Issues Within the Discipline of Forestry :: Environment Conservation Growth Agriculture Paper

Issues Within the Discipline of Forestry The possibility of ranger service as in we realize it today is just around 400 years of age. Ranger service grew for the most part out of the requirement for a consistent gracefully of wood items. There were a couple of woods holds for chasing or conservation in Europe, yet dealing with a timberland for various assets is very new. There are four phases that practically all social orders have experienced when attempting to build up this thought of ranger service. The main stage has to do with the unregulated maltreatment of backwoods items to be utilized as vitality, building supplies and furthermore to be cleared to clear a path for rural land. This makes a sort of domino impact on woodlands all over. The overexploitation of local woods implies there will be a shortage of items that are viewed as important, which thusly prompts the maltreatment of increasingly remote timberlands and the overexploitation of them et cetera. In the United States this stage was seen with the colonization of America. Colonization started in the eastern U.S. what's more, therefore prompted the obliteration of timberlands there. Individuals required timberland supplies to manufacture their homes and cultivates, and when the territorial woodlands were nearly drained they started taking assets from distant backwoods (Kimmins, 1992). The U.S. before colonization had an expected one billion sections of land of forested land. Continuously 1900 that territory had been diminished to 567 million sections of land (Berger, 1998, p.29). After this underlying phase of lack of regard is perceived there is a phase of guideline so as to verify that the timberlands will be kept up for assets and different qualities. This is where the possibility of ranger service starts. Hamish Kimmins in his book Balancing Act: Environmental Issues in Forestry expresses this about the subsequent stage, It for the most part includes a unified, tyrant, non-biological, authoritative methodology dependent on enactment and guideline as opposed to on an information on how backwoods develop, how they react to the board, and how environments work (Kimmins, 1992, p.50). This authoritative methodology for the most part winds up falling flat, and there is acknowledgment that administration will possibly work if procedures that are on top of the biological qualities of the zone are considered. This stage was apparent in the United States when the U.S. Authority of Forestry was made in 1891 (Kimmins, 1992). The third stage is the advancement of an environmentally solid strategy to ranger service. Issues Within the Discipline of Forestry :: Environment Conservation Growth Agriculture Paper Issues Within the Discipline of Forestry The possibility of ranger service as in we realize it today is just around 400 years of age. Ranger service grew primarily out of the requirement for a nonstop flexibly of wood items. There were a couple of woods holds for chasing or conservation in Europe, however dealing with a timberland for various assets is very new. There are four phases that practically all social orders have experienced when attempting to build up this thought of ranger service. The primary stage has to do with the unregulated maltreatment of woods items to be utilized as vitality, building supplies and furthermore to be cleared to clear a path for rural land. This makes a sort of domino impact on backwoods all over the place. The overexploitation of territorial woods implies there will be a shortage of items that are viewed as significant, which thus prompts the maltreatment of progressively distant backwoods and the overexploitation of them etc. In the United States this stage was seen with the colonization of America. Colonization started in the eastern U.S. what's more, accordingly prompted the pulverization of timberlands there. Individuals required woodland supplies to manufacture their homes and cultivates, and when the local timberlands were nearly exhausted they started taking assets from distant backwoods (Kimmins, 1992). The U.S. preceding colonization had an expected one billion sections of land of forested land. Continuously 1900 that region had been decreased to 567 million sections of land (Berger, 1998, p.29). After this underlying phase of inconsiderateness is perceived there is a phase of guideline so as to verify that the backwoods will be kept up for assets and different qualities. This is where the possibility of ranger service starts. Hamish Kimmins in his book Balancing Act: Environmental Issues in Forestry expresses this about the subsequent stage, It as a rule includes a unified, dictator, non-biological, regulatory methodology dependent on enactment and guideline instead of on an information on how woodlands develop, how they react to the board, and how biological systems work (Kimmins, 1992, p.50). This authoritative methodology typically winds up coming up short, and there is acknowledgment that administration will possibly work if strategies that are on top of the environmental attributes of the region are considered. This stage was obvious in the United States when the U.S. Agency of Forestry was made in 1891 (Kimmins, 1992). The third stage is the advancement of a biologically solid technique to ranger service.

How to Purify Sodium Chloride From Rock Salt

The most effective method to Purify Sodium Chloride From Rock Salt Rock salt or halite is a mineral the contains sodium chloride (table salt) just as different minerals and polluting influences. You can evacuate the vast majority of these contaminants utilizing two straightforward cleaning methods: filtration and vanishing. Materials Rock saltWaterSpatulaFilter paperFunnelEvaporating dishBeaker or graduated cylinderTripodBunsen burner Filtration In the event that the stone salt is one huge piece, crush it into a powder utilizing a mortar and pestle or an espresso grinder.Add 30-50 milliliters of water to 6 stacking spatula scoops of rock salt.Stir to break up the salt.Place the channel paper in the mouth of the funnel.Place the dissipating dish under the pipe to gather the liquid.Slowly empty the stone salt arrangement into the pipe. Ensure you dont over-fill the pipe. You dont need the fluid to stream around the highest point of the channel paper since then it isnt getting filtered.Save the fluid (filtrate) that gets through the channel. A considerable lot of the mineral contaminants didn't break up in the water and were deserted on the channel paper. Vanishing Spot the vanishing dish containing the filtrate on the tripod.Position the Bunsen burner under the tripod.Slowly and cautiously heat the dissipating dish. On the off chance that you apply an excessive amount of warmth, you could break the dish.Gently heat the filtrate until all the water is no more. Its alright if the salt precious stones murmur and move a little.Turn off the burner and gather your salt. Albeit a few polluting influences stay in the materials, a large number of them were expelled basically by utilizing the distinction in solvency in water, mechanical filtration, and by applying warmth to drive off unpredictable mixes. Crystallization On the off chance that you need to additionally purge the salt, you can break up your item in boiling water and solidify the sodium chloride from it.

Emotion Regulation Therapy for GAD What to Expect

Emotion Regulation Therapy for GAD What to Expect GAD Treatment Print What to Expect With Emotion Regulation Therapy for GAD An Introduction to ERT By Deborah R. Glasofer, PhD twitter linkedin Deborah Glasofer, PhD is a professor of clinical psychology and practitioner of cognitive behavioral therapy. Learn about our editorial policy Deborah R. Glasofer, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on October 31, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on May 12, 2019 Generalized Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children erhui1979 / Getty Images Emotion regulation therapy (ERT) is a type of psychotherapy that has been successfully tested in adults with generalized anxiety disorder (GAD) and those with co-occurring GAD and major depressive disorder (MDD).  Born out of cognitive behavioral therapy (CBT) tradition, ERT integrates components of cognitive, acceptance and mindfulness-based approaches. Research has shown that ERT effectively and significantly reduces GAD and MDD symptoms by the end of a course of treatment. The benefits remain at least three and six months after treatment has ended. Preliminary studies of the mechanism of the intervention (i.e., the possible ways in which it is impacting change) support the idea that this type of talk therapy helps people better attend to emotional conflict and become less reactive to it. Though initially conceptualized as an intervention for those with chronic anxiety and recurrent mood problems, ERT is also undergoing evaluation as a treatment for people experiencing expectedly high, continuous distress such as caregivers to loved ones with cancer. What Exactly Is ERT? ERT is a present-focused, structured psychotherapy that emphasizes awareness of emotions, acknowledgment of the conflict between desires for safety and value-guided action, creation of a healthy distance from harsh, critical thoughts about the self, and adoption of a more compassionate view of the self. Emotional awareness is developed through education about the purpose of feelings. The use of meditation exercises aimed to help reduce emotional avoidanceâ€"to improve tolerance of the presence of multiple, sometimes conflicting, emotions and sensations. Emotions are conceptualized as arising from within and reflecting competing motivations. From the ERT perspective, people with chronic anxiety and low mood  worry  a lot, ruminate, and look to others for  reassurance  as ways to avoid unpleasant feelings and feel more secure about themselves or their circumstance. At the same time, these individuals really want to behave in line with their particular  life values. The motivational pulls of safety and reward may be experienced as conflicting with one another. Sometimes it is also hard to step far enough away from the worry or self-criticism to figure out the most rewarding course of action. In ERT,  imagery, exposure, and internal role-play is practiced during and between sessions to help individuals establish a healthy distance from their negative, perpetually critical voice. During ERT role plays, the therapist facilitates a dialogue between the patient’s conflicting internal voices. The goal of this exercise is to be able to cope better with an internal, distressed voice while continuing to act in accordance with ones values. Overall, this type of therapy aims to help people who are stuck in their headsâ€"ruminating, worry, and so onâ€"to return to the moment with increased awareness and ability to act with clarity towards identified goals. How Is It Different From Traditional CBT or  Acceptance and Commitment Therapy (ACT)? Unlike CBT, the cognitive work of ERT does not focus explicitly on labeling cognitive distortions. While there is a shared aim of enhancing awareness of one’s thought patterns and their impact on behavior, ERT stresses the development of compassionate self-talk over the overt weighing of evidence for and against a particular belief. ACT and ERT overlap in their goal of reducing the struggle to control or eliminate distressing emotions and enhancing proactive involvement in activities consistent with personal values. However, unlike ACT, ERT utilizes exposure- and behavioral-activation-based techniques during and between sessions in the latter phase of treatment. Who Provides ERT? An ERT therapist will be an active guide during a  session. Clinicians who provide this type of psychotherapy receive specific training in it. The therapist could be a psychiatrist, psychologist, social worker, or mental health counselor. Ask about your treatment provider’s training background to ensure that they are experienced with this technique. What Happens During  an ERT Session? In the initial phase of ERT, the goals are to gain emotional awareness and tolerance and to begin to “catch yourself reacting” in the moment. Mindfulness of emotions is practiced routinely. Meditations are used, particularly in the service of helping people to gain perspective on difficult moments, feelings, and beliefs. The latter phase of ERT integrates exposure and behavioral activation principles in and between sessions. Sessions, therefore, might include a worry exposure, guided imagery of a feared scenario with a desired coping response, or role-play exercises in which an individual hears from and talks to his or her “worry voice.” ERT therapists may start sessions with an imagery exercise. Written (and ultimately, behavioral) homework is commonly assigned and then reviewed in-session. More information about the ERT approach can be found on the website maintained by the treatment’s developers, Douglas Mennin, Ph.D. and David Fresco, Ph.D. How Can  I Find an ERT Therapist? For help finding an ERT therapist, try referral sources such as   The Association for Contextual Behavioral ScienceThe Association for Behavioral and Cognitive TherapiesThe Anxiety and Depression Association of America

Informative Speech- Fast Food Essays - 865 Words

Fast Food Specific Purpose: To inform my audience about fast food in the United States and its effects. Central Idea: The history of fast food, the effects of eating fast food, and its effect on the United States. Introduction I. Anywhere you go, there is a good chance there will be a fast food restaurant nearby. A. It’s the easy way out of cooking dinner, or grabbing something fast because you didn’t have time to make anything. B. Fast food may taste good, but have you ever thought of the effects it has on your body, and wallet? II. For the past 92 years fast food has become a popular choice of breakfast, lunch, and dinner. III. However, the effects it has can be negative for health, as well as money. A. Because of†¦show more content†¦Many people don’t think about the outcome of eating fast food. A. Fast food nutrition only makes up the minimal part of a healthy diet. 1. Eating too much can make your body feel very sluggish because of the lack of nutrients that is put into fast food. a. This is because fast food doesn’t contain the amount of protein and carbohydrates the body needs, so your blood sugar can drop. B. Fast food contains high levels of fat, sodium, and sugar which can cause a copious amounts of health risks. 1. These health risks may be minor or major, and may even lead to death. a. These include a variety of things from stomach aches to heart disease. 2. Heart disease is the leading cause of death in the United States. C. The most common health problem that fast food causes in America is obesity. 1. According to the Center for Disease Control, more than one third of adults in the United States are obese. (Transition: Fast food may have a numerous amount of negative effects on health, but for the United States it has become a big source of income.) III. On average, Americans spend $117 billion on fast food per year. A. 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Donald Trump, Fresh Off A Hastily Arranged Visit To Mexico

Donald Trump, fresh off a hastily arranged visit to Mexico where he met with the country s president, doubled down Wednesday night on his vow to build a great wall along the southern border -- and make Mexico pay for it -- while outlining a more focused mission for the deportation force he s promised to create. In a speech in Phoenix meant to clarify his immigration positions after appearing to soften his stance, the Republican presidential nominee outlined a hardline set of proposals for tackling illegal immigration. He did not, however, definitively call for removing all illegal immigrants in the country. Rather, Trump vowed to focus first on deporting the estimated 2 million criminal aliens on day one, while also prioritizing†¦show more content†¦Maybe they ll be able to deport her too, he quipped. He told the crowd that there are some immigrants who will be unable to assimilate into American society. â€Å"It’s our right as a sovereign nation to choose immigrants we think are the likeliest to thrive and flourish and love us,† he said. Amid rumors he was considering softening his trademark position on building a wall on the southern border, Trump made his position very clear. We will build a great wall along the southern border, he said to cries of build the wall from the boisterous crowd. And Mexico will pay for the wall. He later said the wall would be impenetrable, physical, tall, powerful, beautiful. Trump’s speech comes after he met with Mexican President Enrique Pena Nieto earlier in the day and asserted America’s â€Å"right† to build a border wall during a hastily arranged visit to Mexico City. Leading Countries of Origin for Criminal Deportations in 2014 | FindTheBest While both leaders adopted a measured and respectful tone, with Trump calling it a substantive, direct and constructive exchange of ideas, there was disagreement on the question of the wall. While Trump told reporters â€Å"weShow MoreRelatedMarketing Mistakes and Successes175322 Words   |  702 Pageschanges in the last few years, for better or for worse, and these we have captured to add to learning insights. After so many years of investigating mistakes, and more recently successes also, it might seem a challenge to keep these new editions fresh and interesting. The joy of the chase has made this an intriguing endeavor through the decades. Still, it is always difficult to abandon interesting cases that have stimulated student discussions and provoked useful insights, but newer case possibilities

The Nile River, Sahara Desert and Islam Free Essays

The Nile River has always been the backbone of Egypt. The mighty river flows for some 4,000 miles from the mountains of Equatorial Africa and Lake Victoria before it empties into the Mediterranean Sea. Without the Nile River and its annual inundation Ancient Egypt would never have come into being. We will write a custom essay sample on The Nile River, Sahara Desert and Islam or any similar topic only for you Order Now Its fertile valley was renewed every year with rich silt deposits laid down during the flooding. As the agriculture of Egypt revolved around the Nile, so did the social life of the ancient Egyptians. During inundation when there was less to do, people had more time for recreational activities, they played games, held sporting tournaments and regularly feasted. When the River Nile receded the appearance of the land had radically changed and there was a great rush to restore boundaries. There were many disputes as markers had moved, banks had collapsed, and distinguishable features had disappeared. The river was also the chief means of transport. It was their highway, making unnecessary roads, except between close villages. Virtually everything moved by boat. The Nile, for the most part, is a gently flowing river and in the time of the ancients, was crammed with fish. It’s easy flow made fishing very popular. Everyone enjoyed fishing, from the young to old, peasant to noble. The Egyptians believed that the Nile was the centre of the world. And the place from which it originated was, ‘the beginning of the world’. In Lower Egypt, in the area of the Nile Delta, the river splits into two great arms. The area between the two was densely populated from the earliest times. Many of the major religious group centers developed in this region. Even the soul of a deceased had to cross the Nile before he could enter the kingdom of the dead. The Sahara desert covers around 9,000,000 square kilometers and the overall area is as large as the continental United States. The Sahara desert also has the reputation of being the world’s largest hot desert. The landforms in this desert often undergo constant change. These landforms are shaped as per the direction of the wind and the occasional rainfalls. Although being a desert area, one can notice annual rainfall in many regions of this vast land area. There are different climates witnessed in different regions such as the subtropical climate in the northern land where as a tropical climate in the southern area. Over the years, the climate of the Sahara desert has undergone humungous changes. This desert therefore, is known for its harsh climates so typical of all deserts. This hot desert has annual temperatures that can exceed 30 degrees C. Some of the hottest months have temperatures exceeding 50 degrees C. In the winters, the temperatures drop below freezing points. This it explains the diverse climates of this hot desert. Studies have revealed the changing size of the Sahara desert! Observations made with the help of satellite photographs have proven this desert can shrink or even grow in size. The Sahara desert is home to quite a few species of animals. Camels and goats are the only ones amongst the domesticated animals one may see out here. Apart from these, the Saharan cheetah, the sand vipers, scorpions and monitor lizards can be found out here. This desert has some of the tallest sand dunes and these can reach 189 meters in height. The land area also has stone plateaus, large gravel plains, dry valleys and even sand flats. The Sahara desert has around 500 species of flora. These consist of mainly ephemeral plants known locally as Acheb. At some oases, close to the Nile Valley, one can find olive trees growing out here. Vegetation is found in areas where the ground water reaches the surface of the land. This place has mainly nomadic groups of people that move from place to place. Nomads wear a particular headdress known as Howli. These people are mainly engaged in trading and hunting. The low population is due to the rather difficult conditions seen in the Sahara desert. The Sahara desert stretches over areas of Northern Africa, from the Red Sea to the areas close to the outskirts of the Atlantic Ocean. This desert shares it boundaries with the Atlas Mountains, the Mediterranean Sea, Egypt, Sudan and valley of the Niger River. Islam is a religion that has existed for millions of years. The followers believed that there is one God and Muhammad is his messenger. Muhammad was deeply troubled by the idols worship of Arabs and the moral ills of society. When he was about 40, he was meditating and heard a voice. According to Muslim the belief the voice was that of the angel Gabriel it said, â€Å"Proclaim. † When Muhammad asked what should I proclaim the voice responded with proclaim in the name of God. Muhammad was a young man born in Mecca about the year 570. Orphaned at an early age, Muhammad was cared for by his uncle. In his youth he worked as a shepherd among the Bedouins. Later he led caravans across the desert for merchants. When he was 25, Muhammad married Khadija. It was at age 40 when he had his first vision. Islam has a book similar to that of the Holy Bible. It is called the Quran. To Muslims, the Quran contains the sacred text as spoken to Muhammad from god. The Quran not only teaches about God, but about how to lead a good, faithful, life. It sets harsh penalties for stealing or murdering. How to cite The Nile River, Sahara Desert and Islam, Essay examples

Family pressure in great depression Essay Example For Students

Family pressure in great depression Essay 1. Family pressure during the great depression was unlike any the U.S. has ever seen. Everything about families changed in the 1930s. Couples during the depression delayed marriage, and at the same time the divorce rates dropped because people could not afford to pay for two households. Birthrates also dropped and for the first time in American history below the replacement level. Income was closed to none in all families; regular income had dropped by 35% just in the years Hoover was in office. Families had a lot of stress; some pulled together and made do with what they had others pushed away. People turned to who ever they had, family, friends, and after all else the government. Although there were rich people in the depression as well that the depression did not effect at all who were oblivious to the people suffering around them. By Franklin Roosevelts inauguration the unemployment rate was up to 25% only increasing till the 1940s. Within families the role played changed as well. W omen and children were now working to put bread on the table. Fathers would despise sons for becoming the main source of income for a family. Unemployed men had a deep lack of self respect. That often led them to running away from there families forever. Because many men ran out or stopped caring the womens role was enhanced and became working women. Black women found it easier to find work a servants, clerks, textiles, workers, ect. Work made all womens status go up in their homes. Most minorities were affected very little by Franklins Roosevelts New Deal. They were last hired, first fired in the depression most black males were completely rejected and either had no work or the worst jobs there were. During the years of the depression all families had hard times. 2. By 1933 millions of Americans were out of work. Hundreds of thousand of men, women, and children roamed the country in search of food and shelter. Bead lines were not an uncommon sight. One of the earliest steps to aid the unemployed was the CCC, the Civilian Conservation Corps. This program designed to bring relief to the young men of America ages 18 to 25. In this program the CCC would enroll these men in camps across the country for around $30 a month. This was a semi-military style job almost two million men took place in the CCC. They took part in conservation projects such as planting trees to maintain national forest, eliminating steam pollution, creating fish, animal sanctuaries, and conserving coal, petroleum, shale, gas, sodium and helium deposits. Jobs also came from the Civil Works Administration with jobs such as teaching to highway repairs. The National Recovery Administration established with the national industrial recovery act practiced generating more jobs so more b uying would come. The NRA was declared unconstitutional in 1935 because of over regulation as recovery began to come into play. Also through the NIRA workers were given the right to Bargain with their employers through unions their own choice. 3. President Roosevelt had set up a series of New Deal decisions that had to pass through the Supreme Court. The Supreme Court declared them unconstitutional even in light of the countries economy and state of depression. The series of anti-New Deal decisions by the Supreme Court angered President Roosevelt and prompted him to attempt to reform the federal court system itself. This made a court packing that would have let Franklin Roosevelt appoint six justices to the Supreme Court. It became a huge political debate with the Federal Government. When the Supreme Court Ruling against the New Deal; Pro New Dealers called it Black Monday. The Justices were strickly endearing to the constitution. Franklin Roosevelt was worried they would reject all of his New Deal proposals. The Supreme Court was now divided into groups, one saying, the meaning of the Constitution does not change with the ebb and flow of economic events. The antiNew Dealers In the court continued to reject many proposals. Ro osevelt still had yet to name one member of his own on the supreme court. In 1936 Franklin won in re election. In 1937 a justice switched sides. When

Mr. Bennet from Pride and Prejudice free essay sample

Character analysis of Mr. Bennet in Jane Austens novel Pride and Prejudice. This essay presents a character analysis of the Jane Austen character, Mr. Bennet. The author analyzes his role in the story by looking at the events of his life that occurred both during the story, and prior to the outset, his methods of dealing with problems, and his personality and sense of humor.

HealthCare Fraud

HealthCare Fraud For many years the United States government has taken keen interest on the welfare of the healthcare consumers, especially in regard to healthcare fraud. Notably there have been numerous fraudulent transactions within the American healthcare system, which have had severe medical and financial implications. Specifically, the United States government has lost billion of dollars due to healthcare fraud. This is coupled with many patients who have been conned off their benefits as a result of transfer of policy to a different. As a result the United States government came up with laws to regulate the healthcare sector and minimize, as well as prosecute cases of fraud. These laws are famously referred to as The Anti-Kickback Statutes. The case of Sundown Community Hospital and Central Park Medical Group joint venture, which offered financial benefits to facilitate the agreement on the transfer to patients, a majority of whom are under Medicare plan, violates the requirement of the Anti-Ki ckback law. However, this plan can still be safeguarded if it is modeled along a different approach which fulfills the requirement of ‘safe harbor’ exemptions.Advertising We will write a custom research paper sample on HealthCare Fraud specifically for you for only $16.05 $11/page Learn More There have been a number of healthcare landmark cases, such as Feldstein v. Nash Community Health Services, Inc., which have brought forth a number of urgent concerns. Suffice to state that healthcare issues are intricate and complicated to the extent that the United States government developed a set of detailed statues referred to as the Anti-Kickback Statutes to address emergent issues in healthcare provision (Office of Inspector General, 1999; Altshuler, Creekpaum and Fang 2008). The main purpose for this law is to protect the welfare of healthcare consumers from exploitation by fraudulent healthcare providers. One of the major concerns that arise is the determination of whether any (healthcare) transaction is either a minor misdemeanor or fraud. In this regard, it is the primary objective of the prosecutor to determine whether there was intent and objective of obtaining kickbacks. Furthermore, debate still ranges on, on the definition of the terms kickback and bribe. Out of Subsequent cases, there have emerged several interpretations of the terms kickback. The United States V Hancock case assumed the broader interpretation of the term kickback as the intentional receiving of payments fraudulently. This definition does not however, address other issues of concern such as nonfinancial benefits. As a result, the congressional amendments of 1977 stipulated that Medicare fraud did not have to result in a kickback. Currently, the Social Security Act stipulates that any party in a Medicare agreement cannot offer or receive payments or any other benefits to engineer a business deal (Schwartz, 2003). Just like the Feldstein v. Nash Communi ty Health Services, Inc., the Sundown Community Hospital and Central Park Medical Group joint venture involves financial and social security privileges to employees. Sundown Community Hospital is intending to make the deal a success and as such has to put together an attractive offer to Central Park Medical Group in terms of permanent staff privileges to Central Park owners.Advertising Looking for research paper on health law? Let's see if we can help you! Get your first paper with 15% OFF Learn More This also includes monthly bonuses. Since the deal is proposed by Sundown Community Hospital, the privileges to Central Park Medical Group staff are intended to make an appeal and as such avoid any objection to the deal. Furthermore, 60% of the healthcare consumers at Central Park Medical Group are under Medicare plan. This implies that Sundown Community Hospital stands to benefit directly from the joint ownership of these consumers who are on Medicare. Such impl ications made Sundown Community Hospital to offer kickbacks in terms of indirect payments to permanent staff, to successfully engineer the deal. It can thus be concluded that such kickbacks were made willfully and knowingly to induce business. The anti-kickback statute prohibits and criminalizes any willful payments made knowingly to engineer the referral or transfer of any individual who is a beneficiary of any medicare scheme. As such the statute proposes criminal penalties for any payments made, such as in the United States v Jain to induce the said referrals and transfers, which includes prison terms and fines. Furthermore, any party found to have willfully offer or received such payments attracts criminal liability for such offenses (Romano and Fox, 2009). This case is therefore in contravention of the Anti-kickback Statutes as well as the 1996 regulation on the movement of healthcare consumers between providers, referred to as The Health Insurance Portability and Accountabilit y Act (Price and Norris, 2009). Therefore, the joint venture between Sundown Community Hospital and Central Park Medical Group cannot proceed since the two parties faces criminal charges for giving and receiving indirect payment to induce referrals of Medicare consumers. This deal can however go ahead, but under the 1972 congressional amendments which provided for certain safe harbors regulations. Within these regulations, there are certain business transactions which are can be exempted from the Anti-Kickback Statutes (Schwartz, 2003). While there are numerous safe harbor regulations, two specific one can protect this deal from criminal liability. Specialty Referral Arrangements between Providers is a regulation within the Anti-kickback Statutes that safeguards the referrals and transfer of Medicare beneficiaries between providers. Under this provision, it is possible to refer a patient from the primary physician to a secondary physician on grounds of specialized treatment.Advertis ing We will write a custom research paper sample on HealthCare Fraud specifically for you for only $16.05 $11/page Learn More The regulation also stipulates that the party to whom the patient is being referred to has the obligation of referring the patient back to the primary healthcare provider at some point during the course of the treatment (Office of Inspector General, 1999). Suffice to say that this kind of an arrangement is closely monitored to ensure that such transfers are motivated by the need for further medical treatment from specialized physician and not timed to benefit the second party financially. As such, Sundown Community Hospital and Central Park Medical Group patient transfers are only applicable on the grounds of specialized medical treatment. Furthermore, Anti-Kickback Statutes do not exempt such kind of a transaction to the extent of financial benefits if the patient is on a Federal Healthcare plan. In this case, the parties involved i n this plan have to ensure that the 60% of patients are under a state controlled medical plan before filing for exemption from the Anti-Kickback Statutes. Transfer of patients who are on any form of Medicare plan is not necessarily a fraud. As such, the parties involved may not be criminally liable for engineering patient transfer and co ownership deals on certain grounds. The Sundown Community Hospital / Central Park Medical Group joint venture is however suspect. Borrowing from rulings such as Feldstein v. Nash Community Health Services, United States V Hancock and others, the two parties involved are criminally liable since they knowingly exchanged payments as part of the business agreement. As such the deal is not motivated by medical reasons and as such need to be redesigned to avoid prosecution.Advertising Looking for research paper on health law? Let's see if we can help you! Get your first paper with 15% OFF Learn More Reference List Altshuler, M., Creekpaum, J., Fang, J.. (2008). Health care fraud. The American Criminal Law Review, 45(2), 607-664. Office of Inspector General (1999). Federal Anti-Kickback Law and regulatory safe harbor. Web. Price, M., and Norris, D. (2009). Health care fraud: Physicians as white collar criminals? Journal of American Academy of Psychiatry and the Law. Web. Romano, D. and Fox, A. (2009). What to do when you’re recruitment agreement leaves town. AHLA Connections. Web. Schwartz, J. (2003). Elaborating on sham transactions as evidence of violations of the anti-kickback statute. Journal of Law Policy. Web.

Computer Forensics Assignment 2 Essay Example | Topics and Well Written Essays - 500 words

Computer Forensics Assignment 2 - Essay Example That demands setting up evidence storage container or lockers. Such lockers ensure security of evidence stored and restricted access by authorized staff. Locks installed should be of high quality and have limited possibilities of distribution of duplicate-keys. Evidence storages should be subject to regular inspections to ensure only current evidence are kept therein and closed cases’ evidence are relocated to secure locations in an off-site facility. The evidence container should be in a position restricted to authorized staff members and the number of people granted access should be minimum. Furthermore, only authorized staff members should inspect lock combinations. In case the investigations use intel-based PCs, computers are necessary. There is need to acquire the right Operating Systems (OS) and other applications. Computer forensics software package should form part of the software acquired (Nelson, Phillips & Steuart, 2009). Specialized software are similarly important. They include software such as Peachtree. Disk-editing software are also necessary for evidence analysis (Nelson, Phillips & Steuart, 2009). Computers may contain incriminating evidence including DNA but professional curiosity has a potential to destroy evidence. It is, therefore, imperative to properly document, collect and package the evidence from a crime scene. The U.S DOJ standards for seizing digital evidence are applicable (The Office of Legal Education, 2011). In the case of a drug dealer’s computer, the following process should be applicable. The investigator should seize the computer together with other peripherals found at the scene. Peripherals include cell phones, scanners and cameras. Printers CDs, DVDs and USB devices should also be seized. After that, the investigators should recognize information that can serve as evidence from the scene of crime. The next stage is to document the evidence

Response to Sundiata Questions Essay Example | Topics and Well Written Essays - 750 words

Response to Sundiata Questions - Essay Example The griot underestimates the ability of humans to realize their good qualities without the guidance of a strong leader. All these generic perceptions affect the audiences’ perceptions along the way. Because of him being the narrator, the audiences look at the story from the griot’s eyes rather than their own eyes, and thus start to believe that whatever presumptions griot has about humans are indeed not quite false. The griot adopts such a language in the epic, that sends the message to the audiences that his sentences are eternal truths. For instance, the griot says, â€Å"God has his mysteries which none can fathom. You, perhaps, will be a king. You can do nothing about it. You, on the other hand, will be unlucky, but you can do nothing about that either. Each man finds his way already marked out for him and he can change nothing of it† (Niane). In these words, the griot tends shapes the minds of the audiences that they can not change their destiny, which many would otherwise not believe. Sundiata has a lot of personal characteristics that make him a great person. The epic provides the audience with an insight into the heroic qualities of Sundiata, of which, his strength is the most prominent. The immense strength of Sundiata can be estimated from the fact that he has very strong arms even when he is a little child who cannot walk on his own because he is crippled. It is not expectable of a crippled child to stand up and not only bend a huge rod into a bow, but also pull a tree out of the earth along with its roots. Sundiata displays immense boldness as he participates in battles. An individual who has spent his childhood with a disability and has been exiled gets his morale lowered, but Sundiata is different. His bravery and strength traditionally make him resemble a rebellious person, but he proves to be the other way round with his nobility and

Hotel Profile and Marketing Plan

Hotel Profile and Marketing Plan Executive summary In this essay we concentrate on Starwood hotels, this is a world famous chain of hotels. We talk about the marketing strategies, hotel staff training of Starwood. The hospitality, leisure, travel and tourism sector continues to play an important role in the UK economy. A report published by People 1st in association with British Hospitality Industry in 2009 states that the hotel industry has enjoyed a sustained period of growth over the last 30 years and now accounts for nearly five percent of the UKs total economic output. They suggest that along with the rest of the economy, trading will be tough in the short term due to credit crunch but in the long term the sector is still predicted to grow and remain an important contributor to the UK economy. The sector employs in the region of two million people accounting for 1 in 14 UK jobs. The recession is forcing more employers to think about cutting costs. It is therefore more important than ever that employers have credible retention strategies to retain skilled staff and reduce unnecessary recruitment costs. The report explains how Starwood which is global hotels and resorts group, with a highly distinct brand, functions in the United States and Canada, in Europe, in Asia Pacific and in Africa by managing and franchising more than 395 hotels with a focus on nowadays demanding business explorer. This report briefly discusses the how marketing is done in Starwood hotel and the marketing strategies which they are using. It is entrusted to modify and innovation in all main areas together with its growth strategy, operations, franchising, sales and marketing, and technology, to function with utmost effectiveness in a extremely competitive industry Chapter 1 Introduction 1.1 Business Profile of Starwood Hotel Starwood Hotels Resorts is a worldwide chain of 400 hotels, with a total of 102,000 guest rooms, in many countries. Starwood Hotels Resorts, one of the worlds leading, full-service hotel brands, offers vibrant, modern and attractive hospitality service that is defined by its characteristic . The first Starwood Hotel was built in Minneapolis, Minnesota in 1909, and was named after the 17th century French explorer Pierre-Esprit Starwood. The hotel was purchased by Curt Carlson (1914-1999) in 1962, and is still owned by his Carlson Companies. Starwood competes with Hilton, Doubletree, and Marriott. The majority of Starwood Branded Hotels are located in the United States. The companys headquarters are located in Minneapolis, Minnesota, where the first Starwood Hotel was built. This building is also headquarters to the parent company, Carlson Companies. There are 200 Starwood Hotels in the United States. Starwood Blu, formerly Starwood SAS, is the brand name for hotels outside the United States, including those in Europe, Africa, and Asia. They are operated by Belgian hotel firm Rezidor Hotel Group under a master franchise contract with Carlson. Carlson and Scandinavian Airlines System (SAS), the Scandinavian Airline, were equity holders of the Rezidor Hotel Group, giving the company its name. Since SAS withdrawal from the collaboration, the name Starwood SAS remained until February 5, 2009, when it was replaced by Starwood Blu, which will be introduced gradually. Starwood Blu operates 158 hotels with 42 projects in development. Definition of Marketing The Chartered Institute of Marketing (1986) defines marketing as The management process responsible for identifying, anticipating and satisfying customer requirements profitably.American Marketing Association(1980) as the activity, set of institutions, and processes for creating, communicating, delivering, and exchanging offerings that have value for customers, clients, partners, and society at large. [1] The term developed from the original meaning which referred literally to going to market, as in shopping, or going to a market to buy or sell goods or services. According to Gronroos (1989) says long term customer relationships are considered as the cornerstone of marketing. 1.2 Starwood Marketing Orientation Marketing is an integrated communications-based process through which individuals and communities discover that existing and newly-identified needs and wants may be satisfied by the products and services of others. (Kotler and Armstrong, 2005) The Chartered Institute of Marketing define marketing as The management process responsible for identifying , anticipating and satisfying customer requirements profitably A business that has a marketing orientation sees the needs of customers and consumers as vital. As it develops and markets products to meet those demands, certain structural characteristics become apparent in the business. Business Function Activities Identifying customer/consumer needs and wants Marketing research Developing products to meet customer/consumer needs and wants Research and development Production Deciding on the value of the product to customers Pricing (sales and marketing department) Making the product available to customers at the right time and place Distribution Informing customers/consumers of the existence of the product and persuading them to buy it Promotion We should expect to see all the above activities well-established in a business that is marketing-orientated. Starwood first finds out what customers wants are by conducting a market research and by providing what the customers really need and satisfying them makes them customer oriented. Starwood always focuses on their service level to be 100% and they have developed a YES WE CAN program among their employees. This would directly attract customers and also make Starwood create a competitive advantage over its competitors. Moreover, the greater Starwood is customer orientated, the more it will be able to develop a competitive advantage based on innovation and market differentiation. Market orientation focuses on a business culture and activities that enhance business performance, producing superior value to customers, outstanding performance for the firm and aggregately for the economy (Oudan., 2007). Market Orientation Market Testing Market Research Market Intelligence 1.3 Marketing Intelligence Market intelligence, according to Cornish (1997), the process of acquiring and analyzing information in order to understand the market (both existing and potential customers); to determine the current and future needs and preferences, attitudes and behaviour of the market; and to assess changes in the business environment that may affect the size and nature of the market in the future. Starwood business always updates themselves on the economy, labour market conditions, legislative and regulatory development, social changes and technological advancement by doing an environmental scanning. They consider all these external environmental factors when it comes to taking decisions about packages, prices, and other management and marketing issues Starwood also searches for information from readily available public sources and customers while sometimes through the perfectly legal observation of competitors activities. 1.4 Market Testing A test market, in the field of business and marketing, is a geographic region or demographic group used to gauge the viability of a product or service in the mass market prior to a wide scale roll-out. Market testing is done to test multiple marketing scenarios and select the most promising for expansion. When Introducing a new product or service without first testing the market is risky. After the market research the new products /services must be tested before entering the market. Starwood one of the most recent market testing was Express yourself service which allows Guests to check-in online. Many new ideas and products are successful in Starwood because their creators recognized an unmet need in the market and confirmed the capability of that concept. When launching a new product or service, the company should first conduct a small scale launch or other customer research in a test market Chapter 2 Segmentation, Targeting Positioning The strategic marketing planning process flows from a mission and vision statement to the selection of target markets, and the formulation of specific marketing mix and positioning objective for each product or service the organization will offer. In its first phase, choosing the value, the strategist proceeds to segment the market, select the appropriate market target, and develop the offers value positioning. The formula segmentation, targeting, positioning (STP) is the essence of strategic marketing. (Kotler, 1997) (Figure3) 2.1 Market Segmentation Segmentation is essentially about identifying groups of buyers within a market who have needs which are distinctive in the way that they deviate from the average consumer. Some consumer may treat satisfaction of one particular need as a high priority, whereas to others this need may be regarded as being quite trivial. Consider the case of the new hotel market. Buyers no longer select a hotel solely on the basis of hotels market. Market Segmentation is the subdividing of a market into distinct and increasingly homogeneous subgroups of customers, where any subgroup can conceivably be selected as a target market to be met with a distinct marketing mix (Kotler 1994). It should precisely segment its markets on various factors and provide the customers what they want. Starwood had segmented its market by corporate (business travellers) and leisure seekers. In the near future by 2010 Starwood had announced to open a hotel in the city of Makkah. In an interview with Jean-Marc Busato, Area Vi ce President said This is an important milestone for us to be present in what is considered the holiest city in Islam. This is our sixth Kingdom project which we consider one of our major growth markets. He also added We have acquired a good understanding of the Saudi Arabian market and besides developing our first class Starwood brand, we also see a demand for efficient, value for money accommodation for the frequent traveller in the mid market segment, 2.2 Targeting Targeting is a process of prioritizing target segments based on the firms core competencies or capabilities, and other researched factors including segmented market size, growth potential of the segmented market, competitive dynamics, etc. This method is used to Find out the target customers in focus marketing and set up target products and services for them,. In this aspect Starwood should completely symbolize the features and specialties in the hotel. In Starwood they have targeted the customers in. Starwood provides food item s and more facilities to their respectable rooms and they give special discounts for regular customers. In addition to that all the customers can enjoy almost every other facility which is in five star standards. 2.3 Positioning Positioning means arranging a product to occupy clear, distinctive and desirable place relative to competing products in the minds of target consumers. Through using positioning successfully, brands will be able to position their product in the consumers mind. Four key elements for a successful positioning are Clarity, Consistency, Credibility and Competitiveness. In marketing, positioning has come to mean the process by which marketers try to create an image or identity in the minds of their target market for its product, brand, or organization. It is the relative competitive comparison their product occupies in a given market as perceived by the target market. Chart 4: STP strategy, Hard capital (2003) 2.4 Satisfying customer needs and wants Customers are everything to a Hotel or any business for that matter. It can be out as a companys bread and butter. In the past, all was not well for Starwood hotels. As other businesses they also faced declining revenues and reputation. So to come out of this matter they implemented a market research to find out what they are doing wrong in the field. The research showed that customer wants and needs have changed over time but Starwood has stayed in the same place. A focus on franchisees and franchisee growth vs. customers and the hotel guest experience resulted in an undifferentiated, lacklustre brand and inconsistent service. Meeting the objective needs and wants of customers to drive sales is at the heart of most businesses. It is how they build business relationships, remain profitable, and how they expand into new territories. To improve customer experience and freedom of choice they implemented such schemes as Express Yourself, Gold Points Plussm and Sleep Number Bed program. The Express yourself program is the hotel industrys first pre-arrival, online check-in system. Guests book their reservation and can check-in online. Radisson Hotels Resorts is part of the gold points plus program from Carlson Hotels Worldwide that offers guests the freedom and flexibility to earn rewards more quickly than any other hotel program. Chapter 3 3.1 Marketing Mix The concept of the marketing mix was first given prominence by Borden in 1965. He described the marketing manager as a mixer of ingredients, one who is constantly engaged in fashioning creatively a mix of marketing procedures and policies in his efforts to produce a profitable enterprise Marketing mix is a Planned mix of the controllable elements of a products marketing plan commonly termed as 4Ps: product, price, place, and promotion. These elements are adjusted until a right combination is found that serves the needs of the products customers while generating optimum income. (Jain,S.C,1990). Traditionally the marketing mix consisted of just 4 Ps, but now it has been extended and is called extended marketing mix and consists of 7Ps. The new marketing mix is more customers oriented and enables the organization to meet its marketing objectives and to satisfy the requirements of customers. (Figure 4) Extended marketing mix, Array marketing development 3.1.1 Product Starwood is a world renowned chain of hotels providing excellent product under the image of hotel services. Starwood has an exceptional recognition in providing high quality service they constantly look at new ways of improving the service they provide. To improve the standards of service they provide, Starwood has introduced several new programs as mentioned in the start of the essay, such as Yes I Can! Training program and Express Yourself which allows guests to check-in online .By introducing these new strategies Starwood has already achieved favourable results. 3.1.2 Price In any organization the price must be high enough to cover costs and make a profit but low enough to attract customers .Since most of the Starwood hotels are five star rated hotels the price factor plays a major role. Due to the price customers can change their mind to go to another hotel. In this issue what Starwood has done is they have kept their prices at a normal rate which is comparatively high, at the same time Starwood came up with their new marketing strategy. Starwood promoted new holiday packages such as Friday is free day and family bed breakfast package with attractive prices. When annualizing Starwoods figures it is clear that this strategy has been successful. 3.1.3 Place Starwoods hotels always do research before picking a place for their new hotel; because of this they have become very successful. When we take Starwood as a whole it seems like they have selected the most ideal locations for their hotels. This is thanks to the research they do and it has paid off. 3.2 Extended marketing mix Traditionally the marketing mix consisted of just 4 Ps, with the extended marketing mix it enables the organization to meet its marketing objectives and to satisfy the requirements of customers. In addition to the traditional four Ps it is now customary to add some more Ps to the mix to give us Seven Ps. The additional Ps have been added because today marketing is far more customer oriented than ever before, and because the service sector of the economy has come to dominate economic activity in this country. These 3 extra Ps are particularly relevant to this new extended service mix. 3.2.1People People mean the staff working for Starwood. Employees of Starwood are like a backbone of the company, they have been highly trained and Starwood offers one the industrys best program phrased as YES I CAN 3.2.2 Process This Refers to the systems used to assist the organization in delivering the service. When the service becomes faster automatically the efficiency of the organization gets better. Starwood is world renowned for its excellent and fast process of service. Associated with customer service are a number of processes involved in making marketing effective in an organisation Process is the way how customers are handled from first to last point of contact. So this involves Starwood policies, program, payments, bookings, quality processes for handling customer complaints, processes for identifying customer needs and requirements, processes for handling order etc. Chapter 4 4.1 Marketing Environment Marketing as we know it today began in the 1970s with the birth of the marketing orientation. During the first stage of capitalism business had a production orientation Business was concerned with production, manufacturing, and efficiency issues. By the mid 1950s a second stage emerged, the sales orientation stage. A companys marketing environment consists of factors and forces outside marketing that affect marketing managements ability to develop and maintain successful relationships with its target customers (Kotler., 2005). The marketing environment surrounds and impacts upon the organization. There are three key perspectives on the marketing environment, namely the macro-environment, the micro-environment and the internal environment. Elements of Macro-environment, Organizational environment (1995) 4.2 Micro environment This environment influences the organization directly. It includes suppliers that deal directly or indirectly, consumers and customers, and other local stakeholders. Micro tends to suggest small, but this can be misleading. In this context, micro describes the relationship between firms and the driving forces that control this relationship. It is a more local relationship, and the firm may exercise a degree of influence. This environment influences the organization directly. As in the (figure1) It includes suppliers that deal directly or indirectly, consumers and customers, and other local stakeholders. Micro tends to suggest small, but this can be misleading. 4.3 Macro environment This includes all factors that can influence and organization, but that are out of their direct control. A company does not generally influence any laws. It is continuously changing, and the company needs to be flexible to adapt. There may be aggressive competition and rivalry in a market. Globalization means that there is always the threat of substitute products and new entrants. The wider environment is also ever changing, and the marketer needs to pay off for changes in culture, politics, economics and technology. 4.4 Internal environment An organizationsÂÂ  internal environment is composed of the elements within the organization, including current employees, management, and especially corporate culture, which defines employee behaviour. Although some elements affect the organization as a whole, others affect only the manager. A managers philosophical or leadership style directly impacts employees. Traditional managers give explicit instructions to employees, whileÂÂ  progressiveÂÂ  managers empower employees to make many of their own decisions. Changes in philosophy and/or leadership style are under the control of the manager. Conclusion As seen in the above report it is clearly shown how marketing is done in Starwood chain of hotels. As mentioned above in the report Starwood is a worldwide hotels network, in this report the author briefly discusses about the factors which affects the marketing process directly and indirectly. Then we talk about how marketing has changed over the years and the new marketing strategies in place in the new world. And we also talk about the segmentation process, marketing environment and its elements. Marketing is an important element which contributes very much for the growth of Starwood. Marketing creates a benchmark to Starwood among the other hotels in the industry. The hotel industry has fierce competition at present therefore continuous developments of good packages, attractive advertisements, good and efficient customer service will help Starwood to be ahead of others. In the meantime, continuous research and development should help Starwood to satisfy its customers and retain lo yalty as well.

Supply and Demand :: essays research papers

Supply 1   Ã‚  Ã‚  Ã‚  Ã‚  The rubber supply in Japan is at an all time low. The article chosen discusses how the low supplies of rubber are not typical for the time of year. Tokyo rubber or TOCOM is the Tokyo Commodity Exchange which regulates the rubber market in Japan. A rally was held recently which was the largest in years because of the concerns about low supplies and historically low rubber stocks.   Ã‚  Ã‚  Ã‚  Ã‚  The benchmark December rubber contract on the Tokyo Commodity Exchange rose as high as 169.2 yen per kg, the priciest for TOCOM's key contract since March 11, 1996, when prices hit 174.6. At the close it was up 3.4 yen at 168.7 (TOCOM.). The contracts that are already signed between different companies for delivery from August to November of 2005 are not looking too good. The price for rubber is expected to rise five yen on the stock exchange. July’s contracts, which have no price limit, finished up seven at 189.8 yen per kg of rubber. This meant that the rubber contracts hit their life-time high. The expectations of investors in Tokyo are that the price of rubber will peak in August and begin to decrease when rubber supplies increase.   Ã‚  Ã‚  Ã‚  Ã‚  The price gap of rubber between the December and July widened to 21.1 yen. Rubber supplies have been low due to a delay in shipments from Thailand. Thailand is the world's largest manufacturer and exporter of natural rubber. The shipments of rubber have fallen due to bad weather conditions. Rubber supplies normally drop from the beginning of February which is winter and the dry season in southern Thailand. During Supply 2 this season, latex output declines because the rubber trees shed their leaves. Production in general, returns to normal by beginning of May, but the buyers are still not getting enough shipments.   Ã‚  Ã‚  Ã‚  Ã‚  Japan purchases over 60 percent of its rubber imports from Thailand. Because the signs of short production, rubber stocks in Japan have decreased to the lowest level in forty years. According to the he Rubber Trade Association of Japan, Prior to June of 2005, the lowest the stock had been was back in 1962. Because of the high costs of rubber and the decrease in supply, manufacturers are considering shifting to natural rubber from expensive synthetic rubber. High oil costs have also driven up rubber costs.   Ã‚  Ã‚  Ã‚  Ã‚  Because of the low supplies of rubber, companies are forced to increase the price.

Objective structured clinical examination Assessment of Critically Ill Patient Essay

This essay will critically analyse my performance throughout the Objective structured clinical examination (OSCE) assessment I completed, including the escalation strategy utilised by the Nation early warning scores (NEWS) (RCP, 2012) as a track and trigger tool (NICE, 2007). Based on the findings from the assessment interventions will be recommended and supported by evidence and formatted on the ABCDE approach I used in the OSCE. The ABCDE assessment is used as a tool to assess for the critically ill patients Airway, breathing, circulation, disability & elimination. (RCUK, 2005). It is a systematic approach that can assess the severity of the critically ill patient, assess and treat life threatening conditions and have rapid intervention when needed (Grindrod, 2012). During the Assessment I introduced myself to Mrs Jones to remained respectful, non-discrimitive and ensuring the comfort and dignity of my patient, to which I pulled the curtains (NMC, 2008). I gained verbal consent from the patient to carry out the physical assessment (NMC, 2008), although I should have gained consent at the beginning when I started talking to the patient. This is important because the patient needs to understand the proposed assessment, according to the NMC (2008) the process of establishing consent should demonstrate a clear level of accountability. If consent is refused then the patient’s wishes should be respected although the patient needs to be fully informed of what can happen (NMC, 2008). Standard precautions are put into place in the clinical setting to protect patients and staff which are vulnerable to infection. Alcohol based hand rubs are at the point of contact of each patient (NPSA, 2008) to help prevent hospital acquired infections and cross contamination (DOH, 2009), which I used prior to seeing Mrs Jones. Airway The assessment of Mrs Jones airway went well I assessed for an open airway by alking to her to see if there was any vocal response, Mrs Jones responded coherently so there was a patent airway, no noises were heard which can indicate partial obstruction of the airway (RCUK, 2010). Mrs Jones was able to cough to clear secretions independently. Lack of oxygen can lead to anaerobic respiration at a cellular level which produces acidosis as lactate is produced which can lead to hypoxia (Jevon, 2011). Breathing I looked for evidence of hypoxaemia by assessing mouth and oral mucosa for central cyanosis (O’Driscoll et al, 2008), none was evident. Respiratory rate was assessed over 1 full minute to ensure accuracy (Hunter, 2008) as deviation of 4 or more can be clinically significant (Subbe, 2006) The rate was raised at 24 which I record on the observation chart and the resperation rate falls in the orange band generating a score of 2, The acceptable normal respiration rate is 14 – 18 breaths per minute (Mallett & Doherty, 2001) indicating Mrs Jones could be compensating for metabolic alkalosis and It also contributes to the diagnosis and management of a variety of pathological conditions and helps to evaluate therapeutic interventions. Monitoring the patient’s respiration level is one of the most accurate indicators of deterioration, which is often poorly monitored and recorded Cretikos (2008). Accessory muscles should have been observed to assess for increased work of breathing, which would result in inadequate ventilation and poor gas exchange (Esmond, 2003). Oxygen saturations are considered the fifth vital sign (BTS,2008), and these were reduced at 93 %, normal range is 94% to 98% (BTS, 2008). I record on the observation chart whichs generates a score of 2. The drug chart was checked to see if target saturation has been identified and oxygen prescribes as per BTS (2008) guidance, and so 2L of oxygen was give via a nasal cannula to increase saturations to within target range. Mrs Jones was also sat up to increased functional residual capacity which helps to reduces the work of breathing helping to improve oxygenation (Kennedy, 2007). As per BTS (2008) guidance saturations were checked after 5 minutes and had risen to within target range. Crackles were heard on inspiration when I listened to Mrs Jones chest, this can be an indicator for pulmonary Oedema or pneumonia (Sheppard, 2003). Circulation Mrs Jones looked unsettled and felt cool and clammy, her radial pulse was easy to palpate but was very irregular which made me instigate an ECG, manually Mrs Jones pulse was 85bpm but recorded on the ECG was 114bpm that showed evidence of atrial fibulation (AF), the patient didn’t have a history of AF. Capillary refill was just over two seconds and blood pressure was115/85, I did not calculate the pulse pressure or arterial pressure. Her temperature was within normal range at 36. 3. I record the observations and the heart rate falls in orange band generating an additional score of 1. Mrs Jones explained that she had passed urine 5 hours ago which was 200mls. NICE (2007) state that an adult urine output should be measured at ‘>0. 5mls/kg/hr’, I knew this was low for the patient but I did not use the calculation to work out how much it was an hour, volumes of less than 0. 5ml/kg/hr can indicate cardiovascular compromise and renal impairment can occur (Dutton, 2012). Mrs Jones has signs of ankle oedema, which made me concerned for her fluid status so a fluid chart was commenced of intake and output. Disability Mrs Jones was awake and responding to myself using the AVPU tool, The AVPU scale is a quick and easy method to assess level of consciousness which can be affected by hypoxemia and hypercapnia (Palmer et al, 2006). It is ideal in the initial rapid ABCDE assessment (Smith, 2003) although a full assessment would require using the Glasgow coma scale (NICE, 2007). Mrs Jones blood glucose level was checked as this can rise as a result of sympathic activation, but the level is within normal range. Exposure With Mrs Jones consent I checked her invasive lines for phlebitis and her skin for any rashes, erythema or signs of pressure sores, all were normal and no phlebitis was noted. I did not assess to see if Mrs Jones had sacral Oedema, oedema only becomes apparent when the interstitial volumes has increased by 2. 5 – 3L (Porth, 2007) possible caused by heart failure. Care Escalation I documented all the patients’ observations on a NEWS Chart which generated a score of 7, this score then gives me appropriate actions to take as there is a marked deterioration of the patient. 7 or more triggers the Action of escalating care by contacting the medical registrar looking after the patient and also consider moving the patient to a level 2 or 3 care facility. When contacting the registrar I used the Situation, background, assessment and recommendation (SBAR) briefing model to tell the medical registrar about the patient so they are fully aware of the patient and their condition and actions I want them to take. The handover I gave to the registrar was slightly muddled and I jumped back and forth instead of remembering the systematic order that the tool was designed for there for I missed out information about Mrs Jones that could of been highly important to the doctor. Conclusion The ABCDE assessment gives health care professionals a framework which helps detect life threatening conditions and are addressed early. The patient I had during my assessment had a lot of complex issues but This approach helps remember the essential things and intervening and referring along the continuum of A to E helped reduce further determination progressing.

Essay on Anna Julia Cooper - 2476 Words

Anna Julia Cooper Only the BLACK WOMAN can say when and where I enter, in the quiet, undisputed dignity of my womanhood, without violence and without suing or special patronage, then and there the whole . . . race enters with me The life of Anna Julia Cooper (1858-1964) affords rich opportunities for studying the developments in African-American and Ameri can life during the century following emancipation. Like W.E.B. DuBois, Coopers life is framed by especially momentous years in U.S. history: the final years of slavery and the climactic years of the Civil Rights Movement of the 1960s. Coopers eclect ic and influential career mirrored the times. Although her life was privileged in relation to those of the majority of†¦show more content†¦In 1925, Cooper finally received her doctorate, from the University of Paris, thereby becoming the fourth African-American woman to receive that degree. Coopers wri ting style changed as her life went on and she was not able to write consistently, but she did continue writing well into her eighties.3 Coopers writings and life expressed her strong social concerns. Indeed, on a college questionnaire in 19 32, she wrote that her chief cultural interest was the education of the underprivileged.4 This commitment is exhibited beyond her work as an educator and extends to the conscientiousness that infected her scholarship and her social activism. lt; h3Development of a Feminist Critique The first account that Cooper gives of her struggle against sexism is from her teenage years. She relates in her first and only full-length book5, A Voice from the South by a Blac k Woman from the South (1892), her protestation to the principal of St. Augustines concerning the treatment of women in the school. One gets the sense that her strong convictions and deep feelings on the subject commenced to emerge even at that youn g age: A boy, however meager his equipment and shallow his pretensions, had only to declare a floating intention to study theology and he could get all the support, encouragement and stimulus he needed, be absolved from work and invested beforehandShow MoreRelatedAnna Julia Cooper3214 Words   |  13 PagesAnna Julia Cooper Zandra Owens November 23, 2009 SOC 480-D1/ Sociological Seminar Fayetteville State University Abstract Anna Julia Haywood Cooper (1859-1964) was one of the most influential African-American educators of the late 19th and early 20th centuries. As an activist, author, and scholar, she dedicated her entire life to the education and empowerment of African-American youth and adults. Her commitment and passionate belief in the power of educationRead More Intellectual Women Work Through the Theories of the Talented Tenth1456 Words   |  6 Pagesbetween the actions of Anna Julia Cooper, bell hooks, and Patricia Hill Collins as each intellectual carries (or carried) on the work of the Talented Tenth. This research will include a discussion of Coopers educational work as well as her speaking career; in both areas she advocated equal education opportunities for Black women. The central concern of DuBois theory, his advocacy for education and the creation of an upper class of Blacks, was thus promoted by Cooper through these vehicles. IRead MoreSlavery And Jim Crow Laws1613 Words   |  7 Pagesrace have made tremendous strides in their efforts to level out the playing field between the two races.   The rise of abolitionism is were the journey for equality began with black political theorist like, David Walker, Fredrick Douglas, and Anna Julia Cooper. Decades later the Civil Rights Era would continue the work of those former slaves ultimately changing the treatment of black people nationwide. Black activist like Dr. Martin Luther King Jr, W.E.B. Du Bois, and Mary McLeod Bethune along withRead More Lynching and Women: Ida B. Wells Essay937 Words   |  4 Pagesand mob violence around 1910 and is the oldest civil rights organization in the United States. [7] Wells’ resistance to white male ideology influenced other leading black women of the time, such as Anna Julia Cooper, who was instrumental in organizing women to resist race and gender control. Cooper helped found the Colored Women’s Young Woman’s Christian Association (YWCA) in 1905. [8] Another black female contemporary that Wells inspired was Pauline Hopkins. Hopkins was a writer and journalistRead MoreI Am Applying Intersectionality And The Sociological Imagination1080 Words   |  5 Pagesdelves into the history of intersectionality. The sub-chapter presents a chronological order of how intersectionality originated and its current usage. According to â€Å"Theoretical Framework: Intersectionality,† Anna Julia Cooper created the concept. The authors write, â€Å"the works of Anna Julia Cooper gave birth to the idea of intersectionality illustrating how discrimination can be experienced in varying degrees† (Norris; Murphy-Erby; Zajiceck 2007) . However, intersectionality gained prominence later (theRead More Lifting as We Climb Essay3009 Words   |  13 PagesLifting as We Climb Harriet Jacobs, Frances E. W. Harper, and Anna Julia Cooper are three African American female writers who have greatly impacted the progress of black womanhood. Through their works, they have successfully dispelled the myths created about black women. These myths include two major ideas, the first being that all African American women are perceived as more promiscuous than the average white woman. The second myth is that black women are virtually useless, containing onlyRead MoreThe Women s Rights Movement2643 Words   |  11 Pagescaused a rift between women of color involved in the movement and white women. Even with the massive rift, the two factions still wanted the same thing; the right to vote. All of this wouldn’t have been achieved without women like Ida B. Wells, Anna Julia Cooper and Mary Church Terrell. Ida B. Wells was known for being an anti-lynching activist, suffragist, and women’s rights advocate. Born a slave in Mississippi, she was the oldest of eight children. Her parents and youngest sibling died of yellowRead MoreThe Black Freedom Struggle For Equality Essay1980 Words   |  8 Pageswas not uncommon for these literati to undermine dominant discourses in order to bolster their own analyses. Among the discussed black intellectuals who inverted prevailing dissertations, three that stood out the most are Frederick Douglass, Anna Julia Cooper, and David Walker. In Frederick Douglass’ speech â€Å"The Meaning of July Fourth for the Negro† on July 5, 1852, he inverts the idea of the United States’ celebration of freedom by calling out the misconstructions that people have put on blacksRead MoreAfrican Literature and Culture1447 Words   |  6 Pagesfather is a persona of indifference and casual cruelty of which the narrator later comes to associate with the ways of the British colonizers who taught her father about money and greed, power and domination. In many African texts (Sofola 1998; Cooper 1995), the female gender is stereotyped as the fertile and nurturing Earth Mother to the lazy, debauched young beauty. This was the African woman’s identity -the mother, the caretaker; not the provider or independent woman known in today’s societyRead More Ethics in International Security Essay examples3000 Words   |  12 Pagesresponsibilities of various parties on these software issues. Plato’s Republic provides a sound starting place for understanding rights and responsibilities within a society. In An Introduction to Plato’s Republic, Julia Annas explores Plato’s requirements for the â€Å"Just Society.† Annas claims that Plato’s social construct relies on the Guardians, or leaders, and their education and character to define the entire society. She states that Plato repeatedly insists that â€Å"the city stands or falls with