Students With A Speech Disability - 862 Words

In the school that I observe at, there are many students that have special needs. By asking the teacher, I discovered that there were five students with a speech disability, one student with a physical (occupational) disability, and a student with Asperger’s. Through additional discussions with the teacher, I have found each student has similar adaptations and accommodations throughout the week. For example, each student that has a speech disability is taken out of the general education classroom either once or twice a week (depending on the severity) for thirty minutes to work with a speech therapist. Similarly, the student that has a physical disability is taken out of the classroom once a week for thirty minutes to work with an occupational therapist. Even though the teacher, and the school, emphasizes full inclusion, there are some slight adaptations and accommodations that the teacher provides for the student’s with disabilities. For example, the teacher creates an environment in which all students can speak openly throughout the day without being ridiculed. The teacher also provides discrimination activities such as reading with a partner to help the student’s with a speech disability listen and match words of other students. This helps the student’s with a communication disability to be more confident with their speech (mostly when they are reading out loud.) The teacher also provides adaptations and accommodations for the student that has a physicalShow MoreRelatedGraduation Speech : Students With Disabilities1157 Words   |  5 PagesIt may sound clichà ©, but I was born to teach students with disabilities. Growing up, I had the best example to follow. My mother actively taught special education fo r 31 years and seeing her interaction with students created a passion in me to do the same thing. Even at a young age, it was evident that I wanted to be a teacher: from forcing my younger brother to sit still and play â€Å"school† with me, to spending my free time volunteering in special needs classrooms during middle and high schoolRead MoreBenefits Of Speech-Language Pathology Services1003 Words   |  5 Pagesfunding of various social/public programs which include speech-language pathology services. As a child who suffered from an auditory processing disorder, and a future licensed Speech-Language Pathologist (SLP), I know all too well how important SLP services are for children. Currently, funding for social/public programs to include Speech-Language Pathology services in the United States is not adequate for children with learning disabilities and the legislature must act to remedy this. In 1975Read MoreHearing Speech : Deaf And Deaf1659 Words   |  7 Pagesorganizations like the Center for the Deaf and Hard of Hearing exist to provide these families with resources, funds, and education to help them tread on unfamiliar territory. These kinds of organizations connect all families who have members with the disability, and no matter the family dynamic, there are resources for them to take advantage of, including legal aid. As seen in the short clip from the Center for the Deaf and Hard of Hearing, early childhood, around the time of diagnosis, may be a difficultRead MoreAssistive Technology Solutions For Students With Learning Disabilities769 Words   |  4 Pagesadvances have increased access to the curriculum for students with learning disabilities. Assistive technology are the devices and services used to maintain or improve the capabilities of a student with a disability (Dell, Newton, Petroff, 2011). Through these technologies, students with learning disabiliti es are able to complete tasks in the classroom that they were otherwise, unable to achieve. Prior to the availability of assistive technology, a student who was unable to use their hands or arms, wouldRead MoreFinding the Right Path Essay1095 Words   |  5 Pagesspecial education teacher and becoming a speech pathologist. Both are right down my path, but I am unsure of which suits me better. I am senior; therefore, this research is critical to the next step of my life. As of right now, I know a little about becoming a teacher. I have taken a class, Future Educators of Arizona, attended some conferences, and shadowed a teacher. I know that teachers get incredible joy in seeing the difference they make as students gain new insights, become more interestedRead MoreSpeech And Speech On Speech Disorders1600 Words   |  7 Pages Speech Disabilities Marika Fowler Mr. Campbell IDC 4UV June 09 Speech Disorders Robert Meeham once said, â€Å"Every child has a different learning style and pace. Each child is unique, not only capable of learning but also capable of succeeding† (Brainy Quote). Some students are faced with difficult hurdles throughout their education. Some students have learning disabilities. Learning disabilities cause obstacles for the student, teachersRead MoreI Do Not Necessary Believe That Technology Will Level The1016 Words   |  5 PagesI do not necessary believe that technology will level the playing field for students with disabilities. However, I believe that using technology in the classroom has the potential to improve and enhance the learning experiences for students diagnosed with disabilities. Technology is becoming more widely used as an educational tool of learning in special education classrooms as well as general education classrooms. Special education teachers and general education teachers can use technology toRead MoreThe Individuals With Disabilities Education Act1535 Words   |  7 PagesTHE INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA) IDEA is the main law addressing the education of children and adolescents with disabilities. It ensures all individuals with disabilities between the ages of 3−21 the right to a free, appropriate public education (FAPE), regardless of the nature or severity of the disability. Schools must therefore provide services to meet the particular educational needs arising from a disabling condition that cannot be met in the general educational programRead MoreConcepts of Inclusion1517 Words   |  7 PagesConcept of Inclusion Sylvia Leggett ESC: 315 Survey of Exceptional Students Instructor: Karree Fah September 26, 2011 In order to be effective utilizing inclusion we must have an idea of what that concept implies. Inclusion has been called many things down through the years in the educational realm. It has gone from being called the least restrictive environment to mainstreaming, to integration and now inclusion. Inclusion â€Å"is used to refer to the commitment to educate each child, to theRead MoreInterview With A Special Education Teacher962 Words   |  4 Pageschoose to teach students with disabilities? The special education teacher interviewed, did not expect to teach special education when she graduated college. She got a job helping at a personal home with children ages 5-6 years old with some disabilities. After her experience with this first job she loved it, and began to seek positions in Elementary special education. However she was only able to obtain a position in a High School special education classroom. 2. How many students do you teach who

Thw Winter Holiday Homework Free Essays

EICHER SCHOOL HOLIDAY HOMEWORK CLASS – VIII ENGLISH Q1Read the newspaper article and answer the questions that follow: Ban is the correct move 10 Feb 2009, Vikram Sinha The move by the central government to finally introduce an amendment to the Motor Vehicles Act, 1988, prohibiting the use of cell phones while driving, has materialized. It also ensures that there are no loopholes left in the law by including hands-free sets in the ban . Doubtless, there will be those who claim that such devices are safe since they free both hands for driving. We will write a custom essay sample on Thw Winter Holiday Homework or any similar topic only for you Order Now It is a false claim. There is an assumption that it is the physical hindrance caused by conversing on the phone while driving that is the main safety hazard. Rather, the issue is the mental distraction of the driver. The US is pushing all its states to implement a similar ban. For evidence, it cites several studies, such as one by the university of Utah, which prove that using hands-free devices is as dangerous as speaking on cell phone without them. Another study cited by the report establishes why this so. It states that conversing with a fellow passenger is not dangerous and many instead lead to greater safety. The reason for this is simple enough . a co-passenger is likely to keep an eye on the road, adjust or stop danger. A person at the other end of a phone connection cannot do this. The conservation will remain unchanged, demanding the driver’s attention and lessening his focus on the road at the moment when he might need it the most. The introduction of such a specific law in India is long overdue. And now that one is finally being introduced, the Ministry of Road Transport and highways is taking the correct step by being thorough. [ source: TOI 10 Feb,2009] 2. 1 ‘It is a false claim’ ( para 1). What is the false claim? The claim that A. the amendment is finally being introduced B. co-drivers can help a driver avoid accidents C. all cell phones can create distractions for drivers D. hand- free phones can be safely used when driving 2. 2. What is the usual assumption of people? A. Conversing on a cellphone causes maximum accidents. B. Using a phone while driving does not cause any difficulty C. Mental distractions are more harmful than physical distractions. D. These bans should only be implemented in US. and 2. 3 According to the passage, in what way is the driver talking to a co-passenger less risky as compared to talking on phone? A. Talking to a co-passenger increases the concentration of the driver. B. Talking to a co-passenger keeps a driver awake in long drives. C. Co- passengers will stop the conversation and warn the driver of danger. D. Co-passengers can answer the phone calls 2. 4 ‘The US is pushing all its states to implement a similar ban’ Here ‘similar ban’ refers to A. Use of cell phones while driving B. Talking to co- passengers while driving C. Use of both cell-phones and hands- free devices while driving D. None of the above 2. 5. Choose the word from the passage that means the same as â€Å" strictly not allowed† A. rohibited B. implemented C. hindrance D. loopholes Q2 Prepare a book review on the class library / school library book you have read based on the following points: 1) Name of the book 2) About the author 3) Judgement 4) Summary G. SC Bio Q1. State the importance of water. Q2. Why is the frequency of irrigation higher in summer? Q3. What is irrigati on? Describe two methods of irrigation which conserve water. Q4. Write a paragraph in your own words on each of the following a) Preparation of soil. b) Sowing Q5. Why weeds should be removed before they produce flowers and seeds? Q6. Why is weeding necessary? Chem Q1. State the different ways to stop fire. Q2. Why a gas burner does has holes surrounding it (on outside)? Q3. Cooking utensils acquire the coating of a black powdery substance if kept on yellow flame of the burner. Why? Q4. Draw a well labeled diagram to show the different regions of flame. Phy Q1. What is the purpose of L. H. C? (Large Hadron Collider) Q2. How are charges developed here? Q3. Write two areas where problems are coming LHC? Q4. What discovery it will make once it becomes successful? Q5. Write a short note on LHC. [READ CHAPTER NATURAL PHENOMENA TO UNDERSTAND THE CONCEPT] S. ST ? Collect information on Durban ,South Africa Earth Summit held this year. ? The information has to be pasted in the class note books. ? Students will be graded on the work submitted. S. kt Do pg . 77 to 81 in Assignment. Hindi (Do page num 117 and 135 from assignment) MATHS 1. Express the following as the product of two factors:- i) 18Ãâ€"2 + 24x + 8 ii) 25t2 + 10t + 1 iii) 9u2 – 6u + 1 2. Evaluate (48Ãâ€"2 + 30x + 3) ? 16x + 3) 3. Divide :- i) a6 + 2a3b3 – 3b6 by a3 – b3 ii) 4Ãâ€"4 + 1 by 2Ãâ€"2 + 2x + 1 4. Check whether x -2 is a factor of x3 – 8 5. A certain sum of simple interest becomes double in 20 years. In how many years will it become four times? 6. If the C. P of 8 articles is equal to S. P of 6 articles, find the gain %. 7. What sum of money will amount to 45582. 25 at 6[pic] p. a in 2 years, interest being compounded annually? 8. A cubical container is 15 cm long. The volume of container is 5. 4 cm3. Find the area of its end. 9. Due to rainfall, a square terrace of length 9m is filled with water up to a height of 6 cm. How many litres of water has accumulated on the terrace? 10. Find the value of x, if i) 2x = (6)2 – (4)2 ii) 6x = (23)2 – (17)2 11. If the area of rectangular field is 21 x2 – 7x and one of its sides is 7 x,what is its other side ? 12. Find the greatest no. of seven digits which is perfect square. What is the square root of this number? 13. A decimal fraction is multiplied by itself. If the product is 251953. 8025, find the fraction. 14. Find the volume of a cube whose total surface is 486 cm2 ? 15. Multiply – 3x2y by (7x3y – 5xy2). Verify the product by taking x = -2, y = -1. How to cite Thw Winter Holiday Homework, Papers

Local Government Organizations and Individuals

Question: Discuss about theLocal Governmentfor Organizations and Individuals. Answer: Use of Social Media in the Local Government Social media gives organizations and individuals the opportunity to communicate using internet based tools. This is because social media can easily be accessible through computers, tablets as well as other mobile devices thereby depicting that individuals can communicate with each other, including the government and in real time from anywhere around the world. Additionally, social media enables individuals to communicate by interacting and sharing content that is in the form of audio, pictures, words or video. Different new devices and additional social media tools are constantly changing and evolving thereby increasing functionality to their users. This paper provides an investigative report on the use of social media strategies, and tactics are assisting or hindering public relations efforts in local governments (Ananda, 2007). Impact of Social Media Strategies in the Local Government The impact of social media on the enhancement of internal efficiency in public relations has been shown to have positive outcomes in Australia. Mobile technologies have reduced the transaction costs of many public relations efforts in terms of both the response time and cost. According to Pasco ET al., (2014), by ensuring that some of the documents that may be needed by the public are provided online or through some social media platforms, there is an increased efficiency by reducing access and search costs. Social media has the capability to improve the effectiveness of local councils since they can target more persons in the community who are fascinated in a particular service. The ability of different social media platforms to embed links to a council website can save the public time while they are searching for information online. This is because service quality is improved by the accurate, consistent and timely information to people (Bradford Fraser, 2008). As more people continue to adopt social media, there is a need for local governments to be aware of the trends in communication so that they do not lag behind. Many people are using social media to send messages. This means that social media platforms are becoming an accepted channel of communication and as such it is up to the local establishments to decide on the channel that they want to use and the appropriateness of that channel. A recent survey of almost 80 councils in the United Kingdom found that 97% of councils were using Twitter, 93 % using Facebook and almost 50% of all the councils had a YouTube account. In Australia however, the numbers have not reached the high percentages as those of the UK. This may be attributed to several factors. One of the key factors is that Australia is slowly shifting towards the concept of a transparent and open governance that relies heavily on a two-way communication model that is between the government and its citizens. One of the key ways that the local councils in Australia are trying to implement is the use of smartphone applications for apps as they are commonly known. Through these applications, the local authorities in Australia can, therefore, provide content creation, social networking platforms, weblogs, and sharing tools that allow for a bidirectional information exchange system within the interactions that the government has with the citizens and government organizations (Ellison and Hardey, 2013). The local governments can also come up with different strategies in the media communications and public relations initiatives since they can be able to ensure that the communications from certain social media platforms are safe and that the information that they post on their platforms are true and in real time. it is also vital to note and address the various differences that leadership can have in the use of social media strategies in that some leaders may want to steer their local authorities or constrain some of the social media as part of an engagement process that they need with their communities and in some instances stakeholders. However, depending on the spectrum that one may find themselves in, it is what the local authority wants that will focus strongly on the choice of social media platform that they will choose, the policies, tools, programs, and strategies. What is, however, clear is that most of the local authorities in Australia do not have the luxury to continue ign oring the use of social media platforms as some of their communication channels. There are abundant ways in which they can address and utilize social media in their platforms for policy development and implementation in Australia (Hall, 2014). Challenges Facing Local Governments in Public Relations Efforts in Regards to Social Media Many local government councils have identified various challenges that they need to overcome in the bid to start or adopt strategically social media in their public relations efforts. Some of the local councils that are not using social media platforms indicated their concerns about the risks that they may encounter through the use of social media. Some of the risks include the high potential of individuals to post negative comments about the council, the fear of losing control of the intended message that they want to pass across along with the information technology concerns that they have to deal with around the security and information management protocols (Whittaker, 2015). Furthermore, there is an added concern that some of the staff members may not be in a position to use the social media tools effectively in that they may use the social media platforms to make insensitive comments and may divulge information that is confidential. The other major concern includes issues regarding resourcing and especially around the potential for an increased workload pressures on employees while monitoring, record keeping issues as well as fears of litigation. Some of the local governments do not feel that they have the adequate information about social media to be able to launch and use the different platforms properly (Siva rajah, IraniWeerakkody, 2015). Another major challenge that some of the local government councils still face is the possibility of raising the expectations of the community and not being able to meet them. Additionally, some of the local councils that cover rural, remote and indigenous communities may face challenges that are unique to their area that may not be experienced by communities that live in big Australian cities. According to Besley, McComas Waks (2006), some of these challenges may include accessibility especially in regard to high speed internet connectivity, language barrier in that there are communities that may not be in a position to communicate in English, digital literacy, abuse of social media (overuse in the workplace, the requirements placed so as to comply with government policies, governance, cost of development, security and community tensions. Recommendations/Suggestions The local governments need to create a greater awareness and comprehension of the use and application of social media for instance by ensuring that they develop online knowledge exchange networks. The local government in partnership with the federal government and peak bodies to ensure that they build capability in social media. This may include executive staff members, elected members whose main job is the coordination of services delivery and in key decision-making concerns about how the different social media strategies would be applied. Research and identify areas whereby social media can be used by local authorities to drive innovation in Australia. Investigate the possibility of the establishment of a national prize or award for the innovative use and other inventive use of social media by local governments in Australia. Bibliography Siva rajah, U, Irani, Z, Weerakkody, V 2015, 'Evaluating the use and impact of Web 2.0 technologies in local government',Government Information Quarterly, 32, 4, pp. 473-487, Library, Information Science Technology Abstracts, EBSCOhost, viewed 14 September 2016. Besley, J, McComas, K, Waks, L 2006, 'Media use and the Percieved justice of Local Science Authorities', Journalism Mass Communication Quarterly, 83, 4, pp. 801-818, Academic Search Premier, EBSCOhost, viewed 14 September 2016. Whittaker, A 2015, 'Media debates and ethical publicity on social sex selection through preimplantation genetic diagnosis (PGD) technology in Australia',Culture, Health Sexuality, 17, 8, pp. 962-976, Academic Search Premier, EBSCOhost, viewed 14 September 2016. Ellison, N, Hardey, M 2013, 'Developing Polictical Conversations?',Information, Communication Society, vol. 16, no. 6, pp. 878- 898. Available from: 10.1080/1369118X.2012.740495. [14 September 2016]. Pasco, G, Clark, B, Dragan, I, Kalambayi, F, Slonims, V, Tarpan, A, Wittemeyer, K 2014, 'A Training and Development Project to Improve Services and Opportunities for Social Inclusion for Children and Young People with Autism in Romania',Autism: The International Journal Of Research And Practice, 18, 7, pp. 827-831, ERIC, EBSCOhost, viewed 14 September 2016. Bradford, J, Fraser, E 2008, 'Local authorities, climate change and small and medium enterprises: identifying effective policy instruments to reduce energy use and carbon emissions',Corporate Social Responsibility Environmental Management, 15, 3, pp. 156-172, GreenFILE, EBSCOhost, viewed 14 September 2016. Ananda, J 2007, 'Implementing Participatory Decision Making in Forest Planning',Environmental Management, 39, 4, pp. 534-544, GreenFILE, EBSCOhost, viewed 14 September 2016. Hall, NL 2014, 'Can the Social Licence to Operate Concept Enhance Engagement and Increase Acceptance of Renewable Energy? A Case Study of Wind Farms in Australia',Social Epistemology, 28, 3/4, pp. 219-238, Academic Search Premier, EBSCOhost, viewed 14 September 2016.

Spanish Settlement Of The West Essays - Presidency Of James K. Polk

Spanish settlement of the west International borders have always been centers of conflict, and the U.S.-Mexican border is no exception. With the European colonizing the New World, it was a matter of time before the powers collided. The Spanish settled what is today Mexico, while the English settled what is to day the United States. When the two colonial powers did meet what is today the United States' Southwest, it was not England and Spain. Rather the two powers were the United States and Mexico. Both Counties had broken off from their mother countries. The conflict that erupted between the two countries where a direct result of different nation policies. The United States had a policy of westward expansion, while Mexico had a policy of self protection. The Americans never had a written policy of expansion. What they had was the idea of "Manifest Destiny." Manifest Destiny was the belief that the United States had the right to expand westward to the Pacific ocean. On the other hand, Mexico was a new country wanti ng to protect itself from outside powers. Evidence of U.S. expansion is seen with the independence of Texas from Mexico. The strongest evidence of U.S. expansion goals is with the Mexican-American War. From the beginning, the war was conceived as an opportunity for land expansion. Mexico feared the United States expansion goals. During the 16th century, the Spanish began to settle the region. The Spanish had all ready conquered and settled Central Mexico. Now they wanted to expand their land holdings north. The first expedition into the region, that is today the United States Southwest, was with Corando. Corando reported a region rich in resources, soon after people started to settle the region. The driving force behind the settlement was silver in the region. The Spanish settled the region through three major corridors; central, western and eastern. The first settlements were mainly through the central corridor. The Spanish went thorough what is now the modern Mexican state of Chihuahua into the U.S. state of New Mexico. Eventually the Spanish established the city of Santa Fe in 1689. The eastern corridor was through modern day Texas and led to the establishment of San Antonio. The eastern expansion was caused by the French expansion into modern day Louisiana. The Spanish crown wanted a buffer between the French in Louisiana and central Mexico. The last corridor of expansion was in the west, through the sea, which led to the establishment of San Diego in 1769 and Los Angles in 1781. The Spanish were not the only European power to colonize the new world; French, English and the Dutch also settled North and South America. The Spanish and the French settled what is present day U.S.-Mexico border region. The French settled modern day U.S. midwest, while the Spanish settled present day Mexico and U.S. southwest. As time went on, European influence in the region diminished.. The French sold there claims to the United States, in 1803 with the Louisiana Purchase. Mexico gained independence from Spain in 1821. Once the United States bought the Louisiana Purchase, western expansion began. This set the stage for major conflict in the region. The United States gained independence from England in 1775. After 1775, the Americans started to expand west. By the time Mexico gained independence, the United States had reached the Mexican frontier. Mexico needed to protect its northern borders. To protect the border region, Mexico needed to populate the area. Mexico continued the policy started by Spain of allowing Americans to settle Texas. The Americans had to follow Mexican law, religion and customs. The settlement of Texas played into the United States' expansion plans. Eventually Mexico City closed Texas from more Americans from entering. This angered the Americans wanting to enter and Americans already living in Texas. Texas revolted from Mexico in 1833. Mexicans did live in Texas, and fought for the independence of Texas. The majority of Texans were Americans and fought for their independence. After the war the Americans intentionally or non-intentionally forced most Mexicans out of Texas. The ones that stayed faced racial tensions that continue to today. After gaining independence from Mexico, Texas wanted to join the United States immediately. The U.S. Congress voted

The Double Ten Day Holiday in China

The Double Ten Day Holiday in China Double Ten Day (é›™å  Ã§ ¯â‚¬) is celebrated yearly on October 10. Double Ten Day is the anniversary of the Wuchang Uprising (æ ­ ¦Ã¦ËœÅ'è µ ·Ã§ ¾ ©), a revolt that led to a declaration of independence from the central government by Wuchang and several other provinces in China in 1911. The Wuchang Uprising led to the Xinhai Revolution (è ¾â€ºÃ¤ º ¥Ã©  ©Ã¥â€˜ ½) in which revolutionary forces overthrew the Qing Dynasty, ending more than 2,000 years of dynastic rule in China and ushering in the Republican Era (1911 to 1949). The revolutionaries were upset over government corruption, the encroachment of foreign countries into China, and resentment over Manchu rule over Han Chinese. The Xinhai Revolution ended with Emperor Puyi being ousted from the Forbidden City in 1912. The Xinhai Revolution led to the establishment of the Republic of China (ROC) in January 1912. After World War II, The ROC government lost control of the Chinese mainland to the Chinese Communist Party in the Chinese Civil War (1946 to 1950). In 1949, the ROC government retreated to Taiwan, where its constitution has remained in force to the present day. Who Celebrates Double Ten Day Nearly all Taiwanese have the day off from work on Double Ten Day in Taiwan. In mainland China, Double Ten Day is referred to as the Anniversary of the Wuchang Uprising (æ ­ ¦Ã¦ËœÅ'è µ ·Ã¤ ¹â€°Ã§ º ªÃ¥ ¿ µÃ¦â€" ¥) and memorial celebrations are often held. In Hong Kong, small parades and celebrations are held though they have not been as lavish since the transfer of Hong Kong’s sovereignty from the United Kingdom to China on July 1, 1997. Overseas Chinese living in cities with large Chinatowns also host Double Ten Day parades. How People Celebrate Double Ten Day in Taiwan In Taiwan, Double Ten Day begins with a flag-raising ceremony in front of the Presidential Building. After the flag is raised, the National Anthem of the Republic of China is sung. A parade from the Presidential Building to the Sun Yat-sen Memorial is held. The parade used to be a military parade but now government and civic organizations are included. Afterward, Taiwan’s president gives a speech. The day concludes with fireworks.

A Shakespearean Prep

Diversity can it be defined? Shouldn’t every person be a living example of it? I am as different as night and day. I am probably the only Mexican in existence who dislikes Mexican food. My main contradiction, though, is my personality and my love for theater. I am a Dallasite through and through. From going to private school to shopping at Marcus to driving a BMW, I am the embodiment of a teenager living a privileged life. There is a side of me, however, that goes much deeper a more artistic side. Though my body may be devoted to the prep lifestyle, my soul has one passion theater. I have always felt comfortable on stage. It’s actually more than comfort, it’s a sense of belonging. Acting is the essence of my being and I often use my craft to define myself. Yet, how can I explain to my friends the beauty of a Shakespearean couplet when the only rhymes they care about are in the latest hip-hop hit? Here I find myself at the ultimate contradiction: the theater kid who conforms to the expectations of her seemingly homogeneous friends. But as the boisterous theater kid, I am unable to be stifled even by my best friends. Through my own diversity, I have overcome this obstacle. I embrace my individuality around my friends and believe that it is because of this that they love me as they do. Instead of listening to rap, I hum tunes from â€Å"Rent† in school and randomly quote Shakespeare during car rides or dinner parties. This path to individuality has not been easy. I was not always accepted for my theatrical tendencies. In fact, I lost many a friend because I am, well, a drama queen. Also, my life is not filled with others who, like me, love the spotlight (an actual spotlight, that is) and the Bard. Yet, in high school I began to find a few like me three. But this was all I needed. Once I found this small group, I could easily go back to my other friends feeling more comfortable in my own skin. Thus, all my contradictions (my inability to memorize chemical equations while easily learning lines of Shakespeare), are what make me quirky. I’m the loud theater freak whose friends are quiet and non-confrontational. I’m that actress who spends time with girls â€Å"who lunch.† But most important, I am myself.

Analyzing langguage Communities Essay Example | Topics and Well Written Essays - 750 words

Analyzing langguage Communities - Essay Example The modern society has developed a different meaning of the term queer in comparison to what was known two decades ago. The society viewed gay, lesbians, and bisexuals as individuals who had queer character traits. The morals of lesbians, gays or bisexuals were queer to the society. In many cases, the society would refer to these groups of people as queer. In response to this term, the gay, lesbians and bisexuals decided to defiantly apply this name. The term queer loses its original meaning when gay; lesbians or the bisexuals feel that the term is okay with them. It has become a common language in the streets. Some gays or lesbians respond to it by claiming that they teach the straight people how to dress or introduce new fashion to the straight people in the society. Whenever the gays or lesbians react in this manner, the term queer does not seem to have a negative impact or meaning to their morals. I think that in trying to cope with the humiliation brought by the term, they have resorted into mocking the society or the straight people. History indicates that lesbian and gay activists started using queer in 1980s as a self-identification. On the contrary, it did not appear to them as an insult, but as a means that promoted their motives to the society. When lobbying for their activities and principles in the society, the activists propagated the name to identify themselves as people who are queer to the society. It is true that their moral is queer, as the name would seem to suggest. The continuous or the public use of the term queer by the lesbians, gays, and bisexuals has led to erosion of the real meaning of the term. Notably, the society would adopt names according to the immediate meaning. The next generation may not know the genesis of the term queer, but would adopt it in their normal language usage. Many people still feel that queer is a term that insults on the behavior or the conduct of an individual. This especially applies when the individual in question belong to the gay or lesbian community. The term has a greater harm to the individual especially in an environment where people associate the term to gay or lesbian practices. Some people may not treat any insult lightly; it might result into shady show in the streets. The insulted individual may decide to retort back by hulling abusive words. The society regards a name as an important tool that markets a character. Any situation that taints the name of an individual may elicit heated reactions. Culturally, gay or lesbians have no place in the society. People who advocate for good cultural practices believe that gay or lesbians have raped good morals. The social acceptance of an individual in the society depends of cultural inclination of the society. Queer means cultural rejection of a particular trait of an individual. Names given to events or occurrences define the social values of the community. Gay and lesbians value their characters in contrasts to the society. The so ciety attributes the term queer to a lost value or something that is worthless. Each individual would wish to have some value in the society. Gay and lesbians exert their worthiness in the society by identifying themselves using this term. In the past the term elicited negative reaction, but today it has taken a new drift. Gay and lesbian lobbyist

Carman Evaluation Essay Example | Topics and Well Written Essays - 750 words

Carman Evaluation - Essay Example duced Carmen Jones in the year 1954 and various other directors such as Dorothy Dandridge who won an Oscar award as the best actor later adopted the opera (Dolen). Harry Belafonte also played a significant role in the acting and directing various scenes of the Carmen. Carmen grew in popularity and majority of the directors adopted the theme and produced various scripts favoured by majority of the people who were fans of the original Carmen. Since 1975, no director has managed to come up with a new version of the Carmen. However, in the present day, director and playwright Moses Kaufman has decided to come up with a team to bring out the new version of Carmen. The task existed and took the name Laramie Project. It comprises of Auturo O’Farrill, who is a composer and won the Grammy awards. He is working together with Ronald K Brown who is a choreographer together with Henry Fonte, a producer (Dolen). They have assimilated their cast to comprise of many professional and student actors to feature in the new version of the play. The opera made its first appearance at the Jerry Herman Ring Theatre, which is located at UM, Coral Gables campus set at 8p.m. on Wednesday. It ran until November 23rd. The plot has however been altered in the new script and production. The role of Carmen has changed and she is not a Spanish beauty who works at a cigarette factory located in 1820 Seville as in the original production of the opera. The setting, through the directors of the script, takes place in Cuba, 1958. The music of the play comprises of Afro-Cuban ascent. In the current opera, which also has a slightly twisted theme setting has changed the roles which are played by the characters of the play (Currie & Horbart 15). Carmen in the plot practises Santeria. She works in a cigar factory, an element that makes the original Carmen and the latest have a marked similarity (Dolen). However, she assists the rebels hiding in the mountains by smuggling guns for them. She also has a

Favorite Teacher Essay Example for Free

Favorite Teacher Essay Choosing a favorite teacher is fairly difficult when one puts into account all the types of teachers they have known, all of them are important. Teachers are the second most important people in our lives, right after our parents. Teachers are persuasive and have the power to build a child up from an immature student to become a responsible adult; or they can completely and utterly crush a students hopes and dreams. As an identical twin my mother has always pulled a few strings to have my sister and me in the same classes throughout elementary school. We were absolutely inseparable. Transitioning from elementary to middle school was a milestone for me. Every class I was placed in was different from my sister’s. I was friendless, and at times I felt hopeless scrambling to find friends; I was overwhelmed by the turmoil of the middle school system. At my locker I forgot a key ingredient, the combination; completely overloaded with homework, tests and loneliness, I sat at my locker and sobbed. It was there I crossed paths with one of the most important people I have ever known. The first time I met Ms. Reagan was when she gave the upcoming middle-schoolers a tour of the school the summer before my sixth grade year. She was short, thin and had an intelligent look. She seemed truly interested in me, given my mother had met her on vacation a few years back. Ms. Reagan assured my worried mother I would do perfectly fine in a new environment without my sister. However, when school began, so did my problems. Mr. Wolff was my sixth grade English teacher, as an advanced English student the first essay he assigned was rather demanding. Struck by writer’s block, I was only able to conquer five pages of the assigned six-page essay. Mr. Wolff asked for a word after class; obliging I listened to him rant about how he expected more out of me than five pages of redundancy. I left the classroom with a rigid, seemingly emotionless expression. I went to my only friend, my locker, and began to sob when I remembered I had forgotten my combination. Walking back from the teachers’ lounge, Ms. Reagan calmly asked me to explain my dilemma; she offered support and assured me I would do well, promising me I would make friends. I left school that day consoled and filled with a newborn hope that I would progress through the sixth grade successfully; after all it was just the third day of school. After a few weeks of attending middle school, I began to gain friends; they were not comparable to my twin, but they were accepting. I listened to what Ms. Reagan had mentioned to me and I was able to gain more and more friends I today refer to as my closest friends. With Ms. Reagan’s advice I was able to conquer my fears of having no friends, and I finally was able to master the dreaded locker combination. Ms. Reagan is the embodiment of a leader and sets an endless example of respect and commitment for her current students and students of years prior. She treats everyone with kindness and compassion and is always willing to give advice to anyone. Most importantly, she believes in herself as a teacher and, in turn, her students learn to believe in themselves. I have been able to acquire this knowledge of Ms. Reagan through various lunch visits when I was unable to find a table. We spoke of our families, futures, travels and opinions. Although it has been years since I sat in her classroom, Ms. Reagan continues to affect me in a very meaningful way. In the summer we often go to the same part of Newport during the same time; she often walks past my house, and even on the hottest of days, she will always stop at the end of my driveway just to chat. In return, when I get the chance, I like to stop by to visit her after school lets out just to catch up for a little bit and fill her in on the latest news in my life. However, although our conversations may be few and far between, they always make for memorable moments. As I continue to get older, I cannot help looking back and reminiscing about my days as an elementary student. I feel lucky for having such an unforgettable childhood and thankful for the people that were apart of it. Ms. Reagan has always been more than an educator to me, and I am so blessed to have her as a part of my life.

School or Prison? :: Cause Effect Violence Essays

School or Prison? At Wyoming Valley West there have been too many disruptions that have given our school a negative reputation. Threats of violence were all too common. These threats affected many people involved in theschool district. They also affected the police officers that put their lives on the line to come into a building with a possible bomb inside. My senior year stands out among the rest. Coming into my senior year of high school, I hoped that I would have a nice, quiet, enjoyable, and memorable year. However, it ended up being the worst year ofmy four years in high school. Within the stretch of a week and a half, there were four bomb threats made at our school. On the days of each threat there was a note found in the girls' lavatory. The first note was found on a Friday afternoon after school was dismissed. I did not hear about it untilthe following Monday. On that day, I was sitting in Law class like any other Monday morning. It wasaround 10:30 A.M., when the principal of the school, Mr. DeRemer, spoke over the loud speaker. He announced that the building was being evacuated. Every student had to immediately leave the building in an orderly fashion and report directly to his or her bus. Those students who drove to school were toleave their vehicles behind. At the time, no one was sure what was happening. When I got home that afternoon, I turned on the television to see if there was anything on the newsMany of the local news stations were at the school, and they reported that there had been a bombthreat. This scared me. It had been only a mere ten months since the tragedy in Littleton, Colorado atColumbine High School. Even though I knew that it was most likely somebody just playing games, I stillhad to think of the worst. We were allowed to return to the school that evening to pick up our cars. The next day, the pranksters did not wait too long too strike again. I was sitting in first period,Classical Literature class. My teacher in that class just happened to be the wife of the superintendent ofWyoming Valley West School District.

Analysis of “The Trouble with Fries” Essay

Malcolm Gladwell’s article â€Å"The Trouble with Fries† is about a very invasive topic. Fast Food is killing us. Can it be fixed? Although his thesis statement isn’t exactly clear, he effectively uses evidence to convince his audience that a nutrition movement is needed especially for fast food. By discussing many factors with supporting evidence that is factual he shows why fast food is struggling to have a nutrition movement. Malcolm Gladwell uses some very shocking facts about French fries and how unhealthy they are for the body. He states the average American eats about thirty pounds of French fries a year. In 1990, health concerns arose about using animal-based cooking oil to deep fry them. This caused major fast-food houses to switch to deep frying in vegetable oil. Gladwell then proves this change to be even unhealthier. Switching to vegetable oil means going from saturated fat to trans-fat, this makes the body’s ability to regulate cholesterol uncontrollable. Vegetable oil becomes a trans-fat because it has to go through hydrogenation to become suitable for deep frying. According to a study Gladwell uses, for every 5% increase in the amount of saturated fats that a woman consumes, her risk of heart disease increases by 17%. But only a 2% increase in trans-fat will increase her heart disease risk by 93%. This study was designed by Walter Willett who also states that the consumption of trans-fat in the United States probably causes about 30,000 premature deaths each year. This evidence used by Gladwell is very persuasive in the matter that an actual nutrition movement is needed. Gladwell discusses an alternative healthier way to deep fry French fries which shows great strength in his argument. The much healthier way of deep-frying French fries is by using Olestra, Malcolm Gladwell discusses. Olestra is a fat substitute that cannot be absorbed by the body. Frito-Lay’s no-fat Wow! chips are made with a version of Olestra. The FDA won’t approved the alternate healthier way of deep-frying French fries by using Olestra because they claim it causes gastrointestinal distress. Proctor and Gamble, the developers of Olestra, performed a test and found that people eating typical amounts of Olestra-based chips don’t have significantly more gastrointestinal problems than people eating normal chips. The FDA is now reviewing this finding. Gladwell used this to point out that it’s entirely possible, right now, to make a French fry without many dangerous health concerns. The very strong point of this article is that Malcolm Gladwell not only uses French fries in his argument, but beef as well, to prove that it is not only the FDA holding back a nutrition movement. Gladwell uses evidence found by Auburn University. The Auburn Team created what they called the AU Lean beef. This was a beef patty that was ? water, 20% protein, 5% fat and, ? seaweed. They did a blind taste test comparison of AU Lean burgers and traditional McDonald’s burgers. The AU Lean burgers won overall. AU Lean also won in a test of 100 families trying AU Lean, market beef, and 5% fat beef. What this showed was that people can be fooled into thinking they’re eating a lot of fat when they really aren’t. Shortly after, McDonald’s came out with the McLean Deluxe, using AU Lean beef. It was sold as the healthy choice, therefore people were informed it was healthy and it went off the market. This was great evidence Gladwell used that proved Americans think healthier food won’t taste as well. There was also evidence that children also think the same way as the McDonald’s example of healthier food won’t taste as good. Gladwell discusses an experiment by Leann Birch on children’s aspects of food based on restriction. The experiment consisted of a large group of children feeding them a big lunch then letting them loose in a room with lots of junk food. Her findings were some children ate none of the junk food while others really chowed down. This showed that the ones who chowed down are restricted from high-fat, high-sugar food so they think in terms of presence and absence of food rather than their hunger. Because they had been told junk food was bad for them, they thought that it had to taste good. This example really set the light for Gladwell’s argument. It’s not the fact that the food is unhealthy but because of it. Malcolm Gladwell effectively convinced his audience that a nutrition movement is needed. He proves that not only the FDA is holding back an actual nutrition movement but the consumers as well. He supports this by the studies of evidence he provided stating there are healthier ways to fast food. Works Cited Gladwell, Malcolm. â€Å"The Trouble with Fries. † The New Yorker 5 Mar. 2001. Web. 20 Feb. 2013.

ART

It was written in the early romantic era 2. Can you think of another famous composer from this period? Ambrose Thomas was also a composer during this period. He composed the opera Hamlet. 3. What instruments are required to play the piece? The piano is the main instrument and sometimes only instrument used to play this piece 4. For whom was the piece originally written? This was written for and dedicated to Beethoven's star pupil, countess Giggliest Guardia 5. When and where did the premier take place?The original premier took place in 1 802 in the Brunswick family estate when Beethoven dedicated the piece to his pupil. 6. Was this piece written early, late, or in the middle of the composer's career? I would say that he wrote the piece in the early to middle parts of his life. Day 2: In-Depth Focus on a Piece Learning about the history and genesis of a piece is only a small part of really getting to know it. Listen to the piece several more times. As you listen, focus on your own rea ctions.The effect it has on you, the listener, is the most important thing; background information and historical data are only one piece of the puzzle. Describe your reaction to the piece, answering the questions below. 1. If there are words, what are they about? Is the text religious or secular? How does the music support or describe what the text is saying? There are no words to go along with this piece 2. If the text was in another language, were you able to find a translation? If not, what do you think the subject could have been, based on what you heard?There was no text to the music but I assume the song was like a declaration of love because he dedicated it to his passion Giggliest Guardia. 3. Describe the character of the music. Is it happy, sad, angry, pensive, tumultuous or playful? Something else? I believe this piece is soothing and calming while at the same time energetic and exciting. 4. What is your favorite thing about the piece? Describe why you like it. I like the way the piece make you feel, it take me through an entire circle of emotions every time I listen to it.

Free Essays on Paving The Way Of The World

worth uses the different meters to set the tone of the speaker’s voice. In line one, â€Å"The world is too much with us; late and soon,† he iambic pentameter. It allows the reader to hear the tone in his voice. He a... Free Essays on Paving The Way Of The World Free Essays on Paving The Way Of The World The speaker in William Wordsworth’s poem â€Å" The World Is Too Much with US † is a man who is not pleased with the way people take advantage of the world. He claims that we are too wrapped up in material things that we can not see the natural beauty of the world. Wordsworth portrays the irritation and discouragement of the man through metaphors, apostrophe, and the different meters of the poem. He uses these three techniques to set the tone and enable us to look deeper into the poem. Wordsworth uses metaphors all throughout the poem. The metaphors makes the poem come to life and enables the reader to get a lucid picture of what he’s talking about. The speaker says, â€Å"we have given our hearts away, a sordid boon†(4). He is referring to our hearts as the one true thing that nature has given as a blessing. Our hearts are a blessing that we have allowed to corrupt by thinking of the world materialistically. The speaker also makes reference to the world when he says, â€Å" the winds that will be howling at all hours/and are now gathered up like sleeping flowers† (6-7). He means that the world is continuous and strong, never ceasing to end even though we do not notice it. Wordsworth uses apostrophe as well to portray the feelings of the speaker. It is almost like he is standing in front of a crowd of people making a speech. â€Å" Getting and spending, we lay waste our powers† (2). He says it as though he is telling them, including himself, what they are guilty of. Then he says, â€Å" for this, for everything, we our out of tune† (8). The speaker continues to use the word â€Å"we† to let the people know that they are not the only guilty party; everyone is responsible. To end it all, Wordsworth uses the different meters to set the tone of the speaker’s voice. In line one, â€Å"The world is too much with us; late and soon,† he iambic pentameter. It allows the reader to hear the tone in his voice. He a...

Market & social research - research proposal Essay

Market & social research - research proposal - Essay Example The financial crisis impacted negatively on the savings of the British public as most banks lost the savings entrusted to them by depositors. According to Buckley, one of the major contributors to the global financial crisis was the untenable rise in subprime mortgage lending (2011). Part of the reason for the rise in subprime mortgage lending is attributable to the government’s own efforts to win votes and popularity by making it easy for the public to buy homes. Also, the banks rode on this high risk debt products due to their potential to generate immense profits. The banks leveraged the mortgage loans with credit default swaps and the mass failure of borrowers to pay back led to added levels of debt on the banks’ books of account. Ultimately, the culmination of mass defaults led to the financial crisis. Due to globalization, the financial crisis had a negative impact on many countries since the world economies are interconnected. The credit crunch had cross cutting effects that affected virtually all sectors of the economy. This led to social economic changes that had direct impact on the British public (Akinbami 2011). This paper will evaluate the British public attitudes towards the banking sector after the financial crisis. ... The onus is upon the financial regulatory agencies to establish the public attitudes and implement strategies to ensure that the financial sector is positively perceived by the public (Hodson & Deborah 2009). The needs of bank customers are evolving rapidly and it is therefore necessary for banks to put in place futuristic plans that can effectively cater for the evolving needs of their customers. Objectives 1. To investigate the public’s attitude towards the banking sector after the financial crisis. 2. To establish the public perceptions on who is to blame for the financial crisis 3. To identify the information that the public receives in regards to the banking industry in the United Kingdom and how this information affects their attitudes towards the banks 4. To establish the consumer trends in the banking sector and the evolving needs of the bank customers 5. To identify the banking products that the customers will need in twenty years time. Limitations The domain of the s tudy comprises of all the public and it is difficult to access all the domains of the public. Suffice to say, the research will be restricted to a sample of the public selected through convenience sampling. It is also notable that numerous changes have occurred in the banking sector after the financial crisis and new factors may contribute to the public attitudes towards the banking sector. Research Design It is important that the opinion and attitudes of the members of the public should be correctly observed and recorded. This research will adopt a pragmatic philosophy in order to effectively collect information about the perceptions and attitudes of the public. It is important to that the nature of the research problem demands for multiple views to appropriately answer

Privacy is not the most important right Essay Example | Topics and Well Written Essays - 1000 words

Privacy is not the most important right - Essay Example There was very limited control in the society. However, modern institutions have developed controls that have raised very various privacy concerns. Privacy has become a matter of concern to many thinkers, law makers, human rights activists and other essential policy makers. Despite the significance of the right to privacy and the existing laws supporting it, government agencies, security departments and legislative authorities across the globe have engaged in laws and acts that violate the right to privacy as a basic principle that define human dignity. The guiding principle for security agencies in Britain is that security interests and ensuring stable human security is supersedes the basic right to privacy. The United Kingdom has overemphasized the protection of human security at the expense of the constitutional right to privacy. The installation of public surveillance cameras in major cities and towns in Britain is an example of a major violation of the fundamental right to privacy in the country. As a matter of fact, every individual has something to hide from the public, a fact that may be infringed by the installation of surveillance cameras. It is a universally acknowledged that people should not be allowed to hide under the guise of the right privacy to commit crimes and cause harm to law abiding members of the society. Proponents of this point of view hold that privacy is not one of the most fundamental human rights. Most scholars will concur with my position that, privacy defines comprehensively the right to be left alone and refrain from sharing an individual’s private information with other people. Some of the common issues that are catered for by privacy rights include: individual truths, private matters and issues, individual information as well as ones secrecy. The right to privacy is commonly popular and profound to free people. It offers a significant amount of

Computer Hardware Essay Example | Topics and Well Written Essays - 500 words

Computer Hardware - Essay Example 1-4). Among the many hardware in personal computers the most important part for any PC is the memory part and this includes the RAM, or in other words, the Random access Memory. It is known as the random access memory as the user can access any cell of the memory if the rows and columns to the memory are well known to the user (David, Hennessy, and Ashenden, 2004, p. 33). RAM is the memory chip that has millions of small and minute integrated elector circuits on the chip and these are the circuits that are composed of transistors as well as capacitors. A memory cell is created in the Dynamic RAM by pairing the transistor and the capacitor. The storage unit of the memory cell is in bytes and it has been calculated that the memory cell has the capacity to store a byte of the data. During the manufacturing of the RAM memory cells are attached to the Ram in the form of the rows and the columns. The rows in this case are known as wordlines and the columns are known as bitlines. For the working of the Ram a charge is sent through the column which activates the attached transistor within a time period of nano seconds.

Self-introduction Personal Statement Example | Topics and Well Written Essays - 500 words

Self-introduction - Personal Statement Example Although I spent much more time than other people in studying, I could not achieve high scores. Fortunately two years ago I chose to continue my education in the U.S., and it was here where my ideas and thoughts about studying changed significantly. First, I realized that as a teenager, studying at school could not be taken for granted. There are many overage students who go back to school after they have already been working in society. Many reasons can be attributed to this phenomenon, but I would say that for most it would be due to financial problems in the family. The fact that some of these people sacrificed their careers in order to receive more education shows how important it is for teenagers to be studying at school. Hence, I must cherish my time studying because I dont want to have to go back and redo it later on. Second, in comparing teaching methods between my home country and the U.S., I would say that here the college professors explored my interest in learning more and made learning fun. Now, although I feel like I have achieved success in college, I believe I must keep stepping forward in my specific field because I understand that knowledge is the most precious property in my life. In view of values, knowledge creates wealth. Therefore, I must prepare well for my future now so that I can reap the benefits once I have finished my education and look to enter the workforce. In the era of the knowledge economy, it is becoming increasingly hard for people to progress without having knowledge. It must be said that no knowledge is worthless because you never know when it will become useful later on. Under the ethos, values, and rights in the United States, I believe that I am more adept to study here instead of my home country. This is because the United States provides many opportunities to students to pursue and fulfill their dreams, something which cannot be applied to every student in my home country. Therefore, I set my

Post Operative Care After Gall Stone Removal

Post Operative Care After Gall Stone Removal Bianca Robinson Patients who are undergoing operative procedures are required the delivery of ongoing care to optimize their recovery and prevent complications. This delivery of care will enable early identification of circumstances surrounding surgery that may put patients at risk of harm. Mr Whakanna is a 36 year old Polynesian male who has just returned to the ward after having a laparoscopic cholecystectomy. A laparoscopic cholecystectomy is the surgical removal of the gall bladder using laparoscopic technology in a process also known as keyhole surgery (Graham, 2008, p. 47). The aim of this report is to identify and prioritize the problems associated with in the first four hours of Mr Whakaana’s return. It is important for nurses to have an understanding of gallstone disease and the surgical procedure, to ensure that patients are cared for with empathy but also safely and effectively. This report presents the four highest problems that may occur with Mr Whakaana on return to the ward fro m surgery. ABCD’s, Vital Signs and Pain Although different surgical procedures require specific and specialist nursing care, the principles of post-operative care remain the same. It is essential for a structured assessment of Mr Whakaana to be carried out such as that described by Elliot, Aitken Chaboyer (2007) where Airway, Breathing, Circulation, Disability and Environment are examined. This is known as a primary assessment, and is used to identify any signs of airway obstruction, respiratory failure, circulatory failure or neurological dysfunction (Graham, 2008). In this scenario, the nurse must pay particular attention to Mr Whakaana’s airway due to the fact that he has been administered 8mg of morphine, and morphine can cause respiratory depression (Tiziani, 2010). Bradypnoea is a respiratory rate less than 12 breathes per minute in an adult at rest, and is the first sign of respiratory depression; Mr Whakaana should be monitored closely to prevent this (Tiziani, 2010). Mr Whakaana’s conscious state sh ould also be monitored especially as he is currently scored as 1 on the Glasgow Coma Scale, the nurse must pay particular attention to this to ensure that Mr Whakaana does not go into shock (Elliot, Aitken Chaboyer, 2007). It is also helpful to include the patency of drainage systems and vascular devices into your primary assessment of Mr Whakaana, and note if any allergies are known (Elliot, Aitken Chaboyer, 2007). Vital signs should be assessed as often as possible (every half hour/hour) during the first four hours of Mr Whakaana’s return to the ward to determine any signs of deterioration. Vital sign measurements include blood pressure, respirations, pulse, temperature and oxygen saturation levels. Changes in Mr Whakaana’s blood pressure can be used to monitor changes in his cardiac output; pulse assessment can determine Mr Whakaana’s heart rate and rhythm, and can estimate the volume of blood being pumped by his heart (Elliot, Aitken Chaboyer, 2007). Core body temperature differences can occur in illnesses and an abnormal reading can be an indication of infection; Mr Whakaana’s temperature is 36.5C at present, which is within normal range (REFERENCE). Pulse oximeters give a non-invasive estimate of the arterial haemoglobin oxygen saturation, and measurement should always be above 95% (REFERENCE). The nurse should be aware that Mr Whakaana is currently on 3L per m inute of oxygen via nasal prongs, as this could give a false sense of security when recording/documenting Mr Whakaana’s oxygen saturation (Elliot, Aitken Chaboyer, 2007). Pain and discomfort are also important factors in Mr Whakaana’s postoperative period as good pain control is required for an optimal physical and psychological recovery. Post-operative nausea and vomiting (PONV) is common after laparoscopic cholecystectomy because of peritoneal gas insufflation and manipulation of the bowel (Graham, 2008). There are additional risk factors to consider including the use of peri-operative opioids (REFERENCE). Opioids, such as morphine, are a common cause of PONV and so their use, even during laparoscopic cholecystectomy, should be kept to the required minimum. Pain should be measured using an assessment tool that identifies the quantity and quality experienced of Mr Whakaana’s pain. Patients’ self-reporting of their pain is regarded as the gold standard of pain assessment measurement as it provides the most valid measurement of pain (REFERENCE). Self-reporting can be influenced by numerous factors including mood, sleep disturbances and medications and may result in patients not reporting pain accurately (REFERENCE). For example, Mr Whakaana may not report his pain because of the effects of sedation or lethargy and reduced motivation as a consequence of the surgery. Fluid Balance / Output Patients following surgery are vulnerable to fluid and electrolyte imbalance due to many factors, including blood loss, fasting for long periods and exposure during surgery (Walker,2003). Therefore an accurate measurement of Mr Whakaana’s fluid balance is an essential factor in evaluating his condition. This should include strict readings of the output of drains as well as urine and vomit, and the measurement of fluid intake (oral, nasogastric and intravenous). Wound drainage sites and the surgical wound itself should be inspected at regular intervals for excessive blood loss, as this may indicate haemorrhage. Other factors that should be taken into account include diarrhoea, sweating and the use of diuretic therapy. Blood Sugars Diabetes is associated with an increased requirement for surgical procedures and increased postoperative morbidity and mortality (Dagogo-Jack Alberti, 2002). Hyperglycaemia impairs leukocyte function and wound healing (Tiziani, 2010). The management goal for Mr Whakaana is to optimize metabolic control through close monitoring, adequate fluid and caloric repletion, and sensible use of insulin (Dagogo-Jack Alberti, 2002). This assessment is to prevent hyperglycaemia and prevent further complications during Mr Whakaana hospital stay. Infection /Sepsis Conclusion Although postoperative care is a daily occurrence within many areas of practice, it is evident that the theory underpinning nursing actions is often forgotten in daily practice and hence actions may not be prioritised as they should be. It is hoped that this paper has enabled the reader to revisit the principles underpinning postoperative care. Such care must be viewed as a priority, and although there are local policies in place to guide nursing staff, the responsibility for understanding the reasons for actions lies with each individual practitioner. REFERENCES Dagogo-Jack,S., Alberti,K.G. (2002). Management of Diabetes Mellitus in Surgical Patients.Diabetes Spectrum. doi:10.2337/diaspect.15.1.44, Retreived from http://spectrum.diabetesjournals.org/content/15/1/44.full Elliott,D., Aitken,L.M., Chaboyer,W., Australian College of Critical Care Nurses (2007).ACCCNs critical care nursing. Sydney: Mosby Elsevier. Graham, L. (2008). Care of patients undergoing laparoscopic cholecystectomy.Nursing Standard,23(7), 41-8; quiz 50. Retrieved from http://0-search.proquest.com.alpha2.latrobe.edu.au/docview/219887551?accountid=12001 Tiziani, A. (2010). Havards nursing guide to drugs. Sydney, New South Wales: Mosby/Elsevier Australia. Walker,J.A. (2003).Care of the postoperative patient | Practice | Nursing Times. RetrievedMarch28, 2014, from http://www.nursingtimes.net/care-of-the-postoperative-patient/200004.article Walker,J.A. (2003).Care of the postoperative patient Part 2 | Practice | Nursing Times. RetrievedMarch28, 2014, from http://www.nursingtimes.net/care-of-the-postoperative-patient/200004.article

The Cold War :: History, USSR, The Space Race

Imagine a world where everyone has nothing, this was the USSR during the Cold War. The Cold War was a 40 yearlong war between the USA and the USSR. The US and the USSR never had any direct contact, but what they did do was have "races". These "races† were the Nuclear Arms race and the Space race. The Nuclear Arms race was not so much an arms race as it was a defense race. This is because with both sides have nuclear bombs, both of them would have enough bomb power to retaliate (Hart 440) The Space Race was, as the name says, a race to see who could get up in space first. Amazingly nuclear arms helped fuel man to get up in space. The Cold War was a war between the USSR and the US. Even though they never fought directly there were many wars between democracy and communism. Most of the wars between 1950-1990 were part of the Cold War (BrianPOP). For example, the Korean War (1950-1953) and the Vietnam Conflict (1955-1975) are two well-known wars that happened because of communism. (Wikipedia). The Korean War was a war fought between North and South Korea. North Korea was Communist and Soviet backed, while South Korea was part of the UN (Dolan 9). Like the Korean War the Vietnam Conflict was a war fought between North and South Vietnam. Also like the Korean War the South was democratic while the north was communist (Wikipedia). Some of the wars fought between Communism and Democracy happened in a smaller scale. For example, in Germany 1938, the Soviet Union limited transport into the city of Berlin. Germany at this time was split into two sections, Democratic and Communism. The French, British, and America controlled the West, while Russia controlled the East (HowStuffWorks). The city of Berlin was divided between the two sections, East and West Berlin. In 1938, Stalin stopped transport into the city by putting up blockades, blocking all roads and railroads that led out of the city (Hart 438). Stalin was doing this to starve out the Allies so they would get out of the city. The Allies didn’t move, but what they did do was fly planes into the city of Berlin and dropped off food and supplies (Hart 438). Ten months later Stalin gave up on the blockade and took it down (Hart 438). During the Cold War, Berlin was hit again by the influences of Stalin.

Behavior Essay

Behavior Essay To Teacher: Shukrya Student Name: Nadeem M7md Grade: 10BB School: ISCS I am writing this essay for Mrs. Shukrya because I acted inappropriately in her class today. Mrs. Shukrya has discussed my misbehavior with me and I understand why I have received this disciplinary assignment. I have also been informed that this essay would be the punishment for any unacceptable behavior in Mrs. Shukrya’s class. The reason Mrs. Shukrya does not tolerate misbehavior is because she cares about me and my success in school.It is important to her that I do well in my classes and earn good grades. It is also important to her that I learn study skills, independent work habits, and self-discipline. Self-discipline is one of the most important things I can learn in school; with that skill I can accomplish many things. I need to learn self-discipline so I can act appropriately in class and progress further toward my goals. Acting silly, goofing off, wasting valuable class time, and act ing immature are all signs of disrespectful behavior – not only toward Mrs.Shukrya,  but also toward my classmates who are trying to get the most out of their education. Along with self-discipline, respect for others is an extremely important thing to learn. I need to realize that there is a time and place for everything. There are times for fun and times for serious work. Mrs. Shukrya’s class is a time for working hard to make good grades and learn study skills. There will be time for fun later – after school and on the weekends – but in class I need to focus on my schoolwork.It may not seem important to me now, but it will be at some point, and Mrs. Shukrya knows this even if I don’t yet. Acting the correct way in class will show respect to my teacher and my classmates. It will also benefit me on many levels. I won’t have to write this essay again, I’ll learn more in class, I’ll get more homework and studying done, and my g rades will improve. However, if I choose to break the rules again, I will have to face the consequences again. That is how life works.

Payment security

Most online customers expect to be able to pay for their goods online by credit or debit card. However, they want to be insure that their details will be kept confidential. To be secure all online payments must be: * Private and confidential only between customer and seller. * Conveyed intact and without any changes during transition. * Deleted fro the system after payment has been completed. SSL (Secure Socket Layer) allows standard browser such as Internet Explorer to send and receive information securely. Provides its users with secure payment, its users can check it by looking locked padlock symbol or â€Å"https† on the address line. SET (Secure Electronic Transfer) is more secure for online payments then SSL because information of the card e.g. card number wont be shown to seller, as when a cards company will authenticate the card through a digital signature. Unfamiliar trading conditions Unfamiliar trading can affect both, the business and its customers. The main reason for this is that online trading was relatively slow to take of, as customers were worried about buying services and goods online. However, once a new customer bought something online without any problems he/she becomes more confident to shop online. Businesses that are less successful than anticipated could have unsold products therefore they may struggle to pay money back which they have borrowed to pay website development. If customer that shop online won't get their answer quickly and receive the order on time then customers are unlikely to use their service or buy goods from that business in future. Read this  Chapter 2 – Why Security is Needed Errors in ordering However, order forms to be foolproof. This is possible to minimize customer errors. This corresponds to other customers making this error, such as making duplicate the original form twice. There has to be a comprehensive return policy which takes the legal right of customers present. You must enter the information before the order can be accepted. Most of the forms are designed this way. This could be useful in large amount of quantities or other similar errors that are reported before the order is complete. However, this could be an automated process. In order to this very large (or preferably copying) orders may be singled out so that the customer can be contacted by a call phone or email before they can go ahead with anything. Customers that do online shopping are guaranteed to be protected by the law, that states the Sales of Goods Act and also the Supply of Goods and Services Act 1982 this also applies to all other customers. There is also another act (The Sales and Supply of goods to Consumers Regulations 2002) which also gives customers right to return any goods that are damaged, this refers if the were bough in a store or on the net. Customers have the right to hand in any items which has been damaged for another item of better quality for whatever reason it may be. For an example items such as clothes that are not of the correct size or that is not a real product (duplicate, this can be checked on the actual website) can be refunded. Potential use of personal information Due to personal information organisations that keep forwent information about individuals whether on a PC system or in written words should be vital to register the information commissioner and comply with the terms with the Data Protection Act 1998. This means that the data in the PC or on paper must be accurate. This must be kept secure as long as necessary. However, this means that other businesses cannot make this information be visible on the website or misplace any details of customer to other individuals. In relation to this website must include privacy policy that ensures how information is to be used wisely by the business. This also relates to visitors which have collected by cookies and/or during a registration or ordering process. The PCECR (Privacy and Electronic Communications Regulations) also gives other businesses permission to send people via emails to individuals who have opt in by giving the permission to receive them. This means the do not have the right to send promotional emails without the candidates/clients promotion. This refers to why such emails also include the option for the client to unsubscribe at any time. Vulnerability to hostile attack It states that accordingly to the (NHTCU) which stands for National Hi-Tech Crime Unit. Cybercrime could cost UK businesses a tremendous worth of billions of pounds per annum. Not only large scale business which are threatened by hackers, spoof websites or denial of services attack. For example when few set up his highly successful website which was a million dollars he was also treated by the (DOS) attacks this to black mail blackmail demands which were high. In this case a DOS attack only occurs when a certain website is overloaded with highly useful data via email in the short period of time so that the website is brought back down. Websites are together by same users which are most known as hack mailers when they are at the most vulnerable state these for times such as seasonal times for example Christmas at time like this hack mailer would loose a retailer a sum gaining up to a million worth of pounds. A spoof is the definition of when a hijacker duplicates a website as a version of which customers may use, this will make customers think that they were dealing with actual organisation. However, this is easy to spot because it is copied very badly and links are replaced which lead to some illegal pornographic sites this is usually to mislead the companies reputation. This could be fatal as customers are asked to enter their bank details or credit card details which can be obtained by hackers which take all the customer money. Financial fraud can be caused by hackers getting into the organisations bank account. To the firm when payments are siphoned off or directed to the spoof site or even when customers are sent spoof mail asking for details which are personal this is also known as (phishing) Operational risks Website updating All websites must have someone to look after it and be updating it regularly so information is correct, up to date and all the products that are not in stock have a note â€Å"out of stock†. The inferior thing is for customer to see that pages where not updated for a long period of time, for example a year or more. In some ways wrong or out-of date information can cause serious issues. Liability for wrong or out of date information Under the act of Trades Descriptions Act and E-commerce (EC Directive) Regulations 2002 the information which is provided on the website must be stated correctly. A business that purposely gives wrong information could be recognised under these two acts. If customer chooses to react based on the outdated and incorrect information there might be a case to give an answer- even thought many websites have a ‘disclaimer' to covet that type of issue. In relation this refers to website. For example NHS has to be more aware about accuracy of the information it gives than Asda. Language problems with global customer base World wide businesses that usually have a lot of customers should give their customers a choice of different languages. To help customers to notice that website has different languages that they can use. They can put a country flag at the top corner of the site. Other smaller businesses that are national businesses do not provide this feature to their customers. Therefore there is bigger possibility that other nationality customers might get mixed up when they will want to buy goods. This is the main reason why many organisations take disclaimer clauses. Therefore websites such as Marks and Spenser only take orders that matches description accurately that is on the site, also firm is not responsible for any product to be used out of the country. Small businesses which wish to sell goods to outside businesses have two options to choose from. They can to work through a local agent or to have expectation for their service translation. It must be completed by specialist because online translators that can be found via Google are only useful for phrases to a pen friend, not for significant documents. Hardware and software failures All of PC users are depended on their internet service provider to have access to go online. However all internet services have technical faults and user will lose access to the internet until fault is not repaired. This can cause serious trouble to any online business especially if the website is not working for any period of time. There might not be any problems with ISP. However, the system itself can build up a fault. Software can be spoiled and hardware could break down. This is the mail reason why many online businesses have a back up servers, therefore if one server breaks down it will automatically switch to the second server. Software problems can be caused by several things for example programming error or in the course of a virus. None of these methods will help, even if there is a foremost failure. That's why some online businesses have their websites hosted offsite in a safe area where they have experts that are accessible to fix and re-establish the system quickly. Data loss There are many reasons data to be lost. In fact there are 1.7 million reports acknowledged in Europe of data loss every year. The main reasons for data lost are: * Theft, for example laptop theft- 5% of data loss every year * Computer virus – 7% of data loss every year * Software file corruption- 13% of data loss every year * Human error, for example unintentional removal-31% of data loss every year * Hardware failure, for example drive failure-41% of data loss every year * Hardware loss for example during flood or fire- 3% of data loss every year It is very recommended for online businesses to do daily back ups because if there are any problems they can always reinstall its system within 24 hours of the problem happening. In addition it is also ordinary to back up system before making any changes, therefore if there are any problems system can be restored easily. Individual users should also train them selves to keep important data safe and back up their files regularly. Global business regulations Many people know that there are many differences between Britain and other countries. A packet of crisps or box of chocolate that you buy on holiday, even if they are made in UK they will still have a different package and will be in a language of that country the they are sold. Cars are made with left or right hand drive, record distance travelled in miles or kilometres, and is intended to fulfil with specific system on emissions and noise levels- which again vary from one country to another. Any type of business that is intending to sell on a global basis have to be ensure that all products fulfil with the appropriate law and technical policy that apply in that country of sale. Even if the country is English speaking it doesn't mean that it will have the same laws. For example Australia has different principles than UK, therefore many goods have to be customized or â€Å"Australianised† before the can be sold there. Many countries have different laws, for example in USA health and safety equipments are different from UK and other European countries. Therefore if specific product fails to meet the terms that apply in that country, then product will be banded from entering the country.

Free Essays on The Packinghouse Daughter

This novel tells the story of a small-town, working-class life in the mid 1900’s. The daughter of a meatpacking company millwright, Cheri Register tells about the event, which divides her small town of Albert Lea during time of depression. Albert Lea, Minnesota was an industrial town of only 13,545 people. Surrounding the area was cornfields, lakes, cattail marshes, knolls, and oak groves. Albert Lea still was in the 1950’s when this story began. Cheri was an elementary student. Her school plans many field trips, which tend to be excursions in industrial technology. Cheri and her classmates visit places, which serve an entertainment and educational purpose. They have visited placed such as printing press, Coca-Cola, and egg hatching victories. Their next trip was different. Cheri and her class were to visit the Wilson & Co. meatpacking industry. This was where Cheri’s father had worked since 1943. Not speaking much of his job Cheri didn’t know much about her fathers work. This trip consisted of a parent’s signature because of the scene it may bring to the youngsters. Each kid had the option not to participate in the activity that morning since once they entered there was no turning back. They describe the trip as very scenic and educational. For the rest of the day the kids talked to each other about the incredible views, which t hey encountered. Such as the hundreds of people who worked there and how the assembly lines for the animals just never ended, one after another after another. Wilson & Co. was a gigantic industrial factory in which many of the mid-class working life men supported their families by. During this time the eight-hour working day laws were supported and workers did just that. An eight-hour day at Wilson & Co. itself was extremely demanding and tiresome to the workingman. Cheri’s dad at this time was in a verbatim pattern of a workday, dinner, and falling asleep attempting to relaxi... Free Essays on The Packinghouse Daughter Free Essays on The Packinghouse Daughter This novel tells the story of a small-town, working-class life in the mid 1900’s. The daughter of a meatpacking company millwright, Cheri Register tells about the event, which divides her small town of Albert Lea during time of depression. Albert Lea, Minnesota was an industrial town of only 13,545 people. Surrounding the area was cornfields, lakes, cattail marshes, knolls, and oak groves. Albert Lea still was in the 1950’s when this story began. Cheri was an elementary student. Her school plans many field trips, which tend to be excursions in industrial technology. Cheri and her classmates visit places, which serve an entertainment and educational purpose. They have visited placed such as printing press, Coca-Cola, and egg hatching victories. Their next trip was different. Cheri and her class were to visit the Wilson & Co. meatpacking industry. This was where Cheri’s father had worked since 1943. Not speaking much of his job Cheri didn’t know much about her fathers work. This trip consisted of a parent’s signature because of the scene it may bring to the youngsters. Each kid had the option not to participate in the activity that morning since once they entered there was no turning back. They describe the trip as very scenic and educational. For the rest of the day the kids talked to each other about the incredible views, which t hey encountered. Such as the hundreds of people who worked there and how the assembly lines for the animals just never ended, one after another after another. Wilson & Co. was a gigantic industrial factory in which many of the mid-class working life men supported their families by. During this time the eight-hour working day laws were supported and workers did just that. An eight-hour day at Wilson & Co. itself was extremely demanding and tiresome to the workingman. Cheri’s dad at this time was in a verbatim pattern of a workday, dinner, and falling asleep attempting to relaxi...

Different Types of Third-Person Point of View

Different Types of Third-Person Point of View In a work of fiction or nonfiction, the third-person point of view  relates events using third-person pronouns such as he, she, and they. The three main types of third-person point of view are: Third-person objective:  The facts of a narrative are reported by a seemingly neutral, impersonal observer or recorder. For an example, see The Rise of Pancho Villa by John Reed.Third-person omniscient:  An all-knowing narrator not only reports the facts but may also interpret events and relate the thoughts and feelings of any character. The novels Middlemarch by George Eliot and Charlottes Web by E.B. White employ the third-person-omniscient point of view.Third-person limited:  A narrator reports the facts and interprets events from the perspective of a single character. For an example, see Katherine Mansfields short story Miss Brill. In addition, a writer may rely on a multiple or variable third-person point of view, in which the perspective shifts from that of one character to another during the course of a narrative. Examples and Observations in Fiction The third-person perspective has been effective in a wide range of fiction, from the biting political allegory of George Orwell to E.B. Whites classic and emotional childrens tale. At the age of seventeen I was poorly dressed and funny-looking, and went around thinking about myself in the third person. Allen Dow strode down the street and home.  Allen Dow smiled a thin sardonic smile. (John Updike, Flight. The Early Stories: 1953–1975. Random House, 2003)They all remembered, or thought they remembered, how they had seen Snowball charging ahead of them at the Battle of the Cowshed, how he had rallied and encouraged them at every turn, and how he had not paused for an instant even when the pellets from Joness gun had wounded his back. (George Orwell, Animal Farm, Secker and Warburg, 1945)The goose shouted to the nearest cow that Wilbur was free, and soon all the cows knew. Then one of the cows told one of the sheep, and soon all the sheep knew. The lambs learned about it from their mothers. The horses, in their stalls in the barn, pricked up their ears when they heard the goose hollering; and soon the horses had caught on to what was happening. (E.B. Whi te, Charlottes Web. Harper, 1952) The Writer as Movie Camera The use of the third-person perspective in fiction has been likened to the objective eye of a movie camera, with all its pros and cons. Some teachers of writing advise against overusing it to get into the heads of multiple characters. Third-person point of view allows the author to be like a movie camera moving to any set and recording any event....It also allows the camera to slide behind the eyes of any character, but beware- do it too often or awkwardly, and you will lose your reader very quickly. When using third person, dont get in your characters heads to show the reader their thoughts, but rather let their actions and words lead the reader to figure those thoughts out.- Bob Mayer, The Novel Writers Toolkit: A Guide to Writing Novels and Getting Published (Writers Digest Books, 2003) Third Person in Nonfiction The third-person voice is ideal for factual reporting, in journalism or academic research, for example, since it presents data as objective and not as coming from a subjective and biased individual. This voice and perspective foreground the subject matter and diminish the importance of the intersubjective relationship between the author and the reader. Even business writing and advertising often use this perspective to reinforce an authoritative tone or even to avoid creepiness, as the following example from Victorias Secret displays so well: In nonfiction, the ​third-person point of view is not so much omniscient as objective. Its the preferred point of view for reports, research papers, or articles about a specific subject or cast of characters. Its best for business missives, brochures, and letters on behalf of a group or institution. See how a slight shift in point of view creates enough of a difference to raise eyebrows over the second of these two sentences: Victorias Secret would like to offer you a discount on all bras and panties. (Nice, impersonal third person.) I would like to offer you a discount on all bras and panties. (Hmmm. Whats the intent there?)...Unabashed subjectivity may be fine for ever-popular memoirs on incest and inside-the-Beltway intrigue, but the third-person point of view remains the standard in news reporting and writing that aims to inform, because it keeps the focus off the writer and on the subject.- Constance Hale, Sin and Syntax: How to Craft Wickedly Effective Prose (Random Hous e, 1999) Personal and Impersonal Discourse Some writers on writing suggest that the terms third person and first person are misleading and should be replaced by the more precise terms personal and impersonal discourse. Such writers argue that third person incorrectly implies that there is no personal viewpoint in a piece or that no first-person pronouns will appear in a text. In works using two of the subset examples cited above, third-person objective and third-person limited, personal perspectives abound. To work around this confusion, another taxonomy is proposed. The terms third-person narrative and first-person narrative are misnomers, as they imply the complete absence of first-person pronouns within third-person narratives....[Nomi] Tamir suggests replacing the inadequate terminology first- and third-person narration by personal and impersonal discourse, respectively. If the narrator/formal speaker of a text refers to himself/herself (i.e., if the narrator is a participant in the events he/she is narrating), then the text is considered to be personal discourse, according to Tamir. If, on the other hand, the narrator/formal speaker does not refer to himself/herself in the discourse, then the text is considered to be impersonal discourse.- Susan Ehrlich, Point of View (Routledge, 1990) Despite such concerns, and regardless of what it is named, the third-person perspective is one of the most common ways of communicating in almost all nonfiction contexts and remains a key tool for fiction writers.

Bio Medicine Essay Example for Free

Bio Medicine Essay Two Cathy Ann Wilson-Bates Western Governors University EVIDENCE-BASED PRACTICE & APPLIED NURSING RESEARCH EBP 1 Brenda Luther, PhD, RN January 25, 2012 Task Two Introduction: What I have learned about working with children in a chronic healthcare setting like dialysis is that they are resilient beings with the propensity for rapid changes in their medical condition. Children almost always surprise me in their unique description of symptoms and pain. Depending on their age, they may not be able to describe the symptoms they feel or tell me â€Å"where it hurts†. A simple ear ache may be described as a â€Å"drum in my ear† or may be observed with non verbal cues like tugging on the ear. Acute Otitis Media is seen quite often during the cold and flu season. Recent clinical guidelines suggest waiting twenty four to seventy two hours before beginning antibiotic therapy. Parents of children with symptoms of otitis media are accustomed to receiving a prescription for antibiotics before they leave the medical office. Adults as well are preconditioned for the little white slip of paper from their physician. Waiting twenty four to seventy two hours to evaluate the need for antibiotics will definitely reduce the over-prescription of antibiotics as well as their efficacy. The waiting and watching of several days may seem like an eternity to a parent caring for a sick and crying child. Educating parents during routine visits to the physician office about the risks of over-prescribing antibiotics will help when the physician needs to discuss the possibility of waiting and evaluating before prescribing antibiotics. Providing a list of comfort measures parents can follow may help relieve the anxiety they have in caring for a sick child. Any comfort measure taken to reduce crying is helpful to the parent of a sick child, but mostly to the child. The following table and paragraphs will share the results of how one group of nurses at an outpatient clinic used clinical evidence to manage this situation. Source |Type of Resource |Source appropriate or |Type of Research | | |general information, |inappropriate |primary research evidence, | | |filtered, or unfiltered | |evidence summary, evidence-based | | | | |guideline, or none of these | |American Academy of Pediatrics and American Academy of|Filtered |Appropriate |Evidence-based guideline | |Family Physicians. Clinical practice guideline: | | | | |Diagnosis and management of acute otitis media. | | | |Causative pathogens, antibiotic resistance and |Unfiltered |Appropriate |Evidence-based guideline | |therapeutic considerations in acute otitis media . | | | | |Pediatric Infectious Disease Journal. | | | | |Ear, nose, and Throat, Current pediatric diagnosis and|General |Inappropriate |None of these | |treatment. | | | | |Treatment of acute otitis media in an era of |Filtered |Appropriate |Evidence –based guideline | |increasing microbial resistance. Pediatric Infectious| | | | |Disease Journal | | | | |Results from interviews with parents who have brought |Unfiltered |Appropriate |Primary research evidence | |their children into the clinic for acute otitis media. | | | | | | | | | Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 13 No 5 1451-1465. This article is an evidence-based clinical guideline. It is a systematic review making it a filtered resource which is very appropriate for this situation. The article describes the current, (as of 2004) recommendations for the diagnosis and management of Acute Otitis Media (Subcommittee on Management of Acute Otitis Media, 2004). These guidelines show several different ways to treat acute otitis media depending on the symptoms of the child. It states that sometimes waiting to give antibioti cs is good and sometimes waiting to give antibiotics is not good. This article is appropriate and provides clarity on the topic. Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. This article discusses antibiotic resistance and describes the bacterial pathogens which are responsible for infections causing acute otitis media. This article is appropriate. It contains a comparison of studies performed based on the different types of bacteria which cause acute otitis media. It stresses the importance of identifying the bacteria causing the infection before giving antibiotics so that number one the bacteria can be eradicated and other bacteria will not become resistant (Block, 1997). PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. This textbook source contains general information on the ear, nose and throat. There is much more information here regarding basic anatomy and physiology as well as characteristics of the ear nose and throat. The information regarding otitis media is basic and not an appropriate source of research in this situation for three reasons. Number one, the information is very basic, number two, it does not give any up to date information on how to treat this type of infection, and number three there is too much non-relevant information. McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. This article is a review of the known etiologies that may cause acute otitis media. The article gives up to date information on therapeutic approaches when selecting an appropriate antibiotic therapy. We don’t practice â€Å"cookie cutter† medicine. The same prescription is not always right for all patients or all communities where some bacteria’s may be more prevalent than others (McCracken, 1998). This is appropriate information for this group of people or community. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) This set of interviews is simply raw data. General information can however provide great insight as to what is happening out in the community. For example, this information might shed light on the fact that if the parents are willing to hold off on antibiotics for example, would they be more likely to follow up and come back into the clinic when asked? The reaction of parents is dependent upon other several basic factors like finances, a belief system and possibly the ability to obtain transportation. Knowing how the community is going to respond to their choice may have a great effect on the decisions they make. When evaluating the findings of these sources cumulatively, one must first determine the causative pathogens infecting patients in this given community with acute otitis media. After pathogen determination we can determine which antibiotics may be most useful in eradicating the given bacteria. Careful selection of antibiotic therapy will reduce the propensity for antibiotic resistance. Watchful waiting may be a good thing from the perspective of increasing microbial resistance however we must always evaluate patients on their individual needs or on a patient by patient case. One size doesn’t always fit all. Patient education is the key to keeping the public informed of current practice. Physicians and Nurses need to be consistent in the lesson plan shared with patients and remain true to our scope of practice. Communication is essential between the physician, nurse and other multidisciplinary team members in order to provide the best care. There are many considerations in assessing if patients are able to withstand the waiting and evaluation period. Low income families are one example of how the waiting and watching method might not work. Parents may have to take time off work to come to clinic with a sick child. They might struggle finding money for the additional return trip to the clinic and may risk losing their job if they take more time off work. Many low income families may have already waited before seeking help thus creating their own watchful waiting period. They also may not be able to afford antibiotics and as a result may not give the full dose if symptoms have subsided. The perception is that they will save the medication for the next time symptoms arise. Confidentiality might be an issue in smaller communities. People tend to be concerned about neighbors and co-workers and some may not care to share their experience with others. This may be an issue for parents who don’t share custody as in the case of divorce. It is a greater issue when parents or partners don’t share the same fundamental values, especially those related to healthcare. Conclusion: Watchful waiting like the nurses in this clinic are looking at may be useful for some of the patients, but not all. Again, a one size fits all philosophy is not always appropriate in healthcare. Tools like algorithms may be helpful in determining the appropriateness for watching and waiting versus immediate action as determined by physical findings and social circumstances like parental adherence for follow up and ability to afford treatment. Whatever course you choose, watchful waiting or immediate antibiotics the best practice remains a plan of care based on the individual needs of our patients. References Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , Volume 16 (4) pp 449-456. McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. Subcommittee on Management of Acute Otitis Media. (2004). American Academy of Pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines: Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 113 No 5 1451-1465. Bio Medicine. (2018, Oct 22).