Dickinson #389 Essays - American Christians, Emily Dickinson

Dickinson #389 Emily Dickinson (#389) The speaker in Dickinson's poem is noticeably outside the main action of the poem. The first line makes that clear: There's been a Death, in the Opposite House. Dickinson creates a patchwork story that the reader and speaker create through Dickinson's poem, based on outside clues and speculation. In Dickinson's poem, each stanza has a central focus; the focus is an action or an image, each one providing more certainty to the belief that there has been a death. These images and actions lead up to the eventual, haunting realization that there will be a funeral procession. Dickinson also cleverly plays with words, puns, and sound associations. The attitude and emphasis of her poem comes as the poem builds, surprising offering no comfort on the subject of death at the end. In Dickinson's poem, the death seems to have just occurred, perhaps an hour or two?at the very least As lately as Today. In Dickinson's poem, the actions of the characters appear to be the more immediate concerns of postmortem?airing out the house, discarding the mattress of the deceased, etc. Dickinson's poem is somber. The very list of characters that come and go and hurry by the death house is something not unlike the funeral procession that Dickinson alludes to near the end of her poem, as the Dark Parade. The neighbors are first to arrive, second only to the immediate family, whose members are surely already inside. Then the Doctor comes and goes, followed by the removal of the mattress (maybe there are germs on the mattress). At this point, the person is finally dead, and those people who were not as close to the person can now join in this procession of visitation. The somber tone comes through in some of the word choices as well. The house itself has a numb look to it. The mortician, or perhaps the coffin-maker, is described as belonging to the Appalling Trade. The pall in ?Appalling? sounds like pallbearer. What is consistent in the tone of the poem is the idea of death as a looming figure. There has been a Death, to be sure, but the speaker does not know this from first hand experience; the speaker can tell by the look of the house itself. The speaker wonders, like the boys, how the death occurred. The signs make it clear that there has, in fact, been a death, and it occurs to the speaker that a funeral procession will soon follow. This realization is stated with a sense of dread and excitement, and this sense is heightened by the fact that the line is set apart from the otherwise regular four-line stanzas. Dickinson abruptly goes from talking about the present to talking about the future. There has been a death, but the speaker seems preocc upied, not with what has been, but what will be. The humor in Dickinson's poem, if one could call it humor, is sublime, dry. Perhaps a better way to describe these moments would be as play. There are a couple of occasions where the mind can be made to believe that there are alternate ways to read what is an otherwise straightforward poem. One of these is the stanza about the minister. The Minister?goes stiffly in? is an obvious pun; the term stiff is associated with a corpse. Another moment of play comes when the undertaker's (or coffin-maker's) visit is described as his taking measure of the house. Measure is being taken of the inhabitants' demeanors, or of the corpse itself, so that a casket can be crafted. Still, the overall mood of the poem is consistent?somber and looming. The final line of the poem does impart a bit of comfort to the poem; In just a country town does lend itself to a reading of comfort and familiarity. In a small town the inhabitants can recognize the death of a neighbor by reading the clues on the street. Th is doesn't make one feel any better about the death. Comfort for Dickinson is in the form of easily discernible signs of death?easy as a Sign, she writes. But the idea that these signs are Intuition of the News implies threatening news. The speaker knows what the news

Difference Between Intrinsic and Instrumental Value

Difference Between Intrinsic and Instrumental Value The distinction between intrinsic and instrumental value is one of the most fundamental and important in moral theory. Fortunately, it is not difficult to grasp. You value many things, such as beauty, sunshine, music, money, truth, and justice. To value something is to have a positive attitude toward it and to prefer its existence or occurrence over its nonexistence or nonoccurence. You can value it as an end, as a means to some end, or both. Instrumental Value You value most things instrumentally, that is, as a means to some end. Usually, this is obvious. For instance, you value a washing machine that works- purely for its useful function, or instrumental value. If there were a very cheap cleaning service next door that picked up and dropped off your laundry, you might use it and sell your washing machine because it no longer has any instrumental value to you. One thing nearly everyone values to some extent is money. But it is usually valued purely as a means to an end. It has instrumental value: It provides security, and you can use it to purchase things you want. Detached from its purchasing power, money is just a pile of printed paper or scrap metal. Intrinsic Value There are two notions of intrinsic value. It can be: Valuable in itself  Valued by someone for its own sake If something has intrinsic value in the first sense, this means that the universe is somehow a better place for that thing existing or occurring. Utilitarian philosophers like John Stuart Mill claim that pleasure and happiness are valuable in and of themselves. A universe in which a single sentient being is experiencing pleasure is better than one in which there are no sentient beings. It is a more valuable place. Immanuel Kant holds that genuinely moral actions are intrinsically valuable. He would say that a universe in which rational beings perform good actions from a sense of duty is an inherently better place than a universe in which this doesn’t happen. The Cambridge philosopher G.E. Moore says that a world containing natural beauty is more valuable than a world without beauty, even if there is no one there to experience it. To these philosophers, these things are all valuable in and of themselves. This first notion of intrinsic value is controversial. Many philosophers would say that it makes no sense to talk about things being valuable in themselves unless they are actually valued by someone. Even pleasure or happiness are only intrinsically valuable because they are experienced by someone. Value for Its Own Sake Focusing on the second sense of intrinsic value, the question arises: What do people value for its own sake? The most obvious candidates are pleasure and happiness. People value many things- wealth, health, beauty, friends, education, employment, houses, cars, and washing machines- because they think those things will give them pleasure or make them happy. It may seemingly make sense to ask why people want them. But both Aristotle and Mill pointed out that it doesn’t make sense to ask why a person wants to be happy. Most people value not only their own happiness, they also value the happiness of other people. They are sometimes willing to sacrifice their own happiness for the sake of someone else’s. People also sacrifice themselves or their happiness for other things, such as religion, their country, justice, knowledge, truth, or art. Those are all things that convey the second characteristic of intrinsic value: They are valued by someone for their own sake.

Path-Goal Leadership Questionnaire Personal Statement

Path-Goal Leadership Questionnaire - Personal Statement Example Path Goal Leadership theory is nothing less than a revolution in the world of management and leadership as the man himself said in his paper, ‘Path Goal Theory of Leadership: Lessons, Legacy, and a Reformulated Theory (House, 1996). This particular theory focuses on the relationship between the manager and his or her subordinate staff and how that relationship affects the performance of the staff and the company generally. The four main styles talked of in this theory are; Directive leadership, supportive leadership, achievement-oriented leadership, and participative leadership. A manager working by the rules of Path Goal Management should at least be one of these things if not all; a Goal Setter, a Supporter, a Clarification Provider, and a Participant (Mooney, 2010). After completing the questionnaire the results I reached led me to believe that I rely a lot on directive leadership and least on participative leadership. Directive leadership accounts for providing staff with clarity in a situation when the staff is not independent enough to be left on their own. And participative leadership depends and works on the basis of participation from every level of the staff. I believe that generally while dealing with any one subordinate to me I tend to keep things serious and work-oriented. For example, keeping the lowest level of subordinate staff in mind, when dealing with the working class in case of an event management I would give them all directions and the entire explanation and then leave them to do their work, of course with occasional supervision trips. This however does not mean that you restrict the environment so much that people start feeling bound and entitled to your command. The platform for opinion-making or giving suggestions is alwa ys open for anyone who has something worth sharing. The success rate of this management style however is not a set hundred percent. While using the directive style you have to be careful so that your directions do not

Marketing Audit and Marketing Objectives Essay Example | Topics and Well Written Essays - 2250 words

Marketing Audit and Marketing Objectives - Essay Example In the recent past, Dell Corporation has enhanced their consumer base in the laptop computer brand. Indeed, the company implemented one of the best marketing initiatives in the face of high technological innovativeness in the early 21st century. Through its marketing campaigns, Dell focussed on developing a consumer base composed of younger population, who preferred portable laptop computers for their daily activities, such as studies. They specifically ensured that they captured students and younger adult population. However, in the campaigns aimed at the young consumers, Dell Computers knew the significance of communicating - at least indirectly, to parents who are usually called upon to help with purchasing the products for their sons and daughters (Proctor, 2000; Baker, & Hart, 2007).  In the recent past, Dell Corporation has enhanced their consumer base in the laptop computer brand. Indeed, the company implemented one of the best marketing initiatives in the face of high techn ological innovativeness in the early 21st century. Through its marketing campaigns, Dell focussed on developing a consumer base composed of younger population, who preferred portable laptop computers for their daily activities, such as studies. They specifically ensured that they captured students and younger adult population. However, in the campaigns aimed at the young consumers, Dell Computers knew the significance of communicating - at least indirectly, to parents who are usually called upon to help with purchasing the products for their sons and daughters (Proctor, 2000; Baker, & Hart, 2007). II. Goals, strategy formulation and implementation Dell strives to be the most flourishing corporation in the world known for producing the best laptop computers that meet and exceed the customer expectations in the UK market. The corporation’s marketing objectives and goals are premised upon providing the customers with laptops that have new and striking features such as webcam for video chats or conferencing (Linsenbach, 2007). These features are increasingly becoming popular, especially in the UK. With these features incorporation in its laptop brands, Dell aims to be seen making the life of the users more relaxed. The strategy was been apparently implemented in the Dell’s ‘Dude’ campaigns, which may continue to be the future trend in regard to appealing for the younger population (Proctor, 2000; Doyle, & Stern, 2006). The company’s targeting of the UK’s younger consumers with the laptop brands in the 1990s saw the original creation of Dell Computers "Dude." The promotions captured the ‘

TASK 8 Assignment Example | Topics and Well Written Essays - 1000 words

TASK 8 - Assignment Example Firstly it is the case that people are living longer. According to World Bank: World Development Indicators (2010) it is the case that a child born in1960 was likely to live 71.13 years but as of 2008 a child born in that year will likely live to be 79.9 years. What this means is that historically when a person retired at the age of 65 they were likely to only live for an additional 6.13 years whereas now an individual is likely to live 14.9 years. What this means is an additional strain on the public pension fund, moreover it is also the case that according to the CIA World Factbook (2010) the birthrate is currently 12.34 births/1,000 and the death rate is 9.33 deaths/1,000. Although this demonstrates that the population is still growing the gap between births and deaths is shrinking and it is likely that in the future there will be fewer young people to support the ageing workforce. By allowing people to work longer we are able to take some of the tax burden off of younger people a nd free up funds for new capital. Building on this point it may be the case that there are skill shortages I certain sectors and by forcing people (who possess these necessary skills) to retire at a certain age without a suitable replacement it may leave the community as a whole without a necessary service. Many people are required to make absences fro their careers for personal reasons such as long term health problems or several maternity leaves. Building on this point it may be that these people wish to take additional time to expand their working years to achieve some milestones in their career which may not be achievable if there is a forced retirement. Moreover there are several recent immigrants that have immigrated to the country that wish to build a ‘Nest Egg’ in order to have a comfortable retirement age. If it is the case that an individual is forced to retire they may be relegated to a lifetime of poverty. From a civil liberties perspective one

Legal Environment Of Colombia Politics Essay

Legal Environment Of Colombia Politics Essay History Colombia is one of three countries that emerged following the collapse of Gran Colombia in 1830. Francisco de Paula Santander became the president of the new state. Colombias name has changed many times since its independence from Gran Colombia, starting with the Republic of New Granada, then the Granadine Confederation, then the United States of Colombia, and finally the current Republic of Colombia. Colombias history is filled with violent conflicts between the conservative and liberal political parties. The most notable of these conflicts was a civil war occurring between 1899 and 1903, known as The War of a Thousand Days. The war led to approximately 100,000 deaths. Colombia also lost part of its northern territory in the conflict, which ultimately became what is currently Panama. Tension increased and conflict continued through 1958. From 1948 to 1957, Colombia experienced its worst political conflicts it what is now coined la violencia. The violence began after the assassination of the liberal leader, Jorge Elià ©cer Gaità ¡n. It is estimated this turmoil resulted in at least 200,000 deaths. During this period, Colombia was ruled by two successive dictators, Laureano Gà ³mez and Gustavo Rojas Pinalla. The conflicts and violence finally ended with an agreement between the conservatives and liberals in 1958. They formed a coalition government, known as the National Front government. The idea behind this type of government was that each party would hold the presidency and all other government and civil positions on an equal, rotating basis. This lasted for sixteen years and let to better economic conditions. Beginning in 1974, Colombia began to have legitimate elections between the two political parties. While political violence declined as a result of these elections, Colombia has been plagued with other issues. In 1985 a dormant volcano erupted outside of Bogotà ¡ killing nearly 20,000 people in the town of Armero. In 1999, another volcano resulted in significant loss of life in the town of Armenia. In addition to these natural disasters, Colombia was plagued by increased terrorist and drug activity. The Minister of Justice was assassinated in 1984 by drug barons working to protect the extremely profitable drug trade. Less than a year later, Guerrillas raided the Palace of Justice in Bogotà ¡ in 1985 taking a number of hostages until the Colombian troops stormed in. The incident resulted in nearly 100 deaths including several Supreme Court judges. The Marxist guerrillas terrorist activities still continue and have gained in strength since they partnered with the drug cartels for weapons. These guerrillas, known as the Revolutionary Armed Forces of Colombia (FARC), reside in the south part of the country and have approximately 20,000 members. From this remote region, the guerrillas plan attacks on the Colombian military and police and protect their cocaine plantations. The estimated number of deaths in the 1990s from this conflict is 35,000 and has resulted in a number of military personnel being held hostage. Andrà ©s Pastrana became President in 1998 and unveiled a plan to combat the violence and drug problems, known as Plan Colombia. The goals of the plan were to increase peace throughout the country, combat the drug industry, revive the economy, improve protection of human rights, and reduce social inequalities. The United States provided a $1.3 billion assistance package mostly to help build-up the military and counternarcotics initiatives. In 2002, à lvaro Uribe was elected President and released the Democratic Security and Defense Policy. This plan focused attention on the security and military components of Colombia, but also worked to improve the social and economic issues. Uribe was reelected in 2006. (Gascoigne, 2001) Most recently, in June 2010 Juan Manuel Santos Calderà ³n was elected President of Colombia. (President of Colombia, 2010) He is believed to want to continue Uribes market-based economic reforms. (The world in figures: Countries, 2010) Background Facts All facts and statistics below were taken from the CIA World Factbook, unless indicated otherwise. (The World Factbook, 2010) Colombia is located in South America. It is over 1 million square kilometers, which is slightly less than twice the size of Texas, ranking it 26th in the world in terms of size. The major natural resources of Colombia are petroleum, natural gas, coal, and other minerals. Current issues facing the Colombian environment are deforestation, soil and water damage from the overuse of pesticides, and air pollution. The population of Colombia as of July 2010 was 44,205,293, with an annual growth rate of approximately 1.184 percent. A majority of this population is between 15 and 64 years old (66 percent), a relatively smaller percentage is under 14 (28 percent), and even smaller still is the percentage of the population over 65 years old (6 percent). Just about two-thirds of the population lives in urban areas. An indicator of social and economic conditions in the country, the infant mortality rate is 16.97 deaths per 1,000 live births and the life expectancy at birth is 74. Only about 170,000 people are living with HIV/AIDS, constituting only .6 percent of the population. The official language of Colombia is Spanish. The dominant religion is Roman Catholic at about 90 percent of the population. The government spends approximately 3.9 percent of GDP on educational expenditures, ranking 111 in the world. Over 90 percent of the population over the age of 15 is literate and students are expected to remain in school on average for 13 years. These statistics indicate a successful educational system. Military service is required of 18-24 year olds for 18 months. The military expenditures are 3.4 percent of GDP, ranking 35th in the world. Colombia ranks first in murders per capita in the world. (Crime Statistics) Predominant Economic Model The predominant economic model in Colombia is a market-based mixed economy. (Financial Standards Foundation, 2009) Both privately owned enterprises and the government play an important role. The market-based aspect of their economy focuses on private businesses producing goods and services and individuals consuming those goods and services. Ownership rights are important in protecting the private enterprises from governmental power. The economy is believed to be more efficient in a market economy as supply and demand are used to determine the production and pricing of goods and services. The mixed economy aspect means Colombia allows certain limitations to be placed on free enterprise through government regulations. Some services are better provided by the government than through a free market system. (U.S. Department of State) In 2005, over half of the total investment in Colombia was from government enterprises and government investments. This leans Colombia to more of a mixed economy. A process of economic liberalization was started in 1990 by removing restrictions on imports and foreign investment, privatizing more services, and easing government regulations. More recent reports show the liberalization is effective. The 2008 index of Economic Freedom reported the Colombian governments total expenditures were only 31 percent of gross domestic product. (Financial Standards Foundation, 2009) The National Administrative Department of Statistics states that the Colombian gross domestic product growth rates were approximately 7 percent in 2006 and 8 percent in 2007. The U.S. State Department reports there are a few factors that are contributing to the stable growth in Colombia: an increase in domestic security, monetary policy that maintains low inflation and a stable exchange rate, a rise in petroleum prices and exports in response to their economic liberalization, and various trade agreements. In 2008, the growth rate fell mostly due to a worldwide economic downturn, continuing to decline to 2.4 percent in 2010. (Financial Standards Foundation, 2009) Of some concern to the International Monetary Fund is the large deficit Colombia faces. The deficit is mostly financed by foreign investment, which can be risky due to an uncertain international economic environment. (Financial Standards Foundation, 2009) In summary, the Colombian economy exhibits characteristics of both a market-based economy and a mixed economy. The economic liberalization effort has already and will continue to move Colombia more toward a market-based economy that features less government regulation and a greater focus on privatization and international trade and investment. Legal Environment The Colombian government is made up a three branch system, similar to that in the United States. It consists of an executive branch, headed by the President, a judicial branch, and a legislative branch, consisting of a bicameral Congress. (The World Factbook, 2010) A new constitution was ratified in 1991 and brought about major changes in the political institutions. The new constitution maintained the three-branch system of government. It created new positions such as the Inspector General, a Human Rights Ombudsman, a Constitutional Court, a Superior Judicial Council, and Vice President. Significant social changes were implemented such as civil divorce, dual nationality and most importantly a legal means to appeal government decisions affecting constitutional rights. The constitution also implemented an accusatory system of criminal justice. Finally, an amendment in 2005 allows presidents to hold two consecutive four year terms, as opposed to just one. (Bureau of Western Hemisphere Affairs, 2010) The Index of Economic Freedom measures the property rights index. The index measures the degree to which private property rights are protected by a countrys laws. It also indicates the likelihood private property will be seized by the government, how independent the judiciary is, and the enforceability of contracts. Scores range from 0 to 100, where higher scores indicate a better protection of property rights. Colombia scored a 50. (Property Rights Index, 2010) The constitution explicitly protects private property and contracts are generally enforced. Compensation is required in expropriation cases. Intellectual property rights are not always guaranteed. There are commonly infringements on intellectual property, especially trademarks. In terrorist territories property rights are not guaranteed. (Heritage Foundation, 2010) Corruption is a significant problem in Colombia. There are concerns about the influence of criminal organizations on the police, military and other judicial services. (Heritage Foundation, 2010) Drug trafficking and terrorist activity is still a major issue in Colombia. With the assistance of the United States, Colombia has been able to weaken the drug trafficking organizations, reduce the supply of drugs to the United States, and establish a military presence in conflict regions. The involvement of terrorist groups in drug trafficking increases the difficulty of cutting down the problem. With the help of the United States alternative development programs have cultivated over 650,000 hectares of agricultural and forestry lands. Colombia has instituted social infrastructure projects to entice communities to remain illicit-crop free. (Bureau of Western Hemisphere Affairs, 2010)

The Effect of Teacher/Student Relationship on Learning Essay -- Educat

The Effect of Teacher/Student Relationship on Learning There are many controversies when it comes to the relationship between teachers and students. However, one idea remains, the teacher's primary job is to educate while the student's primary job is to learn. The techniques are what differ among teachers and in turn that shapes the relationship between the two parties. As many of the writers discussed in class, have pointed out, the education experience, from curriculum to academic and extra-curricular programs directs a person's path in life. Is this relationship among teacher and student that important to discuss and analyze? Does a student's education depend on the techniques of the teacher? Alternatively, do students have a responsibility to their own education? The relationship between the teacher and the student is both important and detrimental to a student's education. Educators and aspiring teachers need to know what kind of atmosphere they can create in a classroom. Students, college or otherwise, who want a good and rich education need to know ways in which to achieve this goal. The relationship among the teacher and student is an ongoing everyday process at every level of the educational system. What kinds of teaching techniques offer significant contributions towards a student's education? The authors bell hooks and Lynne Cheney consider two different perspectives. In her article, "Keeping Close to Home: Class and Education," bell hooks, claims that a student's social class can have an affect on his/her education. Her first experiences outside of Kentucky reflect the teaching techniques she has developed. To a southern black girl from a working-class background who had never been on a city bus, who had... ...ging each side of the relationship, a clearer perspective and job duty can appear. There must be respect and admiration among both the teacher and each student. Every educator can or should reflect on there own teaching patterns and shape them around suggestions made by Cheney and hooks. The teacher's primary goal is to broaden and bring about awareness to individual students. The only way to accomplish that objective is to find a balance between obtaining the power and allowing freedom in the classroom. Works Cited Cheney, Lynne. "PC: Alive ad Entrenched." In the Presence of Others. Ed. Andrea Lunsford and John J. Ruszkiewicz. New York: St. Martin's Press, 1997. 2nd ed. 112-122. hooks, bell. "Keeping Close to Home: Class and Education." In the Presence of Others. Ed. Andrea Lunsford and John J. Ruszkiewicz. New York: St. Martin's Press, 1997. 2nd ed. 85 The Effect of Teacher/Student Relationship on Learning Essay -- Educat The Effect of Teacher/Student Relationship on Learning There are many controversies when it comes to the relationship between teachers and students. However, one idea remains, the teacher's primary job is to educate while the student's primary job is to learn. The techniques are what differ among teachers and in turn that shapes the relationship between the two parties. As many of the writers discussed in class, have pointed out, the education experience, from curriculum to academic and extra-curricular programs directs a person's path in life. Is this relationship among teacher and student that important to discuss and analyze? Does a student's education depend on the techniques of the teacher? Alternatively, do students have a responsibility to their own education? The relationship between the teacher and the student is both important and detrimental to a student's education. Educators and aspiring teachers need to know what kind of atmosphere they can create in a classroom. Students, college or otherwise, who want a good and rich education need to know ways in which to achieve this goal. The relationship among the teacher and student is an ongoing everyday process at every level of the educational system. What kinds of teaching techniques offer significant contributions towards a student's education? The authors bell hooks and Lynne Cheney consider two different perspectives. In her article, "Keeping Close to Home: Class and Education," bell hooks, claims that a student's social class can have an affect on his/her education. Her first experiences outside of Kentucky reflect the teaching techniques she has developed. To a southern black girl from a working-class background who had never been on a city bus, who had... ...ging each side of the relationship, a clearer perspective and job duty can appear. There must be respect and admiration among both the teacher and each student. Every educator can or should reflect on there own teaching patterns and shape them around suggestions made by Cheney and hooks. The teacher's primary goal is to broaden and bring about awareness to individual students. The only way to accomplish that objective is to find a balance between obtaining the power and allowing freedom in the classroom. Works Cited Cheney, Lynne. "PC: Alive ad Entrenched." In the Presence of Others. Ed. Andrea Lunsford and John J. Ruszkiewicz. New York: St. Martin's Press, 1997. 2nd ed. 112-122. hooks, bell. "Keeping Close to Home: Class and Education." In the Presence of Others. Ed. Andrea Lunsford and John J. Ruszkiewicz. New York: St. Martin's Press, 1997. 2nd ed. 85

Task Two Cathy Ann Wilson-Bates Western Governors

Task Two Cathy Ann Wilson-Bates Western Governors University EVIDENCE-BASED PRACTICE & APPLIED NURSING RESEARCH EBP 1 Brenda Luther, PhD, RN January 25, 2012 Task Two Introduction: What I have learned about working with children in a chronic healthcare setting like dialysis is that they are resilient beings with the propensity for rapid changes in their medical condition. Children almost always surprise me in their unique description of symptoms and pain. Depending on their age, they may not be able to describe the symptoms they feel or tell me â€Å"where it hurts†.A simple ear ache may be described as a â€Å"drum in my ear† or may be observed with non verbal cues like tugging on the ear. Acute Otitis Media is seen quite often during the cold and flu season. Recent clinical guidelines suggest waiting twenty four to seventy two hours before beginning antibiotic therapy. Parents of children with symptoms of otitis media are accustomed to receiving a prescription for ant ibiotics before they leave the medical office. Adults as well are preconditioned for the little white slip of paper from their physician. You can read also Coronary Artery Disease Nursing Care PlanWaiting twenty four to seventy two hours to evaluate the need for antibiotics will definitely reduce the over-prescription of antibiotics as well as their efficacy. The waiting and watching of several days may seem like an eternity to a parent caring for a sick and crying child. Educating parents during routine visits to the physician office about the risks of over-prescribing antibiotics will help when the physician needs to discuss the possibility of waiting and evaluating before prescribing antibiotics.Providing a list of comfort measures parents can follow may help relieve the anxiety they have in caring for a sick child. Any comfort measure taken to reduce crying is helpful to the parent of a sick child, but mostly to the child. The following table and paragraphs will share the results of how one group of nurses at an outpatient clinic used clinical evidence to manage this situation. Source |Type of Resource |Source appr opriate or |Type of Research | | |general information, |inappropriate |primary research evidence, | | |filtered, or unfiltered | |evidence summary, evidence-based | | | | |guideline, or none of these | |American Academy of Pediatrics and American Academy of|Filtered |Appropriate |Evidence-based guideline | |Family Physicians. Clinical practice guideline: | | | | |Diagnosis and management of acute otitis media. | | | |Causative pathogens, antibiotic resistance and |Unfiltered |Appropriate |Evidence-based guideline | |therapeutic considerations in acute otitis media. | | | | |Pediatric Infectious Disease Journal. | | | | |Ear, nose, and Throat, Current pediatric diagnosis and|General |Inappropriate |None of these | |treatment. | | | | |Treatment of acute otitis media in an era of |Filtered |Appropriate |Evidence –based guideline | |increasing microbial resistance.Pediatric Infectious| | | | |Disease Journal | | | | |Results from interviews with parents who have brought |Unfilte red |Appropriate |Primary research evidence | |their children into the clinic for acute otitis media. | | | | | | | | | Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 13 No 5 1451-1465. This article is an evidence-based clinical guideline. It is a systematic review making it a filtered resource which is very appropriate for this situation. The article describes the current, (as of 2004) recommendations for the diagnosis and management of Acute Otitis Media (Subcommittee on Management of Acute Otitis Media, 2004). These guidelines show several different ways to treat acute otitis media depending on the symptoms of the child. It states that sometimes waiting to give antibiotics is good and sometimes waiting to give antibiotics is not good. This article is appropriate and provides clarity on the topic. Block, S. L. (1997).Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. This article discusses antibiotic resistance and describes the bacterial pathogens which are responsible for infections causing acute otitis media. This article is appropriate. It contains a comparison of studies performed based on the different types of bacteria which cause acute otitis media. It stresses the importance of identifying the bacteria causing the infection before giving antibiotics so that number one the bacteria can be eradicated and other bacteria will not become resistant (Block, 1997).PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. This textbook source contains general information on the ear, nose and throat. There is much more information here regarding basic anatomy and physiology as well as characteristics of the ear nose and throat. The information regarding otitis media is basic and not an appropriate source of research in this situation for three reasons. Number one, the information is very basic, number two, it does not give any up to date information on how to treat this type of infection, and number three there is too much non-relevant information.McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. This article is a review of the known etiologies that may cause acute otitis media. The article gives up to date information on therapeutic approaches when selecting an appropriate antibiotic therapy. We don’t practice â€Å"cookie cutter† medicine. The same prescription is not always right for all patients or all communities where some bacteria’s may be more prevalent than others (McCracken, 1998). This is appropriate information f or this group of people or community. media, P. o. (n. d. ).Interviews. (C. nurses, Interviewer) This set of interviews is simply raw data. General information can however provide great insight as to what is happening out in the community. For example, this information might shed light on the fact that if the parents are willing to hold off on antibiotics for example, would they be more likely to follow up and come back into the clinic when asked? The reaction of parents is dependent upon other several basic factors like finances, a belief system and possibly the ability to obtain transportation. Knowing how the community is going to respond to their choice may have a great effect on the decisions they make.When evaluating the findings of these sources cumulatively, one must first determine the causative pathogens infecting patients in this given community with acute otitis media. After pathogen determination we can determine which antibiotics may be most useful in eradicating the g iven bacteria. Careful selection of antibiotic therapy will reduce the propensity for antibiotic resistance. Watchful waiting may be a good thing from the perspective of increasing microbial resistance however we must always evaluate patients on their individual needs or on a patient by patient case. One size doesn’t always fit all. Patient education is the key to keeping the public informed of current practice.Physicians and Nurses need to be consistent in the lesson plan shared with patients and remain true to our scope of practice. Communication is essential between the physician, nurse and other multidisciplinary team members in order to provide the best care. There are many considerations in assessing if patients are able to withstand the waiting and evaluation period. Low income families are one example of how the waiting and watching method might not work. Parents may have to take time off work to come to clinic with a sick child. They might struggle finding money for the additional return trip to the clinic and may risk losing their job if they take more time off work.Many low income families may have already waited before seeking help thus creating their own watchful waiting period. They also may not be able to afford antibiotics and as a result may not give the full dose if symptoms have subsided. The perception is that they will save the medication for the next time symptoms arise. Confidentiality might be an issue in smaller communities. People tend to be concerned about neighbors and co-workers and some may not care to share their experience with others. This may be an issue for parents who don’t share custody as in the case of divorce. It is a greater issue when parents or partners don’t share the same fundamental values, especially those related to healthcare. Conclusion:Watchful waiting like the nurses in this clinic are looking at may be useful for some of the patients, but not all. Again, a one size fits all philosophy is not always appropriate in healthcare. Tools like algorithms may be helpful in determining the appropriateness for watching and waiting versus immediate action as determined by physical findings and social circumstances like parental adherence for follow up and ability to afford treatment. Whatever course you choose, watchful waiting or immediate antibiotics the best practice remains a plan of care based on the individual needs of our patients. References Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media.The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lan g. Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 113 No 5 1451-1465.

Labor Practices Paper Essay

Many companies are using sweat shops to manufacture their products at a much cheaper cost. However, there is a much deeper cost of using sweat shops then what can be placed in monetary value. I think it is time people begin to consider what sweat shops are doing to the people in this world and how dangerous they can be. Sweat shops may save companies money, but you do not want your company exposed on the news because your sweat shop in Bangladesh caught fire and killed 1,000 employees because fire safety regulations were not met. Sweat shops are used to describe a subcontracting system where the middle man earns profits from the margin between what they were paid and what they paid out to their workers. That margin is referred to be sweated from the employees due to them receiving minimal pay, working long excessive hours, and in unsafe, hazardous working conditions. Companies will find smaller, poorer countries that have little to no regulations as far as safety and pay go to establish these sweat shops in. They pay their employees as much in a month as what many of us would make in a day. They are also forced to work extensively long hours in conditions that are extremely hazardous to their health. There are a high number of easily preventable deaths every year due to these sweat shops not meeting safety and health regulations. The contractors and managers of these establishments are also notorious for  being highly abusive to their employees both mentally and physically. They would also target women and children for employment in sweat shops as they were manipulated much more easily than men. Also, they were much less likely to retaliate against the managers. Sweat shops often force people into working in these conditions. The people have no choice but to do so as they have families to take care of and without these sweat shops work would be placed elsewhere leaving them without any work at all. Many companies, especially in the clothing industry, are using these sweat shops to increase profits, lower cost to customer, and compete with other companies. Consumers still buy into the product regardless that it is made in such a dangerous environment where people lose their lives. There was an approximate total of 1,500 sweat shop garment worker deaths in 2012. However, companies are still using sweat shops because it does not affect the consumer’s choice to buy their product, their prices are decreased, and they are selling more product. Larger corporations and companies in other countries have paved the way for sweat shops. Other companies are beginning to play a hand in this as they are looking for ways to compete with the companies already doing so. Companies in other countries can easily influence other companies into placing sweat shops in their locations due to minimum safety and labor law requirements. Consumers should seriously consider researching the products you use and determining where they come from, how they were made, and what type of environment were they made in. Consumers should then stop purchasing items made from those companies using sweat shops to produce their product. Do you really think the shirt your wearing was worth 1,500 people dying in 2012? Laws should also be implemented that hold these companies responsible for these workers wages and working conditions. It is the contractor’s responsibility to do this so companies can easily hide behind these contractors. By enforcing these laws we would significantly reduce this problem. Companies still may chose to manufacture their product in another country but those workers would now be receiving adequate pay along with a  safe work environment without the long, extensive hours. In 1999, California passed Assembly Bill 633, which is a law that holds garment manufacturers and retailers responsible for employee wages and safety. I think it is understandable why companies chose to do this as they are trying to save money, however this can still be done without the use of sweat shops. Products can still be manufactured at a lower cost in other countries without forcing employees to work for inadequate pay and in unsafe conditions working long exhausting hours. Major retailers could really get the ball rolling for reducing the amount of sweat shops used. Smaller companies and the competition would no longer have to resort to sweat shops if they were able to compete with these major corporations that do use them. So, we should keep in mind next time we are clothes shopping at the mall. We should consider what products may have resulted in someone losing their life to manufacture. It’s true, sweat shops reduce costs. However, like I said at the beginning of this paper, it is a cost that cuts much deeper than anything that can be placed into monetary value. References: http://www.laborrights.org/industries/apparel https://www.mtholyoke.edu/~nshah/fashioncrimes/Sweatshops.html

Student Essays - Personal Life, Marriage, Emotions, Sexual Fidelity

Student Essays - Personal Life, Marriage, Emotions, Sexual Fidelity Student SD 1 The Storm Since the beginning of time, men and women have felt passion for each other. As time has past, many authors have written about the overwhelming feelings that can occur between humans and the power of lust. It is the search for pleasure, for feeling alive, and for feeling like a passionate human being. Kate Chopin describes these emotions in The Storm a story that can be compared with similar themes of today. First, after many years of marriage, couples might lose the feelings of passion they have in the beginning of the relationship. Couples still love each other, but their lust is transformed into a compassionate partnership. In The Storm, Calixta's sexuality is repressed by the constrains of her marriage and society's view of women. The absence of lust makes a person become unaware of her sexuality and instinctive drive. The animalistic drives become dormant, and some might become satisfied living without these feelings. The satisfaction once known may seem to become forgotten and unimportant. An awakening of these feelings can make a person experience a storm within. The storm creates a sense of excitement, and controlling her feelings can be hard. The amount of time that these feelings have been repressed can effect the intensity of the storm. Second, today's impersonal societies have made it easier and more acceptable to be unfaithful while in a relationship. For example, today's media is centered on love triangles. SD2 It is not uncommon for a story today to have a plot, which is focused on unfaithful relationships, in contrast to the fifties when tv and radio portrayed perfect couples and families. During the author's time in the late nineteen-centur, divorce was practically unheard of. Couples who divorced were seen as outcasts of society whose laws were built on Biblical foundations. According to The Bible, divorce should only follow adultery. Today a first marriage is rarely accepted to last. One cause might be the lack of religious commitment; another might be the equal rights laws, which allow women to have social standing. Third, a major factor for infidelity to occur depends on the situation at hand. During colonial times, couples spendt more time together. Very rarely did the husband venture out alone unless he was getting supplies, trading, or out on a hunt. During these events it was the woman's job to take care of the house and the children, and, therefore she stayed at home. In today's society travel is more common. Men and women both partake in long business trips, making their separation more routine. For example, a man going on a business trip might have a mistress in his city of destination, while back at home his wife is taking this time to meet her lover. Another example can be the separation of men and women in social gatherings. A girl might tell her boyfriend that she is going out with her friends while she is actually going out to meet other guys. These examples give meaning to the proverb,When the cat is away, the mice shall play. SD3 With the creation of man came the creation of lust and infidelity that has been with man from the beginning of time and will follow to the end of time. Humans are hedonistic creatures, meaning they seek pleasure. Many people attempt to find pleasure outside a relationship, when in fact the true emotions can be found within Bibliography DS4 Work Cited Chopin, Kate The Storm. Literature: An introduction to Fiction, Poetry and Drama. Ed. Patricia Rossi. New York, New York: Addison Wesley Longman, 1999. 272-295.

Domestic Violence and its consequences for Women and Children Essay

Domestic Violence and its consequences for Women and Children - Essay Example Domestic violence does not occur within a certain ethnicity, race, religion or economic status, it prevails everywhere. In most cases the abuser is male as stated by the Home Affairs Select Committee (HASC), and usually the female or a child is the victim. A new definition of domestic violence for use by the police for statistical purposes states that "it is any violence between a current or former partner in an intimate relationship, wherever and whenever it occurs. Domestic violence is not an isolated, individual event but rather a pattern of repeated behaviors that the abuser uses to gain power and control over the victim. Unlike stranger-to-stranger violence, in domestic violence situations the same perpetrator repeatedly assaults the same victim. The text defines the term domestic violence as: any spousal or interfamilial conflicts of sufficient nature to justify law enforcement intervention; spousal abuse is most frequently cited. May involve parent-child conflict, either physi cal or psychological. Domestic violence is found in all types of intimate relationships whether the individuals are of the same or opposite sex, are married or dating, or are in a current or past intimate relationship. There are two essential elements in every domestic violence situation: the victim and abuser have been intimately involved at some point in time, and the abuser consciously chooses to use violence and other abusive tactics to gain control over the victim. A new definition of domestic violence for use.

Work-life Balance In The Global Human Resource Management Coursework

Work-life Balance In The Global Human Resource Management - Coursework Example These components are change management, stress management, technology management, leisure management, self management and time management. If any employee’s mental health is sick then the work will be affected. There will not be any kind of outcomes even if the employee works hard. To keep all these factors in mind employers now arrange the work schedule in such a way so that every employee should get some time for their own and personal purpose. The management of many companies also arrange vacation trips for the employees or provide vacation allowances to the employees for enjoying the trip with their families in a relaxed mood. Here in the two mentioned case studies one common sentence can be found. This is ‘the work life balance’. In one case study this is observed that a person’s professional life has been changed after death of her daughter in an accident. Before this accident Mrs. Hughes was involved only in her work and spent most of the time to develop her career path. But after that tragedy she realized that apart from work she has to do something which will be beneficial for the society and through this process she will get mental satisfaction. She began a safety campaign along with her professional work. The main objective of this campaign is to reduce the risk factors at railway crossings. Her campaign got significant success at this work. As per the view of many people this can be said that any incident in personal life will affect the work life also. If there is something wrong with a person then his ability of work will be reduced in a significant way (Kramar and Syed, 2012 ). Personal experience most of the time change the behaviour towards work. Some people do not want to share his personal stories in the work place. That is fine but communication with the peer group apart from work related matter is necessary. This will help to reduce the work load