clear reference to what he is. ‘Loman’ – ‘low man’ is clearly meant to show how ordinary he is, despite just how much Willy strives to be the opposite. Willy’s main character flaw is that he is just too proud. For example, when he is offered a job by Charley – his neighbour – after being fired, Willy straight out refuses and is quite offended as he sees it as giving up and asking for help. This is shown by when Willy says, â€Å"I don’t want your goddam job! After Charley politely offers him a good one. Willy’s strong beliefs in the American Dream are also shown when he says, â€Å"A man can’t go out the way he came in, Ben, a man has to add up to something†, by ‘coming in’, Willy means when a man is born and by â€Å"going out†, Willy means when a man dies. Also, â€Å"adding up to something† must mean being rich in Willy’s context. This follows the American Dream in that a man makes something of himself from nothing. Willy’s greatest fear has always been dying with nothing – exactly what happens in the end. A use of dramatic irony by Miller, Willy willingly fulfils his own utmost fear. That quotation is also foreshadowing Willy’s death – another intentional device by Miller. Besides his pride, another flaw of Willy is very poor and deteriorating mental health and he is subject to random flashbacks and hallucinations – often of his dead and once very successful older brother, Ben, someone Willy idolizes. An example of one of his hallucinations is when Willy says, â€Å"Ben, I’ve been waiting for so long†, despite Ben being dead at this point. The play is also cleverly structured by Miller. Music – for example a flute – plays in the background during some scenes for an added dramatic effect. This flute is heard in both the opening and ending scene. The play also makes heavy use of flashbacks, but sometimes a flashback scene plays on stage at the same time as the scene set in the present. This technique is seen in Act Two, while Willy is in the restaurant with Biff and Happy. On the whole, the structure is skilfully used to make the storyline more immersive to the audience. Although, it does not have the same level of effect when being read from a book. The historical context of the play greatly influences both the themes and language of the play greatly. Death of a Salesman is set during the late 1940s. This time setting influences both the characters and the audience, as the play first premiered on the tenth of February, 1949 – the life of Willy Loman was something Americans going to watch the play at that time could relate to. Sixty years on, more modern audiences will react differently as times have changed and the idea of the American Dream isn’t as dominant anymore. Besides the American Dream, other common themes can be found in the play. Betrayal is quite clear as Willy betrays Linda by cheating on her with the Woman, and Willy also sees the way Biff rebels against him as betrayal and as Willy himself says, â€Å"Spite! â€Å". Another major theme would be one man – Willy in this case – being kept back from his dreams by society. In addition, the language used by characters matches the historical setting and context. In performances of the play, characters do not usually have the New Yorker accent you would expect, but they talk like a New Yorker. For example, words like ‘gee’, and rhetorically asking the person they are talking to if they ‘hear this? ‘On the subject of whether we can define Death of a Salesman as a tragedy or not is not a simple question as there is substantial evidence for both sides of the argument. To begin with, those who say that it is a tragedy may argue that it ends with the death of Willy, the main character, just like other tragedies. Moreover, Willy has explicit flaws which slowly lead to his downfall throughout the play. Finally, Willy may not ever do anything that can be deemed ‘heroic’, but within his own household he is very much a figure that is looked up to – so it may still be a tragedy, albeit on a less grand scale. In contrast, you could argue that it is not a tragedy as all other characters from Shakespeare’s tragedies were people of high standing – whereas Willy is not. Additionally, Willy is not at all a hero by any definition – in fact he is in some ways a bad person as will be shown. Finally, Shakespeare’s heroes have quite dramatic flaws, whereas Willy has the same flaws as every ordinary human being. These are quite convincing arguments to why it isn’t a tragedy. We will be looking at each argument more in-depth. The play follows the tragedies of Shakespeare in that the main character dies in the end. Willy commits suicide by crashing his car so that his family would get the life insurance money of $20,000 and make life easier for them. This is of course a noble reason to kill oneself as it is very selfless. However, it would make Willy a hypocrite as killing himself is also him giving up – something he condemned. Nevertheless, his intentions were admirable and this could make him seen as a hero since he willingly died for a selfless cause.

The Nature of Beauty in Contemporary Art Essay Example | Topics and Well Written Essays - 500 words

The Nature of Beauty in Contemporary Art - Essay Example The essay "The Nature of Beauty in Contemporary Art" explores Contemporary Art's Nature of Beauty. Many artists have realized that there are problems in the world and have been working to try to change their role. This shift in the production of art to something that is more commentary and call to action is forcing the viewing public to change the way they think about art as well as the form in which the art is expressed. â€Å"Vision is not defined by the disembodied eye, as we have been trained to believe. Vision is a social practice that is rooted in the whole of being†. In describing this break, Gablick describes a project conducted by a friend on the Rio Grande River in which the journal of the friend documents the emergence of the river itself as artist and the relationship it develops with the friend as art. Rather than simply an ecological clean-up effort, Gablick argues that Dominique Mazeaud’s project was artwork because of the way it was serving to bring out the beauty of the river as it was being cleaned up and as a realization of nature as a living, breathing thing with which one could have a relationship. In discussing this project, Gablick argues against critics who claim art as social commentary reduces its aesthetic value by arguing that such art works to create a more beautiful world and to heal the soulless attitudes held toward the physical world. Gablick concludes her article with transcriptions of dialogue she had with other artists. Thomas Moore indicates that art is the most important.

Sunday, July 28, 2019

Management Accounting 2 Essay Example | Topics and Well Written Essays - 2000 words

Management Accounting 2 - Essay Example The present CEO of the company, Sylvia Trott had realized that the company is inclining towards past achievements and the employees were not satisfied with this behaviour of the management towards them. So in order to measure the performance of the company, a sustainability approach has been adopted to identify certain key performance indicators of the company, such as: a) Social Indicators, b) Economic Indicators, and c) Financial Indicators. a) Social Indicators: The social indicators of WealthWise are the satisfaction level of the employees, percent of female employees in the top tiers of the management, number of employees recruited, who used to unemployed teenagers, ethical ranking that were given by the customers for the sales staff, and the number of native employees in the company. b) Financial Indicators: The major financial indicators that were considered are the return on investments, insurance premiums, and the net profit of the company. c) Economical Indicators: The econ omical indicators were the practices, and policies that the company implemented for the local suppliers and the expenses to maintain them, the method of recruiting or hiring the native staffs, and the projects that were developed for the benefit of the public. The mission of WealthWise during its inception was to offer environmental and social benefit to the people along with profit maximization. Further, with the progress and growth of the company, the mission of WealthWise extended to assist the customers in achieving a desired lifestyle through financial planning. Apart from this, employee satisfaction is also important because if the employees were dissatisfied then they cannot satisfy their customers. The philosophy of the company is to reflect financial growth, trust and strength through growing upwards, communicate positively, with energy, so as to achieve its mission (WealthWise, 2013a) In order to achieve the mission by the company, all the major performance indicators have to be considered. The social and the environmental benefit can be provided to the customers and society through assessment of the level of employee satisfaction, issues like gender parity in the top tiers of the company, pay scales, and performance evaluation techniques for the employees (Ladley, 2010). The mission to grow and generate revenue can be achieved by observing the financial indicators of the company, which consist of gross insurance premiums that the company can generate through insurance sales, the return of the company on investment, and the net profit. Apart from this, the economic indicators would provide a view of the effects of policies, practices of WealthWise, relationship with the suppliers, hiring process, etc (Rose, & Hudgins, 2010). Answer 3 Performance indicators are the elements that are assessed to evaluate the performance of the company. The term key performance indicators (KPIs) are used by the companies to scrutinize the success factors of various acti vities of the company. The KPIs can be quantitative, directional, financial, actionable, and practical. In case of WealthWise few KPIs, such as economical, financial and social, were considered for evaluating the performance and

Saturday, July 27, 2019

Financial data analysis Essay Example | Topics and Well Written Essays - 1000 words

Financial data analysis - Essay Example A clear linear relationship is not evident, which could be an indicator that WHEATHD is a poor predictor of WHEATSF. Figure 1: the plot of WHEATSF against WHEATHD Model R R Square Adjusted R Square Std. Error of the Estimate Change Statistics R Square Change F Change df1 df2 Sig. F Change 1 .421a .177 .174 27.2183 .177 53.344 1 248 .000 Table1: Model regression summary Table 1 above presents a summary of the regression summary. From this, adjusted R squared is 0.17, a figure that is very small indicating that the model is not very good in predicting the dependent variable as it is highly subject to chance rather than statistical relationship between the two variables. However, the p-value is less than 0.01, an indicator that the model is statistically significant, or rather we have enough evidence to assert that WHEATHD has some predictive power on WHEATSF. Coefficientsa Model Unstandardized Coefficients Standardized Coefficients t Sig. B Std. Error Beta 1 (Constant) 500.582 24.519 2 0.416 .000 WHEATHD(P) -.443 .061 -.421 -7.304 .000 Table 2: a. Dependent Variable: WHEATSF(P) Coefficientsa Model Unstandardized Coefficients Standardized Coefficients t Sig. B Std. Error Beta 1 (Constant) 532.035 17.694 30.069 .000 WHEATSF(P) -.400 .055 -.421 -7.304 .000 Table 3: a. ... itable statistical technique to use, but I surmounted this by examining the expected outcome to decide on the best method (Hyndman and Koehler, 2006). PART II In this part, 1- 250 sample values are used to forecast the subsequent 11 values. Using excel to forecast In using excel spreadsheets to do the forecast, we highlight the raw data and insert the scatter plot. Then, we insert the trend line in the scatter plot and subsequently format it to include the trend line equation. The trend line equation is then used to substitute the values of x for the 11 series periods that are sampled for prediction. The following table shows the values of x and the substituted values y. Y=532.03-0.4x x Y (Forecasted) Actual 308.5 408.63 443 311.5 407.43 446.5 314.5 406.23 450 313.5 406.63 447 319.5 404.23 451.5 324.5 402.23 451.5 324.5 402.23 451.5 333.5 398.63 461.25 337.5 397.03 465.75 324.5 402.23 460.75 327.5 401.03 462.5 Sum 4436.53 4991.25 Figure 2: Excel scatter plot with the equation fitted in. Using eview The raw data for the prices are input in the software and a forecast generated automatically. The output, which is shown in figure 3, comes with a table with forecast errors already computed. The table alongside shows statistical arithmetic that is associated with this particular model, including a number of methods for calculating the forecasting errors. Figure 3: Forecast for 251 - 261 Sample Figure 4: graph before model 1forecast Figure 5: graph after model 1 forecast Forecast errors Forecast errors are the estimations of the probability that the results of the forecast deviates from the actual values. Fore example, looking at figures 4 and 5 of the first forecast model, it is clear how the forecast values differ slightly from the actual values. A number of errors that

Friday, July 26, 2019

Physical Privacy Essay Example | Topics and Well Written Essays - 750 words

Physical Privacy - Essay Example Firstly, with regards to the underlying question of whether or not illegal steroid usage should be penalized to the same degree under the law that other forms of illegal drugs are penalized, it is the belief of this author that there must be a differential between the levels of punishment between these two types of drug users. This is due to the fact that the majority of illegal drugs target the means by which the user integrates with reality. What this implies is that the individual that takes mind-altering drugs is at a specific disadvantage with regards to interpreting reality and acting accordingly. As such, this means that the individual poses a risk to broader society in that they are oftentimes incapable of making rational decisions. However, with regards to the steroid user/performance enhancing drug user, although they are damaging their own health, they do not necessarily pose a risk to society at large due to the fact that steroid/performance enhancing drug usage does not impair one’s ability to make informed decisions. ... ams represent role models as opposed to financial instruments, it is the belief of this author that the idolization of sports players has reached something of preposterous proportions. Although there are many young and impressionable minds that seek to emulate the exploits and character traits of their favorite athletes, the society at large has become enamored with the means by which sportsmen, and sportswomen for that matter, represent the highest values that individuals can and should strive. Ultimately, the players should not be viewed in such a light due to the fact that they are merely investment tools utilized by corporations to increase profit (Murray, 2008). As such, one can and should revere the sportsman to no greater degree than members of a public transportation union. These members are merely performing a task and are receiving payment for doing so. Although this may come across as something of a rather jaded opinion, the utility of the onlooker is not served to any gre ater extent by viewing these individuals as demigods; rather, such an enterprise is only promoted as a means of furthering the bottom line of the corporate interests that promote the consumption of such programming and sporting events. However, before the reader can take the preceding argument against the criminalization of illegal steroid/performance enhancing drug usage too seriously, it should be stated that it the solid belief of this author that the ethical breach that such an action portends should have a high professional, albeit not legal, penalty. By breaking the public’s trust and cheating, the utility of the viewer is inherently reduced to near meaningless. As such, it is the strong belief of this author that even though it should be outside of the court’s jurisdiction to

Thursday, July 25, 2019

Constitutional Policing Research Paper Example | Topics and Well Written Essays - 750 words

Constitutional Policing - Research Paper Example stood their duties as far as the constitution is concerned, however, there are instances where they have been seen overstep their mandate in the process of constitutional implementation. When this happens, the individual or party that is offended has the right to take the matter to courts for prosecution or constitutional interpretation of the validity of the action done by the police (Zotti, Dubs & Machado 2005). In this case, the United States Police are said to have overstepped their mandate and failed to follow the constitutional procedure in arresting Weeks, in establishment of this case; the police had entered Weeks home and seized his papers, convicting him later of transporting lottery tickets through mail. What Fremont weeks was not happy about is the search in his house was done without a search warrant, something that he thought was unconstitutional in his thinking. Later, Fremont weeks decided to report and take the police to court, protesting that they searched his house unconstitutionally without a search warrant and confiscated his work documents. In the process, he also decided to petition the court to return his private possession since he relied on them to do his work. In reaching its unanimous decision, the court agreed that the process by which Week’s possession was seized by the police was wrong and unconstitutional. At the same time, the court ruled that the decision by the government to withhold and refuse to hand back Weeks possession was also unconstitutional. Allowing seizure of an individual’s private documents and using them as evidence against him would be interpreted is being of no value, this would make it impossible to protect citizens against such searches and seizures as put forth in the Fourth Amendment. It is important o understand that the first application of this law later became the first of its own, setting precedence in future cases that would take the same path, it was later referred to as the â€Å"exclusionary

Wednesday, July 24, 2019

Consumer Behaviour Report Assignment Example | Topics and Well Written Essays - 1500 words

Consumer Behaviour Report - Assignment Example Literature Review The main objective of marketing is to understand and satisfy the needs satisfy the needs and demands of the target market customers. The field of consumer behaviour studies the way groups, individuals and even organizations select, buy use, and dispose products or services. The study of consumer behaviour was a relatively new field of study till the mid 1960s (Bagozzi, Gopinath and Nyer, 1999). During that time the study of consumer behaviour did not have any history or body of research (Hines, Hungerford and Tomera, 1987). But then new disciplines were borrowed from various fields and disciplines of management science such as sociology, social psychology and anthropology. Consumer behaviour can be stated as the choice making process as well as physical activity that an individual engages in while acquiring, evaluating or disposing of goods as well as services (Balderjahn, 1988). The study of consumer behaviour and marketing go along parallel. A sound understanding of consumer behaviour is very important to the success of any marketing program. As a matter of fact the study of consumer behaviour is perceived as a corner stone of the overall marketing concept. The study of consumer behaviour has had major impact on the marketing strategies of a company. Study of consumer behaviour helps a company to understand the needs and wants of the customers (Stone and Gronhaug, 1993). Study of consumer behaviour helps marketers to select the target market segment having distinct set of needs and demands. It also helps the marketer to decide upon the marketing mix such as the product, price, place and promotion (Cesi and Olson, 1988). The study and knowledge of consumer behaviour is also quite important for the marketing of non-profit organizations such as hospitals, voluntary agencies. Various non- profit social agencies could be viewed as the sender of ideas looking to target groups of customers. Such organizations also include red-cross blood society (E dell and Burke, 1987). With respect to the present study one of the most important aspects would be the various factors influencing the consumer behaviour. It includes cultural, social, personal, psychological factors (Richins, 1997). The cultural factors include culture which is the most fundamental determinant of the behaviour of a person. Each culture has a set of subculture that consists of relatively smaller subcultures. Social classes are the relatively homogenous divisions of society that are hierarchical in nature. The social factors include reference groups and family (Andreasen, 2002). The reference group of a person include all the groups and individuals that have a direct or in direct influence on the individual. It could include celebrities endorsing product or even the peers and the friends of an individual (Burke and Edell, 1989). The family is also one of the most important parts of the overall consumer behaviour as a person mostly adopts the set of values and attitu des from family only. The personal factors include age, occupation, Economic circumstances, life style and personality of an individual. Psychological factors include motivation, perception, Beliefs, Attitudes, and Learning. Just like the factors influenci

Tuesday, July 23, 2019

What Did Marx Mean by Alienation Essay Example | Topics and Well Written Essays - 1250 words

What Did Marx Mean by Alienation - Essay Example The essay "What Did Marx Mean by Alienation?" discusses what Karl Marx, the renowned social scientist, who elaborated on the importance of human labor and its varying form under each stage of the evolution of production relations, meant by alienation and how capitalism contributes to an individual being. He cleverly formulated the concept of alienation as a force serving as a big hindrance on the labor providers’ realization of their true identity and self-worth. This theory of alienation places human labor at the center of a society dominated by much impersonality and indifference. In a capitalist mode of production, labor becomes an object. Workers in this manner are restrained to realize their self-identity through their labor. This valuable human asset becomes an entity independent of them; outside of their control. Instead of giving reality to the workers, their labors become merely an instrument of a constructed reality forged by the few. The working class, in a capitali st mode of production, is entangled in a system wherein their labor is not something that they genuinely own but a being separate from them; their labor becomes a wretched commodity. Alienation has outcomes. It does not only transform laborers to lifeless machines but also remove them from their social being, which is from their fellow human beings. This form of alienation originates from the bitterness developed by the social class structures of a status quo. Laborers are alienated from the individuals who take advantage of their labor.

Common Health Problems of Older Adults Essay Example | Topics and Well Written Essays - 750 words

Common Health Problems of Older Adults - Essay Example To overcome these issues, achieve and maintain high wellness levels, health promotion and illness prevention measures must be practiced. This paper will discuss the health issues associated with older adults and the suggested ways of overcoming them. Although the human body’s minimum nutritional requirements are generally consistent through different ages, several exceptions exist. For example, a common problem among older adults arises from the disruption in the ability to absorb, use and store calcium, vitamins D, C and A (Ignatavicius & Workman, 2013). Therefore, their dietary intake should essentially accommodate that requirement. Because of their reduced activity and metabolic rate, body weight may increase, which necessitates the intake of less calories. All these dietary and nutritional needs must be balanced to avoid the risk of problems related to nutrition. This problem is highlighted by the fact that as one ages, the ability to consume necessary nutrients is negatively affected by the failing ability to taste and smell food, often leading to the loss of desire to eat. For example, older adults can consume excess sugar or salt with the possible risk of getting obese (Ignatavicius & Workman, 2013). This calls for their carers to introduce them to balanced diets and healthy selections of food such as substituting herbs and spices with season foods. Another significant dietary problem is caused by the loss of teeth or wrongly fitted dentures, which may be a result of yet another dietary issue arising from inadequate intake of calcium. This becomes a problem because the older adults will avoid foods they cannot chew, overlooking their nutritional values. Unless properly guided and supervised by carers, older adults will tend to consume softer foods that may contain more calories and less roughage such as mashed potatoes and ice cream. The

Monday, July 22, 2019

Vitality Health Final Paper Essay Example for Free

Vitality Health Final Paper Essay Vitality Health Enterprises, Inc., a manufacturer and distributor of beauty products, is at risk of losing market share in this highly competitive industry. James Hoffman, the newly appointed Vice President of HR, has been tasked with the evaluation of Vitality’s performance management system, to ensure that it is generating the outcomes Beth Williams, the CEO, is expecting. ISSUE IDENTIFICATION After a period of strong revenue growth, Hoffman is concerned that the workforce is becoming complacent. The research and development department is not producing quickly enough, resulting in a growing number of missed product launches. The company has realized a slow but significant turnover of highly talented research scientists, leading Williams and Hoffman to suspect that the performance management system is ineffective. ISSUE ANALYSIS Prior to 2009, Vitality was operating an old performance management system that failed to properly incentivize and recognize top performers and did not emphasize employee accountability. As a result, there was a lack of differentiation between top talent, average performers, and poor performers, which frustrated some of the company’s most valuable scientists and engineers. In an effort to keep the peace, managers categorized almost everyone as average performers, and because performance ratings were tied to merit-based wage increases, top talent felt slighted. Vitality used a flawed comparative ratio system to determine wage increases, which often resulted in giving low performers a greater raise percentage. Because high performers were not adequately recognized or compensated for their efforts, the performance management system failed to keep them engaged. In 2009, Vitality implemented a new performance management system based on forced distribution, which saw an increase in employee buy-in, but a decrease in  manager buy-in. Many managers disliked ranking their employees as it has the potential to cause conflict and animosity; however, top performers saw the new system as fair. Despite significant modification to the performance management system, problems still existed including a continuation of uniform ranking, and the mentality that the system was too rigid. Managers and employees had difficulty comprehending the new system, particularly considering there was little to no training. Thus, many of the issues share a similar cause poor implementation and thus poor understanding of the system. ACTION PLAN AND SOLUTIONS There are four interrelated issues that the following action plan addresses. These issues include the following: compensation related to performance, managers who give uniform rankings and do not rank new hires, a lack of training on the new performance management system, and managers who lie to employees about rankings. Each section of the action plan is designed to work in coordination with the other three sections in order to resolve these issues. To improve issues with compensation related to performance within the performance management system, we recommend eliminating all target percentages as well as constraints on the low achiever and unacceptable categories, and eliminating the use of the compa-ratio. By eliminating the target percentages and some of the constraints on the ranking, the flexibility of the performance management system will be increased. No manager will be forced to rank employees as top achievers, low performers, or under performers if there are none. However , the constraint for top achievers not exceeding 14% will stay in place to prevent managers from ranking all their employees as top achievers. To supplement this, we also eliminated the compa-ratio. Instead, top achievers will have the option of receiving a 3% raise plus stock options, or a 5% raise with no stock options, and average employees will receive a 2% raise with no stock options. No raises will be given to low performers or under performers. Thus, raises will be based only on performance and not on current salary. This will ensure that top performers are rewarded and properly incentivized. Since there will be no targets and no constraints to ranking everyone as average, managers may be tempted to take advantage of this and uniformly rank their employees. In order to prevent this, managers must be held  accountable for their appraisals of employee performance. According to Roberts (2002), accountability is one of five barriers to an effective performance appraisal, and he recommends that performance appraisal management be a component in manager ratings. Based on this research, we recommend that managers who uniformly rank their employees will get an unacceptable rank ing. As a result, managers will be accountable for differentiating between their team members and will not rank all employees as average. We also recommend changing the Not Rated ranking to New Hire to ensure that new hire performance is discussed and assessed. In this system, new hires with tenure of 6 months or less would have a ranking system that only includes new hires. This ranking system would be based on objectives that assess how well the employee is gaining knowledge of the company and his or her overall cultural fit. Therefore, the new employee would receive feedback on his or her performance as well as an initial understanding of the performance management process. Beyond compensation and rating issues, many managers and employees expressed confusion about how the new performance management system worked. Initially, when the transition was made to forced distribution, HR sent out a companywide email informing employees of the new system and later sent directors and managers a link to an online guidebook. However, no formal training was ever conducted. According to Elaine D. Pulakos (2004), an organizational psychologist specializing in performance management, training is essential when implementing a new performance management system because it not only teaches employees how to use the system but also motivates them to utilize it to its fullest capability. In order to remedy this lack of understanding, training for all employees at all levels must be administered within the next month. Specifically, it should consist of classroom training that emphasizes role-playing for providing constructive feedback during performance appraisal meetings. This role-playing will offer managers an opportunity to become more comfortable with delivering undesirable appraisals, which was identified as a barrier to proper system implementation. Moreover, providing classroom training indicates the importance of the performance management system because it demonstrates that the company is committed to the new system and values proper implementation of the system (Pulakos, 2004). Simply emailing an online guidebook does not emphasize this importance.  The final step in the action plan is to directly combat the issue of managers lying to employees about their performance ranking in order to avoid difficult conversations. Clearly, this practice not only jeopardizes the integrity of the system but it also diminishes its transparency. In order to remedy this, once HR has received and approved the performance rankings, they will send out an email to each employee with his or her ranking along with a brief summary explaining why he or she received that specific ranking. This email will be sent two days prior to an employee’s performance appraisal meeting with his or her manager. Consequently, managers will be discouraged from lying about rankings, and employees will be more prepared to enter these appraisals. This notification also serves as a way to begin the performance conversation and holds managers more accountable for delivering constructive feedback. By implementing this action plan, we believe many of the current issues will be resolved. However, in order to evaluate the effectiveness of these new practices, HR will collect survey data in two years. The collection of this data will use the same method as the performance management data collected in 2011. SOLUTION LIMITATIONS The proposed solutions address many issues of the new system; however, there are still some limitations. Specifically, managers could still manipulate the system by rotating their subordinates from year to year between the Top Achiever and Achiever rankings. Moreover, changing the percentage constraint of employees who are listed as Low Achiever (from the minimum of 7% to no minimum) and maintaining no constraint of the Unacceptable category could potentially allow managers to distribute no one in those ranks. The company, consequently, will have trouble identifying those who are actually low performers and those who are truly high performers. Secondly, the system still requires all managers to complete the evaluations during a specific time of year. Some managers complained that this practice was resource consuming when they should be utilizing this time and effort to complete more important and productive tasks. As a result, issues concerning divisional productivity and low quality evaluations are potential problems. Finally, the sheer nature of comparative performance management systems creates the  potential of conflicts among employees and managers or among employees themselves. Even with the adjustments to the new system, these conflicts may still arise. According to Aguinis (2013), collaboration and organizational goals are potentially in jeopardy when there is employee conflict. As a result, this further emphasizes the importance of carefully implementing the performance management system as well as ensuring that all managers and employees understand the system’s purpose and how it works. References Aguinis, H. (2013). Performance Management. Prentice Hall: Upper Saddle, NJ. Roberts, G. E. (2002). Employee Performance Appraisal System Participation: A Technique that Works. Public Personnel Management, 31(3), 333. Pulakos, E. D. (2004). Performance Management: A roadmap for developing, implementing and evaluating performance management systems. Alexandria, VA: SHRM Foundation.

Sunday, July 21, 2019

Emotionally And Socially Withdrawn Children And Young People Essay

Emotionally And Socially Withdrawn Children And Young People Essay Divorce, marriage breakdowns and separation is an extremely stressful time for all involved but particularly the children/young person. They may begin to lack in confidence and self esteem and become emotionally withdrawn. Due to the family upheaval, the child or young person may begin to loose focus on their own abilities and suffer mentally. In the same degree children and young people from a single parent family may also suffer due to a lack of female/male role model which can cause social stigma. In some households dual parents or lone parents may find they have to work long hours, resulting in little time remaining to focus on direct social, intellectual and emotional support. Some situations cause a child to find themselves becoming part of a step family through their parent meeting a new partner, which could result in friction between children from each side. Because of this particular situation the children or young person may become emotionally and socially withdrawn which c ould lead to an increasing risk of bullying by peers. Various factors have an influence on a child and young persons development process in particular relation to their background. Development is vital and major setbacks at a young age can have a lasting impression on children and young people. Family bereavement is a very traumatic time and experience for children or young people, even when they have been prepared for the worse. Emotional strain is created and outbursts of emotion should be expected during the bereavement period. Socially, children who have been through bereavement may feel different apposed to their peers who havent experienced bereavement. This may result in the child or young person suffering intellectually due to regular absences from nursery or school, their concentration levels and behaviour may also be affected. Moving house can also have an impact on a child and cause some great difficulty as the child has to adapt to a completely new situation, with changing their original nursery/school and having to adapt to a new routine. You may find that in these situations a child/young person may become highly emotional and socially introverted. Health There can be many health aspects that affect a child/young persons development. Children become extremely resilient and are often able to manage their conditions very well; however, certain aspects of their development can prove challenging throughout periods of ill health. Children may suffer from conditions such as asthma, which if not well controlled, can cause children to have extended periods of time off from school. This in turn leads to intellectual development being compromised as well as social development due to relationships not being maintained. Disability in children, whether it be physical or intellectual can be particularly difficult. A child that has a hearing impairment may suffer physically through loss of balance or socially through having to communicate in alternative ways such as sign language/makaton. A physical disability such as Cerebral Palsy can be physically challenging due to being restricted in taking part in certain activities. This can affect social situations due to these restrictions and can affect a child/young person emotionally questioning why they are different causing low self-esteem. Being diagnosed with a serious illness such as cancer as a child/young person can also prove to lead to developmental issues. All areas of development can be compromised, intellectually, through missing school and being too ill to complete set work. They may suffer physically depending on the specific illness causing them to be weak and/or in too much pain and discomfort to complete physical activities. Socially they may be too ill to interact with others and/or maintain friendships. They may also become emotionally withdrawn and find it difficult to cope with their emotions. Allergies affect many children, particularly food allergies; this in turn can lead to social problems as they may become excluded from certain situations where their allergies are not known. In contrast they may feel a certain social stigma as their allergies are highlighted, for example; when eating lunch at school, they may be required to wear a special badge which shows their allergies, causing them to feel different from their peers. They have to be more physically aware of their condition and how this can cause changes in their body and manage this accordingly. Environment Environmental factors can play a huge part in affecting a child/young persons development. These can vary from cultural factors to living conditions. Children/young people from less advantaged backgrounds who live in poverty can have their development seriously compromised. They are less likely to have educational support from parents/carers which in turn creates intellectual problems for the child/young person. This is further influenced by having a lack of learning resources available such as access to computers and books. They may become disillusioned with education from an early age which sets them on a path of social and emotional turmoil. Also, they may suffer socially by not being able to participate in certain paid activities offered through school and outside school which means they interact less in physical activities. They may also feel that they cannot compete with their peers with regards to fashion trends and owning the latest technology. They might not seem to be as physically strong as their peers; parents/carers might experience difficulty in providing healthy, regular meals which can cause problems with their phy sical well-being. Their emotions can seem quite immature at times and they may well become emotionally withdrawn but also prone to emotional outbursts associated with behavioural difficulties, displaying a lack of attention.

Saturday, July 20, 2019

An Overview of Consent and Restraint

An Overview of Consent and Restraint Consent, Deliberate or implied affirmation; compliance with a course of  proposed action. Consent is essential in a number of circumstances. For example,  contracts and marriages are invalid unless both parties give their consent. Consent  must be given freely, without duress or deception, and with sufficient legal  competence to give it (see also INFORMED CONSENT). In criminal law, issues of consent  arise mainly in connection with offences involving violence and *dishonesty. For  public-policy reasons, a victims consent to conduct which foreseeably causes him  bodily harm is no defence to a charge involving an *assault, *wounding, or  *homicide; in other cases the defendant should be acquitted if the magistrates or  jury have a reasonable doubt not only as to whether the victim had consented but  also as to whether he thought the victim had consented. Restraint,  assault and  an intentional or reckless act that causes someone to be put in fear of  immediate physical harm. Actual physical contact is not necessary to constitute an  assault (for example, pointing a gun at someone is an assault), but the word is often  loosely used to include both threatening acts and physical violence (see BATTERY).   Words alone cannot constitute an assault. Assault is a form of *trespass to the  person and a crime as well as a tort: an ordinary (or common) assault, as described  above, is a *summary offence punishable by a *fine at level 5 on the standard scale  and/or up to six months imprisonment. Certain kinds of more serious assault are  known as aggravated assaults and carry stricter penalties. Examples of these are  assault with intent to resist lawful arrest (two years), assault occasioning *actual  bodily harm (five years), and assault with intent to rob (life imprisonment).   battery The intentional or reckless application of physical force to someone  without his consent. Battery is a form of *trespass to the person and is a *summary  offence (punishable with a *fine at level 5 on the standard scale and/or six months  imprisonment) as well as a tort, even if no actual harm results. If actual harm does  result, however, the *consent of the victim may not prevent the act from being  criminal, except when the injury is inflicted in the course of properly conducted  sports or games (e.g.rugby or boxing) or as a result of reasonable surgical  intervention. Duty of care, The legal obligation to take reasonable care to avoid causing damage. There is no liability in tort for *negligence unless the act or omission that causes  damage is a breach of a duty of care owed to the claimant. There is a duty to take  care in most situations in which one can reasonably foresee that ones actions may  cause physical damage to the person or property of others. The duty is owed to  those people likely to be affected by the conduct in question. Thus doctors have a  duty of care to their patients and users of the highway have a duty of care to all  other road users. But there is no general duty to prevent other persons causing  damage or to rescue persons or property in danger, liability for careless words is  more limited than liability for careless acts, and there is no general duty not to  cause economic loss or psychiatric illness. In these and some other situations, the  existence and scope of the duty of care depends on all the circumstances of the  relationship between the parties. Most duties of care are th e result of judicial  decisions, but some are contained in statutes, such as the Occupiers Liability Act  1957 Negligence and  Carelessness amounting to the culpable breach of a duty: failure  negligent misstatement 328 329 NHS Trust  to do something that a reasonable man (i.e. an average responsible citizen) would do, or doing something that a reasonable man would not do. In cases of professional negligence, involving someone with a special skill, that person is expected to show  the skill of an average member of his profession. Negligence may be an element in a  few crimes, e.g. *careless and inconsiderate driving, and various regulatory offences,  which are usually punished by fine. The main example of a serious crime that may  be committed by negligence is *manslaughter (in one of its forms). When negligence  is a basis of criminal liability, it is no defence to show that one was doing ones best  if ones conduct still falls below that of the reasonable man in the circumstances. See  also GROSS NEGLIGENCE. 2. A tort consisting of the breach of a *duty of care resultingà ‚  in damage to the claimant. Negligence in the sense of carelessness does not give rise  to civil liability unless the defendants failure to conform to the standards of the  reasonable man was a breach of a duty of care owed to the claimant, which has  caused damage to him. Negligence can be used to bring a civil action when there is  no contract under which proceedings can be brought. Normally it is easier to sue for  *breach of contract, but this is only possible when a contract exists. Generally, fewer  heads of damage can be claimed in negligence than in breach of contract, but the  rules limiting the time within which actions can be brought (see LIMITATION OF  ACTIONS) may be more advantageous for actions in tort for negligence than for  actions in contract. See also CONTRIBUTORY NEGLIGENCE; RES IPSA LOQUITUR.   vicarious liability   Legal liability imposed on one  person for torts or crimes committed by another (usually an employee but  vicarious performance 526 527 violent disorder  sometimes an *independent contractor or agent), although the person made  vicariously liable is not personally at fault. An employer is vicariously liable for  torts committed by his employees when he has authorized or ratified them or when  the tort was committed in the course of the employees work. Thus negligent  driving by someone employed as a driver is a tort committed in the course of his  employment, but if the driver were to assault a passing pedestrian for motives of  private revenge, the assault would not be connected with his job and his employer  would not be liable. The purpose of the doctrine of vicarious liability is to ensure  that an employer pays the costs of damage caused by his business operations. His  vicarious liability, however, is in addition to the liability of the employee, who   remains personally liable for his own torts. The person injured by the tort may sue  either or both of them, but will generally prefer to sue the employer.   Vicarious criminal liability may effectively be imposed by statute on an employer  for certain offences committed by an employee in relation to his employment. Thus  it has been held that an employer is guilty of selling unfit food under the Food Act  1984 when his employee does the physical act of selling (the employee is also guilty,  though in practice is rarely prosecuted). Likewise, an employer may be guilty of  supplying goods under a false trade description when it is his employee who  actually delivers them. For an offence that normally requires mens rea,an employer  will only be vicariously liable if the offence relates to licensing laws. For example, if  a licensee has delegated the entire management of his licensed premises to another  j:letson, and that j:letson has committed the offence with the nec~ssatymens YeQ, th~  licensee will be vicariously liable.   Vicarious liability for crimes may be imposed in certain other circumstances. The  registered owner of a vehicle, for example, is expressly made liable by statute for  fixed-penalty and excess parking charges, even if the fault for the offence was not  his. If the offence is a regulatory offence of *strict liability, the courts often also  impose vicarious liability if the offence is defined in the statute in a way that makes  this possible.   Scope of practice (the legal and professional boundaries imposed upon you as a nurse)   Advocacy (the nurses role as an advocate for the client)   Documentation   Open disclosure   The Coroner   An officer of the Crown whose principal function is to investigate  deaths suspected of being violent or unnatural. He will do this either by ordering an  *autopsy or conducting an *inquest. The coroner also holds inquests on *treasure  trove. Coroners are appointed by the Crown from among barristers, solicitors, and  qualified medical practitioners of not less than five years standing.   Colour. The normal colour of urine is pale straw or light yellow.   It is mainly due to the pigment urochrome and partly to urobilin.   Womens urine is slightly lighter.   If the quantity of urine is increased or there is a diminution or dilution of urinary pigments, it becomes lighter and rendered very pale as in excessive drinking, nervousness, anaemia, chlorosis, diabetes, hysteria, epilepsy, poluria, in general debility and in chronic interstitial nephritis. The colour of the urine will depend on the degree of concentration; the more concentrated-the darker; the greater the quantity of water -the lighter.   Acid urine is slightly darker than alkaline urine. Urine becomes deeper in colour, like orange or dark yellow or brownish red generally known as high coloured or concentrated urine and is due to uroerythrin and urobilin produced by increased haemolysis, as in. fevers, after journeys, in hot days, in nervous excitability and after bodily exercises. N ormal urine on standing for a time will have a white or sometimes a bluish white scum on the surface due to contamination and putrefaction.   Urine glairy, whitish in colour indicates admixture with pus or leucorrhceal discharges. Urine coloured smoky, brown, reddish, brownish black or black indicates admixture with blood and denotes haemorrhage. Urine coloured greenish yellow or greenish brown indicates admixture with bile and denotes jaundice and other affections of the liver. Urine coloured milky indicates admixture with fat or pus and denotes chyluria or any purulent disease of the genitourinary tract.   Urine coloured blue indicates typhus fever, admixture with methylene blue or when there is excess of indigogens. Many drugs after absorption colour the urine, such as yellowish orange by santonin and chrysophanic acid; reddish or orange brown by senna and rhubarb; dark olive green or black by carbolic acid and other coaltar derivatives while antipyrin reddens the u rine. Odour.   When just voided urine is faintly aromatic but after a few minutes its characteristic odour is urinous.   The odour of urine is due to phenol.   It becomes pungent in concentrated urine, when urea is liberated in excess.   It becomes ammoniacal and putrescent and the reaction becomes alkaline after sometime when this excess of urea takes up water and is converted into ammonium carbonate.   It occurs quickly in urine from chronic cystitis or from suppurating diseases of kidney and bladder i.e., when urine is mixed with pus; blood or excessive phosphates.   The odour of urine in diabetes and in acetonuria is slightly sweetish.   The characteristic odour of garlic, sandal oil, cubebs, copaiba are given off when they are taken internally.   Turpentine gives an odour of violets. Appearance, physical character or transparency is the naked eye appearance of urine. Normal urine is always clear when voided but when allowed to stand for sometime it becomes slightly hazy or turbid due to suspended particles or from a slight cloud of mucus and epithelium. After sometime there may be sediments at the bottom due to gravity. If the urine is ammoniacal or decomposed a white turbidity forms due to sedimentation of phosphates or from bacterial activity. The turbidity or sediment is due mainly to the following suspended particles:- Urates. Uric Acid. Albumin. Phosphate. Mucus. Oxalate. Pus. Blood. Micro-organisms. To distinguish one from another, first of all fill three fourths of a test tube with urine and very gently heat the upper portion of the urine, holding the test tube by the bottom.   Now note whether the urine becomes clear or a cloudiness appears in the boiled portion, comparing with the lower unboiled portion of the test tube.   If the urine is turbid and clears up on heating then it contains Urates.   If the urine is clear and becomes cloudy with heat, before boiling point, then it is Albumen.   If the urine is clear and becomes cloudy at the boiling point, then it is Phosphate.   To distinguish between albumin and phosphate add 3 or 4 drops of acetic acid on the cloudy urine.   If the cloudiness disappears, then it is phosphate; but if the cloudiness remains or thickens, then it is albumin.   Lastly to distinguish between albumin and mucin add 2 drops of nitric acid, if the cloudiness disappears, then it is Mucin, but if the cloudi ness still persists, it is albumin. The turbidity of carbonates will clear up with effervescence on addition of nitric acid whereas heat and acid increases the turbidity due to albumin. To distinguish between phosphate and oxalate take some fresh urine and add ammonia, when there will be a precipitate. If on the addition of a few drops of acetic acid, the precipitates disappear, then it is phosphate, if it remains it is Oxalate. Failing the heat test take some urine in a test tube, preferably from the bottom and add a few drops of Liquor Potassae. Mix it thoroughly and if it clears up, then it is mucus; but if it becomes gelatinous or ropy, it is Pus. Next, if the deposit is coloured then take some urine in a test tube, preferably from the bottom and add a few drops of caustic potash and gently heat a little.   If it is dissolved, then it is Uric acid but if there is a precipitate, note the colour of the coagulum; if it is reddish brown or bottle green, it is Blood. If the urine is turbid and there is no change either by heat or by addition of caustic potash and heat, then the turbidity is due to Micro-organisms.   They generally clear up on the addition, of watery solution of ferric chloride and ammonium hydrate and then filter the urine.   Sometime the character, colour and reaction will roughly denote the element. Urates-They look like moss and are yellowish white or pink in colour.   Reaction is generally acid. They deposit when the urine becomes cold.   Uric Acid-It is crystalline and reddish brown in colour, resembling a shower of cayenne pepper grains. Reaction is moderately acid.   Phosphate-It forms a thin deposit and is white or yellowish white in colour.   Reaction may be slightly acid, alkaline or neutral.   Mucus-It is a cloudy or woolly looking white deposit. Reaction is slightly acid.   Oxalate-It is soft, shining and white in colour. Reaction is generally slightly acid. Pus- It looks like a ropy or creamy deposit, and is white in colour.   Reaction is slightly acid or  alkaline. Blood-It is clotted or thready and is red smoky or brownish in colour.   Reaction generally alkaline or may be slightly acid. Micro-organisms-The deposit is slightly hazy and white in colour.   They generally stick to the sides of the glass. COMPLICATIONS OF FRACTURES The majority of fractures heal without complications. If death occurs after a fracture, it is usually the result of damage to underlying organs and vascular structures or from complications of the fracture or immobility. Complications of fractures may be either direct or indirect. Direct complications include problems with bone infection, bone union, and avascular necrosis. Indirect complications are associated with blood vessel and nerve damage resulting in conditions such as compartment syndrome, venous thromboembolism, fat embolism, rhabdomyolysis (breakdown of skeletal muscle), and hypovolemic shock. Although most musculoskeletal injuries are not life threatening, open fractures, fractures accompanied by severe blood loss, and fractures that damage vital organs (e.g., lung, heart) are medical emergencies requiring immediate attention. Compartment Syndrome Compartment syndrome is a condition in which swelling and increased pressure within a limited space (a compartment) press on and compromise the function of blood vessels, nerves, and/or tendons that run through that compartment. Compartment syndrome causes capillary perfusion to be reduced below a level necessary for tissue viability. Compartment syndrome usually involves the leg, but can also occur in the arm, shoulder, and buttock. Thirty-eight compartments are located in the upper and lower extremities. Two basic causes of compartment syndrome are (1) decreased compartment size resulting from restrictive dressings, splints, casts, excessive traction, or premature closure of fascia; and (2) increased compartment contents related to bleeding, inflammation, oedema, or IV infiltration. Oedema can create sufficient pressure to obstruct circulation and cause venous occlusion, which further increases oedema. Eventually arterial flow is compromised, resulting in ischemia to the extremity. As ischemia continues, muscle and nerve cells are destroyed over time, and fibrotic tissue replaces healthy tissue. Contracture, disability, and loss of function can occur. Delays in diagnosis and treatment cause irreversible muscle and nerve ischemia, resulting in a functionally useless or severely impaired extremity. Compartment syndrome is usually associated with trauma, fractures (especially the long bones), extensive soft tissue damage, and crush injury. Fractures of the distal humerus and proximal tibia are the most common fractures associated with compartment syndrome. Compartment injury can also occur after knee or leg surgery. Prolonged pressure on a muscle compartment may result when someone is trapped under a heavy object or a persons limb is trapped beneath the body because of an obtunded state such as drug or alcohol overdose. Clinical Manifestations. Compartment syndrome may occur initially from the bodys physiologic response to the injury, or it may be delayed for several days after the original insult or injury. Ischemia can occur within 4 to 8 hours after the onset of compartment syndrome. One or more of the following six Ps are characteristic of compartment syndrome: (1) pain distal to the injury that is not relieved by opioid analgesics and pain on passive stretch of muscle traveling through the compartment; (2) increasing pressure in the compartment; (3) paraesthesia (numbness and tingling); (4) pallor, coolness, and loss of normal colour of the extremity; (5) paralysis or loss of function; and (6) pulselessness, or diminished or absent peripheral pulses. Collaborative Care. Prompt, accurate diagnosis of compartment syndrome is critical.17 Perform and document regular neurovascular assessments on all patients with fractures, especially those with an injury of the distal humerus or proximal tibia or soft tissue injuries in these areas. Early recognition and effective treatment of compartment syndrome are essential to avoid permanent damage to muscles and nerves. Carefully assess the location, quality, and intensity of the pain (see Chapter 9). Evaluate the patients level of pain on a scale of 0 to 10. Pain unrelieved by drugs and out of proportion to the level of injury is one of the first indications of impending compartment syndrome. Pulselessness and paralysis (in particular) are later signs of compartment syndrome. Notify the health care provider immediately of a patients changing condition. Because of the possibility of muscle damage, assess urine output. Myoglobin released from damaged muscle cells precipitates and causes obstruction in renal tubules. This condition results in acute tubular necrosis and acute kidney injury.   Common signs are dark reddish brown urine and clinical manifestations associated with acute kidney injury (see Chapter 47). Elevation of the extremity may lower venous pressure and slow arterial perfusion. Therefore the extremity should not be elevated above heart level. Similarly, the application of cold compresses may result in vasoconstriction and exacerbate compartment syndrome. It may also be necessary to remove or loosen the bandage and split the cast in half (bivalving). A reduction in traction weight may also decrease external circumferential pressures. Surgical decompression (e.g., fasciotomy) of the involved compartment may be necessary (Fig. 63-15). The fasciotomy site is left open for several days to ensure adequate soft tissue decompression. Infection resulting from delayed wound closure is a potential problem after a fasciotomy. In severe cases of compartment syndrome, an amputation may be required. DEFINITION Compartment syndrome is a condition that  occurs when elevated pressure within a limited  space compromises the circulation, with  increased risk of irreversible damage to its  contents and their function. Acute compartment  syndrome is a surgical emergency.   ICD-10CM CODES 958.90 Compartment syndrome unspecified   958.90 Compartment syndrome, not  otherwise specified T79.A0 Compartment syndrome,  unspecified, initial encounter   M79.A11 Nontraumatic compartment  syndrome of right upper extremity   M79.A12 Nontraumatic compartment  syndrome of left upper extremity   M79.A19 Nontraumatic compartment  syndrome of unspecified upper  extremity   M79.A21 Nontraumatic compartment  syndrome of right lower extremity   M79.A22 Nontraumatic compartment  syndrome of left lower extremity M79.A29 Nontraumatic compartment  syndrome of unspecified lower  extremity   M79.A9 Nontraumatic compartment  syndrome of other sites   T79.A19A Traumatic compartment syndrome  of unspecified upper extremity,  initial encounter   T79.A21A Traumatic compartment syndrome  of right lower extremity, initial  encounter   T79.A22A Traumatic compartment syndrome  of left lower extremity, initial  encounter   T79.A29A Traumatic compartment syndrome  of unspecified lower extremity,  initial encounter   EPIDEMIOLOGY   DEMOGRAPHICS   Occurs most commonly after acute trauma,  especially with long bone fractures, comprising  75% of cases.   It usually occurs in persons Incidence is higher in males.   It can occur in other parts, such as the foot,  thigh, gluteal region, and abdomen.   Supracondylar fractures in children can commonly  lead to compartment syndrome.   6% to 9% of open tibial fractures are complicated  by compartment syndrome.   It is seen in all races and ethnicities.   PATHOPHYSIOLOGY   Compartment syndrome occurs when the blood  flow is less than the tissue metabolic demands,  causing tissue injury. It occurs when the intracompartmental  pressure increases limiting  venous outflow with rising venous pressure,  resulting in compromise of the local circulation  and tissue hypoxia with decreased arteriovenous  pressure gradient. Venous congestion additionally  leads to tissue edema and interstitial pressure,  and the compartment pressure continues to  increase. Compartment pressure ranges between  10 and 30 mm Hg of diastolic pressure are able  to cause the condition.   Different conditions are known to cause compartment  syndrome:   Conditions that limit compartment volume, such  as when patients have fracture casts, when  sedated or comatose patients lie on a limb for  a prolonged period, or when patients have tight  dressings that are applied externally.   Conditions that cause increased compartment  content, such as bleeding in the compartment  from vascular injury or diathesis, fractures or  finger injuries, reperfusion after ischemic injury  such as embolectomy and arterial bypass  grafting, severe bruising of muscle, and thermal  or electrical burn injuries.   Other injuries, such as extravasation of intravenous  fluids, injection of recreational drugs,  and snake bites.   PHYSICAL FINDINGS CLINICAL   PRESENTATION Signs and symptoms are usually apparent but  can be unreliable and can lead to delayed  diagnosis. Acute compartment syndrome can  worsen within hours; therefore serial examination  is important in a patient with suspected  compartment syndrome. Patients with tense  painful limbs are considered to have acute  compartment syndrome; however, diagnosis  is confirmed with the assessment of elevated  compartment pressure. Clinical signs and  symptoms include the following:   Pain disproportional to injury (the earliest sign)   Constant deep pain and pain that is referred  to the compartment on passive stretching  of the muscles of the affected compartment   (Fig. E1C-84, A) Reduced sense of touch or sensation (hypesthesia) within the territory of the nerve passing the compartment (in acute anterior  compartment syndrome, the patient may  have hypesthesia in the territory of the first  webspace)   Tense and swollen compartment (Figs. E1C-  84, B and 1C-84, C)   Muscle weakness   Paresis (late finding) that suggests permanent  muscle damage   Capillary refill can be slow but normal.   Peripheral pulses that are normally palpable  even in severe conditions   Tingling and numbness in the affected limb.  Hypesthesia or paresthesia should be evaluated  with pinprick, light touch, and two-point  discrimination tests.   Difficulty moving the extremities.   DIAGNOSIS Diagnosis is based on clinical signs and  symptoms along with compartment pressure.   Compartment pressure testing may be unnecessary  if the diagnosis is clinically obvious.   DIFFERENTIAL DIAGNOSIS Muscle strains   Cellulitis Gangrene Peripheral vascular injury Necrotizing fasciitis Stress fractures Deep vein thrombosis and thrombophlebitis Tendinitis Muscle contusion Tarsal tunnel syndrome Posterior ankle syndrome Popliteal artery impingement Claudication Tumor Venous insufficiency LABORATORY TESTS Diagnosis is based on clinical findings and  the measurement of compartment pressures.   Laboratory values are not useful in the diagnosis  of compartment syndrome but are important  for other diagnoses or associated conditions.   CBC with differential for evaluation of infection   Creatine phosphokinase (CK) levels, which  can rise as muscle injury develops   Metabolic panel for the assessment of electrolytes  and renal function   Coagulation profile for bleeding diathesis   Urinalysis for rhabdomyolysis   Urine and serum myoglobin levels   Compartment Syndrome   A B FIGURE 1C-84 C: A, Severe calf swelling due to  anterior and posterior compartment syndromes  after ischemia-reperfusion. B, Appearance after  emergency fasciotomy. Note edematous muscle  and hematoma. (Courtesy Michael J. Allen, FRCS,  Leicester, UK. From Floege J et al: Comprehensive  clinical nephrology, ed 4, Philadelphia, 2010,  Saunders.) http://internalmedicinebook.com   Compartment Syndrome 307 Diseases and Disorders IMAGING STUDIES Direct intracompartmental pressure measurement  can be done by handheld manometer,  wick or slit catheter technique, and simple  needle manometer system. Compartment   syndrome is diagnosed when the difference  between diastolic blood pressure and compartment  pressure (Ά pressure) is à ¢Ã¢â‚¬ °Ã‚ ¤30 mm Hg.   Ultrasonography can be used to rule out deep  vein thrombosis, or Doppler ultrasonography  can be used to evaluate blood flow to the  extremity. Arteriography should be used to  evaluate the adequate blood flow through a  compartment. Near-infrared spectroscopy and technetium-  99m methoxyisobutylisonitrile scintigraphy  can also be used.   Radiography can be used on the affected  limb for fracture or foreign body evaluation.   TREATMENT   Treatment goal is to keep intracompartmental  pressure low and prevent tissue injury (Fig.  1C-84, D). NONPHARMACOLOGIC THERAPY Immediate relieving of all external pressure  on the affected compartment   Removal of casts, splints, and dressings   Placing limb at heart level to avoid decreased  or increased blood flow   ACUTE GENERAL Rx   Analgesics for pain Hyperbaric oxygen Hypotension can worsen tissue ischemia and  thus should be treated with IV isotonic saline. Fasciotomy of the affected compartment  is indicated if there has been >6 hr of  limb ischemia, or immediate decompression  should be performed when the compartment  pressure > 30 to 35 mm Hg.   Measurement of compartment pressure is  not necessary to perform fasciotomy if clinical  suspicion is high depending on history  and clinical examination.   When compartment pressures are trending  downward, it is often safe to delay emergent  fasciotomy, provided the Ά pressure is also  improving. CHRONIC Rx   Aftercare of fasciotomy wound: Wound is  inspected after 48 hours and dead tissue is  removed.   Wounds are left open, requiring later skin  grafting or delayed wound closure.   Opsite sheet and boot lace techniques are  also used for closing fasciotomy wounds.   Concomitant fractured bones should also be  stabilized with plating, external fixation, or  intramedullary nailing.   DISPOSITION With early diagnosis and treatment, the prognosis  is excellent for recovery of the muscles and  nerves inside the compartment. The following  conditions can be prevented:   Permanent nerve damage/paralysis   Muscle contracture Gangrene Amputation Muscle necrosis Fracture nonunion Rhabdomyolysis that leads to renal failure Compartment syndrome that can occur in  open fractures Permanent nerve injury, which can occur after  12 to 24 hr of compression; mortality rates in  patients who need fasciotomy is à ¢Ã¢â‚¬ °Ã‹â€ 15%. REFERRAL Patients with suspected compartment syndrome  should be referred promptly to orthopedic  and general surgery. PEARLS CONSIDERATIONS Universal precautions and aseptic measures are necessary for patients undergoing fasciotomy because the risk of local and systemic infection is high with the procedure. Invasive monitoring techniques should be undertaken with adequate analgesia so that patient immobility is ensured while the pressure is measured. Injection of local anaesthetics into the compartment can increase the pressure and pain and therefore should be avoided. Patients with fracture casts should be informed about the risks of swelling, and patients should also be encouraged to wear appropriate equipment while playing sports. A history of coagulation disorders and the use of anticoagulants should be mentioned in a patients medical history. Assault Assault has two different interpretations. 1. Traditionally called common assault and consisting of the making of an unlawful and intentional (or possibly only reckless) threat to inflict imminent force against the person where the victim was aware of the threat.   A distinction was previously maintained at common law between common assault and battery.   Increasing codification of criminal law has resulted in abandonment of this distinction and in Australia assault now commonly refers both to common assault and actual infliction of force.   Statutory provisions for the different states are numerous and terminology varies (e.g. offences of causing injury or threatening). 2. One of three ma

Romanticism Vs. Survival In Th :: essays research papers

An important theme in The Death of Artemio Cruz, by Calrlos Fuentes, was the comparison of romanticism and survival. This is shown through two important characters: Artemio Cruz, and his son Lorenzo. A romantic (Lorenzo) is a being that has ideals and fights for them. They know their goals and try to achieve them, while survivors have an only goal of keeping themselves alive. The survivors live through their choices and the romantics die as heroes, but each one complements the missing half of the other. Artemio Cruz is a typical survivor. He “knew how to fuck up other people and not get [himself] fucked over'; (PAGE 137). His choices allow him to survive and others to be killed. Although he lives through his choices, Fuentes shows through his interesting narrative device of expressing Cruz’s unconscious, thoughts and memories that he regrets and reflects upon while on his deathbed. When the second person narrator says that you “are going to live...You are going to be the meeting point, the universal order’s reason for being...Your body has a reason for being...Your life has a reason for being...You are, you will be, you were, the universe incarnate'; (PAGE 305), he is trying to show that everyone has a reason for living. Fuentes shows the reader why Artemio’s life is so important and why he believes that he is a model to the people. Artemio Cruz lives through his choices. He chooses to be a survivor, but each time he makes a choice, he leaves part of his romantic half behind since he saved himself instead of others. Instead of following his ideals, he follows his greed. He chooses to become rich and corrupt and to abandon his dreams, but he regrets doing a lot of those things because he killed many people in order to survive, including a part of himself. He said that he “could have died at Perales...with that soldier...I survived. You died'; (PAGE 236). After everything is passed, he stops to think about what he did wrong and regrets it, but at the time, he just cared about himself. When he went to war he met Regina and they started to have a relationship, but since he is a survivor, once again he saved himself. Regina got killed, but he didn’t. However, his son Lorenzo, has a completely different life story, but of the same importance.

Friday, July 19, 2019

Belief in John Steinbecks The Grapes of Wrath :: Free Essay Writer

Belief in John Steinbeck's The Grapes of Wrath Holiness, sin, and life are repeatedly questioned throughout John Steinbeck's The Grapes of Wrath, particularly by the former preacher, Jim Casey. As a preacher, Casey only preaches what the bible states and he resigns from his occupation after he feels the urge to pursue life's true meaning and values of the individual - basically to make sense of the world he resides in. Casey closely resembles the character and motives of Jesus Christ, as he is enthused to uncover the answers to his wonders and doubts and begins to hold new beliefs of sacrificing the self to sustain the rights of society. All the while, questions concerning the ideas and beliefs of the world circulate through Jim Casey's mind and he makes the decision to separate himself from the teachings of society to determine logical resolutions to his convoluted uncertainties. After renouncing his job as a preacher, Casey first decides to ponder his questions by going "into the wilderness like Jesus" and seeing if he can attain the 'spirit,' while analyzing his thoughts (489-90). When others around him rarely observe ideas in depth, Casey transforms all of his thoughts into complex puzzles and seeks the answers little by little. Casey believes that by taking his ideas one piece at a time, he will one day be able to encounter the "real" truth. When he first hears of the conflict between the different social classes, Casey "[throws] back his head and [looks] at the sharp stars" in deep thought, his mind poring over the controversy (77). Casey's hours of analyzing bring his thoughts together and creates for him a la rger intellectual depth, which distinguishes his sole purpose from those around him. Light is used to exemplify Casey as Jesus Christ, holy and virtuous, and separate from other people. Even during insignificant situations, his character is expressed when "the light of the coming morning made his forehead seem to shine, and his hands, swinging beside him, flicked into the light and out again" (89). Casey's image as a holy figure automatically makes him a peacekeeper among the Joad family, and most of the time he succeeds in maintaining his title role. The members of the Joad family understand that Casey is not simply a 'former preacher,' but is someone with vigorous aura and strong beliefs on the rights of people. When Casey talks to Tom by a fire one night, "the firelight [goes] deep into his eyes and [ignites] red embers," signifying his powerful presence (72).

Thursday, July 18, 2019

Health Paper-Hypertension Essay

Hypertension also known as high blood pressure is a common condition in which the force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. Blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. High blood pressure is the leading cause of stroke and a major cause of heart attack. In the U.S alone, more than 30% of American adults have high blood pressure. Hypertension is often called the â€Å"the silent killer† because it rarely caauses symptoms, even as it inflicts serious damage to the body. You can have high blood pressure for years without any symptoms. If your blood pressure is uncontrolled it can increase your risk of serious health problems, including heart attack and stroke. High blood pressure develops over many years, and it affects nearly everyone eventually. Although high blood pressure is most common in adults, children may be at risk also. For some children, high blood pressure is caused by problems with the kidneys or heart. But for a growing number of kids, poor lifestyle habits, such as an unhealthy diet and lack of exercise contribute to high blood pressure. Most people with high blood pressure have no signs or symptoms, even if blood pressure readings reach dangerously high levels. Although a few people with early stage high blood pressure may have dull headaches, dizzy spells or a few more nosebleeds than normal, these signs and symptoms typically don’t occur until high blood pressure has reached a severe, even life threatening stage. Thankfully, high blood pressure can be easily detected. Once you know you have it you can work with your doctor in controlling it. There are two types of high blood pressure. First, Primary (essential) hypertension. For most adults, there’s no identifiable cause of high blood pressure. This type of high blood pressure, tends to develop gradually over many years. Second, Seconday hypertension. Some people have high blood pressure caused by an underlying condition. This type of high blood pressure, tends to appear suddenly and cause higher blood pressure than does primary hypertension. Various conditions and medications can lead to secondary hypertension. High blood pressure has many risk factors including: age(the risk of high blood pressure increases as you age), race, family history, being overweight or obese(the more you weigh,the more blood you need to supply oxygen and nutrients you your tissues), not being physically active, using tobacco, using to much salt in your diet(too much salt can cause your body to retain fluid which increases blood pressure), too little potassiium in your diet, too little vitamin D in your diet, drinking alcohol, stress and certain chronic conditions. The excessive pressure on your artery walls caused by high blood pressure can damage your blood vessels, as well as organs in your body. The higher your blood pressure and the longer it goes uncontrolled, the greater the damage. High blood pressure can cause hardening and thickening of the arteries, which can lead to a heart attack, stroke or other complications. Blood pressure is measured with an inflatable arm cuff and pressure measuring gauge. A blood pressure reading, has two numbers. The first, or upper, number measures the pressure in your arteries when your heart beats which is called systolic pressure. The second, or lower, number measures the pressure in your arteries between beats which is called diastolic pressure. There are four general blood pressure measurements. Fist, normal blood pressue. Your blood pressure is normal if it’s below 120/80. However, some doctors recomment 115/75 as a better goal. Once blood pressure rises above 115/75 the risk of cardiovascular disease begins to increase. Second, prehypertension. Prehypertension is a blood pressure measurement of 120/80 to 139/89. Prehypertension tends to get worse over time. Third, Stage 1 hypertension. Stage 1 hypertension is a blood pressure reading ranging from 140/90 to 159/99. Fourth, Stage 2 hypertension. More severe hypertension, stage 2 hypertension is a blood pressure reading of 160/100 or higher. Changing your lifestyle can go a long way torward controlling high blood pressure. But sometimes lifestyle changes aren’t enough. In addition to diet and exercise, your doctor may recommend medication to lower your blood pressure. Which category of medication your doctor prescribes depends on your stage of high blood pressure and weather you also have other medical problems. It’s never too early to make healthy lifestyle changes, such as quitting smoking, eating healthy foods and becoming more physically active. These are primary lines of defense against high blood pressure and its complications. References: Choosing Health by: Lynch, Elmore, Morgan www.webmd.com www.managingmybloodpressure.com Steadmans medical dictionary 28th Edition

School wide positive behavior support

For the past 28 old ages, LAKE honorary society ( once taken as LifeStream honorary society ) has served pincers and striplings with emotional up conditions and demeanoural ch on the wholeenges as referred by the School Board of Lake County ( LCSB ) . LAKE Academy is house at two sites indoors Lake County and serves a center of 110 Emotional/ demeanoural modify and Emotionally Handicapped ( EBD/EH ) bookmans, 45 alternative fostering ( AE ) schoolchilds, and 80 Alternate corrective Program ( ADP ) pupils. LAKE Academy was organise as a charter amid LifeStream doingsal Center, a Mental wellness Hospital and Lake County School Board.LAKE Academy is infra pledge to keep a teacher/student ratio of 111 in the Emotional/ mienal incapacitate and Emotionally Handicapped ( EBD/EH ) platform a teacher/student ratio of 115 depart be well-kept in the Alternate study plan. The instructor to student ratio in the resource Disciplinary Program give dictationingroom impart a verage one instructor to twenty pupils. modernly, the Lake County School Board charter contr impress with Lake Academy added the No Child left-hand(a) Behind Act enfranchisement demand. every instructors ar required to demonstration annually improvement towards capable country and/or Exceptional nurture Certification. However, LifeStream manneral Center, the employer, pays on the norm of 10 dollars less per hr with no planning period or responsibility free tiffin. In add-on, this inculcateing requires frequent and sometimes drawn- reveal simmpleness of pupils which oft risks ail to staff.Purpose of StudyTraditionally, give instructions prep atomic number 18 use reactive, punitory schemes in an effort to disapprove pupils from unwanted conducts. These effect based fashion systems assume been proven uneffective. The Families and Advocates Partnership for Education provinces that harmonizing to over 500 research surveies, penalization is one of the least utile r esponses to business line doingss. School-wide policies that punish pupils for negative manners but that do nt honor positive deportments really increase aggression, hooliganism, hooky, tardiness, and dropping out of school ( FAPE look for Brief, p. 1 ) .We need to believe much about(predicate) our pupils and learn them how to act and larn, within a system that is positive and collaborative. What is indispensable is a systemic, proactive approach path that seeks to nix disputing demeanors from developing while comprehensively shape toing the demands of all kids on the continuum of hazard for disputing behaviours ( Dunlap, Lewis, & A McCart, p. 1 ) .Over the death 10 old ages, research workers fuddle been facial smell at the effectuate of positive behaviour treatments. These constructs were fore more(prenominal) than or less utilize in burden way scenes. phosphate buffer solution was developed ab initio as an option to aversive intercessions that were utilize with pupils with sore disablements who engaged in tip signifiers of self-injury and aggression ( OSEP, ND, p. 1 ) . More late, this antiaircraft has been successful in standard command scenes every art object good. researchers George Sugai and Rob Horner from Oregon, funded by the U. S. Office of Special Education Programs ( OSEP ) choose formed a collaborative including universities and educational bureaus with the end to help provinces in large murder of School-wide Positive way funding to accomplish both(prenominal) decrease in excogitate behaviour and enhanced larning environment ( OSEP Brochure, p. 1 ) .One survey, by Bradshaw, switch and Debnam ( 2007 ) paperss a randomised break sort conducted in Maryland in which execution of school-wide positive behaviour abide ( SWphosphate buffer solution ) was evidence to happen with fidelity, and to be linked to amend organisational wellness, improved schoolman results, and decreases in reputationabi lity subject referrals. ( Horner & A Sugai, 2007, p. 8 )A re estimate of the misadventure entropy for both campuses last year showed that the Leesburg campus had 299 casualtys that were ca utilize by 70 pupils.Sixteen pupils had 5 or much incidents for a center of 203 or 68 % .55 % of all incidents were Acting leave ( 51 % AO & A 4 % AO, with hurt )31 % of all incidents were assaults.The Eustis campus saw long hundred incidents that were caused by 47 pupils.9 pupils had 5 or more incidents for a sum of 64 or 53 %56 % of all incidents were Acting Out ( 44 % AO & A 12 % AO, with hurt )21 % of all incidents were assaults.Lake Academy keeps making the said(prenominal) thing and expects different consequences. The school essential switch from a reactive and aversive attack to pull murder labor behaviours to one that is preventative and positive.Lake County Schools introduced Positive Behavior Support in several(prenominal) schools last year. One school saw a about 50 % de crease in subject referrals. The Academy already has A? of the phosphate buffer solution work done with the Leveled Behavior adaptation Program.Literature ReviewDefinitions/ Background of phosphate buffer solutionSchool-wide positive behaviour clog up ( SWphosphate buffer solution ) john be specify as a systems attack for circumscribe uping the societal civilization and doingsal hold ups necessitate for a school to be an legal acquisition environment for all pupils ( Sugai, 2008, intro slide 9 ) . SWphosphate buffer solution is a more proactive option to reactive, punitory behaviour accusation processs. Administrators, instructors, and staff work collaboratively to give out the school clime by culture behavioral outlooks and societal executions for all scenes within the larning community. Positive support is used to coincide pupils who be exhibiting the expected behaviours. For pupils who argon non reacting to the apt(p) outlooks, thither is a continuum of inter cessions designed to cargo deck the demands of the person.Cardinal Elementss of PBSThe chief elements of the PBS theoretical account include a prevention-focused continuum of support, proactive instructional attacks to discipline and dieing societal behaviours, conceptually secure and through empirical observation formalise patterns, systems change to masking up effectual patterns, and experimental determination devi babble out ( Sugai & A Horner, 2002, p. 2 ) .Prevention.thither be three degrees of criterion used in SWPBS. Primary stave off central points on diminishing the look of new instances of a demarcation behaviour or state of affairss by guaranting and dimension the habitude of the most effectual patterns for all pupils ( p. 2 ) . This degree of block is used with all pupils, school-wide in all scenes. Students be taught the behavioural outlooks and societal accomplishments for usage in all countries of the school. Positive support is used by instruc tors and staff to admit those pupils who argon acting harmonizing to these outlooks.The end of secondary bar is to cut down the range of bing occupation behaviour instances or state of affairss by supplying sp be instructional and behavioural supports for the comparatively smaller figure of pupils who are at hazard of significationant school failure and who need more specialized supports than those provided by primary bar attempts. ( Sugai & A Horner, 2002, p. 2 )In these instances, intercessions are used to back up these persons in pursuance the behavioural outlooks established in the school.The lowest type of bar, third bar focal points on cut downing the figure of bing instances of complex, intractable, and long-standing job behaviours displayed by pupils who are at high hazard for signifi stoolceant emotional, behavioural and societal failure ( Sugai & A Horner, 2002, p. 2 ) These pupils require more individualised and intensifier intercessions, including the usage of businessal behavioural outline and separate informations aggregation to find the scoop out manner to back up them.Proactive Approach.The second cardinal component of PBS is that the attack taken by the instructors and staff is proactive instead than reactive. At the beginning of the twelvemonth or at the start of a new natural process, behaviour guidelines are taught explicitly and reinforced so that all pupils know what is expected of them.This attack is characterized by a careful consideration of instructional patterns, constructions and procedures for ( a ) maximising academician results ( B ) selecting and learning school-wide and trackroom-wide outlooks, regulations and modus operandis and ( degree Celsius ) practicing and promoting the usage of academic accomplishments and behavioural outlooks across multiple relevant scenes and contexts ( Sugai & A Horner, 2002, pp. 2-3 ) .Students are taught societal accomplishments and abandoned schemes for cover with other pu pils, such(prenominal) as deal declaration and how to react to world plague or bullied. It is excessively do ready to pupils when they should seek aid from an grownup in a given state of affairs.Sound Practices. numerous of the constituents of PBS come from the pattern of Applied BehaviorAnalysis ( ABA ) , which has been refined, tested, and replicated to organize an of signification corrective attack for turn toing socially of import concerns in instruction, particularly puntering behavioural results for private pupils ( Sugai & A Horner, 2002, p. 3 ) .PBS focuses on two specific methods used in ABA functional behavioural appraisal and behaviour intercession programs. Functional behavioural appraisals are used to hoard up informations about the variables associated with job behaviours, such as scene, ancestor, and effects. This information is used to make behavior intercession programs, which focal point on the strengths and of import societal contexts of the pupil a nd household and do job behaviour ineffective, inefficient, and irrelevant so that more desirable or all-mains(prenominal) behaviours can be encouraged ( Sugai & A Horner, 2002, p. 3 ) .Systems Perspective.A vainglorious portion of the PBS attack is the fact that it is used school-wide. Having the systems rectify up throughout the school scenes is authorized to the successful execution of these patterns. This involves ongoing set and coaching of instructors and staff to attempt that in that location is consistence throughout the school. Systems supports mustiness be in topographic point to back up the accurate, efficient, and sustained usage of evidence-based patterns and informations program line systems ( Sugai & A Horner, 2002, p. 4 ) .Stairss for Implementation.The execution of PBS in a school involves several stairss. First, the leading team is established. With input from all staff, police squads determine which features they bequeath aim foremost, how advance ment go away be monitored, and what the behavioural outlooks forget be, when and how to learn the behavior outlooks, and the type of informations that entrust be used to inform determinations ( Dunlap, Lewis, & A McCart, p. 2 ) .Next, the squad defines the behavioural outlooks for the pupils. For school-aged kids, there are normally about v guidelines used throughout the school. These are stick on throughout the assorted educational scenes, utilizing linguistic intercourse pupils can easy understand and associate to or utilizing images or icons. ( Dunlap, Lewis, & A McCart, p. 2 )Once the school-wide behaviour outlooks contribute been determined, they must be taught to the pupils. Expectations can be taught with a scope of schemes that include mold, pattern, function playing, and feedback in context, and a assortment of stuffs can be used to serve well the instruction procedure ( e.g. books, games, marionettes, societal narratives ) ( Dunlap, Lewis, & A McCart, p. 2 ) . Children are taught societal accomplishments every bit good as schemes for struggle declaration. thither is besides treatment about eliminate behaviours for different scenes within the acquisition community, such as the schoolroom, the hallways, the tiffin room, and the resort area. It is of import that the instruction of these outlooks is clear and consistent and that the pupils are cognizant of the effects for non following with the guidelines. by and by pupils have been taught the behavior outlooks, the following footprint is to utilize changeless positive support to admit those pupils who exhibit the coveted behaviours. good-looking the kids this feedback lets them cognize when they are on the ripe path and besides shows other pupils that they go away be noticed if they make the sort out picks. Acknowledgement of coveted behaviours is such a critical characteristic of PBS that frequently the leading squad needs to set up particular monitoring schemes to assist motivate staff to catch the kids being good with a high up to(predicate) frequence ( Dunlap, Lewis, & A McCart, p. 3 ) . data is used to assist the PBS squad to work out jobs and do determinations sing the actions taken to implement the plan successfully throughout the school. The squad meets to make up ones mind what types of information they volition roll up to supervise the effectivity of the systems at different degrees school-wide, within each schoolroom, and with individual(a) pupils.One normally used amount to measure the school-wide plan is to look at the figure of office subject referrals ( ODRs ) . Many schools besides use behavior incident signifiers which papers happenings of targeted disputing behaviours, and note the type of job behaviour, the scene in which it occurred, the type of activity and any other possible triggers to the behaviour, the peck involved in the activity and the effects ( if any ) that were provided following the behavioural incident ( Dunlap, Lewi s, & A McCart, p. 3 ) . This information is equanimous and analyzed on a regular basis by members of the squad in their determination devising.Students who do non react to the behavioural outlooks set Forth are provided with extra intercessions, as decided by the PBS squad. Data from behavior incident signifiers can assist squads find which kids and schoolrooms need support and what supports are appropriate ( Dunlap, Lewis & A McCart, p. 3 ) . efficaciousness of PBS.A survey of PBS in urban high schools analyzing PBS and its effectivity at the secondary degree was conducted over the class of 4 old ages.Overall, school-wide PBS has been associated with decreases in ODRs at this school. Although the deficiency of experimental control in the survey prohibits the ability to seize causality, during the months and old ages where school-wide PBS intercessions were implemented, ODRs declineda Besides, comparing baseline informations to the first twelvemonth of execution revealed that a significantly smaller figure of pupils standard multiple ODRs during the execution twelvemonth in comparing with the baseline twelvemonth. ( Morrissay, 2010, pp. 30-31 )Many other surveies have shown similar consequences, including decreases in behavior incidents, office subject referrals ( ODRs ) and suspension rates. Recent research indicates that school-wide positive behaviour is associated with reduce exclusionary, reactive and punitory subject patterns, change magnitude pupil satisfaction, and improved perceptual experiences of school safety ( Putnam, Horner, & A Algazzine, 2006, p. 1 ) . Teachers brood holding more cut back for committal in the schoolroom because there are less behavioural distractions. There are more positive interactions between pupils and staff, which farm a better environment for everyone.Legislation.The Individuals with Disabilities Education Act ( IDEA ) was originally passed as our state s particular instruction jurisprudence in 1975. Its i ntent is to guarantee that pupils with disablements have an equal opportunity to hold a free appropriate popular instruction, merely a bid other kids ( hypertext shipping protocol //www.nichcy.org/idea.htm para 2 ) . The act has been revised and amended many times, and was most late reauthorized by sexual intercourse in 2004, with consequences published in 2006. The new act, IDEIA ( Individuals with Disabilities Education Improvement Act ) , states that school finality makers continue to hold legislative support for their usage of functional behavioural appraisal and positive behavioural intercessions and schemes for back uping kids with disablements who exhibit job behaviours ( IDEIA, 2004, p. 2 ) . The IDEIA provides more tractableness in support, leting schools to utilize a per centum of their financess toward implementing PBS. It is besides proposed that these intercessions be used school-wide, to make an comprehensive acquisition community for all pupils.Congress is presently fixing to reauthorize the Elementary and junior-gradeEducation Act, known as No Child Left Behind. It appears that policymakers have begun to admit that there are many non-academic factors that tint pupils school success ( Mandlawitz, 2007, p. 1 ) . In her recent publication, Myrna Mandlawitz describes two measures that have been introduced, the reducing Barriers to Learning Act of 2007 and the Positive Behavior for Effective Schools Act. Both of these involve the usage of school-wide positive behaviour support.On whitethorn 21, 2009, theA Positive Behavior for Safe and Effective Schools ActA ( HR 2597 ) was introduced by Representative Phil lapin ( D-IL ) .A If signed into jurisprudence, HR 2597 depart better school clime and promote pupils academic success by promoting the usage of comprehensive positive behavioural supports ( PBIS ) . look has record that PBIS leads to better instructional garment, reduced corrective jobs and increased fit inning play t onss. Harmonizing toA Rep. Hare, HR 2597 provides schools with the flexibleness and proficient aid needed to implement, counterpane out, and prolong the usage of the Positive Behavior Interventions and Supports system. The end of this measure is to see more execution of positive behaviour supports in order to consistently make a school clime that is extremely lend to larning, cut down subject referrals, and better academic result. They besides propose more flexibleness in the usage of human activity I financess for School-wide Positive Behavior Supports to do it more accessible to all schools.SWPBS and Academics. some(prenominal) surveies have install bloods between academic public presentation and job behaviour across class degrees ( Putnam, Horner & A Algazzine, 2006, p. 1 ) . Other research has present that pupils with terrible job behaviour experienced big academic shortages as compared to typical equals. In most countries these shortages remained stable over senten ce ( p. 2 ) .In many instances, behavior jobs arise because a pupil is quest to avoid an academic undertaking. If a kid is weak in a sure country or is fighting with a undertaking, he or she may move out as an flight. For illustration, if a pupil s literacy accomplishments do non maintain gait with those of equals, academic undertakings befit more aversive, and job behaviours that lead to get away from these undertakings become more likely ( Putnam, Horner & A Algazzine, 2006, p. 1 ) . It is of import as instructors that we learn what is reenforcing our pupils for their behaviours and expression at what the map of the behaviour is. seek workers have late begun to analyze the relationship between SWPBS and academic accomplishment. With less clip and energy traveling to pull offing job behaviours, instructors have more clip available for direction in the schoolroom. Research has systematically shown that the sum of clip that direction is provided is extremely correlated with pupil accomplishment ( Putnam, Horner, & A Algazzine, 2006, p. 2 ) .Some surveies have besides shown increased clip on undertaking and academic battle in schools and schoolrooms utilizing PBS. Student academic battle has been found to be correlated with improved academic achievementaIn a survey of 6 schoolrooms that implemented behavior support programs, on-task behaviour increased by 24 % over baseline degrees ( Putnam, Horner, & A Algazzine, 2006, p. 2 ) .Research is besides get downing to demo that execution of SWPBS is associated with improved trial tonss. There is increasing grounds that school-wide positive behaviour support intercessions improve standardized trial consequences ( p. 3 ) .MethodologyThe Academy already has a leading squad in topographic point and a Behavior Modification plan. This undertaking leave alone concentrate in the positive facet. The leading squad delimit the cosmopolitan behavioural outlooks as Respect, Responsibility, and Safety. The follow ing(prenominal) chart shows what each of these behaviours expression likeRespectDutySafetyUse appropriate and positive linguistic communicationFollow staff waiesKeep custodies, pess, and objects to yourself take heed when others are talkingCare for your properties and light up after yourselfWalk at a safe gait inscribe your manus and speak when it is your bend keep back your best attemptEnter and issue in orderly linesRespect others, staff, and belongingsBe preparedThe leading squad so developed a render to how the plan will work. The cost will peal indiscriminately throughout the two dozen hours. Techs will give PBS points for pupils that are exhibiting the Expected Universal Behaviors when the bell sound ( Respect, Responsibility, and Safety ) . An excess column has been added to chance(a) Point Log for this trailing. Points can be turned in at the conclusion of the hebdomad for school mark points. The refined the bell ringsa the really second the bell ringsa is when the PBS point is earned. It does non count what behavior the pupil displayed two seconds ago, two proceedingss ago, or two hours ago. It does non count if the kid has non made his twenty-four hours. All that affairs is if he was exposing cosmopolitan behavior outlooks at the present moment the bell rang. If he was, he earns the PBS point.The squad so established the regulations for the school shop. School shop will be on Friday from 130pm-230pm. Students must be escorted and supervised by their schoolroom staff. capture behaviour must be demonstrated at the school shop. Students will be asked to go forth if their behaviour is unacceptable. Rules of school shop will be affix at the shop site and a transcript will be given to each schoolroom for staff to survey with pupils. Students must be gaining 80 points, must be dress codification compliant, and have no major moving out behaviours to go to shop. School shop will be announced on the vocaliser and a agenda will be implemented o f schoolroom times. Merely ordained staff will be allowed to run and hold entree to school shop and shall keep shop stock list. It is the craft of the schoolroom staff to track pupil s points in order for them to secure points from shop. Any staff/student that is pretend of larceny, pull stringsing points, non tracking pupil s points, non leting pupils to use shop will be reported instantly to an Administrator and have a effect for their actions. There will be a suggestion corner for any petitions for stock list, alterations that may be needed, or comments/concerns at the shop that will be reviewed by the PBS squad. PBS squad will supervise point/inventory relation and do obligatory accommodations.The incident informations each month will be compared to the information from last twelvemonth and disaggregated by types of incident. This comparing informations will be used to measure the effectivity of the plan and to find the mark country for the 2nd grade. It is projected that the figure of incidents per month will diminish by 50 % like that of other schools in the county.