...to Nursing Research 14-Nov-2011 November 21, 2011 Summary During the 1893 Colombian Exposition, nursing leaders worldwide were provided a podium to work together to organize and establish the globalization of nursing education and standardize the nursing curriculum to improve patient care worldwide. In collaboration and discussion on the evidence based practices of Florence Nightingale and on the current nursing developments and improvements of social, cultural, educational and scientific advancements in healthcare for the expansion of a more unified practice of the nursing profession nationally and internationally based on a theoretical path of deductive reasoning, a quantitative approach. American and European nursing leaders: Isabel Hampton (Robb), Lavinia Dock, Eva Lückes, and Ethel Bedford Fenwick (Crane 2010), were given the opportunity to influence and provide guidance to sanction the evolution of nursing education processes for the development toward the progression of second generation of nursing. As a result of this event, the nursing profession has become one of the most respected professions devoted to health promotion for the benefit of mankind. This paper will explore the development of how clinical expertise developed, and by what methodologies influence the development nursing education, clinical guidelines, and best practices for patient care and evidence-based nursing practice in the campaign of the nursing profession. The method and research design utilized...
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...three are insidious, but procrastination may be the most prevalent. Derived from the Latin roots pro (forward) and crastinus (tomorrow), procrastination has been in the Oxford English Dictionary since the mid-1500s. Procrastination is so widespread in schools that the novelist Eliyahu Goldratt dubbed it “student syndrome” in his book “Critical Chain.” Students who suffer from this syndrome delay doing a task until right before deadline. They work on a paper just before it is due and, for lack of time, often resort to cutting and pasting passages from other sources, without proper attribution. They cut classes to print out their papers and, when something goes awry, blame the printer, the ink cartridge, even the dog. Cramming Cramming is classic procrastination. A student we will call Ana failed a major test. She cried, “But I studied, I really did!” Yes, she did but this is how Ana and her friends tackled four chapters of more than a hundred pages. They listened to the lectures but did not take notes. Thinking they understood the lessons, they did not open the textbook for a month. At 7 p.m. before the exam, they held a group study at Ana’s house. “We did not sleep at all,” Ana wailed. “We studied for 12 hours straight, up to 7 a.m. the next morning.” They were shocked that they failed. I was shocked that they expected to ace the test given their poor study habits. During the test, Ana said she remembered reading the terms the night before, but forgot the links between ideas. Human...
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...Nursing Accountability of Implementing Changes Nursing accountability is often associated with specific expectations which include clinical care. It defines the nurse’s responsibility to practice ethically and competently. Nurses use evidence-based research as those presented by the Agency for Healthcare Research and Quality (AHRQ). This is an agency that supports health services research that will improve the quality of healthcare and promote evidence-based decision making (AHRQ, May 2009). It is zascsanecessary for nurses to stay up to date on clinical practices so that they can provide the best care possible to their patients. “The nurse assumes responsibility and accountability for individual nursing judgments and actions.”(ANA, 2001, p. 1) This paper will discuss evidence-based patient safety practices, focusing on the safety practice of: Prevention of Intravascular Catheter-Associated Infection by use of maximum sterile barrier precautions. There are pros and cons to the short-term use of central venous catheters (CVC) in the hospital. The benefit of having an intravascular catheter is that it allows you to give large volumes and high concentrations of fluids to patients. It also prevents a patient on long-term antibiotics from having multiple IV starts. However, there are also serious complications with the most common being infection.(Shonjania et al., 2001) According to AHRQ, the use of maximum sterile barrier precautions decreases the risk of catheter related...
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...(Potts) Ana Belen Montes – The “Queen of Cuba” 11 February 2014 * Montes blindsided the intelligence community with blatant acts of treachery. Montes was the pinnacle Analyst for the Defense Intelligence Agency (DIA), yet, in her secret life, her true fervor showed as she worked for Fidel Castro and the Cuban Intelligence Services, Dirección de Inteligencia, (DI), translated in English as the Intelligence Directorate of Cuba. Montes listened to coded messages over shortwave radio, passed secret files to handlers in busy public locales, and snuck into the Communist country adorned with a fake passport. “Your honor, I engaged in the activity that brought me before you because I obeyed my conscience rather than the law. I believe our government's policy towards Cuba is cruel and unfair, profoundly unneighborly, and I felt morally obligated to help the island defend itself from our efforts to impose our values and our political system on it.” (Montes, 2012) Montes gave this statement to the presiding judge who presided over Magistrate Number: 01-0568M. (United States of America versus Ana Belen Montes, Defendant., 2002) Montes showed no remorse, no contrition, and no regret for her actions through her career as an agent for the DI. The purpose of this brief is to explain the life, career working for the United States (U.S.) Government and Cuban government, the downfall which resulted, and the sentencing of DIA Analyst General Schedule (GS)-14 Ana Belen Montes...
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...transmitted in several ways the most common ways are via sexual transmission or intravenous drug use. Therefore there has always been a stigma attached to HIV – even for those who are in the health profession. A nurse who has been in this vocation for twenty years will probably be able to tell you of a nurse who refused to take care of an HIV patient. Nursing has come a long way since the 1980s, when HIV became known. However, there are still issues that a nurse may face today. One of these issues is when a newly diagnosed HIV patient has a significant other. Should a nurse, knowing the potential devastating consequences of HIV, tell a patient’s sexual partner about their HIV status? This paper will discuss, the legal, moral and ethical ramifications of HIV disclosure. It will weigh the pros and cons of a nurse revealing this information, and it will provide recommendations for nurses who encounter this issue during their practice. It is understandable that a nurse may feel perplexed about this ethical dilemma. Once someone is diagnosed with HIV, they will have the disease for the rest of their lives. Currently there is not a cure. Although treatment options are available, the medications needed to minimize the viral load can be numerous and expensive. In addition, the side effects that can occur from these medications are daunting. Despite the fact that medications are available, there is always the potential that HIV will progress into AIDS. Opportunistic infections caused...
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...open 24 hours a day. If the company doesn’t have a website then the company is business to other companies that do. Whether or not the company has a product that is able to sell online or not the company still needs to have a presence online to expand and increase its sales. Having a presence online gives the company the ability to show its product so that future partners, employees and future customers can easily find the company, its product and other current and future services that the company offers. When having a business online there are a few things to consider, will this company do well? What is the start up costs? Will it provide residual income? Is it easy to manage? These are some of the main questions to ask. There are many pros and cons to having a business online however there are only a few that need to be discussed. Advantages 1. Expanding online gives the company the opportunity to reach millions of people and show what products it has. 2. Starting online does not require a massive amount of capital. 3. Online allows the company to be open 24 hours a day 365 days a year. 4. With a professional website the company can be taken serious and there are endless amounts of opportunity for success. 5. Keeps the company competitive, with an online business size does not matter. The company has the ability to compete with the big guys in the business world. Disadvantages 1. It does take a lot of time to start and upkeep an online status. ...
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...with eating disorders and low self-esteem and how they relate to the appearance of the human body as portrayed in the media. This paper argues that there is now sufficient evidence to support a link, though not necessarily a direct causal link, between the media portrayal of the “ideal” body and people’s (especially women) reaction to their own bodies. Specifically, it argues that the unrealistically thin women and well-muscled men shown on television and in film show a body image that most people cannot attain, no matter how much they diet and exercise. Despite this, society insists that these distorted images are the “ideal,” leading some people to develop eating disorders or other psychological problems such as low self-esteem and body dissatisfaction when they fail to attain these impossible standards. Discussion As noted, the argument over whether there is a direct link between media images and body dissatisfaction is still a matter of debate; what is no longer debated is that “negative exposure effects” do in fact occur (Dittmar, 2009, p. 1). That is, it no longer in doubt that some individuals are affected negatively by what they see in the media. What studies are attempting to do now is to determine what “diverse factors” make these people susceptible to the impact of the media images, while others are not affected. Dittmar argues that research now aims to support “a qualified and complex picture of media effects or influences, highlighting the importance not only of individual...
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...Euthanasia Debate May 24, 2010 Professor Melissa Green, M.H.A. Euthanasia Debate Every day in the field of medicine professionals are faced with an ethical decision or problem. The advancements in medicine and technology are raising questions and concerns never once thought of. Controversy over euthanasia is on the forefront of today’s health care platform. With the present change occurring with the American Heath Care Reform health care providers and society need to be informed of the options available in end of life care. This paper will present a debate about human euthanasia. Euthanasia will first be defined. Support for each side of the debate will be presented. Each side will be provided with questions from the opposing side, with the opposing teams response presented. Each side will then present a closing statement, again to support their side from the result of the debate. Euthanasia defined Euthanasia is the practice of mercifully ending a person's life to free someone from a deadly disease. The word euthanasia comes from the Greek word "good death." The term euthanasia is being used synonymously with the term Physician Assisted Suicide (PAS), although they are not one and the same. PAS generally refers to a practice in which the physician provides a patient with a lethal dose of medication, upon the patient's request, which the patient intends to use to end his or her own life (University of Washington School of Medicine, 2010). Voluntary...
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...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...Our financial objectives are to achieve an average sales transaction of $4.50 per customer by the end of the first year and to increase the first year profit by 5% in the second year of business. The top local competitors are profitable with revenues of over $500,000 per year (Manta.com, 2010b, 2010d) and are sustainable as most have been in business for 15 years or more (Manta.com, 2010a, 2010b, 2010d). Financial projections show that the business will have positive cash flow in the first month of operations as 34% of revenue generated. Start up expense will be $22,605 with a net profit in the first year of just over $75,000. Table of Contents Executive Summary iii Table of Contents iv Situational Analysis 1 Market Research 2 Secondary Research Information 2 Demographics. 2 Industry Trends. 3 Supply Sources. 4 Industry...
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...A Case Study of the Illegal and Unethical Behavior in Corinthian Colleges, Inc. Benancio Varela benancio.varela@yahoo.com GM 591 Leadership and Organizational Behavior Professor Horst August 10, 2011 Introduction Corinthian Colleges, Inc., (CCi) by way of more than 102,000 students enrolled as of March 31, 2011, is one of the leading post-secondary education companies in North America. Their duty is to change students' lives. They present diploma and degree programs that prepare students intended for careers in demand or for advancement in their chosen fields. The corporation operates 105 schools in 25 states and 17 schools in Canada. CCi has 122 Everest, Heald and WyoTech campuses nationwide. CCi serves the great and growing segment of the population seeking to acquire career-oriented education. They propose programs in areas that include health care, business, criminal justice, transportation technology and maintenance, construction trades and information technology. CCi in addition offers students the chance to take classes online through Everest College in Phoenix and Everest University in Florida. Their business was founded in 1995 and they completed an preliminary public offering in 1999. Historically, CCi has developed through acquisitions as well as through organic growth. Organic growth consists of opening new division campuses, remodeling, escalating or relocating existing campuses and adopting curricula into existing colleges. As of December 31, 2010...
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...on Bangladesh becomes apparent when the Bangladesh Development Forum (previously known as Paris Consortium) meeting is held. This year this meeting was held on May 16 and 17 in Dhaka. In these meetings Finance Minister, Saifur Rahman, met the so-called ‘development partners’ (IMF/World Bank and others) who gathered to pledge money (loan and aid) to help develop the nation. The meetings were hailed a great success as $2 billion in aid were promised to Bangladesh over 3 years. Our governments boast at the amount of funds they can manage from the donor agencies. They present their ability to get money from these donor agencies as a sign of their brinkmanship and claim that this is the only way to solve the nation’s economic problems. In this paper, Hizb ut-Tahrir, Bangladesh exposes the oppressive capitalist nature of the budget and shows how the entire economy of Bangladesh, through a complex package of measures, is being brought under the total grip of the imperialists. ! " # $ % & ' Every year when the budget is presented, one of the most common discussions is that revenue target has not been achieved. Tax is the main source of revenue in Bangladesh (around 95% of total Government of Bangladesh GOB revenue), especially import duties (around 66% of tax revenue). Contribution of VAT (including import) currently stands above 40%. In the name of reform of tax regimes and restructuring of the tax administration, the GOB reduces the duties on luxury items such as new cars...
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...Coordinator Prof. Ajith Chan-dran M.C.and Mr.Aneesh R.P (external guide,IHRD regional centre) who was always ready to help me with ideas and suggestions for rectifying the mistakes that crept up from time to time during the completion of this venture. I also extend my whole hearted gratitude to my guide Mrs.Shally K who was always ready to help me with ideas and helped me a lot in rectifying the mistakes. I would also like to thank my friends and last but not the least the staff of ECE department for their whole hearted support and encourgement. REFERENCES [1] Behdad Dashtbozorg, Ana Maria Mendonca; ”An Automatic Graph-Based Approach for Artery/Vein Classification in Retinal Images”; IEEE Transactions on image Processing, Vol. 23, No. 3, March 2014 [2] L.R.Sudha , S.Thripurasundari,”Analysis and Detection of Haemorrhages and exudates in retinal images”;International Journal of Scientific and Research Publications, Volume 4, Issue 3, March 2014 [3] Qiangfeng Peter Lau, Mong Li Lee, Wynne Hsu, and Tien Yin Wong, ”Simultaneously Identifying All True Vessels From Segmented Retinal Images”, IEEE Transactions On Biomedical Engineering, Vol. 60, No. 7, July 2013 [4] Balint Antal and Andras Hajdu ,”An Ensemble-Based System for Mi-croaneurysm Detection and Diabetic Retinopathy Grading”; IEEE Trans-actions on biomedical engineering ,Vol. 59,...
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...Voice-over-IP is changing the way we think of,and manage,communications. Compliments of Computerworld Executive Bulletin IP Communications 2 Converged IP networks allow for a wide variety of new applications to ride on the network and interact, including IP telephony,audioconfer- encing,videoconferencing,unified messaging and presence technolo- gies (like chat). Getting Started Corporate America is just starting down the road to voice-over-IP (VoIP)communications,though every analyst says it¡¯s just a matter of time before it becomes main- stream.¡°By 2009,the installed base of IP [communications]equipment will dominate the enterprise land- scape,but that¡¯s still a few years away,¡±says Robert Rosenberg,presi- dent of Insight Research Corp.in Boonton,N.J. There are several reasons why VoIP hasn¡¯t been an overnight suc- cess.Companies started testing the waters of VoIP in 2001,but there were serious concerns about voice sound quality that slowed the mo- mentum (those concerns have been largely resolved).Moreover,one of the key reasons for implementing VoIP was to reduce the long-distance charges associated with the tradi- tional phone networks,yet those charges have dropped so low that those cost savings are less dramatic. The cost...
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...to actual people living or dead, events or locales is entirely coincidental. The Writer’s Coffee Shop (Australia) PO Box 2013 Hornsby Westfield NSW 1635 (USA) PO Box 2116 Waxahachie TX 75168 Paperback ISBN-978-1-61213-028-6 E-book ISBN-978-1-61213-029-3 A CIP catalogue record for this book is available from the US Congress Library. Cover image by: © Papuga2006 | Dreamstime.com Cover design by: Jennifer McGuire www.thewriterscoffeeshop.com/ejames E L James is a TV executive, wife, and mother of two, based in West London. Since early childhood, she dreamt of writing stories that readers would fall in love with, but put those dreams on hold to focus on her family and her career. She finally plucked up the courage to put pen to paper with her first novel, Fifty Shades of Grey. E L James is currently working on the sequel to Fifty Shades of Grey and a new romantic thriller with a supernatural twist. I am indebted to the following people for their help and support: To my husband Niall – thank you for tolerating my obsession, being a domestic god and doing the first edit. To my boss Lisa – thank you for putting up with me over the last year or so while I indulged in this madness. To CCL – I’ll never tell...
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