Benchmarking as a powerful total quality management tool

Like all other administration ideas and standards, Benchmarking has additionally experienced the trial of time and effectiveness. Truth be told, it was not until Xerox executed it in the late 70’s that Benchmarking has substantiated itself in the field of business the executives (Brown, 1992). During this time, Xerox was losing piece of the pie and feeling pressure from its rivals. While trying to get once more into the game, Xerox contrasted its tasks with its competitors'.After contrasting its quality guidelines with others', Xerox started probably the best pattern in the business world today (Rogers, 1991). In spite of the fact that there have been issues on in the case of Benchmarking must be considered as an independent administration idea from that of Total Quality Management (TQM), this paper would contend that Benchmarking is somewhat a fixing and a proficient apparatus in the usage of an effective TQM process. This paper additionally would contend that benchmarking ap plies not exclusively to assembling yet additionally to support industries.In truth, it has even brought up that benchmarking has been helpful in the money related administration of Higher Education organizations (Tang and Zari, 1998). Review OF BENCHMARKING The rule of benchmarking has been characterized in a few different ways relying upon the territory of TQM where its qualities and commitments have been pushed. The European Foundation for Quality Management (EFQM) characterizes it as: â€Å"The procedure of methodicallly looking at your own hierarchical structure, procedures and execution against those of good practice associations all around, so as to accomplish business excellence.Benchmarking gives the key interface among distinguishing and understanding the key rules for change and adjusting these to the truth of explicit associations in the worldwide economy† (Waston, 1993). The celebrated follower of TQM and benchmarking Mohamed Zairi characterizes it as â€Å"emul ating the best by ceaselessly actualizing change and estimating performance† (Zairi, 1996). In the two cases, benchmarking has its own imprint: permitting change for the best.Industry experts of benchmarking consider a benchmark is the standard of greatness against which to gauge and look at wherein benchmarks are execution measures: what number? How rapidly? How high? How low? (APQC, 1995). Benchmarks are realities; benchmarking empowers genuine improvement (Ammons, 1999). Benchmarking is really the way toward learning exercises about how best execution is cultivated by the exacting usage and work of best practices (APQC, 1995).Clearly, benchmarking goes past information social affair, examination and estimation. Benchmarking is a fixing in any all out quality administration development. Firms that need to know why or how another firm shows improvement over theirs follow the benchmarking idea (Greengard, 1995). Its utilization is quickening among U. S. firms that have receive d the TQM reasoning. Benchmarking is tied in with improving serious position, and utilizing ‘best practice' to animate radical development as opposed to looking for minor, gradual enhancements for notable execution (Certo, 1994).Due to changes in monetary variables, innovation, showcase requests and other social components, benchmarking as a TQM instrument doesn't endure just contrasting past strategic approaches with present so as to pick up business greatness, rather it requires an association to grasp these changes. For this situation, benchmarking in accordance with TQM is an ideal business apparatus toward worldwide seriousness (Saxl, 1992). This case has been demonstrated by benchmarking experts who were considered as best among the best in the realm of business.

My Life-Changing Decision

MY LIFE CHANGING DECISION ROSS BROWN ENGL 1301-270 SUSAN ROBBINS 4/2/2013 It was the start of spring around two years back a wet and melancholy day. I was thirty two years of age, unstable on meth and destitute. Made a beeline for jail for the third time, I was confronted with a groundbreaking choice, â€Å"do I turn myself in† or â€Å"do I continue running and take my chances†. It was a choice that would influence the ones I love the most, my kids. As I sat in the forested areas behind an overview, medicate invaded inn, I shut my eyes and everything I could see were the tears in my children eyes each opportunity they came to see me in prison.The ones that relied upon me for adoration and security, were currently miserable and terrified of me. They were as lost as I seemed to be. Considerations started to go through my mind, â€Å"have I bombed my youngsters as a father†, â€Å"do I need them to go down a similar way I went down† or â€Å"do I need to gi ve them a future and a dad to be pleased of†. Carrying on with the way of life I lived for a long time, showed me not to confide in individuals. Particularly authority figures. So the idea of turning myself in didn’t sound like a smart thought to me at that point. It left me confounded and scared.I could continue running, yet the previous ten years had been only a continoues cycle that consistently landed me back in jail and left my kids without a dad. I’ve consistently been known for taking risks. Turning myself in would require taking the greatest risk of my life, believing a position figure and the framework that I thought had just bombed me. My Pastor had consistently let me know â€Å"recovery needs to begin some place son†. At that point, in light of my kids, I had settled on my choice. I was going to turn myself in.As I opened my eyes, tears spilling down my face, the day appeared to abandon wet and bleak, to quiet and clear. I got my telephone and decided. I was to hand myself over to the specialists inside about fourteen days. On April 20,2011 I strolled into the Federal Halfway House. I was worn out, truly and intellectually. I didn't have a clue what's in store or what was anticipated from me. They gave me three suppers every day and a hard tangle to rest on. They gave transportation and the chance to get steady, in the event that you needed it. I needed it awful! It would require a great deal of exertion and assurance to endure the framework successfully.Not numerous ex criminals make it. They took a gander at me as another measurement when I previously showed up. You just have a specific measure of time to find a new line of work and start your recuperation. I battled, no one needed to recruit a recuperating ex con. I was beginning to think I was not going to make it. I was toward the finish of the dead line, they were needing feel free to send me back to jail. On the absolute a day ago the telephone rang, it was Bill Or r with Gym Bleacher Boards. He requested that I come in immediately for a meeting. I needed to land authorization from the position facilitator with the goal for that to happen.He was not having any desire to give me this last possibility at finding a new line of work. At that point all of a sudden my case manager, Ms. Woodson, appeared and said â€Å" simply give him this one final possibility before you send him back†. At the point when I showed up at Gym Bleacher Boards, I was anxious and had blended feelings about everything. As I stayed there looking out for my meeting with Bill, I said a little supplication to myself, â€Å" Lord, it would be ideal if you let me land this position, not for me, however for my children†. Bill came out of his office and called me in and I cleared the air regarding everything.By the time the meeting was finished, we were talking as though we had known each other for quite a long time. At that point he investigated at me and stated, à ¢â‚¬Å" Ross, everyone merits another opportunity at life, you are hired†. Inside two months I had the option to get my own place and out of the Federal Halfway House. Presently, after two years I recovered my family, a great job, and a lot of multi month old twin girls. As I think back on the day I settled on my choice, I understand I took a risk that completely changed me. Presently, I am ready to give my youngsters a future and a dad to be pleased with.

Diabetes Warning Signs

Diabetes Warning Signs Diabetes, also commonly referred to as the sugar disease, has become very common in today’s word. According to the report released by CDC in 2017, there are over 30 million adults with diabetes in the United States.The same report also estimates that over 84 million adults with prediabetes in the United States.According to the World Health Organization, diabetes contributes to a high number of strokes, kidney failure, blindness, heart attacks, and lower limb amputation.In 2016, diabetes was directly linked to an estimated 1.6 million deaths.Diabetes is a group of metabolic disorders that cause high concentrations of blood sugar or blood glucose in the body. People with prediabetes also have abnormally high levels of blood sugar, although they have not yet developed diabetes.According to the CDC, failure to get treatment for prediabetes will lead to the development of diabetes within 5 years.Diabetes occurs when the pancreas does not produce enough or any insulin, or when the body c annot effectively use the insulin it produces.Insulin is a hormone that helps glucose pass from the blood through to the cells to be used as energy, thereby helping regulate blood sugar in the body.When insulin is not produced, the glucose cannot pass through the cell membranes and therefore it remains in the bloodstream.Too much blood sugar can cause serious damage. In many cases, diabetes starts gradually and many people do not even realize that they have diabetes.In this article, we are going to look at the causes of diabetes, some of the warning signs of diabetes, as well as how the disease is diagnosed and treated.But first, let’s start by looking at the different types of diabetes.TYPES OF DIABETESThere are different types of diabetes. These include:Type 1 DiabetesIt was previously known as insulin-dependent, juvenile or childhood-onset diabetes, owing to the fact that this type of diabetes is usually detected during childhood. It is an auto-immune disease.In type 1 diabetes , the body does not produce insulin because its immune system attacks and destroys the cells in the pancreas that produce insulin.People with this type of diabetes require a daily administration of insulin to survive hence the name, insulin-dependent diabetes.Type 2 DiabetesThis type of diabetes was previously called non-insulin-dependent, or adult-onset. It is a condition where the body ineffectively uses insulin because the cells have become resistant to insulin.It is the most common type of diabetes as it accounts at least 90%of all diabetes cases.People with this type of diabetes can often initially manage their condition through regular exercise and practicing a healthy, balanced diet.However, since diabetes is usually progressive, a high percentage of those with type 2 diabetes will require oral medication and/or insulin at a later stage.Gestational DiabetesIt is characterized by elevated blood sugar level (hyperglycemia) and it occurs in one in 25 women, without previous hist ory of diabetes, when they are pregnant.It usually comes with high risk of complication for both mother and child.The mothers always end up giving birth to high birth weight babies weighing 4kgs or more. This type of diabetes resolves after birth.However, both the mother and the child risk having Type 2 Diabetes in future.Pre-DiabetesThis happens when a person has high blood sugar levels above normal range but not high enough to constitute diabetes. It is sometimes referred to as borderline diabetes.The normal range for blood sugar is between 70-90 milligrams per deciliter whereas for those with diabetes have blood sugar higher than 126 mg/dl.People with pre-diabetes have blood sugar range of between 100-125 mg/dl. These people are at risk of getting Type 2 Diabetes.Other Types Of DiabetesThere are types of diabetes which are less common. They are monogenic diabetes and cystic fibrosis-related diabetes.Monogenic Diabetes include conditions such as neonatal diabetes and maturity-onse t diabetes of the young (MODY), which refers to any of several hereditary forms of diabetes.These are usually caused by gene mutations that affect the body’s production of insulin.WHAT ARE THE CAUSES OF DIABETES?Diabetes is a chronic disease that occurs when there is little or no production of insulin in the body by the pancreas, or when the body does not respond to insulin.Insulin is the hormone responsible for helping glucose get into the body cells to be used for energy.The exact cause depends on the type of diabetes.However, all types of diabetes have one thing in common â€" the inability to properly manage the body’s insulin/glucose balance.Let’s look at the causes of different types of diabetes.Type 1 DiabetesType 1 Diabetes occurs when the body’s immune system views the insulin-producing cells (beta cells) as a threat and kills them.As a result the body is left with very little or no insulin to function normally.This is referred as an autoimmune reaction as the body a ttacks itself and produces antibodies that destroy the beta cells.The cause for this reaction is still unknown and apart from possible genetic predisposition, viral or bacterial infection and chemical toxins in food are believed to be triggers.When a person with Type 1 diabetes experiences the first symptoms, most of the beta cells in the pancreas have already been destroyed.There are various risk factors that contribute to the development of Type 1 diabetes. These include:Family history â€" a person is at risk of developing Type 1 diabetes if their parent or sibling has the disease.The presence of damaging immune cells (autoantibodies) increases the chances of getting the disease as these autoantibodies will fight and destroy the insulin producing cells in the pancreas.Race â€" Certain ethnicities are more predisposed to type 1 diabetes. For instance, in the United States, Caucasians are more likely to suffer from type 1 diabetes compared to African-Americans and Hispanic Americans .Environmental factors such as exposure to toxins and chemical compounds, viral infections, not breastfeeding, drinking cow’s milk and rapid weight gain in infants are all potential causes for Type 1 Diabetes. Toxins found in food and water may activate autoimmune mechanisms in genetically susceptible individuals, which in turn might result in pancreatic cell death. An example of such toxins is arsenic which occurs naturally in the environment.Pre-Diabetes And Type 2 DiabetesPre-diabetes, which can led to Type 2 Diabetes, and Type 2 Diabetes occurs when the body is unable to use insulin effectively.The cells develop resistance to insulin and the pancreas is unable to make enough insulin to overcome the resistance.Therefore, instead of glucose moving into the cells in the body, it builds up in the blood stream.It is still uncertain why exactly this happens, but there are some known predisposing factors.Some overwhelming factors include being overweight and a family history of Type 2 Diabetes.However not everyone who has Type 2 Diabetes is overweight.By the time one is diagnosed with Type 2 Diabetes, 50% of the beta cells in the pancreas have already been destroyed.It may take years before the diagnosis is made and before that the buildup of the glucose in the bloodstream exposes one to cardiovascular disease.The following factors increase the risk of one developing Type 2 Diabetes:Obesity/being overweight. The more fatty tissues one has, the more resistant cells are to insulin.A family history of diabetesAlthough it has not been completely prove, people of south Asian descent, African, Africa-Caribbean, black American and Hispanic are more likely to have Type 2 Diabetes.High blood pressureRisk of developing Type 2 Diabetes increases as one gets older.A history of gestational diabetes and giving birth to a baby weighing 4Kg or more.Polycystic ovarian syndrome (PCOS)DepressionPhysical inactivity. Physical activity helps one control their weight. It also uses up glucose as energy and make the cells more sensitive to insulin.High cholesterolSmokingAcanthosis nigricansRecent studies have also linked Type 2 diabetes to chronic hepatitis C infection, poor sleep quality, impaired lung function, gout, infertility, obesity in children, early or late menopause, job insecurity and irregular shift work, drinking sugary beverages, and being on antiretroviral treatment for HIV/AIDS.Gestational DiabetesThis occurs in 2-10% of all pregnancies and it usually disappears after giving birth. However, these women are always at risk for developing Type 2 diabetes.Although the cause of this type of Diabetes is unclear, it is attributed to the weight gain during pregnancy and also a family history of diabetes.Weight gain and the changing hormonal balance makes it more difficult for the body to keep up with its need for insulin.This may result to gestational diabetes.Consequently as the pregnancy develops, the placenta produces insulin blocking hormones which ma y cause the pregnant woman’s glucose level to raise up if there is not enough insulin to counteract this effect.Though it may be temporary, untreated gestational diabetes can damage the health of both the baby and the mother.The mother risks giving birth to a baby with high weight, congenital heart , central nervous system abnormalities, and skeletal muscle malformations. Risk factors for gestational diabetes include;Being overweightHaving pre-diabetesFamily history of Type 2 diabetesHistory of gestational diabetesHormone disorder such as polycystic ovary syndromeHigh blood pressureAgePreviously giving birth a baby that weighed at least 4.5 kg or had a birth defectEarly onset of menstruationThyroid dysfunction during pregnancyWARNING SIGNS OF DIABETES Here, we are going to look at some of the warning signs of Type 2 diabetes, since it is the most common type of diabetes.Like I mentioned earlier, the symptoms of diabetes appear gradually, and many people do not know that they have diabetes until it is too late.Some of the signs that you might have type 2 diabetes include:Frequent UrinationAs the levels of glucose in your blood increase, the kidneys step in to try and get rid some of this excess glucose from the blood.This means you have to urinate more often to get rid of this excess urine, especially during the night.Extreme ThirstThis is another common warning sign of diabetes. The high blood glucose level is enough to cause thirst on its own.However, this is made worse by the fact that you are losing a lot of water due to frequent urination.This results in a person feeling thirstier than usual, and drinking water does not quench the thirst.Increased HungerNormally, when you eat, the food is converted to glucose, which then provides energy for your body.However, when you have diabetes, your body’s ability to absorb glucose from the blood is compromised, and therefore the body assumes that you do not have glucose to fuel it.This triggers a constant hunger as your body tries to look for more fuel. Sometimes, you might even start losing weight despite eating more.FatigueSince your body is unable to efficiently absorb glucose from the body, there isn’t enough glucose to keep your cells energized.This can result in fatigue.Numbness and Pain in the LimbsPeople with diabetes also tend to experience numbness or a tingling sensation in the feet, toes, hands, and fingers.This is caused by diabetic neuropathy, or damage of the nerves due to diabetes.In many cases, this happens after years of living with diabetes, though it can also appear as an early warning sign.Slow Healing WoundsIf you have diabetes, wounds take so long to heal, regardless of how small they are.This is usually because diabetes causes a narrowing of the blood vessels, resulting in nutrients and white blood cells taking much longer to get to the wound.Additionally, diabetes also compromises the immune system, making it harder for the body to fight infections.Blurry VisionEx cess glucose in the blood affects the tiny blood vessels within the eye and cause some fluids to seep into your eye lenses. The changing levels of fluid in your body also contribute to this.As a result, your eye lenses swell up and change their shape, resulting in blurred vision.In most cases, this blurry vision will resolve by itself. It is advisable to see an eye doctor immediately so that they can determine the cause of the blurriness.Dark Patches on the SkinPeople with diabetes also develop dark, velvety discolorations on the skin, especially in the neck, armpits, and groin region.These patches are caused by the excessive insulin in your blood.If you start seeing any of the above symptoms, you should seek medical advice right away.DIAGNOSIS OF DIABETESAnyone exhibiting symptoms linked to diabetes or is at risk for the disease should be tested.Diagnosis is usually done by simply testing the blood sugar levels.Women are always routinely tested for gestational diabetes during their pre-natal visits in their second or third trimester.The following tests are used for screening diabetesFinger Prick Test or the Fasting Plasma Glucose Test (FPGT)This the most common and easiest test of them all and it can be done at a clinic or a pharmacy.The doctor or nurse will prick the finger with a lancet to drawn blood for testing.A small drop of blood is then added onto the testing strip of a glucose meter.The meter reads the strip and then displays a number which is the blood glucose level. A level of 126 mg/dl or more indicates that one has diabetes.A fasting blood glucose test might be done to confirm diagnosis. This is usually done after one has fasted for eight hours.Oral Glucose Tolerance TestThis test is normally done after two hours when one has had a sugary drink that contains 75g of glucose. Blood-glucose levels must be previously measured before having the drink.The aim of this test is to check your body’s response to sugar intake and the production of insulin. A level of 200 mg/dl glucose in your blood (or higher) indicates that you have diabetes.The Glycated Hemoglobin (Hba1c) TestHbA1c refers to glycated hemoglobin.When hemoglobin, a protein in your red blood cells, combines with the glucose in your blood, it becomes glycated.The HbA1c test measures the levels of glycated hemoglobin in your blood. The aim of this test is to give an indication of the levels of glucose in your blood over the past 3 months.This is because the red blood cells have a lifespan of about 3 months.The results show a percentage of the glycated hemoglobin in your blood.The higher the reading, the more likely you are to have diabetes. Any reading above 6.5% is confirmation of diabetes.Pregnant women can also be tested for gestational Diabetes using the glucose challenge test and the Oral Glucose Tolerance Test (OGTT).With the Glucose challenge test, a health care professional will draw blood 1 hour after drinking a sweet liquid containing glucose.One does not need to fast for this test. If blood glucose is too high, 135mg/dl to 140mg/dl or more, one may need to return for an oral glucose tolerance test while fasting.With OGTT, blood glucose is measured after fasting for at least 8 hours.First, a health care practitioner will draw blood. Then one will have to drink a liquid containing glucose.For diagnosing gestational diabetes, blood will be drawn every hour for 2 to 3 hours.If two or more of the hourly tests show a high blood glucose level, it means that you gestational diabetes.TREATMENT OF DIABETESType 1 DiabetesThere exists no cure for Type 1 Diabetes and those affected have to live with the disease while managing it.Due to the extensive advancement on optimal management of Type 1 Diabetes, people with this disease have a shot at quality life.With Type 1 Diabetes it means that the body is producing very little or no insulin in the body thus administration of artificial insulin will be required.Therefore the only recommended treatment for Type 1 Diabetes is insulin.Immediately diagnosis is made, one is supposed to start insulin treatment and this will go on for the rest of their life.Most things change after diagnosis and one has to make adjustments due to the disease.One will be required to master the tools used in administering insulin, syringes, insulin pens and pumps, since they will have to do it on their own.In addition to taking Insulin, one’s lifestyle will also be affected.They will need to live a healthy, active lifestyle that includes a balanced, nutritious diet.Type 2 DiabetesWith Type 2 Diabetes, lifestyle change is mandatory.One’s lifestyle and/or medication will have to work together to bring the level of blood glucose under control.One is advised to consult a personal dietitian who will help in coming up with a personal eating program that fits your needs and preferences that does not compromise a healthy diet.This will be a lifetime adjustment.The key principles of medical management are:Regular  blood-glucose self-monitoring  as a part of daily living.Prescription of diabetes medication  or even insulin.Learning how and when to make adjustments in your medication doses to prevent high or low blood-glucose levels.Learning about complications that may result from diabetes and how to prevent, identify and treat them.Gestational DiabetesNormally, gestational diabetes is managed by eating a healthy diet and being physical fit.However, there is a small percentage of pregnant women diagnosed with the disease, who have to use insulin injection throughout their pregnancies.Women with Gestational Diabetes are advised to;Maintain a healthy weight.Eat small portions of food.Include fiber-rich carbohydrates in their meals.Meals should be lightly cooked and low in fat.Opt for foods with a high fiber content.Avoid foods and drinks that contain large amounts of sugar.By following these directions, they will be able to carry the baby to term without minimal or no complications.After the b aby is born, Gestational diabetes disappears.DIABETES COMPLICATIONSHigh blood sugar levels damages organs and tissues throughout your body.The higher the levels of glucose in your blood and the longer you live with diabetes, the more likely you are to develop complications.Complications that may arise due to diabetes include;Heart diseaseStrokeKidney diseaseEye problemsDental diseaseNerve damageFoot problemsHearing lossSkin conditionsDepressionAlzheimer’s diseaseIn gestational diabetes complications include still birth, miscarriage, high weight baby, risk of developing Type 2 Diabetes, and low blood sugar for the baby.Whilst there is no preventive measures for Type 1 Diabetes, other diabetes can be prevented. Type 2 which accounts for 85-90% of all cases worldwide can be prevented or delayed by maintaining a healthy lifestyle.This can be archived by engaging in physical activities, maintaining normal body weight and eating a healthy, balanced diet.A healthy diet constitutes eating foods with high fiber content, whole grains and choosing fats with low cholesterol levels.Avoiding sugary beverages and eating less red meat and other sources of saturated fats will keep the disease at bay.Smoking is also associated with causing diabetes, therefore it is advised to stop smoking.WRAPPING UPDiabetes has become a menace all over the world, with a very high number of people suffering from the disease.Considering that a high number of those with diabetes do not even know they have the disease, the best thing to do is to be very observant and seek medical advice immediately you notice any of the warning signs associated with diabetes.In addition, you can reduce the risk of developing the condition by having a balanced, healthy diet, exercising regularly, watching your weight, avoiding bad habits such as smoking, and generally living a healthy lifestyle.

Comparing and Contrasting Literary Forms - 691 Words

Comparing Contrasting Literary Forms Authors name Authors institutional affiliation Authors note Comparing Contrasting Literary Forms The paper will consider the similarities and differences among the literary forms of drama, poetry, and the short story. Certainly, an obvious similarity is that they are all forms of literature and as such have the great potential to affect peoples hearts, minds, and experiences. Literature, when executive well, has the potential to change a persons perspective, inspire, or otherwise change who that person is and how that person thinks. This is a similarity that each one of these literary forms has in common off the bat. It is the opinion of this author that one of the highest forms of literature is poetry. Poetry is a very old form of literature and it is one of the most challenging forms of literature to write well or successfully. There are far less poets than there are short story writers and dramatists. 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Art of Patient Health Care 2019

Nothing speaks more about the reputation of a company than the loyalty of its customers. Aurora Health Care has a mantra which reflects the company and speaks to why its customers are so loyal: There is a better way to provide health care. That says it all. As a company, Aurora Health Care is constantly working on providing that better way. Aurora Health Care innovates and isnt afraid to show the world the fruits of its labors. In fact, Aurora Health Care continues its legacy by training future doctors and healthcare workers in the art of patient care, and by reinventing the way health care works. A closer look at Aurora will reveal the details. Aurora Health Care holds a unique position in the healthcare industry. Aurora Health Care has 250 locations in 75 Wisconsin communities. The Aurora Health Care Organization includes 14 hospitals, 103 clinics, over 3000 network physicians, and several specialized treatment centers. It is a leader in the healthcare industry, but not in the traditional sense. As Wisconsins largest non- profit health organization, Aurora Health Care isnt concerned with the traditional concerns of health care conglomerates, such as rearing in patient care costs and making a profit. Aurora Health Care takes the lead by making patient care its top priority. Income that Aurora Health Care generates is reinvested into the community it serves and into the programs it offers. This means that Aurora Health Care is able to streamline the efficiency of health care by investing in technologies and programs that satisfies their customer base and their core values. .ue1eee7b8833efda967d8805cdcb891b9 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .ue1eee7b8833efda967d8805cdcb891b9:active, .ue1eee7b8833efda967d8805cdcb891b9:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .ue1eee7b8833efda967d8805cdcb891b9 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .ue1eee7b8833efda967d8805cdcb891b9 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .ue1eee7b8833efda967d8805cdcb891b9 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .ue1eee7b8833efda967d8805cdcb891b9:hover .postTitle { text-decoration: underline!important; } READ Decline in Applications for Online MBA Degrees. Myth or FactA residency at Aurora Health Care is an experience in how a medical facility should be run under diverse conditions. Auroras residency programs are run in two major hospitals: Aurora St. Lukes Medical Center, Wisconsins largest hospital, and Aurora Sinai Medical Center, Wisconsins second oldest hospital. Students may apply for residencies in family practice, internal medicine, OB/GYN, pharmacy, and radiology. Residency programs cover patient care, business practices, administrative policies, and compliance issues. Two of Auroras residency programs rank in the top 50 of US News World Reports medical program rankings: its urology program is ranked 29th in the nation, while its geriatrics program breaks into the top 50 at number 48. All residents are fully covered for liability, medical insurance, group life insurance, and disability. Finally, Aurora Health Care involves its residents in all aspects and decisions relating to patient care. .u61b81e2b4f57a7a5aa10a3979c1d9684 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u61b81e2b4f57a7a5aa10a3979c1d9684:active, .u61b81e2b4f57a7a5aa10a3979c1d9684:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u61b81e2b4f57a7a5aa10a3979c1d9684 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u61b81e2b4f57a7a5aa10a3979c1d9684 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u61b81e2b4f57a7a5aa10a3979c1d9684 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .u61b81e2b4f57a7a5aa10a3979c1d9684:hover .postTitle { text-decoration: underline!important; } READ Bachelor Degree Nursing Specialties Forensic Nurse Investigators Apply Medical Knowledge to Crime ScenesAurora Health Care also offers innovative training programs to participating personnel. Among the opportunities available are fellowships in cardiology, gastroenterology, and geriatrics. The organization even offers specialty schools in Radiology Technology at St. Lukes and a School of Diagnostic Medical Sonography at Aurora Sinai. Internships are available to medical school graduates in nuclear medicine technology and marriage counseling in the schools Family Therapy Training Institute. Practicing physicians may satisfy continuing education requirements and participate in special certificate programs such as Clinical Aromatherapy. All programs at the school are accredited by the Wisconsin Medical Society . Aurora Health Cares use of current technologies and medical practices shapes the future of health care. Its ability to maintain patient care as a top priority with an eye towards streamlining existing processes certainly lends credence to their mandate There is a better way to provide health care. Related ArticlesHealth Administration Degree Join the Largest Industry in the U.S.Opening Doors to a Health Care Financial Management CareerHealth Care Degree OpportunitiesHealth Care Management College DegreesAssociate Degree in Criminal Justice Online Graduates Have the Opportunity to Assist Inmates with Substance Abuse Issues in WisconsinGreat-West Health Care Gets Great Ratings .ue900186081e96f4379cbdf48cc92a30b { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .ue900186081e96f4379cbdf48cc92a30b:active, .ue900186081e96f4379cbdf48cc92a30b:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacit y 250ms; text-decoration:none; } .ue900186081e96f4379cbdf48cc92a30b { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .ue900186081e96f4379cbdf48cc92a30b .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .ue900186081e96f4379cbdf48cc92a30b .postTitle { color:#000000; text-decoration: underline!important; font-size: 16px; } .ue900186081e96f4379cbdf48cc92a30b:hover .postTitle { text-decoration: underline!important; } READ Online Criminal Justice Program Practice Law Enforcement for the Courts as a Bailiff

The Hunters Moonsong Chapter Thirteen Free Essays

Bonnie clutched the banana-nut muffin to her chest as if it was some kind of sacred offering. She just could not bring herself to knock on Matt’s door. Instead, she turned big pleading brown eyes on Meredith and Elena. We will write a custom essay sample on The Hunters: Moonsong Chapter Thirteen or any similar topic only for you Order Now â€Å"Oh, Bonnie,† Meredith muttered, reaching past her, shifting the pile of bagels and the carton of orange juice she was carrying, and rapping loudly on the door. â€Å"I don’t know what to say,† Bonnie whispered back, agonized. Then the door opened, and Matt appeared, red-eyed and pale. He seemed somehow smal er and more hunched into himself than Bonnie had ever seen him. Overwhelmed with pity, she forgot al about being nervous and launched herself into his arms, dropping the muffin in the process. â€Å"I’m so sorry,† she choked out, tears running down her face. Matt held on to her tightly, bending over and burying his head in her shoulder. â€Å"It’s okay,† she said final y, desperately, patting the back of his head. â€Å"I mean, no, it’s not †¦ of course it’s not †¦ but we love you, we’re here.† â€Å"I couldn’t help him,† Matt said dul y, his face stil pressed against Bonnie’s neck. â€Å"I tried my best, but he died anyway.† Elena and Meredith joined them, wrapping their arms around Matt from either side. â€Å"We know,† Elena said, rubbing his back. â€Å"You did everything you could for him.† Matt pul ed out of their arms eventual y and gestured around the room. â€Å"Al this stuff is his,† he said. â€Å"His parents don’t feel like they’re ready to clear out his things yet, they told the police. It’s kil ing me to see it al stil here when he’s not. I thought about packing it up for his parents, but there’s a possibility that the police might want to look through his stuff.† Bonnie shuddered at the thought of what Christopher’s parents must be going through. â€Å"Have something to eat,† Meredith said. â€Å"I bet you haven’t eaten for ages. Maybe it’l help you feel better.† Al three girls fussed around, fixing the breakfast they’d brought for Matt, then convincing him to taste something, anything. He drank some juice and picked at a bagel, his head lowered. â€Å"I was at the police station al night,† he said. â€Å"I had to keep going over and over what happened.† â€Å"What did happen?† Bonnie asked tentatively. Matt sighed. â€Å"I real y wish I knew. I just saw somebody dressed in black running away from Christopher. I wanted to chase him, but Chris needed my help. And then he died. I tried, but I couldn’t do anything.† His forehead creased into a frown. â€Å"The real y weird thing, though,† he said slowly, â€Å"is that, even though I saw a person running away, the police think Christopher was attacked by some kind of animal. He was †¦ pretty ripped up.† Elena and Meredith exchanged an alert glance. â€Å"A vampire?† said Meredith. â€Å"Or a werewolf, maybe?† â€Å"I was wondering about that,† Matt admitted. â€Å"It makes sense.† Without seeming to notice, he finished his bagel, and Elena took advantage of his distraction to slip some fruit onto his plate. Bonnie wrapped her arms around herself. â€Å"Why?† she asked. â€Å"Why is it that, wherever we go, weird, scary things happen around us? I thought that once we left Fel ‘s Church things would be different.† No one argued with her. For a little while, they al sat quietly, and Bonnie felt as if they were huddling together, trying to protect themselves from something cold and horrible. Final y, Meredith reached out and took an orange slice off Matt’s plate. â€Å"The first thing we need to do, then, is to investigate and try to figure out if these attacks and disappearances are supernatural.† She chewed thoughtful y. â€Å"As much as I hate to say it, we should probably get Damon on this. He’s good at this kind of thing. And Stefan should know what’s going on, too.† She looked at Elena, her voice gentle. â€Å"I’l talk to them, okay, Elena?† Elena shrugged. Bonnie could tel she was trying to keep her expression blank, but her lips were trembling. â€Å"Of course,† she said after a minute. â€Å"I’m sure they’re both checking things out anyway. You know how paranoid they are.† â€Å"Not without reason,† Meredith said dryly. Matt’s eyes were wet. â€Å"Whatever happens, I need you to promise me something,† he said. â€Å"Please, be careful. I can’t – let’s not lose anyone else, okay?† Bonnie snuggled closer to him, putting her hand on his. Meredith reached over and placed her hand over both of theirs, and Elena added hers to the pile. â€Å"We’l take care of one another,† Elena said. â€Å"A vow,† said Bonnie, trying to smile. â€Å"We’l always watch out for one another. We’l make sure everyone is safe.† At that moment, as they murmured in agreement, she was sure they could do it. Meredith pivoted and stepped forward, swinging her staff down to strike at Samantha’s heavily padded knees. Samantha dodged the blow, then jabbed her own staff straight toward Meredith’s head. Meredith blocked the blow, then thrust her staff at Samantha’s chest. Samantha staggered backward and lost her footing. â€Å"Wow,† she said, rubbing her col arbone and looking at Meredith with a mixture of resentment and appreciation. â€Å"That hurt, even with the padding. I’ve never trained with anyone so strong before.† â€Å"Oh, Well,† Meredith said modestly, feeling absurdly pleased, â€Å"I practice a lot.† â€Å"Uh-huh,† Samantha said, eyeing her. â€Å"Let’s take a break.† She flopped down on the mat, and Meredith, her staff balanced lightly in one hand, sat beside her. It wasn’t her staff, of course, not her special hunting one. She couldn’t bring her heirloom slayer staff to the gym – it was too clearly a customized deadly weapon. But she’d been delighted to learn that Samantha could fight with a four-foot-long jo staff and that she had an extra. Samantha was quick and smart and fierce, one of the best sparring partners she’d ever had. Fighting, Meredith was able to block out the helpless feeling she’d had in Matt’s room this morning. There was something so pathetic about seeing al Christopher’s things sitting there ready for him, when he was never coming back. He had one of those weird little fake Zen gardens on his desk, the sand neatly groomed. Maybe just the day before, Christopher had picked up the tiny rake in his hand and smoothed the sand, and now he’d never touch anything again. And it was her fault. Meredith squeezed her staff, her knuckles whitening. She had to accept that. If she had the power of being a potent force against darkness, a hunter and slayer of monsters, she had the responsibility, too. Anything that got through and kil ed someone in her territory was Meredith’s failure and her shame. She had to work harder. Practice more, go out patrol ing the campus, keep people safe. â€Å"Are you al right?† Samantha’s voice broke through Meredith’s thoughts. Startled, Meredith saw Samantha staring at her with wide, solemn dark eyes, taking in Meredith’s gritted teeth and clenched fists. â€Å"Not entirely,† said Meredith dryly. â€Å"Um.† She felt like she had to explain her grimness. â€Å"Did you hear about what happened last night, the guy who was kil ed?† Samantha nodded slowly, her expression unreadable. â€Å"Well, he was the roommate of a real y good friend of mine. And I was with my friend today, trying to help him. It was †¦ upsetting.† Samantha’s face seemed to harden, and she scrambled up on her knees. â€Å"Listen, Meredith,† she said, â€Å"I promise you this isn’t going to happen again. Not on my watch.† â€Å"On your watch?† Meredith asked mildly. Suddenly, it felt hard to breathe. â€Å"I have responsibilities,† Samantha said. She dropped her eyes to her hands. â€Å"I’m going to catch this kil er.† â€Å"It’s a big job,† Meredith said. It wasn’t possible, was it? But Samantha was such a good fighter, and what she was saying †¦ why would she think she was responsible for stopping the kil er? â€Å"What makes you think you can do it?† she asked. â€Å"I know this is difficult to believe, and I shouldn’t even be tel ing you, but I need your help.† Samantha was looking straight into her eyes, practical y vibrating with earnestness. â€Å"I’m a hunter. I was raised to†¦ I have a sacred trust. Al my family for generations, we’ve fought against evil. I’m the last of us. My parents were kil ed when I was thirteen.† Meredith gasped, shocked, but Samantha shook her head fiercely, pushing Meredith’s sympathy away. â€Å"They hadn’t finished training me,† she continued, â€Å"and I need you to help me get better, get faster. I’m not strong enough yet.† Meredith stared at her. â€Å"Please, Meredith,† Samantha said. â€Å"I know it sounds crazy, but it’s true. People are depending on me.† Unable to stop herself, Meredith started to laugh. â€Å"It’s not a joke,† Samantha said, jumping to her feet, her fists clenched. â€Å"This is†¦ I shouldn’t have said anything.† She stalked toward the door, her back as straight as a soldier’s. â€Å"Samantha, wait,† Meredith cal ed. Samantha whirled back toward her with a face ful of fury. Meredith took a quick breath and tried desperately to remember something she’d learned as a child but never had occasion to use. Crooking her pinkies together, she drew up her thumbs to make a triangle, the secret sign of greeting between two hunters. Samantha just stared at her, face perfectly blank. Meredith wondered if she remembered the sign correctly. Had Samantha’s family even taught it to her? Meredith knew there were other families out there, but she had never met any of them before. Her parents had left the hunter community before she was born. Then Samantha, moving as quickly as she ever had when they’d sparred, was before her, gripping her arms. â€Å"For real?† Samantha said. â€Å"Are you serious?† Meredith nodded, and Samantha threw her arms around her and clutched her tightly. Her heart was beating so hard that Meredith could feel it. Meredith stiffened at first – she wasn’t the touchy-feely type, despite being best friends with wildly affectionate Bonnie for years – but then relaxed into the hug, feeling Samantha’s slim, muscular body under her arms, so like her own. She had the strangest feeling of familiarity, as if she had been lost and had now found her true family at last. Meredith knew she could never say any of that, and part of her felt like she was betraying Elena and Bonnie just by thinking that way, but she couldn’t help it. Samantha pul ed away, smiling and weepy, wiping at her eyes and nose. â€Å"I’m acting stupid,† she said. â€Å"But this is the best thing that ever happened to me. Together, we can fight this.† She gave a half-hysterical sniff and gazed at Meredith with huge shining eyes. â€Å"I feel like I’ve made a new best friend,† she said. â€Å"Yes,† Meredith said – not weeping, not laughing, cool as ever on the outside but, inside, feeling like she was breaking into happy pieces – â€Å"yes, I think you’re right.† How to cite The Hunters: Moonsong Chapter Thirteen, Essay examples

Lennies Eulogy free essay sample

Lennies Eulogy Sometimes things happen, and there isnt always something that we can do to change it. Someones death will always be something to mourn about, but It also allows us to celebrate their life and bring everyone together. Lennies death Is most definitely a reason to bring us together, and even more of a reason to talk about and cherish. Lennie and I had a dfferent relationship than most people do. We stuck together wherever we went, and a lot of people questioned this. It was Just something that we did. He wouldnt make it on his own; I liked the company he gave me even If he did or said silly things. Lennie and I had been planning on saving enough to buy land together and have a bunch of different animals, and everyone told me that Lennie was just going to hold me back. We will write a custom essay sample on Lennies Eulogy or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Sometimes I believe that he did. Not even I know why we stuck together; he and I had a strange friendship that we both we along with. sometimes not everyone understands Lennie or people Ilke him. He was never really readily accepted by others. He lacked in communication skills, and I saw it as e tried to talk to the other guys by the work field. He also had a mild mental disability, so I understood why it was harder for him. Lennie was almost too innocent and kind to be accepted. He didnt understand why Crooks was kept away and isolated from the rest of us. People like Curley would look down on Lennie, because he didnt talk much. In Lennies defense though, he always go his work done. Even though it isnt fair to Lennie, some people cant help but not accept him. We all have strengths that add and take away from us. Lennie was a really big, strong boy, and it was used to his advantage when it came to working on the fields. He got the job done every single time. Lennie really loved petting small, furry things, which is fine. In his case it ended badly almost every time he had an encounter. At our job at Curlers field, they had a group of new born puppies which fascinated Lennie. One day he was petting his puppy too hard and too rough, and the puppy died. In this sense he wasnt and never actually was aware of how strong he really was. Emotionally too, Lennie was almost always too naive to realize if someone was saying something about him in a way that wasnt positive. I would consider that a strength though, because it never bothered him personally. As we can see, Lennies strengths are what made him himself. As yall can see, Lennie was a great person and a great friend to me and everyone else he encountered. Lennie was a great friend, and I know that Just Ilke me, Vall will miss him so much. I hated to see him go, but Im glad It was me and not Curley that killed him. Thats the one thing I would never change. By emilypaigel 23 change it. Someones death will always be something to mourn about, but it also allows us to celebrate their life and bring everyone together. Lennies death is most Lennie and I had a different relationship than most people do. We stuck together did. He wouldnt make it on his own; I liked the company he gave me even if he did or was Just going to hold me back. Sometimes I believe that he did. Not even I know why Sometimes not everyone understands Lennie or people like him. He was never he didnt talk much. In Lennies defense though, he always go his work done. Even though it isnt fair to Lennie, some people cant help but not accept him. He got the Job done every single time. Lennie really loved petting small, furry things, our Job at Curleys field, they had a group of new born puppies which fascinated died. In this sense he wasnt and never actually was aware of how strong he really else he encountered. Lennie was a great friend, and I know that Just like me, yall will miss him so much. I hated to see him go, but Im glad it was me and not Curley that

Ethnicity and Self

With the advent of the social media and the increase of the information availability, as well as the rapid growth of the intercultural communication, the significance of cultural peculiarities has become surprisingly obvious. Because of the number of ethnicities involved into the intercultural relationships, the necessity to preserve the cultural; features has become as evident as the tendency for these features to merge into each other.Advertising We will write a custom proposal sample on Ethnicity and Self-Representation in Social Media: When Cultures Merge specifically for you for only $16.05 $11/page Learn More Analyzing the ways in which and the means with the help of which people manifest their ethnicities in the social media, one can comment on the tendencies in the intercultural communication and the changes which are currently happening to the ethnical specifics in the world media. Thus, the object of the given research is the way in which peopl e represent their ethnicity in the social media, while the question is whether the ethnical features of various nationalities are preserved and can be traced easily in online communication or whether the interaction within any social media dulls the national features, making them merge into a single cosmopolitan style. In addition, the question whether any national stereotypes are enhanced or, on the contrary, blurred in the course of online communication, is worth researching. The paper is going to embrace five sources on the issue of ethnicity and its manifestation in the course of social interactions, both online and in reality. For the theoretical background, the work by Yong-Chan Kim, Joo-Young Jung and Sandra J. Ball-Rockeach is going to be used. Erin Kaufman and Deborah L. Welse’s paper will help to understand the mechanics of relating to a certain ethical group during the conversation, while Koen Lerus, Eva Midden and Sandra Ponzanesi’s work will help to unders tand the way in which several cultures fuse during the communication. With the help of Mainsah’s work, the problem of losing cultural features is going to be touched upon, while Maxwell and Buck will provide an accurate account of the issue history. As for the theoretical framework for the given research, the ideas offered by Yong-Chan Kim, Joo-Young Jung and Sandra J. Ball-Rockeach are going to be used as the basis for the paper. As the researchers claimed, they examine ethnicity in social media â€Å"as a dynamic and unique factor influencing individuals’ adoption and uses of communication technologies† (283), which presupposes a new prospect on the online social interactions.Advertising Looking for proposal on social sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More To achieve the top results in the given research, the choice of the method is extremely essential. Taking into the account the fact that the paper is going to use statistics and identify the current state of affairs in the use of social media, the paper is going to be constructive and combine a quantitative and a qualitative approach. It is important to mention that the research is going to touch upon certain ethical issues. Since the paper is supposed to deal with the features of various nationalities, the subject of national stereotypes in the social media and the way in which these stereotypes are manifested is unavoidable. Thus, the ethical limitations are also expected. Admittedly, the given research has its limitations. Among the issues, the most obvious one is the subject of scale. Since it is impossible to encompass the entire number of nationalities and check every single instance of social interaction, the results of the research will be approximate. Due to the growing popularity of the social media and the increase of the online communication as opposed to the live conversation, the given research is going to offer rather significant results which are going to determine the course for the future development of the online interactions between different cultures and the way in which people are going to relate to their culture in online relationships. Once understanding the way in which online relationships differ from the real-life ones, people will be able to avoid a number of complexities and misunderstandings. Works Cited Kaufman, Erin and Deborah L. Welse. â€Å"Skin-Tone Preferences and Self-Representation in Hispanic Children.† Early Child Development and Care, 182.2 (2012): 277-290. OnlineLibrary. Web. Kim, Yong-Chan, Joo-Young Jung and Sandra J. Ball-Rockeach. â€Å"Ethnicity, Place and Communication Technology: Effects of Ethnicity on Multi-Dimensional Internet Correctness.† Information technology and People, 20.3 (2007): 282-303. Emerald. Web.Advertising We will write a custom proposal sample on Ethnicity and Self-Representation in Social Media: When Cultures Merge s pecifically for you for only $16.05 $11/page Learn More Lerus, Koen, Eva Midden and Sandra Ponzanesi. â€Å"Digital Multiculturalism in the Netherlands: Religious, Ethnic and Gender Positioning by Moroccan-Dutch Youth.† Religion and Gender, 2.1 (2012): 150-175. Religion and Gender. Web. Mainsah, Henry. â€Å"I could Well Have Said I Was Norwegian but Nobody Would Believe Me.† European Journal of Cultural Studies, 14.2 (2011): 179-193. SAGE. Web. Maxwell, Andrew H. and Pem Davidson Buck. â€Å"Decolonizing Media Representations of Race, Ethnicity, and Gender in the New World of Order.† Transforming Anthropology, 3.1 (1992): 1-5. Wiley Online Library. Web. This proposal on Ethnicity and Self-Representation in Social Media: When Cultures Merge was written and submitted by user Harmony J. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on Steve Biko- A Strong Leader

of Steve Biko. This individual was an anti-apartheid activist who as a strong leader was brave, encouraging and challenging. Steve Biko attended junior school at Charles Morgan where he was to make his mark as one of the most promising learners. He had an outstanding performance. Steve was to attend his senior secondary studies at Forbes Grant High School. Again because of his academic performance he held regular evening classes for his classmates as a volunteer. In 1963 he was admitted to Lovedale but was expelled in the same year as a result of the political activities of his brother, Khaya Biko. Khaya was a member of the Pan Africanist Congress (PAC) and had tried to recruit Steve unsuccessfully. The expulsion was to mark the turning point of Steve’s life. He stared to show an interest in anti-Apartheid politics. By 1972 Biko was one of the founders of the Black Peoples Convention (BPC) working on social upliftment projects around Durban, he then became elected as the first president of the BPC. Later the Apartheid government banned him. On 21 August 1977 Biko was detained by the Eastern Cape se curity police and held in Port Elizabeth. However, Biko was not a coward, even in jail when he was about to be beaten by the officers he said to them â€Å"Listen if you guys want to do this your way, you have got to handcuff me and bind my feet together, so that I can’t respond. If you allow me to respond, I’m certainly going to respond. And I’m afraid you may have to kill me in the process even if it’s not your intention† (Biko On Death-19) Biko shows that he is brave and although he does not advocate violence, he will react to violence. Unlike Martin Luther King Jr. who does not support violence and will not react to violence. ... Free Essays on Steve Biko- A Strong Leader Free Essays on Steve Biko- A Strong Leader A South African Freedom Fighter â€Å"The most potent weapon in the hands of the oppressor is the mind of the oppressed.†(Biko- Statement as witness at Cape Town Conference) These are the famous words of Steve Biko. This individual was an anti-apartheid activist who as a strong leader was brave, encouraging and challenging. Steve Biko attended junior school at Charles Morgan where he was to make his mark as one of the most promising learners. He had an outstanding performance. Steve was to attend his senior secondary studies at Forbes Grant High School. Again because of his academic performance he held regular evening classes for his classmates as a volunteer. In 1963 he was admitted to Lovedale but was expelled in the same year as a result of the political activities of his brother, Khaya Biko. Khaya was a member of the Pan Africanist Congress (PAC) and had tried to recruit Steve unsuccessfully. The expulsion was to mark the turning point of Steve’s life. He stared to show an interest in anti-Apartheid politics. By 1972 Biko was one of the founders of the Black Peoples Convention (BPC) working on social upliftment projects around Durban, he then became elected as the first president of the BPC. Later the Apartheid government banned him. On 21 August 1977 Biko was detained by the Eastern Cape se curity police and held in Port Elizabeth. However, Biko was not a coward, even in jail when he was about to be beaten by the officers he said to them â€Å"Listen if you guys want to do this your way, you have got to handcuff me and bind my feet together, so that I can’t respond. If you allow me to respond, I’m certainly going to respond. And I’m afraid you may have to kill me in the process even if it’s not your intention† (Biko On Death-19) Biko shows that he is brave and although he does not advocate violence, he will react to violence. Unlike Martin Luther King Jr. who does not support violence and will not react to violence. ...

The improvement of diabetes care concept Essay Example | Topics and Well Written Essays - 2000 words

The improvement of diabetes care concept - Essay Example It is acknowledged that evidence based practice is rational and logical and research keeps moving forward amassing more and more knowledge, opening many possibilities. Such evidence corroborated research should be implemented in the management so that updated knowledge could improve interventions and quality. The care provided must be constantly evaluated and improved based on new and refined knowledge (Burns and Grove, 2003). Evidence based practice also ensures treatment interventions on the basis of reliable research by integrating clinical expertise, patient information and evidence guidance. The nursing profession is accountable to society for providing high quality, cost-effective care for patients (Burns and Grove, 2003). This study will give two Executive summaries of two articles and an in-depth analysis of another similar research based article. With more research coming out in the field, medical practitioners feel that research evidence based practice is more important for a long term disease like diabetes. Research connected practice is of great significance for my practice and I have chosen this module because of its pertinence to my career. There will be connected literature review closely linked with regional and cultural backgrounds, psychological mindsets and disease management. Di Censo et al (1998) explains evidence-based practice (EBP) as 'The process by which nurses make clinical decisions using the best available research with their clinical expertise and patient preferences in the context of available resources'. Research based practice relies on systematic research studies while evidence considers nurse's clinical experience, practice trends and patient preferences (Newell and Burnar d, 2006). EXECUTIVE SUMMERY OF AN INPATIENT DIABETIC CARE PATHWAY: This study depends on the development and testing of a care pathway for diabetes management examining the impact of length of stay, re-admission, CP driven care advantage and improvement parameters. CP was developed in consultation with ward staff mainly to improve nurse knowledge; but for the use of both medical and nursing staff. Requirement of constant support for staff was examined by measuring staff knowledge before and after trial using questionnaire. Patients were randomised for normal and CP care. According to discharge patient notes assessment CP maintained better care while standard of documentation was similar. Baseline demographics like age, diabetes duration, sex, type of diabetes etc. including intervention period, and follow-up of patients being randomised to either normal care or a care pathway (CP), with a knowledge questionnaire, regarding analyser comparisons between staff located and CP groups were all attended to. Frequency of blood glucose monitoring was monitor ed and was found to be more appropriate to CP group as CP was significantly better quality of care with standard documentation, of both CP and non-pathway groups. Result showed improvement in hospital stay and HbA1c control, but not significantly. CP group had higher knowledge in staff and patient both, with reduction in length of hospitalisation and better quality of

Why is promotion decision making so difficult Essay

Why is promotion decision making so difficult - Essay Example Among the most important considerations when deciding who to promote into a position is which candidate possesses the highest level of hard skills to do the job. It usually does not make much sense to promote someone into a finance management position who does not have a background in finance. This is often the first step in identifying qualified candidates, and usually comes as part of the resume review and screening process. The hiring manager must assess the educational and professional experience of the candidates to help determine who would likely be capable of doing the work that would be required. That being said, there are times when all of the other qualities of a prospective candidate are so strong that a decision might be made to promote that person even though he/she lacks the requisite level of hard skills to do the job effectively. However, this will only be the case when a persons ability and willingness to learn the requisite skills is evident. That may mean choosing someone with a background of high educational achievement who displays a propensity to engage in professional development activities. Another important characteristic to consider when deciding whom to promote is leadership ability. ... All of these responsibilities require effective leadership. When assessing a person's leadership potential, a hiring manager should inquire into the candidates' experiences that may have evidenced leadership qualities. Behavioral based interviewing can be an effective tool in this regard. Using this method, the hiring manager will ask the candidates to recall a particular event in their personal or professional experience in which they actually demonstrated the desired characteristic. This requires the interviewee to demonstrate a sharp mind in quickly recalling an appropriate event. It also precludes the candidate from talking hypothetically about what they would do in a given scenario. Rather, they are required to explain what they actually have done in a scenario. The theory is that past behavior is the best predictor of future behavior. For example, the hiring manager might ask the candidates to recall a time when they had to delegate responsibility in order to achieve an objective. Or she might ask them to recall a time when they had to influence others to behave in a way that helped them to achieve their goals. Either of these questions would elicit valuable information about whether and how the candidates have demonstrated an ability to lead. This information can then be added to the overall formula in determining which candidate has the greatest preponderance of desirable characteristics for the position. Personality Personality fit is a huge consideration for any hiring decision, particularly when deciding whom to promote. This is also arguably one of the most difficult factors to evaluate in prospective candidates. To be sure, people generally act somewhat different in an interview than they would in a

Nursing Student’s Perceptions of Rural Healthcare

Nursing Student’s Perceptions of Rural Healthcare In quantitative research, the goal is to establish a relationship between the independent variable and the dependent variable or outcome in a population. Quantitative research designs may be descriptive or experimental. A descriptive design establishes an association between variables. Experimental or quasi-experimental design are used to determine the effectiveness of an intervention, and to provide evidence to guide clinical practice. In this study, a non-experimental descriptive design will be used. The method will be a survey plan utilizing open-ended questionnaires. The theoretical framework of the adaptation model occurs when people react encouragingly to situational changes, and it is the process and outcome of individual and groups who use deliberate reasoning, self-reflection and selection to develop human and environmental assimilation. The key concepts are person, health, environment, and nursing (Jones and Barlett Learning, LLC). A person is a bio-psycho-social being in constant coolaboration with an altering environment, using intuitive and intellectual methods to accomodate (Jones and Barlett Learning, LLC). The model incorporates people as an individual and a group. Person can be a presentation of an individual or group. The person is an adaptive entity whom practices coping skills to manage stressors (AbuShosha, 2012). Health is a component of a person’s existence and isignified as the appearance and aspect of being assimilated. The environment is all situations,contexts, and motivations that affect the transformation and behavior of theindividual. The model includes two sub-sets, the cognitive-emotive, perceptual and informational processing, learning, judgment, and emotion. Nursing is the promotion of acclimation in four manners; biological, self-concept, character function, and interdependence. The regulator sub- set is a prime integration means that reacts through neural, chemical, and endocrine coping channels (AbuShosha, 2012). There are ten adaptation model assumptions: 1) the person is a bio-psycho-social being (Jones and Barlett Learning, LLC). 2) The person is in constant associations with a fluctuating situation. 3) The person uses coping mechanisms, instinctive and learned to cope with a changing domain. 4) wellbeing and scikness are unavoidable characteristics of life. 5) An individual must change in order to react positively to the circumstances. 6) The individual’s adaptation is an event of the provocation that they are subjected. 7) The person’s acculmation situation is such that it comprises an expanse indicating a difference of stimulation that will lead to an affirmative response (Jones and Barlett Learning, LLC). 8) There are four types of adaptation; physiological needs, self- concept, role function, and interdependence (AbuShosha, 2012). 9) Interpersonal associations are a essential segment of the profession of nursing. 10) There is a vital purpose for existence with the defini tive aim of achieving confidence and honor (AbuShosha, 2012). There are also four basic assumptions; 1) people can be reduced to agments for examination and investigation. 2) Nursing is based on cause and effect 3) people’s ethics and opinions should be reviewed and appreciated. 4) A condition of adaption liberates a person’s resources to respond to other incentives (AbuShosha, 2012). The application of this theory in the project is to identify perceptions of nurse practitioner students of clinical rotation in rural and urban healthcare settings. The approach is a quantitative approach using a survey method. The data collection design is snowball approach, which is an application used for collecting research subjects through the association of a primary subject who is used to give names of other people (Tappen, 2011). An advantage for the snowball method is the ability to engage hidden populations. Disadvantages are over sampling of a network of peers can lead to discrimination. The sampling is fifty (50) nurse practitioner students. Concepts used are the four adaptive methods, to create closed ended questions based on the four methods and cognator subsets, to process changes in the environment through cognitive and emotional avenues involve personal perceptions and data processing, learning, judgment, and emotions (AbuShosha, 2012). Instruments used will be surveys given at the end of the clinical rotation. Validity and reliability estimates will be based on two methods; factor analysis to determine if items are theoretically associated show similar link in the answers. Split-half reliability means using two versions of the questions and comparing the results (Etchegaray, 2006). The means to verify the questions will be a scale of (1-5) one to five, and not likely to extremely likely. Reliability is the consistency of the measurement of the survey. This means the item measures the same thing across like responses. Piloting or pre-testing the survey can help check for reliability. Validity is the degree to which the instrument measures what it is proposed to measure, and what is the relationship between information provided and what is desired to know. A scale that measures a concept consistently is viewed as reliable; a scale that measures the proposed concept is viewed as credible (Etchegaray, 2006). The sampling size and criteria for inclusion will be a sampling of fifty (50) students. Inclusion criteria are to have students one year before graduation that live within one hour of a rural area or are willing to drive to a rural setting. Obtaining the sampling group will be through nurse practitioner students known to the developer and referrals from these students. Description of the study and informed consent will be obtained when the student agrees to participate. To obtain permission for the study, the schools in question will be approached through the academic offices and the director of the nurse practitioner programs for permission, through a proposal request. The setting will be rural and urban clinical sites within the northern Kentuckian area that are amenable to the study, where surveys will be distributed after the clinical experience is complete. The preceptors will be informed of the study, and informed consent will be obtained at that time. The sampling strategy is a non-probability sample design using the snowball network or referral sampling method; this is where one starts with known individuals and asks them to refer others with the same concern or interest (Tappen, 2011). The sampling will be divided into two groups, one that shadows a rural nurse practitioner and one that shadows an urban practitioner. The surveys will be distributed to both groups after the clinical rotation is completed and may be faxed or emailed when finished. References AbuShosha, G. . (2012, July). A critical analysis of using Roys adaptation model in nursing research. International Journal of Academic Research, 4(4), 26-31. Retrieved April 8, 2014, from http://www.academia.edu/1775409/A_Critical_Analysis_of_Using_Roys_Adaptation_Model_in_Nursing_Research Etchegaray, J. . (2006, June). Survey research: Be careful where you step. Quality and Safety in Healthcare, 15(3), 154-155. Doi:10.1136/qshc:2005.016659 Jones and Barlett Learning, LLC. (N.d.). Roy Adaptation Model. In Nursing theories:A framework for professional practice (pp. 127-141). Jones and Barlett Learning, LLC. Retrieved April 8, 2014, from http://www.samples.jbpub.com/9781449626013/7376_CH10_masters Tappen, R. (2011). Advanced nursing research: From theory to practice. In R. Tappen, Advanced nursing research: From theory to practice (1 ed., Pp. 75-76). Sudbury, MA: Jones Barlett Learning,LLC. Retrieved March 29, 2014

Introduced to a child

When we first are Introduced to a child, we have to assess them to understand which bevel of language we are going to use with them, we would not say to a 6 month old baby, ‘Hello, how are you, what have you been doing today, what would you like for dinner et. We must use lots of facial expressions and soften our tone of voice and use shorter sentences, we tend to speak slower as well so we say ‘Hellos' with a big smile on our face when speaking to a baby. If we are showing a baby something when we are speaking to them we should point also to help them understand what we are saying to them. Rhetorical questions are not real questions as the person asking the question as such, also answer it, so we might say to a baby would you like your nap now, Oh yes you would, you look very tired' or you would like your bottle of milk now, wouldn't you'. It allows us to speak and communicate with a baby or toddler who will not answer our questions but it is a way of us using speech, la nguage and communication on a daily basis, helping to be part of the day and feel involved.Using eye contact and smiling the response it usually positive and received back with a mile or babble. Closed questions should not be used all the time, only when a yes or no answer Is needed, we must ensure we still use all others areas through out the day, we can use a closed questions Like ‘have you finished your lunch' ‘do you need help with your shoes'. Closed question should not be used on babies, but can be used on young even able to shake or nod their head.Sometimes if a child is upset or does not know you (their first settling in), closed questions can be used to help if the child is feeling anxious and does not want to hold a conversation with you, obviously this is something you do not want happening every day and the child should start to speak and say words to you. Open questions prompt a child to give a longer answer and are needed to develop their speech and languag e skills.So asking questions like ‘what shall we do today' ‘what shall we have for lunch'. A child should not give a yes or no answer in open questions, but hopefully will speak up and answer the questions, sometimes you may et a ‘l don't no' answer, but that usually is due to others reasons. Babies will not be able to answer open questions and most of the time only children that feel comfortable with you, so the children that attend you setting for a while and are quite settled.

Air Quality and Climate Change as Integrated Policy – 1

Environmental policies largely influence the way humans interact with the environment. Policies targeting air quality, namely the Clean Air Act, have been effective in lowering the emissions of pollutants; however climate change is still something that concerns some scientists, citizens, and policymakers. As such, the need for further progress is necessary. In order to make such progress policymakers may need to develop air quality and climate change policies through an integrative approach. Doing this, however, does not come without political, social, and scientific obstacles.Although there are obstacles to recognizing integrative approaches for policymaking, air quality and climate change may be addressed simultaneously, less costly, and more effectively by using such an approach. Air quality and climate change are interrelated and, as such, policies should be developed through an integrative approach. The federal government’s approach to climate change policy has included o nly voluntary measures thus far. This conservative approach has failed to address climate change effectively (Dale, 2011).Policy making is both time- and cost-extensive. Therefore addressing air quality and climate change separately prolongs the policymaking process and increases the costs associated with that process. As greenhouse gas emissions affect air quality and climate change, an integrative approach to developing policies may result in timelier, less cost extensive policies that better address both issues. Air quality and climate change are interrelated, thus policies that address both issues simultaneously may provide better health, economic, and environmental benefits.Air quality and climate change are influenced by common air pollutants. As such, focusing on one pollutant to improve air quality may increase or decrease other pollutants that affect climate change (Thambiran & Diab, 2011). The complex interaction between air quality and climate change makes it nearly impos sible to create a win-win situation. If a policy addresses air quality, but the impacts of the policy on climate change is overlooked, the desired benefits may vanish.Air quality management emission standards are designed to decrease anthropogenic sources of air pollutants, and it is expected that the emission decreases will lead to better air quality. Such policies are aimed at improving air quality, assuming that climate will remain constant. But scientists suggest future climate change is likely to impact meteorological factors that affect air quality, thus making it necessary to consider air quality and climate change to avoid unexpected outcomes (Thambiran & Diab, 2011).An integrative approach to air quality and climate change policy making may generate better health, economic, and environmental benefits. The benefits of an integrative approach to air quality and climate change may seem obvious, but realizing such an approach does not come without political, social, and scienti fic obstacles. Politicians hold differing views about how to manage air quality and climate change. Not all politicians believe that climate change is an issue, despite scientific evidence, but most agree that air quality is an issue.Socially, citizens are divided much like politicians, but often rely on the media for information about the reality of climate change. To further complicate the issue, scientists are in disagreement about the validity of climate change. In every layer of society, agendas and motivations heavily influence the support or opposition to a given piece of legislation. The many political, social, and scientific obstacles come as a result of such a controversial issue, which makes it difficult to develop an integrative approach to air quality and climate change.Maintaining a fragmented approach to air quality and to climate change causes problems for everyone. As with any successful system, all parts must function properly and simultaneously in order to achieve maximum performance. Fragmented is defined as existing or functioning as though broken into separate parts; disorganized; disunified (IAC Companies, 2012). Maintaining a fragmented approach to air quality has delivered successes, but a united effort is necessary to ensure everyone is equally protected from air pollutants.Climate change, however, cannot be maintained with a fragmented approach. Global uniformity is imperative to mitigate climate change, and if cannot be addressed globally, it cannot be managed at all. Attempts locally will not provide adequate results, thus anything less than a global effort creates a problem. Because air quality and climate change are interconnected, maintaining a fragmented approach to either issue creates problems for everyone. Policies that target individual behaviors can be effective in addressing climate change and air quality.Incentives provided by local, state, and government actors are good examples of how policies influencing individual be havior can help mitigate climate change. Individuals are beginning to voluntarily change behaviors that contribute to poor air quality and climate change. These changes are making a difference, so it is rational to believe that policies targeting individual behaviors will effectively address air quality and climate change. Air quality and climate change policies should be developed through an integrative approach.The benefits of this approach include saving money and providing timelier, more effective results. Political, social, and scientific obstacles must be dealt with to realize an integrative approach to managing air quality and climate change. Fragmented approaches to air quality and climate change pose problems for everyone. Voluntary measures being taken by individuals are yielding positive results. It is therefore rational to develop policies that target individual behaviors.Although there are obstacles to recognizing integrative approaches for policymaking, air quality and climate change may be addressed simultaneously, less costly, and more effectively by using such an approach. Reference Dale, L. (2011). Environmental Policy. San Diego: Bridgepoint Education, Inc. IAC Companies. (2012). Retrieved from Dictionary. com, LLC: http://dictionary. reference. com/ Thambiran, T. , & Diab, R. D. (2011). The case for integrated air quality and climate change policies. Elsevier Environmental Science & Policy, 1008-1017.

Essay on Assignment2 - 613 Words

Question 1 In SQL, specify the following queries on the database specified in Figure 1 below using the concept of nested queries and the concepts described in chapter 5. a. Retrieve the names of all employees who work in the department that has the employee with the highest salary among all employees. SELECT fname, minit, lname FROM employee WHERE dno =(SELECT dno FROM employee WHERE salary= (SELECT MAX(Salary) FROM employee)); b. Retrieve the names of all employees whose supervisor’s supervisor has 888665555 for SSN. SELECT fname, minit, lname FROM employee WHERE Super_ssn IN (SELECT ssn FROM employee WHERE Super_ssn= 888665555); c. Retrieve the names of employees who make at least $10,000 more than the employee who is paid†¦show more content†¦Consultants also work on many problems at any given time. For each type of problem there is one consultant who is considered the expert on this problem. A consultant can be an expert on many different types of problems. Assuming constraints are not exact Question 4 Create an ER diagram for the following case. Write your assumptions about any missing information: You want to track information about 10 departments in your company. Each department has a unique name, is located on a specific floor and has a phone number. Within each department there is a department head and a range of additional employees. For all employees we want to track their name, who their boss is, their salary as well as the unique employee number each had assigned to them when they started the company. Each employee also has a set of skills. You need to track this set of skills so you can locate employees with the right skill set to be part of various cross department project teams. You need to also track information about all of the projects that are under taken by these various departments. Each project has a unique id, a name, a start date, and at least 3 employees on it. All teams have a project leader and a project coordinator. Any employee can be a project leader but theyShow MoreRelatedEssay on Assignment21216 Words   |  5 Pagesï » ¿Criminal Law Professor E. Dixon Assignment #2: Criminal Defenses and Criminal Punishments ABSTRACT: This paper will talk about and discuss the key points involved in the court determining the lawfulness of the use of force. I will also evaluate the level of objectivity inherent in each point that I have specified. Next, I will determine the fundamental difference between the castle doctrines and stand your ground types of criminal defenses. I will justify the validity of each,Read MoreCS669 Assignment21108 Words   |  5 Pagesï » ¿ The two parts in this assignment will contribute equally to your grade and will be evaluated separately. Part 1: Authors and Books Review the following business rules regarding authors and books to complete this part. An author writes one or more books. A book is written by one or more authors. 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