Monday, August 24, 2020

Managerial Accounting Essay Example | Topics and Well Written Essays - 2000 words - 1

Administrative Accounting - Essay Example Essentially, the arranging must fuse the constraints that the associations have while, simultaneously, concentrating on the drawn out objectives and wants of the association; this must be done through viable planning and further spending control. It is crucial apparatus for estimating execution. The accomplishment of any advantageous association is depended on a decent financial plan since it gives a stage where pay and use gauges are done at a development date by utilization of chronicled information. By so doing, the spending helps the association in various manners, for example, control, coordination and possible estimation of the association. Through the equivalent, the association can determine inspiration equipped towards a superior future (CHONG et al 2007). As per CARPENTER (2006) a financial plan is characterized as a provisional quantitative indication of future desires and, is typically arranged by the administration of any association. There are various sorts of spending plans and are worried about making arrangements for what's to come. Whenever done in the correct way, a spending plan can fill in as a methods for control inside the association since in it are largely the associations plans, objectives and key execution activities and markers. They are generally arranged either yearly or month to month or at some other stretch, contingent upon the need. The importance of spending plans is that they permit the administration of the association to investigate the past disappointments and achievement; and that helps in defining the best techniques for what's to come. The appearance of 21st century has a carried with it numerous difficulties for various associations. As such limiting inside association is unavoidable; planning and control have become vital piece of the associations since obviously they have a major job in the general execution of the association. In such manner, numerous money related and loaning foundations have put a lot of spotlight on planning as an apparatus of building up execution in any association. So also,

Saturday, August 22, 2020

Flannery OConnor A Good Man is Hard to Find free essay sample

This paper breaks down Flannery OConnors short story A Good Man is Hard to Find. The creator surveys Flannery OConnors short story A Good Man is Hard to Find. She expresses that OConnors composing mirrors her southern and Catholic customs. Despite the fact that she can't be perused as a major aspect of the women's activist scholarly convention, OConnor is critical to contemporary American fiction. 'The expressions of the grandma may appear to be nostalgic, were she not addressing a man who is a murderous executioner, going to overwhelm her to 'somewhere beyond anyone's imagination.' 'A Good Man is Hard to Find' delineates a fairly appalling youthful family, including June Star who 'wouldnt live in a separated spot for a million bucks and the somewhat aggravating grandma. (7) But on the grounds that the grandma can see some concise grab of mankind in the Misfit who inevitably executes her, OConnor offers her with a sort of effortlessness as far as the stories judgment. We will compose a custom paper test on Flannery OConnor: A Good Man is Hard to Find or on the other hand any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page

Sunday, July 19, 2020

Liesel Meminger Character Analysis Essay Sample

Liesel Meminger Character Analysis Essay Sample Liesel Meminger Character Analysis Liesel Meminger is the main character of a historical novel ‘The Book Thief’ by an Australian writer Markus Zusak which is his most popular work. The novel was an international bestseller and is now considered to be a modern classic. Many people who have read it wondered if Liesel Meminger is a real person. According to the author, the book was inspired by real-life events that he heard from his German parents but all the characters in the novel are fictional and Liesel Meminger was never real although she might seem to be. ‘The Book Thief’ presents an emotional story of a ten-year-old girl living in Nazi Germany during Holocaust. The novel describes the joys and sorrows of Liesel, the new family that adopted her, and a Jewish man that Liesel’s family hide from the Nazi. The action takes place during a certain historical period, but ‘The Book Thief’ does not provide details on the complex events that are discussed in the novel. We can see them through the eyes of Liesel Meminger and learn about her point of view on Holocaust and World War II and, besides, we can learn about this point of view as it is told by Death, the narrator of the story. At the beginning of the novel, Liesel is about ten years old and towards the end of the novel, she is about fifteen. At that time, her home was destroyed by bombs and her loved ones were killed. The narration ends when Liesel is an elderly woman and Death comes for her soul. Liesel knows what it means the pain of loss â€" she lost her father, mother, and brother. When she comes to her foster family, they all have hard times because Liesel does not trust anyone. But her new family and friends treat her kindly and gently so she opens her heart to them and learns compassion. Liesel cares about the special people in her life and she also cares about justice in general. She is angry and frustrated with Hitler and war. As Liesel grows up, she starts to realize that everyone around her has experienced pain and loss. Although she is still a child, Liesel creates a moral system for herself and develops strong critical thinking. Liesel steals books. She loves books so much that she starts stealing them even before she is able to read them. The first book that Liesel steals is a handbook for digging graves. She steals it from a graveyard where her little brother has been buried because it reminds her of her brother and of her mother. So for Liesel, this book means a loss and a sorrow. But ‘The Gravediggers Handbook’ also means a beginning of a new period in Liesel’s life. When Hans finds this book beneath her mattress, they start reading it together and their friendship begins. Liesel realizes that there is a great power in books and in the words that are written in them and she enjoys reading them. It was her foster father Hans who teaches her to read although he is not good at reading himself because of his four-grade education. She reads with her foster father and, besides, she visits Frau Hermann who is the mayor’s wife in her library. She likes the library and thinks that it is one of the greatest places that she has ever been to. She also starts reading to people who come to their basement when air raids begin. Books are the source of real comfort for Liesel and the people around her. Liesel is enchanted by the power of language but as she matures, she starts to realize that words can be a dangerous weapon of control and at the same time they may be a gift that can broaden her knowledge and view on the world. Using books which she steals, reads, and writes, she develops her character.

Thursday, May 21, 2020

Essay about War on Drugs Causes the Viloation of...

Everyone knows the parable of the emperor with no clothes. The significance of a child being the one to point out the emperors nudity, as opposed to a sermonizing preacher or self-righteous intellectual, is simple to understand. Neither morality nor logic was responsible for stripping the emperors veil of falsehood. All it took was the truth. One cant help but think of this when considering Gary Johnson, the Republican governor of New Mexico, who, despite pressure from power brokers at the top of his own party, has proclaimed that the emperor that is this countrys war on drugs is not only naked to the world, but that its body is festering with the sores of moral decay and corruption. In the governors own words, The drug problem†¦show more content†¦Of course, many people have closed their eyes to the truth about the drug war for so long that they cant help but respond negatively to Johnsons common-sense approach. Given how many billions of dollars have been thrown into advertisements that criminalize all drug use without making any distinctions, it is no wonder that many people have trouble divorcing themselves from the illusion of righteousness. This is not a reflection on these people, of course, but a testament to the magnitude of the propaganda machine that has been let loose upon them. But no amount of propaganda can make a lie true, and examining the truth of just one tool of the war on drugs is sufficient to illustrate that it is not such a noble crusade. Civil asset forfeiture statutes allow law enforcement agencies to seize money and property without convicting, indicting or arresting the owners for any crime. Indeed, property can be seized even if the owners have been acquitted. Eighty percent of people who have property forfeited are not charged with a crime. Police are allowed to seize any assets that they claim to be involved with illicit drugs. Civil asset forfeiture is based on the concept that property that is allegedly connected to a crime is itself incriminating, and can be seized and tried in civil court. To challenge the forfeiture, persons who have their property taken must pay a bond of 10 percent of the value of their seized

Wednesday, May 6, 2020

How Stevenson Builds Suspense and Tension in Dr. Jekyll...

How Stevenson Builds Suspense and Tension in Dr. Jekyll and Mr. Hyde After thoroughly examining the question at hand. I have understood that I should comment on at least three episodes of the novel and clearly stress out how the writer built up the suspense and tension of the story. However I am going to look at techniques such as using shot quotations and not being to repetitive. The episodes l am going to be explaining are the incident of the letter, the remarkable incident of Dr Lanyon and the Last Night. In the Incident of the Letter, Stevenson starts of the episode by telling us what Dr Jekylls house was like through Mr Uttersons eyes. He later starts spicing up his story by describing Dr Jekylls quarters as the,†¦show more content†¦In the following episode of the incident of Dr Lanyon Stevenson starts it up by describing how Mr Hydes was full of disreputable tells. He describes Mr Hydes past as being so, callous, violent and full of cruelty which all bring a scary feeling to the reader. Stevenson then went on to tensify the story when he described the rosy Dr Lanyon as having a, death warrant written upon his face. Stevenson went on to make the story scary by describing Dr Lanyons flesh as having, falling away and having, undergone a swift physical decay. Later on in the episode Stevenson went to describe Dr Lanyons face as, suggested filling some deep-seated terror. Of the mind, As the episode continues tension can be seen building up as Dr Lanyons face is described as, changed, When Mr Utterson talked about Dr Jekyll. As the discussion continued a grate deal of mystery is observed when Dr Lanyon could be heard wishing to never see or hear no more of Dr Jekyll. Later in the episode Mr Utterson receives a later from Dr Jekyll. In it Dr Jekyll tells Utterson, never to meet, with him again. Also in the later Dr Jekyll wrote that he was going on his on dark way and that he had brought on himself a,punishment and danger that he could not name, After Dr Lanyons death Mr utterson. Is described sitting by a, melancholy candle, were he drew out an enveloped letter which bore his name. AfterShow MoreRelatedHow does R. L. Stevenson create suspense in The Last Night chapter of Dr. Jekyll and Mr. Hyde?2039 Words   |  9 PagesRobert Louis Stevensons Dr. Jekyll and Mr. Hyde is a gothic novel in many of its aspects, but one of the most important reasons is that there is constant building of suspense. There are many ways that this is done: through his characters, through his vocabulary, the setting and even through the origins of the character of Hyde. Stevenson created the character of Utterson as a neutral base for the whole story; much like the table on which the dinner is served. But in the chapter of The Last NightRead MoreA Sense of Atmosphere in The Strange Case of Dr. Jekyll and Mr.Hyde828 Words   |  4 PagesA Sense of Atmosphere in The Strange Case of Dr. Jekyll and Mr.Hyde Introduction: The tension and suspense in the novel begins with the title, The Strange Case of Dr Jekyll and Mr Hyde. It makes you want to know what the strange case was and how it affected the characters. One day, Utterson was out walking with the town distant kinsman Mr. Enfield when they passed a house Mr.Enfield tells Mr Utterson a strange case about the house. Description of the house makesRead MoreStevensons Use of Literary Techniques in The Strange Case of Dr Jekyll and Mr Hyde2427 Words   |  10 PagesStevensons Use of Literary Techniques in The Strange Case of Dr Jekyll and Mr Hyde Robert Louis Stevensons Dr. Jekyll and Mr. Hyde tells of how a scientist abuses his knowledge so that he can become another being but the double he becomes is one that cannot be directly blamed for his crimes and actions. Throughout the story Stevenson uses many different literary techniques to convey how the characters feel. These can be categorized into many different themes: theRead MoreEdgar Allen Poe s Dr. Jekyll And Mr. Hyde, And The Tell Tale Heart1579 Words   |  7 Pagesis unparalleled by any other single genre. People who take part in this genre enjoy the heart-pounding thrill of being scared or the long drawn out tension that causes them to sit on the edge of their seat. Historically many of the early examples of the horror or gothic genre like Dracula by Bram Stoker, Dr. Jekyll and Mr. Hyde by Robert Louis Stevenson, and The Tell Tale Heart by Edgar Allen Poe all share similar characteristics. These writings stand out and made people like them, they are grotesque

Life Vision Free Essays

Stable, positive environment that enables my family to grow and prosper. I want to create a legacy for my children to add to and pass along to their children. As humans, we don’t live forever. We will write a custom essay sample on Life Vision or any similar topic only for you Order Now And, for most of us, we won’t end up in the history books. However, this doesn’t resolve us to be forgotten when the final bell rings. I truly feel that we can live forever in the sense that the generations that come after us will use the lessons and values that we taught them. I feel particularly strong about this belief as a parent. I want to be a good wife, daughter, sister, mother and friend. In addition, I want to be a good employee and have a successful career without ever having to compromise the principles that guide my life. By ‘good,’ I mean that I want to be honest, trustworthy, compassionate, caring, loving, forgiving, and above all, I want to be a productive member of society. If I can accomplish my mission, the results may not be tangible, but they will bring me personal satisfaction. The moral values taught to me by the positive adults in my life and my religion is what guides every aspect of my life. I will never allow ambition for power or money to influence y mission or my daily life if it meaner that I have to compromise my principles. My daily life is guided by my mission. Honesty and integrity are a major part of my life and I try meeting my LIFE’s commitments with the same. I feel that I am very fortunate to have a guide to accomplish my life’s mission. My guide is not one person or one thing; it is the experiences that I have had, the people that have taught me along the way, and my interpretation of it all that illuminates the path to my future. The beauty of being an interactive member of society is the exposure to other people, their values, and their experiences. It is comparable to eating at the world’s greatest buffet; every ideal, every value, and every experience is there to learn from, but you only have to take away what you choose to. This concept applies to both my professional life and personal life. As a woman with many Jobs to balance, I always try to adopt good examples of leadership from those around me. So over the next 5 years I have plans that are not going to be easy to get to but well worth it in the end. For starters over the next year I am going to continue with my core classes for the R. N program with Chattahoochee Tech. In the fall of 2014 1 hope to be able to apply to R. N program and get in. Fingers crossed. During this time my family and I are going to take our first family vacation to Disney World. Also when I finish the program with Chattahoochee Tech I am going to bridge to Keenness State. During this time I will continue to try and get my foot in the door at Children’s Health Care of Atlanta. Which is where I would like to work in the ERE when I am finished with school. I would also like to have a nice home of our own but all of those things I will work out as I come to them. Life cannot be planned perfectly. Hardships are thrown our way, and we’ll experience road-bumps. The important thing to remember is that we never let go of our dreams. Aim high, work hard – and accomplish what you’ve set out to do. Although my plans may change, I’m willing to work to make them happen. Finally , † Who will and can help me reach my goals. † My family, I have talked with them in great detail about my plans over the next 5 years and they all are very supportive. Summary, I feel my mission statement of being viewed favorably by those that care for and care about me is being achieved. I also feel my actions in my daily life match well with my mission – and I intend to ensure this continues in the future. How to cite Life Vision, Essays

Sunday, April 26, 2020

Top MBA Online Programs Essay Example

Top MBA Online Programs Essay The 2012 QS Distance Online MBA Rankings  Ã‚  is  the first and only report that ranks accredited online, distance and hybrid MBA programs offered by the worlds top business schools.   Designed by  QS Intelligence Unit, world educational leaders, the report is based on the most rigorous quantitative ranking system to date, empowering you with a reliable analysis of reputable online MBA programs. Not All Online MBA Programs are Created Equal The digital revolution has brought forth new educational opportunities as well as the explosion of numerous  questionable  for-profit online MBA programs. Most MBA applicants neither have the time nor preparation to   successfully weed through the numerous options that exist. The online MBA program ranking system was designed to help you pick the right online MBA program for you by looking at those factors deemed most important when deciding between programs. They include: We will write a custom essay sample on Top MBA Online Programs specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Top MBA Online Programs specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Top MBA Online Programs specifically for you FOR ONLY $16.38 $13.9/page Hire Writer * Employability                      * Student Quality               * Diversity* Faculty and Teaching      * Class Experience            * Accreditation Schools included in the ranking had to be accredited by one of the three main MBA accreditation organizations; be established, with at least one graduating class; and be recognized by at least one of the MBA employers included in the  QS Global Employer Survey.  Ã‚  The report was developed in direct response to the increasing popularity of  Ã‚  distance learning and online MBA programs. 15. Arizona State University 14. University of Texas at Dallas (UT Dallas) 13. Robert Gordon University 12. University of Reading 11. Drexel University 10. Temple University 9. Penn State University 8. Euro MBA 7. Durham University 6. Imperial College 5. Indiana University 4. Thunderbird School of Global Management 3. Manchester University 2. University of Warwick 1. IE Business School

Wednesday, March 18, 2020

Niels Bohr Institute

Niels Bohr Institute The Niels Bohr Institute at the University of Copenhagen is one of the most historically-significant physics research sites in the world. Throughout the early twentieth century, it was home to some of the most intensive thinking related to the development of quantum mechanics, which result in a revolutionary rethinking of how we understood the physical structure of matter and energy. Founding of the Institute In 1913, Danish theoretical physicist Niels Bohr developed his now-classic model of the atom. He was a graduate of Copenhagen University and became a professor there in 1916, when he pretty much instantly began lobbying to create a physics research institute at the University. In 1921, he was granted his wish, as the Institute for Theoretical Physics at the University of Copenhagen was founded with him as the director. It was often referenced with the short-hand name Copenhagen Institute, and youll still find it referenced as such in many books on physics today. The funding to create the Institute for Theoretical Physics largely came from the Carlsberg foundation, which is the charitable organization affiliated with the Carlsberg brewery. Over the course of Bohrs lifetime, the Carlsberg forked out well over a hundred grants to him in his lifetime (according to NobelPrize.org). Beginning in 1924, the Rockefeller Foundation also became a major contributor to the Institute. Developing Quantum Mechanics Bohrs model of the atom was one of the key components of conceptualizing the physical structure of matter within quantum mechanics, and so his Institute for Theoretical Physics became a gathering point for many of the physicists thinking most deeply about these evolving concepts. Bohr went out of his way to cultivate this, creating an international environment in which all researchers would feel welcomed to come to the Institute to assist in their research there. The major claim to fame of the Institute for Theoretical Physics was the work there in developing an understanding of how to interpret the mathematical relationships that were being demonstrated by the work in quantum mechanics. The main interpretation that came out of this work was so closely tied to Bohrs Institute that it became known as the Copenhagen interpretation of quantum mechanics, even well after it had become the default interpretation the world over. There have been a number of occasions where people directly affiliated with the Institute received Nobel Prizes, most notably: 1922 - Niels Bohr for his atomic model1943 - George de Hevesy for work in nuclear medicine1975 - Aage Bohr and Ben Mottelson for work in describing the structure of the atomic nucleus   At first glance, this might not seem particularly impressive for an institute that was at the center of understanding quantum mechanics. However, a number of other physicists from other institutes throughout the world built their research on the work from the Institute and then went on to receive Nobel Prizes of their own. Renaming the Institute The Institute for Theoretical Physics at the University of Copenhagen was officially renamed with the less-cumbersome name Niels Bohr Institute on October 7, 1965, the 80th anniversary of Niels Bohrs birth. Bohr himself had died in 1962. Merging the Institutes The University of Copenhagen of course taught more than quantum physics, and as a result had a number of physics-related institutes associated with the University. On January 1, 1993, the Niels Bohr Institute joined together with the Astronomical Observatory, the Orsted Laboratory, and The Geophysical Institute at the University of Copenhagen to form one large research institute across all of these diverse areas of physics research. The resulting organization retained the name Niels Bohr Institute. In 2005, the Niels Bohr Institute added the Dark Cosmology Centre (sometimes called DARK), which focuses on research into dark energy and dark matter, as well as other areas of astrophysics and cosmology. Honoring the Institute On December 3, 2013, the Niels Bohr Institute was recognized by being designated an official scientific historical site by the European Physical Society. As part of the award, they placed a plaque on the building with the following inscription: This is where the foundation of atomic physics and modern physics were created in a creative scientific environment inspired by Niels Bohr in the 1920s and 30s.

Monday, March 2, 2020

5 Things We Wish Wed Been Told When Starting College

5 Things We Wish Wed Been Told When Starting College 5 Things We Wish We’d Been Told When Starting College Starting college can be tough. You’ve got new ideas to wrestle with, new friends to make, and you have to get used to looking after yourself. Here are 5 things we wish someone had told us when we first started college. 1) Don’t Buy Books! You might have been told to go out and buy all the books on your reading list, but this isnt usually necessary. Any college library worth its salt will have plenty of the required books. Just make sure you get there before the other students snap them up! And if you get really stuck, you can always get cheap hand-me-downs from last years students. 2) Choose One Club It’s really easy to get sucked into signing up for 10 clubs in the first week at college. Sure, archery, salsa dancing, the Russian food club and white water rafting all sound great, but will you really have the time? Better to wait a few months before buying any expensive equipment to make sure you are really committed, rather than spending loads of money on a wetsuit and sailing shoes in your first week only to use them about four times. 3) Start Writing Your Papers Early It’s so tempting to put off writing a paper until a week before it is due. However, you’ll save yourself a lot of stress and time if you start writing as soon as the title is set. If you get into the habit now, you’ll be an expert when you get into your final year. 4) Save the Introduction until Last Another great writing tip is, once youve planned your paper, to skip writing the introduction until last. This will help you help you write a really strong opening, since youll have a much better sense of what the paper is about. 5) Take it Easy on the Drink College is a time for partying, sure, but you will find that relentless drinking will take its toll sooner than you think. There’s so much to get used to in your first year of college, so it’ll be a hell of a lot easier without a constant hangover! Try alternating alcoholic drinks with soft drinks and having a few alcohol-free nights a week. It’ll help you stay emotionally balanced and make life much easier!

Saturday, February 15, 2020

The Hygiene Hypothesis Essay Example | Topics and Well Written Essays - 1000 words

The Hygiene Hypothesis - Essay Example fungi, bacteria, viruses and parasitic microbes) and allergens hinders the normal development of a natural immunity. Consequently, this condition makes an individual to be vulnerable to infectious diseases and allergies. The hypothesis has been put forward as an explanation to the occurrence of many preventable diseases and allergic infections. The following is an analysis seeking to establish accuracy of the hypothesis with the use of a context that features several case studies in the world and the relevant deductions. Accordingly, it is important to note that the immune system develops from repeated attempts to keep off disease from the low level of pathogens found in a normal environment; as such, when the germs invade the body in life threatening amounts, the immune system successfully wards them off. The need for this exposure in developed nations some decades back saw to larger families than today. This is because parents believed that the elder child would expose the younger one(s) to pathogens, hence harden their immunity (Ascherio &Munge, 2007). It has also been observed that children who are taken to baby care institutions are less susceptible to allergies and immune diseases. The research has indicated that, children who had earlier been exposed to measles or hepatitis A are also quite resistant to allergies. Autoimmune diseases are those that the body should be able to naturally protect itself from, as per the hygiene hypothesis. Such include acute lymphoblastic leukemia affecting young people in the developed world. This is a region where young children are less likely to be exposed, and thereby develop the needed immunity. Unconfirmed evidence also links the hypothesis indirectly to autism, suggesting that an immune disease causes it (Lang, et al. 2010). However, extensive research shows that the hypothesis is of more significance to allergies than to immune diseases (Christensen, 2010). Some of the common allergens, i.e. substances that cause al lergic attacks, include pollen, dust, hay, household chemicals, synthetic material, pet fur, some foods and some food preservatives. When these come into contact with the body of the allergic person, his/ her system activates the white blood cells in response to the foreign negative stimulus. (These cells normally help us to fight disease-causing microorganisms). Once released, the white blood cells cause an inflammatory reaction (Christensen, 2010). This reaction is exhibited in various ways e.g. itching, swelling, coughing, asthma, sneezing, running nose, tears etc. Asthma is a chronic condition in which the victim, when exposed to allergens, is unable breathe due to blockage of air sacs (alveoli) in the lungs. If no medical attention is availed, patient may collapse or even die. Drugs and inhalers are normally used to control the situation (Christensen, 2010). However, not all scientists concur with the hygiene hypothesis as there is an antithesis to this which is the exposure th eory. The exposure theory suggests that the higher the level of exposure to allergens, the more the possibility for allergies incidence. This theory is based on an observation that people living in urban areas have a higher percentage of allergies than their rural counterparts, and they are more prevalent in the developed than the developing world. Modern day people are more allergic as compared to people who lived some centuries back. While this appears at a glance to be true, large portions of the global population prove otherwise, hence the need for a more comprehensive and convincing explanation (Antony et al., 2006). On the other hand, some scholars support the hygiene hypothesis. A health researcher based in Germany, Dr. Erika Von Mutius investigated the

Sunday, February 2, 2020

Family Law in America Essay Example | Topics and Well Written Essays - 500 words - 2

Family Law in America - Essay Example In this paper, the case involving Eric and Cindy epitomizes a case whereby spouses are in total agreement until they decide to divorce. Both parties share responsibilities at their home and prior to their marriage, they had signed a prenuptial agreement. The wife disclosed much of her assets and the husband agreed to share the responsibilities at home. Nonetheless, since they have agreed to file a divorce and their case is an uncontested divorce, it looks simple. However, the challenge is that there is no clarity as to whether they have agreed on property division, child custody, and support issues. Since they have agreed to part ways, one of the spouses hires an attorney to prepare the obligatory paperwork. In this case, the wife will only be required to read and sign both the waiver and the final decree. Ethically, it is not possible to represent two parties in a divorce when there is a conflict of interest. If one attorney tries to represent the husband and the wife, in this case, he or she may face some problems. If the attorney takes a side and informs one party that the deal would make it possible for him or her to gain financially, it might anger one party. If the attorney manipulates any party to decide otherwise, the case is considered unethical. In fact, one attorney cannot represent two parties with conflict of interest. Getting an annulment is out of questions because it is a court order that a marriage never existed. Annulment could only be granted if the spouse was already married to someone else. Annulments are very rare. In this case, there is no such a case whereby the husband is claimed to have been married to someone else. However, the case indicates that the wife had mental issues, but still the issues never avoided her from agreeing to marry. She was not forced to marry, they all agreed. Annulment, in this case, is not appropriate because after realizing that the wife had mental problems, the husband was willing to continue with the married out of love.

Friday, January 24, 2020

Cancer :: essays research papers fc

The Mysterious Face of Cancer Statement of Purpose: What people need to understand though is yes cancer is Life-altering chain of events but cancer is not the end of the world. I. Death is inevitable; there is no way around it. A.  Ã‚  Ã‚  Ã‚  Ã‚  There are more than one hundred types of cancer. B.  Ã‚  Ã‚  Ã‚  Ã‚  There are three main ways doctors and scientists detect cancer in a patient. C.  Ã‚  Ã‚  Ã‚  Ã‚  If a patient does have cancer and it is detected in the early stages there is a greater chance of recovery. II. There are three main types of cancer treatment doctor’s use.   Ã‚  Ã‚  Ã‚  Ã‚   A.  Ã‚  Ã‚  Ã‚  Ã‚  Most cancers are treatable if they are detected in the early stages. B.  Ã‚  Ã‚  Ã‚  Ã‚  Sadly, many people discover they have cancer after is too late. C.  Ã‚  Ã‚  Ã‚  Ã‚  There are several warning signs that may save a patients life. III. Scientists may not know right now why cancer affects certain people but they do know that it has nothing to do with age or gender. A.  Ã‚  Ã‚  Ã‚  Ã‚  In the United States about 8.4 million Americans alive today have a history of cancer.   Ã‚  Ã‚  Ã‚  Ã‚  B. Nearly 552,200 people will develop cancer in the next year. C. There are several steps a person can take to reduce his or her risk of developing the cancer virus. The Mysterious Face Of Cancer Every person on earth will eventually one day have to leave it behind. It is not the choice of the person whether they go peacefully or whether they go with pain. More often than not a person will go with pain. This is the case with cancer. More and more people die everyday from cancer and it appears to ruin the lives of all those associated with it. What people need to understand though is yes cancer is a life altering chain of events but cancer is not the end of the world. Death is inevitable; there is no way around it. Perhaps cancer patients realize this more than anyone. â€Å"All creatures born upon this earth must, in the end, die. Some live long and peaceful lives. But others are caught up in struggles—must fight for their lives† (Silverstein 12-13). This is the case with cancer. Cancer patients will struggle and fight for their lives and not have the luxury of dying peacefully. The cause of cancer is still unknown to scientists but they have been able to come up with some possible explanations. Cancer affects newborn babies, boys, girls, women, men, animals and even plants. The possible causes of the cancers that affect each of these groups include chemicals in the body, viruses, ultraviolet rays, smoking, and it has been proven to be hereditary in some cases.

Thursday, January 16, 2020

Decreasing Catheter Associated Urinary Tract Infections Essay

Urinary Tract Infections are one of the most common hospital-acquired infection and many are associated with an indwelling catheter. For each day a catheter is in place the risk of developing a CAUTI increases 3%-7% (Kahnen, Flanders, & Magalong, 2011 ). Although indwelling urinary catheters are widely used in hospitalized patients and can provide an appropriate means of therapeutic management, they are often used without clear indications putting the patient at a risk for complications during their hospitalization. Complications related to a urinary catheter include physical and psychological discomfort to the patient, bladder calculi, renal inflammation and most frequently CAUTI (Bernard, Hunter, & Moore, 2012, 32(1)). Not only does the urinary catheter cause complications to the patient and put them at a higher risk for morbidity and mortality they also increase the hospital costs. Therefore CAUTIs are considered by the Medicare and Medicaid Services to represent a reasonably prev entable complication of hospitalization and as such will not provide any additional payment to hospitals for CAUTI treatment (American Association of Critical Care Nurses, 2012). A great amount of attention has been placed on improving quality of care and minimizing preventable harms that are occurring in the healthcare setting. With the passage of the Deficit Reduction Act of 2005 and the implementation of the Final Rule in October 2008 the CMS, Centers for Medicare and Medicaid Services, will no longer pay hospitals for the additional cost of care resulting from hospital-acquired conditions such as CAUTI (Palmer, Lee, & Wroe, 2013, 33(1)). Urinary tract infections can lead to bacteremia which can produce fever, chills, confusion, hypotension and leukocytosis, but more seriously can lead to the patient becoming septic (Palmer, Lee, & Wroe, 2013, 33(1)). More than 13,000 deaths occurred in 2002 associated with UTI and increased the costs of hospital visits by an additional $600 per CAUTI episode by increasing the length of the hospital stay, tests needed and antibiotics administered (Meddings, Reichert, & Rogers, 2012). Guidelines  have been established and CAUTI prevention bundles have been implemented throughout hospitals to aid in the reduction of CAUTI. These bundles outline a group of evidence based interventions aimed at reducing overall usage of indwelling urinary catheters, encourage timely removal of catheters no longer clinically indicated, and delineates infection prevention strategies to follow when catheters are in place (Kahnen, Flanders, & Magalong, 2011 ). Indications for use of an indwelling catheter for a short term period, meaning less than 30 days, include urinary retention, obstruction of the urinary tract, close monitoring of the urine output of critically ill patients, urinary incontinence that poses a great risk to the patient because of stage 3 or greater ulcer to the sacral area, and for comfort care of the terminally ill patient (Bernard, Hunter, & Moore, 2012, 32(1)). Even though there are guidelines to follow urinary catheters are often placed for inappropriate or poorly documented reasons with totals close to 50% not being needed (Bernard, Hunter, & Moore, 2012, 32(1)). The majority of unnecessary urinary catheters are placed in the emergency department without a doctor order or if there is an order there is no documentation of the need for the catheter. This lack of documented rationale has proved to be an ongoing problem. Other factors relating to catheters are that the assessment of the continued need for the catheter is often overlooked and the catheters remain intact without proper indications. Urinary catheters are often used for personal preference of the nursing staff and even with the best nursing care, each day a catheter is present the risk for infection goes up 3%-10% (Burnett, Erikson, & Hunt, 2010). Evidence based strategies are used to decrease the use of indwelling urinary catheters. Some of these strategies are nurse driven and include the charge nurse or staff nurse assessing the need for the catheter after a period of time and discussing with the doctor the finding or following a standing order for the catheter. Data was collected on this process for a 6 month time frame and showed that the active intervention of daily consultation and review of the need for a catheter significantly reduced the number of indwelling urinary catheter days per month as well as the number of CAUTIs (Bernard, Hunter, & Moore, 2012, 32(1)). Another study according to Fakih et al. (2008) used  quasi-experimental design that made use of nurse led multidisciplinary rounds. The nurses were given education guidelines on the indications for urinary catheters based on recommendations by the CDC, Centers for Disease Control and Prevention (Fakih, 2008). During the daily rounds of the nurse if there wer e no indications for the continued use of the catheter the nurse would contact the physician for an order to discontinue. This process drastically reduced the number of days the catheter was used and also the percentage of catheters in use (Fakih, 2008). According to the American Association of Critical Care nurses the expected practice of a nurse to reduce CAUTIs is that prior to the placement of the catheter assess the patient for any accepted indications and alternatives, adhere to aseptic technique for placement and maintenance of the catheter, document all instances of the catheter including the insertion date, indication and removal date. Nurses should also promptly discontinue the urinary catheter as soon as the indications expire. In order to follow the best practice there should be written guidelines for the catheter including indications and that only patients meeting these requirements have urinary catheters placed (American Association of Critical Care Nurses, 2012). Have available in the department devices, supplies, and techniques that allow alternative routes (American Association of Critical Care Nurses, 2012). Several other actions are recommended such as reviewing on a daily basis the need for the catheter, develop systems to ensure prompt removal of the catheters, implement infection surveillance programs to measure the days and rates of CAUTI, and develop an action plan to address needed improvements (American Association of Critical Care Nurses, 2012). Surveillance data suggests that 4.5 out of 100 hospitalized patients get hospital acquired infections with 32% of them having a urinary tract source associated with a catheter (Meddings, Reichert, & Rogers, 2012). One assessment made in the research was that hospitals with higher CAUTI rates may not have a higher incidence of CAUTI than another reporting hospital they may do a better job documenting the results of indwelling catheter use. By 2015, rates of hospital-acquired events will be used to report hospitals performances and compare them nationwide causing a reduction in the payments  made by Medicaid. References American Association of Critical Care Nurses. (2012). Cathter-Associated Urinary Tract Infections. AACN Bold Voices, 13. Bernard, M., Hunter, K., & Moore, K. (2012, 32(1)). Review of strategies to decrease the duration of indwelling urethral catheters and reduce the incidence of catheter associated UTI. Urologic Nursing, 29-37. Burnett, K., Erikson, D., & Hunt, A. (2010). Strategies to prevent Urinary Tract Infection from Urinary Catheter Insertion in the Emergency Department . Journal of Emergency Medicine, 546-550. Fakih, M. D. (2008). Effects of nurse led multidisciplinary rounds on reducing the unnecessary use of urinary catherizations inhospitalized patients. Infection control and hospital epidemiology, 815-819. Kahnen, D., Flanders, S., & Magalong, T. (2011 ). CAUTI: Making them Matter. Academy of Medical Surgical Nurses, 4-7. Meddings, J., Reichert, H., & Rogers, M. (2012). Effects of nonpayment for hospital acquired CAUTI. American College of Physicians, 305-312. Palmer, J., Lee, G., & Wroe, P. (2013, 33(1)). Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis. Urologic Nursing, 15-24.

Wednesday, January 8, 2020

Global Climate Change Has Been Scientifically Proven

Over the last several decades, global climate change has been scientifically proven to be a result of human activity (â€Å"Carbon Dioxide Emissions†). Industrial processes, fossil fuel combustion, and changes in land use have altered the balance of greenhouse gases (GHG’s) in the Earth’s atmosphere. (City of New York et al. 2013) By increasing the concentration of carbon dioxide and other GHG’s in Earth’s atmosphere, our modern society is gradually warming the planet and altering its climate (â€Å"Carbon Dioxide Emissions†). Most recently, a March 2012 study found that climatic changes resulting from a warming planet have already increased the frequency of extreme weather events, â€Å"most notably heat waves and precipitation extremes† (â€Å"Carbon Dioxide Emissions†). As New York experienced not too long ago with Hurricane Sandy, the Earth’s climate and weather patterns have responded to such changes, with increases in the frequency and intensity of extreme weather events, loss of animal and plant species, impacts to human health, disruption of ecosystems, and other effects (City of New York et al. 2013) Such effects of human-induced climate change present potential threats to the infrastructure, economy, and health of not only New York City but the entire U.S. Carbon dioxide (CO2) is the primary greenhouse gas emitted through human activities (â€Å"Carbon Dioxide Emissions†). 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