Thursday, September 3, 2020

Allen Ginsberg’s America and Kerouac’s Vanity of Puluoz :: Ginsberg America Essays

Allen Ginsberg’s America and Kerouac’s Vanity of Puluoz  All through the words and the lives of the Beat Generation, one topic is obvious: America, wherever from Allen Ginsberg’s â€Å"America,† to Jack Kerouac’s love for Thomas Wolfe. Despite the fact that the perspectives on America contrast, they all discover some motivation to concentrate in on this land. Ginsberg, in his sonnet â€Å"America,† makes a point that very few of us can see as self-evident: â€Å"It happens to me that I am America. I am conversing with myself again.† Each and all of us make up America, and when we grumble about something that isn't right, we are whining about ourselves. Being raised by his mom as a Communist, and being gay, Ginsberg discovered numerous things amiss with America, and he does his passage portion of grumbling, yet toward the end he chooses, â€Å"America I’m putting my strange shoulder to the wheel.† Ginsberg didn’t need to sit and watch everything turn out badly. He would accomplish some thing, in spite of the way that he was not the perfect American. Kerouac’s perspective on America was totally unique in relation to Ginsberg’s see. Kerouac considered America to be an excellent spot, with numerous unexplored locales for himself, and the remainder of the individuals in the nation. Kerouac attributed his affection for America to Thomas Wolfe. In Kerouac’s book Vanity of Puluoz he said that Wolfe caused him to understand that America was not a troubling work environment and battle in, it was a sonnet. In the event that everyone thought of America as a sonnet as opposed to a spot where we simply come to so as to live work and pass on, this nation would be the perfect spot that Kerouac needed it to be. The â€Å"Night of the Wolfeans† was an occasion in the lives of the Beats that influenced them for quite a while. It united the entirety of the Beat’s sentiments toward America. They were placed into two classifications: â€Å"Wolfeans,† and â€Å"non-Wolfeans.† Kerouac and Hal Chase were hetero, every single American young men who trusted in America, the ideal picture of the American resident. The non-Wolfeans (William Burroughs and Ginsberg) were otherwise called â€Å"Baudelaireans† or â€Å"Black Priests.† They needed to decimate the Wolfeans and all that they had confidence in. The Beats felt that everyone could be categorized as one of these two classes. One thing that all the Beats settled upon, was that so as to genuinely turn into an extraordinary essayist, you must be viewed as an American author.

Saturday, August 22, 2020

Sahil KOLB s assignment

On the off chance that I place score reviews on various words been Provided, at that point the best scores are in Scale AWE and CE, then again, the least scores are in OR and AC. Besides; subsequent to deducting AC by CE and AWE by OR, results are - 3 and 11. In this manner I fall in a class of Assimilates who as opposed to feeling, they think and afterward apply their procedures. Fundamentally am a visual and innovative student in light of the way that can learn things effectively in an imagined Surroundings rather than increasingly hypothetical, I lean toward o watch things and afterward learn and apply in future. M consistently been sharp keen on including myself in innovative assignment since I can investigate my ability in progressively Better manner. As indicated by Kola's Learning Model, have arbitrary capacities, for example, Abstract Conceptualization And Reflective Observation that implies I learn things which depend on specific ideas and perception in a sensible and cohere nt manner. I believe that the most ideal approach to learn is through focusing on addresses since We can watch different ideas and besides by including our self in abundant number of assignment, conversations, ProjectsAs per KOLA'S CHART, I being as acclimatizes who is all the more closer to Converge and Diverged in light of the fact that as we Know that in separated, they additionally has characteristics of intelligent perception in which, they want to watch and learn through talking about and conceptualizing yet when contrasted with absorbs they generally feel as opposed to suspecting. Aside from veered, acclimatizes is additionally near unite, who likewise share unique conceptualization; that implies, they additionally like to consider rather feeling. Combines likewise put stock in learning aptitudes through Motivation and ideas. Be that as it may, meets consistently lean toward in doing as opposed to giving needs in watching things.They additionally trust in seeking after learni ng abilities through talks, ventures, papers and so on. Besides; According to the outcomes, I being as acclimatizes is absolutely against Accommodated due to the explanation that they like to learn through inclination and doing. In addition they likewise have capacities of solid experience and dynamic experimentation which are excluded from Assimilates, as they have confidence in speculation and watching things as opposed to feeling and doing. Aside from that, Somehow Assimilates is between identified with merge and separated , as they share a few capacities During their learning.Assimilation's are less keen on getting things done without watching them as a result of the way that they need results exact and legitimate, so they can undoubtedly comprehend things in a shorter time. With everything taken into account; as per my past scholastic records, I learnt things all the more sensibly, outwardly and through sound-related Skills. I feel that I am increasingly present-situated who ca n investigate effectively through direction and inspiration. At whatever point watch things from progressively envisioned condition, it causes me to comprehend in increasingly pragmatic manner.

Friday, August 21, 2020

College Paper Writing Services - How to Find Freelance Writers

College Paper Writing Services - How to Find Freelance WritersThere are a lot of people who have gone from a bright college-paper writer to one of the finest freelancers in the online writing industry. In fact, there are a number of people who have gone on to working as full-time, self-employed writers. If you are already a college-paper writer, there are many online papers out there that need freelancers.Nowadays, there are a lot of freelance writers available for hire online. As a matter of fact, it is not that difficult to find some writers for college-paper writing services. The good thing about this profession is that there are a lot of freelancers who will be willing to work on a freelance basis. In fact, it is very easy to find them because there are a lot of sites which offer freelancers.There are also several resources available for those who want to find freelancers for college-paper writing services. You can do a general search using the internet. The best way to locate wr iters for freelancing is to make use of the internet. You can simply type in the keywords 'freelance writers'writing services' and you will get thousands of sites. Some of these sites are specifically for freelancers and others are for service providers.When looking for a freelance writer, you should always make sure that the person you are hiring has good experience in writing. You should also ensure that the site that you are searching through is reliable. It is important to take a look at the ratings given by other clients for this particular service provider. This is why it is essential that you use the internet to find the best possible writers for freelance writing.There are many areas where you can make use of the internet to help you find writers for your projects. If you have any kind of experience with graphics, you can easily find a freelance writer who specializes in graphics. You can use your graphics knowledge to make the story more interesting. This way, you will be a ble to write something that your reader will appreciate.Moreover, you can also search for freelancers who have the skills in different multimedia resources. For example, if you are interested in writing about fashion, you can find a freelance writer who is familiar with fashion magazines. This means that you can get an effective professional who can write a successful piece for your college-paper.Of course, in order to find freelance writers for college-paper writing services, you need to make use of the internet. Once you have decided to hire the service provider, you can contact them and hire them for your college-paper writing. This is how it works.If you are planning to hire freelance writers for college-paper writing services, you should be able to find the right person for the job. This is one of the most important things that you need to consider before you make the final decision.

Tuesday, June 9, 2020

Treat Critical Reading more like Math

Because of the nature of my job, I tend to get a lot of students with very significant imbalances between their math and verbal scores. Most people scoring a 760 in Math without much prep just dont bother with math tutors, although the same people sometimes find themselves stuck in the 600s or even the 500s in Reading and Writing. What I look at the (full) tests of students like these, however, what often strikes me the most is the difference between the sheer amount of stuff theyve written in the Math sections vs. the CR sections. Even just glancing at the math, I can see that theyve really worked those problems out. In fact, it probably wouldnt occur to them to do otherwise. There are equations scribbled all over the place. Maybe not for every question, but often enough for it to be clear that they havent been approaching the SAT like some kind of glorified guessing game but rather solving the problems. They might use their knowledge of a particular rule to eliminate answers quickly, but at no point have they simply decided to abandon working things out in favor of making a guess they hope will be right. The same, alas, cannot be said for the Reading. Sure, theyve probably underlined and circled some things in the passages, maybe written the main point and perhaps the tone, but the spaces next to the questions are totally and completely blank. Even if theyve made an attempt to reason their way through the problem, they havent bothered to write down all the steps. More likely, though, it hasnt really occurred to them that they *can* approach CR in more or less the same way they would approach Math What seems like an obvious way to work through a math problem seems far less obvious when applied to reading especially since theyve never been asked to think about reading in quite that way before. What really gets me, though, is that even after I demonstrate in some cases, multiple times how to work through a CR question step by step like a math problem, writing down each part of the process and moving systematically through the choices when the answer isnt initially obvious, they still refuse to even attempt to replicate the process on their own. (Actually, after I demonstrate the first time, they usually give me a look that says approximately, Oh st! That looks like a lot of work. No way, there has to be an easier way to do it. Um, no, there isnt.) It doesnt matter how many times I tell them that this was how I got an 800, and that if theyre really serious about wanting one as well, they need to make themselves go through the entire process. They still want the magical shortcut thatll get them a perfect score without having to work quite so hard. Guess what, folks: it doesnt exist. The closest thing to a fail-safe technique I have for getting an 800 on CR is this, take or leave it. So having said that, I want to work through what is quite possibly the hardest CR question I know of one that absolutely demands to be worked out like an equation and that pretty much every student Ive ever had, no matter how high they ultimately scored, screwed up on. (True confession: I actually had to look at the answer the first time I saw it. It was only when I went back that I was able to work out the reasoning behind it). Its from the College Board Test 4, section 6, question 20, p. 592. In case youre wondering, yes, I would actually write all of my reasoning down. Note that I constantly, quasi-obsessively reiterate both what the question is asking and the point of the paragraph. It may seem excessive, but its necessary. Its the only way to leave no room for error. Paragraph 2 Things that live by night live outside the realm of normal time. Chauvinistic about our human need to wake by day and sleep by night, we come to associate night dwellers with people up to no good, people who have the jump on the rest of us and are defying nature, defying their circadian rhythms. Also night is when we dream, and so reality is warped. After all, we do not see very well at night, we do not need to. But that makes us nearly defenseless after dark. Although we are accustomed to mastering our world by day , in the night we become vulnerable as prey. Thinking of bats as masters of the night threatens the safety we daily take for granted. Though we are at the top of our food chain, if we had to live alone in the rain forest, say, and protect ourselves against roaming predators, we would live partly in terror, as our ancestors did. Our sense of safety depends on predictability, so anything living outside the usual rules we suspect to be an outlaw a ghoul. Which of the following assertions detracts LEAST from the authors argument in the second paragraph (lines 25-42)? (A) Many people work at night and sleep during the day (B) Owls, which hunt at night, do not arouse our fear (C) Most dangerous predators hunt during the day (D) Some cultures associate bats with positive qualities (E) Some dream imagery has its source in the dreamers personal life Solution: 1. Since the question is phrased in a somewhat convoluted manner, we need to make sure that we are absolutely clear about what is actually being asked before we do anything else. The question is asking us which option detracts LEAST. That means that the four incorrect answers  will detract from (go against) the argument and the correct answer  will not detract from the argument. It does not, however, mean that the correct option will SUPPORT the argument. Just because an idea does not explicitly go against an argument does not mean that it supports it; there might just be no relationship. So we are simply looking for something that does not contradict the argument. 2. The next step is to determine what the argument actually is. While the question gives us a lot of lines to read, they can be pretty much summed up AND WRITTEN DOWN as follows: -Humans sleep @ night and think its normal, get scared by stuff thats awake @ night b/c = abnormal. -Bats dont sleep @ night, THUS: B/c bats assoc. w/dark = scary. Notice that Ive crammed down the paragraph into just the essential, disregarding the details entirely. 3. Before we look at the answers, we need to consider very clearly what we are looking for. The question asks us to find the answer that does NOT explicitly contradict the idea that bats stuff @ night = scary. It might not support that idea, but it wont go against it either. So now we consider the answers. (A) Many people work at night and sleep during the day If many people work at night and sleep during the day, they go against typical patterns. But that happens all the time and people dont get scared. So that DOES detract from the idea that night is only for scary stuff, and we can eliminate the answer. (B) Owls, which hunt at night, do not arouse our fear Again, owls go against normal human patterns but NOT scary. So that also detracts from the idea that night = scary stuff. It can be eliminated. (C) Most dangerous predators hunt during the day But scary stuff is supposed to happen @ night, not during the day. So that detracts from the idea that scary stuff just comes out @ night. It can be eliminated. (D) Some cultures associate bats with positive qualities This is dealing with the other main point in the paragraph: bats = scary. But if bats are really so scary for everyone, then they shouldnt be associated w/positive qualities. So this DOES detract from the idea that bats = scary. It can be eliminated as well. (E) Some dream imagery has its source in the dreamers personal life Since weve reasoned through the other options and have determined that they cannot be correct, this must be right. But before we pick it, were going to double check it against the original question to make sure that it works. This is part of the whole not leaving yourself any room for error thing, and if you want to certain, you cant leave this step out. We know that the right answer will not detract from the idea that bats/night = scary, and this option has nothing whatsoever to do with that idea. And if it has nothing to do with that idea, it can detract from it. It does, however, support the idea that bats/night = scary; it just does NOT detract from it. So its right. Most of my students groan when I explain the logic to them; it seems so ridiculously convoluted. And such an outrageous amount of work. But there is no other way to figure it out. Even if some people can get the answer very fast, theyre still going through the entire process theyre just doing it at warp speed. Now to be fair, this question is very extreme. Most dont have anywhere near this level of complexity. The problem is that there are always a couple of outliers that have something close to it, and those are the questions that separate the 800s from the mid-700s. Ill admit that working like this does not initially feel natural. It can be time consuming (although in reality no more time consuming than staring blankly at the answers), but its also the sort of thing that gets faster the more you practice it. You have to be able to do it before you can do do it fast. Even if you screw it up the first few (or twenty) times you try to do it, practicing the approach is what counts. Youre dealing with the SAT in terms of what its actually testing your ability to reason your way logically through complex material and thatll get you a lot further than looking at it just about any other way.

Sunday, May 17, 2020

Surgical Procedures During The Surgical Procedure Essay

I had the pleasure of observing three different surgical procedures during my OR rotation The first surgical procedure was a caesarean section (C-section), that was done as a repeat because the patient had her previous children delivered as a c-section and was not able to deliver vaginally. I also got a chance to observe an umbilical hernia repair. This procedure was performed because part of the intestines were protruding through the umbilical opening which may have caused pain or discomfort. The patient had given birth a few months prior to the surgery which may have caused the protruding intestine. The third surgical procedure I observed was a Laparoscopic gallbladder removal (cholecystectomy). This procedure was performed because the patient had gall stones present in the gallbladder. Negative effects of surgery When a person goes under the knife, he or she open themselves up to risks that are involved when having surgery that will determine the outcome of the operation. There are risks of surgical complications, the risk of infection, bleeding uncontrollably and risking your life by not waking up and getting through the surgical procedure. Patients can be affected psychologically due to prolonged recovery and long lasting disability if complications occur. This may cause psychological distress, which can delay recovery as stress delays wound healing and compromises some immunity. (Pinto, Faiz, Davis, Almoudaris, Vincent, 2016). Side effects from the anesthesia usedShow MoreRelatedA Critical Incident During The Theatre During A Knee Orif Surgical Procedure Essay2147 Words   |  9 PagesNovember 2015 , during the first block of clinical placement , a critical incident occurred in the theatre during a knee ORIF surgical procedure . The procedure involves re-align ment of broken bones which are held together by surgical implants such as metal plate , rod , and screws . The team involved in the procedure were an orthopaedic surgeon , a consultant , an anaesthetist , a theatre nurse , a scrub nurse , a radiographer , and a student radiographer . During the procedure , the patient wasRead MoreBenefits Of A Non Surgical Rhinoplasty1412 Words   |  6 PagesA non-surgical rhinoplasty is also referred to as a non-surgical nose job, the â€Å"15-Minute Nose Job,† a liquid nose job or injection rhinoplasty. For some, this procedure can be used as a temporary substitute for surgical rhinoplasty. Dr. Sam Gershenbaum is a plastic and reconstructive surgeon who frequently performs non-surgical rhinoplasty procedures at his surgery center in Miami, FL. Non-Surgical Rhinoplasty Vs. Traditional Surgical Rhinoplasty Depending on what a patient would like to accomplishRead MorePerioperative Observation Experience. I Observed A Laparoscopic1323 Words   |  6 Pagescover pre-operative tasks, surgical procedure, anesthesia and interventions, roles and functions of the nurse, and surgical team members. I will also cover safety and comfort concerns along with nursing diagnoses related to this surgery. Pre-Operative Data Collection and Medications Pre-operative data collection was obtained in the ambulatory minor surgery unit (AMSU). A communication sheet was filled out that collects patient data such as their diagnosis, the procedure they are having, drug allergiesRead MoreThe Treatment Of Breast Cancer1248 Words   |  5 PagesEntire Breast A modified radical mastectomy – during this procedure, the surgical oncologist removes the entire cancerous breast, the lining that rests above the chest muscles as well as most of the patient’s lymph nodes that are located under her arm. In addition, patients may also need to have a portion of their chest wall muscle removed. 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Breaks in technique result in contaminations, thus increasing a patients risk for infection (Church, 2009). Medical asepsis are used during procedures that require intentional perforation of a patient’sRead MoreRetention Of Surgical Pack : Abc Hospital1483 Words   |  6 Pages Retention of Surgical Pack – ABC Hospital MEMORANDUM To, Surgical Team, Instrumentation and Circulating Nurse, Risk Management Officer, Incident Management Team, Hospital Administration, ABC Hospital From, Kavitha Kulal ABC Hospital SUBJECT: Retention of Surgical Pack post surgery DATE: 15 September 2015 Retention of Surgical Pack: This memo is sent in context of a lawsuit received from the lawyer of Patient ‘Y’ regarding retention of a surgical pack in the patient, due to which theRead MoreClassification Of Information For The Healthcare System1008 Words   |  5 Pagesthe HCPCS which is the Healthcare Common Procedure Coding System are used in various medical settings. The CPT is published by the AMA yearly. CPT is used to help physicians, insurance companies and other medical providers to use a system for coding medical procedures performed. These codes are used with ICD-9-CM and ICD-10-CM. The CPT book includes four categories the first one consists of six main sections. The CPT codebook is used for each procedure and/or service performed by healthcare professionalsRead MoreWrong Site Surgeries1348 Words   |  6 Pagesbreakdown is considered the main cause of wrong site surgeries in the surgical team. The Joint Commission s universal protocol of time out is a very important and a helpful tool in preventing the wrong site surgeries, wrong person surgery, and wrong procedure. The factors causing the wrong site surgeries can be; †¢ presumption of surgical team members that someone else has confirmed surgical site and procedure †¢ surgeon failing to mark the site †¢ placing

Wednesday, May 6, 2020

A Study On Data Collection - 836 Words

Data collection will be a combination of qualitative and quantitative. It is important to use a combination of both because it will provide more information about application of the study and how future research should be conducted. Before the semester meeting with professors of the ALI program at UMKC to seek permission to begin the study is vital. Meeting early on also begins to form strong communication which is necessary to ensure that assignments and ways of incorporating Facebook in the classroom are different from previous studies. There will be one introductory session with each of the four courses composed of 30 or so students, collectively there will be about 120 students involved in this study. Students will not be informed on the purpose of the study, only that their progress in English will be tracked. Information will be collection from the students that wish to participate such as demographic and contact information, as well as how comfortable they feel with their Engl ish. The rest of the surveys throughout the course of the semester will be sent via email. Professors will be making notes of progress or possible problems and at the end of the study they will share how Facebook impacted ELLs’ motivation to learn English, if it did at all. Twice a month students will take a survey that asks them to answer ranging questions from â€Å"strongly agree† to â€Å"strongly disagree†, or â€Å"extremely well† to â€Å"not at all well†. Other questions may be true or false or ranked oneShow MoreRelatedA Research Study On Data Collection1205 Words   |  5 Pagesaccomplished and that is the collection of data. Notwithstanding the research project and whether the method of research is whether qualitative or quantitative, data must be collected. 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Health Through Flexibility And Resilience †Myassignmenthelp.Com

Question: Discuss About The Health Through Flexibility And Resilience? Answer: Introducation The foremost thing about social work is that it is all on the social front with which we deal in our day to day life situations. Working for society helps to develop sound relations between a group of people. However, in other professions like Banker deals with Finance management of each individual, doctor look after the cure and prevention of disease, lawyers look for having proof of different crime and provide justice but social work uniquely stands out to enhance the relationships between each individual by knowing their problems and providing appropriate solutions by visiting their home and sort out the various problems (Pollack, 2009). The social worker must be aware of different measures of dealing with social problems. He must be familiar with the factors that contribute to the quality of life of this universe. Few factor such as are pure air and water, hygienic provision of food and equal opportunities for job seekers (Pollack, 2009). The social worker should be capable of dealing with the social issues and must have strong networking to sort out the problem by providing the victim with the necessary resources. There is a various social problem which never let the individual fulfil their goal at first stoke of their efforts. To exemplify social problems, individuals are facing issues related to unemployment, racism, malnutrition and unequal opportunity in their countries. Other examples of social problems are substance abuse, employment discrimination, and child abuse. Some social problem affects the individual directly and indirectly. For instance, the drunk driver becomes the reason of accident that has not chosen the victims of the accident by race or colour but its all so randomly (MacEachen, Polzer Clarke, 2008). The children belong to the family of abusive parents often becomes the perpetrator of family violence as an adult. The roots of social work lie in various charitable organizations that stand out for helping people who are in need. Earlier social work was volunteer basis only, however, nowadays social work becomes a unique profession whose primary responsibility is to provide a helping hand to people in need and making improvements to their environments (MacEachen, Polzer Clarke, 2008). The social worker has a concern about both personal and public aspects of individuals.The personal aspects of the human such as moral values, emotions, and problem-solving attitude of people, whereas public aspects such as the neighbourhoods, schools, working conditions, social welfare systems, and political systems that affect each individual. In this way, social workers are able to provide a unique service to the people in need by taking care of their private and public aspects of problems (MacEachen, Polzer Clarke, 2008). The social worker has made their network circle with different organizations dealing with different professional so that their clients can easily avail required facilities like financial, medical, education services which help them to improve their present situation of living style. The basic duty of social worker is to provide a clear path out of the problem to their client so that client becomes self sufficient with help of social networking. Before choosing the field of social work, one must have basic skills to work effectively as a social worker. By human nature, there is always feeling of fear whenever an individual stands against some injustice happening around us but there is a social worker who is full of confidence and power to lead different social issues (Dwyer, 2005). As a student, I am in learning phase but I have different skills like good communication skills, leadership, problem solving, critical thinking, social networking and few of these skills I am trying to learn which are discussed as follows. I am sure to have these qualities as part of my personality to become social worker without any fear and vulnerabilities. Assessment Skills One should be able to recognize the individual who is needy and requires resources to overcome their social problem and it is strictly instructed to assess the client at different parameters to evaluate that whether the resources are still required or not (Pollack, 2008). Communication Skills Communication being a social worker must be clear and concise as it requires oral and written communication with clients (Dwyer, 2005).To exemplifies, social workers must communicate effectively with higher officials to demand required funding for the social cause. Counsellor and Leadership Social workers need to counsel their clients usually so they require the qualities of a good advocate for the presentation of client social issues that lead to positive development in resolving the social problems. Problem Solving Skills One of the important skills that the social workers must have is their ability to solve the problem analytically with fewer resources and limited budget. Critical Thinking Skills Critical thinking is all about looking for a solution to social problem along with broad minded attitude and making use of information and knowledge that reflect their education. Documentation Skills Each and every aspect of social issues must be recorded in a sequential manner corresponding to each client.For this record maintenance, the social worker needs to do proper documentation of all documents that represent cause and solution to social problems (Pollack, 2008). As a role of social worker, there must be a clear understanding of the human relationships. Social workers are able to help their client as if they have good human relationships across different fields of profession. They can support their client by developing a positive attitude in them, by letting them free from any kind of fear, by motivating them to create a social circle. In this way, I am able to develop a positive circle around me so that I have knowledge and information on different issues (Pollack, 2008). By knowing the details of various social causes and problem, one must be able to resolve it with the help of individuals in the network. In this way, social worker acts as a catalyst for providing better living conditions to their client. Accounting, for positive results, the client must have trust on their respective social worker or team so that client feels comfortable in sharing their problem related issues and feelings attached to each and every aspect of the problem ( Pollack, 2008). In other words, the social worker is able to provide a safe environment to their client to resolve the social problem. References Dwyer, S. (2005). The role of the social worker.Psychiatry,4(2), 95-97. https://dx.doi.org/10.1383/psyt.4.2.95.59099 MacEachen, E., Polzer, J., Clarke, J. (2008). You are free to set your own hours: Governing worker productivity and healthcare through flexibility and resilience.Social Science Medicine,66(5), 1019-1033. https://dx.doi.org/10.1016/j.socscimed.2007.11.013 Pollack, D. (2008). International legal note: Social work comes to the small screen.International Social Work,51(6), 841-846. https://dx.doi.org/10.1177/0020872808095256 Pollack, D. (2009). Legal risk, accountability and transparency in social work.International Social Work,52(6), 837-842. https://dx.doi.org/10.1177/0020872809342663

Monday, April 20, 2020

NURS 241 Health Assessment Validation Notes Essays - Cranial Nerves

NURS 241: Health Assessment Validation Notes Vital sign should be taken for 5 Minutes General Survey Physical Appearance: What is your name? Can you state your age? Do you know where you are? Patient has stated her age Her level of consciousness is alert and oriented x 4 Her skin color is intact and even Her facial features are symmetric She is female Body Structure: Her statue appears appropriate for her age For nutrition, her weight appear to be appropriate for her height and body build Her body structure is symmetric and bilateral to each other Her posture is erect Her position was relaxed on the chair Mobility: Her gait is smooth, even and well balanced She did not use any form of assistive device. Behavior: Her facial expression is appropriate to the situation Her speech is within normal limits; there is no repeating of words or fleet of ideas Her dressing is appropriate for the season Her personal hygiene is clean and well groomed Her mood and affect is pleasant and not flat Cranial Nerve Cranial nerve 1: Olfactory: Sensory: Test of smell Ask the patient to compress one side of the nose at a time and sniff: To check for nasal patency Ask the patient to close their eye Ask the patient to occlude one nostril at a time and ask them what do they smell Cranial Nerve 2: Optic: Sensory: Visual Acuity and Visual fields I have previously tested for my patient's visual acuity using the Snellen Chart It is 20/20 without corrective lenses Testing for visual fields using the confrontational test. Up and Down Cranial Nerve 3: Oculomotor Motor: PERRLA: Extra ocular Movement Going to test for PERRLA. First I would perform the direct and consensual eye movement Performing Accommodation by moving the penlight near. The pupil are equal, round, reactive to light and accommodate Next I would test for cranial nerve 3, 4- which is trochlear and 6- which is Abducens, using the extra ocular movement. Cranial 4- is an inferior medial eye movement Cranial 6- is medial eye movement Perform the corneal light reflex by shining light on the breach of the nose. If there was an abnormality I would person the cover/uncover test. Cranial Nerve 5: Trigeminal: Sensory: Sensation of skin of face: Use a cotton and touch the forehead, checks and chin Motor: Palpate the temporal and masseter muscle Ask the patient to clench their jaw and try to separate it Cranial Nerve 7: Facial Sensory: Put sugar in their mouth and ask what did you taste. Taste on the 2/3 anterior of the tongue Motor: Ask the patient to raise their eyebrows, show their teeth, smile, puff out their checks, close their eye tightly Cranial Nerve 8: Acoustic Sensory: Perform the whisper test. By whispering Samford and Nursing by asking them to occlude their ear and whispering the words Perform the Weber test. Ask the patient if they can hear in both ears. Perform the Rinne test. Air conduction is greater than bone conduction. Cranial Nerve 9: Glossopharyngeal: Sensory: Taste in posterior 1/3 of the tongue Motor: Is testing gag reflex by stimulating the posterior pharyngeal wall. Cranial Nerve 10:Vagus Motor: Open your mouth and say "AH". I will watch the uvula rise and fall symmetrically. Cranial Nerve 11: Spinal Accessory Motor: Shrug should movement against resistance. Shrug your head against resistance Both muscle 5/5 in strength Cranial Nerve 12: Hypoglossal Motor: Ask the patient to protrude their tongue and push their tongue to their checks. Neurological System: Motor/Coordination: I have already assessed the my patient gait in general survey Rapid alternating movement: touching your finger against each other and turning your hand in your thighs Point to Point Movement: finger to nose touching and heel to shin by moving your leg on your other leg Romberg test: put your hand out and your legs together for 20 seconds Tandem Walking: put your leg in front of the other leg Shallow Knee Bend: bend down a little Sensory Pain and light touch: do it on your hand and leg Position sense: pull the hand up and down than ask the patient whether it is up and down. Do it on the hand and leg Vibration Sensation: Use the turning folk vibration place it on the hand and leg and ask where she feels the vibration Discriminative Sensation: Stereognosis: place something in her hand and ask what are you holding Graphesthesia: write a number on her hand and ask what is the number in both arms. 3 and 5 Two point Discrimination: touch a part of the body and ask where you touched. Both the hand and leg Point localization:

Sunday, March 15, 2020

Bush vs Kerry essays

Bush vs Kerry essays Bush vs. Kerry The presidential election of 2004 has been one of controversy, disparity and enthusiasm. President George W. Bush is being pushed by his opponent John Kerry in many different ways. President Bushs every move is being countered by Senator Kerry. Last weeks first Presidential debate was just the stepping stone in the difference in opinions between these two Presidential candidates. John Kerry hasnt lightened up at all in his bashing of President Bushs actions regarding the War in Iraq, education and many other pivotal topics. In my eyes President Bush hasnt exactly done a great job in his current term, but I also think that he could have done a much worse job with the cards that he was dealt. With the 9/11 terrorist attacks, weapons of mass destruction and the War on Iraq all happening in one four year term, he hasnt an awful job keeping the country at ease. I will be interested to see how the rest of these Presidential debates fold out. The key to opportunity in our country starts with education. Bush and Kerry will both have to prove to the country that their plans for education are worth while and will help us stay a float. President Bush developed the No Child Left Behind act, which demands accountability in exchange for the record levels of Federal spending now going to K-12 public education. So far I feel that this has been beneficial to Bushs campaign. I like his ideas on education and I feel that with all the people bashing his decisions regarding the War on Iraq that education might become a light in the tunnel for the republican side. Another one of Bushs ideas for education is to ensure that all high school students are better prepared to enter higher education or the workforce. If President Bush is serious about this, then I think that he might really be getting somewhere with it. More of...

Friday, February 28, 2020

Global aging Essay Example | Topics and Well Written Essays - 500 words

Global aging - Essay Example Around 60% of these elderly people live in developing countries, and this figure will rise to 80%. The number of people over 80 will increase from 86 million in 2005 to 394 million in 2050 (United Nations, 2005). The oldest (85 and older) are the quickest growing portion of the population in many countries globally. Also, the oldest old are more likely to live in developed countries. The elderly population is also growing in many developed and developing countries. Almost half of the world’s elderly population lives in China, India, the United States, and former Soviet Union countries. The number of elderly people living alone varies widely. In developed countries, percentages of elderly people living alone range from 9% in Japan to a high 40% in Sweden. In developing countries, such as China, 3% of the elderly live alone, in South Korea 2%, and Pakistan 1%. Today, population aging is a major issue mainly in the industrialized nations of Europe, Asia, and North America. These nations have experienced intense public debate over elder-related issues such as social security costs and health care provisions. In sync with Tischler’s article, Blahous III agrees that areas such as pensions, taxation, etc. will be affected. Blahous III explores how challenged present policy is when it comes to dealing with the issue of global aging. According to him, social security inmost countries are ill-equipped to survive the effects of a global aging population. This lack of preparedness is most likely to impose excessive tax burdens1. In accordance with Tischler’s article, Ahearn (2002) asserts that social security benefits will decrease in order to make pension plans more practical. Similar to Blahous’s view that social policy will be challenged, Ahearn also holds that a global aging population means that there will be need to

Wednesday, February 12, 2020

Agreements in the Package Holiday Industry and Market Opportunities Essay

Agreements in the Package Holiday Industry and Market Opportunities - Essay Example Package holidays are normally organized and structured by tour operators. These are the individuals or groups of people who put together different holiday elements into one package (Ryan, 1989). They then sell these packages directly to members of the public or indirectly through travel agents. Different holiday packages have different costs, depending on how they are structured. A normal package holiday may include the following: †¢ Accommodation †¢ Flights †¢ Meals †¢ Transfers Other elements of a package holiday can include: in-flight tickets, park tickets, ferry crossings and ski passes. Accommodation is normally offered by hotels or hostels in various tourism destinations. Transport is normally offered either by chartered or scheduled flight services. In the package industry, meals are normally offered on a board basis. This means that the tourist is offered meals depending on the type of board he takes up. Different types of board offered by package tour services include: †¢ Room only where there are no meals available †¢ Bed and breakfast where only breakfast is provided †¢ Half board where breakfast and an evening meal are the only meals provided †¢ Full board where the tourists can get three meals in a day: breakfast, lunch and an evening meal †¢ All or fully inclusive which normally includes three meals a day, soft drinks, snacks and locally available alcoholic drinks.

Friday, January 31, 2020

Obessive compulsive Disorder- and how it affects daily life Research Paper

Obessive compulsive Disorder- and how it affects daily life - Research Paper Example OCD is a disorder of anxiety, characterized by unwanted, uncontrollable thoughts, and ritualized, repetitive behavior that makes the affected person to feel as if they cannot perform. A person with such symptoms also feels that he cannot break free or resist from them. Like a needle that is stuck on old records, OCD sticks the brain to a particular urge or thought (National Institute for Mental Health 231). For example, Joe, an accountant in a certain firm keeps looking at clients books, now and then, because he fears that he might have missed something or done a mathematical error. Consequently, this has lowered his productivity so much that the management has issued him with warnings severally, but he just can’t avoid it. OCD is a disease that cripples both physically and mentally. Though there are no physical signs, it eats in every wake moment but many people suffer alone and in silence, as they are ashamed to share it with anyone, but its effects on the victim’s bo dy are normally unbearable. Millions of people are affected on their daily basis as they struggle to carry out their daily tasks that many of us take for granted. Imagine a person arriving at his work place and immediately start worrying that he may not have locked the doors or windows. This person may be forced to go back home now and again to ensure that everything is okay. This then affects their work productivity besides fatigue. Differences between Obsessions and Compulsions Obsessions are uncontrollable involuntary thoughts, impulses or images that occur again and again in our minds. No matter how much you don’t want to have such thoughts or ideas because you know very well that they don’t make sense, you just can’t stop them. Unfortunately, they are distracting and disturbing. On the other hand, compulsions are rituals or behavior that drives someone into do something now and then. These are mainly done in an attempt to do away with obsessions. For exampl e, someone who fears contamination may develop cleaning rituals that are very elaborate. However, the relief does not last because the obsessive thoughts always come back. Compulsive behavior normally causes anxiety as they become more time consuming and demanding. People with OCD are grouped into several categories. These are; washers, who fear contamination and therefore develops hand-washing or cleaning compulsions. Checkers keep checking at things they associate with danger or harm. Sinners and doubters are usually afraid that if something is not perfectly done, something bad might happen, whiles arrangers and counters are symmetry obsessed that develop superstitions about certain arrangements, colors or numbers. Hoarders are obsessed by fear of something bad happening if they throw away anything. Therefore, they hoard things they neither use nor need. Causes of OCD Scientists and doctors have not yet discovered what really causes OCD. However, recent research has explained bett er OCD understanding together with its potential causes. Experts believe that OCD is related to serotin levels, a normal brain chemical. Blockage of serotin’s normal flow the alarm system of the brain misinterprets and overreacts to this information. Messages of danger are triggered mistakenly by such false alarms making the brain to dwell on them, instead of instead of filtering them out. This makes the person to experience doubt and fear that is unrealistic. OCD is caused by strong worry or anxiety that acts like an alarm

Thursday, January 23, 2020

Saudi Women Essay -- Saudi Arabia

Abstract Saudi Arabia is one of the few countries that set specific laws regarding women only. A woman is considered to be a second class citizen who must depend on a male relative in all situations. Until recently, women did not have their own identification cards separate from those of their fathers' or husbands'. Women were also limited to certain levels of education such as elementary or secondary school levels. More than that, they were restricted to limited job opportunities. The laws also prohibit a woman from driving a car regardless of her age or whatever situation she may face. She must be driven by a man. This system worked well in the early days of the Kingdom of Saudi Arabia when it became a nation in 1932, but it causes major difficulties and constraints in today's world. For example, a woman having her identification card connected to her husband's makes it hard for her in cases of traveling or performing businesses. Moreover, it is not always easy for a woman to find someone who can give her a ride, especially if she is working in a job. Furthermore, not all families can afford hiring a driver. Because these rules set for Saudi women resulted in major restrictions, the Saudi government is considering improving them. Although the Saudi government is working on granting women some of their rights in the Saudi society, many people still argue that the situation in Saudi Arabia is static. The following essay discusses the progress of women's issues in the kingdom. IDENTIFICATION CARDS There has been much progress in women's rights in Saudi Arabia in the last few years. One of the most important events in the year 2001 was issuing women identity cards. Before that, Saudi women were listed on the papers of a male... ...le consider that not the government. 4) Do you think Saudi men and women are treated equally? Give a reason to support you’re answer. No they are not treated equally. Women cant do anything without a man!! 5) Do you think Saudi Arabia has evolved regarding women? Yes 6) What do you think of Saudi Arabia’s education for women? is it developing? It used to be bad but now its developing rapidly. 7) Do you think women should drive in Saudi? And list why? Some times driving is necessary like driving to the emergency moreover a lot of people cant afford drivers. 8) Are there enough job opportunity for women in Saudi? Yes. 9) Do you think women should only be house wifes? No 10) Do you think that Saudi’s development regarding women is slow?why? Yes, buts its getting faster by time. It is slow because people in Saudi Arabia do not accept change quickly.

Wednesday, January 15, 2020

Bronte, the play

Bronte, the play, is a recent work, with one of its very first productions being staged at the Oxford Playhouse. The idea of it was to provide the audience with an insight into the lives of the three Bronte sisters, Emily, Charlotte and Anne. They of course wrote books themselves, including Wuthering Heights and Jane Eyre. Renowned of course for being secluded, they wrote at a time when women writers were scorned by publishers; their only way of expressing themselves was indeed through their work. However, whilst the play was written by Polly Teale so that it showed the hardship that the sisters each had to endure in order to have their work published, I will be seeing whether the performers helped this any further. Right from the very start, we as an audience were given a different view on the actual play. The three sisters were in fact standing on stage in normal modern day clothinhg. They said at this point that they did not want the audience to believe this as a real play, and that they were just playing the Brontes- and in doing so showing the audience very similar to what their life may have been like. This I believe was extremely effective, as it was interesting. It was interesting because it allowed the audience to genuinely watch the play almost like a critic and see the ways in which the actors and actresses depicted the lives of the Brontes and of those around them. The most noticeable connection between the actresses was, I thought, how close they actually appeared as sisters. This was especially well done as for most of the play when one was in a scene, the other two would almost certainly be there. They were indeed united on all fronts, such as the way in which they tried to stand up to their father. Also, there seemed to be an informal pecking order within the sisters. Diane Beck and Fenella Woolgar, playing Emily and Charlotte respectively, seemed to be vying for the dominance, whilst Anne (Catherine Cusack) was very much the ‘other' sister. Woolgar and Beck were excellent in highlighting this. Later on we will see this rivalry between the sisters in their writing. However, this bond showed that whilst they undoubtedly loved and cared for their father very much, their bond was simply too tight. This was effective; and this was due to the actresses. You can read also Analysis of Literary Devices of Jane Eyre All of the actresses here created this in their own ways; Beck did so by trying convey her Emily as the leader of the pack- Woolgar did the same also and as well as this tried, and succeeded in creating a rivalry between the two of them. Cusack's Anne. However this bond was not shared with their brother Bramwell. Both he and his sisters felt that the other side had wasted their lives. Bramwell felt that his sisters had no life, confined to the house, and the sisters felt on the other hand that Bramwell was shallow, as his life consisted of little more than drink. This tension reared its head finally in one scene in particular. This was where he pinned Emily down on the floor and taunted her of the fact that she was still a virgin. This was extremely well done as at a couple of points during the scene, the audience were unsure as to whether Bramwell was actually about to rape his own sister. The other sisters were of course torn between stepping and protecting Emily, as possibly getting roughed up themselves, or simply standing by and watching Bramwell. We can see this emotion on the stage as the sisters deliberate what to do; such was the quality of the acting that was portrayed by their bond. Yet, it is interesting to note that Charlotte was in fact the more reluctant of the two other sisters to in fact go and aid Emily- this added further spice to the plot. Also, however, Emily translated this pain through her own writing into her books. She believed that this helped to channel her anger, and therefore by doing this she showed that she was indeed feeling better. This reflected itself onto the audience, and their own particular feelings regarding the attack. The most important character in the play except for the sisters is undoubtedly Bertha. Although not an actual person in the play, she represented the feelings and anxieties of all of the sisters within the play. One prominent part was straight after the sex attack where Bertha was mirroring the anxieties of Emily. Bertha called out ‘He beat me, he beat me like a dog'. She cried in a moaning voice too. The actress playing Bertha was perhaps the most accomplished, despite being just 20. She played ‘Ellie' in About a Boy also. Her experience shone through as well; she was not afraid to moan, and to move fluidly like a snake as she did, and this was good as this contradicted the rest of the play. It added a sense of realism, as we were truly allowed to see into the deep thoughts of both Emily and of Charlotte. Another important part with this ‘character' was at the very end of the play. At this part, she throws feathers everywhere across. Throughout the play at certain she had thrown small handfuls on stage. However, it seemed as thought at the end she was letting all of her emotion and stress out on stage, as though she had finally exploded with anger. It appeared as though she had literally gone mad also. The actress here was extremely effective, not only because her actual action was so random, but also because the way which she so carelessly threw away the feathers was good as it showed that she also seemed to know not what she was doing, just like Charlotte or Emily letting the ink ooze from their pen onto the page. Thus in conclusion it could be said that whilst the play of Bronte itself was indeed extremely thought-provoking and even gain an entertaining into the lives of the Bronte sisters, it was undoubtedly the performers who made this possible, through their own separate ways. The skills required needed to be of the highest quality. The performers had this; and thus made the production effective.

Tuesday, January 7, 2020

Beverly Daniel Tatum Ph.D. Is An Expert On Race Relations

Beverly Daniel Tatum PH.D. is an expert on race relations and the development of racial identity. Tatum guides her readers through racial identity and major ideas and concepts regarding race. Throughout the book readers will better understand the racial dynamic of their everyday lives, along with suggestive actions toward a more equitable world for all. The following paragraph gives a summary of the book, breaking it down into the IV parts containing ten chapters. Part I A Definition of Terms: Chapter one ‘Defining Racism’ defines common and important terms when discussing race and racism, such as, oppression, prejudice, minorities, privilege, and many others. Along with this, Tatum introduces the familiar feelings and thoughts many†¦show more content†¦She articulates this idea that we want to have an identity and feel safe around those of the ‘same’. Lastly, Tatum makes a point that racial identity can persist into Adulthood, it is not only in sch ools but also in the corporate world. Part III Understanding Whiteness in a White Context: This section discusses the development of white identity and how many white people neglect to really think about their identity. Thinking about race may make many people uncomfortable but having those difficult conversations and acknowledging privilege and oppression is the action that needs to be taken. Tatum suggests affirmative action. Part IV: Beyond Black and White: Disuses important issues of other racial minorities including, Latino, American Indian, and Asian Pacific American. Tatum also discusses identity development in multiracial families, this can be a complex identity development with many factors coming into play, however, parental encouragement of biracial identity has been seen as highly beneficial. Part V Breaking the Silence: This final section offers suggestion on embracing a cross-racial dialogue. We can no longer can be silent and must work toward social change and a more equitable world for all. Reading Beverly Daniel Tatum’s book ‘Why Are All the Black Kids Sitting Together in the Cafeteria?’ has greatly intersected with the course material I have learned about this semester. Within the introductory section (PartShow MoreRelatedThe And Race Expert Dr. Beverly Daniel Tatum1312 Words   |  6 PagesAbout the Authors Author, scholar, and race expert Dr. Beverly Daniel Tatum is the former president of the Spelman College in Atlanta, Georgia and Mount Holyoke College in South Hadley, Massachusetts. Tatum received her B.A. in psychology at Wesleyan University, and her M.A. in religious studies at Hartford Seminary. She also received her doctoral degree in clinical psychology at the University of Michigan. Dr. Tatum began her career serving as an Associate Professor and Assistant Professor at