Wednesday, September 2, 2020

A Comparison of Wilfred Owen’s Dulce et Decorum est to Alfred Tennyson’

A Comparison of Wilfred Owen’s â€Å"Dulce et Decorum est† to Alfred Tennyson’s â€Å"Charge of the Light Brigade† In this article I will endeavor to thoroughly analyze Wilfred Owen’s â€Å"Dulce et Decorum est† to Alfred Tennyson’s â€Å"Charge of the Light Brigade†. I will analyze the utilization of graceful gadgets in the sonnets just as diagram what's going on in each. Wilfred Owen was conceived on the eighteenth of March 1893 in owestry, United Kingdom. He was the most seasoned of four youngsters and was instructed in an outreaching school. In spite of the fact that Owen dismissed the vast majority of his convictions by 1913 the impact of his instruction despite everything stays obvious in his sonnets and their subjects of penance, scriptural language and his clear, terrifying portrayal of damnation. One of the primary effects on Owen’s verse was his gathering with Siegfried Sassoon, however Owen before long molded his own style and way to deal with the war. The attributes of Owen’s verse are the utilization of Para rhyme (The rhyming of two words which have similar consonants however whose focused on vowels are unique), similar sounding word usage, and sound similarity. Alfred Tennyson was conceived on fifth August 1809 in Somersby, Lincolnshire and passed on the sixth October 1892 to later be covered in the poet’s corner in Westminster Abby. Tennyson was regularly viewed as the main agent of the Victorian age in verse, succeeding Wordsworth as writer laureate in 1850. Wilfred Owen’s sonnets are motivated by the revulsions of his own encounters in World War One from 28th July 1914 to fourth November 1918, the day that he kicked the bucket multi week before the truce. At the hour of this sonnet there were over the top measures of propagandistic verse for instance Jessie Pope’s â€Å"Who’s for the game?† Master Alfred Tennyson’s â€Å"Charge of the Light Brigade† was composed to remember the self-destructive charge by British light rangers over open landscape in the Battle of Balaclava (Ukraine) in the Crimean War from 1854 to 1856. This was the principal war to have photographic media inclusion. Of the 637 men engaged with the charge, 247 were slaughtered or harmed. Tennyson depicts the valiant charge of the light unit into â€Å"the jaws of death†. Tennyson utilizes redundancy, inference, and exemplification to illustrate the charge and simultaneously give the peruser an understanding into the brain of the bold warriors of the light unit. The mood of this sonnet mimics the sound of the ponies dashing towards th... ...nly minor wounds can me supported from war for instance a messed up leg. I favored â€Å"Charge of the light brigade† on the grounds that the pace and rhyming plan give a feeling of activity and energy. Solid representations and comparisons are utilized to furnish the peruser with an understanding into the psyches of the troopers. I particularly like how Tennyson portrays the contention itself in the fourth refrain, as this is a solid case of the feeling of activity in his work. The view of war has experienced a lot of progress since the hour of Tennyson, in Tennyson’s time war was viewed as something worth being thankful for however after some time the impression of war has totally turned around, and as I would see it appears nowadays that war is something that ought to be stayed away from no matter what for the most part because of the specialized advances made giving war significantly more potential to devastate something other than lives. I will finish up this exposition with a statement from â€Å"the charge of the light brigade† which I accept shows the gallantry of those men who kicked the bucket for their nation and continued on under unthinkable chances. â€Å"When can their brilliance blur? O the wild charge they made! All the world pondered. Respect the charge they made, Respect the Light Brigade, Respectable 600.

Saturday, August 22, 2020

Pain is Its Plainest Form free essay sample

There was where everything around me blurred into a brilliant haze. In any case, at that time, the entirety of my faculties were topped. Specialists call it â€Å"fight or flight†. All I knew is that everything was improved. Seeing the monochromatic white dividers of the recuperation room, the smell that must be found in emergency clinics, the flavor of the soothing nitrous oxide, the sound of somebody close by shouting their lungs out, and the torment that’s as incredible as a class five tropical storm. To attempt to overlook the agony I was in, I attempted to make sense of who was shouting. Where’s the premise of the shouting and how can it be that the more I attempt to make sense of what it's identity was, the more torment expanded and the shouting got stronger? I made sense of what it's identity was. It was me.I was completing an outpatient method called a uretoroscopy to impact kidney stones. We will compose a custom article test on Torment is Its Plainest Form or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The strategy itself went totally well bar any complexities; in any case, it was during the recuperation that all went horrific.As I woke up, my reality began shaking and the recuperation wing turned into a free for all of turmoil. I thought I was encountering a seismic tremor however I wasn't right. I had gone into a seizure. There was hollering however this time it wasn’t just me. It was the specialists encompassing me as they attempted to get both my thrashing and my unpredictable heartbeat leveled out. It was finished and express turmoil, and it possibly turned out to be more regrettable when the wave of agony made its sneaking nearness known. The shouting got stronger, the doctors’ faces got fiercer as they worked and right when I thought there would be the peak of the heart screen level coating like there as a rule is in the show â€Å"House†, there was quietness. Everything got murky as I slipped into tranquilize instigated ecstasy. The torment was gone, the shouting halted, and my reality turned black.The next time I woke up, the world returned tumbling and with it came the agony and my supper from the prior night. I slipped all through cognizance multiple times inside five hours. My mom and father were there with me and, while I never let them know and plan never to, I heard their discussion that happened after what I believe was the eighth opportunity I came to. They were stating they felt so powerless on account of what I was experiencing. That is the point at which I woke up again and the procedure proceeded. I don’t even know whether that discussion truly occurred or on the off chance that it was a hallucination.What should be an outpatient system, transformed into a bad dream of remaining for the time being in the medical clinic. For reasons unknown, I was having an unfavorable response to the nitrous oxide which was utilized to take care of me for the method. I got a post-operation contamination that left me septic however that was immediately repaired by being placed into a tidy up room and having IV liquids put into me; any individual who needed to be close to me must be â€Å"scrubbed in†. I was at last ready to leave and when I did, I left with another point of view on life. Through my experience, I understood how great I truly have it. There are individuals who battle for their lives every day and some come up short while others simply become more regrettable. I currently have another regard for the word torment and for the existence I have. Presently, I live to its fullest and do things I wouldn’t have previously. I don’t know when it will be my opportunity to go yet when I do, I need to leave without any second thoughts.

Friday, August 21, 2020

The Relationship between Extraversion and Need for Achievement

A class overview of 170 BBA111 understudies on their extraversion and ‘need for achievement’ scores, a connection examination was led to attempt to set up the relationship of the two factors. It was recognized that there was a factually huge connection of r = 0.39 among ‘extraversion’ and ‘need for achievement’.Advertising We will compose a custom basic composing test on The Relationship among ‘Extraversion’ and ‘Need for Achievement’ explicitly for you for just $16.05 $11/page Learn More The relationship isn't just positive yet it is moderate. The relationship shows that an expansion in extraversion prompts an expansion in ‘need for achievement’. It likewise infers that the extraversion is a significant determinant of ‘need for achievement’. Tosi, Mero and Rizo (2000) depict an attribute as an inclination of an individual to react in a given manner †both in their feelings and their practi ces and this response must be fairly steady. Extroversion as among the five very much recognized character attributes is portrayed by being friendly, decisive and proactive/vivacious. When discussing extraversion as a character characteristic, one basically centers around specific qualities some of which incorporate amiability, positive emotionality just as emphaticness (Ulu Tezer, 2010). Considering ‘need for achievement’ as a part of versatile compulsiveness, Ulu Tezer (2010) report that there exist a positive connection among extraversion and versatile hairsplitting. Requirement for accomplishment is seen as the propensity to set up high individual guidelines and objectives and it is additionally viewed as accomplishment inspiration (Sharma Malhotra, 2007). Proactivity as a part of ‘need for achievement’ has been refered to by Holman (2003) as being influenced by the character attribute of extraversion. People who show requirement for accomplishment have a moderate individual activity and it is accounted for that extraversion is modestly identified with individual activity. A relationship of r = 0.33 has been recognized among extraversion and individual as revealed by Holman (2003). This suggests the present discoveries from the BBA111 students’ overview were pair with different discoveries. In deed, requirement for accomplishment is one of the determinants of extraversion. The idea of outgoing people to be dynamic and amiable and their vigorous lives makes them to be constrained to act or to accomplish. It has been for example distinguished that extraverts are decently acceptable in scholastic execution as demonstrated by positive and moderate relationships between's these two variables.Advertising Looking for basic composition on brain research? We should check whether we can support you! Get your first paper with 15% OFF Learn More Extraversion is especially seen as decidedly associated with scholarly execution (Chamorro- Premuzic Furnham, 2005) which is an affirmation that there is a positive connection among extraversion and ‘need for achievement’ since great scholastic execution is without a doubt an accomplishment many might want to have. As much as there exists a positive connection among extraversion and ‘need for execution, note that this relationship isn't as solid as the connection among self preoccupation and requirement for accomplishment. This aides in clarifying why the r = 0.33 in this study is only a moderate one and can't be considered as solid as it would be with introspection. It has been accounted for that outgoing individuals don't perform well on ‘need for accomplishment contrasted with contemplative people (Sharma Malhotra, 2007). Outgoing individuals, who are likewise alluded to as hysterics, show lower level of motivation contrasted with thoughtful people and this makes the hysterics set marginally lower objectives than self observers. Truth be told se lf observers, because of their high inspiration, perform well in numerous regions even in their scholastics since they will in general have long haul objectives. It is in this manner inferred that there is a solid positive relationship among's introspection and scholarly fulfillment. The distinction in loners and outgoing people isn't in their insight level however rather in their speed, ingenuity just as exactness of performing assignments (Sharma Malhotra, 2007). Social butterflies in this manner present as quicker in errands yet have low exactness and diligence levels. Reference Chamorro-Premuzic, T. what's more, Furnham, A. (2005). Character and Intellectual fitness. Mahwah, NJ: Lawrence Erlbaum Associates, Inc., Publishers. Holman, D. (2003). The new work environment: a manual for the human effect of present day working practices. West Sussex, UK: John Wiley Sons, Ltd. Sharma, A. furthermore, Malhotra, D. (2007). Character and social standards. New Delhi: Concept Publishing Com pany.Advertising We will compose a custom basic composing test on The Relationship among ‘Extraversion’ and ‘Need for Achievement’ explicitly for you for just $16.05 $11/page Learn More Tosi, H. L, Mero, N. P. what's more, Rizzo, J. R. (2000). Overseeing hierarchical conduct (fourth version). Cambridge, MA: Blackwell Publishers Ltd. Ulu, I. P. also, Tezer, E. (2010). Versatile and maladaptive hairsplitting, grown-up connection, and enormous five character qualities. The Journal of Psychology, 144(4), 327â€340 This basic composition on The Relationship among ‘Extraversion’ and ‘Need for Achievement’ was composed and presented by client Lillian Strong to help you with your own examinations. You are allowed to utilize it for research and reference purposes so as to compose your own paper; be that as it may, you should refer to it as needs be. You can give your paper here.

Saturday, May 30, 2020

What You Don’t Need to Know on a Waitlist

At the Ross waitlist chat yesterday, there were the usual percentage of questions related to waitlist stats. Indeed, at this time of year every year, waitlist applicants obsess over previous years acceptance rates at the schools waitlisting them. Nervous, tense applicants ask, How many students at School X have been waitlisted and then accepted? Is there a difference if Im waitlisted earlier or later? Are the GPA and test scores different for waitlisted applicants? And every year the obsession mystifies me. For the life of me I cant see why those numbers are so important. Most schools accept some students from the waitlist. The accepted students are 100% in; the rejected students are 100% out. If your school last year accepted 5% or 15% or 25% of waitlisted applicants, is that number really going to change your behavior? If you need that data to determine whether you want to remain on the waitlist, its useful, but realize that last years numbers are not predictive. If the school has a higher yield than last year, the WL acceptance rate will plummet. If it has a lower yield than last year, the WL acceptance rate will climb. And if schools change the number of applicants they waitlist, last years stats are truly meaningless. My sense is that schools are waitlisting more applicants this year because of Increased uncertainty related to the recession and credit freeze. A desired to protect yield, the percentage of students offered admission who decide to attend, and a factor in US News rankings. Indeed yesterday, Ross revealed that it is waitlisting more applicants this season, but indicated that last years waitlist was unusually small. Regardless of cause, if this trend is widespread, waitlist stats from previous years will have less relevance than ever, and even in previous years they lacked predictive value. Focusing on past WL acceptance stats is merely a distraction. What should you focus on? Striving to make your case for your fit with the program and your qualifications. Or determining your alternatives if not accepted at your waitlisting school. If you need help making that argument for acceptance, consider Accepteds waitlist advising and editing services or our waitlist ebooks: The Nine Mistakes You Don`t Want to Make on an MBA Waitlist The Nine Mistakes You Don`t Want to Make on a Med School Waitlist The Nine Mistakes You Don`t Want to Make on a Law School Waitlist

Saturday, May 16, 2020

How Gender Group Health Can Be Improved In Regards To Ageing - Free Essay Example

Sample details Pages: 10 Words: 2852 Downloads: 6 Date added: 2017/06/26 Category Medicine Essay Type Critical essay Level High school Did you like this example? Choose one gender group and critically discuss how their health outcomes can be improved in regards to ageing. Introduction Wound infection post-surgery, now preferably known as Surgical Site Infection (SSI) refers to infections at or near a surgical site within 30 days after surgery or within one year, if the procedure involved insertion of an implant (Illingworth et al., 2013; Owens and Stoessel 2008). While definite statistics of the incidence of SSI are complicated given the gamut of surgical procedures, environment and patients, available data indicate that SSI contributes to more than 15% of reported Hospital-acquired infections (HAI) for all patients and about 38% for surgical patients (Campbell et al., 2013; Owens and Stoessel, 2008; Reichman and Greenberg, 2009). Also, data from across Europe indicate that, depending on surgical procedure and/or surveillance methods used, incidence of SSI may be as high as 20% for all surgical procedures (Leaper et al., 2004). Don’t waste time! Our writers will create an original "How Gender Group Health Can Be Improved In Regards To Ageing" essay for you Create order Although, HAIs generally, and SSI are relatively less common in Orthopaedic surgery, compared with other surgical procedures (Johnson et al., 2013), however, when they do occur, osteo-articular infections for example, can be very difficult to treat, with significant risk of lifelong recurrence (Faruqui and Choubey, 2014). SSI leads to significantly higher costs of care from longer hospital stays; it poses a major burden on healthcare providers and the healthcare system, jeopardises the health outcomes of patients and remains a major cause of morbidity and mortality despite improvements in surgical procedures and infection control techniques (Owens and Stoessel, 2008; Tao et al., 2015). Consequently, understanding evidenced-based approaches to reduce/prevent incidence of SSI has attracted significant interests from researchers, healthcare administrators and policy-makers. This essay intends to review current best-practices in prevention of SSIs and to offer recommendations for future practice within orthopaedic settings. Rationale This review of best practices in the prevention of SSI following orthopaedic surgery is underpinned by two major reasons. One, despite the considerable improvement in surgical procedures and techniques in most orthopaedic settings, SSI negatively impact on patient outcomes and imposes significant cost on the healthcare system. According to a case-control study reported by Owens and Stoessel (2008), patients who suffer SSI are more likely to require readmission to hospital and have more than double the risk of death compared to patients without SSI. In addition, the median duration of hospitalisation required due to SSI was put at 11 days and the extra cost to the healthcare system estimated at à ¢Ã¢â‚¬Å¡Ã‚ ¬325 per day (Owens and Stoessel, 2008). Two, the prevention of SSI is hardly straightforward. Given the wide range of factors that modify the risk of SSI, a bundle approach with systematic attention to multiple risk factor is required for any effective prevention of SSI (UÃÆ'à ‚ §kay et al., 2013). Thus, by undertaking a state-of-the-art review of orthopaedic SSI prevention techniques/processes, this essay may contribute towards better orthopaedic surgery outcomes for patients and providers. Prevention of SSI in orthopaedic surgery: Best Practices According to the Health Protection Agency (2011), the most common pathogenic organisms responsible for surgical wound infections in orthopaedic surgery include methicillin-sensitive Staphylococcus aureus (MSSA), methicillin-resistant Staphylococcus aureus (MRSA), Coagulate negative Staphylococci (CoNS), Enterobacteriaceae, Enterococcus spp, Pseudomonas spp, Stretococcus spp as well as occasional cases of unspecified diphtheroids of the Corynebacterium spp. and other gram-positive organisms. Moreover, SSIs can be categorised into superficial incisional, deep incisional and organ space SSI (Reichman and Greenberg, 2009). Superficial incisional SSI refers to infection that involves only skin and subcutaneous tissue at the point of incision; deep incisional SSI refers to infection of the underlying soft tissues, while organ space SSI refers to infection involving organs or organ spaces that were opened or manipulated during the surgical procedure. Since the risk of ending up with SSI a nd the specific type of SSI suffered are determined by factors related to the patient, procedure and hospital environment, current best-practices and guidelines for preventing SSI can be broadly elaborated under these categories. Patient-related Practices Existing patient conditions like diabetes mellitus, obesity and/or rheumatoid arthritis have been associated with increased risk of SSI (Illingworth et al., 2013; Johnson et al., 2013). As part of effective patient management, pre-operatively, current body of evidence recommends aggressive glucose control for diabetes patient to reduce the heightened risk of infection due to hyperglycaemia pre or post-surgery. In patients with rheumatoid arthritis, corticosteroids and anti-tumour necrosis factor (TNF) therapy have been argued to delay wound healing and increase risk of infection. However, the British Society for Rheumatology (BSR) recommends that in deciding whether to cease these medications for such patients, pre-surgery, the potential benefits of preventing post-surgery infection should be balanced with the risk of disease flare, pre-surgery (Dixon et al., 2006; Luqmani et al., 2006). In addition, orthopaedic surgery for patients who currently smoke or are obese (BMI above 30kg/ m2) should be delayed (until smoking cessation/loss of weight) to reduce the risk of SSI. For example, a randomised, controlled study reported that smoking cessation for just 4 weeks significantly reduced the odds of incisional SSI (Sorensen et al., 2003), while Namba et al. (2005) reported significantly higher odds of SSI in obese patients (35kg/m2) undergoing total hip and knee replacement surgery, compared with patients that were not obese. Screening patients for presence of MSSA and MRSA and subsequent decolonisation is one of the most recommended techniques for preventing SSI. Staphylococcus aureus colonisation is reportedly found in the nares of about 30% of healthy individuals (Kalmeijer et al., 2002). This nasal carriage of both methicillin sensitive/resistant S. aureus have been demonstrated as a significant risk factor for SSI. Kelly et al. (2012) reported a significant drop in SSI from 2.3% to 0.3% with the use of intranasal mupirocin and triclosan showers to decolonis e patients before orthopaedic surgery. Also, a review of eight randomised controlled trial by van Rijen et al. (2008) reported that the use of mupirocin significantly reduced the incidence of MRSA and MSSA associated SSI. However, guidelines from the National Institute for Health and Care Excellence (NICE, 2008) recommends a combination of nasal mupirocin and chlorhexidine showers for patient decolonisation while UÃÆ' §kay et al. (2013) indicated that available evidence from orthopaedic literature suggests that S. aureus screening, decolonisation and shower constitute a cost-saving, effective strategy to reduce the incidence of SSI in orthopaedic surgeries. Surgical Procedure-related Practices Preoperative preparation of skin before incision is one of the major avenues to prevent SSI (Kelly et al., 2012). However, there is no consensus on what antiseptic agent offers the most effective protection against SSI. While NICE (2008) guidelines suggest that both aqueous and alcohol based preparations e.g. povidone-iodine or chlorhexidine are suitable for skin preparation, Darouiche et al. (2010) and Milstone et al. (2008) have raised concerns about the development of bacterial resistance to chlorhexidine. These studies report the relative superiority of 2% chlorhexidine mixed with 70% isopropyl alcohol, while some experts have suggested increasing the chlorhexidine concentration to 4% or the use of 10% povidone-iodine (UÃÆ' §kay et al., 2013). Nevertheless, povidone-iodine or chlorhexidine still remain the gold standard for preoperative skin preparation. Also as part of skin preparation, NICE recommends that hair should only be removed if necessary, should be done immedia tely before surgery and with electronic clippers, not razor blades. Recent evidence suggests that use of razor blades can sometimes result in microscopic skin cuts that may act as foci for micro-organisms colonisation, thus increasing the risk of infection (Owens and Stoessel, 2008). Preoperative administration of antibiotic prophylaxis to reduce the risk of surgical wound infection is widely accepted for surgery in orthopaedic settings, including bone trauma. Several large scale studies have demonstrated that antibiotic prophylaxis, when administered properly, help reduce tissue contamination, during surgery, to levels that do not overwhelm the patients immune system, and thus, can reduce the risk of SSI by up to 75% (Chen et al., 2013; Faruqui and Choubey, 2014; Illingworth et al., 2013; UÃÆ' §kay et al. 2013). However, NICE (2008) recommends that potential adverse effects, optimal dosage and most effective time for administration pre-operatively should be carefully consider ed to maximize the benefit of antibiotic prophylaxis. UÃÆ' §kay et al. (2013) believe that first or second generation parenteral cephalosporins are sufficient in most cases, except in cases of skin colonisation with MRSA, in which case glycopeptide antibiotics may be more effective. However, this should be considered in relation to individual patients allergy history. UÃÆ' §kay et al. (2013) also recommend that 30mins à ¢Ã¢â€š ¬Ã¢â‚¬Å" 1hr before incision is the idea time to administer prophylaxis. While this is generally accepted, NICE (2008) recommends that prophylaxis may be given earlier in procedures where a tourniquet is used. In addition to minimising the risks from the skin and endogenous flora of the patient, the surgical team must also strive to reduce chances of contamination from either their person, the tools used or the procedure itself. NICE (2008) recommends that every member of the surgical team must thoroughly scrub before wearing surgical gown and gloves . There is growing support for double-gloving and frequent glove-changing to reduce the risk of contamination from tiny punctures in surgical gloves that often go unnoticed during surgery. While evidence in support of double-gloving and/or frequent glove-changing intra-operatively as a strategy for reducing risk of SSI remain inconclusive, Widmer et al. (2010) conclude that the practice is supported by expert opinion, especially for lengthy procedures. Moreover, excellent surgical techniques are crucial in preventing SSI. For example, maintaining effective haemostasis while preserving adequate blood supply, removal of devitalized tissues, eradication of dead space(s), gentle handling of tissue and effective management of surgical wound postoperatively can all help reduce the chance of SSI (UÃÆ' §kay et al., 2013). Hospital Environment-related Practices The CDC and World Health Organization recommend that doors to the operating room should be kept closed and traffic kept to a minimum to reduce potential contamination of surgical sites (Tao et al., 2015). To achieve this, essential equipment and tools should be stored in the operating room. In fact, Health Protection Agency (2011) suggest that frequency of operating room door opening is a positive predictor of increased bacterial count in the operating room. Airflow in the operating room is another modifier of SSI risk. Vertical or horizontal laminar-flow ventilation systems have been advocated for orthopaedic surgery to achieve ultra-clean air within the operating room and reduce airborne contaminants. Although evidence supporting the effect of laminar airflow systems on SSI risk remains inconclusive, the reduction in airborne contaminants is perhaps an added advantage (Owens and Stoessel, 2008; Reichman and Greenberg, 2009). Lastly, constant surveillance is an important part o f preventing SSI. By following up on patients post-operatively and reporting appropriate data to the surgical team, surgical decisions can be improved upon based on historical records (SkrÃÆ' ¥mm et al., 2012). Moreover, surveillance ensures that cases of SSI are identified early and treated before complications arise. Data from surveillance could also form the basis of evidenced-based decision making on facility specific service improvements to reduce incidences of SSI and improve outcomes for all concerned (SkrÃÆ' ¥mm et al., 2012). Recommendations This essay have reviewed current knowledge on surgical site infection and strategies to reduce its incidence. It is pertinent to state that despite the various precautions elaborated above, complete eradication of surgical site contamination is almost impossible as some endogenous micro-organisms always remain and environmental factors cannot be totally eliminated. To reduce incidence of SSI to the barest minimum, the following are recommended: It is crucial to adopt a bundle approach that ensures that patient, procedure and facility related factors are controlled for as much as possible. While improving surgical and care delivery is always crucial, surveillance and data collection should also promoted to ensure that changes/improvements in procedures and facility practices are evidenced-based New technologies and strategies are continually been developed to reduce complications like SSI and improve outcomes for patients, it is important to always stay on top of these developments to ensure that orthopaedic surgeries are not only evidenced-based but contemporary, achieving the best outcome possible for all parties. Conclusion Surgical site infection (SSI) poses a significant challenge to patients undergoing orthopaedic surgeries, the surgical team as well as the healthcare system in general. SSI negatively impact patient outcomes and imposes unnecessary demand on healthcare resources. Fortunately, much of the burden associated with SSI can be avoided. This review identifies the multitude of patient and procedure-related factors that modify SSI risk and highlights various evidence-based strategies to mitigate these risks. The paper demonstrates that there is consensus in the literature that by screening and subsequent decolonisation of patients, administering antibiotic prophylaxis, ensuring that surgical tools, equipments and garments are properly sterilised and the operating room is free of airborne contaminants, cases of surgical wound infection in orthopaedic surgeries can be effectively prevented. Bibliography Campbell, K. A., Phillips, M. S., Stachel, A., Bosco Iii, J. A. and Mehta, S. A. (2013) Incidence and riskfactors for hospital-acquired Clostridium difficile infection among inpatients in an orthopaedic tertiary care hospital. Journal of Hospital Infection, 83(2), pp. 146-149. Chen, A. F. M. D. M. B. A., Wessel, C. B. M. L. S. and Rao, N. M. D. (2013) Staphylococcus aureus Screening and Decolonization in Orthopaedic Surgery and Reduction of Surgical Site Infections. Clinical Orthopaedics and Related Research, 471(7), pp. 2383-99. Darouiche, R. O., Wall, M. J., Itani, K. M. F., Otterson, M. F., Webb, A. L., Carrick, M. M., Miller, H. J., Awad, S. S., Crosby, C. T., Mosier, M. C., AlSharif, A. and Berger, D. H. (2010) Chlorhexidineà ¢Ã¢â€š ¬Ã¢â‚¬Å"Alcohol versus Povidoneà ¢Ã¢â€š ¬Ã¢â‚¬Å"Iodine for Surgical-Site Antisepsis. New England Journal of Medicine, 362(1), pp. 18-26. Dixon, W. G., Watson, K., Lunt, M., Hyrich, K. L., Silman, A. J. and Symmons, D. P. M. (2006) Rates of serious infection, including site-specific and bacterial intracellular infection, in rheumatoid arthritis patients receiving antià ¢Ã¢â€š ¬Ã¢â‚¬Å"tumor necrosis factor therapy: Results from the British Society for Rheumatology Biologics Register. Arthritis Rheumatism, 54(8), pp. 2368-2376. Faruqui, S. A. and Choubey, R. (2014) Antibiotics Use in Orthopaedic Surgery; An Overview. National Journal of Medical and Dental Research, 2(4), pp. 52-58. Health Protection Agency (2011) Sixth report of the mandatory surveillance of surgical site infection in orthopaedic surgery, April 2004 to March 2010. in,London: Health Protection Agency. Illingworth, K. D., Mihalko, W. M., Parvizi, J., Sculco, T., McArthur, B., el Bitar, Y. and Saleh, K. J. (2013) How to minimize infection and thereby maximize patient outcomes in total joint arthroplasty: a multicenter approach: AAOS exhibit selection. The Journal of bone and joint surgery. American volume, 95(8), pp. 1. Johnson, R., Jameson , S. S., Sanders, R. D., Sargant, N. J., Muller, S. D., Meek, R. M. D. and Reed, M. R. (2013) Reducing surgical site infection in arthroplasty of the lower limb: A multi-disciplinary approach. Bone and Joint Research, 2(3), pp. 58-65. Kalmeijer, M. D., Coertjens, H., van Nieuwland-Bollen, P. M., Bogaers-Hofman, D., de Baere, G. A. J., Stuurman, A., van Belkum, A. and Kluytmans, J. A. J. W. (2002) Surgical Site Infections in Orthopedic Surgery: The Effect of Mupirocin Nasal Ointment in a Double-Blind, Randomized, Placebo-Controlled Study. Clinical Infectious Diseases, 35(4), pp. 353-358. Kelly, J. C., OBriain, D. E., Walls, R., Lee, S. I., ORourke, A. and Mc Cabe, J. P. (2012) The role of pre-operative assessment and ringfencing of services in the control of methicillin resistant Staphlococcus aureus infection in orthopaedic patients. The Surgeon, 10(2), pp. 75-79. Leaper, D. J., van Goor, H., Reilly, J., Petrosillo, N., Geiss, H. K., Torres, A. J. and Berger, A. (2004) Surg ical site infection a European perspective of incidence and economic burden. Int Wound J, 1(4), pp. 247-73. Luqmani, R., Hennell, S., Estrach, C., Birrell, F., Bosworth, A., Davenport, G., Fokke, C., Goodson, N., Jeffreson, P., Lamb, E., Mohammed, R., Oliver, S., Stableford, Z., Walsh, D., Washbrook, C., Webb, F., Rheumatology, o. b. o. t. B. S. f., British Health Professionals in Rheumatology Standards, G. and Group, A. W. (2006) British Society for Rheumatology and British Health Professionals in Rheumatology Guideline for the Management of Rheumatoid Arthritis (the first two years). Rheumatology, 45(9), pp. 1167-1169. Milstone, A. M., Passaretti, C. L. and Perl, T. M. (2008) Chlorhexidine: expanding the armamentarium for infection control and prevention. Clin Infect Dis, 46(2), pp. 274-81. Namba, R. S., Paxton, L., Fithian, D. C. and Stone, M. L. (2005) Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty, 20(7 Suppl 3), pp. 46-50. National Institutte for Health and Care Excellence (2008) Surgical site infections: prevention andention and treatmenttreatment. Clinical guideline. in,Manchester: NICE. Owens, C. D. and Stoessel, K. (2008) Surgical site infections: epidemiology, microbiology and prevention. Journal of Hospital Infection, 70, Supplement 2, pp. 3-10. Reichman, D. E. and Greenberg, J. A. (2009) Reducing Surgical Site Infections: A Review. Reviews in Obstetrics and Gynecology, 2(4), pp. 212-221. SkrÃÆ' ¥mm, I., Ã…Â  altytÄ— Benth, J. and Bukholm, G. (2012) Decreasing time trend in SSI incidence for orthopaedic procedures: surveillance matters! Journal of Hospital Infection, 82(4), pp. 243-247. Sorensen, L. T., Karlsmark, T. and Gottrup, F. (2003) Abstinence from smoking reduces incisional wound infection: a randomized controlled trial. Ann Surg, 238(1), pp. 1-5. Tao, P., Marshall, C. and Bucknill, A. (2015) Surgical site infection in orthopaedic surgery: a n audit of peri-operative practice at a tertiary centre. Healthcare Infection, 20(2), pp. 39-45. UÃÆ' §kay, I., Hoffmeyer, P., Lew, D. and Pittet, D. (2013) Prevention of surgical site infections in orthopaedic surgery and bone trauma: state-of-the-art update. Journal of Hospital Infection, 84(1), pp. 5-12. van Rijen, M., Bonten, M., Wenzel, R. and Kluytmans, J. (2008) Mupirocin ointment for preventing Staphylococcus aureus infections in nasal carriers. Cochrane Database Syst Rev, (4), pp. Cd006216. Widmer, A. F., Rotter, M., Voss, A., Nthumba, P., Allegranzi, B., Boyce, J. and Pittet, D. (2010) Surgical hand preparation: state-of-the-art. J Hosp Infect, 74(2), pp. 112-22.

Wednesday, May 6, 2020

Health Care Reform The And Policies Implemented By...

If you could write a book on any topic, what subject or theme would you choose? Why do you find this topic or question interesting, meaningful or valuable? What approach or method might you use to explore your topic, and why would that be a good way for you to proceed? A topic that I believe is important to look at and consider is how health care reform such as the PPACA and policies implemented by private insurance companies have affected the doctor-patient relationship and thereby influenced the quality of medical care. One of the many reasons that I find this an interesting and important topic is because I aspire to become a general surgeon and the interaction between patients and doctors is important for me to consider and determine how it has changed throughout the years as a result of added regulations and new reforms. As evidenced by the constant battle over health care reform, healthcare in the United States has become a growing problem that must be addressed. While the main controversy seems to be the politics of healthcare reform and whether the government should have total control, the one thing that I believe should be the focus, which is the quality of care that is embedded in the patient doctor relationship, is being cast aside. A pivotal aspect of receiving quality medical care is being able to communicate your health concerns and have confidence and trust in your doctor, which is essentially the doctor patient relationship. Yet, this relationship is specialShow MoreRelatedHealthcare Reform And Health Care Reform917 Words   |  4 Pagesconstant battle over health care reform, healthcare in the United States has become a growing problem that must be addressed. While the main controversy seems to be the politics of healthcare reform and whether the government should have total control, the one thing that I believe should be the focus, is the quality of care that is embedded in the patient doctor relationship. It’s quite troublesome when large health insurance companies are swaying politicians to vote for less health care regulation andRead More Health Care Reform: Losing More Than You Think Essay1381 Words   |  6 Pageshealthcare reform a priority since the beginning of his presidency. Obama wants to implement a system similar to Medicare. As defined by Dictionary.com Medicare is: â€Å"a U.S. government program of hospitalization insurance and voluntary medical insurance for persons aged 65 and over and for certain disabled persons under 65†. This government based health insurance would still allow private insurance companies to stay in business. Another way Obama wants to change the health insurance companies is to expandRead MoreEssay On Healthcare System1802 Words   |  8 PagesThere is significant opportunity and a tremendous need to improve health system performance in the United States. The U.S. health care system is the costliest in the world, yet it ranks last or next to last on five dimensions of a high-performance health system quality, access, efficiency, equity, and healthy lives. Within our own borders, there is wide variation in performance across states on indicators of access, quality, and costs, demonstrating that. Although, there is much to learn about improvingRead MoreState Health Policy Analysis8008 Words   |  33 PagesState Health Policy Analysis William Bythwood MHA620 Health Policy Analyses Professor Saran Tucker March 7, 2011 State Health Policy Analysis Abstract: The rises of health cost have put strains on State, Federal and employers budgets and have severely hurt US families’ income in recent years. An analysis of State health policy by the federal government projects that premiums for insurance for employer based programs will increase from 12,298 in 2008 to 23,842Read MoreA Survey Composed By Washington Post-Abc News Found That1890 Words   |  8 Pagessurveyors believed that the United States’ health care system has gotten worse in the past few years. What caused this? The Patient Protection Affordable Care Act (Forbes 25). This startling fact reveals that the act, commonly known as Obamacare, has negatively influenced Americans’ opinions on their health care. Passed in 2010, the Patient Protection Affordable Care Act mandated health care coverage for every United States citizen. The debate over public health care had been going on for decades, andRead MoreThe Health Security Act : Political Strategy3 381 Words   |  14 Pages1. The Health Security Act: Political Strategy: On October 27, 1993 after promising universal coverage, Clinton unveiled a plan for universal coverage based on consumer choice among competitive private health plans, operating under a cap on total spending know as managed competition within a budget. Clinton named Hillary Clinton and Ira Magaziner the chair and director of healthcare reform respectively. In trying to direct the political environment and develop public support, the Clinton strategyRead MoreThe Affordable Care Act Of America3150 Words   |  13 PagesThe Affordable Care Act While many Americans can enjoy the full benefits of being in a developed nation such as full access to healthcare, there are many others who only have limited access to the basic necessities. Because of this issue, the affordable care act was developed creating new laws, regulations, taxes, and subsidies as a way to ensure all Americans have equal access to healthcare. Although the law aimed to be a solution for those with little to no access to healthcareRead MoreThe Ever Changing Healthcare Environment3006 Words   |  13 Pageshealthcare is the implementation of the Affordable Care Act. With the new health care system the government mandated U.S. citizens and legal residents to have health insurance that resulted in the rise of insured individuals. Due to the new policy more people have access to health care that means more primary physician needed to accommodate the rise of new patients. Shortages of physicians not only in the primary care area but also in specialty care area are projected between 46,000-90,000 by 2025Read MoreThe Affordable Care Act : A Critical Analysis Essay10519 Words   |  43 Pages The Affordable Care Act: A Critical Analysis Bryan Erik Nelson Swartz Webster University - - - Executive Summary An abstract is a single paragraph, without indentation, that summarizes the key points of the manuscript in 150 to 250 words. For simpler papers in Paul Rose’s classes, a somewhat shorter abstract is fine. The purpose of the abstract is to provide the reader with a brief overview of the paper. When in doubt about a rule, check the sixth edition APA manual rather thanRead MoreThe Affordable Care Act ( Aca )3477 Words   |  14 Pagesa lot of money on health care and people are starting to notice. The passage of the Affordable Care Act (ACA) was not only supposed to make health care more accessible, but also more affordable. Despite that health care spending has continued to increase and people across the country are voicing a growing concern about what it costs to keep themselves and their families healthy. Politicians on both sides of the party lines speak often and with passion about this health care crisis in America.

Tuesday, May 5, 2020

Is Nick a Good Narrator free essay sample

As the teller of facts for all of his observations, Nick proves to be a reliable narrator for this story. He is unaffected by what goes on around him, despite people bringing him into personal situations. Nick is factual with details. He is as well, a very private person though, and tells us little of himself during the events. In telling us about his growing up years shows us that Nick has learned many admirable things. In Chapter 1 he tells us how he was raised and the advices given him by his father. These included council on how to speak to people in general. As quoted by Nick, his father told him â€Å" ‘Whenever you feel like criticizing any one’ he told me, ‘just remember that all the people in this world haven’t had the advantages that you’ve had. ’ â€Å" He admits to us here that â€Å"In consequence I’m inclined to reserve all judgments†. He did not appear to like being drawn into drama and would avoid it at all cost. The abnormal mind is quick to detect and attach itself to this quality when it appears in a normal person, and so it came about that in college I was unjustly accused of being a politician, because I was privy to the secret griefs of wild, unknown men. Most of the con? dences were unsought frequently I have feigned sleep, preoccupation, or a hostile levity when I realized by some unmistakable sign that an intimate revelation was quivering on the horizon. † When describing events, Nick seems again unattached. He tells us what people wear, what they say and how they say it, with much emotion. On his own home in the af? uent area that he had moved (Chapter 2) â€Å"My own house was an eye-sore, but it was a small eye-sore, and it had been overlooked, so I had a view of the water, a partial view of my neighbor’s lawn, and the consoling proximity of millionaires all for eighty dollars a month. When he tells us about Tom he explains (Chapter 2) â€Å"His speaking voice, a gruff husky tenor, added to the impression of fractiousness he conveyed. There was a touch of paternal contempt in it, even toward people he liked—and there were men at New Haven who had hated his guts. When he introduces Daisy and Jordon for the ? rst time in (Chapter 2) â€Å"The only completely stationary object in the room was an enormous couch on which two young women were buoyed up as though upon an anchored Is Nick a good Narrator? ESSAY THE GREAT GATSBY! PJD balloon. They were both in white and their dresses were rippling and fluttering as if they had just been blown back in after a short flight around the house. † he then goes on with further detail â€Å"The younger of the two was a stranger to me. She was extended full length at her end of the divan, completely motionless and with her chin raised a little as if she were balancing something on it which was quite likely to fall. If she saw me out of the corner of her eyes she gave no hint of it—indeed, I was almost surprised into murmuring an apology for having disturbed her by coming in. The other girl, Daisy, made an attempt to rise—she leaned slightly forward with a conscientious expression— then she laughed, an absurd, charming little laugh, and I laughed too and came forward into the room. The only time we see him express any real emotion is when he realizes that they are all sitting around doing a lot of nothing except to anger and upset each other and that not one person has wished him a ‘Happy Birthday’ that day. He himself, until that moment had forgotten that he turned 30 on that extraordinarily hot day (Chapter 7) â€Å"‘No I just remembered that today’s my birthday. ’ I was thirty. Before me stretched the portentous menacing road of a new decade. † Nick’s privacy is highlighted in events that have taken place in the novel, but not carried forward with any great detail. Though he describes his college year, followed by his time in the army and going to war, he leaves a lot of personal things out. The ? rst couple of things that stand out regarding his personal privacy. He makes friends with a co-worker and after knowing each other a very short time, the two decide to rent a house together in the country. The friend is shipped off to Washington by the ? rm immediately on renting â€Å"a weather beaten cardboard bungalow at eighty a month†. In that same paragraph, we learn that Nick has a dog with him â€Å"at least I had him for a few days until he ran away. Nor does he talk about having a girlfriend out west or someone that he has befriended at very least, though in Chapter 2 after he meets his cousin Daisy, her husband (and Nick’s former classmate) Tom and their friend Jordan Baker (a Is Nick a good Narrator? ESSAY THE GREAT GATSBY! PJD professional golfer). Daisy suddenly says to Nick, as he is leaving â€Å" ‘I forgot to ask you something, and it’s important. We heard you were engaged to a girl out West. ’ â€Å" Nick wards of the question saying â€Å" ‘It’s libel. I’m too poor. â€Å" He then goes on privately that he was aware of this story, but that it was not true. He says â€Å"The fact that gossip had published the banns was one of the reasons I had come east. † He only refers to the woman at hand as an â€Å"old friend†. Nick spoke with clarity on the events of the summer. He described in detail, the costuming and events, the locations and people. Nick seemed unbiased and disconnected in an unemotional way, until the events of his own birthday. Overall, Nick seemed to have a good grasp of the people and events of that summer, while leaving details of himself to be determined.

Friday, April 17, 2020

Mini Thesis free essay sample

The company profiles are the core element to the database. Without the company profiles, a project nor a sub-project can be created. Each company profile contains unique properties. When a new company is created the user views a screen that allows data input for the company. The screen looks like Figure 2. On this screen data entry is neatly organized for simple data input. A ‘Save’ and ‘Close’ button allows the user to save that company profile and close out of the window for data entry. Once a company is created it can either be edited for later use or removed. Also after the creation of a new company the user can begin to create a project. Further reading will break down the purpose of a company profile along with its properties and how it’s related to the program as a whole. [pic] Figure 2 Company Screen 2. 1 Purpose The purpose of the company profile is to give the database a foundation to its structure. We will write a custom essay sample on Mini Thesis or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Essentially, with a company profile, project and sub-projects can be setup and completed for the company. It also will allow the user to store information about each individual company independent of others, in time, the user can then reference back to that company profile to view the stored information. Each company profile contains the data needed to contact the company. The rest of the database depends upon company profiles. In the proceeding text the content of the company profiles will be explained and their relevance to the company profiles are made up of. This will give a definition of the content and the roles it takes in the database. 2. 2 Contents The content of each company profile consists of eight separate values that describe each company. The author calls these eight values the properties of the company profile. A more detailed look will be taken on these properties in the following text. 2. 2. Properties The make up of each company profile consists of the relationship the company has to its projects and sub-projects and its properties. In the list below each property of the company profile will be defined. Company Name – The company name is core name of the company profile, also the legal name of the company that work will be done for. Phone Number – The phone number is a 10-digit store number including area code, which will be saved for easy access to the user for future reference. Address – The address consists of address numbers and the street name. For future references to the user such as mailings.

Friday, March 13, 2020

Living Independently Essays - Adolescence, Educational Psychology

Living Independently Essays - Adolescence, Educational Psychology Living Independently In European countries children after they are 18 are supposed to live on their own. ESSAY: | - Nowadays there are a lot of people who claim that young adults must live apart from their family. But it causes lots of controversies. And whether teens must leave their home or not is a crucial question. In my way of thinking, teenagers should live on their own and parents must teach their children from this age to live independently. First of all , if we do not do it do not move out from parents home, we cannot solve problems in adults' life. Moreover, living by oneself means freedom of the chose. For example, you can do whatever you want and whenever you want. However, there are people who consider that it has a lot of disadvantages . They think that living apart from family can have a negative influence on teenagers' behavior. They can start drinking, smoking and so on. It is true to a certain degree, but what the opponents fail to mention is that usually young adults just have not enough money to do it. To conclude, I strongly believe it will be better if teens are up to think and prepare for adult's life, because as an old saying goes: as you make your bad, so you lie on it.

Wednesday, February 26, 2020

Edwin Hubble Essay Example | Topics and Well Written Essays - 750 words

Edwin Hubble - Essay Example (â€Å"Biography of Edwin Powell Hubble (1889-1953)†; â€Å"Edwin Hubble expands our view of the universe†) Edwin Hubble Powell, the son of an insurance executive was born in the small town of Marshfield, Missouri, USA on November 20, 1989 and moved to Wheaton, Illinois, before his first birthday. Nine years later in 1898, his family moved to Chicago, where he attended high school.   Edwin Hubble was a fine student and an even better athlete, having broken the Illinois State high jump record. As a young man, he was 6 feet 3 inches tall and very well coordinated, known especially for his talent at boxing, basketball and track (â€Å"Who Was Edwin Hubble?†). At his high school graduation in 1906, the principal said: "Edwin Hubble, I have watched you for four years and I have never seen you study for ten minutes.† He paused, leaving young Edwin on tenterhooks a moment longer, before continuing: "Here is a scholarship for the University of Chicago." (â€Å"Edwin Powell Hubble - The man who discovered the cosmos†) Edwin Hubble had studied mathematics and astronomy at the University of Chicago and earned a Bachelor of Science (undergraduate) degree in 1910. Edwin Hubble went to Oxford University on a Rhodes scholarship, where he did not continue his studies in astronomy, but instead studied law, following his father’s wishes. He also took up Literature and Spanish. (www.edwinhubble.com). In 1913, he returned to the United States and passed the bar examination and practiced law half-heartedly for a year in Kentucky. His family was living in Kentucky at that time. In the autumn of 1913, Hubble was hired by New Albany High School (New Albany, Indiana) to teach Spanish, Physics and Mathematics and to coach basketball. His popularity as a teacher is recorded in the school yearbook dedicated to him: "To our beloved teacher of Spanish and Physics, who has been a loyal friend to us in our senior year, ever willing to cheer and help us both

Monday, February 10, 2020

Self-awareness and career management (1) Essay Example | Topics and Well Written Essays - 1500 words

Self-awareness and career management (1) - Essay Example The willingness of workers to move from one place to another in order to get hold on better work is generally called job mobility (Griffeth & Hom, 2004). The factors that trigger this notion by indulging employees are collectively known as job embeddedness (OECD, 2001). The concept of job embeddedness is hired to ensure the job stability by forecasting a banker’s potential to quit (Allen, 2006). The concept of job embeddedness was presented by Mitchell and his colleagues in 2001 in order to explicate why some employees want to leave their job whilst others do not. For them there are certain factors such as association with the community, cost of quitting the job, etc. that do not let them leave the job. Empirical studies show that embeddedness is all about encouraging higher performance ergo retaining employees by embedding their co-workers (Liao, 2010). Mitchell and his colleagues identified three factors: links, fit, and sacrifice. Links means the connection between people a nd activities whilst fits refer to how well the job and its communities fit with other aspects of peoples’ lives. And the last element is sacrifice which refers to whatever the person loses once he quits his job. (Shultz et al, 2007) One has to recognize the role of job satisfaction in the decision making process for a person. For them if a person is satisfied with the job, he will not think of quitting but the likelihood of quitting becomes higher in the case of dissatisfaction (Shultz, 2007). Job Mobility Many researchers imply the study of job mobility for the analysis of the labourers’ behaviours against different job offers (Rooney & Hepworth, 2009). No worker is said to be able to get a job best suited to his demands and capabilities in the first phase of his job career (EUROPA, 2008). This leads the workers to be always in search of such firms which value their skills more than their present employers (Liao, Martocchio & Joshi, 2010). Thus, there can be three ma in types of job mobility: employment mobility, job-to-job mobility, and occupational mobility; and some of the factors that affect it are: job tenure, rate of bonuses and chances of growth (Winget, 2007). The rate of job mobility varies from one country to another depending upon the respective economic conditions as well as the demands of the workers. The data published by Eurobarometer (2005) on the job mobility rate is displayed underneath. The researchers believe that the tendency of job mobility is greater in the lower-wage jobs than highly paid ones (Delfgaauw, 2006, p.78; OECD, 1999). Farber (1999) has studied the job-changes by employing the data from the Current Population Survey and found out that the job tenure is one of the key determinants to job changes. The greater the job tenure is the lesser will be the chances of job mobility. This study also reveals that the wages offered by the firms also vary with the job experience in the respective firm (Madrian, 1993). The sam e rule applies to the banking sector where big bankers move to the job with high salary or bonuses offerings. The fact is testified by a bulletin of the ‘Evening Standard’ 2004, (a UK newspaper), according to which a group of senior bankers had quit the ‘Fox-Pitt, Kelton’ (an investment bank of UK) in order to join the rival company of Citigroup. In addition to this, fourteen analysts and traders had quit the â€Å"

Thursday, January 30, 2020

Hazardous Material Handling Essay Example for Free

Hazardous Material Handling Essay Chemicals are found in all places; they are used to enhance crop production, distill drinking water, and simplify everyday chores. But chemicals can also be hazardous to the environment as well as to humans if released or used inappropriately. These hazards can take place during disposal, use, transportation, storage, or production.   If a chemical is released in harmful amounts or used unsafely, it can cause lifelong health effects, serious injury, death, and damage to homes, buildings, and other property. In the recent years, the Federal Bureau of Investigation publicly announced that terrorists are particularly interested in releasing hazardous material as well as in targeting their containers on American soil. Alarmingly, if terrorists succeed in such an attack in a populated vicinity, the result would be devastating. The number of casualties ensuing from such an attack would be enormous; dwarfing the fatality count in the 911 attacks. Chemical, Biological and Nuclear Agents and Incidents Deadly chemical, biological, and nuclear agents that may be employed by non-state actors or adversarial nations against civilians could cause mass casualties.   Other than calculated terrorist attacks and deliberate employment of NBC weapons during military operations, the hazards could result from the release of toxic radioactive matters, biological agents of operational significance, and industrial chemicals (Mauroni, 2007, p. 290). Basically, chemical incidents are depicted by rapid onset, from minutes to hours, of apparent health indicators. While in cases of radiological and biological incidents, the onset symptoms entails days to weeks, normally with no distinctive indicators. A recent simulation by the U.S. Naval Research Laboratory revealed that if an attack should occur during a political event or other public celebrations, people could die at a rate of more than 100 per second and, within 30 minutes, up to 100,000 people could die (District of Columbia, Office of the Attorney General, 2005, p. 2). Likewise, a 2004 study by the Homeland Security Council found that even under less crowded circumstances, an attack in a metropolitan area would cause 100,000 hospitalizations, 10,000 severe injuries and 17,500 deaths (District of Columbia, Office of the Attorney General, 2005, p. 2). I. Chemical Agents Several types of toxic cyanide compounds may be used in terrorist attacks. Potassium or sodium cyanides are pale yellow-to-white salts that can be easily utilized to poison drinks or food. When combined with chemicals that enhance skin penetration, cyanide salts can be dispersed as a contact poison. Toxic industrial chemicals such as mustard or nerve agents, in contrast, can be utilized in larger amounts to compensate for their inferior toxicity. Initial skin contact results in slight skin irritation, which turns into more acute yellow fluid-filled lesions (U.S. Department of Homeland Security, 2003). Inhalation of mustard causes breathing problems, damages the lungs, and death by suffocation caused by water in the lungs. II. Biological Agents Bacillus anthracis, the bacterium that generates anthrax, is an attractive biological agent for terrorist attacks because it can endure different environmental conditions, and its inhalation could normally result in death. Anthrax can be used to contaminate water or food or disseminated in an aerosol to respectively cause ingestional or inhalational anthrax (U.S. Department of Homeland Security, 2003). III. Radiological and Nuclear Agents and Devices An RDD or radiological dispersal device is designed to cause contamination of radioactive material due to its diffusing function.   A range of radioactive materials could be employed in a RDD, including Cobalt-60, Strontium-90, and Cesium-137 (U.S. Department of Homeland Security, 2003). Use of an RDD by terrorists could result in economic, environmental and health effects, as well as social and political effects. In a nuclear terrorist event, the hazards are nuclear radiation, shock or blast effect, and thermal radiation. Developments on MAZMAT Incidents Approaches Proper sample gathering is significant to preserve sample veracity for laboratory testing, to guarantee chain-of-custody documentation for possible legal actions, and basically to protect those on-site responders and victims (Association of Public Health Laboratories, 2008). Accordingly, in the recent years the laboratory training programs slowly and seriously take in a proactive sample collection seminar, along with familiarization with laboratory testing methods, as well as proficiency testing program. These programs are intended to assure that first responders in the field will be able to accurately use hand-held testing devices, correctly understand test results and develop proper action plan derived from the findings. Moreover, in view of the fact the ability to detect impending terrorism agents is essential to effective and safe emergency response, Hazmat responders are now being trained on how to operate a range of Hazmat detection devices. As the war against terrorism has intensified, the number of technological advances and knowledge in the field of terrorist agent detection has also been improved among Hazmat teams. Conclusion Hazardous materials incidents cover a diversity of possible situations including explosions, transportation accidents, spills, fires, and similar events. Hazards may include chemical reactions, health hazards, toxicity, explosives, radiological hazards, or a combination of any of the said hazards. In view of these, terrorists have a wide range of alternatives of toxic materials and means for attacks. To adequately and safely counteract Hazmat terrorist attacks, Hazmat teams are regularly modernizing, as well as participating in related trainings, as these trainings identify their strengths and weaknesses not only of their respective teams, but how the teams works together when disaster does arise.

Wednesday, January 22, 2020

Essay --

A popular writer in his own lifetime, William Shakespeare's reputation became increasingly popular after his death and his work is widely performed throughout the world. He is the most quoted writer in the literature and history because of his poetries and playwrights. His most famous play was â€Å"Hamlet†, which showed a great deal of revenge. This plays theme reflected the true meaning of betrayal, hate and revenge. In this play Shakespeare shows how individuals would act towards a loves death, no matter the outcomes. In the play Hamlet, there were four revengers, Hamlet himself, Laertes, Fortinbras, and Pyrrhus. However, Hamlet and Laertes will be my main focus on examining Shakespeare’s depiction of revenge. Hamlet is the Prince of Denmark, the son of the old King Hamlet. He is very melancholy, and bitter, full of hatred for his uncle’s usurpation. Laertes in the other hand is the son of Polonius. His character is very passionate but contrasts for the reflective Hamlet. These two characters have many comparisons in seeking revenge after the death of their fathers. Although each has the same intentions the outcomes are dissimilar. When Hamlet’s father King Hamlet and Laertes’s father Polonius were killed, it made them want to seek revenge. The similarities that compare these two characters are their life style and education, the emotions towards their father’s death, and the reasons for their revenge. Each character was described as young man who spend most of their times away from their families. Hamlet spends his time studying at the University of Wittenberg and Laertes spends much of the time in France. They were living their life away from all the problems that were occurring in their homes, until the news of t... ... king Hamlet murdered in the garden by his nephew. There Hamlet realized that the ghost’s word has been proven true and then started his revenge. Hamlet took everything much easy and took time to plan his revenge and Laertes didn’t and failed. In conclusion the death of a father has a strong impact on individuals. This play endorses revenge because everyone paid for their sins. Hamlet revenged his father by killing Claudius and so did Laertes when saying about the plot he did with Claudius which is proven in the book and in the film I saw of Hamlet. In the film, however Laertes shots Hamlet with a gun, that then reverses and Hamlet shots him and Claudius. Revenge was taken place and both fathers murder had vengeance. Even though everyone had to die, this play shows that no matter who was involved in any plot. Everyone involved has to pay for their actions. Essay -- A popular writer in his own lifetime, William Shakespeare's reputation became increasingly popular after his death and his work is widely performed throughout the world. He is the most quoted writer in the literature and history because of his poetries and playwrights. His most famous play was â€Å"Hamlet†, which showed a great deal of revenge. This plays theme reflected the true meaning of betrayal, hate and revenge. In this play Shakespeare shows how individuals would act towards a loves death, no matter the outcomes. In the play Hamlet, there were four revengers, Hamlet himself, Laertes, Fortinbras, and Pyrrhus. However, Hamlet and Laertes will be my main focus on examining Shakespeare’s depiction of revenge. Hamlet is the Prince of Denmark, the son of the old King Hamlet. He is very melancholy, and bitter, full of hatred for his uncle’s usurpation. Laertes in the other hand is the son of Polonius. His character is very passionate but contrasts for the reflective Hamlet. These two characters have many comparisons in seeking revenge after the death of their fathers. Although each has the same intentions the outcomes are dissimilar. When Hamlet’s father King Hamlet and Laertes’s father Polonius were killed, it made them want to seek revenge. The similarities that compare these two characters are their life style and education, the emotions towards their father’s death, and the reasons for their revenge. Each character was described as young man who spend most of their times away from their families. Hamlet spends his time studying at the University of Wittenberg and Laertes spends much of the time in France. They were living their life away from all the problems that were occurring in their homes, until the news of t... ... king Hamlet murdered in the garden by his nephew. There Hamlet realized that the ghost’s word has been proven true and then started his revenge. Hamlet took everything much easy and took time to plan his revenge and Laertes didn’t and failed. In conclusion the death of a father has a strong impact on individuals. This play endorses revenge because everyone paid for their sins. Hamlet revenged his father by killing Claudius and so did Laertes when saying about the plot he did with Claudius which is proven in the book and in the film I saw of Hamlet. In the film, however Laertes shots Hamlet with a gun, that then reverses and Hamlet shots him and Claudius. Revenge was taken place and both fathers murder had vengeance. Even though everyone had to die, this play shows that no matter who was involved in any plot. Everyone involved has to pay for their actions.

Tuesday, January 14, 2020

Environmental Science Essay

Environment is one of the most discussed topics in the international community and is one of the many concerns of political leaders today. Due to this, different environmental issues have arisen such as the climate change, sustainable development, and air pollution. Climate change is the most popular and most discussed issue in the international community today. According to the European Commission, â€Å"climate change is one of the greatest environmental, social, and economic threats facing the planet† (European Commission, 2008). I have learned that climate change is the altering of the temperature of the earth. It is something that we all experience not only in one region of the world but also in different parts of the globe, as depicted in the images that the media are presenting to us. The issue on climate change and other environmental concerns caused the United Nations to form a policy as a countermeasure. Thus, the term sustainable development emerged. In a report of World Commission on Environment and Development (WCED) in 1987 entitled â€Å"Our Common Future,† sustainable development is referred to as a â€Å"development that meets the needs of the present without compromising the ability of future generations to meet their own needs† (cited in Bankobesa, 2005). The statement caught my interest because it captured the essence of why our environment must be taken care of. The thought of having the future generation suffer due to the actions and decisions of the present generation does not reflect a very beautiful image in my mind. Maintaining the environment is an obligation for the present generation because of the necessities of the future. Air pollution is another issue that I am very much concerned about. There are outdoor and indoor pollutions, such as black carbon pollutions and noxious gases which could affect the environment and inflict serious health problems to people when inhaled, such as irritation of the nose, eyes and throat, bronchitis, pneumonia, lung cancer, and heart disease just to name a few (Lawrence Berkeley National Laboratory, n. d. ). These issues which have grabbed my attention and concern are all too big a problem to be solved by one person only. As the International Education and Resource Network (iEARN) (2008) put it, we have â€Å"One world, One environment. † Hence, these environmental which affect the whole world can only be addressed when each and every one of us will cooperate with each other. However, everyone must be aware first of the problems of the environment. This is the reason why several promotional campaigns and awareness programs, such as the ads made by Hollywood celebrities, have emerged to encourage the Americans and the rest of the world to fight against their advocacies. By making them more aware of these environmental issues, individuals would be able to do their part in protecting the environment and saving it from disintegration. To increase the amount of help they can give, I suggest that they join organizations that combat environmental issues. I learned that environmental science cannot be separated from the lives of human beings. Although some people may not notice it, environmental science is part of our daily lives and is highly evident. Although some of the effects of these environmental issues are rooted from the changes in nature itself, most of them are provoked by human activities such as smoke belching, illegal logging, improper dumping of waste, and many more. Thus, while we perform the activities that could harm our environment, we are also the ones who can alter the consequences that gave rise to these environmental issues. Therefore, working together towards addressing these problems would only be solved through cooperation and unity. References Bankobesa, G. M. (2005). Ozone Protection: The International Legal Regime. The Netherlands: AJ Utrecht. European Commission. (2008, May 05). Environment: Climate Change. Retrieved May 05, 2008 from http://ec. europa. eu/environment/climat/home_en. htm International Education and Resource Network (iEARN). (n. d. ). One world, one environment. Retrieved May 05, 2008, from https://media. iearn. org/node/205 Lawrence Berkeley National Laboratory. (2008, May 05). Indoor & outdoor air pollution. ELSI Project. Retrieved May 05, 2008, from http://www. lbl. gov/Education/ELSI/pollution-main. html

Monday, January 6, 2020

Agatha Christie - Author of 82 Detective Novels

Agatha Christie was one of the most successful crime novelists and playwrights of the 20th century. Her lifelong shyness led her to the literary world where she conjured up detective fiction with endearing characters, including the world-famous detectives Hercule Poirot and Miss Marple. Not only did Christie write 82 detective novels, but she also wrote an autobiography, a series of six romance novels (under the pseudonym Mary Westmacott), and 19 plays, including The Mousetrap, the world’s longest running theatrical play in London. More than 30 of her murder mystery novels have been made into motion pictures, including Witness for the Prosecution (1957), Murder on the Orient Express (1974), and Death on the Nile (1978). Dates: September 15, 1890 – January 12, 1976 Also Known As: Agatha Mary Clarissa Miller; Dame Agatha Christie; Mary Westmacott (pseudonym); Queen of Crime Growing Up On September 15, 1890, Agatha Mary Clarissa Miller was born the daughter of Frederick Miller and Clara Miller (nà ©e Boehmer) in the seaside resort town of Torquay, England. Frederick, an easy going, independently wealthy American stockbroker, and Clara, an Englishwoman, raised their three children -- Margaret, Monty, and Agatha -- in an Italian-style stucco mansion complete with servants. Agatha was educated in her happy, peaceful home via a mixture of tutors and â€Å"Nursie,† her nanny. Agatha was an avid reader, especially Arthur Conan Doyle’s Sherlock Holmes series. She and her friends enjoyed acting out gloomy stories where everyone died, which Agatha wrote herself. She played croquet and took piano lessons; however, her extreme shyness kept her from publicly performing. In 1901, when Agatha was 11, her father died of a heart attack. Frederick had made some bad investments, leaving his family financially unprepared for his untimely death. Although Clara was able to keep their home since the mortgage was paid, she was forced to make several household cuts, including the staff. Rather than home tutors, Agatha went to Miss Guyer’s School in Torquay; Monty joined the army; and Margaret married. For high school, Agatha went to a finishing school in Paris where her mother hoped her daughter would become an opera singer. Although good at singing, Agatha’s stage fright once again prevented her from publicly performing. After her graduation, she and her mother traveled to Egypt, which would inspire her writing. Becoming Agatha Christie, Crime Writer In 1914, the sweet, shy, 24-year-old Agatha met 25-year-old Archibald Christie, an aviator, who was in complete contrast to her personality. The couple married December 24, 1914, and Agatha Miller became Agatha Christie. A member of the royal Flying Corps during World War I, daring Archibald returned to his unit the day after Christmas, while Agatha Christie became a volunteer nurse for the ill and injured of the war, many of whom were Belgians. In 1915, she became a hospital-dispensing pharmacist, which gave her an education in poisons. In 1916, Agatha Christie wrote a death-by-poison murder mystery in her spare time, mostly due to her sister Margaret challenging her to do so. Christie titled the novel The Mysterious Affair at Styles and introduced a Belgian inspector she invented named Hercule Poirot (a character who would appear in 33 of her novels). Christie and her husband were reunited after the war and lived in London where Archibald received a job with the Air Ministry in 1918. Their daughter Rosalind was born on August 5, 1919. Six publishers turned down Christie’s novel before John Lane in the US published it in 1920 and subsequently published by Bodley Head in the UK in 1921. Christie’s second book,  The Secret Adversary, was published in 1922. That same year, Christie and Archibald set sail on a voyage to South Africa, Australia, New Zealand, Hawaii, and Canada as part of the British trade mission. Rosalind stayed behind with her aunt Margaret for ten months. Agatha Christie’s Personal Mystery By 1924, Agatha Christie had published six novels. After Christie’s mother died of bronchitis in 1926, Archibald, who was having an affair, asked Christie for a divorce. Christie left her home on December 3, 1926; her car was found abandoned and Christie was missing. Archibald was immediately suspected. After a police hunt for 11 days, Christie turned up at the Harrogate Hotel, using a name patterned after Archibald’s mistress, and saying she had amnesia. Some suspected that she actually had a nervous breakdown, others suspected that she wanted to upset her husband, and the police suspected that she wanted to sell more books. Archibald and Christie divorced April 1, 1928. Needing to get away, Agatha Christie boarded the Orient Express in 1930 from France to the Middle East. On tour at a dig site in Ur she met an archaeologist named Max Mallowan, a big fan of hers. Fourteen years his senior, Christie enjoyed his company, finding out that they both worked in the business of uncovering â€Å"clues.† After they married on September 11, 1930, Christie often accompanied him, living and writing from Mallowan’s archeological sites, further inspiring her novels’ settings. The couple remained happily married for 45 years, until Agatha Christie’s death. Agatha Christie, the Playwright In October 1941, Agatha Christie wrote a play titled Black Coffee. After writing several more plays, Christie wrote The Mousetrap in July 1951 for Queen Mary’s 80th birthday; the play became the longest continuously running play in the West End of London, since 1952. Christie received the Edgar Grand Master Award in 1955. In 1957, when Christie became ill living at the archaeological digs, Mallowan decided to retire from Nimrud in northern Iraq. The couple returned to England where they busied themselves with writing projects. In 1968, Mallowan was knighted for his contributions to archaeology. In 1971, Christie was appointed Dame Commander of the British Empire, the equivalent of knighthood, for her services to literature. Death of Agatha Christie On January 12, 1976, Agatha Christie died at home in Oxfordshire at the age of 85 of natural causes. Her body was interred at Cholsey Churchyard, Cholsey, Oxfordshire, England. Her autobiography was published posthumously in 1977.