...Dehra Van Kuiken, Myra Martz Huth ital signs (VS) are indicators of physiological functioning and include temperature, respiratory rate, fieart rate (pulse), and blood pressure (BP). Health care professionals measure VS to assess, monitor, evaluate, and document an individual's physiological status or change in condition (Royal College of Nursing, 2011). Depending on the individual's condition, VS are monitored and recorded routinely by policy, tradition, or expert opinion, whether needed or not (Evans, Hodgkinson, & Berry, 2001; Zeitz & McCutcheon, 2006). Five years ago, pédiatrie nurse leaders and evidencebased practice (EBP) experts from children's hospitals across the country voiced concerns about the frequency of VS at a National Summit for Pédiatrie and Adolescent EvidenceBased Practice (Melnyk et al., 2007). This summit resulted in our team formulating a clinical question, searching for the evidence, critically appraising the evidence, and formulating conclusions on normal parameters. Before the question on the frequency of ys could be addressed, two fundamental questions needed exploration, and thus, became the focus of our work. The questions are: • Among pédiatrie patient ages 1 through 5 years, what are "normal" VS parameters? • Among pédiatrie patient ages 1 through 5 years, what is a signifieant elinical change in VS? The purpose of this systematic review was to determine the best evidence for normative parameters for VS in healthy children 1 to 5 years of age and what...
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...nature that are not mentioned. All reasonable precautions have been taken by DOH and POGS to ensure that the information contained in this publication is accurate. However, this guideline is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the guideline lies with the end user. In no event shall DOH and POGS be liable for damages arising from its use. 2 ii MESSAGE The primary aim of MDG 5 is to reduce by three quarters by between 1990 an 2015, the maternal mortality ratio,especially among less developed countries. The Philippines is among those with high maternal mortality rate (MMR). In 2006, our MMR was 162 deaths/100,000 live births, however, the Family Health Survey in 2011 showed that the MMR has increased to 221 deaths/100,000 live births. It is therefore important that we mobilize our efforts together to avert further deaths of our pregnant mothers. The Philippine Obstetrical and Gynecological Society (Foundation), Inc. (POGS) stood up to the challenge of World Health Organization (WHO) in 2011 to undertake the development of an updated, evidence based national guideline on intrapartum and immediate postpartum care. The preparation of the current guideline involved various individuals from different sectors. POGS created a Taskforce for the purpose. The Steering Committee, composed of POGS Fellows, was tasked to appraise existing clinical practice...
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...Today one in three American kids and teens is overweight or obese.Obesity has become an epidemic in this country over the last decade. It is especially an issue in the impoverished areas of the country. The obesity rates in many similar countries have not grown nearly as rapidly as that of the United States. The rate of obesity in impoverished American children may be rapidly increasing due to the influence of their caretakers, low income, poor access to healthcare, lack of physical activity, deprived living conditions, and a lack of access to resources due to their location. Obesity is more prevalent in minority communities, but obesity rates and race do not actually have any direct correlation. “For a long time researchers have tracked...
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...the work place since 2008 and the beginning of the “great recession”. Much of the literature that is out dealing with age diversity deals with the aging workforce that is on the increase, and shows no sign of slowing down. Stephen Fineman discusses how work organizations human resources run their departments when it comes to the older worker. Dr. Emma Parry, Shaun Tyson and Stephen Fineman all spend a considerable amount of time on discrimination of the older worker in its different forms such as ageism, lookism, and cultural. All of the literature used in this research project agrees that the current culture and norms of our society must change. Even though it is starting to change in some areas, it is not changing at a fast enough rates to stop discrimination from happing to the older worker. Most of the article and books talk about the challenges that management has dealing with the processes of dealing with age diversity in the work place. The literature that touched on most areas that were discussed in this research project was the works by Dr. Emma Parry and Shaun Tyson. Organization Age by Stephen Fineman was brief and concise in his areas that touched on the great recession and the losses that were suffered in the stock market. Trying to find peer reviewed literature on this subject was difficult, but not impossible. Introduction In the natural progression of life and the workforce, you get a good job, or you may change jobs for a better paying job along the...
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...ABC Unified School District Tracy High School Cal- SAFE Teen Parent Program Part I: Program Summary Sonja Robinson PPA 696 - Research Methods in Public Policy and Administration Dr. Michelle Saint-Germain Thursday 7:00 p.m. - 9:45 p.m. California State University, Long Beach May 22, 2010 Table of Contents Executive Summary 1 Introduction and Background 2 Cal-SAFE Teen Parent Program Description 3 Purpose of the Evaluation 11 A Logic Model for Cal-SAFE Teen Parent Program 12 Literature Review 13 Evaluation Design and Methods 19 References 29 Appendices 30 Executive Summary This summary provides an overview of the key findings from data and feedback collected during the course of an evaluation design on ABC Unified School District Cal-SAFE Teen Parent Program at Tracy High school. The program supports the academic success of pregnant and parenting teens, increases the availability of support services for enrolled students, and provides child care and developmental services to their children. The purpose of the comprehensive evaluation is to assess recent and longer-term impacts of the program on its participants. The evaluation requires a multi-phase approach that involved a series of data collection which includes, individual surveys, interviews, program...
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...Running head: STATE VS. FEDERAL REGULATIONS PAPER State vs. Federal Regulations Paper XXXXXXXX University of Phoenix XXXXXXX MGT/434 State vs. Federal Regulations Paper Employees are protected by many federal and state laws that regulate what an employer cannot and can do. Therefore, figuring out which employment laws apply to the workforce can present a challenge because they can come from federal and state sources. The laws that are applicable to each workforce sector for employee protections depends on many factors; the number of employees, the type of business it conducts, and if it crosses state boundaries. The purpose of this paper is to examine how federal and state governments differ in their application of employments laws and will discuss an employment protection provided exclusively by a state government. State vs. Federal Wage, hour and employment laws governing employers and employees are set at the state level and the federal level. Often measurable differences between federal laws and state laws exist depending on the state the company is operating in. When this occurs, companies are supposed to comply and govern their policies to follow the laws that offer the best protection to the employee. On the federal level the agency over employment law is The US Department of Labor (DOL) this agency administers federal employment laws. In most states employment laws are administered by the states labor division. With many agencies under...
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...6/27/2016 Big Families vs. Small Families: A Matter of Quantity vs. Quality? HowStuffWorks Big Families vs. Small Families: A Matter of Quantity vs. Quality? At the time of the photo, the Bates family of Lake City, Tennessee, had 18 kids. They now have 19. JAMES AMBLER / BARCROFT USA / GETTY IMAGES by John Donovan January 16, 2016 Children in big families get less than those in smaller families. It's just math, right? Less time with the folks than the oldest had when he or she was the only one around. Maybe fewer toys or books or games or new clothes. Altogether, with other kids in the family, there's just a little less space all around. For years, scientists have delved into whether that truth has resulted in kids who are worse off. Some have said no. Some have tried to show that it's true. http://now.howstuffworks.com/2016/01/15/bigfamiliesvssmallfamiliesamatterquantityvsquality 1/5 6/27/2016 Big Families vs. Small Families: A Matter of Quantity vs. Quality? HowStuffWorks Do sisters make you happier? Multiple studies indicate that people with sisters seem to be happier than people with brothers but what does this mean, and could it be true? Join Molly and Cristen as they explore the relationship between your siblings' gender and your happiness. Now, new research finds that kids from bigger families end up not as smart, with more behavioral problems as children and more problems as adults. The study ...
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...New Labor in Venezuela As I was sitting there at work searching around on the internet, I came across an interesting article. It just so happened that I was also thinking to myself that I need to come up with a topic for my international business paper. I wasn’t out there looking for the topic too hard at the moment so once I seen this article that that caught my attention, I knew that this was going to have some weight on the decision I made for my paper topic. The title of the article which I found on Yahoo was, “The Top 10 hardest countries to do business in.” Low and behold the number one country on the list that was the hardest to do business in was Venezuela. This peaked my interest, so I began a search on some of their international laws to see what it is about Venezuela that makes it so hard to do business in. Thus, this brings me to the beginning of the paper. As I began my search for the difficulty of business in Venezuela I came across a plethora of information related to the international business world and why their laws can cause problems for foreigners to do said business in their country. There is so much that relates to what our papers are supposed to be about in fact that I have to choose a select few in order to not write an entire novel for this paper. So what I would like to do in this paper is speak about a few of the laws and issues in Venezuela in some detail, but I would like to focus the majority of the paper on their new labor law which recently...
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...ITS SCOPE INTRODUCTION Rationale of the Study The Child Survival Strategy published by the Department of Health has emphasized the need to strengthen health services of children throughout the stages. The neonatal period has been identified as one of the most crucial phases in the survival and development of the child. The Millennium Development Goal Number four (4) of reducing under five child mortality can be achieved by the Philippines, however, if the neonatal mortality rates are not addressed from its non-moving trend of decline, MDG 4 might not be achieved (http://www.doh.gov.ph/node/2664). Based on health statistics, the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. Eighty two thousand (82,000) Filipino children under five years old die every year. Thirty seven percent (37%) or 40,000 of them are newborn. Majority of them (3/4) die within the first two days of life, mostly from preventable causes. The high mortality and morbidity rates in newborn are directly related to inappropriate hospital and community practices currently employed throughout the Philippines. According to the Department of Health (2009) that correct and appropriately-timed interventions given to the newborn during this period will benefit both the newborn and the mother as these will avert approximately 70% of avoidable newborn deaths (Department of Health, 2009). Studies found out that Philippine hospitals’ practices...
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...Alcohol vs. Marijuana After researching both marijuana and alcohol, which are two commonly used drugs in my community that have the same effect, but yet differ significantly. While alcohol is the number one substance used and misused by people, marijuana is the number one illegal drug being [Doctoral rule (but good advice for any academic writer)--If not a noun (as in "human being"), the word "Being" is hard to imagine; it means "existing." Try to rewrite this without using "being"--with action words like "attending," "working," "living," "experiencing," simply "as"--or even removing "being" completely] used and sold in colleges, high schools, and communities’ particularly urban communities. With that being said, one might ask, “Which one is more harmful to their well being?”This will be up to you to decide. Marijuana is addictive and has an immediate affect during and after smoking. When consuming the drug it usually last up to two hours, but eventually wear off. Heavy usage [Check spelling: "Usage" refers primarily to legal procedures or grammar; most writing situations call for "use"] of marijuana can have effect the brain causing people to hallucinate or lose the sense of personal identity. The physical affect using the drug can cause abnormal heart rate and red eyes. Although researchers haven’t found a long term effect on the brain caused by the drug, it was said that using this drug can cause a gateway to another drug. ...
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...The Social Changes in Marriage Western Governors University Social Changes in the Module of Marriage Bob Dylan said it the best, “The times they are a changing”. The purpose of marriage in today’s society is no longer what it was over a century ago. Families in the early 1900s were depicted in movies such as “A Midsummer Night’s Dream” where arranged marriages were the social norm. The Adventures of Ozzie and Harriet or Leave It to Beaver were the “families” of the mid-1960s.They were comprised of two parents, two children and a happy stable environment. The Husband’s role was that of the provider, with the Wife’s role being that of a homemaker and nurturing mother. The children were a reflection of their parent’s social reverence to society norms. In the late 1960s – 1970s cultural norms regarding marriage, pre-marital sex/cohabitation and childrearing changed significantly. The family was replaced by divorced parents or blended families, reflected in shows such as “Different Strokes,” “One Day at a Time,” and “Parent Trap” reflected such. Currently, non-traditional families are accompanied by same sex marriage and depicted in sitcoms such as Modern Family, which combines multiple variations of family models in one show. These various family modules are becoming widely accepted in society, along with changes in the social module of marriage, as “traditional family values are being swept away by a wave of tolerance toward lone mothers, gay couples and unmarried...
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...Pregnancy: The Fight to Survive Sociology Research Paper Tri-County Technical College November 24, 2014 ABSTRACT Objectives: To research the causes of death during childbirth and infancy in nations around the world. To examine related health concerns of birth rate, death rate, birth defects, and how access to medical care in different nations contribute to the birth and survival of the fetus. Reviewing statistics of birth rates in all income nations and the overall affect on the population. Applying the Social Conflict theory as it relates to views on pregnancy. Explore different ideas on how to change declining birth rates and promote better health care for all nations. Key Words: Pregnancy, birth rates, death rates , birth defects,social conflict, health care associated with pregnancy. INTRODUCTION In December of 2013, The World Health Organization (WHO) conveyed a consultation on improving the measurement of quality of maternal, newborn, and child care in health facilities. This annual report proposed 19 core indicators for reporting on the quality of MNHC care in nations around the globe. While some key interventions have increased over the past decade, little progress has been made in the quality of care in some health care facilities around the world. The amount of health care coverage provided to mothers, newborns, and children in low income nations is very minimal compared to high income nations particularly in the United States where health care and...
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...Oxford journals Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia Results The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%. Conclusions This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region. Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia 1. Michael E Thompson1,* and 2. Tsovinar L Harutyunyan2 +Author Affiliations 1. 1 Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA. 2. 2 Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia. 1. * Corresponding author. Department of Public...
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...Betty Waltermire JUS-250 Critical Issues in Criminal Justice March 21, 2014 Biology, Bad Genes: A Relationship for Crime Every hour of every day is the time it takes for two citizens to die due to violence. During the same time 250 citizens will need medical attention for an injury related to violence. With each passing hour the cost mounts, on average over a million dollars for each violent fatality and several tens of thousands for each non-fatal assault. These figures are enormous compared to other health issues of this century (Buckholtz, 2012). There is little effort on the aims of scientist and criminal law that would have them working together and that is treading cautiously. Brain Imaging has come into light in the past decade or two that shows structural and functional deficiencies in the frontal and temporal lobes. These frontal and temporal lobes regulate aggression. Some say there is a gene some call the “warrior gene” which is aggressive. The actual name is MAOA. Some are using this as a defense when a person is being tried for a violent crime. Also research of violent and aggressive psychopathic individuals have proven that several biological markers do exist and these are; lowered heart rate, abnormal EEG, multiple abnormalities in right temporal lobes and greater abnormalities in left temporal lobes. Scientist have also discovered prefrontal damage encourages; risk taking, irresponsibility...
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...vs reality Fiction versus Reality Axia College of University of Phoenix As soon as a couple decades ago there was no such thing as media. Children played hop scotch for fun, chewing gum in class was the worst moral crime committed and sexual promiscuity was a folklore that was thought to originate with a few prostitutes that were as rare as Bigfoot. As the introduction of television introduced waves of crime, sex and betrayal into the homes of Americans the crime rate began to spike like never before. This spike in crime sparked a deep yearning to investigate the uncharted criminal mind. As media has expanded from radio to television and the Internet, crime has exploded all over the world and the need to control this wild horse has sparked worldwide interest in reality based television shows that depict the inner workings of a convicts mind and how the hero police officers, detectives, crime scene investigators and judges outwit, catch and then prosecute these lawbreakers. This exciting new fad has people watching these half hour shows and believing that they are entirely accurate. There are some television shows that use a great deal of fact in the creation of the show while other shows do not even come close. Since people have become enamored with courtroom based movies and television shows this has created a false sense of knowledge among common viewers that almost an entire nation believing that courtrooms consist of a defendant and a plaintiff (or a prosecuting...
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