Character study on Inspecter Calls by J.B Priestly :: essays research papers

Toward THE END OF MOST PLAY, SOME CHARACTERS HAVE CHANGED AND SOME HAVE NOT. Talk about TWO CHARCTERS: ONE WHO CHANGES, AND ONE WHO DOESN’T IN THE PLAY CALLED â€Å"AN INSPECTOR CALLS† †BY J.B. Holy The play ‘An Inspector Calls† by J.B Priestly, is determined to an April evening in 1912. The play concerns the Birling family and Gerald Croft unobtrusively celebrating over Gerald and (Mr. Birling’s little girl) Sheila Birling’s commitment, when an Inspector shows up out of the blue in the midst of their family festivity to enquire about a self destruction of a youthful pregnant young lady called, Eva Smith. Through addressing, the investigator reveals that they all have an a contribution to the youthful girl’s passing. In the play, a few characters are changed by the Inspector’s appearance and news. A few be that as it may, continue as before. One character who continues as before is Mrs Birling. In Act One, we are given a general impression of her; a polite lady however one who knows her capacity of power (being the spouse of a wealthy agent and the administrator of Brumley Women’s Charitable Society). In Act Two, Mrs. Birling presents herself in a considerate and good way to the auditor (very not at all like the character that she advances into) yet he thinks that its difficult to get data out of Mrs. Birling, this can be appeared with the these statements (taken from soon after the Inspector has indicated Mrs. Birling a photo of Eva); (Controller) â€Å"You perceive her?† (Mrs Birling) â€Å"No. For what reason ought to I?† Later in the play, reality comes out that Mrs Birling had met the young lady in the photograph. Sheila bolstered the Inspector when Mrs Birling wouldn’t give out any data about Eva and attempted to convince her mom to talk however Mrs Birling accepting her as being impolite and ill bred and indicated that she doesn’t like being repudiated. At the point when Mrs Birling tells the Inspector about Eva going to her board of trustees for help, she demonstrated no regret for the little youngster. She took Eva as being insolent when Eva said that her name was ‘Mrs Birling’ and was partial against her case. In this way, she utilized her capacity and authority (similar to the administrator) to impact the others on the board of trustees to surrender her case. Mrs Birling attempted to prevail upon the Inspector about her decisions of Eva and with an unmistakable heart; she said she was, â€Å" . . . entirely defended in exhorting my advisory group not to permit her case for help.

Value Chain Model Research Paper Example | Topics and Well Written Essays - 1250 words

Worth Chain Model - Research Paper Example The guideline point of Audible is to coordinate educated listening so much that it turns into the center device for any individual who is looking for information to be progressively beneficial and all around educated. Audile’s assortment is gigantic. It‘s assortment incorporates more than 85,000 sound projects that have originated from over 1000 substance suppliers. These substance suppliers shift from book recording distributers to supporters to performers to magazines to paper distributers to business data suppliers. The substance can be handily downloaded and played back on different remote cell phones. Discernible is likewise the main supplier of for sound items for Apple’s iTunes Store. (About Audible) Audible’s Value Chain Activities: According to Porter(1885), the basic belief chain exercises are as following: 1. Inbound Logistics 2. Activities 3. Outbound Logistics 4. Promoting and Sales 5. Administration Inbound coordinations incorporate some guidi ng principle chain exercises, for example, getting the crude materials and loading them in distribution centers. In the wake of loading in their stockrooms, the materials are appropriated to the dispersion and from that point to assembling. Discernible is an online store that conveys computerized content. It conveys sound substance and its stock incorporates DVDs and no more. Consequently, its distribution centers are intended to keep CDs and DVDs. Its center plan of action empowers clients to shop, buy and download sound substance from their online store, www.audible.com. The tasks incorporate tweaking the sound substance to the measures that run at discernible; including the perceptible logo the perceptible media substance and duplicate right ensuring. Out bound coordinations don’t include blocks and concrete here. The clients are allowed the chance to download their ideal advanced substance on their preferred media. Showcasing and Sales includes concocting client needs and focusing on them for deals. Discernible markets itself through online media, internet based life and through the online head honcho, Amazon.com. Discernible has a cost free number through which clients can connect with their client administrations office. (Worth Chain Model) The essential exercises in esteem chains are a blend of different things. These incorporate the framework of the firm, its Human asset the executives, its innovation improvement, and its acquirement. Discernible is deliberately lined up with Random House Inc for the creation and distributing of sound substance. Discernible utilizations different innovations to help esteem creation for its business. Discernible cut down on all the physical costs, for example, paper, printing, warehousing and transportation by settling on online conveyance that not recently guaranteed that the clients were promptly conveyed but at the same time were offered a wide beam of DVDs to choose from. Additionally, Audible likewise made w orth permitting the creators to name in their own voices. In the end the populace and the majority began with drawing themselves from books since they ended up too occupied to even consider reading. Discernible offered them the chance to get familiar with perusing in the midst of their bustling calendars. They weaned away from books and began gazing upward to advanced substance accessible to them to peruse. Before this sound distributers thought that it was hard to transport physical items. An online shop store made it feasible for them to come out of that confinement. Discernible was the principal organization to focus its

Are people on the East Coast friendly

Are people on the East Coast friendly When I applied to MIT, I didnt consider whether the people of Boston would be as friendly as the people of Wisconsin. I probably wouldnt have given it a second (or first) thought, except for a conversation I had with my school librarian. She asked me what I would be doing the next year, and I told her about MIT. Unlike most people I had told, her reaction wasnt just to congratulate me. She said but arent people on the East Coast a bit unfriendly? Now, to be fair, I still cant answer that question entirely. Most MIT students dont leave campus much. There are so many awesome people to meet and activities to try (and so much work to do) at MIT that I havent spent a whole lot of time in Boston. Thats actually point number 1: This isnt a very important question to answer, because MIT is the community you will spend most of your time in, and it is plenty friendly. As for Boston though, it might help to share a few anecdotes to give you a picture of what the city is like. And, in the comments please let us know if you have other anecdotes to add. Anecdote 1: My family came to visit me about a year ago. My mom was always striking up conversations with people on the subway! She would talk to them about their children or where they were going or how to get where she was going, all the time. Most people in Boston would not initiate a conversation with a stranger, but they will talk to you if you initiate the conversation. Anecdote 2: I left my purse on a city bus a few months ago. When I called my phone (which was in the purse) the woman who had found the purse answered, we met, and I got my things back. A similar incident happened a couple of months later; my wallet fell out of my pocket as I was crossing a street, and the man who found it looked me up so that he could return it. Maybe Im just lucky, or maybe this says something about the residents of Boston. Anecdote 3: One of my friends who lives in an apartment in a bit of a shady area (not near MIT) was mugged a few months ago, and was badly beaten up. Anecdote 4: About a month ago, on a cold rainy night, a city employee made me get off of the subway because I had a bicycle. Never mind that I had already paid, never mind that it was miserable out, never mind that people with strollers and large packages are allowed on rules are rules. The guy was also a complete jerk to me. I had to sit around for an hour until 7pm, when I was allowed back on (the reason the rule exists is so that during rush hour the subway doesnt get overcrowded). On the brighter side, once the jerk went off duty his coworker let me back in for free since I had already paid once. Anecdote 5: Yesterday, my boyfriend and I rented a Zipcar. We were way out in Weymouth when the car broke down. The woman whose driveway we ended up in invited us in for tea while we waited for a tow truck to come! Anecdote 6: One day last year I stumbled upon a giant outdoor dance party, put on by the city to increase community spirit. It was nighttime, and colorful lights lit a crowd of hundred of people, dancing in the street outside of City Hall. These certainly dont sum up the whole city, but they can give you an idea of what to expect. Boston is a city, and it can be a little dangerous. On average people are a bit more direct here, which I think is what my librarian had actually picked up on. When they mean no, they are more likely to just say no than sorry, I would, but . In my experience though, most of the people Ive interacted with are decent people who are perfectly willing to help a stranger out. Some will even dance with strangers in the street. Really, I think that you get a similar mix of people here as anywhere else: some friendly, some not, some nice to you if youre nice to them first. What have other peoples experiences been, coming to Boston for the first time? How are people different here? What other questions are admitted students thinking about? (And by the way, congrats if you got in! Come hang out with us for CPW!)

The Jameson Raid, December 1895

The Jameson Raid was an ineffective attempt to overthrow President Paul Kruger of the Transvaal Republic in December 1895. There are several reasons why the Jameson Raid took place. Tens of thousand of uitlanders had settled in the Transvaal following the discovery of gold on the Witwatersrand in 1886. The influx threatened the political independence of the recently formed republic (negotiated at the 1884 London Convention, three years after the 1st Anglo-Boer War). Transvaal relied on revenue generated by the gold mines, but the government refused to grant the uitlanders the franchise, and kept upping the period required to qualify for citizenship.The Transvaal government was considered to be excessively conservative over economic and industrial policy, and the various non-Afrikaner mining magnates in the region desired a greater political voice.There was a significant level of distrust between the Cape Colony government and that of the Transvaal republic over Krugers attempt to claim control of Bechuanaland in contravention of the 1884 London Convention. The region was subsequently declared a British protectorate. Leander Starr Jameson, who lead the raid, had first arrived in Southern Africa in 1878, lured by the discovery of diamonds near Kimberley. Jameson was a qualified medical doctor, known to his friends (including Cecil Rhodes, one of the founders of the De Beers Mining Company who became premier of Cape Colony in 1890) as Dr Jim. In 1889 Cecil Rhodes formed the British South Africa (BSA) Company, which was given a Royal Charter, and with Jameson acting as emissary, sent a Pioneer Column across the Limpopo River into Mashonaland (what is now the northern part of Zimbabwe) and then into Matabeleland (now south-west Zimbabwe and parts of Botswana). Jameson was given the post of administrator for both regions. In 1895 Jameson was commissioned by Rhodes (now prime minister of Cape Colony) to lead a small mounted force (around 600 men) into the Transvaal to support an expected uitlander uprising in Johannesburg. They departed from Pitsani, on the Bechuanaland (now Botswana) border on 29 December. 400 Men came from the Matabeleland Mounted Police, the rest were volunteers. They had six Maxim guns and three light artillery pieces. The uitlander uprising failed to materialize. Jamesons force made first contact with a small contingent of Transvaal soldiers on 1 January, who had blocked the road to Johannesburg. Withdrawing during the night, Jamesons men tried to outflank the Boers, but were finally forced to surrender on 2 January 1896 at Doornkop, approximately 20km west of Johannesburg. Jameson and various uitlander leaders were handed over to British authorities in the Cape and sent back to the UK for trial in London. Initially they were convicted of treason and sentenced to death for their part in the plan, but the sentences were commuted to heavy fines and token prison stays - Jameson served only four months of a 15 month sentence. The British South Africa Company was required to pay nearly  £1 million in compensation to the Transvaal government. President Kruger gained much international sympathy (the Transvaals David verses the Goliath of the British empire), and bolstered his political standing at home (he won the 1896 presidential election against a strong rival Piet Joubert) because of the raid. Cecil Rhodes was forced to retire as prime minister of the Cape Colony, and never truly regained his prominence, although he negotiated a peace with various Matabele indunas in his fiefdom of Rhodesia. Leander Starr Jameson returned to South Africa in 1900, and after the death of Cecil Rhodes in 1902 took over leadership of the Progressive Party. He was elected prime minister of the Cape Colony in 1904 and lead the Unionist Party after the Union of South Africa in 1910. Jameson retired from politics in 1914 and died in 1917.

The Biological Theory And Gender Essay - 1298 Words

This has been a very interesting class and while reviewing for this paper, I realized I will take away more than I originally though in the way of instruction and understanding. When I first started, I assumed gender communication was how male and females communicate. While I still hold to some of my original theory’s regarding gender, many of my views have changed. Additionally, this study as made me aware of what a complicated issue gender is going way beyond the male female sex. In our reading, Wood states (2009) We are born male or female (sex), but we learn to act in masculine and/or feminine ways (gender) (Woods, p. 23). We examined three theoretical approaches to Gender in an effort to understand why we act feminine or masculine. These theories not only provide information, but influence our thoughts and behaviors towards others (Woods, p. 39). The Biological Theory maintains biological characteristics are the bases of gender differences a sub group within this is Sociobiology or the evolutionary theory whose focus is on reproduction to ensure survival. (Woods, p. 40,41). Interpersonal theories include the psychodynamic theory stating it is the first relationship that establishes gender identity, Psychological theory focusing on communication as the key to gender identity, Social learning theory states we learn how to act masculine and feminine from the responses of those around us, with the Cognitive Development theory focuses on gender consistency an d thatShow MoreRelatedThe Importance of Biological Factors in the Development of Gender Identity766 Words   |  4 PagesThe Importance of Biological Factors in the Development of Gender Identity The biosocial theory suggests that gender identity develops as a result of the obvious biological differences between boys and girls and the hormonal differences between the sexes which can be observed in the foetus from about six weeks (Durkin, 1995). 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Most Important Mnemonics for Step 2 Cs Free Essays

HISTORY PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom.. BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incomplete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. We will write a custom essay sample on Most Important Mnemonics for Step 2 Cs or any similar topic only for you Order Now or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 drkhalilezekiel@yahoo. com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complai nts/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD’s; Rx for STD’s S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOES W Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 drkhalilezekiel@yahoo. com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever chills E Ear pulling V Vomiting E Ea r/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irritability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations. A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child 10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC drkhalilezekiel@yahoo. com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharge, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles? Did u ever notice any bleeding after intercourse? P Pregnency ( Hx complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female50 yo:ask about:1-R u taking vit D Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children? F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any weapons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 rkhalilezekiel@yahoo. com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg - Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM HTN M Medications (regularity) E Exercise ( for obese/sedentary lif e styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check ups DIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea vomit D Difficulty breathing W Weakness I Injury (trauma) fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don’t forget the MinMental Stat. Exam 5 drkhalilezekiel@yahoo. com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWD Forgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 drkhalilezekiel@yahoo. com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling Numbness / Tender S Stifness in other joints/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Ras h/ Redness of skin of joint F Fever chills night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 drkhalilezekiel@yahoo. com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DD Nasuea Vomiting A Anorexia M Metabolic( DKA)/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 drkhalilezekiel@yahoo. com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy Deviations) -stick your tongue up -move it side to side facial 8 Vestibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 rkhalilezekiel@yahoo. com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS LEAVE ROOM 10 drkhalilezekiel@yahoo. com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro: MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symmetric 11 drkhalilezekiel@yahoo. com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure à ¢â‚¬â€œnew onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 drkhalilezekiel@yahoo. com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 drkhalilezekiel@yahoo. com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4 -9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 drkhalilezekiel@yahoo. com How to cite Most Important Mnemonics for Step 2 Cs, Essay examples

Who can be an entrepreneur Essay Example

Who can be an entrepreneur Essay Roxanne Quimby is an example of the type of person who can be an entrepreneur. She identified in herself the skills and personality traits that enabled her to be successful: a strong will to be self-reliant and independent, ability to take risks, and vision for a future direction. Willingness to work hard, make difficult decisions, and take initiative are also traits that seem to be necessary. To run a successful company, Roxanne claims, all one needs to do is earn more than you spend. Having exposure to other businesspeople also gave Roxanne a general orientation to what business meant. Another thing that emerged as significant was her passion for the entrepreneurial spirit, for generating products and income, bringing something useful and productive into the world.2.  Ã‚  Ã‚  Ã‚  Ã‚   What are the risks, benefits, and tradeoffs of a lifestyle business vs. a high potential business- one that makes $5 million in sales and grows substantially?Having a lifestyle business can be more fulfilling than having a high potential business since a lifestyle business is based on the individual’s choices of how to live, whereas high potential businesses may be motivated more by ambition to make money or succeed, and may detract from a person’s broader life goals. On the other hand, one can make more money by having a high potential business, which can be very fulfilling. For example, Roxanne has to choose between living in Maine – which she loved in a lifestyle business, or relocating to North Carolina where she could expand the business and make more money. A high potential business requires the hiring of more talented professionals, since it would be too much for one person to do all the work. This is beneficial to the owner in the sense that s/he has fewer tasks to complete personally, but it can also be frustrating because having division of labor causes bureaucracy and can lead to inefficiency.   A perk to having a high potential business is t he visibility and media attention a bigger business might have over lifestyle businesses.What is the difference between an idea and an opportunity? For whom? What can be learned from Exhibits C and D?Whereas the banker in charge of granting loans would have viewed Roxanne’s proposition for Burt’s Bee’s company as just an idea, and not something that seemed likely to be created and succeed, Roxanne saw Burt’s beehives as an opportunity for a great business. The difference, then, between an idea and an opportunity is being able to see a things’ potential. Exhibits C can teach us that over the years, more companies were developing. Cost of materials increased, as did value of shipment. Each year, companies in the toilet preparations industry become more and more expensive to operate.   Exhibit D demonstrates that even compared all other manufacturing sectors, operating and maintenance costs for the toilet preparation industry rose over the years.Why has the company succeeded so far?Roxanne and Burt succeeded so far since their product appealed to urban consumers for its simplicity and taste of nature.   Also, Roxanne was able to make split second decisions about the business on her own, which enabled her to take risks necessary for success. Her vigilance about never allowing the business to be in debt also helped the company’s success. The outstanding chemistry of the two owners contributed to the success of the company, since there were no disputes and only agreement; Burt was so nonchalant and entrusted Roxanne with most of the important business decisions.What should Roxanne and Burt do and why?Their options are (1) moving completely to NC and becoming facial cream company, (2) going back to Maine and restarting the Bee business after negotiating lower taxes, or (3) selling the company and moving to India.   Burt and Roxanne would seem to be the happiest if they could move back to Maine and run a lifestyle busine ss of the products they are used to selling. Roxanne said herself that if Maine offered them even half the tax break of North Carolina, she would have stayed in Maine, so Maine is really where she wanted to be. Also, being in North Carolina instead of Maine would detract from the natural, rural appeal to Burt’s Bee’s which so much pleased consumers.Finally, labor is very expensive in North Carolina, and Burt might have a difficult time readjusting to life outside the forests of Maine. Ultimately, this would be choosing a lifestyle business over a high potential business, and though moving back to Maine may mean that it will take longer for Roxanne to earn enough to be able to retire and travel to India, she will be more content all those years she will be working, since she will be living the best way she can. Moving to North Carolina is allowing business prospects dictate and overrule lifestyle choices; it would be a shame if Burt had to cut his long wild-man white ha ir just to fit into society in North Carolina.Another risk to moving to NC is that then they would have to share the stock of the business with other parties. This would hamper Roxanne’s ability to make business decisions that may seem counterintuitive and risks but really are the right decisions, since every decision would have to be agreed upon by the shareholders they shared the stock with. Roxanne does not do well under circumstances of rigid supervision, and one of the things she loves about business is the opportunity it grants her for being independent and self-reliant. Moving to North Carolina will strip her of the things she loves about business, leaving her dissatisfied. If she is dissatisfied with her role in business, she is likely to abandon the company, which would be a shame since she worked so hard and gained so much pleasure in running the company.

Why Some Cells Commit Suicide

Why Some Cells Commit Suicide Apoptosis, or programmed cell death, is a naturally occurring process in the body. It involves a controlled sequence of steps in which cells signal self-termination, in other words, your cells commit suicide.   Apoptosis is a way for the  body to keep checks and balances on the natural  cell division  process of mitosis  or continued cell growth and regeneration. Why Cells Undergo Apoptosis There are several instances in which cells may need to self-destruct. In some situations, cells may need to be removed to ensure proper development. For example, as our brains develop, the body creates millions of more cells than it needs; the ones that do not form synaptic connections can undergo apoptosis so that the remaining cells can function well. Another example is the natural process of menstruation that involves the breakdown and removal of tissue from the uterus. Programmed cell death is necessary to start the process of menstruation. Cells may also become damaged or undergo some type of infection. One way to remove these cells without causing harm to other cells is for your body to initiate apoptosis.  Cells may recognize viruses  and gene mutations and can induce death to prevent the damage from spreading. What Happens During Apoptosis? Apoptosis is a complex process. During apoptosis, a cell triggers a process from within that will allow it to commit suicide. If a cell experiences some type of significant stress, such as DNA damage, then signals are released which cause mitochondria to release apoptosis-inducing proteins. As a result, the cell undergoes a reduction in size as its cellular components and organelles break down and condense. Bubble-shaped balls called blebs appear on the surface of the cell membrane. Once the cell shrinks, it breaks down into smaller fragments called apoptotic bodies and sends out distress signals to the body. These fragments are enclosed in membranes so as not to harm nearby cells. The distress signal is answered by vacuum cleaners known as macrophages. The macrophages clean away the shrunken cells, leaving no trace, so these cells have no chance to cause cellular damage or an inflammatory reaction. Apoptosis can also be triggered externally by chemical substances that bind to specific receptors on the cell surface. This is how white blood cells combat infection and activate apoptosis in infected cells. Apoptosis and Cancer Some types of cancers persist as a result of a cells inability to trigger apoptosis. Tumor viruses change cells by integrating their genetic material with the host cells DNA. Cancer cells are usually a permanent insertion in the genetic material. These viruses  can sometimes initiate the production of proteins that stop apoptosis from occurring. An example of this is seen with papilloma viruses, which have been linked with cervical cancer. Cancer cells that do not develop from viral infection can also produce substances that inhibit apoptosis and promote uncontrolled growth. Radiation and chemical therapies are used as a mode of therapy to induce apoptosis in some types of cancers.

Biography of Brian Cox, Physicist

Biography of Brian Cox, Physicist Physics has had a number of figures who have not only advanced scientists understanding of the universe but also pushed forward a greater understanding of complex scientific questions among the general population. Think of Albert Einstein, Richard Feynman, and Stephen Hawking, all of whom stood out from among the crowd of stereotypical physicists to present physics to the world in their distinctive styles and found an audience of non-scientists for whom their presentations strongly resonated. Though not yet as accomplished as these iconic physicists, British particle physicist Brian Cox certainly fits the profile of the celebrity scientist. He rose to prominence first as a member of British rock bands in the early 1990s before ultimately transitioning to work as an experimental physicist, exploring the cutting edge of particle physics. Though well-respected among physicists, it is his work as an advocate for science communication and education in which he really stands out from the crowd. He is a popular figure in British (and worldwide) media discussing matters of scientific importance, not only in the realm of physics but also more broadly on subjects of public policy and embracing secular principles of rationality. General Information Birthdate: March 3, 1968 Nationality: English Spouse: Gia Milinovich Music Career Brian Cox was a member of the rock band Dare in 1989 until the band split up in 1992. In 1993, he joined the UK rock band D:Ream, which had a number of hits, including the number one Things Can Only Get Better, which went on to be used as a political election anthem in England. D:Ream disbanded in 1997, at which point Cox (who had been studying physics all along and earned his Ph.D.) went on to practicing physics full time. Physics Work Brian Cox received his doctorate in physics from the University of Manchester, completing his thesis in 1998. In 2005, he was awarded a Royal Society University Research Fellowship. He splits his time between work at the University of Manchester and at the CERN facility in Geneva, Switzerland, home of the Large Hadron Collider. Coxs work is on both the ATLAS experiment  and the Compact Muon Solenoid (CMS) experiment. Popularizing Science Brian Cox has not only performed extensive research, but has also worked hard to help popularize science to lay audiences, especially through repeated appearances on the BBC programs such as The Big Bang Machine. In 2014, Brian Cox hosted a BBC Two 5-part television miniseries,  The Human Universe, which explored humanitys place in the universe by exploring the history of our growth as a species and also tackling existential questions such as Why are we here? and What is our future? He also released a book, called  The Human Universe  (co-authored with Andrew Cohen), in 2014. Two of his speeches are available as TED lectures, where he explains the physics being performed (or not being performed) at the Large Hadron Collider. He has co-authored the following books with fellow British physicist Jeff Forshaw: Why Does Emc2 (And Why Do We Care?) (2009)The Quantum Universe (And Why Anything That Can Happen, Does) (2011) He is also a co-host of the popular BBC radio program Infinite Monkey Cage, which is released worldwide as a podcast. In this program, Brian Cox joins with British actor Robin Ince and other guests of renown (and sometimes scientific expertise) to discuss subjects of scientific interest with a comedic twist. Awards and Recognition International Fellow of The Explorers Club, 2002Lord Kelvin prize from the British Association (for his work popularizing science), 2006Institute of Physics Kelvin Prize, 2010Officer of the Order of the British Empire (OBE), 2010Institute of Physics Presidents medal, 2012Royal Societys Michael Faraday Prize, 2012 In addition to the above awards, Brian Cox has been recognized with a variety of honorary degrees.

Strategy, Policy and Law Essay Example | Topics and Well Written Essays - 250 words - 1

Strategy, Policy and Law - Essay Example In last year November, President Obama placed an executive order that cautioned more than 4 million illegal immigrants from deportation. In addition, the order gave them the right to work in the US as long as they have children who are citizens. The order also extended the Obama’s 2012 DACA program that gave temporary work permits and legal status to undocumented immigrants who came to the US as children (Leinwand & Kelly, 2015). According to a Fugate, a FEMA administrator, the standoff over the funding is derailing the operation of DHS’s agencies. DHS might be shut down if there will be no budget in place before the February 27 deadline. An agency such as FEMA will halt its grants program that aids local governments and states pay for emergency programs and operations personnel. DHS might also be forced to lay off some of its employees in the same way it did in October 2013. If that happens, some of the crucial services people get will come to an end. The country will be at a compromised position to provide proof against external aggression (Leinwand & Kelly, 2015). Leinwand, D., & Kelly, E. (2015, February 6). Fugate: FEMA mission compromised by fight over budget. Retrieved February 11, 2015, from

Maximizing Assessment Practice through Domains, Technology, and Assignment

Maximizing Assessment Practice through Domains, Technology, and Partnerships - Assignment Example From this paper it is clear that the domain also includes the non-verbal communication skills. The language skills developed by children help them express themselves as well as understand other people as they interact with them. In the assessment of the social skills of a learner, the teacher studies how the children view themselves in relation to others. In this assessment, the teacher studies how the child relates to their peers and adults in their environment. This may involve how well they form friendships, behave and fair on as part of a team, the development of their individuality and how they act in response to the feelings of other people. This study discusses that the way children relate to others is a reflection of how they view themselves. As children develop a healthy self-esteem, they develop meaningful social relationships with others. As a teacher, it is necessary to determine how well a learner can do things for themselves. It breeds a form of independence that is nec essary for the development of a child. This involves testing some basic skills such as using the toilet, eating, how well the child can clean themselves among others. Children learn some level of independence if they are left to do some basic things by themselves. This independence is important for the children as they grow towards adulthood. This is a domain of learning that is related to how well a child can coordinate their body parts to do something meaningful. This involves crawling, walking and running.

Case Study Eastman Sports Cars Management Essay

Case Study Eastman Sports Cars Management Essay First, to answer the case study about Eastman Cars Sports Ltd. This will be done by identifying issues relating to LD within this company. Secondly, to propose solution in connection to LD aiming at improving both the performance and the workplace at Eastman cars Finally, this report will try as much as possible to predict potentials barriers to face in the process of introducing LD strategies. 2.0 Issues identified with proposition regarding LD After readiing the case study, I discovered that the company is so antiquated that they are not worth functionable. According to the case study staff have lack of limited resources. This means that the leaders in the company have rigid culture and negative mindset of managers. I therefore encountered numerous problems that the organisation is facing, these were: The company was sort of having a unilateral decision making managing director Lack of communication Lack of Management system and style of leadership Lack of technology and training Lack of human resource management Health and safety system wasnt put in place Low staff morale All these had an extremely negative effect on the company performance and infastructure. And I consider this as a bad aspect of a stituaton where the leaders should guide and inspire the team, but the issues I would like to discuss is the following: 2.1 Communication within the organization Problems occurring within business can easily be solved through teamwork discussions. Teamwork discussions refer to internal meeting held within organizations comprising of staff from various organizational departments. According to business professionals, effective communication within company acts as a major factor that leads to its development (Thetimes100, 1995-2009). Eastman requires having effective internal communication for it to succeed. This is as it will help in effective flow of information within the company thus helping each department carry out its respective responsibilities smoothly. However, communication may prove to be complicated for the company due to each department having its own mannerism, biases and capabilities. On the other hand most of the information to be conveyed to the departments will be intended for particular groups. Therefore the company need to take great attention on information intended for particular groups. Eastman Company has various groups ranging from formal to informal. Formal groups are those that have been assigned vital roles by Eastman Company and are established by the management which includes sales department, managers, administrators and accounting staffs. As these departments are allocated in different sites within the company, there is great need for information flow within them to be ensured for Eastman to attain its goals and objectives (Susan, 2009, p 1-3). Employee relation with their supervisors can go far in helping or hampering the attainment of organizational goals. Workforce, being the ones involved in day to day operation of the company, may identify various areas within the company that requires to be improved. If supervisors within Eastman prove hard to deal with, employees might opt to continue operating the company without reporting any hitch that occurs within the company. This would lead to the company not attaining its goals. In most cases, companies crumble due to poor relationship between managers and employees (David, 2009, p. 5). With some employees in Eastman admitting that some equipment are poorly managed within the company but they cannot help it as their supervisor is not willing to listen to their suggestions, it implies that the company is likely to collapse. Good relationship between employees and their managers would improve employee motivation leading to increase in their productivity. There is great need for Eastman supervisors to ensure that they are always ready to listen to employees opinions and work on them accordingly. Commending employees whenever they have done well will also help in improving their morale. In most cases, supervisors try to look for the negative deeds that their subjects commit forgetting about the many good things they do (Andrew, 2009, p. 2-4). It is the duty of supervisors to listen to what their subordinates tell them. This does not mean that they agree with all that is said by their subordinates. Sometimes, employees being the ones carrying out the daily operations of the company may have ideas on how to improve some of the processes within the company such as development of the cars bodies. Failure to listen to employees opinion is what is leading to the growth of dont care attitude among staffs within Eastman company. If not dealt with urgently, it would lead to the company incurring a lot of expenses in purchasing and repairing damaged equipments. In practice therefore Eastman should arrange and encourage the departments in looking after employees interest. From this mayo (1980-1949) suggest that employees are motivated when there is a better communication between managers and workers. He also concluded there should be a greater management involvement. It is manager requirement to educate, influence, motivate and lear n to approach his employees. 2.2 Lack of technology / Training With increased development in technology, business organizations need to regularly conduct training to their staffs to improve their productivity. Bearing in mind that Eastman only conducts only technical training to its staff when they are employed, the company requires to conduct training to it staffs. To conduct effective employee training and development, Eastman requires being aware of all changes that will result from the training. For it to maintain its competitive power in the market, it needs to impart new knowledge within its employees and not rely on what employees already know. Continuous employee training and education has proved to be a key factor in improving organization performance. In conducting the training, Eastman need to encourage creativeness among the staffs as it is the major element that will lead to the company gaining competitive advantage in the market. Training will help in introducing new inventions within the company making it more unique from its comp etitors (James, 2009, p.2-4). In todays business environment, the only way for a company to survive is to be innovative. This depends entirely on the level of training being conducted within a company. It does not imply that Eastman has to go out looking for means to impart knowledge on its staffs. If knowledge does not bring positive changes to the company it is as good as when the staffs are not trained as the company will incur unnecessary expenses. Eastman needs to ensure that it has harmonized its training with its needs, goals and the goals of its staffs. Business training has been faced with opposition from managers who perceive it as expensive and time wasting. Some claims that training is not fruitful while others term it as for young people who get in companies without knowledge. Eastman managing director may see as if conducting staff training is expensive but failure to conduct the training would prove even more expensive. Studies have shown that empowering employees through training and development h as great impact than investing in machineries and other physical resources (Patrick and Bruce, 2000, p.225). Its essential that Eastman supervisor ensure all employees are not exposed to exploitation in case they fail to undergo the training. Some companies use training to scare employees by threatening to sack them in case they fail to complete the training successfully. Instead, LD should be used to add value to the organisation and not the reverse. Clear goals are necessary for an organisation before it embarks on training of workers. If the company goes into training without clear goals of the values that need to be added to the company, such an organisation is courting failure. Eastman Sports Cars needs clear objectives for training the workers. Learning and development requires resources. An organisation must set aside resources to be used in training workers. The amount will depend on the kind of training they need. The learning resources must be easily accessible to the workers. They should be of high quality and cost effective. The cost of training should not be very high such that it hinders the smooth running of the organisation. Eastman Sports Car has not been doing very well lately and cost of training workers needs careful consideration. In addition, be timely and relevant to the learning needs of the workers. More importantly, training intervention should provide value for money (Thomas and Ploman, 1986, p. 64). The barriers that are likely to be encountered are lack of enough funds to finance the training. Time is also a barrier to training this is because some workers may have little spare time on their hands to attend classes. They may also be free at unusual hours (Thorne and Mackey, 2007,p.39). Accessibility is another challenge some sources may not be accessible to workers and the quality may not be satisfactory such that at the end of training the individuals gain very little to help them improve their skills. Lack of proper communication also leads to inadequate information and advice. (Sandler, 2007, p. 93). Lack of management support is another barrier to LD due to Mr Eastmans lack of interest for training. 3.0 Conclusion Whereas every employee in Eastman performs a specific task, the company can initiate cross training. This is where employees are trained on various jobs to ensure regular operations within the company. If an employees job cease to exist in the company or one department happen to require more staffs, staffs can be transferred to this department without the need for Eastman to employ new staff. This can also assist in expanding companys capacities without having to recruit new staffs. For instance, cross training has been said to be secrete behind the success of Toyota automaker in Japan. Another type of training that can be productive in Eastman is the just-in-time training. This is where employees are trained when need arise to meet the required skills. These training can be conducted at work place and requires short time hence not expensive for the company (VemiĆ¡, 2007, p. 209-216). There are many issues in learning and development such as strategies, intervention and res ources. In addition, during learning and development the barriers may arise. However, the barriers can be overcome. Thus, the company achieves its objectives in learning and development. 4.0 Recommendations I recommend that the managers in Eastman should identify and promote learning and development. The company can do this through personal interviews of the workers. The company can also look at its priorities and match them against the individual needs (Thorne and Mackey 2007, p. 16). Once the needs identification is through the company should provide a solution to the needs. The solution comes in for of training or learning. The company develops and delivers the most appropriate learning to meet the need. During this stage, the company works with external experts on the subject matter to design learning packages. The learning can take various forms for instance the course can be computer-based, paper-based, work experience, structured activities or self-paced activities. The learning resources must be easily accessible to the workers. They should be of high quality and cost effective. Further recommendations include the following: The company should avail funds to train workers. Incentives can also be given to the workers who commit to training. The employer can give them subsidies. The leaders should consider In determining the most appropriate style of leadership in the work place which includes: the characteristics of the manager, personality, attitude, abilities, value system and the personal credibility of managers( mullins, 2007, p 390) The type and nature of the organisation, organisation culture, and different stages in innovation and development. I completely recommend the managing director (Kayleigh) to act as a coach and a mentor to the organisation. Employers have the right skills to support the success of their businessess, and individuals have the skills they need to be both employable and personally fulfilled (Harrison, 2005, p.26). The learning and development plan should be meaningful to the workers by linking skills to be learnt with the company objectives. The company should allow worker time flexibility during the course period. The company can assist in developing part-time learning as well as distance learning. The trainers should also train the workers at the workplace to save on time spent on travel. The company should conduct background check on the trainers to ensure that the relevant authority accredits them. The company should stick to high quality training standards to give the workers high quality learning. Communication between the workers and leaders should be improved so that information is passed upwards or downwards effectively. Evaluation should be on learning and development after training to see the value of the training packages.

Most Important Mnemonics for Step 2 Cs

HISTORY & PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incom plete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 [email  protected] com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up ,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complaints/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD's; Rx for STD's S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOESW Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 [email  protected] com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever & chills E Ear pulling V Vomiting E Ear/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irr itability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations.A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child >10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC [email  protected] com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharg e, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles?Did u ever notice any bleeding after intercourse? P Pregnency ( Hx & complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female>50 yo:ask about:1-R u taking vit D & Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children?F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any we apons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 [email  protected] com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg -> Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM & HTN M Medications (regularity) E Exercise ( for obese/sedentary life styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check upsDIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus & hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea & vomit D Difficulty breathing W Weakness I Injury (trauma) & fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don't forget the MinMental Stat.Exam 5 [email  protected] com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWDForgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 [email  protected] com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling& Numbness / Tender S Stifness in other join ts/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Rash/ Redness of skin of joint F Fever & chills& night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 [email  protected] com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DDNasuea & Vomiting A Anorexia M Metabolic( DKA )/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 [email  protected] com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius & sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy & Deviations) -stick your tongue up -move it side to side facial 8 V estibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 [email  protected] com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting & writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx & my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests & order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS & LEAVE ROOM 10 [email  protected] com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro:MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symm etric 11 [email  protected] com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure –new onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 [email  protected] com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 [email  protected] com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4-9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 [email  protected] com

African Women s Struggle For Civil Rights - 1104 Words

When compared to other minorities and women, African Americans have gone through the most unjust and horrendous treatment above all and have made the most progress in the struggle for civil rights. Most Southerners rationalized the exploitation, brutality, injustice, and degradation of slaves with the old assumptions of Anglo-Saxon superiority and innate African inferiority, white supremacy, and Negro subordination. (pg.435) The most important struggle that African Americans faced was slavery. Slavery began in 1619, when colonists brought Black Africans to the new world to harvest the tobacco crops in Jamestown. Slavery granted economic prosperity to thousands of white families. Being born an African American meant a 99 percent chance of being a slave and having your life controlled unfairly from birth to death. Slaves were part of their owner s properties just like a house, the fields, and the furniture. (pg.435) Slaves were denied education and the deprivation of education strength ened the concept of the superior/inferior relationship by making the slave more dependent on his master. (pg.436) Slavery grew rapidly because of the cross-Atlantic slave trading industry. Owning a slave was economically attractive to the North s textile industries and South s agricultural interests. Many farmers and plantation owners morally opposed slavery, however, economic reality prevented the abolition of the system, opting instead to ban the exportation of new slaves into theShow MoreRelatedThe Civil Rights Movement During The 1960 S1224 Words   |  5 Pagesnegative effects on the people of the US.   During the 1960’s there were a lot of changes and one of these major changes was know as The Civil Rights Movement.   The civil rights movement was a movement created by African Americans to achieve rights equal to white people and have equal opportunity in housing, employment, education, the right to vote, and to not be segregated.   This movement had many import ant leaders that helped get rights for African Americans.   The book â€Å"Tambourines To Glory† is basedRead MoreAfrican American Women During The Civil Rights Era942 Words   |  4 PagesThe Civil Rights Era, which took place during the years of 1955 till 1968, was indeed the movement that gave African Americans the push to achieve their first major accomplishments of the decade. 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MutualRead More Discrimination and Civil Rights in America Essay701 Words   |  3 Pages â€Å" Civil rights is the term that refers to the right of every person to equal access to society’s opportunities and public facilities.† Civil rights is used to imply that the state has a positive role in ensuring all citizens equal protection under law and equal opportunity to exercise the privileges of citizenship and to participate fully in life regardless of race, sex, religion, or other characters unrelated to the value of the individual. According to Webster’s Dictionary, the definitionRead MoreSlavery And Jim Crow Laws1613 Words   |  7 Pages   African descendants have lived in the United   States of America for over 400 years and since arriving the black race has struggled to obtain equality. Realistically, if you are born black in the United States of America, you are in a sense cursed with the burdens of   systematic oppression and racism.   Slavery and Jim Crow Laws were created by white supremacist to maintain power and authority as they sought out to rule over any and all minority groups they consider inferior to the white race. FortunatelyRead MoreEssay about Frq Analysis1138 Words   |  5 PagesRuhani Malik Period 4 1960’s HW FRQ Questions Due by April 26-27, 2012 Be sure to provide a strong and specific thesis statement with a nice introduction to your essay. Also be sure to provide names, dates, book titles, court cases, statistics and any and all other relevant facts you can think of to support your answer. Staple this sheet to the front of your essay and be sure to follow the formatting rules discussed for previous FRQ’s. 1. 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This concept that is well known in the context of South African history. There are many examples present throughout history, especially in the new constitutional era, such as fees must fall. In this essay I will consider this concept of civil disobedience, especially in a South African context as well as considering a quote by Jurgen Habermas in an article by William Smith titled Civil Disobedience and

Applying the D.E.C.I.D.E Model of Decision Making

This paper explores the legal, ethical and moral issues of three healthcare colleagues by applying the D-E-C-I-D-E model as a foundation of decision making as found in Thompson, Melia, and Boyd (2006). Issues explored will be those of the actions of registered nurse (RN) John, his fiancà © and also registered nurse (RN) Jane and the Director of Nursing (DON) Ms Day. Specific areas for discussion include the five moral frameworks, autonomy, beneficence, Non – maleficence, justice and veracity in relation with each person involved as supported by Arnold and Boggs (2013) and McPherson (2011). An identification and review of the breached code of ethics and the breached code of conduct in reference with the Nursing, Council, and Federation†¦show more content†¦Griffith Tengnah 2010 states: Accountability is a fundamental concept crucial to the protection of the public and individual patients, particularly where they are vulnerable adults or children (p. 2). His actions do however have potential in being considered ethical in regards to all countries being entitled to access equitable resources for healthcare (Nursing et al., 2008). John disregards his responsibility for providing non-harmful care in an appropriate manner whilst trying to practice without a prejudicial attitude. This highly expresses the concern for the health consumer and towards access to quality nursing and health care for all as stated in VS 4. John does not appear to show any moral self-respect or restraint towards his professional practice which is in unity with value statement 5 (Nursing et al., 2008). In disregarding value statement 6 RN John is possibly hindering the health and lives of many people instead of helping them. Introducing medical equipment supposed to be disposed of to assist third world countries has significant risks associated with impacting the health care issues throughout the whole population (Popp et al., 2010). An issues in itself as all healthcare professionals and clients have a moral obligation and right to practice in a safe environment (Nursing et al., 2008). This effect can have risk to patients, for example, by causing harm from infection with hepatitis B, C or HIV