...consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates...
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...time. On rare occasions, we are handed graphs and charts that explain what they expect and shows us specifically what needs to be improved upon. Since our jobs are to care for the sick and hurt, this information is not tossed aside and is typically taken more seriously. One main focus for the nursing staff at my facility is safety scores. We have two medical-surgical floors, one including oncology and the other orthopedics, one intensive care unit, and one step-down intermediate care unit. We all share the same safety goals that are in place to insure our patients not only receive the best possible care but also remain injury free while that care is being provided. Each unit is given a score from 0 to 100 percent based on quarterly fall occurrences and prevention measures. Comparisons are made between each medical floor...
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...characteristics of why patients fall in the hospital setting. The article being critiqued defines a fall as an unexpected drop from a sitting, standing, and lying position, which include an assisted fall (where someone helps guide them to the floor), slipping from a chair to the floor, and when a patient is found on the floor (Hitcho et al., 2008). This critique will discuss data collection, data management, analysis, and interpretation of the findings. The Washington University Institutional Review Board gave their approval for this study. Written consent was waived due to the fact that this study was part of a hospital-based project to improve quality. The study did not pose any risks to the patients as the patients were not put in any situation to induce a fall, and no precautions were taken away from patients that prevent falls. Several sources and a comprehensive fall data collection tool was used to collect data on the patients that fell during their hospitalization which included: the database of adverse events, the electronic medical record, the paper chart, and patient/ family interviews, where no objections to being interviewed were noted (Hitcho et al., 2008). The variables that were identified in the study were the patient’s information, details of the fall, contributing factors, injuries sustained, and the actions that were taken as a result of the fall. The patient information included the patient demographics, cognitive status, admitting diagnosis, fall history, medications...
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... In the journal of Geriatrics &Gerontology International, there is an interesting article by Vassallo et al. that discusses the fall risk factors in older patients with cognitive impairment. The issue addressed is almost identical title, which is “Fall Risk Factors in Elderly Patients with Cognitive Impairment on Rehabilitation Wards.” It is a clear and concise title, which states the population (the elderly) and major variables. (the mentally cognitive and the cognitively impaired). The researchers who conducted the study are qualified doctors who are familiar with both the risk factors affecting the elderly in a rehabilitation facility and/ or environment. The abstract discusses various components. First, the purpose of the study is to discover why cognitively impaired patients are more likely to have reoccurring falls, and how they differ from the cognitively intact. Second, the use of sample variable of all males over 80 with past history of falls, recurrent falls, medical records, and medication were taken into consideration during this study. Lastly, the study offers a methodology, yields results and discusses the...
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...interesting no matter what genre and last October 9’s movie didn’t disappoint. We watched an indie film by Joey De Guzman titled Tumbang Preso. The title seemed really familiar to me so because I was curious, I looked it up. Tumbang Preso was actually a child’s play, no wonder why it was so familiar. I used to play it at my grandma’s place back in Leyte when I was younger too. I actually thought it meant the fall of a prison cell since tumbang means fall and preso was jail. Lo and behold, it meant both. I was impressed with what Mr. De Guzman had going on. So tumbang preso has always been played in one way for kids. A player called an IT, is assigned to guard a can. The rest of the players with their “pamatos” or what they use to hit the can, line up behind a line drawn on the ground. Once settled, the game starts and each kid gets a chance to make the can fall with his or her pamatos. Once the can falls, the owner must retrieve the pamato that made the can fall immediately before he or she is caught. If he is caught, he becomes IT. If the can is hit and falls outside the circle but still stands, the IT has the right to tag the one responsible for the pamato once he or she leaves behind the line. The can may be kicked or knocked down under when it is outside the circle. If the player is not able to retrieve his pamato, the others can save him by hitting the can. The movie was pretty much like the game. Those players behind the line are like the victims of human trafficking...
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...Advance Professional Roles and Values Project Falls Keri Cochran October 20, 2014 Western Governor’s University The problem and explanation: The hospital I am employed at is currently having an issues with patient falls. The hospital is a “no restraint facility” and strongly discourages the use of any form of restraint including leather, soft, posey vests, or chemical. Currently the line of defense is using staff sitters, moving the patient to a visible room when available and or family members are encouraged to come and stay with their loved ones who are at high risk of falls. This does not always rectify the issues secondary to staffing issues and family participation. The facility has had two critical falls this year, one ending in a patient breaking a hip and the other a death secondary to hemorrhagic bleed to the brain. The facility has had numerous other falls which lead to added procedures, exposure to radiation (radiological exams) and increased lengths of stay, multiple bruises, fractures, pulled out IV which need to be preplaced, and numerous bleeds and skin tears. The unit I work on is a Medical Surgical Telemetry (4 Tower) unit which consists mainly of pre and post open heart patient and pre and post angiogram patients who may or may not have had interventions which include stents, plasty, TCPA, Pacemaker / AICD placement, and EP studies with ablations. The patient population is mainly sixty years of age and above, with a high incidence of diabetes...
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...Evidence-Based Fall Prevention Intervention in Community Senior Centers. American Journal Of Public Health, 106(11), 2026-2031. doi:10.2105/AJPH.2016.303386 This article, written by two Ph.D.s and an M.D., evaluates the effectiveness of a balance program, Tai Ji Quan, among thirty-six senior citizen centers in Oregon. The program’s success was measured by researchers through the number of self-reported falls. The authors applied previous research in their study. All participants were thoroughly screened prior to their participation in the study. A total of 569 senior citizens were enrolled in the classes, with 77% remained enrolled and 23% withdrawing early. Three participants...
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...Reconstructing the Past to Change the Future: An Analysis of Character Development in When Heaven and Earth Changed Places and Journey From the Fall While the characters from When Heaven and Earth Changed Places and Journey From the Fall move on to a life of "comfort and safety" in the US, unsettling memories of the war resurface that force them to revisit their pasts. In order to reconcile their regrets, they must reconstruct memories from their past and address their guilt. This essay follows the journey that the characters Le Ly Hayslip and Mai take from Vietnam to the US and provides examples of how the two women attempt to forget their previous existences, create new ones, and reevaluate their pasts in the context of the present. By “comfort and safety,” I mean that Le Ly and Mai are not worrying about survival and safety as much anymore in the US as compared to in Vietnam. The two characters escape Vietnam because the livelihoods of their families are at stake. Le Ly escapes Vietnam for reasons relating to physical as well as emotional well-being. When Le Ly talks about the story of a woman watching her son get shot and then the woman herself getting shot as well, Le Ly realizes that the only chance for survival for her and her son is by leaving Vietnam. In addition, not only is Le Ly in physical danger, she is also in a hostile environment in terms of her relationships with the people around her. Her family relations are extremely volatile, since her family is very...
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...able to make their own choice of their own accord. The reason why God has allowed us to choose is because he wanted us to be willingly good, and not forced. It is important because without free will, the question of evil and why God allows it to exist would not arise. Augustine, for example, believes that after the Fall of Man, man lost the ability to freely choose the morally right thing. He believes that our state of Original Sin makes us unable to not sin (non posse non peccare). Why is there evil? 1) Why should evil happen in the first place? Augustine: Believed that it was our fault that evil happened in the first place; we are corrupt. Anselm: Believes that it is humans’ fault, and that we have double fault. Julian: Our ignorance led to evil, and our ignorance comes from God's will 2) Does the fact that there is evil mean that God was not willing or not powerful enough to do something with it in general? Augustine: God was powerful enough to do something with it, he just gave us the free will to do it or not. Anselm: God gave us the free will to choose so that he could eventually raise us up. Julian: It is in God’s plan to have us fall, so that he can bring us to our salvation. 3) What is the purpose of suffering in the world? Augustine: Believes that suffering is our punishment. Anselm: Also believes that suffering is our punishment. Julian: Believes that our disobedience results in our own suffering "Augustine's Doctrine of the...
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...as well. Although international trading today is seen as a norm, not all countries are reaping the benefits. The term globalization has been increasing since the mid-1980s and can be grouped into different categories, which include: trade and transactions, capital and investment movements, migration and movement of people. Globalizing processes affect and are affected by businesses and work organization, economics, and the natural environment (Held,McGrew,Goldblatt,Perraton). Globalization can create new opportunities, new ideas, and open new markets that an entrepreneur or business owner may have not had in their home country. It can provide a lot of great opportunities for a community, and help it grow. Growing up in Buffalo/Niagara Falls, NY, Globalization has heavily impacted my community. Being so close to the Canadian border has allowed for heavy traffic between the two Countries. In order to survive in the 21st century, companies in every industry are taking steps to expand internationally through trade and investment. Through the years, we have built a solid relationship with Canada, which has therefore allowed for a lot of international trade between the two Countries. International expansion is almost required in today’s world for companies to survive and remain competitive in their environment. The U.S trade has increased from $430.2 billion to $932.3 billion from 1988 to 1997, which is a 117 percent increase....
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...I love the C.N. Tower. One reason is I am from Toronto, and I have been up it about twenty times, although it is still fun every time. I find it very cool that this famous tower is in the same city as I was born in, also it is amazing that I can go so high and see so far across my home town. Almost all of my families have been up the tower, and I find that cool because I can talk about it with them when I see them. Every time I go back to Toronto, I always have the C.N. Tower in mind. Every time I fly into Toronto and I can see what was once the world’s tallest tower, looming over the clouds, on top of the world, like it is welcoming me back, that makes me feel at home. And the day when I get to go up the tower is a remarkable experience....
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...When the talk of love canal is brought up, what comes to mind? For William T. Love, there were hopes and dreams of creating a love canal to add to the small working-class city creating a “dream community”. However, dreams don’t always come true. Love canal was a small town city run by William T. Love in Niagara Falls, New York. Love had plans on digging a canal from the upper Niagara rivers to the lower rivers. In 1910, Love’s dreams were crushed due to not being able to “endure the one-two punch of fluctuations in the economy…” All that was left to commemorate Love’s dreams was a partial ditch where construction had begun. In the 1920’s the canal was used as a dumpsite for hazardous chemicals. Creating dumpsites for chemicals is no unnatural...
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...writing and teaching, with a dark view of the European civilization. In many novels Golding has showed the dark places of human heart. His work is caracterized by exploration of “the darkness of man’s heart”, deep spiritual and ethical questions. In Salisbury Golding wrote several books, but did not get them published. “ Lord of the Flies”, an allegorical story set in the near future during war time, was turned down by many publishers until it finally appeared in 1954. The famous English writer Forster named this book “ The Book of the years”. At the time of its appearance,Golding was forty four, but the success of the novel allowed him to give up teaching. In the exciting story a group of small British boys, standed on a desert island, fall into violence after they have lost all adult guidance. Ironically, the adult world is ruined by nuclear war. The novel “ The Spire” concerned the construction of a cathedral spire. Jocelin, a medieval dean, has decided to erect a 400-foot spire to the top of the cathedral before his death. But its construction causes the sacrifice of others, betrayal and murder; the Dean’s own faith is tested.From this novel Golding’s work developed into three directions: novels dealing with contemporary society without mythical substructure, the metaphysical novels in...
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...A Great Vacation Have you ever been on a cruiz or to another state with amazing view? Whether you've given it any thought or not, there are many qualities that makes a vacation a great one. A vacation can be divided into three groups such as: great scenery, good food, and great weather. For most people, the hardest part about a vacation is figuring out where to go. Majority of the process of finding the spot is the scenery. There are many islands that have amazing views, and also huge cities that have city views; it's entirely up to you and your preferences as to where to go. Niagra falls, for example, is an amazing place to visit. The scenery is breathttaking, everyone consider the visit at least once in their life time. The bahamas as well, is also a great place to visit when it comes to scenery. The water is a stunning deep blue that no other view can compare to. The weather is also mostly always warm and the sun is always shining. Nothing tops the great vacation list more than what you eat. Great food is a big part of a grerat vacation because you experience many different cultures that you may only have once in a life time to do. There are many different foods that we have around the world that aren't made where we live, no one can come close to making some things either. You may come across that one specific food you like that no other place has, you would want to bring it back with you but it won't last forever. You also wouldn't want to have bad food on your vacation...
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...analysis technique (FIA) and determine the filterable reactive phosphorus (FRP) in Yarra River’s water samples in order to assess the trophic status of the Yarra River’s sites. Methods A phosphate calibration curve was made from a stock solution provided. The samples and the QC solution was measured using the FIA technique and the FRP was obtained using the peak height from the samples. The QC solution was diluted 2:5. Sample Calculations x= y-0.29781.137 equation 1 % relative error=|x-x||x| (equation 2) x= Measured value of QC and x = Known value of QC Results Calibration curve Sample | Peak | FRP | Mean | SD | %RSD | | Height | (µg/L) | | | | | 85.8 | 75.2 | | | | Dight Falls | 85.0 | 74.5 | 74.9 | 0.4 | 0.5 | | 85.5 | 74.9 | | | | | 37.0 | 32.3 | | | | Chirnside | 37.0 | 32.3 | 32.0 | 0.5 | 2 | | 36.0 | 31.4 | | | | | 27.5 | 23.9 | | | | Unknow | 27.3 | 23.7 | 23.7 | 0.2 | 0.9 | | 27.0 | 23.5 | | | | | 35.5 | 31.0 | | | | QA | 36.0 | 31.4 | 31.4 | 0.4 | 1 | | 36.5 | 31.8 | | | | Table 1: Peak Height, FRP and statistics of the samples and QA. Questions 7.1 The QC has a concentration of 100 µg/L, but it was diluted in a 2:5 ratio for the measurements, so the expected QC concentration was 40 µg/L. The found value for the QC concentration using the FIA is 31.4 ± 0.4 µg/L. The % relative error, calculated using the equation X above, is 21.5%. Therefore, we can...
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