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.