WEEK 3 DQ PART 3 Assignment Example | Topics and Well Written Essays - 250 words

WEEK 3 DQ PART 3 - Assignment Example The offeror for this situation who is the watchman should likewise have a genuine purpose to be limited by the offer. The youngster anyway has the choice of changing the states of the agreement when they turn eighteen (Mau, 2010). The youngster has a superior situation to win the body of evidence against his dad. Initially, the dad had a point when making the offer. Also, the agreement was debatable and as indicated by the youngster the terms concurred are not acceptable subsequently she can haggle for change of terms of the agreement (Mau, 2010). Section 7 expects supervisors to act morally in accordance with some basic honesty execution. Outsiders are responsible for their activities in this section and are relied upon to act to the greatest advantage of the people they speak to. Break of agreement is a legitimate offense which holds the gathering obligated for the wrongdoing and is chargeable in court. What occasions result from a penetrate of agreement? Do outsiders have rights in an agreement? (Rose,

Quality Management in Healthcare

Quality Management in Healthcare Presentation The requirement for quality administration in medicinal services offices is an issue that numerous partners have been battling for throughout the years. As per Arias (2000, p. 87), quality social insurance is one of the significant mainstays of the monetary improvement inside a given nation. Individuals ought to approach quality and reasonable human services so as to stay solid and healthy.Advertising We will compose a custom contextual investigation test on Quality Management in Healthcare explicitly for you for just $16.05 $11/page Learn More In the ebb and flow society, there are various sicknesses that may influence individuals of various social classes, and this may diminish their profitability. It is a direct result of this that numerous partners, including the legislature and nongovernmental organizations, have had the option to think of methods of improving assistance conveyance at different medicinal services foundations inside the nation. In the United States, the central government, in close association with private non-benefit making associations, for example, Mayo Clinics, has improved the medicinal services gauges inside the nation. Mayo has been utilizing various quality administration apparatuses so as to improve its administration conveyance. At present, the emergency clinic is utilizing ISO 9001 standards to improve the nature of its administrations. Foundation of Mayo Clinic Mayo Clinic is one of the biggest non-benefit making private medicinal services establishments on the planet that offers a wide scope of clinical administrations to different individuals the nation over. In characterizing Mayo Clinics, Charantimath (2006, p. 78) says, â€Å"The Mayo Clinic is the world’s most established and biggest incorporated multispecialty bunch clinical work on, consolidating clinical practice, training, and research at the provincial, national, and universal levels to support people with normal just as unpredictable human servic es needs.† From this definition, plainly The Mayo Clinic offers something beyond clinical administrations to the American populace. It is an incorporated group of multispecialty clinical specialists who are centered around offering clinical administrations, instructing youngsters keen on joining the clinical practice, and keeping up a significant level of research in different territories of health.Advertising Looking for contextual investigation on wellbeing medication? How about we check whether we can support you! Get your first paper with 15% OFF Learn More Founded in 1889 by William Worrall Mayo and his children, this establishment as of now utilizes more than 3,800 doctors, and around 60,000 associated wellbeing staffs in different clinics inside the United States and everywhere throughout the world. It has encountered enormous development throughout the years to turn into the biggest and one of the most legitimate medicinal services communities on the planet. As specifi ed in their statement of purpose, Mayo isn't simply centered around offering quality human services to the individuals, however it is likewise worried about finding the most ideal methods of dealing with a portion of the developing wellbeing inconveniences by connecting with its staffs in examine. With its central station in Rochester, Minnesota, Mayo Clinic has gotten one of the most solid medicinal services establishments in North America. Its endeavors in innovative work has empowered it gotten one of the best non-benefit making human services associations in the whole area. Quality Management System at Mayo Clinic (Strengths) At Mayo, the administration has consistently been centered around offering quality medicinal services to all the patients who visit the office with different wellbeing complexities. When William and his children began this office, they were keen on offering quality social insurance administrations to the American individuals. Be that as it may, this associa tion encountered various difficulties as the field of medication began encountering changes because of innovative headways (Donabedian 2003, p. 34). The association needed to adjust to the rising advances so as to keep up the quality assistance arrangement to the patients. The dynamic authority at this association has seen it change in accordance with the mechanical progression and different changes in this field to get one of the most respectable associations on the planet. Continually accentuating on quality conveyance of medicinal services benefits, this association has six properties of a perfect social insurance conveyance framework as characterized by the Commonwealth Fund which shapes its primary quality (Charantimath 2006, p. 44).Advertising We will compose a custom contextual analysis test on Quality Management in Healthcare explicitly for you for just $16.05 $11/page Learn More Information Continuity Information coherence is one of the most significant elements of value so cial insurance arrangement inside a human services office (Wheeler Grice 2000, p. 81). At Mayo facility, all offices are interconnected utilizing PCs and neighborhood that make data move proficient. When a client’s data is taken care of into the framework at the gathering, all the applicable divisions can get to the data on request. Any modification made in the data at any of the offices will be reflected in other significant divisions. This implies the speed and dependability of information move has gotten profoundly effective. It has improved the nature of administrations offered inside the office. The data is overseen from a focal database as appeared in the graph underneath. Care Coordination and Transitions At Mayo, there is an unmistakable framework that takes into account understanding consideration coordination among different experts. There are situations where a patient experiences numerous wellbeing entanglements that may require experts in various fields. The admi nistration has built up a framework where this is impossible with no type of strain. A clinical specialist in one division can without much of a stretch speak with another specialist in an alternate zone of claim to fame of the prescription that has been offered, and the means that ought to be taken to address different intricacies. Such firmly planned correspondence between the professionals dispenses with any chance of misconception among the specialists. Framework Accountability Mayo Clinics have embraced a complete consideration strategy on all the patients who visit their office as a method of improving the nature of administrations they convey. As indicated by Lighter (2011, p. 33), numerous clinical specialists have intensified the strength of their patients through indiscreet acts because of loosened up the executives frameworks at the establishments. This isn't the situation at Mayo Clinic.Advertising Searching for contextual analysis on wellbeing medication? How about we check whether we can support you! Get your first paper with 15% OFF Find out More At this office, each clinical official is considered responsible for any help rendered, and if any misstep emerges from any of the offices visited by the patient, at that point the official who offered the administration is constantly considered dependable according to the organisation’s approaches and standards. Companion Review and Teamwork for High-Value Care The friend audit and collaboration framework was acquainted at this office with assistance advance cooperation and duty inside different offices. Under this framework, experts in a particular field have the obligation to audit works of companions in that division with the point of keeping up the best practice in their field. Any progressions occurring in that particular field would be shared by the individuals so as to upgrade its application inside the office. The focal point of this procedure is to offer high esteem care by improving abilities and capabilities of the individual individuals from the staff. Nonstop Inn ovation In the present powerful world, advancement is one of the most significant apparatuses that an association can use so as to guarantee that it offers consistent quality consideration to its customers (Kelly 2003, p. 45). At Mayo Clinic, the administration realizes that the main method of accomplishing its vision is to keep up inventiveness in its administration conveyance. This has been made conceivable by the exploration unit of this firm. The scientists have been intrigued to distinguish the rising patterns in this field of social insurance and to create systems of managing it so as to guarantee that this firm stays dynamic. It has thought of better approaches for tending to different issues that at the office so as to keep up prevalent quality conveyance (Lighter Fair, 2000, p. 44). Simple Access to Appropriate Care According to Horch (2003, p. 78), human services is one of the essential needs in the cutting edge society, and it ought to be effectively open to individuals f rom people in general. When offering social insurance administrations, it is important to guarantee that customers have the ability to get to their data and comprehend their wellbeing conditions when it is controlled by the experts. This is one of the variables that Mayo Clinic has been resolved to improve its administration quality in the market. The Clinic has built up a correspondence framework in the entirety of its facilities for simple recovery of data and dependable correspondence with the patients. The above properties have been viewed as perfect for a standard medicinal services office, for example, Mayo Clinic. This has made this social insurance office one of the most favored organizations in North America. The above qualities have seen an ascent to the Mayo brand in the social insurance part inside this locale. They are viewed as a coordinated group of clinical specialists who are centered around recognizing any wellbeing difficulty, educating their patients about their intricacy, recommending routes through which such complexities can be tended to, and utilizing the technique that the patients decides to address the issue. This makes an inclination among the patients that at this office, they have a voice, and can settle on their own autonomous decisions about how they ought to be dealt with dependent on their own inclinations. This quality has helped this firm grow its tasks past the United States. It has likewise made it simple for it to raise assets from the well wishers who have now confided in it as one

Predatory Loans Target Vulnerable Populations with Reverse Mortgages - OppLoans

Predatory Loans Target Vulnerable Populations with Reverse Mortgages - OppLoans Predatory Loans Target Vulnerable Populations with Reverse MortgagesInside Subprime: June 14, 2019By Lindsay FrankelAccording to a new investigation conducted by USA Today Network, almost 100,000 reverse mortgages defaulted in the past few years, and low-income minority communities were impacted the most. More than 1.3 million loan records were analyzed as part of the investigation.The investigation also revealed that reverse mortgages in areas with predominantly black residents are six times more likely to end in foreclosure than reverse mortgages in white neighborhoods, and the disparity was significant even when comparing low-income neighborhoods. Brokers have been known to advertise door-to-door in these areas.Aggressive sales tactics and desperate borrowers have allowed the business of reverse mortgages to flourish. But in most default cases that USA Today analyzed, homeowners’ financial issues could have been remedied by a traditional second mortgage or home equity loan, had the borrowers had easier access to credit or greater income.A reverse mortgage is a loan often issued to a senior citizen who has nearly or completely paid off their mortgage, and the loan is backed by the United States Department of Housing and Urban Development. The borrower can request a lump sum, monthly credit, line of credit, or some combination. The owner’s home serves as collateral for the loan. Instead of requiring monthly payments, the loan is paid back after the homeowner passes away or leaves the home. But the loan can still fail if the borrower neglects to make tax or insurance payments or misses a deadline for completing paperwork. This leads the lender to foreclose on the borrower’s home.Consumer advocates say reverse mortgages carry high interest rates and hidden fees while targeting low-income minorities and seniors, and lenders neglect to thoroughly explain the risks. Stephanie Moulton, associate professor of public policy at Ohio State University, said bad act ors seek out financially strained borrowers who have few alternatives. “These areas had demand, and they couldn’t access credit any other way,” she said.Industry representatives argue that foreclosure is a natural consequence of the homeowner’s death, and regulators noted that seniors are rarely evicted from their homes. But foreclosures can devastate neighborhoods, and California consumer advocate Sandy Jolley said they’re failures no matter what the circumstances. “No consumer gets into one of these thinking, ‘Eventually my home will go into foreclosure.’ All foreclosures are unnecessary, and this increase indicates a failure of the program to deliver on its promise.”The industry has also been criticized for its deceptive advertising practices. The Government Accountability Office uncovered “examples of marketing claims that were potentially misleading because they were inaccurate, incomplete, or used questionable sales tactics” as early as 2009.Changes are n eeded to help seniors avoid losing their homes, and some lawmakers are attempting greater oversight. A proposal introduced by Reps. Maxine Waters, D-Calif., and Denny Heck, D-Wash, attempts to prevent home loss by requiring lenders to take steps between default and foreclosure. While reverse mortgages may help some seniors stay in their homes without using more costly methods of borrowing, such as payday loans, the high number of loan defaults is concerning, and reverse mortgages still present risks that may not be appropriate for vulnerable seniors to take on.Learn more about payday loans, scams, and cash advances by  checking out our  city and state financial guides, including California, Florida, Illinois, Ohio, Texas and more.Visit  OppLoans  on  YouTube  |  Facebook  |  Twitter  |  LinkedIn

The Chemical Composition of Human Sweat or Perspiration

As you might imagine, human perspiration is mainly water, but have you ever wondered just what else is in sweat? Heres a look at the process of sweating, the chemical composition of perspiration, and the factors that affect it. Why Do People Sweat? The main reason people perspire is that the evaporation of water can cool our bodies. Thats the reason it makes sense that the main component of perspiration is water. However, perspiration also plays a role in the excretion of toxins and waste products. Sweat is chemically similar to plasma, but certain components are selectively retained or excreted. General Composition of Perspiration Perspiration consists of water, minerals, lactate, and urea. On average, the mineral composition is: Sodium (0.9 gram/liter)Potassium (0.2 g/l)Calcium (0.015 g/l)Magnesium (0.0013 g/l) Trace metals that the body excretes in sweat include: Zinc (0.4 milligrams/liter)Copper (0.3–0.8 mg/l)Iron (1 mg/l)Chromium (0.1 mg/l)Nickel (0.05 mg/l)Lead (0.05 mg/l) Variations in Perspiration Chemical Composition The chemical composition of perspiration varies between individuals. It also depends on what individuals have been eating and drinking, the reason why theyre sweating (for example, exercise or fever), how long they have been perspiring, as well as several other factors. Sources Montain, S. J., et al. â€Å"Sweat mineral-element responses during 7 h of exercise-heat stress.†Ã‚  International, U.S. National Library of Medicine. International Journal of Sport Nutrition and Exercise Metabolism. December 17, 2007.

My View Of Human Morality Essay - 1844 Words

My view of human morality is that it is influenced by individual culture and experience. Because I believe that as human beings, we all have our own values, beliefs and attitudes that we develop throughout the course of our lives and contribute to our own sense of reality of ourselves and the society. Regardless of what will influence and mold us throughout our lives, we have the rationality inclined to know between what is right and wrong so that we will do good as we want others to do so. We are exposed to cultural values from many sources: family, peers, education, authorities, and religion. Because we spend most of our formative years with family, the values of the family whether good or bad, are a powerful influence. These are a reflection of an individual character and culture. We are born into a world of values that have existed throughout humanity s history. We absorb these values as children while we navigate our social environment, processing and reevaluating them through out our adult lives. Every individual understands that life is important hence he or she needs moral values, which act as guiding principles. Our values form the foundation of our lives. They dictate the choices we make and determine the direction that our life takes. Our values will influence our decisions related to our relationships, career, and other activities we engage in. The world we lived is complicated that there exist no universal morality and absolute freedom and since our morals areShow MoreRelated Thrasymachus Perspective on Human Nature Essay1298 Words   |  6 PagesThrasymachus Perspective on Human Nature Thrasymachus perspective of human nature is that we all seek to maximize power, profit and possessions. He gives the argument that morality is not an objective truth but rather a creation of the stronger (ruling) party to serve its own advantage. Therefore definitions of just and unjust, right and wrong, moral and immoral are all dependent upon the decree of the ruling party. Thrasymachus argues that acting morally, in accordance withRead MoreAnalysis Of Anthem By Ayn Rand713 Words   |  3 PagesAll idea of ego is forbidden, and is punishable by death. Acts such as being smarter, or even in Equality 7-2521’s instance, also being taller, is frowned upon. Going by these standards, the view of morality is different for this dystopian society. At the end of the book, Equality 7-2521 re-evaluates what morality is according to him. In the beginning of the book, Equality 7-2521 states that he knows he’s doing something â€Å"wrong†, according to his society. Equality 7-2521 says how â€Å"It is a sin to thinkRead MoreReligion and Morality1263 Words   |  6 Pagesï » ¿RELIGION AND MORALITY (i)Examine the views of scholars concerning the idea that religion and morality are linked. 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Yet, what justifies an act for one personRead MoreEssay on Nietzsche1296 Words   |  6 Pagesinterconnected with each other and because of this reason, I will not answer them separately. I will be answering them without order. First of all, from my interpretation of Nietzsche, modern humanity did not invent the idea of God. Rather the God had a functional role from his point of view. There is no doubt that, modern humanity had the idea of God, but in my opinion, this idea was like a heritage to the modern humanity from their ancestors. We should look at the earlier times of the history in order toRead MoreNietzsche s Views On Morality1518 Words   |  7 Pagesbe worried about my morality. 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Hobbes’ views, based in Leviathan, are of a more idealistic nature, and my views are a little in between

The Effects Of A Changing Climate Change - 917 Words

The Effects of a Changing Climate Melting ice caps, intense heat waves, and rising sea levels are all clear indicators that the climate is changing. Many scientists from the Intergovernmental Panel on Climate Change (IPCC) predict a temperature rise of two to ten degrees Fahrenheit over the next century (â€Å"Global†). The future forecasts also calls for greater intensity hurricanes, droughts, and an ice free arctic. The public does not believe that climate change will significantly affect them but it will and already greatly has. Many different factors come into play when trying to find a cause for the changing climate, but a major one is greenhouse gases produced by human activities. A greenhouse gas is any gaseous compound in the†¦show more content†¦Although, replanting can reduce CO2 levels it is not enough to reverse the changes in the climate. The change in climate can also affect the rain patterns a specific region experiences. Climate change can cause more o r less rain to fall throughout the year around the globe. More precipitation would occur in the northern regions of the world and much less would occur in the southern regions. This can result to flooding in the north and drought in the south. Neither of these scenarios is superior to the other. They both result in a loss of crops and damage to buildings and homes. Houses and higher built buildings would be washed away by the rushing water. This would also cause damage to vehicles, farms and landmarks. On the other hand, a drought would leave the area dry and unable to support the growth of any plants or crops. A drought would also greatly increase the chance for fires due to the lack of water in the soil and heat. Many establishments may catch fire and spread to nearby buildings. With both drought and flooding, the price of food needed for individuals would rise significantly. Any consumable goods would be scarce and there would be much competition to see what stores could buy it f or the least amount of money and make the most when selling it. Farms would no longer be an option for growing food if it floods or if the crops dry out and die. Bodies of water hold many different species around the world. However, humans are

Health Assessment and Complex Care- MyAssignmenthelp.com

Question: Discuss about theHealth Assessment and Complex Care for Hypertension. Answer: Introduction: In co-morbid condition, there is occurrence of more than one disease in the same patient. These diseases may be physical, physiological and psychological. These diseases can affect multiple organ systems in the body, however, these diseases may have common or different mechanisms. Obesity hypoventilation syndrome is associated with multiple other conditions like obesity, diabetes, hypertension and psychological disease like depression. Mr. X is also associated with all these conditions. Symptoms of such patients include sleep apnea, increased blood pressure, snoring, excessive daytime sleepiness, drowsiness due to increased CO2 level, headache, chest pain and depression. These should be incorporation of multiple diagnostic tests in such patients which include BMI, estimation of CO2 level, assessment of pain, blood glucose estimation and blood pressure measurement (Chau et al., 2012). In this essay, a case study of Mr.X is discussed, who is associated with the multiple co-morbidities. Description of the Patient: Mr. X is a 59-year old man and living with his wife and two sons. He is admitted to the hospital due to sleep apnea, which is mainly associated breathing problem during the sleep. He is also co-morbid with other conditions like obesity, ventilation syndrome, depression and type 2 diabetes. Due to his health conditions he lost his job and as result he developed depression. He is also keeping himself socially isolated because he is ashamed of his weight. In the health assessment, his vital parameters were assessed and it is evident that these parameters were abnormal. His BMI and body weight are 58 m2 and 165 kg respectively. Normal BMI in an adult person should be between 18.5 to 24.9 m2. Normal respiratory rate should be between 12 20 bpm in adults, however it is 28 bpm in Mr. X. This condition is called as tachypnea. Normal pulse rate should be between 60 100 bpm, however it is 132 bpm in Mr. X. This condition is called as tachycardia. Normal body temperature range should be betwe en 36.1C to 37.2C. However, his body temperature is 38.9C. His systolic blood pressure is 180 and diastolic blood pressure is 90. In this case, there is increase in the systolic blood pressure and normal diastolic blood pressure. Such type of condition is called as isolated blood pressure. In his assessment, it has been observed that his pain score is 7 in the scale of 10. This type of pain is severe pain and with this pain, it is difficult to perform activities of daily living (Timby et al., 2009). Pathophysiology: There are multiple pathological mechanisms involved in the obesity. There is mutation in the leptin gene and increase in the leptin expression, which is a satiety factor. Leptin and ghrelin are produced by the adipose tissues and act on the hypothalamus to control appetite. There is increased number and size of adipocytes in the obesity patients like Mr. X. Adipocytes produce various peptides and metabolites which are responsible for the increase in body weight. In type 2 diabetes, there is peripheral insulin resistance and insufficient insulin secretion by pancreatic beta cells. In obsess patients like Mr. X, there is occurrence of insulin resistance, however diabetes develops in patients in whom there is insufficient secretion of insulin to compensate for insulin resistance. In such obese patients, insulin level may be high; however it would be insufficient for the developed high glucose level (Hwang et al., 2012; Reisner, 2013.. Insulin resistance mainly occurs due to increased le vels of fatty acids. In case of Mr. X, there might be increased levels of fatty acids due to obesity. These free fatty acids along with proinflamamtory cytokines are responsible for the reduced glucose transport into the muscle cells and elevated levels of glucose production by liver. Hypertension mainly caused due to the dysregulation in the reninangiotensinaldosterone system. Renin is responsible for maintaining extracellular volume and arterial vasoconstriction. Renin plays important role in the cleaving angiotensinogen in angiotensin I under the influence of angiotensin converting enzyme. In this cleavage there is production of angiotensin II, which is responsible for the constriction of blood vessels, peripheral resistance and consequently increase in the blood pressure. In the research, it is evident that, obesity is a risk factor for hypertension because of activation of reninangiotensin in the adipose tissues (Hall et al., 2015; DeMarco et al., 2015). Depression mainly occurs due to the disturbance in the central nervous system neurotransmitters like serotonin (5-HT), norepinephrine (NE), dopamine (DA), glutamate, and brain-derived neurotrophic factor (BDNF). There is decreased metabolic activity in the neocortical structures and increased metabolic activity in limbic structures. It is evident from the studies that depression can lead to the hypertension in patient like Mr. X. In depressive and hypertensive patients like Mr. X, there is increased sympathetic tone and increased secretion of adrenocorticotropic hormone and cortisol. In depressive patients there is lack of dopamine which may lead to the deficiency of dopamine at key sites in the brain which can leads to development of hypertension. On the other hand hypertension can also leads to depressive state in the individual. Hypertension leads to the cerebrovascular and ischemic changes which may results in the depressive state in the individuals (Rubio-Guerra et al., 2013). I n obesity hypoventilation syndrome, there is reduced sensitivity for the increased levels of PaCO2 and leptin resistance. Due to obese condition of the patient, there can be additional mechanical load on the respiratory system, which lead to the respiratory failure. Initially, hypoventilation occurs in daytime and in later stages it leads to the sleep apnea (Mokhlesi, 2010). In the studies, it is evident that there is elevated inflammatory mediators like interleukin-6 (IL-6), tumor necrosis factor alpha (TNF alpha), interleukin-1 (IL-1), interleukin-18 (IL-18), prostaglandin E2 (PGE2) and C-reactive protein (CRP). It is evident that there is direct correlation between BMI and raised plasma levels of IL-6 or TNF alpha. Due to increased inflammation in the peripheral tissues in obesity, there is occurrence of insulin resistance and hypofunctioning of hypothalamic C releasing hormone which lead to the development of sleep apnea (Dabal and BaHammam, 2009). Intervention: Most important intervention for Mr. X should be body weight reduction. It is evident that at least 10 kg reduction in the body weight can improve the functioning of the respiratory system. Mr. X is suffering through severe obesity and it is refractory to dietary and therapeutic intervention. In such cases bariatric surgery proved to be more useful. However, care should to be taken while referring Mr. X for bariatric surgery because he is associated with multiple co-morbidities and there may be risk during general anesthesia and post operative complications. There should be incorporation of few mini-invasive and invasive surgical approaches to achieve reduction in body weight. These approaches not only reduce body weight and improve respiratory function but also improve blood pressure and blood sugar levels. Positive airway pressure ventilation (PAP) would be useful in Mr. X because it gives relief from the obstructive component and modify chest wall and lung mechanics in severe obesi ty patients (Verbraecken and McNicholas, 2013). Oxygen supplementation would be helpful in Mr. X to reverse hypoxemia. However, it should be keep in mind that alone oxygen supplementation would not be helpful in improving sleep apnea in Mr. X. Obese hypoventilation syndrome is usually associated with the co-morbid conditions which mainly affects cardiovascular system, respiratory system and metabolic system. Hence, pharmacotherapy should be provided to Mr. for respective disease condition. Mr. X also should be advised to maintain proper and physical activity. It would be helpful in avoiding further exaggeration of conditions like obesity, hypertension and diabetes (BaHammam, 2015; Shetty and Parthasarathy, 2015). Discharge Planning: Individualized discharge planning should be implemented for Mr. X as he is associated with multiple co-morbidities. Discharge planning of Mr. X should comprise of home care, self management, provision of specialized nursing care, formation of groups with similar disease condition for exchange of information, incorporation of social worker for counseling, experts in the community based care, diet modifications, physical exercise, management of depression and anxiety. Accurate information about medications should be provided to the family physician because Mr. X needs to consume multiple medications. Inaccurate administration of single medication may lead to the drug interactions, adverse conditions and multiple complications. Discharge plan should include schedule for follow-up visits and post-discharge support (McMartin, 2013). Conclusion: Obesity and related co-morbidity like obesity hypoventilation syndrome is a major health condition. As this condition involves multiple disease and systems, there should be incorporation of the multidisciplinary approach for the management of this condition comprising of pharmacological and non-pharmacological management. In such patients, blood pressure, blood glucose and lipid values should be controlled. Management of these conditions would be helpful in avoiding further complications in the patient. Multiple mechanisms are involved in such co-morbid patients and there is requirement of multiple medications for treating each condition. Hence, medications should be administered with care so that these medications should not affect other medical conditions. Also, these medications should not interact with the other medications. This may result in the reducing efficacy of the medication or producing toxicity. In summary, such patients should be managed with incorporation of experts f rom respective fields and critically analyzing each aspect of the management. References: BaHammam, A. S. (2015). Prevalence, clinical characteristics, and predictors of obesity hypoventilation syndrome in a large sample of Saudi patients with obstructive sleep apnea. Saudi Medical Journal, 36(2), pp. 181189. Chau, E.H., Lam, D., Wong, J., Mokhlesi, B, and Chung, F. (2012). Obesity hypoventilation syndrome: a review of epidemiology, pathophysiology, and perioperative considerations. Anesthesiology, 117(1), pp. 188-205. Dabal, L. A., and BaHammam, A. S. (2009). Obesity hypoventilation syndrome. Annals of Thoracic Medicine, 4(2), pp. 4149. DeMarco, V. G., Aroor, A. R., and Sowers, J. R. (2014). The pathophysiology of hypertension in patients with obesity. Nature Reviews Endocrinology, 10(6), pp. 364376. Hall, J. E., do Carmo, J. M., da Silva, A. A., Wang, Z., and Hall, M. E. (2016). Obesity-Induced Hypertension: Interaction Of Neurohumoral And Renal Mechanisms. Circulation Research, 116(6), pp. 9911006. Hwang, L.C., Bai, C.H., Sun, C.A., and Chen, C.J. (2012). Prevalence of metabolically healthy obesity and its impacts on incidences of hypertension, diabetes and the metabolic syndrome in Taiwan. Asia Pacific Journal of Clinical Nutrition, 21(2), 227-33. McMartin, K. (2013). Discharge Planning in Chronic Conditions. An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 13(4), pp. 172. Mokhlesi, B. (2010). Obesity hypoventilation syndrome: a state-of-the-art review. Respiratory Care, 55(10), pp. 1347-62. Reisner, H. (2013). Essentials of Rubin's Pathology. Lippincott Williams Wilkins. Rubio-Guerra, A. F., Rodriguez-Lopez, L., Vargas-Ayala, G., Huerta-Ramirez, S., Serna, D. C., and Lozano-Nuevo, J. J. (2013). Depression increases the risk for uncontrolled hypertension. Experimental Clinical Cardiology, 18(1), pp. 1012. Shetty, S., and Parthasarathy, S. (2015). Obesity Hypoventilation Syndrome. Current Pulmonology Reports, 4(1), pp. 4255. Timby, B. K. (2009). Fundamental Nursing Skills and Concepts. Lippincott Williams Wilkins. Verbraecken, J., and McNicholas, W. T. (2013). Respiratory mechanics and ventilatory control in overlap syndrome and obesity hypoventilation. Respiratory Care, 14(1), doi: 10.1186/1465-9921-14-132.

Yalom Irvins Psychotherapy Theories

11 Dr. Jekyll and Mr. Hyde Quotes

11 'Dr. Jekyll and Mr. Hyde' Quotes Robert Louis Stevenson made literary history with his novel Strange Case of Dr. Jekyll and Mr. Hyde. This story of the dual personality being personified during a medical experiment has been told and re-told in adaptations since it was first published in 1886. The novel became so popular that the phrase Jekyll and Hyde has come to mean someone whose behavior changes based on the situation theyre in.   The Nature of Evil I incline to Cains heresy, he used to say quaintly. I let my brother go to the devil in his own way. Mr. Gabriel Utterson, Chapter 1 The last I think; for, O poor old Harry Jekyll, if ever I read Satans signature upon a face, it is on that of your new friend. Mr. Gabriel Utterson, Chapter 2 My fears incline to the same point. Evil, I fear, founded - evil was sure to come - of that connection. Ay truly, I believe you; I defer (for what purpose, God alone can tell) is still lurking in his victims room. Well, let our name be vengeance. Mr. Gabriel Utterson, Chapter 8 Quotes About Fear It was for one minute that I saw him, but the hair stood upon my head like quills. Sir, if that was my master, why had he a mask upon his face? Mr. Poole, Chapter 8 O God! I screamed, and O God! again and again; for there before my eyes - pale and shaken, and half fainting, and groping before him with his hands, like a man restored from death - there stood Henry Jekyll! Dr. Lanyon, Chapter 9 On Jekyll and Hyde Behavior You start a question, and its like starting a stone. You sit quietly on the top of a hill, and away the stone goes, starting others, and presently some bland old bird (the last you would have thought of) is knocked on the head in his own back garden and the family have to change their name. No, sir, I make it a rule of mine: the more it looks like Queer Street, the less I ask. Mr. Enfield, Chapter 1 I am painfully situated, Utterson; my position is a very strange - a very strange one. It is one of those affairs that cannot be mended by talking. Dr. Jekyll, Chapter 3 With every day, and from both sides of my intelligence, the moral and the intellectual, I thus drew steadily nearer to the truth, by whose partial discovery I have been doomed to such a dreadful shipwreck: that man is not truly one, but truly two. Dr. Jekyll, Chapter 10 Someday, Utterson, after I am dead, you may perhaps come to learn the right and wrong of this. I cannot tell you. Dr. Lanyon, Chapter 6 On Endings I swear to God I will never set eyes on him again. I bind my honor to you that I am done with him in this world. It is all at an end. And indeed he does not want my help; you do not know him as I do; he is safe, he is quite safe; mark my words, he will never more be heard of. Dr. Jekyll, Chapter 5 Here then, as I lay down the pen and proceed to seal up my confession, I bring the life of that unhappy Henry Jekyll to an end. Dr. Jekyll, Chapter 10

Logic Research Paper Example | Topics and Well Written Essays - 1750 words

Logic - Research Paper Example If we do not act at the right time, the anthropogenic climate could lead to the devastation of earth and our very own existence(Thesis) According to (TOC,2007) â€Å"Almost 100% of the observed temperature increase over the last 50 years has been due to the increase in the atmosphere of greenhouse gas concentrations like water vapor, carbon dioxide (CO2), methane and ozone†. The greenhouse gas enact for the greenhouse effect and heat up the earth on a gradual process. The burning of fossils is the largest contributing factor of green house effect as it releases large quantity of carbon – di -oxide into the atmosphere. The major concern of greenhouse effect is that it gives way to the heating of the earth and increase the temperature around the globe. The anthropogenic climate change can be explained as the gradual increase in the climatic temperature of earth due to the greenhouse gas emitting. Green house gas emitting leads to the increase in the heat of the planet and leads to the melting of ice in the polar region which can increase the overall seal level on the earth. Even though not very obvious, green house effect is affecting many parts of the earth. The green house gas mostly contains, carbon – di- oxide, water vapor, nitrous oxide and methane which traps the heat and sunlight and elevates the temperature of the planet. Global warming risks the existence of plants, animals and human beings. This entrapping of heat and sunlight in the atmosphere is called the anthropogenic climate change and can evolve the current status of the planet. In this process, the heat get entrapped in the atmosphere but cannot get out of the atmosphere. Because of this process the temperature of atmosphere rises and climatic condition of earth changes with seal level. If the temperature of the planet goes on increasing the productivity pattern of the earth can changes at a rapid level. This can

Doctors and patients Essay Example | Topics and Well Written Essays - 750 words

Doctors and patients - Essay Example The patient happens to be the narrator of the story and told the story from a first-person account of the horrors surrounding the mental ailment of depression and a slow descent into insanity. The author gives a thinly-disguised autobiographical account of her sickness, how the people around her had responded to her predicament, such as her husband and her sister-in-law, while giving a dispassionate account of the shapes she supposedly found in the wallpaper of the room where she is confined. The other viewpoint in this story is the reaction of her doctor-husband, who took the rather nonchalant view of her ailment and considers her sickness to be the product of imagination only and therefore nothing very serious. From this perspective, her husband-doctor thinks that a good rest is all that was needed for her to easily recuperate and recover her senses. This short story gives readers a rough idea on how doctors of medicine usually think of their patients with regards to certain ailmen ts, and how they think about their patients, in general. Medicine as a practice or profession requires a certain kind of acceptable behavior as a modicum of acceptable social interaction. In short, doctors should exhibit a high degree of professionalism in their work at all times under all circumstances, according to strict ethical standards. The story is different when told from the perspective of a patient as contrasted with the view of the doctor. This gives the readers an excellent opportunity to evaluate and consider which viewpoint is more accurate in terms of details of an ailment, in this case, an incipient insanity of the wife. There will always be two sides to a coin, as in this case, there are also two sides to the same story. This paper likewise contrasts the two viewpoints regarding the severity or seriousness of the ailment. The similarity between the two viewpoints is that both husband and wife agreed to take a well-advised vacation by renting an isolated ancestral ho me. The doctor-husband came to the view his wife needed a change of scenery for her health to improve and the wife had agreed to the temporary move of three months only because she was hesitant to insist that she is not sick and two eminent doctors (her husband and also her own brother) had expressed their opinion that she was not really sick at all. Both spouses were in agreement the wife needing the rest to restore her mental health due to postpartum depression after childbirth (Schorkhuber, 2008, p. 4). The two spouses had originally been in disagreement as to which room to take among the several rooms in the large rented house; they eventually settled on a room on the second floor as the more appropriate choice for their purpose. The author-wife had initially preferred a ground floor room to take up residence but she later agreed to the second-floor room as the better choice because of the wonderful views it afforded of the surrounding areas, including the garden and the streets down below, up to the little private wharf of the estate, and to preoccupy her mind too. The two of them, once agreed on taking a second-floor room, decided on the playroom of the house, among the several rooms to be chosen. Both of them helped in clearing out some of the old furniture, moving some of these old items downstairs while bringing up some items they had brought along for the purpose of having a good rest and recuperation for the wife. However, the contrast is in the ulterior motive of each spouse as to why they choose that particular room. For the doctor-husband, it was the safe area in the house because the room had windows with the grills to prevent his

Solutions and Requirements of Project Essay Example for Free

Solutions and Requirements of Project Essay Solutions The best solutions for the problems the college is facing is as follows: Creation of a Web Presentation: This will involve a brief presentation about the college showing the facilities, the area and people, transportation, courses, Fees, Support, News and Event, Student Union and Links to other institution for higher education. The presentation will be made in a slide view mode and would be accessed on the web using the address or the domain name used. Images the existing tutors and student will be put in the slide to make it attractive and the logo will be placed on every slide background. Open days times will be shown on the presentation and any job vacancy will be advertise on the web presentation. This is will be a solution to the problems facing the college but would need a lot of updating and work. Creation of a Website: This website would shows all Departments; at least one division of which would show all the courses offered. The site would fit the purpose for which it was designed using of a wide variety of techniques and showing accuracy in its content, construction and organization. The site would give an accurate impression of what a full site would look like. It must include: * An introductory page (this may be the home page or could be separate) * A page on each department of the college indicating sub divisions (eg Business ICT/Travel Tourism/Business Studies) * Information on all courses in a particular division (ICT) * Facilities/campus (a slideshow might be useful here, perhaps a map linking to images) * Student union * News (indicating events, perhaps a video of a music event) * Equal opportunities * Contact details * Location Travel details * An application form Requirements The following are the requirements of the project: i. Web server I would need a server to be able to upload the website which is JANET(JOINT ACADEMIC NETWORK) because it is specifically designed for colleges and is very reliable. The main reason why I chose Janet because it provides the following resources shown below: * Has Windows Server 2003 and Linus Hosting * Has a web space to upload the website content using FTP and Microsoft FrontPage * Has 5GB storage space per hosted domain with an option to purchase additional web space if required * Has a daily backups of user data and a simple process for recovering backup data * Provides technical reports on the hosted domain Web space, back up ,security, FTP accessibility, fast connection , scripting and technical support services are all included in the features of the JANET. ii. Dream weaver Dream weaver is the market leader and automates or semi-automates almost every command, action and behaviour most web designer would want to use. Specific scripting can be added to web pages to perform certain actions or behaviours such as hit counters (these are often server side and require scripts that particular servers understand). Colours used have to be web safe and are built into most programs. Images have to be rgb/jpg or indexed/gif. Videos can be of various formats but tend to be mpg, wmv, avi and may require specific codecs to be read properly by individual pcs. Animations are generally created by using animated gifs or created in Flash though some can be purely created using type such as scrolling marquees). Audio files are generally wav, wma, mpg or ram but again there are many other formats which may be used and may need specific codecs. File management of web sites must be organised properly or they will not work efficiently. Dream weaver allows uploading to remote si te (server) via the software but most programs do not allow this so a separate ftp program is generally needed. Therefore I chose to use dream weaver because web authoring can be done by any text based program but specialist software programs have been developed to dispense with the extremely tedious method of writing html code. iii. Copyright Security Issues Copyright and security issues should be observed so that the college wouldnt suffer from any complaints. All images should be authorised by the college board to avoid these issues. iv. System Framework The initial site is designed according to the way the pages will be linked and the pages which will be available. Site is another name for the system framework. v. Constraints I would need a n FTP address in order to upload the site which is sometime difficult to get hold off due to security reasons. The budget for the budget is 10000 and should be up and running by summer.

Shakespeare Moot Court Project Essays -- William Shakespeare

Shakespeare in My Canada Desmond Manderson and Paul Yachnin created the Shakespeare Moot Court Project in 2002, aimed at exploring the interpretative nature of law and literature in relation to Shakespeare. In this court, Shakespeare is law; his plays and sonnets form a body of law used to argue cases of various topics. In 2003-2004, the project took on the issue of same-sex marriage in â€Å"Love on Trial: Same Sex Marriage and the Law of Shakespeare.† Halpern v. Attorney General of Canada, a case from 2002 that challenged the heterosexual definition of marriage in Ontario, was the starting point of the project. The legality of same-sex marriage according to Shakespeare was considered in relation to the meaning of the institution and the necessity of heterosexuality within it (Manderson 479). The case was initially decided in favor of same-sex marriage, and later was appealed and heard for a final time on 27 September 2004 at McGill University to a packed audience, an event which is the subject of this paper. While â€Å"Love on Trial† is an exercise in the connections between law, literature, and the social function of Shakespeare, it also performs a cultural function in its connection to a contemporary Canadian social issue. The blending of Canadian concerns regarding same-sex marriage and the authority of Shakespeare are joined in this project to create a forum to discuss the national issue in a literary context. The arguments for both sides of the appeal were previously published in the McGill Law Journal and are thus referred to here. Desmond Manderson’s first argument for the legality of same-sex marriage is the â€Å"Armenian argument†: both same-sex marriages and marriages between Armenians do not occur in Shakespe... ... issue that was nonexistent in the sixteenth and seventeenth centuries. Though the trial is interested in looking at law, literature, and the interpretations of both through Shakespeare, in this case it becomes a forum to discuss a particularly Canadian issue. Thus Manderson’s and Yachnin’s adaptations of Shakespeare are related to issues of the nation. This tie between Shakespeare and Canada has been present throughout the history of the country, and â€Å"Love on Trial† suggests the continuing importance of Shakespeare in Canada. 6 Works Cited: Fischlin, Daniel and Mark Fortier. â€Å"General Introduction.† Adaptations of Shakespeare. Fischlin, Daniel and Mark Fortier, eds. London: Routledge, 2000: 1-22. Manderson, Desmond and Paul Yachnin. â€Å"Love on Trial: Nature, Law, and Same-Sex Marriage in the Court of Shakespeare.† McGill Law Journal. 49.3 (2004): 475-514.

Physiology

You recorded the data in Chart 1 on page 35. E the data to produce a Graph that will clearly show how the effects Ion the resting membrane potential when the KEF concentration of Is high and when the KEF concentration of An+ is low. Hint: take in consideration that independent variable is not a numeric but a category. (4 points) The following questions will require you to do some Web search. 2. Loading Is a commonly used anesthetic. What is the molecular composition of Loading. (type of macromolecule and formula) (2 points). 3. List three specific usages of loading (1 points each = 3 points) 1. 3. 4.Provide the name of two vendors of loading and four (4) brand names for this anesthetic (1 points each) Vendors Brand Names 1 OFF 5. Explain the precise mechanism behind Loading effect on action potential in nerves. Indicate to what type of integral proteins Loading binds to, the effect on such proteins and what will be the effect on the generation of an action potential and on the transm ission of the action potential. (4 points) 6. Loading is commonly administrated topically to anesthetize the nerve endings in the dermis that are activated by noxious stimulus resulting in the nerve conduction f impulses that are perceived as â€Å"pain†.Draw a figure of the transverse section of the Shinto show the layers of the epidermis and structures of the dermis (do not forget to include the nerve endings). Use the Diagram to indicate all the layers of cells the Loading has to go through to reach the nerve endings. (Figures copied and pasted form the internet will not be accepted, you have to draw your own version of a figure) (5 points). 7. What cell membrane transport do you suspect moves Loading from the surface of the epidermis all the way down the nerve endings. (1 point)

Hard Rock Cafe Om Case Essay - 654 Words

INTRODUCTION TO OPERATION MANAGEMENT PG1 INTRODUCTION TO OPERATION MANAGEMENT: Identify how each of the 10 decisions of operations management is applied at Hard Rock Cafà ©. TOURO UNIVERSITY INTERNATIONAL GEORGE L. HALL MODULE I CASE ASSIGNMENT OPM 300 INTRODUCTION TO OPERATION MANAGEMENT DR. ROGER B. RENSVOLD DR. GARY HANNEY 18 AUGUST 2008 Identify how each of the 10 decisions of operations management is applied at Hard Rock Cafà ©. Hard Rock Cafà © has had a very high brand recognition percentage throughout the world because of its operations management. In this paper I will try and discuss the 10 decisions Hard Rock Cafà © has gotten right in making it one of the most†¦show more content†¦Of course this is subject to change due to seasonal demand of tourists as well as the process and capacity design of each individual restaurant. Hard Rock Cafà © is always undergoing changes to accommodate its environment. They are now focusing on live music inside of restaurants; which means they will change every once or son often to accommodate the music industry’s hot artists. The location of the Hard Rock Cafà ©s around the world is astounding. I myself was in Mombassa, Kenya in 1993 and visited a Hard Rock Cafà © and had a wonderful time. They are always new location based off of the trends of rock n roll. Some may think that rock n roll needs the Hard Rock cafà © just as much as it needs them. They have just recently opened one up in Beijing China on June 6, 2008 according to its website. Combined Each Hard Rock Cafà © is unique and has no back room or little stock room to speak of; so they have to turn their product quickly. Getting the perishable items to each cafà © isn’t what’s challenging. The challenge is keeping enough collectible souvenirs in stock to accommodate its customers. This has been a challenging task for the organization and in 2004 they outsourced their distribution and replenishment of collectible items to USCO Logistics. In summary Hard Rock Cafà © has done a tremendous job of managing its company as well as defining each of the 10 critical decisions necessary to achieve its goals. Reference:Show MoreRelatedHard Rock Cafe Case study1814 Words   |  8 PagesCASE: HARD ROCK CAFÉ MGT 215 OPERATIONS MANAGEMENT OBJECTIVES AND SCOPE The activity provides different objectives; one of the main objectives is to be able to work within a group. This may seem like something easy, but different complications may also arise along the road. That is why it was very important for us to choose the right groupmates to ensure efficient results. But the more specific objective of the activity is to learn what it takesRead MoreOperation Management Essay847 Words   |  4 PagesChapter 1 Operations and productivity 1. Why should one study operations management? 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Some of the operations-related activities of Hard Rock Cafà © include designing meals and analyzing them for ingredient cost and labor requirements. True (Global company profile, easy) 2. The production process at Hard Rock Cafà © is limited to meal preparation and serving customers. False (Global company profile, easy) 3. All organizations, including service firms such as banks and hospitals, have a production function. True (What is operationsRead MoreFeasibility Study for a Beach Resort16987 Words   |  68 Pageswith one of the world’s most beautiful natural harbors. Known as the Pearl of Mindoro, it is world-famous for splendid beaches, coral reefs, and exquisite dive sites for new and experienced divers alike. There are shallow coral gardens, interesting rock formations, and colorful species to watch, like crabs, shrimps, sea anemones, moray, and trumpet fishes. Oriental Mindoro is composed of 15 municipalities, with Calapan City as the capital of the province. The municipalities are Baco, Bansud, BongabongRead MoreAutobilography of Zlatan Ibrahimovic116934 Words   |  468 Pagessometimes we d tag along, emptying trashcans and stuff like that and got some pocket money. But sometimes mom lost it. She d hit us with wooden spoons, and sometimes they broke, so I had to go buy a new one, like if it was my fault she d hit me that hard. I remember one day in particular. I had thrown a brick at kindergarten that somehow bounced and broke a window. Mom freaked out when she heard about it. Everything that cost money freaked her out, and she hit me with spoon. Bang, boom! It hurt andRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagesvi BRIEF CONTENTS 4 The Organization System 16 Organizational Culture 511 17 Human Resource Policies and Practices 543 18 Organizational Change and Stress Management 577 Appendix A Research in Organizational Behavior Comprehensive Cases Indexes Glindex 637 663 616 623 Contents Preface xxii 1 1 Introduction What Is Organizational Behavior? 3 The Importance of Interpersonal Skills 4 What Managers Do 5 Management Functions 6 †¢ Management Roles 6 †¢ Management