Why was there an economic crisis in Germany in 1923 Essay Example

For what reason was there a monetary emergency in Germany in 1923 Paper There are a few causes to the monetary emergency in Germany in 1923. The Great War contributed incredibly to this, yet Germanys issues had started even before the War had begun. In 1914 the German Government chose to fall off of the Gold Standard. This was a framework wherein each monetary certificate had a proportionate whole of gold, kept in the vaults of the German Central Bank. You could go to the bank and would have the option to trade your note for gold, in spite of the fact that individuals would regularly utilize the notes to purchase things, similar to an IOU, as it was simpler to do this than to utilize bits of gold. At the point when the First World War started in 1914, Germany required more cash to pay for food and weapons. The German Government found that the most effortless approach to acquire more cash was to print more notes. This diminished the genuine estimation of the cash, as there was more cash available for use. During the War there were food deficiencies, this implied there was too barely any merchandise to purchase for the measure of cash that there was available for use. We can see that expansion happened, in light of the uncommon fall in the estimation of cash. In January 1921, there were 64 imprints to the dollar, by November 1923; this sum had risen radically to 4. trillion imprints to the dollar! Expansion had been happening since 1914, so was a drawn out reason for the financial emergency. At the point when Germany lost the Great War to the partners, they needed to concur with the provisions of the bargain of Versailles. One of the provisions of this settlement was that Germany needed to lose land to France, Belgium, Denmark, Poland and the League of Nations. While losing this land, the German Government lost the expense pay from it. The expense pay could have assisted with paying the reparations of  £6,600 million, which was additionally a term of the Treaty of Versailles. We will compose a custom article test on Why was there a financial emergency in Germany in 1923 explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on Why was there a monetary emergency in Germany in 1923 explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom exposition test on Why was there a monetary emergency in Germany in 1923 explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer Purposes behind the monetary emergency, including the Treaty of Versailles were momentary causes since they happened out of nowhere, instead of over an extensive stretch of time. The land lost contained 14% of arable farmland. It created food and work for the encompassing zone. There was currently even less food, making the issue of food deficiencies much more dreadful. This land additionally contained 74% of Germanys iron metal, 68% of her zinc mineral and 26% of her coal-a large portion of the countrys riches. Germany couldn't stand to pay her reparations. This was connected to the attack of the Ruhr. The Treaty of Versailles additionally implied that Germany needed to diminish its military to 100,000 men. As France no longer felt as unequivocally under danger by the German armed force and needed their reparations settled up, they felt that they could attack the Ruhr. The Ruhr is the most industrialized piece of Germany. Poincarre, the French chief, sent in five divisions of French officers to procure the reparations they were owed. A division of Belgian fighters went along with them. They expected to assume responsibility for the German industrial facilities and mines around there. All products created would be dispatched off to France, until the reparations owed to the French were paid. This was a momentary reason to the monetary emergency, as it just occurred over only days and weeks, in contrast to swelling, which was happening for quite a long time. Germany could never really stop this. This made Germany embarrassed, particularly subsequent to losing the War and concurring with the details of the Treaty of Versailles too. The Government requested uninvolved obstruction. The French had nobody to work for them as the Ruhr laborers were requested to take to the streets. They were requested to decline to co-work with the occupiers. The French at that point kicked 150,000 German laborers out of the Ruhr. They fled as outcasts. This created one more issue for the previously enduring Government and individuals of Germany. How might they stand to take care of, dress and house the evacuees? All their cash was at that point being utilized to pay reparations, how might they manage the cost of this? These issues were explained, however by causing another issue. It appeared that the best way to conquer the issue of the displaced people was to print more cash. The cash available for use currently was developing incredibly and the average cost for basic items was expanding. The monetary emergency was an endless loop, by taking care of one issue they were making another. It appeared just as it was never going to end. In spite of the fact that there were numerous foundations for the monetary emergency, I accept that one had a greater effect than the others. The Great War, the expenses of which were cosmic, both during and after. The War expanded the impact of swelling, as the Government printed more notes to attempt to adapt to the issues the War was bringing, in this manner diminishing the worth and exacerbating issues. After the War, the Treaty of Versailles delivered numerous troubles. The entirety of the issues brought about by this connected with one another and afterward back to swelling. The German monetary emergency was unavoidable on the grounds that the Government didn't realize that falling off of the Gold Standard would cause expansion it would occur, they figured it would be better, not more regrettable. They couldn't have forestalled the Treaty of Versailles as they lost the War. They didnt intentionally lose the War to cause themselves problems,the issues were inescapable. The monetary emergency was in the works, Germany couldn't have halted it!

Cameron Mackintosh's contribution to the development of the Essay

Cameron Mackintosh's commitment to the advancement of the megamusical - Essay Example This paper further features the inheritance of Mackintosh’s change of melodic performance center through the expanding significance connected to the promoting of megamusicals; which thus has fuelled banter regarding the repercussions of the megamusical for the melodic as a work of art rather than a corporate controlled cash spinner. In considering Mackintosh’s commitment to the megamusical, it is basic to consider the contemporary system for the matter of theater creation in London’s West End and Broadway. For instance, in the event that we relevantly consider the auditorium advertise in the West End, late hit appears from the Sound of Music to Joseph have driven the inversion in fortune of West End theaters, which had endured a pattern in declining ticket income and benefits in the most recent decade. In January 2008, the Society of London Theater reported a record breaking year in 2007 with more than 13.6 million theatergoers creating all out tickets deals of nearly  £470 million, passing the  £400 million imprint just because. Besides, the Society’s Chief official Richard Pulford refered to the income measurements as a â€Å"annus mirabilis† for London theater, expressing that â€Å"these figures are a great beginning to our centennial year however we’re under no fantasies that we’re must make a solid effort to keep up this success† (Maev Kennedy., 2008).

Strategic Change Management in Larnaca General Hospital Assignment

Key Change Management in Larnaca General Hospital - Assignment Example The medical clinic was set up in the year 1984 (Larnaca General Hospital, 2012). The emergency clinic has been based upon the land which has a place with the â€Å"Church Committee of the Monastery of St. George Kontos†. Church board gave the land to medical clinic authority during mid 1980’s. Service of Health gave a gift to emergency clinic expert so as to manufacture the social insurance unit. The emergency clinic was opened on 24th April 1985 by Spyros Kyprianou (previous leader of Cyprus during that time). Financing Situation Various philanthropic associations, for example, Anti-Cancer Society of Cyprus and Cyprus Association of Cancer Patients and Ministry of Health will give a store to bosom wellbeing focus of Larnaca general clinic. There won't be some other partners aside from referenced charitable associations. Statement of purpose In understanding with the Directorate of Nursing Services the medical clinic makes progress toward improving nursing care consiste ntly. As indicated by the directorate, they need valuable collaboration just as interest from medical attendants during troublesome and complex social insurance circumstance so as to accomplish the mission objective. Change Situation Breast Health Center Breast malignancy has developed as a poisonous sickness for ladies in most recent fifteen years and measurements show that in the nation of Cyprus number of ladies influenced by bosom disease has been expanded pointedly as of late. There are three significant malignant growth avoidance activities, for example, Anti-Cancer society, Cyprus Association of Cancer Patients and Friends are available in the nation. In the locale of Larnaca, there are no extraordinary communities for watching beginning indications of bosom malignancy in spite of the fact that it is an approach to forestall the illness in beginning times. It is exceptionally elusive precise and legitimate medicinal services information of the Cypriot populace because of seve re government rules. A report distributed by CYSTAT or Statistical Service of Cyprus shows that various ladies kicking the bucket because of bosom malignancy are generally high as opposed to different illnesses. The factual report shows that over 32% of ladies are experiencing bosom malignancies. The accompanying chart can be utilized so as to comprehend the seriousness of bosom disease in the nation. (Source: Golna et al., 2004) The Larnaca General Hospital needs to set up bosom wellbeing focus so as to diminish pressure and apprehension related with starter phases of bosom malignant growth. The investigation shows that 1109 Cypriot ladies were determined to have bosom malignant growth during the timespan of 1999-2005. The examination additionally shows that almost 400 instances of bosom malignancy are accounted for by ladies while 90% of cases get enlisted by clinic authorities. In spite of the fact that malignancy patients get treatment from Bank of Cyprus Oncology Center of Nico sia not many individuals in Larnaca area have the entrance to such offices.

Issue Analysis Essay Topics - How to Choose a Topic That Will Help You Find Your Focus

Issue Analysis Essay Topics - How to Choose a Topic That Will Help You Find Your FocusWhen you are writing your issue analysis essay topics you will need to do some research. In order to be able to do this you need to be able to recognize the most current issues affecting society. Once you have identified the current issues that you will be writing about, you will then need to do a little research on them to determine the value of the information that you will be providing.You should also realize that you will not be writing a term paper for an exam so your essay topic needs to be very focused. Remember that your essay topic will be on issues that you will be discussing in your academic career and it is important that you do not get distracted by the idea of writing a term paper or getting a grade for an essay.There are two basic types of issue analysis essay topics that you will need to know about: statistical analysis and biographical and historical data. Before you begin writing, it is important that you understand what each of these topics entails. As an example, a topic on statistical analysis covers many topics such as trend lines, distributions, indicators, how to interpret them, probabilities, and regression analysis. This type of topic will be easy to write because you will be reviewing several examples which you can use to help define the issue you are writing about.Research and investigation are also essential when writing about statistical analysis and research. You will need to include details such as why you chose the statistics you used, how you determined the data, and what exactly you found out from your research. After you have finished researching and are done with the first part of your topic, you will need to add details to your research based on the findings. Although it may seem tedious at first, it is important that you keep up with the topic you are writing so that you don't get confused when you go back to read your paper.Next, you wil l need to consider whether or not you are qualified to give your opinion on the topic that you are writing about. If you do not feel qualified to write about a particular topic, it is important that you find a topic that you can write about it well. However, if you do feel that you have an understanding of the subject matter and have a good idea of the perspective of the people involved, you can write about it and you will most likely be confident in your opinions.It is also important that you are clear about what you are going to write about when you are writing about an issue. Do not overstate your points, but do remember that you are only writing about a single issue. The goal is to provide information so you can provide ideas and discuss the issues with others. In addition, do not mention any other details about the issue, such as where you learned your information about the issue.When you are writing about issue analysis essay topics, you will find that you have a lot of readin g material to use. Although you will find this information useful, the one thing that you should not do is to plagiarize. If you do, you will find that your professor will be annoyed at you will not be able to maintain good grades.

The Raft of the Medusa and the Roots of Romanticism

The transition from Neoclassicism to Romanticism arose from a desire for freedom of thought. Romantics truly believed that the pathway to freedom was through imagination rather than logic and functioned based on emotion rather than on cognition. The Romantic Movement recognized passion and sentiment as genuine sources of aesthetic experience, and placed a new emphasis on sensations such as apprehension, awe, horror and the sublimity of untamed nature. Thà ©odore Gà ©ricault, who is most famously known for The Raft of the Medusa, was a prominent French painter and one of the most influential pioneers of the Romantic Movement. In The Raft of the Medusa, Gà ©ricault, unlike most artists during this stylistic time period, rejected the Neoclassical†¦show more content†¦In addition, because Gà ©ricault studied the human anatomy very closely throughout his lifetime, he was able to outline the passengers’ bodies in The Raft of the Medusa with intricacy. Ultimately, Gà © ricault was able to configure the passengers’ precise muscle definitions and skin tones through his meticulous use of oil, pigment, chalk, varnish and wax (â€Å"Gà ©ricault’s Expenses† 638). In addition, the dimensionality and accurate portioning of the humans’ bodies enhances the scene’s intensity. This Romantic appreciation for histrionics and naturalism greatly differs from the ideals supported during the Neoclassical Period. The Neoclassical Period renewed an admiration for the classical antiquity, which incorporated the subjects of ancient art. For example, in comparison to Angelica Kauffman’s Mother of the Gracchi, the skin definition and tone differences are evident. In Kauffman’s piece, the characters display unnaturally smooth and relatively undefined complexions. However, in The Raft of the Medusa, the characters exhibit defined, and properly positioned and configured bodies in relation to another. Thus, Gà ©ricaultâ€⠄¢s appreciation of human anatomy and configuration creates a naturalistic and lifelike scene within the painting. In The Raft of the Medusa, the most crucial aspect in relation to Romanticism is the incorporation of intense emotion as an authentic source of

Essay on Analyzing the Details of Friendship - 2497 Words

Who is a friend? Imagine your sole confidante, childhood playmate, personal comedian and physiologist disclosing your secrets to a stranger. Unfortunately, this stranger happens to be the person who enforce a form of punishment for the actions that were once a secret. Furthermore, this confidante is considered your friend. Does an instance of this friend disclosing your secret of immoral activities to a person of authority violate the success of the friendship? In fact, this act is not a violation of the laws of friendship. The ideas of friendship are subjective, and thus where you might think your friend’s actions are unjust, your friend is actually looking out for your best interest and security. Also, a good friend would not desire†¦show more content†¦Aristotle highlighted the importance of friendship through various practices and concepts, such as utility and virtue. Virtuous practices were believed to enhance the friendship and encourage happiness among the participants (Kraut 6 4). Unfortunately, a friend whose behavior and practices are malevolent causes a rift in the practice of Aristotle’s principles. Therefore, to preserve the friendship and to protect one’s friend, one must do all that is possible to cease his or her friend’s actions. The pleasures gained from enjoying another’s company in a friendship vary in age, gender and, even more specifically, in individuals. Where a young child may experience a strong liking for his or her companion’s presence on multiple occasions, an adult will be content with one solid interaction. The transition from childhood to adulthood also alters the level of comfort one feels within a friendship. As one ages, one becomes more sensitive to the actions of those around them and will quickly eliminate a friend if his or her doings are not favored. 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Religion Was a Central Topic of Debate free essay sample

The central meaning of the word ‘religion’ is in fact simply the way in which shared beliefs, established regulations, rules, or bonds of obligation among the members of a community’. Based on this definition, religion provides people with a form of rules in which they have to lead their lives by. It also provides them with a sense of unity as the very act of communal worship, which involves expressing their faith in common beliefs and values (Haralambos and Holborn, 2008, p. 397), raises their awareness of their similar situations and strengthens the bonds between them (Pilkington et al, 2008, p. ). However, not all social theorists will agree with the definition as their view of religion may differ. Therefore, this will lead me to outline in my essay the views that some classical social theorists held towards religion. Those that I will be focusing on, will me Karl Marx, Emile Durkheim and Max Weber. The reason being is, these three theorists have proposed some influential ideas about religion, and analyzing their work will enable me to understand the way in which they viewed religion, and what they thought the purpose of religion was. To do this, I will first provide an explanation for why religion was an important theme for the three. Following that, I will concentrate on Marx and Durkheim, by comparing their definitions of religion and their analysis of its function. All three theorists were sociologist writing in the 19th century, and they knew that religion played a big part in society (Fulcher and Scott, 2007, p. 409). However, religion was an important theme to them for different reasons. For Marx, religion was important to him as he believed that religion was one of the institutions which maintained a capitalist rule (Pilkington et al, 2008, p. 2). He argued that it acted as an ideology which helped hide and legitimize capitalist exploitation (Kirby et al, 2000, p. 440). It leads those who are suffering in false direction, as it hides the true nature of society and the real reasons for why they are suffering (Kirby et al, 2000, p. 440). It was also important to him as it believed it acted as an agent of soc ial control; it kept people in their place. It did this by upholding the existing system of exploitation and reinforcing class relationships (Haralambos and Holborn, 2008, p. 400). Religion was an important theme for Durkheim, as he believed religion was the source of everything social. He didn’t think that everything social was religious, but he did believe that social bonds were created through religion. Durkheim showed this by examining the aboriginal religion, which he called Totemism. He argued that within their clans, the symbols that bonded them together and created a sense of unity was predominately a religious symbol (Allan, 2010, p. 112-113). Lastly, religion was an important theme for Weber as he believed it was a conservative force. He argued that societies developed differently partly because of the ‘religious beliefs and ideas about ethical conduct of their members were different’. Therefore, religious beliefs and movements can help produce social change (Pilkington et al, 2008, p. 19). Weber’s idea of social change was based on a protestant religion, called Calvinism. He argued it created the social condition which made the western part of the world ready for a capitalist economic society (Kirby et al, 2000, p. 442). He suggested the work ethic produced by the Calvinists lead to the spirit of capitalism. Calvinism was based on the idea of the elect; which was before birth god had selected those for salvation. As not everyone was part of the elect they believed a sign from god, indicated whether they were part of the elect or not. If an individual worked hard and became rich, this was a sign that they were chosen. This way of life was part of the protestant ethic, ‘a lifestyle based on religious beliefs which lead to a very specific form of social action – economic activity’ (Kirby et al, 2000, p. 442). As stated in my introduction, the theorists that I have chosen to look at in more depth are Karl Marx and Emile Durkheim. My reason for choosing these two theorists is because their perspective on religion has its differences and similarities. They both see religion as a conservative force believing it has lead to a little help in promoting social change. They both believe that religion acts as a form of social control, helping to maintain social order. However, while Durkheim would argue that religion is in the best interest of the whole of society, Marx would disagree and argue that religion is used to support a social structure which benefits the rich and harms the poor (Marsh et al, 2009, p. 652), in other words religion upholds ruling class ideology. Therefore for Durkheim religion is based on consensus and for Marx, it’s based on conflict. In terms of defining religion Durkheim holds a substantive approach. By adopting a substantive definition, religion is being defined in terms of supernatural beliefs or things which are defined as sacred (Haralambos and Holborn, 2008, p. 396). For Durkheim the key to religious belief is that it relates to things that society’s members define as sacred (Pilkington et al, 2008, p. 5). As you will see in his definition there is no mention of a supernatural or God as he argues the notion of a God cannot be included in the definitions. This is because there are many belief systems that are considered as a religion, but does not require the concept of a God (Allan, 2010, p. 116). Durkheim defines religion in terms of the sacred and the profane, he argues that all societies divide the world into two categories, and religion is based upon this division (Haralambos and Holborn, 2008, p. 396). He therefore defines religion as ‘a unified system of beliefs and practices related to scared things, that is to say things set apart and forbidden – beliefs and practices which unite into one single moral community called a church, all those who adhere them’ (Marsh et al, 2009, p. 56). He may have used the term ‘Church’, but his definition was intended to apply beyond Christianity (Marsh et al, 2009, p. 656). In order for Durkheim to determine the role that religion played in society, he approached religion from an analysis of its primitive form (Fulcher and Scott, 2007, p. 410), by studying the r eligion of the Australian Aborigines, which he called Totemism. He argued that the people within the aborigine society were divided into several clans; a clan was like an extended family, whose members shared various duties and obligations. For example all the clans had rules of exogamy – one was marrying members within your own clan was prohibited (Haralambos and Holborn, 2008 396). Within each clan there was a strong basis of social solidarity, as the clan felt an attachment to one another (Fulcher and Scott, 2007, p. 410). Each clan identified themselves with a particular animal or plant, this was their emblem or, which Durkheim called it a totem, and it symbolized their clam (Fulcher and Scott, 2007, p. 410). The totem is regarded as sacred, so it is then represented by drawings made on wood and stone. The drawings made are called churingas, and churingas are at least sacred as the species they represent (Haralambos and Holborn, 2008, p. 397. This led Durkheim to argue ‘sacredness is not a function of the object, sacredness is something is something that is placed upon the object’ (Allan, 2010, p. 116). So in relation to the totem, Durkheim states that the totem as itself has no importance, as it is just an object, but it is however a material expression of something else. The totem is the outward form of something seen as divine or highly important, this can be referred to as a god. Secondly it is the symbol of the clan or society, as it is a sign of their identity (Marsh et al, 2009, p. 656) From this distinction, Durkheim wondered isn’t these two things connected. He then carried on to say ‘if the totem is the symbol of both the god and the society, is this not because the god and the society are the same, (Durkheim, 1912/1995 cited in Allan, 2010, p. 118). Therefore he suggested by worshipping God, people are actually worshiping society. Durkheim strongly believed that without the shared ideas and moral beliefs that formed the collective science social life was impossible. If they ceased to exist in society would be corrupt, as there would be no social order, no social solidarity or no social control. Therefore society would not survive (Haralambos and Holborn, 2008, p. 392). From this Durkheim argued that religion acted as an agent which reinforced the collective sense. He also carried on to say, that by worshipping society, it provided strength for the moral beliefs and values that formed the basis of social life, and by defining them as sacred religion provided greater power and direct human actions (Haralambos and Holborn, 2008, 397). He also claims that that in worshipping society people is now recognizing the importance of the social group (Haralambos and Holborn, 2008, p. 397), and realize as individuals they are insignificant, but as a group they are strong. In this respect religion creates unity and therefore a function of religion of religion is to strengthen social solidarity (Pilkington, et al, 2008, p. 7) In contrast to Durkheim’s view on religion, Marx held a more negative stance; his view is based on conflict. This is because he saw a basic conflict of interest between two classes, which where the bourgeoisies and the proletariats (Pilkington et al, 2008, p. 2). Marx’s defines religion as an ‘instrument of dominance and oppression which keeps the proletariats in its place’ (Pilkington et al, 2008, p. 12). He then carries on to say that religion is an illusion which is thought, by the proletariats, to ease the pain caused by exploitation and oppression (Haralambos and Holborn, 2008, p. 399). In terms of the role that religion plays in society; Marx argued that religion lead people into false direction as the ‘hope and solutions it promises are all false illusions’. Therefore religion acts as an ideology, which helps maintain the ruling class power. It conceals and disguises the true nature of reality. In a way which benefits the ruling class (Pilkington et al, 2008, p. 13). With religion being am an ideology, it blinds people from the oppression of the class system. In part this is what Marx means when he say religion is ‘the opium of the people’ (Allan, 2010, p. 89). He argues that religion acts as an opiate which dulls the pain brought up oppression (Haralambos and Holborn 2008, p. 399). Marx says ‘religious distress is at the same time the expression of real distress and the protest against real distress. Religion is the sigh of the oppressed creature, the heart of a heartless world, just as it is the spirit of a spiritless situation. It is the opium of the people’ (Marx and Engels 1955 cited in Marsh et al 2009, p. 653) Ways in which religion dulls the pain of oppression; is that it promises eternal life in heaven after death, it justifies people poverty, by saying they will be rewarded with riches for their suffering in the afterlife, and it can also justify the social order and a person position within society (Haralambos and Holborn, 2008, p. 00). Form Marx’s viewpoint religion doesn’t just suppress the effects of oppression; it is also a tool of oppression. It acts as an agent of social control by maintaining the ‘existing system of exploitation and reinforcing class relationships’ In other words it keeps people in their place, which promotes social order. It stops those in the subject class from rebelling. Marx also argues that the ruling class takes on religious beliefs to justify their position within society to themselves and others (Haralambos and Holborn, 2008, p. 00). To conclude you can see that regardless of the outcome all three theorists believed that religion played a major part in society. However the only that believed that religion will not be completely wiped out by modern science was Durkheim. Like Comte, Durkheim saw that traditional religions will no longer exists in society. However he did believe that new forms of religion will evolve which were more compatible with scientific knowledge, and with the structure of complex advanced ocieties this new idea of religion that Durkheim argued will replace traditional religions is based around the idea of individualism (Fulcher and Scott, 2007, p. 409, 411) Marx he believed the rise in modern science meant the disappearance of traditional religions, as the supernatural aspects of religious beliefs were incompatible with the modern science knowledge. This claim is linked to the idea of secularization of modern society. Weber however believed that religion would completely disappear; this meant that individual will then be no longer to make any sense of their lives (Fulcher and Scott, 2007, p. 09). One question we could ask is that has the role of religion in society changed? Do these theories of religion still apply to society? Whether it has changed or not, religion still plays a major part in society as new for m of religion have evolved over time, such as scientology. Bibliography Allan, K (2010), Explorations in Classical Social Theory. Second Edition. Thousand Oaks, Calif, London: Pine Forge Fulcher, J. and Scott, J (2007), Sociology. Third Edition. Oxford: Oxford University Press Haralambos, M. nd Holborn, S (2008), Sociology: Themes and Perspectives. Seventh Edition. London: Collins Marsh, I. Keating, M. Punch, S. and Harden, J. (2009), Sociology: Making sense of society. Fourth Edition. Harlow: Longman Pilkington, A. Taylor, P and Yeo, A. (2008) Sociology in Focus. Forth Edition. Pearson Education Limited Kirby, M. Kidd, W. Koubel, F. Barter, J. Hope, T. Kirton, A. Madry, N. Manning, P. Triggs, K. (2000) Sociology in Perspective. First Edition. Heinemann Educational

Lorenzo Colbert Jr. Essays - Emmett Till, Mississippi, Greenwood

Lorenzo Colbert Jr. 10/08/2017 English Death of Emme tt Till The murder of Emmett Till, a 14-year old African-American kid, in August 1955 stunned the country, and gave an impetus to the rising civil right s development. A Chicago local, Till was seeing relatives in Money, Mississippi when he was blamed for harassing a neighborhood white lady. On August 24, while standing with friends outside a small store, Till boasted about having a white girlfriend in Chicago. His friends then dared him to ask the white woman inside the store for a date. According to the woman, Carolyn Bryant, Till entered the store, bought some gum, asked for a date, and then whistled at her as he left the store. ( Altman ) A few days after the fact, relatives of the lady stole Till, fiercely beating and killing him before discarding his body in an adjacent waterway. Till's crushed mother demanded an open, open coffin memorial service for her child, which she trusted would reveal insight into the fundamental brutality dispensed on blacks in the south. Till's killers were acquitted by an all-white jury, yet the occasions encompassing his demise galvanized activists across the nation. The following year, after being paid by a reporter, Bryant and Milam admitted that they had indeed murdered Till . Though the two men could not be retried because of constitutional protections against double jeopardy, the Emmitt Till lynching shocked the country and motivated thousands of young people who later became involved in the Civil Rights movement . ( Altman ) Emmett Till, also known as Bobo, experienced childhood in a flourishing, white collar class black neighborhood on Chicago's South Side. The area was a safe house for black possessed organizations, and the boulevards he meandered as a kid were fixed with black claimed insurance agencies, drug stores and excellence salons and dance club that drew any semblance of Duke Ellington and Sarah Vaughan. The individuals who knew Till best portrayed him as a mindful, interesting, and irresistibly cheerful kid. He was hit with polio at five years old yet figured out how to influence a full recuperation, to spare a slight falter that stayed with him for whatever remained of his life. Three days in the wake of touching base in Money, Mississippi, on August 24, 1955, Emmett Till and a gathering of youngsters entered Bryant's Staple and Meat Market to purchase refreshments in the wake of a monotonous day picking cotton in the hot evening sun. What precisely unfolded inside the supermarke t that evening will never be known. Till obtained bubble gum, and a portion of the children with him would later report that he either shrieked at, played with, or touched the hand of the store's white female assistantand spouse of the proprietorCarolyn Bryant. Whatever happened in the store, the teenagers immediately departed town. Word of the incident spread quickly among blacks and whites in the area. Just after midnight on 28 August, Bryant's husband, Roy, and his half-brother J. W. Milam, both decorated combat veterans of World War II, arrived armed at the home of Moses Wright, demanding to see the boy from Chicago. The two men dragged Till from the house, bringing him to their vehicle, where witnesses later said that a woman's voice identified Till as the boy from the store. The two men left with the Chicago teen. Three days later Emmett Till's naked and tortured body was discovered in the Tallahatchie River, after he floated to the surface despite having a cotton gin fan tied to his neck. ( Aiello ) Till's body was sent to Chicago, where his mom picked to have an open-coffin burial service with Till's body in plain view for five days. A huge number of individuals went to the Roberts Sanctuary Church of God to see the proof of this ruthless despise wrongdoing. Till's mom said that, notwithstanding the huge torment it made her see her child's dead body in plain view, she settled on an open-coffin memorial service to "let the world see what has happened, in light of the fact that it is highly unlikely I could depict this. What's more, I required someone to enable me to tell what

World Cup Host Countries

World Cup Host Countries Held every four years, the Fà ©dà ©ration Internationale de Football Association (FIFA) World Cup is held in a different host country. The World Cup is the major international soccer (football) competition, consisting of the nationally recognized mens soccer team from each country. The World Cup has been held in a host country every four years since 1930, with the exception of 1942 and 1946 due to the Second World War. FIFAs executive committee selects the host country for each FIFA World Cup. The 2018 and 2022 World Cup host countries, Russia and Qatar respectively, were selected by the FIFA executive committee on December 2, 2010. On June 13, 2018, the 2026 host was selected through a new process, the open votes of all FIFA member countries. Note that the World Cup is held in even-numbered years that are the interval years of the Summer Olympic Games (although the World Cup now matches the four-year cycle of the Winter Olympic Games). Also, unlike the Olympic Games, the World Cup is hosted by a country and not a specific city, as is the Olympic Games. The following is a listing of the FIFA World Cup host countries from 1930 to 2026. World Cup Host Countries 1930 - Uruguay1934 - Italy1938 - France1942 - Canceled due to World War II1946 - Canceled due to World War II1950 - Brazil1954 - Switzerland1958 - Sweden1962 - Chile1966 - United Kingdom1970 - Mexico1974 - West Germany (now Germany)1978 - Argentina1982 - Spain1986 - Mexico1990 - Italy1994 - United States1998 - France2002 - South Korea and Japan2006 - Germany2010 - South Africa2014 - Brazil2018 - Russia2022 - Qatar2026 - North America (united bid by Canada, Mexico, and the United States)

Children's literature - Alice's Adventures in Wonderland, Lewis Essay

Children's literature - Alice's Adventures in Wonderland, Lewis Carroll Short story - Essay Example to be following a white rabbit to a hole, which is a doorway to the wonderland where Alice meets with different creatures and experiences a completely new realm in her life. From getting big to small, making friends to nemesis and from saving to being subjected to execution, Alice finds that all that had happened was just a dream and not reality. Henceforth, we will examine three aspects of the novel which are, the notions about and standpoint towards children of that era, how are literary techniques employed to present the children of the Victorian period and how does this literature provide a look on the characteristics of world and the quintessence established. Published in 1865, Alice’s Adventure in Wonderland was set in the late eighteen hundred, Victorian period in Britain. The author, though, illustrates a child who is curious, observant and stubborn, but possesses a good heart, has not specifically pointed out anything that may represent the children of those times and what were the concepts about children during the Victorian period. Hence, with the help of the historical and geographical background of the novella, we will expound and propound the theories that concern a child of that era and what kind of attitude they were subjected to. There are numerous sources available that give us an insight on the topic under scrutiny and we have availed some of those resources. Starting with the book by (Pollock), the author claims that the attitude towards children during the eighteenth century in Britain was not very different from the rest of the world. The children were not allowed to indulge in their curiosity like in the book of Carroll. Instead the upbringings of the children were excessively harsh and if not harsh, then they were not likable or appreciable. From physical to emotional, abuse was common enough in the Victorian era and parents expected unshakable obedience and respect from their children all the time, either by the nature itself or with the

Influences of My Career Choice Essay Example | Topics and Well Written Essays - 3500 words

Influences of My Career Choice - Essay Example For one thing, having a job only means that I have an activity through which an individual can earn money. It is a regular activity in exchange of payment. It is not the same as having a career since having a career means that I would essentially be pursuing a lifelong ambition or the general course of progression towards lifelong goals. (Career vs. Job) So, I now knew that although I had a job, I may not want to be doing the same job for the rest of my life. Therefore, I needed to make plans that included developing a career plan for myself that I would follow until the day I retire. I need the career in order to give myself a sense of direction and financial motivation. By choosing a career for myself, I would finally be able to tell people that I knew what I would be doing for myself in the future. Techniques in career management Planning for my future career requires a more-or-less systematic approach, following those models and theories that management experts and practitioners have designed. While these are not hard and fast rules, they are advisory in providing a structure to how I am to plan out my career and work life. We will be using the Wheel of Life, the Greenhaus et al. Career Management Model, and Bolles’ (2008) Flower Diagram. Wheel of Life There are several conceptual tools which are helpful in defining our life goals and aspirations so that we could make a better choice among the possible career paths we could take. The diagram following provides a visual depiction of the theory. The wheel of life is made up of concentric circles showing graduated levels of each part. In applying this wheel in the course of deciding and building a career, it is important to balance our lives according to each part that makes up the wheel. I am aware that work and career, which is of such great importance to me, should also serve to balance personal growth and need for money against love life, hobbies and recreation, and of course family and friends. We must not also pursue career so intensely as to forget our health and fitness, particularly managing the stress that tends to build up at work. In my case, the overbearing influence of family, to be discussed later, has to be moderated by my desire for personal growth, earning money, and work and career. Even while growing up, due to our dire circumstances I was overly occupied with working due to our lack of money that I did not have a healthy balance between study, friends and recreation like other children. Over-emphasizing any of these aspects and neglecting the others will surely lead to my eventual frustration and unhappiness. The Greenhaus, et al. Career Management Model The following diagram depicts the Greenhaus, Callanan & Godshalk (2000) model. I find this model a good tool to use in trying to feel through what career path I choose for myself, and I believe I will continue to refer to it as a framework for gaining my bearings as I reach crucial junctures in my work life. T he model appears to be complicated, but I realize that I had been subconsciously doing the steps during my career planning. An instinctive awareness of my aspirations and capabilities and awareness of the desperation as well as opportunities in my environment have guided me to want better things and perceive a way to do them. Everytime I try out

Sinusitis Care Plan Essay Example for Free

Sinusitis Care Plan Essay This therapeutic care plan will utilized the â€Å"I can treat and prescribe framework† to ensure that appropriate patient treatments are selected using a step by step approach, including assessment integration, drug and/or disease related problems, therapeutic goals, therapeutic alternatives and indications, plan of care and evaluation (OPHCNPP, 2012). By going through each step of this framework, and including or excluding treatment options based on individual patient factors and strong clinical evidence, this clinician will arrive at the most suitable treatment plan for the patient. H.K (32 year old male) presented with persistent facial pain for 7 days. He reported having a headache (6/10 on a pain scale) upon bending forward and awakening, occasional tooth pain, no nasal drainage, and no cough. H.K denied fever or chills but admitted to feeling â€Å"run-down†. His past medical history included varicella zoster at age 5 years, seasonal allergic rhinitis (pollen), viral respiratory tract symptoms 2 weeks ago (now resolved), and no recent antibiotic use over the past 3 months. He is married with two children who are not in daycare (ages 8 and 9). H.K is a supermarket manager, non-smoker, and denied substance abuse. The patient reported having private prescription drug coverage but was only taking Advil cold and sinus (2 tablets orally every 6 hours as required) with good effect. H.K’s vitals were taken (temp. 37.5 °C tympanic, HR 74 reg., R 12 reg. and equal). His head and neck examination revealed that his sclera were clear and his pupils were r ound, reactive to light with accommodation. There was tenderness to palpation of the frontal and maxillary sinuses. Transillumination of the right and left maxillary sinuses revealed an opaque surface. His nares were erythematous and edematous with no obvious discharge. There was cobblestoning of the pharynx with slight erythema. His tonsils were two plus in size with no exudates. His neck examination revealed the absence of lymphadenopathy, the thyroid was non-palpable, and his chest examination revealed clear lung fields. The diagnosis of acute sinusitis was made based on H.K’s presenting signs and symptoms. The two most common predisposing events for acute bacterial sinusitis are acute viral upper respiratory infections and allergic inflammation (80% and 20% of bacterial infections, respectively) (Desrosiers et al., 2011). Complications of sinusitis are very rare and are estimated to occur in 1 in 1,000 cases (Hwang, 2009). In complicated sinusitis, the orbit of the eye is the most common structure involved and is usually caused by ethmoid sinusitis (Hwang, 2009). Patients who present with visual symptoms (diplopia, decreased visual acuity, disconjugate gaze, difficulty opening the eye), severe headache, somnolence or high fever should be evaluated with emergent care suspected (H.K had none of these symptoms) (Hwang, 2009). Most adult patients diagnosed with acute sinusitis become well or nearly well after 7 to 10 days, but 25% are still symptomatic after 14 days (Worrall, 2011). H.K had no untreated medical conditions contributing to his acute sinusitis (not pollen season). A primary health care nurse practitioner can effectively diagnose, treat and manage adults who have symptoms like H.K according to the Nurse Practitioner Practice Standard of Ontario (CNO, 2011). His condition was not life threatening and did not necessitate a referral to a physician, specialist or transfer of care. H.K was taking Advil cold and sinus, a drug that was appropriately dosed (1-2 tablets orally every 6 hours as required to a maximum of 6 tablets in 24 hours), which is clinically indicated for sinus pain in adults and is not too complex (CPA, 2013). This drug was deemed safe for him after a review of contraindications, including hypersensitivity to the agent, nonsteroidal anti-inflammatory drug-induced (NSAID) asthma or urticartia, aspirin triad, pre-operative coronary bypass surgery, coronary artery disease, monoamine oxidase inhibitor use within 14 days, uncontrolled or severe hypertension, and urinary retention (Epocrates, 2013). For H.K, the oral route of medication administration was most appropriate, the least invasive and the easiest way for an adult to take drugs (Brophy et al, 2011). Advil cold and sinus is not a cytochrome P450 system inhibitor, which is the main (or partial) cause for large differences in the pharmacokinetics of other drugs (Rx Files, 2012, Epocrates, 2013). The patient was not taking borrowed prescriptions, using drugs from previous occurrences of the condition, or experiencing any adverse drug events/reactions to Advil cold and sinus. Also, he was not being double dosed or experiencing therapeutic duplication of drugs belonging to the same pharmaceutical class. H.K had no untreated medical conditions (other than his new acute sinusitis), was not taking drugs prescribed by other clinicians and there were no other factors (communication errors, non-adherence, financial restrictions) influencing his ability to receive medication. Antibiotic therapy should be reserved for patients with acute bacterial sinusitis as defined by a complete history and physical examination (AMA, 2008). A â€Å"wait and see† approach has been suggested in recent Canadian guidelines as a means of differentiating bacterial sinusitis from a viral respiratory tract infection (Desrosiers et al., 2011). Initiation of treatment should take place 7 to 10 days after persistent symptoms or when signs compatible with acute sinusitis occur (Desrosiers et al., 2011). Since H.K’s facial pain had lasted for 7 days, the decision was made with the patient to treat. Goals of care were established (with the patient) including maximizing symptom relief (especially drainage of congested sinuses), eradication of infection, and prevention of re-occurrence and complications (Fryters Blondel-Hill, 2011). Five drug choices were selected and scrutinized as potential treatment options for H.K, including first and second line therapies (appendix 1) (ARP, 2012). The primary bacterial pathogens involved in the development of acute sinusitis for adults are Streptococcus pneumonia and Haemophilus influenzae (AMA, 2008). Canadian antimicrobial resistance data of S. pneumoniae describes that penicillin resistance rates range from 14% to16% in Central Canada (Powis et al., 2004). Amoxicillin is a first line drug therapy that remains active against S. pneumoniae with the rate of resistance under 2% (Brook et al, 2006) and also retains the best coverage of oral beta-lactam agents against S. pneumoniae (AMA, 2008). It is available in a capsule, chewable tablet or powder for oral suspension (H.K had no dysphagia and preferred to take capsules) (CPA, 2013). Amoxicillin should not be prescribed to a patient more than once in a 3-month period (H.K had not taken it in the last 3 months) (ARP, 2012). This drug is acid resistant, rapidly absorbed after oral administration, and is stable in the presence of gastric acid allowing for adequate systemic concentr ations (H.K was not taking drugs that affect gastric acid production) (CPA, 2013). Pertinent adverse affects of the drug are diarrhea, nausea, headache, vomiting, abdominal pain, anaphylaxis, anemia, AST/ALT elevation, mucocutaneous candidiasis, rash and pseudomembranous colitis (Medscape Reference, 2013). Amoxicillin is contraindicated with anaphylaxis reaction to penicillins or cephalosporins (Epocrates, 2013). Several cautions to consider when prescribing amoxicillin to H.K include him having clostridium difficile infection, infectious mononucleosis (result is skin rash), bacterial/fungal superinfections, allergy to cephalosporins, and carbapenems, (Medscape Reference, 2013). Also, serious drug interactions include bcg/typhoid vaccine live, doxycycline, minocycline, probenecid and tetracycline (Epocrates, 2013). H.K did not have any of the contraindications, cautions, or potential medication interactions relevant to taking amoxicillin, so it was deemed safe for him to take. Amoxicillin was selected as a treatment option for H.K (appendix 1). The three times a day (500 mg) option was selected to ensure simplicity, when compared to the 875 mg twice a day option that would require H.K to take two possibility identical capsules (a 500 mg and a 250 mg), increasing the likelihood of medication error (Epocrates, 2013). A primary concern for individuals infected with H. influenzae is ampicillin resistance, mediated by the production of a beta-lactamase, which is produced by approximately 19% of the bacteria (Zhanel et al, 2003). H. influenzae remains predictably susceptible to amoxicillin-clavulanate (a second line therapy) which possesses the added benefit of stability against beta-lactamases and cephalosporins (Tristam et al, 2007). Amoxicillin-clavulanate is also effective against most penicillin-resistant S. pneumoniae (MacGowan et al., 2004). It has enhanced gram positive activity and should be used in patients where risk of bacterial resistance is high, consequences of failure of therapy are greatest, or for patients not responding to first-line therapy (DeRosiers, et al, 2011). Common side effects of this drug are nausea, vomiting, diarrhea, rash and uticartia (Poole-Arcangelo Peterson, 2013; Rx Files, 2013). Higher rates of diarrhea and other gastrointestinal side effects occur with amoxicillin-clavulanate than with amoxicillin alone (Burns et al., 2009). It is also considered a more costly sinusitis treatment (ARP, 2012; Rx Files, 2012). Amoxicillin-clavulanate was added as a treatment option for H.K (see appendix 1). The clinician selected the two times a day option (875 mg) because the clavulanic acid daily dose is less, resulting in a decreased likelihood of the patient experiencing adverse effects co mpared with a more frequent dosing schedule option such as every 8 hours (Rx Files, 2012). As a result of activity against beta-lactamase–producing H. influenza and S. pneumonae (Zhanel Lynch, 2009), cefprozil and cefuroxime axetil have a second line treatment role in acute sinusitis (ARP, 2012). With the expanded spectrum of activity, ability to achieve adequate concentrations in tissues, suitability for twice-daily dosing, favorable toxicity profile, and proven tolerability of cephalsporins, they are a safe alternative for treatment (Poole-Arcangelo Peterson, 2013). However, they have a broader range of activity and are more costly than amoxicillin (Rx Files, 2012; ARP, 2012). Second line drugs cefuroxime axetil and cefprozil were added as treatment options for H.K (see appendix 1). The 250 mg dose was selected for both drugs due to ease of use (smaller pills, easier to swallow), patient related factors (H.K was not immunocompromised) and disease related factors (H.K’s sinusitis had no complications). In beta-lactam-allergic patients, a second line therapy such as trimethoprim-sulfamethoxazole (TMP- SMX) may be substituted for penicillin (ARP, 2012). The TMP-SMX resistance reported from Canadian laboratories is approximately 14% (Desrosiers et al., 2011). Increased pnuemoncoccal and H. influenza resistance rates make TMP-SMX a less desirable agent, however it is one of the most cost-effective options for patients with financial constraints (not an issue with H.K) (ARP, 2012). The most common side effects of this drug are rash, fever and gastrointestinal symptoms (Poole-Arcangelo Peterson, 2013; Rx Files, 2012). Drugs containing sulfa (such as TMP-SMX) potentiate the effects of warfarin, phenotoin, hypoglycemic agents and methotrexate (Poole-Arcangelo Peterson, 2013). Since H.K is not taking these drugs, TMP-SMX was selected as a treatment option (see appendix 1). One double strength tablet was selected over two single strength tablets for simplicity of administration. The general approach to the non-pharmacological management of acute sinusitis requires utilizing adjunctive therapies. Decongestants, intranasal corticosteroids (INCS), antihistamines, mucoltylics and analgesics are treatment options. A decongestant may be used to reduce mucosal edema and facilitate aeration and drainage (Desrosiers et al., 2011). Oral decongestants have been shown to improve nasal congestion and can be used until symptoms resolve. (Desrosiers et al., 2011). Topical decongestants are controversial and should not be used for longer than 72 hours due to the potential for rebound congestion (ARP, 2013). INCS reduce inflammation and edema of the nasal mucosa, nasal turbinates, and sinus ostia (Desrosiers et al., 2011). INCS are minimally absorbed and have a low incidence of systemic adverse effects (Desrosiers et al., 2011). Adverse effects include transient nasal irritation, epistaxis, pharyngitis, rhinitis, headache, and changes to taste, smell and voice (Rx Files, 201 2). A Cochrane review evaluating three INCS drugs for acute sinusitis found limited but positive evidence for INCS as an adjuvant to antibiotics (Zalmanovici Yaphe, 2009). Antihistamines are often used to relieve symptoms because of their drying effect, however there are no studies to support their use in the treatment of acute sinusitis (Desrosiers et al., 2011). Guaifenesin is a mucolytic that has been used to thin mucus and improve nasal drainage, however because it has not been evaluated in clinical trials, it was not recommended as an adjunct treatment for sinusitis (Rosenfeld et al, 2007). Selection of analgesics should be based on the severity of pain. Tylenol or an NSAID given alone or in combination with an opioid is appropriate for mild to moderate pain associated with sinusitis (Rosenfeld et al, 2007). Recent Canadian guidelines suggest that limited evidence exists supporting the beneficial effects of saline irrigation in patients with acute sinusitis (Desrosiers et al., 2011). Despite limited evidence, saline therapy, either as a spray or high-volume irrigation, has seen widespread use as adjunct therapy (Desrosiers et al., 2011). Although the utility of saline sprays remains unclear, the use of saline irrigation as ancillary therapy is based on evidence of moderate symptomatic benefit and favourable tolerability (Desrosiers et al., 2011). Some additional comfort measures for patients with symptoms of acute sinusitis include maintenance of adequate hydration and application of warm facial packs. No high quality trials have demonstrated that these comfort measures are effective (Worrall, 2011). As viral infections predispose individuals to acute sinusitis, strategies (such as handwashing) that focus on patient education of reducing viral transmission help to reduce the incidence of bacterial sinusitis (Desrosiers et al., 2011). Educating patients about common predisposing bacterial sinusitis factors may be considered as a preventative strategy (Desrosiers et al., 2011). Prophylactic antibiotics are not effective in preventing viral episodes or the development of subsequent bacterial sinusitis, and are not recommended (Desrosiers et al., 2011). Also, there is no evidence that influenza or pneumococcus vaccinations reduce the risk of contracting acute sinusitis (Rosenfeld et al, 2007). Recent reviews have found limited evidence for alternative and complementary medicine (Scheid Hamm, 2004). Alternative practices that have failed to show efficacy include acupuncture, chiropractic, naturopathy, aromatherapy, massage and therapeutic touch (Desrosiers et al., 2011). Vitamin C preparations and zinc lozenges are also felt to be controversial (Scheid Hamm, 2004). Studies of zinc lozenges for the common cold have produced mixed results (Desrosiers et al., 2011). One recent meta-analysis of echinacea preparations has shown some positive effects in reducing duration of respiratory tract symptoms (Barrett et al, 1999). However, the widespread use of echnichea in the treatment of acute sinusitis is not well supported (Desrosiers et al., 2011). A recent Cochrane review found that when antibiotics were given to patients, they increased recovery time from sinusitis symptoms (Ahovuo-Saloranta, 2008). The choice of first-line treatment is based on the anticipated clinical respons e of a patient, as well as the microbiologic flora likely to be present. Also, when selecting an antibiotic regimen for H.K, the clinician considered the medication cost, medication safety profile, adverse effects, and local patterns of bacterial resistance in order to maximize therapy (Hickner et al., 2001). The recommended antibiotic regimen is specific for H.K, who did not have any intracranial/orbital complications or a compromised immune function, and has normal renal function. In the absence of drug allergies and presence of resistant organisms, amoxicillin was selected for H.K as it is a first line therapy, is generally effective against susceptible and intermediate resistant pneumococci (Brophy et al, 2011), low cost (ARP, 2012), high patient tolerability, and relatively narrow antimicrobial spectrum (Aring Chan, 2011). Factors suggesting greater risk of penicillin resistant streptococci include antibiotic use within the past 3 months, chronic symptoms present for longer than 4 weeks, and parents of children in daycare (H.K had none of these risk factors). When antibiotics are prescribed by the clinician, the duration of treatment should be 5 to10 days as recommended by product monographs (Desrosiers et al., 2011). For H.K, the clinician utilized product monographs and other evidence based guidelines for determining the appropriate duration of treatment (CPA, 2013; ARP, 2013). Based on the information and discussion presented in this paper, amoxicillin 500 mg three times a day for 10 days (CPA, 2013) was selected as the most appropriate treatment for H.K (see appendix 2). H.K was instructed by the clinician to take his medication until finished, not share it, and to store at room temperature away from moisture, heat and light (Epocrates, 2013). He was taught about the drug’s side effects and that overdose symptoms may include confusion, behavior changes, severe rash, decreased urination, or seizure (Epocrates, 2013). He was provided health teachings by the clinician, including seeking emergency medical help if exhibiting any signs of an allergic reaction (hives, difficulty breathing, swelling of the face, etc.) or experiencing serious side effects (white patches/sores inside his mouth/lips, fever, swollen glands, rash, itching, joint pain, pale/yellowed skin or eyes, dark colored urine, fever, confusion/weakness, severe tingling, numbness, pain, muscle weakness, easy bruising, unusual bleeding, purple/red pinpoint spots under his skin) (Epocrates, 2013). H.K was provided health teachings regarding reducing the risk of contracting viral infections through hand washing techniques. Complementary therapies, alternative medicines, comfort measures, saline prophylactic antibiotic usage and vaccines were not recommended to H.K. He was also instructed about the role these treatments play in acute sinusitis treatment. Only evidenced-based adjunctive therapies as described in this paper have been selected for H.K, including INCS therapy (see appendix 3), analgesics (Advil cold and sinus) and oral decongestants (Advil cold and sinus). H.K agreed to this treatment plan. Based on H.K’s history and physical exam findings, a follow-up examination would be required if no improvement is seen within 72 hours of antibiotic administration, as this could indicate treatment failure (Derosier et al, 2011). The patient was advised to return in 72 hours if there were no improvements in symptoms. He did not return to the clinic for follow-up. If H.K had deteriorated at any time, the clinician would have reassessed for acute complications, other diagnoses and adherence to treatments (Derosier et al, 2011). If H.K experienced a type 1 hypersensitivity reaction to amoxicillin at any time, other pharmacological options would have been considered. A phone call was placed one week after H.K’s medical visit to conduct a post-visit evaluation, and he reported that his symptoms were nearly resolved (pharmacological and non-pharmacological therapy evaluation). Since H.K demonstrated signs of clinical improvement, a follow-up visit or possible referral to an otolaryngologist was not required (Fryters Blondel-Hill, 2012). The original goals of care for H.K were met. He stated that he was able to manage his symptoms with the treatment plan, was grateful that no complications were experienced, and was more knowledgeable about the prescribed drugs and future prevention strategies. H.K was satisfied with his healthcare experience (self-report) and was able to verbalize non-pharmacological therapies and apply them to his situation. When faced with a similar patient in the future, the clinician will ensure that the â€Å"I treat and prescribe framework† is utilized, as it is a valuable tool for ensuring patient specific treatment. Professional feedback from the course instructor/preceptor will also be integrated into future treatment plans.

Definition Essay - Can Love be Defined? -- Expository Definition Essay

Can Love be Defined? The other day I was babysitting my three-year-old niece, a most conniving little angel. As she sat gawking at my girlfriend's brother, Matthew, who was eating potato chips, she told me that she loved me "so much." She had already devoured her potato chips, but she obviously wanted more. Many more expressions of love proceeded to drip from her lips. Finally, the question came; "Reg, can I have some more chips?" At first, I thought this little show of bribery was cute and funny, but then I started to think about the true meaning of love. What is true love? Poets, philosophers, religious leaders, and the American media all have different definitions for this word. Too often, love is conceived as doing whatever it takes to get your potato chips. However, true love involves much more than personal satisfaction. Our society uses the term "love" far too lightly. Having been guilty of this offense myself, I admit my guilt. I often say, "I love Mexican food," or, "I love my truck." Love, however, is not just a happy feeling we get when something nice pleases us. Love is a verb. Love is the action of giving yourself totally to one person without expecting anything in return. Love is being willing to put aside your own needs in order to meet the needs of others. Giving up your weekend trip to the beach in order to take care of your sick mother is one example of love. A destitute mother giving up her one piece of bread to feed her sick little boy is another example of love. The ultimate expression of love is being willing to lay down your own life in the place of another. Love is giving, not getting. Too often our love is conditional. We often hear, "I will love you if you meet my needs," or, "I will love you... ...n who did just that. Two thousand years ago, on a hill outside of Jerusalem, Jesus of Nazareth was nailed to a cross. Three nails brutally pierced his hands and feet. Being a Christian, I believe that Jesus died on that cross to save me from an eternity in Hell. Jesus laid down his life in my place. This is the greatest love anyone has ever shown me, and my definition of love comes straight from that historical death. Would I lay down my life for anyone? I would consider going to the gas chamber in the place of very few people; this would be the ultimate test of my love. However, there are smaller ways that love can be shown. Washing dishes for my girlfriend, babysitting my niece, or even taking my mom out to eat are three small ways of showing my love. The next time I tell someone that I love them, I will be sure to follow through with the actions to prove it.

Third-Person Effect and Social Networking: Implications for Online Marketing and Word-of-Mouth Communication

Few studies have explored the direct influence of social networking websites related to behaviors. â€Å"One of the most important capabilities of the internet relative to previous mass communication technologies is its bidirectionality. Through the internet, not only can organizations reach audiences of unprecedented scale at a low cost, but also for the first time in human history, individuals can make their personal thoughts, reactions, and opinions easily accessible worldwide. Best known so far as a technology for building trust and fostering cooperation in online marketplaces, such as eBay, these mechanisms are poised to have a much wider impact on organizations. Their growing popularity has potentially important implications for a wide range of management activities such as brand building, customer acquisition and retention, product development, and quality assurance. † This article explains about online marketing and I’m going to incorporate this piece of informa tion into my paper. Few studies have explored the direct influence of social networking websites related to behaviors. â€Å"One of the most important capabilities of the internet relative to previous mass communication technologies is its bidirectionality. Through the internet, not only can organizations reach audiences of unprecedented scale at a low cost, but also for the first time in human history, individuals can make their personal thoughts, reactions, and opinions easily accessible worldwide. Best known so far as a technology for building trust and fostering cooperation in online marketplaces, such as eBay, these mechanisms are poised to have a much wider impact on organizations. Their growing popularity has potentially important implications for a wide range of management activities such as brand building, customer acquisition and retention, product development, and quality assurance. † This article explains about online marketing and I’m going to incorporate this piece of informa tion into my paper.

Essay on Morality

Essay on Morality Being a part of a society every human is trying to follow some moral principles that define what is good and what is bad, what is right and what is wrong. All of these determine our actions made in various life circumstances and shows our moral values as well. This essay will aim to discuss the concept of morality and describe the main issues related to this philosophical question that may be never answered. What is morality? Lots of definitions can be applied to the concept of morality. In short, morality is regarded as an attempt to define who we are from the position of some right and wrong actions we do and thoughts that we think. Throughout thousands of years philosophers have been trying to solve the issue about defining the concept of morality. â€Å"Many man many mind† approach is what can be applied to the problem. Nevertheless, it is possible to try to think over the question and reveal the common sings of morality that can be meaningful for us in a modern society. What is meant by a moral person? Can it be properly interpreted? The concepts with multiform meanings such as morality can be illustrated in the real world on practice and thus possibly defined in some way. Lets assume, you are going back home at midnight and find a purse on the sidewalk with lots of money and some bank cards with a name on it. You can find the person and return the stuff, will you do it? Or will you choose to keep it for yourself and use somebody elses money for your own purposes? Your action in this specific situation defines your morality. Your decision can show whether you act right or wrong. Still, another question arise – is it right to give the purse back to its owner if you are in need yourself? Maybe this is a sign and life supports you when you need it? No one knows the right answer, because it does not actually exist. Each of us defines from our own point of view what is right and what is wrong, and it may has nothing to do with the concept of morality as it is defined by a modern world and other individuals. Are people in a modern society loosing their moral values? Modern society is more likely to lose moral values with the time flow. It happens because of materialism that affects peoples mind and prevails moral values. Technical progress contributes to this as well. People keep on earning money and buying products they need, so they tend to try to buy everything they want. This fact devalues moral characteristics in some way and make people do morally wrong things even subconsciously just because of the materialistic way of thinking. Additionally, public manners influence others actions. Looking at someone doing something in a public place may affect others. Lets take an example with a public smoking. First of all, it is actually forbidden and should be so. Secondly, it has nothing to do with a moral manner when a man is walking with a cigarette in his hands while there are many people around, including children. The bad influence of the Internet on moral values of people is not the exception too. Today it is available all over the world, people have an access to the Internet and spend a lot of time there reading social media, comments to the blogs, political reports, etc. One can easily find a lot of bad things posted there, which harms and abuses other people. Adults may not take care of it, but children should be protected from this in the first place as they see bad words, consider them to be normal and copy the manner of communication. In conclusion People in a modern society tend to loose their moral values, which is influenced by materialism, public thinking and manners, and the Internet as well.