...During his conversation with Horwitz, Holden thinks scientifically about the ducks in the Central Park lagoon. One can infer that Holden is smart after all even though he fails at four subjects at Pencey Prep. When Holden talks about the ducks in Central Park, he is actually saying a metaphor and comparing himself to the ducks. So, when he asks where the ducks would go when the lagoon freezes, since they can not swim, he is actually asking, where he would go if he lived in a place full of phonies and mean people. The answer for Holden is that he would not stay in a school of phonies, which could possibly explain why Holden deliberately failed four of his classes at Pencey Prep even though he is smart and can think scientifically. When Phoebe made Holden reveal what he liked in his life, the first things that came up to his mind were the nuns and James Castle, who was a student at Elkton Hills. This quotation shows something very unique about Holden because it is unusual that he only thinks of people. In addition, it shows that he only values exceptional individuals. But why does Holden only value a few remarkable individuals? Well, Holden only values those who are not phony, wealthy, or famous. This means that Holden knows only three valuable individuals at the top of his head, which are the two nuns and James Castle. Conclusively, the significance of the quotation is that it proves Holden does indeed care about some individuals....
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...Debate Prep Against the motion: Modern liberalism has moved too far away from the ideas of classical liberalism? Both classical and modern liberals believe that the individual is a building block of society and that each person is different and thus had different strengths and weaknesses. J. S. Mill implied the nature of humankind as a diverse species should be viewed as a strength. The idea of Freedom and protection of individual rights is also common of both strands. These beliefs stem from the Enlightenment theory that individuals are distinct and valuable, with John Locke defines our (God-given) natural rights as "Life, liberty and property". Immanuel Kant views humans as "ends in themselves", implying that and he makes two implications; that individuals are unique, and that they share the same equal status. The general liberal view is that people should have the freedom to do what they want; to live and work and say what they wish. This is not absolute and Mill says in is essay 'On Liberty' that the "only purpose for which power can be rightfully exercised over any member of civilized community against his will, is to prevent harm to others." This view only accepted minimal restrictions to prevent this and thus did not accept self-harm preventing restrictions that are apparent today such as cycle helmet or seatbelt laws. Isiah Berlin explains that there are two "different concepts of Liberty": 'negative', which typically reflects an earlier time period...
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...Ashley Feeney Level III Pediatric Clinical Prep Room # 66, Unit: 8S Initials: ME Age: 4y/o Female Allergies: NKA Immunization Status: Up to date Date of Admission: 4/7/10 Admitted from: E.R @ACH Past Medical History: small apical VSD, hx of murmur Admitting Diagnosis(es)/Present Illness(es): diagnoses: Positive for Rotavirus Enteritis with dehydration and fever. Pathophysiology of Primary Medical Diagnosis: Briefly explain what is happening and relate briefly to any secondary diagnoses. Rotavirus, like other viruses that cause enteritis, primarily infects the cells of the small intestinal villi, especially those cells near the tips of the villi. Because these particular cells have a role in the digestion of carbohydrates and in the intestinal absorption of fluid and electrolytes, rotavirus infections lead to malabsorption by impaired hydrolysis of carbohydrates and excessive fluid loss from the intestine. A secretory component of the diarrhea with increased motility can further exacerbate the illness. This increased motility appears to be secondary to virus-induced functional changes at the villus epithelium.The pathologic changes to the intestinal lining may not correlate well with the clinical manifestations of the illness. In normal hosts, infections rarely occur in another organ system, although extraintestinal infections have been seen in immunocompromised hosts.The virus is shed in high titers in the stool starting...
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...David A Daves SIM PREP…….. 02/22/13 Preparation Questions Differentiate the following terms: Systemic Inflammatory Response Syndrome (SIRS): Is aggressive widespread inflammatory response to infection (sepsis) or perceived invader. Also, ischemia, infarction and injury. Sepsis: Is a systemic inflammatory response in the presence of a documented infection. Severe sepsis: Is sepsis complicated by organ dysfunction, is diagnosed in more than 750,000 patients per year and has mortality rates as high as 28%-50%. Septic shock: Is the presence of sepsis with hypotension despite fluid resuscitation along with the presence of inadequate tissue perfusion. Multiple organ dysfunction syndrome (MODS): Is the failure of two or more organ systems in an acutely ill patient such that homeostasis cannot be maintained without intervention. Identify the nursing priorities in the care of the patient with sepsis and septic shock: Oxygenation -Provide supplemental O2 Intubation/mechanical ventilation, if necessary Monitor SvO2 or ScvO2 Circulation- Aggressive fluid resuscitation End points of fluid resuscitation: CVP 15 mm Hg Pawp 10-12 mm Hg Drug Therapies- Antibiotics as ordered Vasopressors (dopamine) Inotropes (dobutamine) Anticoagulants (low molecular –weight heparin) Drotrecogin alfa (xigris) for patients with high risk death Supportive Therapies- Obtain cultures (blood, wound ) before beginning antibiotics Monitor temperature Control...
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...Introduction Education is must for every individual in this world; it’s the step stone of knowledge and learning. Education can make difference in one’s life by providing the respect and well career advancement for their future. People often call uneducated person illiterate; without an education a person waste his whole life. Education is a form of learning, usually transferred from one generation to other. It is provided through teaching, training, or research. One chooses his or her career to earn what they want. Every career is different, and they are different in their competencies. Nursing education is another career people choose to go for; they also have different competencies. Licensed vocational nurse has different competencies than associate degree nursing; and Baccalaureate degree different than associate degree nursing. In this paper, we are going to discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level in nursing. Competencies Differences The associate program is usually 2-3 years long and it is usually offered at the community colleges. The associate degree nursing students usually learn the knowledge, and skills. These skills are required to care for individuals and families during illness and recovery after medical treatment. ADN nurses practice a more restricted level of nursing care such as skilled nursing and long term care facilities, corrections and clinics. The associate nurse...
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...Educational Preparation: A Comparison Between Baccalaureate and Associate Level Nursing Maridel Cruz Grand Canyon University: Professional Dynamics February 13, 2016 Educational Preparation: A Comparison Between Baccalaureate and Associate Level Nursing Achieving a higher level of education in the nation’s nursing population is a topic that the healthcare industry is currently putting a strong focus on. It used to be that having a nursing workforce composed mostly of associate-degree nurses was sufficient enough to care for the country’s patient population. However, in the past few years more hospitals and nursing employers are moving toward hiring nurses who are prepared at the baccalaureate level to keep up with the increasing complexity of care that is essential to positive patient prognosis. The importance of this change is supported by multitudes of studies and research dedicated to identifying the improvements of patient outcomes, cost efficiency of facilities, and the difference in competencies of nurses prepared at the associate-degree level and those of a baccalaureate level. According to the research shown by the American Association of Colleges of Nursing Fact Sheet, “lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels” (Rosseter, 2015). For this reason, it is of great importance to hospitals, nurses, and other patient care facilities that employ them to make elevating...
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...Test 2 – AF202 Prep |Basic Anatomy Gas Laws | |Part 61 Certification Pilots, Flight Instructors and Ground Instructors | |.14—Refusal to submit to a drug or alcohol test | |.15—Offenses involving alcohol or drugs | |.16—Refusal to submit to an alcohol test or to furnish test results | |.23—Medical certificates: Requirement and duration | |.31g—Additional training required for operating pressurized aircraft capable of operating at high altitudes | |.53—Prohibition on operations during medical deficiency | |Part 67 Medical Standards & Certification | |Part 91 ...
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...Technique of Food Preparation (FSS2221C) Monday Lab Syllabus MANDATORY LABORATORY ATTIRE & POLICIES: The following uniform must be complete in order for you to participate in the lab experiences. 1. Clean, pressed, white lab coat for every week. 2. A shirt must be worn under the lab. 3. Pants must be in good repair and full length. 4. Shoes must be closed toe, leather or equivalent, and low heeled. 5. White hat with UCF logo or hair net as designated by the Instructor. 6. Socks must be worn. In Addition: 1. NO jewelry is to be worn. Wedding rings may be worn. 2. NO fingernail polish may be worn in the lab. 3. Personal cleanliness is required at all times. 4. No gum chewing is allowed. 5. Hair is always under control. 6. Men must come to labs CLEAN SHAVEN. A beard guard will be required when appropriate. Class Dos and Don’ts of Classroom Attendance 1. Attendance is mandatory. If you are late you will lose lab points for that day. If you are more than 15 min. late you will be sent home and lab will be made up. 2. The use of laptop computers is forbidden. 3. Professional behavior is expected. 4. Restroom breaks are permitted during labs with instructor permission. Hands must be washed before entering the lab. 5. Medical or emergency conditions are always considered and observed. Please communicate with instructor before the class. 6. There is NO switching...
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...Historically nursing and nursing education continues to grow and change. The first nursing program started with Florence Nightingale who laid the foundation of professional nursing with the diploma program. Today, there are three different pathways to become a registered nurse. The three pathways include; the baccalaureate degree program, associate degree program, and the diploma program. All of these pathways allow the student to take the NCLEX-RN and become a registered nurse. What is the difference between the programs and student outcomes if all the students end up with the same licensure? The difference is the technical nurse versus the professional nurse. This paper will focus on the difference in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level in nursing. "The existence of multiple pathways contributes to a confusing landscape of nursing education and creates challenges for aspiring nurses as they try to choose the most appropriate type of program in which to enter the profession" (book reference). The associate and baccalaureate programs are available to anyone who wishes to pursue a career in nursing, but the two programs prepare two different types of nurses. The associate degree level nurse is more focused on task oriented practice and are more technical driven and clinically competent. On the other hand, the baccalaureate degree level nurse is more professional and use evidence based practice and advanced critical...
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...Simulation Preparation Information Patient Name: Earl Dobbs 54 year old Past Medical History: Unknown Current Hospitalization: Currently admitted to medical-surgical unit , in the weaning phase of his tracheostomy care. He has required suctioning every four hours for a moderate amount of thin, tan secretions. Allergies: No known drug allergies Medications: None. Code Status: Full Code Social/Family History: Employed as a mail carrier; Divorced: has two adult children who live out of town, but visit frequently. Latest Assessment: Vital Signs: HR 82, BP 124/75, RR 14, SPO2 98% on 36% tracheostomy collar, T 99 Cardiovacular: Normal sinus rhythm Respiratory: Breath sounds with ronchi bilaterally; equal expansion, trach tube intact, and insertion site clean and dry. GI: normal bowel sounds, PEG tube intact dressing dry GU: WNL Extremities: equal bilaterally, strong peripheral pulses Neurological: Alert and oriented to time, place and person, pupils equal and reactive to light and accommodation Pain: no complaints of pain Learning objectives * Perform assessment on the patient * Demonstrates appropriate tracheal suctioning techniques, including ongoing assessment of respiratory status * Intervenes appropriately to resolve acute respiratory distress in patient with tracheostomy Preparation questions: 1. What are...
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...Social science is the organized study of people, their customs, and activities in relation to others. Anthropology: The study of human origin, development, and varieties of human beings. Anthropology is divided into 2 sub-studies, which are Cultural anthropology and Physical Anthropology. A sub field of Physical anthropology would be > paleoanthropology, which studies human development and human variation; why we look the way we do. Cultural anthropology> Linguistics, and the functioning and development of cultures. M.O.S > Case studies, participant observations, surveys, and excavations (digging up remains) Sociology: The study of human social life, and the development of societies. *Goal is to understand the whole world, not just part of it. Psychology: Scientific study of the human brain, mental processes, and human behaviours. METHODS OF STUDY: Case Study > observation of individual/group over period of time Experiments > Allows you to see how 1 factor is related to another Surveys > Obtain information on thoughts of a large group Interviews > used when you require detailed information, you look for explanations behind behaviour and thoughts Observation> Unstructured Observation: observing a group without a predetermined idea of what to look for. Structured Observation > Observing a group based planning what to look for Participant observation > immersing yourself into the daily activities of a group, MOS > Excavations, observations...
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...going to a new school called Beecher Prep. Auggie’s experiences at Beecher Prep has a positive impact on his life. When Auggie was born, he was born with a, “previously unknown type of mandibulofacial dysostosis” (page 104). Auggie’s face looks very different from most kids. Auggie lives with his mom, dad, and sister Via. Via described his face by saying, “His eyes are about an inch below where they should be on his face...He doesn’t have eyebrows or eyelashes. His nose is disproportionately big for his...
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...Educational Preparation The difference between an Associate's degree education (ADN) and a Bachelor's degree education (BSN) has been a topic of discussion between nurses for years. Completion of either an ADN program or a BSN program will result in the same outcome, a Registered Nurse Licensure (RN). There are some nurses that would argue that there is no need to obtain a BSN degree unless the nurse is planning to work in a management position. Then, there are some nurses that would argue that in the very near future a BSN degree will be required in order to work in an acute care environment. Choosing one over the other depends on financial factors, the length of time to be spent in an educational program, and long-term career goals (Morrow, 2008). All of the arguments may have their validities, but in this paper this writer will describe the differences in competencies between nurses with an ADN education and a BSN education. There are two primary goals of any nursing program whether it is an ADN program or a BSN program. The first goal is to endow their nursing students with the appropriate tools to provide safe and competent care to patients. The second is to prepare their students to complete and pass the National Council of State Boards of Nursing Licensure Examination (NCLEX-RN). The NCLEX provides computer adaptive testing that measures minimal competence for safe professional nursing practice. Exam content includes health promotion, pharmacotherapeutics...
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...The 400 Investment Banking Interview Questions & Answers You Need to Know A Production http://breakingintowallstreet.com http://www.mergersandinquisitions.com Copyright 2010 Capital Capable Media LLC. All Rights Reserved. Notice of Rights No part of this book may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. http://breakingintowallstreet.com http://www.mergersandinquisitions.com 2 Table of Contents Introduction .................................................................................................................. 4 Fit / Qualitative Questions ........................................................................................... 6 Analytical / Attention to Detail Questions & Suggested Answers ....................... 7 Background / Personal Questions & Suggested Answers ................................... 10 “Career Changer” Questions & Suggested Answers .......................................... 14 Commitment Questions & Suggested Answers................................................... 17 Culture Questions & Suggested Answers ............................................................ 20 “Future” Questions & Suggested Answers .......................................................... 23 Strengths / Weaknesses Questions & Suggested Answers ................................. 25 Team / Leadership Questions & Suggested...
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...CMA Ontario Accelerated Program FINANCIAL ACCOUNTING IFRS MODULE 1 Financial Accounting – Module 1 Table of Contents 1. Financial Statements and the Conceptual Framework 2. The Statement of Cash Flow 3. Revenue Recognition 110 4. Cash 139 5. Accounts Receivable 147 6. Notes Receivable/Payable 163 7. Inventory 187 8. Capital Assets 214 9. Liabilities 278 10. Shareholders’ Equity 310 11. Accounting for Pensions 341 12. Earnings per Share 384 13. Accounting for Leases 405 14. Accounting for NonProfit Organizations 437 15. Financial Statement Analysis 475 Page 2 3 77 CMA Ontario – September 2009 Financial Accounting – Module 1 1. Financial Statements and the Conceptual Framework The purpose of this section is to provide a high level review of the accounting cycle, the preparation of financial statements and the conceptual framework. If you are reading this before the course has started, we recommend that you spend as much time as you can working in the Financial Accounting Primer that you received with the course materials. In fact, we would recommend that you only spend time working with the primer until the day the course starts. Chapter 1 of the FA Primer should be read as a preamble to this chapter. The Accounting Cycle The accounting cycle describes the process whereby individual transactions get compiled to eventually becoming financial statements. The cycle is as follows: 1. Transaction: the company enters into a transaction...
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