...Ernest Hemingway has been the most influential writer of the last century. His writings have proved to be jewels in English literature. From 1925 to 1929, Ernest Hemingway produced some of the most important works of 20th century fiction; including the landmark short story collection In Our Time (1925) which contained "The Big Two-Hearted River." In 1926 he came out with his first true novel, The Sun also Rises (after publishing Torrents of Spring, a comic novel parodying Sherwood Anderson in 1925). He followed that book with Men without Women in 1927; it was another book of stories which collected "The Killers" and "In Another Country." In 1929 he published A Farewell to arms , arguably the finest novel to emerge from World War I. Let us consider the following essays for today’s discussion on the topic of Hemingway’s artistry skills. • Sudden Unexpected Interjection by David Gagne 1 • An Essay on In Our Time by Nathan Kotas 2 • Preludes to a Mood in The New York Times October 18, 1925 3 • Love and War in the pages of Ernest Hemingway by Percy Hutchinson 4 Ernest Hemingway had the most unique and colourful style of writing . He used symbolism. His style of writing involved getting right to the core of the scene without spending much time on building of characters. He used simple and declarative language. But this unique style of writing, made many feel that Hemingway was an artist in his essence. Lets find what these four people have to say on this particular aspect of Ernest...
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...Original article | Published 3 February 2011, doi:10.4414/smw.2011.13157 Cite this as: Swiss Med Wkly. 2011;141:w13157 Do not attempt resuscitation: the importance of consensual decisions A qualitative study Lorenz Imhofa, Romy Mahrer-Imhofa, Christine Janischb, Annemarie Kesselringc, Regula Zuercher Zenklusend a b c d Zurich University of Applied Sciences ZHAW, Institute of Nursing, Winterthur, Switzerland Department of Education, Training and Professional Development, Stadtspital Waid Zurich, Switzerland Institute of Nursing Science, University of Basel, Switzerland Department of Medicine, Pourtalès Hospital, Neuchâtel, Switzerland Correspondence: Lorenz Imhof PhD RN Zurich University of Applied Sciences Institute of Nursing School of Health Professions Technikumstr. 71 CH-8401 Winterthur Switzerland lorenz.imhof@zhaw.ch pivotal. Therefore, leadership by experienced senior physicians and nurses is needed and great efforts should be made with regard to multidisciplinary education. Key words: decision-making; multidisciplinary collaboration; end-of-life issue; resuscitation orders Introduction Since the 1980s, “do-not-attempt-resuscitation (DNAR)” orders have become common in medical practice. DNAR orders are given for 50–60% of patients who die a non-sudden death, with wide variations among countries. DNAR orders apply to only 19% of hospitalised patients in Italy, but to as many as 83% in Sweden and 86% in Switzerland [1, 2]. The frequency of DNAR decisions in...
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...PROFESSIONAL WORK ETHIC OF PHARMACISTS IN GOVERNMENT TERTIARY HOSPITALS IN BAGUIO AND BENGUET ______________ A Thesis Proposal Presented to the Faculty of the Graduate School Baguio Central University Baguio City ______________ In Partial Fulfillment of the Requirements for the Degree Master in Public Administration _____________ Sharon M. Cuyugan January 2015 APPROVAL SHEET This thesis proposal entitled, “PROFESSIONAL WORK ETHIC OF PHARMACISTS IN GOVERNMENT TERTIARY HOSPITALS IN BAGUIO AND BENGUET”, prepared and submitted by SHARON M. CUYUGAN, in partial fulfillment of the requirements for the degree, MASTER IN PUBLIC ADMINISTRATION (MPA), has been reviewed and examined and is hereby endorsed for acceptance and approval for proposal defense. LOUELLA M. BROWN, Ed.D. Professor 300-A PROPOSAL EXAMINATION COMMITTEE JOSE R. BALCANAO, Ph.D. Chairman LOUELLA M. BROWN, Ed.D. ESTRELLA V. BISQUERRA, Ph.D. Member Member ACKNOWLEDGMENT The researcher wishes to thank the following for their assistance in the completion of this dissertation proposal: The Good Lord, for giving the researcher sufficient encouragement so she may pursue this challenging endeavor; Her family, for all the support, understanding and unconditional love; Members of the proposal committee, Dr. Jose R. Balcanao, Dr. Estrella V. Bisquerra, and Dr. Louella M. Brown, for their critiques and helpful suggestions;...
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...University School of Social Work, determined that over 28 per cent of the children in state care had been abused while in the system. Reviewed cases depicted "a pattern of physical, sexual and emotional abuses" inflicted upon children in the custody of the Baltimore Department. Cases reviewed as the trial progressed revealed children who had suffered continuous sexual and physical abuse or neglect in foster homes known to be inadequate by the Department. Cases included that of sexual abuse of young girls by their foster fathers, and that of a young girl who contracted gonorrhea of the throat as a result of sexual abuse in an unlicenced foster home.[1] In Louisiana, a study conducted in conjunction with a civil suit found that 21 percent of abuse or neglect cases involved foster homes.[2] In another Louisiana case, one in which thousands of pages of evidence were reviewed, and extensive testimony and depositions were taken, it was discovered that hundreds of foster children had been shipped out of the state to Texas. Stephen Berzon of the Children's Defense Fund explained the shocking findings of the court before a Congressional subcommitte, saying: "children were physically abused, handcuffed, beaten, chained, and tied up, kept in cages, and overdrugged with psychotropic medication for institutional convenience."[3] In Missouri, a 1981 study found that 57 percent of the sample children were placed in foster care settings that put them "at the very least at a high risk of abuse...
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...Weaknesses Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII 68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation of the EMTALA laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing hospitals offer, all have contributed to five consecutive negative operating margins for Emanuel Medical Center. Emanuel Medical Center’s poor infrastructure and inability to adapt to these changes has left the...
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...University Foundations of Health Systems and Policy NURO-624 September 12, 2013 Nurse Burnout and Its Impact on Patient Safety Patient safety encompasses the application of best practices that are geared towards achieving positive outcomes and promoting safety, and can serve as an indicator of quality in healthcare institutions; sustainable nursing workloads improve the quality of health care by reducing unsafe conditions, as well as reducing mortality and morbidity. Several literature reviews have clearly identified the consequences for patients when nurses are overtaxed or over utilized to bridge the gap of nursing shortages. According to Mckee et al, each patient added to nurses’ workloads (beyond four patients) is associated with a seven percent increase in mortality following common surgical procedures (McKee, M. 1999). Recent health reform legislation has further stimulated increased awareness and focuses on patient centered care, and emphasizes on the importance of the patients’ experience. Moreover, patients’ expectations of their caregivers to be positively engaged in their work and performing efficiently and effectively in a supportive environment are prudent. However, several challenges are being encountered by nurses, as they strive to meet the mandates of the aforementioned health care reform. Challenges resulting from unfavorable working conditions that are not conducive to the provision of patient centered care that is safe and effective (IOM, 2003). The snowballing...
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...planning 210–214, 676–681, 734–735 Arbitrage opportunities in oil pricing 215–219 Currency trading 220 Capital budgeting 290–295 Estimating stock betas 396–401 Hedging risk with put options 407–408 Stock hedging 407–408 Asset management 409–410 New product development 503–504, 574, 673–676, 715–722 Bidding for a government contract 513–518, 523–533, 653–657 Investing with risk aversion 557–560 Land purchasing decision 575 Risk analysis 582–583 Liquidity risk management 651–653 Estimating warranty costs 657–661 Retirement planning 681–685 Modeling stock prices 685–686 Pricing options 686–689, 691–693 Investing for college 732 Bond investment 733 HUMAN RESOURCES AND HEALTH CARE Fighting HIV/AIDS 23–24 DEA in the hospital industry 184–189 Salesforce allocation problems 454–456 Assigning MBA students to teams 462 Selecting a job 484–492 Selecting a health care plan 519–521 Drug testing for athletes 535–538, 539–542 MARKETING Determining an advertising schedule 133–141, 373–376, 465–471, 480–483 Estimating an advertising response function 369–373 Retail pricing 422–427 Estimating a sales response function 437–441 Cluster analysis of large cities 445–449 Classifying subscribers of the WSJ 450–453 New...
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...stephen@davidowcommunciations.com or 708-284-2300. Mark Hollander, MBA, is a financial manager at the Department of Veterans Affairs and graduate of Loyola University Chicago ’s Quinlan School of Business MBA in Healthcare Management program. David A. Moreno, MBA, is a biotechnology business analyst and graduate of the Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at dmoreno1@gmail.com. Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical errors cost the United States $19.5 billion. About 87 percent or $17 billion were directly associated with additional medical cost, including: ancillary services, prescription drug services, and inpatient and outpatient care, according to a study sponsored by the Society for Actuaries and conducted by Milliman in 2010. Additional costs of $1.4 billion were attributed to increased mortality...
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...July 2002 • NREL/TP-550-30769 A Literature Review of the Effects of Natural Light on Building Occupants L. Edwards and P. Torcellini National Renewable Energy Laboratory 1617 Cole Boulevard Golden, Colorado 80401-3393 NREL is a U.S. Department of Energy Laboratory Operated by Midwest Research Institute • Battelle • Bechtel Contract No. DE-AC36-99-GO10337 July 2002 • NREL/TP-550-30769 A Literature Review of the Effects of Natural Light on Building Occupants L. Edwards and P. Torcellini Prepared under Task No. BEC2.4002 National Renewable Energy Laboratory 1617 Cole Boulevard Golden, Colorado 80401-3393 NREL is a U.S. Department of Energy Laboratory Operated by Midwest Research Institute • Battelle • Bechtel Contract No. DE-AC36-99-GO10337 NOTICE This report was prepared as an account of work sponsored by an agency of the United States government. Neither the United States government nor any agency thereof, nor any of their employees, makes any warranty, express or implied, or assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, apparatus, product, or process disclosed, or represents that its use would not infringe privately owned rights. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States...
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...DISTANCE LEARNING & OVERSEAS BLENDED COHORTS 12/3/2014 TT poojitha Contents Abstract 2 Introduction 3 Case Study 6 Market Analysis and Strategy 8 Findings 10 Conclusion 11 References 12 Abstract This paper identifies and discusses real-world strategic issues in making distance learning a “Win-Win-Win” for the primary customer(s), the general public, and the engineers. The Strata Manufacturing Company and KLASS program is used as a case study. Concepts and issues are discussed generically to promote transfer of key concepts and lessons learned to other distance learning programs. Key areas discussed are strategic vision, strategies for “how to- get-there,” customer focus, market analysis, and findings of companies. Introduction What strategic management needs to be employed and what has to be considered by a company to enhance the skills of employee through distance learning? The strategic management approach for this paper includes the strategies for attaining the organization vision through formulating what is referred to as strategic vision. These concepts are discussed in general and for an efficient aerospace engineer distance learning program. The distance learning program chosen is KLASS (Knowledge and Learning in Advanced Supply Systems) which supports the learning of individuals and organizations in the automotive and aerospace industries. The distance learning and its market opportunities are addressed, as this is one of the major reasons...
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...As a manager in any organization or institution you are faced with many task and responsibilities. Managers must be equipped with both technical and interpersonal skills in order to thrive in today’s business world. These skills include leadership, motivation, team work, conflict-resolution abilities and an understanding of diversity and diversity management. Today’s work population is constantly changing; we encounter different people from all walks of life. As a result there is more interaction among people from diverse cultures, beliefs, and backgrounds than ever before. Maximizing and capitalizing on workplace diversity has become an important issue in the field of management. According to some experts “Diversity can have two competing perspectives. The first perspective embraces the “information value of diversity” and the importance of “celebrating our differences”. The second perspective believes that diversity contributes to conflict because “similarity attracts” and therefore, it is best not to draw attention to diversity and instead emphasize that as human beings our commonalities far outweigh our differences. The first perspective argues for customization, while the second advocates for homogenization. Whatever your perspective, the facts remain the same; today’s work population is changing and with any change comes both challenges and opportunities for organizations and their leaders. Diversity Management is a combination of programs, policies and...
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...Safe Lifting and Movement of Nursing Home Residents 1 Safe Lifting and Movement of Nursing Home Residents 2 Safe Lifting and Movement of Nursing Home Residents Safe Lifting and Movement of Nursing Home Residents by: James W. Collins, PhD, MSME Associate Director for Science Division of Safety Research National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Morgantown, West Virginia Audrey Nelson, PhD, RN, FAAN Director Patient Safety Center for Inquiry James A. Haley Veteran’s Administration Hospital Tampa, Florida Virginia Sublet, PhD, RPh Senior Toxicologist Oak Ridge Institute for Science and Education Windermere, Florida DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health i 3 Safe Lifting and Movement of Nursing Home Residents This document is in the public domain and may be freely copied or reprinted. Disclaimer Mention of any company or product does not constitute endorsement by the National Institute for Occupational Safety and Health (NIOSH). In addition, citations to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites. Ordering Information To receive documents or other information about occupational safety and health topics, contact NIOSH at: NIOSH-Publications Dissemination...
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...Communication Monographs Vol. 73, No. 4, December 2006, pp. 406 Á433 Take This Job and . . . : Quitting and Other Forms of Resistance to Workplace Bullying Pamela Lutgen-Sandvik Adult bullying at work is an unbelievable and, at times, shattering experience, both for those targeted as well as for witnessing colleagues. This study examines the narratives of 30 workers, some of whom where targeted and all of whom saw others bullied. Their responses paint a complex picture of power in bullying situations that reframe the ‘‘power-deficient target’’ into agents who galvanize a variety of resources on their own or others’ behalf but also place them at considerable risk. In some cases, employees evaluate the abusive situation and quickly resign. Others protest but, if resistance fails to stop abuse, they also leave organizations. The paths of resistance, case outcomes, and dialectic nature of resistance and control are discussed. Keywords: Workplace Bullying; Verbal Aggression; Organizational Communication; Resistance; Power Adult bullying at work is a shocking, frightening, and at times shattering experience, both for those targeted and for onlookers. Workplace bullying, mobbing, and emotional abuse*essentially synonymous phenomena*are persistent, verbal, and nonverbal aggression at work that include personal attacks, social ostracism, and a multitude of other painful messages and hostile interactions. Because this phenomenon is perpetrated by and through communication, and because...
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...Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists American Psychological Association Approved as APA Policy by the APA Council of Representatives, August, 2002 Copyright, American Psychological Association, 2002 Author Note: This document was approved as policy of the American Psychological Association (APA) by the APA Council of Representatives in August, 2002. This document was drafted by a joint Task Force of APA Divisions 17 (Counseling Psychology) and 45 (The Society for the Psychological Study of Ethnic Minority Issues). These guidelines have been in the process of development for 22 years, so many individuals and groups require acknowledgement. The Divisions 17/45 writing team for the present document included Nadya Fouad, PhD, Co-Chair, Patricia Arredondo, EdD, Co-Chair, Michael D’Andrea, EdD and Allen Ivey, EdD. These guidelines build on work related to multicultural counseling competencies by Division 17 (Sue et al., 1982) and the Association of Multicultural Counseling and Development (Arredondo et al., 1996; Sue, Arredondo, & McDavis, 1992). The Task Force acknowledges Allen Ivey, EdD, Thomas Parham, PhD, and Derald Wing Sue, PhD for their leadership related to the work on competencies. The Divisions 17/45 writing team for these guidelines was assisted in reviewing the relevant literature by Rod Goodyear, PhD, Jeffrey S. Mio, PhD, Ruperto (Toti) Perez, PhD, William Parham, PhD, and Derald Wing Sue...
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...Brazilian network John Saxby Pretoria, South Africa Discussion paper No 58A June 2005 European Centre for Development Policy Management Centre européen de gestion des politiques de développement Study of Capacity, Change and Performance Notes on the methodology The lack of capacity in low-income countries is one of the main constraints to achieving the Millennium Development Goals. Even practitioners confess to having only a limited understanding of how capacity actually develops. In 2002, the chair of Govnet, the Network on Governance and Capacity Development of the OECD, asked the European Centre for Development Policy Management (ECDPM) in Maastricht, the Netherlands to undertake a study of how organisations and systems, mainly in developing countries, have succeeded in building their capacity and improving performance. The resulting study focuses on the endogenous process of capacity development - the process of change from the perspective of those undergoing the change. The study examines the factors that encourage it, how it differs from one context to another, and why efforts to develop capacity have been more successful in some contexts than in others. The study consists of about 20 field cases carried out according to a methodological framework with seven components, as follows: • • • Capabilities: How do the capabilities of a group, organisation or network feed into organisational capacity? Endogenous change and adaptation: How do processes of change take...
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