Thursday, October 31, 2019

Genre and The Yellow Wallpaper Essay Example | Topics and Well Written Essays - 1000 words

Genre and The Yellow Wallpaper - Essay Example But I am sure that everything comes to be even much more simpler than it seems to be and that there are less hidden senses in this story than it is considered to be. At first glance the story described in the "Yellow Wallpaper" is quite typical for the 19th century. As a basis it describes "female hysteria" treating practice – the method invented by Dr. Mitchell, who believed that depression was brought on by too much mental activity (Dock, 61). It seems that from his point of view women were considered to be helpless creatures with delicate health, unable to make critical evaluation of reality. So, following the recommendations of Dr. Mitchell, heroine`s husband makes her to practice  «rest cure » (treatment by rest). After each meal he makes her to have a rest lying down for an hour. He forbids his wife to practice any intellectual work more than two hours a day. For the heroine of the story this course of treatment became to be a disaster. Soon she got a nervous breakdown, having no opportunity to work both physically and mentally. In such circumstances, unfortunate heroine of the story being locked in a room with yellow wallpaper and bolted-down bed unbearable went mad. She became lost in delusions with no sense of reality, dreaming that it was she that trapped woman in the wallpaper. Investigators consider, that from the Gilman`s point of view â€Å"rest cure† method focuses on attempt to destroy woman’s creativity: by forcing the narrator to give up her writing, her husband hopes to calm down her anxious nature making her to act according to her ideal wife and mother position. It comes that society doesn`t ready to accept woman’s desire to have more in her life than her husband and child. The desire to stay creative and socially active is the point which distinguished woman from the idealized standard. Thus, Gilman criticized not just the dependent position of women in society, but also the method of the

Tuesday, October 29, 2019

Business plan Essay Example | Topics and Well Written Essays - 1250 words

Business plan - Essay Example There are several reasons for the prospective success of this venture. The most important factor is that the current Korean market is undergoing a period of transition from analog to HD video and IPTV. Therefore, demand for HD related products will be higher at this time than at any earlier period. Also, we believe that selling items online has its advantages over selling in person; specialists, enthusiasts and well-informed customers can access the products’ specifications and research them easily through corresponding company websites. In the Korean market, there are very few companies which sell audio/video equipment online, and most of these remain financially weak with low market credibility. Since the market lacks a leading enterprise that can supply both goods and services related to professional audio/video equipment, there is presently a great opportunity for DBS and B&H to secure the premier position through demonstrated high quality services and supply abilities. Finally, DBS’ past experience in the TV and radio industries prepares it well for a long-term role in this new endeavor, while its knowledge of Korean markets can facilitate the formation of well trained human resources for product services. Total sales of Korean broadcasting market including non-profit earnings have increased from $7,700,000,000 in 2004 to $8,635,200,000 in 2005. Moreover, in 2006, it increased by 12.6 % ($9,719,900,000) from 2005. In consideration of the above factors, it can be said that the Korean markets for professional audio/video equipment shall expand and the demands of regular consumer will also increase. At this opportune moment, cooperation between B&H and DBS not only bears the promise of vast earnings but holds the potential of spreading out to other developing Asian countries. We are convinced our proposed plan shall prove mutually beneficial and

Sunday, October 27, 2019

Ethical Concepts in the Provision of Nursing Care

Ethical Concepts in the Provision of Nursing Care The nursing process is more than a method that nurses use to diagnose and treat actual and potential health problems. The American Nurses Association (ANA) Standards of Nursing Practice provides a basis for practice and recognition of the patient; in addition, nurses also must adhere to the professions ethical code as well. Nurses are committed to respect human beings with an unbiased approach of care to differences socially, economically, culturally, racially, and other human attributes (Saucier, 2005, p. 80). It is the responsibility of the professional nurse to engrain ethics as an essential part of the foundation of nursing. The International Council for Nurses (ICN) identifies that the need for nursing is universal and that nurses have four fundamental responsibilities: to promote health, prevent illness, restore health, and alleviate suffering (Tomey, 2004, p. 75). From the beginning of nursing Florence Nightingale stated it so eloquently in the original Nightingale Pledge: I will do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling (Nightingale, 1893, para. 1) Ethical issues that are challenging for nurses in everyday practice and nurses continue to find it difficult to practice with moral integrity and as moral agents given the many difficult ethical challenges they encounter in the healthcare system. Confidentiality The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was originally created to ensure the privacy of individuals and it holds those individuals accountable that might acquire sensitive information in regards to medical records (Garrett, Baillie, Garrett, 2010, p. 117). However, there are also some gray areas where a nurse is often not sure whether the information that is being handed out is acceptable, or whether the person that is asking for the information is authorized to have it. When these kinds of situations take place, confusion can arise and it can make it difficult for nurses to do the job properly without fear of retaliation. Not only is confidentiality an ethical issue, but a legal requirement. In chapter five, Principles of Confidentiality and Truthfulness, the terms obligation and secrets was used. Having the understanding and knowing the difference between the types of secrets and an awareness of harm or possible harm to the patient, family, or profession is key. This information is directly related to the Nursing Scope and Standards of Practice, Standard 12. Ethics, The registered nurse integrates ethical provisions in all areas of practice. The measurement criteria for the registered nurse state: Maintains patient confidentiality within legal and regulatory parameters, maintains a therapeutic and professional patient-nurse relationship with appropriate professional boundaries, and uses Code of Ethics for Nurses with Interpretive Statements to guide practice (American Nurses Association [ANA], 2004, p. 39). Specifically, ethic 3.2 Confidentiality, that is encompassed in the standard that states the nurse promotes, advocates for, and strives to protect the health, safety , and rights of the patient (American Nurses Association [ANA], 2001, p. 12). Trust and well-being of the patient are key in the area of confidentiality; keeping in mind, that when working within a multi-disciplinary team, the nurse must only share relevant information on a need to know bases. As an example, the emergency room nurses cousin was admitted to the emergency room during the shift at the hospital. He is in critical condition. The nurses mother is very concerned about him, but she has not been able to reach the nurses aunt and uncle. The nurse is aware of the cousins condition. With the standards and ethics does she tell her mom? No, this is probably the hardest of situations, but the nurse must not tell. She must not even let on that she has any information. Instead, encourage her mother to keep calling your aunt. The nurse might even see if her aunt is at the hospital and arrange for her to call mom. Even doctors can only release information to the immediate family-in this case, the cousins parents. It is up to the aunt and uncle to inform the rest of the family. That way, they can determine how much information family members should have. Maintaining confidentiality is an important aspect of professional behavior. It is essential that a nurse safeguard the patients right to privacy by carefully protecting information of a sensitive, private nature. Sharing personal information or gossiping about others violates nursing ethical codes and practice standards. It sends a message that the nurse cannot be trusted and damages interpersonal relationships. Informed consent Nurses are obligated to tell all patients, regardless of whether or not they are capable or incapable of giving consent, about the care or treatments before it is given. Nurses are obligated to assist patients understand the nature of their health problems and assist them to receive the information and support they need to make informed decisions. A key principle studied in chapter two, Principles of Autonomy and Informed Consent, that all medical care requires the consent of the patient (or someone who is authorized to consent for the patient) before the care plan is carried out. An assumption is made that informed consent recognizes that a patient needs to know about a procedure, surgery, or treatment, before they decide to have it. Standard 14.Resource Utilization in the ANA Scope and Standards of Practice explicitly denotes that nurses should assists the patient and family in becoming informed consumers about options, costs, risks, and benefits of treatment and care. Informed con sent may have a multitude of legal ramifications, but its core and most controversial function lies in the idea of patients actually participating in medical decision making. It may be at this point that the physician (or autonomist) and the nurse most tend to butt heads. Fortunately for nurses there is Ethics Code 1.4. The concept of informed consent is fundamental to the delivery of health care. The nurses responsibility is vital in ensuring that patients are fully informed and understand their options; each nurse has an obligation to be knowledgeable about the moral and legal rights of all patients to self-determination (ANA, 2001, p. 8). Informed consent is more than just signing a paper, is specific patient right. An example case of a patient with angina who was considered for a coronary bypass surgery demonstrates the issue of informed consent. Ethical and legal aspects of achieving consent must be considered. Physicians may have personal biases, which may lead to coerced consent, or may overwhelm the patient with information on potential complications of a proposed procedure. Patient preconceived notion or misinformation may lead to misunderstood consent. The patients request to put back the decision to the physician raises the question of whether such requested paternalism violates patient self-determination and invalidates consent or is it an exercise of the patients right to have his physician decides (Garrett et al., 2010, p. 32)? Quality and safety Providing basic nursing care for the individual patient is an important nursing value supported by professional mandates and by codes of nursing ethics. Referring again to Standard 14.Resouce Utilization that states, the registered nurse considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services (ANA, 2004, p. 42). It is easy to tie the concept directly from the ANA standards of performance to the nursing code of ethics 8 that states the nursing profession is committed to promoting health, welfare, and safety of all people (ANA, 2001, p. 23). In reading from chapter six, there was discussion that quality care can be achieved by high tech equipment, credentialing, licensing, skill, knowledge, and protocols; however, a key point in judging quality stated professions lead the effort to enhance and protect quality in the professions (Garrett et al., 2010, p. 134). If employment conditions, agency regulations, or hospi tal policies create undesirable working conditions that limit the quality of nursing care that can be provided, nurses become concerned. Since nurses value quality of patient care, they also value those conditions that allow quality patient care. When nurses attempt to balance the value of quality of patient care with issues involving their quality of life the action of a possible strike may come into question. While the nurses value being able to guarantee high quality care they may realize in the short term many patients may not receive the highest of quality care while a strike is in effect. When putting ethical decisions first, nurses should work through their professional organizations and promote positive mechanisms for negotiations with employers. If nurses can gain responsibility for, and control over, the quality of care delivered, they will have gained great benefit for the health of the community. Conclusion If not nurses, who will advocate for the chronically ill (both young and old), the under and uninsured, and the most vulnerable with complex health needs? Who will question the rightness or wrongness of aggressive care, technological advancements, and determinations of quality of life? Who will address patient concerns related to informed consent, surrogate decision-making, and the risks and benefits of treatment or research? And who will challenge ineffective or inefficient nursing, physician, and administrative leadership standards and styles that underestimate the significance of ethical problems on patient outcomes and nurse productivity and retention? These philosophical questions are at the core of our deeply held values and beliefs about who we are as a discipline. Without adequate ethical knowledge and competence; however, it is difficult to bring together nursing on central ethical concepts in the provision of nursing care. The nurse, as a patient advocate presents difficult challenges; however, the key principles of ethics will allow all nurses to persevere in understanding the scope and limits of their professional responsibilities.

Friday, October 25, 2019

The Korean War: A Battle For Global Power Essay -- Korea Communism

The Korean War can be thought of as the last major conflict of the 20th century with unified, international fronts. The Communist forces of Russia, China and North Korea were poised to fight the South Korean’s and their American-led allies in the United Nations. On the surface, each side’s reason for their position within the conflict seemed clear. The North Korean forces were poised to spread the word of Communism to the masses, while the South Korean forces were attempting to prevent international instability by defeating them. Yet, were these motivations really so simple? Or were there layers within the conflict that we need to properly examine to fully understand both the causes and intensity of this war? This report presents an analysis of the major motivations of the powers involved within the Korean War, and each power’s agenda. Wars, by their very nature, can be difficult to grasp, and must be carefully studied for their full dimensions to be taken in. It is easy to get bogged down in analysis of the events within the war, and lose sight of the bigger picture. In the case of the Korean War, the various powers involved, despite their seemingly united ideological fronts, were motivated by broad complex ideas. Or, as Mr. Durdin of the New York Times said on July 8, 1951, â€Å"Mr. Mao and Premier Stalin can hope for a number of things from a peace offensive policy. They can hope to divide the Allied front, weaken the Allied resolve and perhaps slow down the Allied military build-up† (109). In addition, each power had a number of internal motivations, ranging from testing out new field tactics to developing their own social stability. The first thing that we must keep in mind in talking about the Korean War is ... ... The Public Opinion Quarterly 17.2 (1953): 171-184. Stone, I.F. The Hidden History of the Korean War. New York: Little, Brown & Co., 1952. "Warning to the West:' New York Times Jun 26, 1950. Voices from the Korean War. Richard Peters and Xiaobing Li, eds. University Press of Kentucky: Kentucky, 2004. Internet Sources Consulted "52e. The Korean War." The Korean War [ushistory.org]. N.p., n.d. Web. 20 May 2015. Park, Madison. "Why the Korean War Still Matters." CNN. Cable News Network, 01 Jan. 1970. Web. Web. 20 May 2015. PBS. PBS, n.d. Web. Web. 20 May 2015. Pierpaoli, Paul, Jr. "Korean War." World at War: Understanding Conflict and Society. ABC-CLIO, 2011. Web. 20 May 2015.

Thursday, October 24, 2019

The Story of Her Life

A deaf and blind girl born in 1880 said, â€Å"Everything has its wonders, even darkness and silence, and I learn whatever state I am in, therein to be content.†Thus, this individual with incapability played and enjoyed her life amid the lack of two senses—ability to hear and see—was able to receive praises and admirations from the people around her. In addition, she was able to contribute to the world important things that even people with senses could not be able to give.The beginning of her lifeAs accounted by the Royal National Institute of Blind People (RNIB), it was on June 27, 1880 when Helen Adams Keller, the daughter of Captain Arthur Henley Keller and Kate Adams Keller, got her first glimpse into the world. She was born healthy—with full ability to hear and see—in Tuscumbia, Alabama in the United States.Based on her writing â€Å"The Story of My Life,† Helen at the age of six months could whistle out the words â€Å"How d’ye † followed by the word â€Å"Tea†. She, like any other normal child, was fascinated with the beauty of the surroundings—its colors and the things composing it.She insisted on imitating whatever people around her were doing. Likewise, she enjoyed the music produced by the natural world and the noise by other people. She could learn whatever the child of her age could learn. Helen started to walk a day before she celebrated her first birthday (6).Nonetheless, unlike the other children, her happy days, manifested by her experiences of being able to see and hear, did not last long. The life of the healthy Keller baby, as claimed by RNIB, changed dramatically in February 1882. Helen fell ill with a disease by which the doctor during that time had named as brain fever—an illness which was also assumed to have been a scarlet fever or meningitis.This illness is still a mystery for the medical doctors of today. The sickness of Helen had led the Keller family in bel ieving that their daughter will die. When, eventually, the fever subsided, made the family rejoiced on the possibility that Helen will become well again.After the fever has passed, however, Helen’s mother noticed the changes in her daughter’s behaviors—Helen was failing to react whenever she passed her hand in front of her eyes or she was failing to hear and to respond whenever the dinner bell was rang. Later they realized that the fever—the illness that struck Helen—had left her both blind and deaf.On her account on her life, she mentioned, â€Å"Then, in the dreary month of February, came the illness which closed my eyes and ears and plunged me into the unconsciousness of a new-born baby.†(7) In the young mind of Helen, she realized that something was being taken away from her—her ability to see the colors and hear the noise, again.This discovery gave the family much worry especially during the following years when taking care of He len proved to be very hard for them. She became uncontrollable—her attitude and behavior became reasons for her relatives to regard her as a monster and a bad member of the family. This made them thought that the young Helen should be put into an institution capable of handling a child with such behaviors. When Helen reached the age of six, the family became more problematic on handling her.Though succumbed in the sad situation, the young Helen was been took care of by her mother. As she accounted, her mother gave her a loving wisdom that was bright and good during when she experienced long night. She began to learn some patterns like when to say â€Å"No† or â€Å"Go away.† At the age of five she learned more things beyond the things that she could see and hear.Based on the accounts of RNIB, Kate Keller, Helen’s mother had read a book by Charles Dickens entitled â€Å"American Notes† which entailed the fantastic work done to another deaf and blind child named Laura Bridgman. Because of her love to her daughter, she travelled to a specialist doctor in Baltimore to seek for advice in regards to the situation of Helen—later she learned that Helen would never see and hear again. However, the child could learned and be taught.They were advised to see an expert on the problems regarding deaf children—Alexander Graham Bell, the inventor of the telephone. Graham Bell pointed that they should write to the director of Perkins Institution and Massachusetts Asylum for the Blind, Michael Anagnos, and asked for a mentor that would guide and teach the deaf and the blind child. Convinced with the hopes and possibilities that Helen would learn, Michael Anagnos, recommended Anne Sullivan, the Institution’s former student, to be the tutor of Helen.

Wednesday, October 23, 2019

Env410 Toxicology Worksheet

University of Phoenix Material Toxicology Worksheet 1. Identify the different resources available for your learning in this course. Available resources during this course includes two textbooks; â€Å"Introduction to ecotoxicology,† and â€Å"A textbook of modern toxicology. † Additional resources include various videos, complimentary transcripts to the videos, supplemental readings, the UOP online Library, and web searches. 2. Define toxicology.Toxicology is defined as that branch of science dealing with poisons. According to Hodgson (2010), a â€Å"poison can be defined as any substance that causes a harmful effect when administered, either by accident or by design, to a living organism† (p. 3). Toxicology also includes the study of harmful effects caused by physical phenomena, such as radiation of various kinds, noise,† and â€Å"the study of the detection, occurrence, properties, effects, and regulation of toxic substances,† (Hodgson, 2010, p. 3) .Rarely defined as a single molecular event, toxicity involves a cascade of events, which start with exposure, and proceeds through distribution and metabolism, and ends with the interaction of cellular macromolecules (such as DNA, or protein) and the expression of a toxic endpoint (Hodgson, 2010). 3. Define environmental toxicology. According to Hodgson (2010), environmental toxicology evaluates the movement of toxicants and their metabolites and degradation products in the environment and in food chains, and with the effect of such contaminants on individuals and, especially, populations† (p. ). A specific area of environmental toxicology dealing with the work environment is industrial toxicology (Hodgson, 2010). 4. What is the difference between environmental toxicology and ecotoxicology? The difference between environmental toxicology and ecotoxicology is that the latter integrates the effects of stressors across all levels of biological organization from the molecular, to whole communities and ecosystems. In contrast, environmental toxicology focuses upon environmental toxic effects (Silverstars, 2010). 5.What knowledge can be gained from dose-response relationships? Dose-response relationships are used to determine a dose-response curve, which quantifies the acute toxicity of a chemical. Dose-response relationships are established by comparing the dose of the administered chemical and the resulting response of the organism. Affects are recorded at defined periods of time after dosing occurs. A dose-response curve is a result of the plotted results, creating various segments. Segment I, has no slope and represents doses of the toxicant that do not evoke mortality.Segment II, represents the doses that affect only the most susceptible members of the exposed population, generally a small percentage. Segment III, reflects the doses at which the majority of the population eliciting some response to the toxicant, and is the steepest slope of all segments. Segment IV, identifies the doses of the toxicant that are toxic to even the most tolerant organisms of the population, which are generally high doses of the toxicant. Segment V, represents the doses at which all of the exposed organisms are affected, and has no slope (Hodgson, 2010).The LD50 of the toxicant is determined by using a well-defined dose-response data, logarithms and percentage effect to determine the probable units. 6. Why are the shape and slope of a dose-response curve important? The shape and slope of a dose-response curve is important because the dose-response curves are used to derive dose estimates of chemical substances. The slope of the linearized data set from a dose-response curve provides information on the specificity of the toxicant. Steep slope elicit toxicity, whereas, shallow slopes elicit nonspecific toxicity.The dose-response line also allows one to estimate the threshold dose, by defining the lowest dose expected to elicit a response. The threshold d ose is one that is lower than the greatest dose at which no affect is detected. This is generally between segments I and II (Hodgson, 2010). 7. What role do they play in environmental toxicology? This helps put toxins into exposure classes. This allows scientist to determine what level the toxins are lethal, or what levels may help prevent undesired medical conditions, such as cancer.These levels are used for regulatory purposes as well, to minimize exposure to harmful toxins and their effects on human health and the environment (Hodgson, 2010). 8. Explain LD50. LD50 refers to the dose level (concentration level) of a toxic substance (poison) required to obtain a lethal dose that kills 50% of a population under stated conditions, such as the controlled variables of the study. This level is typically normalized to the weight of the animal (milligram chemical/kilogram body weight), and the measure of acute toxicity is used to assign of toxicity to the given chemical (Hodgson, 2010). 9 . Explain LD10.LD10 refers to the dose level (concentration level) of a toxic substance (poison) required to obtain a lethal dose that kills 10% of a population under stated conditions, such as the controlled variables of the study. This level is also typically normalized to the weight of the animal (milligram chemical/kilogram body weight), and the measure of acute toxicity is used to assign of toxicity to the given chemical (Hodgson, 2010). Review the following chart and answer the following questions: Based on LD10, which toxicant is more potent? Why? Based on LD10, toxicant B is more potent because the death rate of 70% is higher than 60%.Based on LD50, which toxicant is more potent? Why? Based on LD50, toxicant B is more potent because the death rate of 85% is higher than 70%. At what dose do these toxicants have the same percentage lethality? The dose at which these toxicants have the same percentage of lethality is 0. 5mg because that dose puts the death rate for both Toxican t A and Toxicant B at 40%. Toxicology Chart DoseToxicant AToxicant B mg/kg% lethality% lethality 0. 012025 0. 052530 0. 13035 0. 54040 14550 55565 106070 507085 1007595 50095105 1,000100107 5,000105108 10,000107109