Top Medical Achievement In History - Free Essay Example

Sample details Pages: 3 Words: 977 Downloads: 2 Date added: 2019/08/07 Category Medicine Essay Level High school Tags: Vaccines Essay Did you like this example? Vaccines are considered one of the top medical achievements in history. Since 1796, when the first successful vaccine was developed against smallpox, the science field has grown to generate more successful vaccines. These vaccines have allowed common diseases from centuries ago to be eliminated. Don’t waste time! Our writers will create an original "Top Medical Achievement In History" essay for you Create order From the start of vaccines, many lives have been saved from many life-threatening diseases. Although there are many positives about vaccines, many parents still question the importance of their children being immunized. The reasons why many parents do not want their children immunized vary from religious beliefs, misconceptions they have heard about vaccines, or simply a lack of understanding about what vaccines do. The purpose of vaccines is to create a safe environment for our children and ourselves. Therefore, immunization should be required for all children because of the herd effect, which protects the community, and because vaccines are safe and efficient.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The first reason why children should be immunized is to protect themselves and their community. Herd immunity is the resistance to spread of a contagious disease within a population if sufficiently high proportion of individuals is immune to the disease, especially through vaccination(Oxford English Dictionary definition). The large community group that is vaccinated can provide protection to those individuals who cannot be vaccinated or develop immunity. As a community, we can allow those who rely on herd immunity instead of their own immunity to stop the disease from attacking them.   Statistics have shown the drop of diseases since the development of vaccines. According to a research scientist Emily Willingham After the chickenpox vaccine debuted in the United States in 1995, death rates dropped by as much as 97%. In the U.S., no infants got vaccinated because its not administered to them due to age, but even then, no infants died in 2004 and 2007. The herd effect protected these children from becoming sick. How this worked was, the large portion of the population in the United States was immunized; this prevented the disease from spreading and contaging the unimmunized population. Not only does the herd effect benefit the small or large communities, but it can eventually lead to the decrease of spreading a disease nationally. If herd immunity has been established and maintained in a population for sufficient time, the disease is inevitably eliminated (Wikipedia, Eradication of Diseases). The positives of this effect are very high and provide the safety that we w ant for our children. The second reason why children should be immunized is because the vaccines that are being administered are safe and efficient. Before a vaccine is out to the public, scientists/chemists and administration run many tests to approve the safety of the vaccines. Developing a new vaccine is done through several years, beginning with six developing cycles, with one cycle having three phases. The next step after the development of a vaccine, is the approval from six different FDAs (CDC, Vaccine Testing and the Approval Process). As we can see, the process of developing and approving vaccines is a very long and efficient process in order to ensure the safety of the vaccines to the public. Even after approving and having the vaccines in public, the Vaccine Adverse Event Reporting System tracks any side effects and analyzes the information to maintain the vaccines safety (VAERS). Many statistics have shown that immunization has been one of the most successful medical breakthroughs achieved (Ben Balding, Mandatory Vaccination). The efficiency that the CDC has statistically seen from vaccines gets very high every year. Vaccine efficiency is the percent reduction in disease incidence in a vaccinated group compared to an unvaccinated group under optimal conditions (Defined by RCT/Wikipedia). According to a study done through Pediatric Academic Society Vaccines prevent an estimate of 2.5 million deaths per year and have prevented an estimate of 10.5 million cases of diseases since 2004. Many of the cases where people have died from diseases have been from those who were unvaccinated. This information comes to show that vaccines are very efficient and effective. Some people claim that vaccines contain many chemicals that poison the body. Although part of this statement is true, many of the chemicals do not poison the body. Many vaccines before the 2000s did indeed have chemical compounds such as aluminium, thimerosal, formaldehyde, etc (Vaccine Ingredients, The Truth). These chemicals, according to the CDC, have been either eliminated or the dosage in each vaccine was changed. Furthermore, the amount of chemicals in vaccines is such a small amount that the body is able to run it through the blood almost instantly, and no harm will be caused. Most of the chemicals in vaccines are present in our daily intake of food, and are also already in our bodies for the use of our metabolism. The most damage these chemicals have caused is skin irritation or fevers. (Vaccine ingredients, Vaccine Knowledge) Another argument against vaccines is because of certain religious beliefs, the government shouldnt make vaccines mandatory. Although many people are involved in some sort of faith, it is important to set a standard when it comes to health. The CDC has proven that those with religious beliefs that practice anti-vaccination are most of the percentage of people getting diseases. Most of the time, the community with the same beliefs can cause large outbreaks and can affect the rest of the nation. They can affect others when traveling or entering a school with no vaccinations. No religious belief should have to imperil the health of their own children and those of others.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In conclusion, the health of society doesnt only involve one individual, but it involves an entire community. To continue having the United States be a preventable-disease-free nation, we need to continue to immunize ourselves and our children. Vaccines will help protect others from diseases through the herd immunity, and they will continue to be safe and efficient as long as we continue to use them.

Web-Based Construction Essay - 1046 Words

Web-Based Construction While most professions have been quick to embrace the information age, the construction industry has fallen behind in using new technology. However, web-based systems, designed specifically with public works professionals in mind, are emerging to help improve project management and overall efficiency. Time is among the precious commodities on construction sites. Rarely is there enough time to complete all facets of a project on deadline. Under constant pressure to complete projects on time and on (or even under) budget, construction managers also face difficulties communicating with all of their contractors, subcontractors and managers. Technology can aid the process by†¦show more content†¦Web-enabled project management solutions are becoming more obsolete as software vendors dedicate more of their resources to developing web-based software applications. Web-based applications provide a platform for better project communication and collaboration without being tied to a specific network or software application. A standard web browser (ie. Internet Explorer) is the interface for project information. These applications provide instantaneous communication, collaboration, and secure access for project participants. Buzzsaw, Constructw@re, and e-Builder are just some examples of web-based systems available today. Each application develops their own set of standards and procedures for managing project documents. The alternative to buying a web-based project management application is to hire a web developer to create a customized management system for your organization. A customized system can be tailored to follow pre-existing organizational structure and procedures, collecting specific data for company reports and forms. 3. Use of web in construction industry From the numerous Web-based construction project management applications the most commonly used are: On-line Design StudiosShow MoreRelatedEssay on Annotated Bibliography691 Words   |  3 Pages Kozub, R. M. (2010). An ANOVA Analysis Of The Relationships Between Business Students’ Learning Styles And Effectiveness of Web Based Instruction. Based upon the journalist research of web based learning environment and different learning styles; it seems that web based learning environment is an excellent medium for enhancing learning, due to its ability to adjust to individual student learning styles and preferences. The article investigatesRead MoreConstruction Education Essay685 Words   |  3 PagesIn the construction domain, the semantic web has been used in the field of construction education, supply chain, project and construction management, material storage, project design, architecture and graphic designs, etc. In the field of construction education, repositories have been developed in managing objects as well as metadata using ontologies that offers a set of services such as storing, retrieving and searching of learning objects using semantic web technologies(Ahmed et al. 2007; PathmeswaranRead MoreApplication Software Products Do Not Control How The System Works935 Words   |  4 Pagesproducts do not control how the system works. They are designed to provide a service or a function to satisfy common and specific needs across industries. 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Gump and Co. Chapter 6 Free Essays

Chapter 6 First thing Colonel North says to me when we out of earshot of Dan is â€Å"Your clothes are awful; we gotta get you cleaned up.† An so he took me over to some army fort an tole them to fit me with a brand-new private’s uniform, an then he took me to where I could get a bath an to a barbershop for a haircut an a shave. When we was through, I was spic-an-span an feelin like I was back in the army or somethin – which was weird. We will write a custom essay sample on Gump and Co. Chapter 6 or any similar topic only for you Order Now â€Å"Well, Gump, that is an improvement if I do say so,† the colonel says. â€Å"Now, look here, I want your ass spit-an-polish from now on in. If it’s necessary, I want you to even spit-shine your asshole – you got that?† â€Å"Right, Colonel,† I say. â€Å"And now,† he says, â€Å"I am gonna confer on you the title of ‘special assistant for covert operations.’ But you ain’t to tell anybody anything about any of this – no matter what. Right?† â€Å"Right, Colonel,† I says. â€Å"Listen, Gump,† says Colonel North when we get inside the White House, â€Å"we are going to see the President of the United States, so I want you to be on your best behavior – you got that straight?† â€Å"I already seen him,† I says. â€Å"When? On TV or something?† â€Å"Right here – about eight or ten years ago.† â€Å"Yeah, well, they got a new president now. You ain’t met this one yet – An he don’t hear too good, either, so you got to speak up if he says something to you. An for that matter,† Colonel North adds, â€Å"he don’t listen too well, either.† We gone on into the little round room where the President was, an sure enough, it was not neither of the ole presidents I had met, but a new one this time. He was a older, kindly gentleman with little rosy cheeks an look like he might of been a cowboy at some point, or maybe a movie actor. â€Å"Well, Mr. Gump, I am proud to make your acquaintance,† the President says. â€Å"Colonel North, here, tells me you won the Congressional Medal of Honor.† â€Å"Yessir,† I says. â€Å"And what did you do to get it?† â€Å"I runned.† â€Å"Beg your pardon?† says the President. â€Å"He said he ran, sir,† Colonel North interrupted, â€Å"but he didn’t tell you he ran carryin five or six of his wounded buddies out of the line of fire.† â€Å"Well, Colonel, there you go again,† say the President, â€Å"putting words in people’s mouths.† â€Å"Sorry, sir,† says the colonel. â€Å"I was just trying to clarify matters. Put them in a proper perspective.† â€Å"You leave that to me,† the President say. â€Å"That is my job, not yours – By the way, Colonel North, have we met before?† Anyway, we finally got on down to bidness. In a corner of the room is a TV set, an the President, he has been watchin Concentration. â€Å"Why don’t you turn that shit off, Colonel,† the President says. â€Å"It confuses me.† â€Å"Right, sir,† says the colonel. â€Å"Personally, I prefer The Price Is Right, myself.† â€Å"Last time I was here,† I says, tryin to get in the conversation, â€Å"the President, he sometimes watched To Tell the Truth. But that was a long time ago.† â€Å"I ain’t too fond of that one,† Colonel North says. â€Å"Listen,† says the President, â€Å"we ain’t got time to screw around talkin about TV shows. Just what you got on your mind, Ollie?† â€Å"That sombitch the Ayatolja of Iran,† he says. â€Å"We is fixin to make a fool of him an get back our hostages, too, and while we are at it, we gonna do in them communist jackoffs in Central America, as well. It is the scheme of a lifetime, Mr. President!† â€Å"Yeah? How you gonna do all that, Ollie?† â€Å"Well,† say the colonel, â€Å"all it takes is a little tact and diplomacy – Now, here is my plan†¦Ã¢â‚¬  For the next few hours the colonel he explainin his scheme to the President. Once or twice the President dozed off, an the colonel had to stop an wake him up by ticklin his nose with a feather he kept in his uniform pocket for that purpose. I did not foller much of Colonel North’s stuff, account of everthin seemed to depend on everthin else an they was a bunch of names thowed out that was just about unpronounceable. When he was finished, I didn’t understand any more about what we is sposed to do than when he started, but I figgered the President did. â€Å"Yeah, Ollie, that all sounds pretty good to me, whatever it was, but let me ask you this: What is the Ayatolja of Iran got to do with it?† the President says. â€Å"Huh?† say the colonel. â€Å"Why, the Ayatolja is the plan! Don’t you see – arms for hostages! An then we use the money they pay us to finance the gorillas fighting in Nicaragua! It couldn’t be neater, Mr. President!† Me, I was wonderin why the gorillas in Nicaragua was fightin, an it reminded me of ole Sue. Poor ole Sue. â€Å"Well,† says the President, â€Å"it all sounds kinda fishy to me – but if you say so, Ollie – But just remember – no arms for hostages, per se – you know what I mean?† â€Å"It will make you a great national hero, sir,† the colonel says. â€Å"One other thing I don’t understand,† says the President, â€Å"is what is Mr. Gump’s role in all this?† â€Å"Well, Mr. President,† the colonel answers, â€Å"I believe that the two greatest enemies of all Americans are ignorance and apathy, and Private Gump is living proof that these can be overcome. He will be a great asset to us.† The President looked kinda puzzled an turned to me. â€Å"What’d he say? Somethin about ignorance and apathy, wadn’t it?† â€Å"I don’t know, an I don’t give a shit,† I says. At this, the President scratch his head an get up an turns on the TV set again. â€Å"Whatever you want to do, Ollie,† he says, â€Å"but now I got to watch Let’s Make a Deal.† â€Å"Yes, that’s a fine show, Mr. President.† â€Å"The one I really liked was Queen For a Day, but it don’t come on no more,† the President says, lookin kinda sad. â€Å"You just leave it to me and Private Gump, here, Mr. President. I assure you, we will reflect great credit on you and this office.† But the President, he seem like he ain’t really listenin. He is watchin Let’s Make a Deal. Anyhow, after all that I gone on back to Lafayette Park with Colonel North an am wonderin what to do about Lieutenant Dan an Wanda, account of I can’t leave em there alone. The colonel, he has figgered out a plan for Dan, say he is gonna have him committed to Walter Reed Hospital for â€Å"observation,† an ain’t no time goes by but what a big ambulance pulls up an hauls Lieutenant Dan off. Wanda, Colonel North says, is gonna have a temporary home at the â€Å"National Zoo.† â€Å"She will be ‘exhibit B,’ † he says, â€Å"in case we get arrested.† â€Å"Arrested for what?† I ast. â€Å"Well, Gump, you never know,† the colonel says. Meantime, I tole the colonel I gotta go see little Forrest afore we go flyin off all over the world, an he says I can use â€Å"Air Force One† to do it, account of the President, he says, â€Å"that sombitch ain’t goin nowhere today anyhow.† Comin into Mobile on Air Force One is not like arrivin on a regular plane. They have got a brass band to welcome me an a limousine to drive me around, an when I get to Mrs. Curran’s house, they is a lot of people hangin around in the yard. Mrs. Curran come out to greet me, but I can see little Forrest standin behind the screen door, kinda like he don’t want to see me. When I gone inside, I found out this was true. â€Å"I told you, you had to check the pressure valve at least twice a day, din’t I?† was the first thing he said. â€Å"Yup,† I says. â€Å"An you shore was right.† â€Å"Yeah, I know, cause you ruined everything. We could of been millionaires. And now we’re broke, I suppose.† â€Å"That’s about the size of it, son.† â€Å"Don’t call me son. Never. I ain’t your son.† â€Å"I just meant it like†¦Ã¢â‚¬  â€Å"I don’t care what you meant. It was the easiest thing in the world to just check that valve. And now look what’s happened.† â€Å"Little Forrest, I am sorry about it, but I can’t do nothin to fix it now. What’s over is over, an I gotta get on with other stuff.† â€Å"Like what – goin into the army or something? How come you wearing that uniform?† â€Å"Well, I reckon I sort of am. I mean, I was in the army once afore, you know.† â€Å"So you told me.† â€Å"An I gotta do one more thing for Colonel North. Cause he ast me to, an, well, I just gotta do it.† â€Å"Yeah, I spose you do – cause you screwed up everything else.† He turned around an I seen him ball up his fist an put it up like he was wipin his eye. It was a very painful thing to see, feelin to mysef like he was ashamed of me. I reckon he had a right to be, though, on account of I have messed up good this time. â€Å"What about Wanda?† he ast. â€Å"I spose you have sold her to the butchers.† â€Å"That ain’t so. She is at the National Zoo in Washington, D.C.† â€Å"So she’s just gonna be there for everybody to make fun of, huh?† â€Å"Nah, it ain’t like that. The colonel is gonna get her special treatment.† â€Å"Huh,† he says. â€Å"I bet.† Anyhow, that was the way it went. To say the least, little Forrest was not pleased to see me, an I was feelin pretty low when I left. The one thing that give me a little encouragement was just before I walked out the door. â€Å"By the way, what was it like when the shit pit blew out?† he ast. â€Å"Well,† I says, â€Å"it was a sight.† â€Å"Yeah,† he says. â€Å"I bet.† An I thought I might have seen a little smile on his face just then, but I ain’t sure. An so we gone on over to Iran. It was a big city with a lot of bulblike things on top of the buildins, look like upside-down turnips, an them fellers was all dressed in black robes an wearin hats look like a overturn basket on they heads an tryin to look fierce an everthin. Fiercest lookin of them all was the Ayatolja. He be glarin an scowlin, an is not exactly the most pleasant-lookin feller I would want to meet. Colonel North whispers to me, â€Å"Just remember, Gump, ‘tact and diplomacy.’ It’s all that matters!† Then he done stick out his hand an try to shake it with the Ayatolja, but the Ayatolja, he just set with his arms crossed an scowl at the colonel an don’t say nothin. Colonel North look at me an say, â€Å"This sombitch is weird, man. I mean, everbody I ever met was willin to shake hands – you know what I’m sayin?† Standin behin the Ayatolja was two guys in baggy-lookin diapers, have big swords in they belts, an one of em say, â€Å"Don’t you never call the Ayatolja a ‘sombitch.’ He might figger out what it means an then we gotta chop off your heads.† In this, I figger he is correct. Anyhow, I am tryin to break the ice, so to speak, so I ast the Ayatolja how come he is always so fierce an mad-lookin an scowlin all the time? â€Å"It is because,† he say, â€Å"that for thirty years I have been tryin to become president of the World Council of Churches, an them heathen assholes won’t even let me in! Who is more religious than the Ayatolja, anyhow?† â€Å"Why you let that worry you?† I ast, an he says back, â€Å"On account of I am a dignified feller, an don’t take no shit off nobody, an who is these turds that will not let me in the World Council of Churches? I am the Ayatolja of Iran, after all. I am a big cheese, you dummy.† â€Å"Now, wait a minute,† say Colonel North. â€Å"My man Forrest, here, might not be the brightest feller around, but you oughtn’t be callin him names.† â€Å"The Ayatolja does whatever he wants – You don’t like it, kiss my ass.† â€Å"Yeah, well, I am a marine colonel and I don’t kiss asses.† At this, the Ayatolja commenced slappin his thighs an bust out laughin. â€Å"Very good, Colonel, very good. I think we can do some bidness here.† Anyhow, Colonel North done start explainin his deal to the Ayatolja. â€Å"Look here,† he says, â€Å"some of your fellers over in Lebanon done took a bunch of our people for hostages, and it is causin considerable embarrassment to the President of our United States.† â€Å"Oh, yeah,† the Ayatolja says. â€Å"So why don’t you just go over there and get em out?† â€Å"It ain’t that easy,† the colonel says. The Ayatolja begun to chuckle. â€Å"Really. Tell me about it. I know somethin about hostage takin mysef, you know. Look what happened when that other numbnuts president of yours came over here an tried to screw with our hostage-takin enterprise. What was his name†¦?† â€Å"It don’t matter, he ain’t there anymore,† say the colonel. â€Å"Yeah, I know all about that, too!† The Ayatolja begun to laugh again, an slap his thighs. â€Å"Well, that may be true,† the colonel says, â€Å"but look here, we gotta get down to bidness. Time is money, you know?† â€Å"What is time to the Ayatolja?† he say, holdin his palms up in the air, an just about then, one of them fellers with the baggy underpants an the swords beat twice on a huge gong, sort of like the one Mrs. Hopewell, from the CokeCola scheme, had in her rubdown room. â€Å"Ah, speakin of time,† announces the Ayatolja, â€Å"we are about ready for lunch. You boys had anythin to eat yet?† â€Å"No, sir,† I piped up, an Colonel North, he gave me a dirty look. â€Å"Well, then,† the Ayatolja shouts, â€Å"let the feast begin!† At this, about a hundrit A-rabs come runnin into the room carryin trays an platters of all kinds of shit, an it is the most mysterious-lookin food I have ever seen. They is big heaps of what appear to be salami wrapped in cabbage an hams an olives an fruits an maybe cottage cheese or somethin – an I don’t know what-all else. They laid it all down in front of us on a big Persian rug an stood back with they arms folded across they chests. â€Å"Well, Mr. Gump, and what would you like to eat?† says the Ayatolja. â€Å"Maybe a ham sambwich,† I answered. â€Å"Father of God!† screams the Ayatolja. â€Å"Don’t say them kinds of things in here! We people ain’t ate no nasty ham in three thousand years!† He begun wavin his hands an scowlin again. Colonel North be givin me the real evil eye now, an from the corner of my own eye, I seen them fellers in the baggy diapers have begun drawin they swords. I figger I have said somethin wrong, so I says, â€Å"Well, how about a few of them olives or somethin.† A feller begun collectin a plate of olives for me, an I am thinkin that this is okay, too, account of I reckon I ate enough ham back at the pig farm to last me a lifetime. Anyhow, when the food was served to Colonel North, he begun eatin it with his fingers an oohin an ahin about how good it was, an I picked up a olive or two an put em in my mouth. The Ayatolja took out a fork an started eatin his lunch with it, an kinda raised his eyebrows at the colonel an me. When we was finished, the A-rabs took the plates away, an the colonel tried to get down to bidness again. â€Å"Listen,† he says, â€Å"we got enough missiles we can lay our hands on to blow up half of Christendom. Now, you want some of these, you gotta promise to make them crackpots over in Lebanon let our fellers go free. Is that a deal?† â€Å"The Ayatolja don’t make deals with the Great Satan,† he says. â€Å"That so?† the colonel answers. â€Å"Well, why don’t you make your own missiles then?† â€Å"We ain’t got time to,† say the Ayatolja. â€Å"We are too busy with our prayers.† â€Å"Oh, yeah.† The colonel snickers. â€Å"Then why don’t you pray yourself up some missiles, then?† The scowl on the Ayatolja’s face become darker an darker, an I could see that the colonel’s tact an diplomacy was fixin to get us into a lot of hot water. An so I tried to lighten the tension with a little joke. â€Å"Scuse me, Mr. Ayatolja,† I says. â€Å"Have you heard the one about the drunk caught drivin down a one-way street?† â€Å"Nope.† â€Å"Well, the policeman says to him, ‘Say, din’t you see them arrows?’ An the drunk says, ‘Arrows? I din’t even see the Indians!’ â€Å" â€Å"For Chrissakes, Gump†¦Ã¢â‚¬  the colonel hisses, but just then the Ayatolja busts out in a big laugh an begun slappin his thighs an stampin his feet. â€Å"Why, Mr. Gump, you do have a sense of humor, don’t you? Why don’t you an me take a little walk in my garden?† So that’s what we did. I looked back over my shoulder as we was goin out the door, an Colonel North was just standin there with his jaw hangin down past his chin. â€Å"Look here, Mr. Gump,† the Ayatolja says when we get outside, â€Å"I don’t like this Colonel North of yours. His diplomacy is too slick, and my impression is that he is tryin to put a fast one over on me.† â€Å"Oh, I don’t know about that,† I says. â€Å"He seems to me like a truthful feller.† â€Å"Well, be that as it may, I ain’t got all day to listen to his bullshit. It’s about time for me to go pray again. So tell me, what do you think of all this arms for hostages stuff?† â€Å"I don’t know much about it. I mean, if it’s a fair trade, I guess it’s okay. The President seemed to think it was. But, like I say, it ain’t exactly in my sphere of influence.† â€Å"Just what is your sphere of influence, Mr. Gump?† â€Å"Well, I was a pig farmer, before all this.† â€Å"Father of God,† the Ayatolja mutters, claspin his hands an rollin his eyes up toward heaven. â€Å"Allah has sent me a swine merchant.† â€Å"But basically,† I added, â€Å"I guess I am a military man.† â€Å"Ah, that is a little better I suppose. So, from that standpoint, how do you think these missiles will help the poor ole Ayatolja in his war against the infidels in Iraq?† â€Å"Damn if I know.† â€Å"Ah – that’s the kind of answer the Ayatolja likes to hear. Not this slick car salesman crap of your Colonel North. You go back and tell your people we got a deal. Arms for hostages.† â€Å"You gonna get our hostages out, then?† â€Å"I can’t promise it, of course. Those fellers in Lebanon are a bunch of maniacs. All the Ayatolja can do is try – You just make sure them missiles get here on the double.† So that’s how it was. Colonel North, when he got through chewin me out for hornin in on his diplomacy, he was happy as a pig in sunshine, so to speak. â€Å"Great God, Gump,† he says on the flight home, â€Å"this is the deal of a lifetime! We have finally tricked that old moron into givin us back our hostages for some old beat-up missiles that an army of Norwegians wouldn’t know what to do with. What a lovely coup!† All the way till we landed, the colonel be pattin hissef on the back for his brilliance. Me, I figger I might have found some kind of career in this bidness, so’s I can send some money home for little Forrest. As it turned out, that was not the way it worked. We ain’t back in Washington but a while when all hell breaks loose. But meantime, I tried to get my affairs straight. First, I gone on up to Walter Reed Hospital, and, sure enough, just like Colonel North said, there is ole Lieutenant Dan, lyin up in a hospital bed. And he was lookin one hell of a lot better than when I seen him last. â€Å"Where’ve you been, you big asshole?† Dan ast. â€Å"I have been on a top secret mission,† I says. â€Å"Yeah? Where to?† â€Å"To Iran.† â€Å"What for?† â€Å"To see the Ayatolja.† â€Å"What’d you go to see that sombitch for?† â€Å"We was there to make a deal for arms for hostages.† â€Å"That so?† â€Å"Yup.† â€Å"What kind of arms?† â€Å"Bunch of ole rusty missiles.† â€Å"What kind of hostages?† â€Å"Them over in Lebanon.† â€Å"Deal go through?† â€Å"Sort of.† â€Å"What you mean, sort of?† â€Å"Well, we give the Ayatolja his missiles.† â€Å"You get back the hostages?† â€Å"Not yet.† â€Å"Yeah, an you never will, you dumb cluck! Not only have you just revealed to me, a civilian, all this top secret bullshit – which is a firin-squad offense – but it sounds like you have been had again! Forrest, you are a shit-for-brains for sure.† Well, after exchangin our pleasantries, I took ole Dan in his wheelchair down to the cafeteria to get some ice cream. Since they don’t serve oysters on the half shell at the hospital, ice cream has become Dan’s favorite food. He says that aside from raw oysters, ice cream is sort of easy on his teeth. Anyhow, it kind of made me remember when I was a little kid settin out on Mama’s back porch, churnin away on Saturday afternoons, makin our own ice cream, an Mama would always let me lick the paddles when the ice cream was good an soft an cold. â€Å"What you reckon is gonna happen to us, Dan?† â€Å"What the hell kind of question is that?† â€Å"I dunno. It just sort of come to me.† â€Å"Hell it did – You been thinking again – which is not exactly your specialty.† â€Å"Yeah, sort of, I guess. I mean, seems like everthin I touch turns to shit. I can’t keep no job more than a while, an even when it’s goin okay, I screw up. An I am always missin my mama an Jenny an Bubba an everbody. An now there is little Forrest to look after. Listen, I know I am not the smartest feller around, but people half the time be treatin me like some kinda freak. Seems like the only way I’m gettin anyplace is when I dream at night. I mean, when’s this shit gonna stop?† â€Å"Probly it won’t,† Dan says. â€Å"That’s just the way it is sometimes. Folks like us, we is just screw-ups, an there’s no getting around it. Me, I ain’t worried what’s gonna happen, cause I know. I ain’t long for this earth, myself, an far as I’m concerned, good riddance.† â€Å"Don’t say that kind of stuff, Dan. You’re about the only friend I got left.† â€Å"I’ll say the truth if I want to. I probly done a lot of wrong shit in my life, but one thing you can’t say is that I don’t tell the truth.† â€Å"Yeah, but that’s not how it is. Nobody can know how long they gonna live.† â€Å"Forrest,† he say, â€Å"you got the mind of a mole.† Anyway, this will sort of give you an idea of Dan’s frame of mind. Me, I was feelin pretty low mysef. I had begun to realize that Colonel North an me has been bamboozled by the Ayatolja, who has now got his missiles, an we ain’t seen no hostages returned. Colonel North done been busy arrangin for the money we got for the missiles to be sent down to Central America to the gorillas, an he is not feelin nearly as bad about things as me. â€Å"Gump,† he says one mornin, â€Å"I gotta go up to Congress in a day or so to testify to some committee about my activities. Now, they may call you, too, or they may not, but in any case, you don’t know nothin about any deals for arms for hostages, do you?† â€Å"I know somethin about the arms, but I ain’t seen no hostages yet.† â€Å"That’s not what I meant, you big ox! Don’t you realize what we have done is illegal! We could all go to jail! So you better keep your big mouth shut and do what I tell you, you hear?† â€Å"Yes, sir,† I says. Anyhow, I had other shit to worry about, namely, that Colonel North had got me billeted at the marine barracks, an it was not goin too pleasant there. Marines is different from army folks. They is always goin aroun hollerin at everbody an chewin ass an makin you keep everthin clean as a whistle. The one thing it seemed they liked least was havin an army private in their barracks, an frankly, they made my life so miserable that I finally moved out. I didn’t have nowhere to go, so I gone on back to Lafayette Park to see if I could find my crate. Turned out, somebody was usin it, so I went an found me another one. An after I got things fixed up, I got the bus out to the National Zoo to see if I could find ole Wanda. Sure enough, she was there, right next to the seals an the tiger. They had her in a little cage with some straw an shavins on the floor, an she was lookin pretty unhappy. Sign on the cage says Swinus Americanus. When she seen me, she recognized me immediately, an I reached out over the fence an give her a pat on the snout. She give out a big ole grunt, an I felt so sorry for her I didn’t know what to do. If I could of, I’d of busted in that cage an turned her loose. Anyhow, I went on up to the concession stand an bought some popcorn an a Twinkie, an took it back to Wanda’s cage. I almost bought her a hotdog, but thought better of it. I gave her the Twinkie an was feedin her the popcorn, when a voice behin me says: â€Å"An just what do you think you’re doin?† I turn aroun an it is a big ole zoo guard standin there. â€Å"I am givin Wanda some food.† â€Å"Oh, yeah? Well, don’t you see that sign right there, says Do Not Feed the Animals?† â€Å"I bet it wadn’t the animals put that sign there,† I says. â€Å"Oh, a smartass, huh?† he say, an grapped me by the collar. â€Å"Let’s see how funny you are in the lockup.† Well, frankly, I have had enough of this shit. I mean, I am feelin so low I almost got to look up to look down, an everthin is goin wrong, an all I done was try to feed little Forrest’s pig, an this bozo is givin me a hard time, an well, that was it! I grapped him back an lifted him up in the air. Then I spun him aroun a few times, like I remember from my rasslin days with The Professor and The Turd, an then I let him loose. He sailed in the air over a fence, kinda like a Frisbee, an landed right in the middle of the seal pool with a big splash. All the seals done jumped in the water an come rushin up to him an whoppin him with they flippers, an he is hollerin an shoutin an shakin his fist. I walked on out of the zoo an caught the bus back downtown. Sometimes a man has got to do what he has got to do. Sombitch is lucky I didn’t thow his ass in the tiger pit. How to cite Gump and Co. Chapter 6, Essay examples

Finance - Funding and Legislative Frameworks- myassignmenthelp

Question: Discuss about theFinance, Funding and Legislative Frameworks. Answer: SWOT Analysis The SWOT analysis of Axiata Group is shown below: Strengths Weaknesses Large size of the company along with strong employee base (axiata.com 2017) Presence of diversification in different segments Strong Research and Development department Strong goodwill and market reputation (khmertimeskh.com 2017) Low market share in recent years is a area of concern (thestar.com.my 2017) Low margin of profits in many segments in a weakness Opportunities Threats Increase in market penetration in internet usage (mcmc.gov.my 2017) Strong growth in population along with urbanization Strong growth in telecommunication service industry (fiercetelecom.com 2017) Advantage of IPO offering in other countries Rapid change in technology is a major threat. High competition in market (theborneopost.com 2017) Aggressive advertisement Presence of Smartphone war Market Growth Potential As per the above SWOT analysis, strong growth in telecommunication industry and increase in population in Malaysia have been creating growth opportunities for Axiata Group. Axiata Group is covering almost 95% of Malaysian population with their 2G and 3G network. For developing 3500 4G LTE sites, Axiata Group is continue investing in network coverage to boost their growth. In addition, Axiata Group has been investing in niche segments that have string growth potential. For this reason, Axiata Group has adopted the policy of investing in MVNOs in order to tap the niche telecommunication market of Malaysia. Thus, the company has made several partnerships with many other companies in the same industry (axiata.com 2017). Strategic Initiative Over the years, Axiata Group has been taking major strategic initiatives as per the changing business environments. In 2012, Axiata Group adopted the strategy of divesting 91% of their company shares in XL to offer investments to institutional investors. As per their strategic initiative, Axiata Group appointed CFO of Edotco group James Maclaurin. In 2014, Axiata Group completed the acquisition of Axis Telekom Indonesia. In 2015, Axiata Group completed the subscription of 80% stake of Asia Pacific Pte. Ltd. In 2016, Axiata Group completed the acquisition of Ncelll Pvt. Ltd. that is the best mobile operator of Nepal (axiata.com 2017). Identification of Nearest Competitors Two of the major and nearest competitors of Axiata are Maxis Berhard and Digi Telecommunication. Figure 1: Market Share (Source: bmiresearch.com 2017) From the above figure, it can be seen that based on earned revenue, Maxis and Digi provides a tough competition to Axiata. In addition, all of these three companies acquire most proportion of the telecommunication market share. Thus, these two are the nearest competitors of Axiata. Identification of KPIs As per the annual report, Axiata uses four major Key performances Indicators (KPI) to measure the companys financial performance. They are Revenue Growth that indicates the growth in the revenue of the company; EBITDA Growth that indicates the growth in earnings before interest, tax, depreciation and amortization; ROIC that is derived from EBIT less tax over average capital invested; and ROCE that is derived from EBIT less tax over average capital employed (axiata.com 2017). Competitors Analysis As per earlier discussion, two major competitors of Axiata are Maxis and Digi. Maxis is a major telecommunication company in Malaysia that was established in 1993. Maxis acquired almost 41% market share of Malaysian telecommunication industry. In 2014, the company registered 8.2 billion MYR as total revenue and 1.638 billion MYR as net income (maxis.com.my 2017). Digi is another major telecommunication company in Malaysia that established in 1995. Digi has acquired 30% of the market share of Malaysian telecommunication industry. In 2015, Digi registered 6.914 billion MYR as revenue and 1.723 billion MYR as net income (digi.com.my 2017). References axiata.com. (2017).Annual Report 2016. [online] Available at: https://www.axiata.com/media/upload/investors_relations/2016/pdf/Full_Draft_Axiata_Annual_Report_2016.pdf [Accessed 20 Oct. 2017]. Axiata.com. (2017).AXIATA ANNUAL REPORT 2016. [online] Available at: https://www.axiata.com/media/upload/investors_relations/axiata-2016/ar/business-review/celcom.php [Accessed 20 Oct. 2017]. Axiata.com. (2017).Axiata Group One of Asias largest telecommunications groups. [online] Available at: https://www.axiata.com/corporate/past-milestones [Accessed 20 Oct. 2017]. axiata.com. (2017).Group Corporate Structure. [online] Available at: https://www.axiata.com/media/upload/corporate/group_corporate_structure_59e8bb048fe1f.pdf [Accessed 22 Oct. 2017]. BorneoPost Online | Borneo, Malaysia, Sarawak Daily News. (2017).Msian telecommunications industry remains highly competitive. [online] Available at: https://www.theborneopost.com/2012/07/10/msian-telecommunications-industry-remains-highly-competitive/ [Accessed 22 Oct. 2017]. Digi.com.my. (2017).Our Company | Digi - Let's Inspire. [online] Available at: https://www.digi.com.my/aboutus/corporate_overview/information.html [Accessed 20 Oct. 2017]. Fiercetelecom.com. (2017).Malaysian telecom sector sees strong growth | FierceTelecom. [online] Available at: https://www.fiercetelecom.com/telecom/malaysian-telecom-sector-sees-strong-growth [Accessed 22 Oct. 2017]. Khmer Times. (2017).Smart Axiata joins NIPTICT to fund students - Khmer Times. [online] Available at: https://www.khmertimeskh.com/5084941/smart-axiata-joins-niptict-fund-students/ [Accessed 22 Oct. 2017]. Maxis. (2017).About Maxis | Maxis. [online] Available at: https://www.maxis.com.my/en/about-maxis.html [Accessed 20 Oct. 2017]. mcmc.gov.my. (2017).INTERNET USERS SURVEY 2016. [online] Available at: https://www.mcmc.gov.my/skmmgovmy/media/General/pdf/IUS2016.pdf [Accessed 22 Oct. 2017]. store.bmiresearch.com. (2017).Malaysia Telecommunications Report. [online] Available at: https://store.bmiresearch.com/malaysia-telecommunications-report.html [Accessed 20 Oct. 2017]. Thestar.com.my. (2017).Axiata Group's profit sharply lower at RM657mil in FY16 - Business News | The Star Online. [online] Available at: https://www.thestar.com.my/business/business-news/2017/02/23/axiata-group-profit-sharply-lower-at-rm657mil-in-fy16/ [Accessed 22 Oct. 2017].

How to fund a non profit community book festival

Several options are available to fund such a community activity as a book festival organized by a non profit organization. Though massive challenges exist in finding funds especially because of the current economic depression, the organizers of the event can try these methods in order to acquire funds to support the book festival. A commonly used method to solicit for funds which the organizers of the book fair can use to raise funds is to organize special charity events. Advertising We will write a custom research paper sample on How to fund a non profit community book festival specifically for you for only $16.05 $11/page Learn More Through such charitable activities, the donor base for the community book festival will be increased as valuable publicity regarding the affairs of the festival will be highlighted (Berry Arons, 2005). Despite the considerable amount of expenses involved in hosting such charity events, the recognition which the event will attract helps in advertising the event and can help form partnerships from local corporations. Novel fundraising ideas likely to attract massive attention from members of public can help the organizers of the book festival to solicit enough funds to undertake the event. Currently, such novel ideas as selling items on eBay is an effective way in which a lot of funds can be availed to fund the event. EBay which is the largest marketplace auction has a special program known as ‘EBay Giving Works’ in which non profits solicit funds through making direct sales or community selling of the auction items. Through community selling, eBay sellers are encouraged to donate some portion of the auction proceeds to specified non profit projects. Email advertising is another novel method to source for funds. Volunteers as well as anonymous visitors to the organizations’ website can be requested to fund the book festival. Through online forums, the visitors of the website can b e made aware of the community book festival and be requested to donate funds for the activity. Thus, the web portal of the organization should be geared towards fundraising solicitation as well as funding activities (Young, 2007). Through creation of a secure online donation page, guaranteed funds can be obtained. Internet donors as well as well wishers are a powerful and reliable means to pull funds. The federal as well as State governments of USA offer grants to support the missions as well as activities of the Non profits (Berry Arons, 2005). Organizers of the community book festival can get in touch with the relevant authorities and present their proposal for funding. State and federal grants are geared towards financing community development projects as well as social services assistance programs. Acquiring funding through grants is not risky since the funds are intended to offer public service to members of the society. Nevertheless, a lot of research needs be done in order to know the right kind of Government grant to apply for to adequately cater for all the expenses of the community book festival.Advertising Looking for research paper on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Sourcing funds from corporations, federated funds as well as foundations which are philanthropic can an ideal way of getting funds for the community festival (Young, 2007). Genuine presentation of the usage of the funds is vital before the organizations can release the funds. Through selling of different gifts as well as goods, the organizers of the book festival will acquire a substantial amount of funds. Forming business partnerships with people involved in sales can help increase sales. A mutually beneficial relationship will indeed be formed when the sellers give a certain percentage of the proceeds towards the book festival. It is important to make aware to the potential buyers about the partnership so that charitable persons can be motivated to purchase the products since they know some percentage of money will be used to fund a charitable cause. In conclusion, sourcing for funds for a non profit community venture need be an activity that incorporates fun and thrill. The contributions obtained from donors must be used transparently. This will motivate them for any future requests. References Berry, J., Arons, D. (2005). A voice for non profits. Massachusetts: Brookings institution press, 2005. Young, D. (2007). Financing nonprofits: putting theory into practice. New York: Rowman Altamira, 2007. This research paper on How to fund a non profit community book festival was written and submitted by user Zayden Rivera to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Free Essays on FIAT

FIAT The subject of discussion was the design for the new Fiat Tipo, and a critical product aimed at replacing Fiat â€Å"Uno†. Cantarella (the general manager) had expressed doubts about the Tipo B’s design concept. He found the car boxy and uninspiring, and was intrigued by the possibility of changing the direction of the project. In addition, Cantarella was also considering suggesting changes in the project’s organization. Fiats models, which flooded the pre-war Italian market, consolidated Fiat’s focus on small, inexpensive, and efficient automobiles. Professor Vittorio Valletta, who followed Angelli as CEO concentrated on the lower segments of the automobile industry, because he thought it was safe and appropriated strategy. Vittorio combined low cost automobile concepts, lean, simple designs, and substantial investments in advanced production technologies. Giovanni Angelli nephew of senator Angelli replaced Valletta. He strongly felt a need to modernize Fiat and enhance its competitiveness at the international level. For the first time in Fiat’s history, Angelli brought in consultants, who helped with the modernization of Fiat’s managerial systems, including the implementation of major organization changes. Angelli’s renewal of Fiat’s management and production systems was deeply affected by Italy’s rapidly deteriorating political situation. Fiat’s automobile division was separated form its parent company and turned into wholly owned subsidiary, Fiat Auto SpA. The group was active in a variety of industrial sectors, from aerospace to mass merchandising and retailing, and from chemicals to financial services. Vittorio Ghidella, an engineer, was made CEO of the automobile subsidiary. Ghidella aimed to reinforce Fiat’s traditional strategy of producing the â€Å"car for everyone† by developing a sophisticated manufacturing infrastructure and improving the service and dealer network. His goal was t... Free Essays on FIAT Free Essays on FIAT FIAT The subject of discussion was the design for the new Fiat Tipo, and a critical product aimed at replacing Fiat â€Å"Uno†. Cantarella (the general manager) had expressed doubts about the Tipo B’s design concept. He found the car boxy and uninspiring, and was intrigued by the possibility of changing the direction of the project. In addition, Cantarella was also considering suggesting changes in the project’s organization. Fiats models, which flooded the pre-war Italian market, consolidated Fiat’s focus on small, inexpensive, and efficient automobiles. Professor Vittorio Valletta, who followed Angelli as CEO concentrated on the lower segments of the automobile industry, because he thought it was safe and appropriated strategy. Vittorio combined low cost automobile concepts, lean, simple designs, and substantial investments in advanced production technologies. Giovanni Angelli nephew of senator Angelli replaced Valletta. He strongly felt a need to modernize Fiat and enhance its competitiveness at the international level. For the first time in Fiat’s history, Angelli brought in consultants, who helped with the modernization of Fiat’s managerial systems, including the implementation of major organization changes. Angelli’s renewal of Fiat’s management and production systems was deeply affected by Italy’s rapidly deteriorating political situation. Fiat’s automobile division was separated form its parent company and turned into wholly owned subsidiary, Fiat Auto SpA. The group was active in a variety of industrial sectors, from aerospace to mass merchandising and retailing, and from chemicals to financial services. Vittorio Ghidella, an engineer, was made CEO of the automobile subsidiary. Ghidella aimed to reinforce Fiat’s traditional strategy of producing the â€Å"car for everyone† by developing a sophisticated manufacturing infrastructure and improving the service and dealer network. His goal was t...

American Economy 1940-1950 Assignment Example | Topics and Well Written Essays - 1250 words

American Economy 1940-1950 - Assignment Example I chose this decade because of the World War II, and I can easily demonstrate how it changed the economy of the American people (Jay 23). This decade was significant in making the United States of America the super power country in the economy and makes the country stable politically, economically, socially, and also, the technology of the country was being developed at a unusually high rate. After the war, the American men, came from war they had seen several events in the outside world. They have seen the importance of education and how education had helped to develop other countries well. The black people in the United States were then accepted to attend school and further their studies. They were allowed to go to college and acquire degrees and develop their knowledge about things in the continent. At the same time, ladies were also enjoying independence since they did not have to work at home all the time, they were allowed to go to school and acquire education that would then h elp them to get jobs. This greatly impacted the American economy since more people were learned and things were being done in a more civilized way (Jay 45). The scrap drives for steel, paper, and rubber became a source of supporting the war in America. In the year, 1942, the automobile production was stopped due to war issues, and the food was rationed in the year1943. As the war continued, several economic trends emerged in the United States; the American troops were gaining experience of the war and they were defeating the enemy troops. Soon United States of America became the super power after the Japanese bombing in 1945. Although still, United States was being challenged and opposed by the USSR still they had the lead of the war, and they had the say about what was to happen. This in turn, made American people become hard working so that they could afford to manage their status as a leading country in the world. The United States implemented a plan that was called the Marshall plan. The plans main objective was to help the countries that were more affected during the war to regain their economic status and rebuild their country. At the same time, the plan was to help in stabilizing the world economic levels. But, this could not take place since there were disputes that arose over the ideology to rebuild the war torn countries and enhance the status of the world economy. This then led to the rise of the cold war and the communism (Jay 65). After the American heroes had returned home, they realized the power and prejudice that in turn helped them to civil rights reforms that was to take place in the next decades. The servicemen’s’ readjustment Act ensured that the war soldiers were taken to college, and that they were given quality of education. In the 1949, many degrees were conferred more than 1940. This in turn, meant that, the levels of educated people had risen and that there were more employment opportunities that were created in the cou ntry. This increased the income revenues for the central government and made an impact in the economy of the United States. Television which had made its first break through in the 1939 war issue, but was interrupted by World War II made another come back in 1947. The commercial television had more than thirteen channels and was made public. People started to develop computers in the early forties. The first computer was digital it was called ENIAC and it weighed more than 29 tons

Description Essay Example | Topics and Well Written Essays - 250 words - 7

Description - Essay Example Hemoglobin, found in the red blood cells has the primary function of transporting oxygen from the lungs to the tissues and then transporting CO2 from the tissues back to the lungs. Deoxyhemoglobin is a form of hemoglobin that has a higher affinity form CO2. CO2 to hemoglobin and forms carbaminohemoglobin molecule. The process is reversible thus when it reaches the lungs, the CO2 dissociates freely from the hemoglobin and expelled from the body. This mechanism accounts for about ten percent of the CO2. CO2 diffuses into red blood cells where Carbonic anhydrase in the RBC quickly converts the CO2 into carbonic acid that is an unstable molecule.CA dissociates fast into bicarbonates ions and hydrogen ions which bind to hemoglobin. The bicarbonate ions formed is transported out of the RBC into the blood liquid component in exchange for a chloride ion. Upon the blood reaching the lungs, the bicarbonate ion is transported back into the RBC in exchange for chloride ion. The hydrogen ions dissociate from the hemoglobin and binds to the bicarbonate ion, producing carbonic acid, that through the enzymatic action of CA is converted back into CO2. The CO2 produced is expelled through exhalation by the

Dilemmas of Leadership Term Paper Example | Topics and Well Written Essays - 2000 words

Dilemmas of Leadership - Term Paper Example The process of influencing others to attain a goal and also direct an organization in such a way that it becomes more cohesive and coherent is leadership. According to Kotter, leadership is how to deal with change. â€Å"Leadership focuses on change and innovation; it focuses on the big picture; it focuses on strategies that take calculated risks, and it focuses on people’s values†. (Gardner 1996) The path and goal model of leadership by Robert House expects the leader to encourage and motivate the followers in order to attain the desired objective. According to this model, the leader plays a big role in influencing the performance, satisfaction, and motivation of a group. According to Ashim Gupta (2009), when in a dilemma most leaders demonstrate a mix of leadership styles. There are four most commonly used leadership styles namely autocratic, bureaucratic, participative and the laissez - faire style of leadership. In an autocratic leadership style, the leader acts as the supreme commander and the followers have to obey him. This kind of leadership is required in factories when the work demands one to adhere to a series of systematic rules to attain the end product. For example; working in a sugar factory requires one to follow a series of methodical process to obtain sugar from sugarcane. One single mistake will result in one to repeat the process again. Hence, the best-suit ed leadership style for this case is autocratic. In bureaucratic leadership style, the leader acts as per the rules and regulations laid down by the company.

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay

Different Between Comprehensive Assessment And Risk Assessment Nursing Essay Assessment helps care planning professionals in examining their clients life in much detail so that correct diagnosis, suitable treatment post, problem lists, and treatment goals can be developed (Health in All Policies, 2010). Generally, a clinical assessment identifies client or patients recent experiences and their physical, psychological, and socio-cultural history to settle on exact treatment needs (Smith Capon, 2011). Assessment can be done in different ways but the most two types of assessment used on the basis of underlying differences are as follows: Comprehensive Assessment: Comprehensive assessment is a type of clinical assessment that enables the health professional or treatment provider with the determination of clients most suitable treatment placement and treatment plan. Comprehensive assessment could be defined as a multidisciplinary investigative and treatment procedure that distinguishes medical, psychosocial, and functional restrictions of an unhealthy person with an aim to formulate a corresponding plan to maximize on the whole health with aging. Usually comprehensive assessment is used for the health care of an older adult as it is far more than the traditional medical management of illness. Providing care to old people need evaluation of number of issues such as physical, affective, social, cognitive, financial, environmental, and spiritual aspects that could be identified effectively with comprehensive assessment (Mazza Harris, 2010). Comprehensive assessment relies on the premise that a methodical evaluation of older individuals by a team of health professionals helps in discovering a number of treatable health issues and direct towards effective health outcomes. Comprehensive assessment is generally initiated with a referral by the primary care clinician or from some professional clinician working in hospital. Every patient could not be referred for comprehensive assessment as there are specific evidences to identify appropriate patients for comprehensive assessment. Although there are no set criteria to refer patients for comprehensive assessment, but some specific points or criteria used in this concern are: Age Medical comorbidities like heart failure or cancer Psychosocial disorders like depression or isolation Specific geriatric conditions like dementia, falls, or functional disability Earlier or anticipated high health care utilization (Wanberg Milkman, 2009). Change in living situation One outpatient approach for referring patients for comprehensive assessment is to refer patients who have problems in various areas, whereas an inpatient approach to refer would be to refer patients for CGA who are found to have problems in multiple areas during geriatric assessment screens. An inpatient approach used to refer patients for comprehensive assessment is to refer patients admitted in hospital or clinical care institute for a specific medical or surgical reason (Phillips, McKeown Sandford, 2009). Comprehensive assessment helps clinical care professionals in providing care with the help of six steps that are data collection, team discussion, development of a treatment plan, execution of the treatment plan, monitoring response to the determined treatment plan, and revising the treatment plan. A comprehensive assessment is undertaken with the help of qualified and trained clinicians that in turn assist the treatment provider to determine the most effective treatment placement and treatment plan (Wanberg Milkman, 2009). Risk Assessment: In contrast to comprehensive assessment, risk assessment refers to making decisions on the basis of acquaintance of research evidence, familiarity of the individual service user and their social background, knowledge of the service users own experience, and clinical judgement. In risk assessment, the clinician must collect information from two main information sources to direct clinical decisions (OConnell, Ostaszkiewicz Hawkins, 2011). Understanding of statistical factors in regard to the increased risk is needed, along with clinical and contextual information specific to patient or clinical service users present situation. Evidence of known risk factors can be attempted from the clinical data as well as from the patients demographic information (Mazza Harris, 2010). Demographic information like age, gender or past behaviour may be related to increased risk. Although, all these factors are static, so risk may not be decreased through the modifications in these factors. Dynamic factors on the other hand can be modified like factors related to patients mental state or socio-economic conditions etc (Phillips, McKeown Sandford, 2009). Information collected from dynamic factors is more effective to inform care planning. Therefore, in risk assessment information specific to the patient and his/her contextual information need to be incorporated. The concentration of risk assessment is to guide and support positive approaches to risk management whereas in comprehensive assessment focus is on the development of treatment placement and treatment plan. Risk assessment and its management in clinical care is a step-wise procedure that includes following steps; social and environmental context, defining the risks, distinguish who is at risk, information collection, evaluation of risks, determining which risks factors need to be modified, resource significances, communication, care planning, and review. Continence Assessment A continence assessment is executed by healthcare professionals with an aim to assess an individual ability to control bladder or bowel function and to agree on factors that may be imparting to incontinence. For continence management, it is vital to take continence assessment and it is undertaken in two parts: an interview and a physical assessment. As well, patient may also need to fill a bladder diary before his/her assessment (Chiarelli, 2011). A bladder diary refers to a diary of evidences and what patient was doing at the time evidences took place. A bladder diary serve health professionals with significant clues in regard to the type of incontinence an individual is facing and what are the activities that may be contributing to incontinence. In the interview portion of the continence assessment, patient could be asked with a series of questions such as prior medical history, medication being taken, overall health, weight, smoking history, history of prostate issues (for men), pregnancy/childbirth history (for women), diabetic, problem with frequent constipation etc. In the physical assessment portion a urinalysis is done to check for kidney or bladder problems, such as infection (Ferrell Coyle, 2010). At the same time, if needed healthcare professional (generally a nurse continence expert or a doctor) may also carry out a physical exam, together with a vaginal exam for women and a rectal exam for men. It is done to evaluate the strength of patients pelvic floor muscles (Phillips, McKeown Sandford, 2009). Physical assessment makes it easier for healthcare professionals to identify a physical problem due to which incontinence is occurring. A continence assessment is significant to identify the reason of incontinence, and recommend patients in regard to managing incontinence (Chiarelli, 2011). A continence assessment significantly contributes in a comprehensive health assessment and this could be understood with an example of an old person comprehensive health assessment. Today, old patients have multiple problems like diabetes mellitus, chronic chest conditions etc. For dealing with all these health issues of older people, it is vital to undertake comprehensive health assessment that if also includes a continence assessment would benefit a lot to identify the actual causes of all problems in old aged patients (Miller, 2011). Diabetes mellitus can result in number of bladder problems, including polyuria, urinary retention and urinary tract infection, so at the time of comprehensive health assessment is a continence assessment is also done it becomes easy to control the health problems and its affects at earlier stage (Chiarelli, 2011). A continence assessment assist health care professional a lot in their comprehensive health assessment as without identifying bladder functioning it is not possible to arrive at suitable treatment plan (Ferrell Coyle, 2010). Abnormal Findings and Actions to deal with it: The prevalence of urinary incontinence heightens with age, so the diagnosis of it on time is essential for women. As the population of US ages, quality care professionals confront increasing number of inconsistence (Massoud, Mahshid Behrouz, 2011). At the time of performing continence assessment one might expect these three abnormal findings: Stress Incontinence: It refers to the spontaneous loss of urine throughout an increase of intra-abdominal pressure brought about from activities like coughing, smiling or exercising. The underlying abnormality is generally urethral hyper mobility due to the breakdown of the normal anatomic accompaniments of the urethrovesical junction. Being a planning care professional one can deal with this abnormality with the diagnosis along with various tests to assess the severity of leakage as well as undertaking specialized tests such as urodynamics and cystourethroscopy (Continence Assessment, 2010). Detrusor instability or Detrusor hyperreflexia: These abnormalities are all due to overactive bladder. For dealing with this abnormality, a planning care professional may undertake several simple or complex urodynamic studies to arrive at the definitive diagnosis of Detrusor instability or Detrusor hyperreflexia. As well, some patients may also be treated without experiencing invasive testing. Behavioural therapy could also be used as bladder retraining and biofeedback that tries to re-establish cortical control of the bladder by appropriating the sufferer ignore exigency and void only in retort to cortical signals in waking hours (Ferrell Coyle, 2010). Ectopic ureters and diverticulae: Another abnormality that is expected to come up at the tiem of performing continence assessment is ectopic ureters and diverticulae. For dealing with this type of abnormality, a completed history is obtained and a physical examination is performed to initiate treatment. Treatment of women with urinary incontinence secondary to a urinary or gynecologic deformity or lack of continuity usually calls for surgery by an urogynecologist or an urologist (Continence Assessment, 2010).

Homeschooling Essay -- Homeschool Education Teaching Essays

Homeschooling The definition of homeschooling is to instruct a pupil in an educational program outside of established schools (www.Dictionary.com). Homeschooling is a good alternative to public schools because of certain religious issues, standardized test success, and variety of options for homeschool students, but in some states homeschoolers are having trouble with the school system. Homeschooling has been on the rise in the United States and its popularity continues to grow among American families. According to the U.S Department of Education, in 2003 there were 1.1 million children in grades K thru 12 being homeschooled . The 3 most popular reasons for homeschooling are concerns about the environment of other schools, desire for religious or moral instruction, and dissatisfaction with academic instruction at other schools (2003 National Household Education Survey). Many parents have resorted to homeschooling their children because of certain religious issues and beliefs that these families see as not being taught in the public school systems. Many parents choose this method because most public schools do not participate in religious activities and parents want their children to be taught religion also, aside form everyday studies. Religion is also a big factor because the beliefs of these families and things they value and some believe that their child being in a public school environment will tamper with these beliefs and values. Some public schools around the country do still teach good values to their students and do believe in praying before school. There are a lot of religious organizations around the country encouraging parents to make a sacrifice for their children and teach them at home. Some... ...are put in society. Schools were setup to educate people who are not educated and help students to their best ability in order to prepare them for the outside world (Lyman,Isabel). With most schools just passing kids through school instead of taking the time to actually teach them, they are not doing society a favor because these kids have no skills to bring to society to better it. Homeschooliing provides the personal With the ever growing population of kids being homeschooled it is no surprise that more people are starting to realize the benefits of homeschooling and seeing it as an positive alternative to public schools. Some states are having problems with regulations, but most are doing just fine with the adjustment. Homeschooling is a good idea because of religious issues, its success on standardized tests, and the options open to kids who are homeschooled.

What Considerations Are Relevant?

Business Ethics: Midterm Essays 10/23/2012 What considerations are relevant when we assign blame for injurious acts? What is the distinction between excusing conditions and mitigating circumstances? Some say that moral responsibility is directed towards doing what is right and what is wrong. Well that is not necessarily the case; moral responsibility can also be aimed at at determining whether a person is morally responsible for doing something morally wrong. This is known as blame. Blame and moral responsibility can be used interchangeably.If someone is to be blamed for a wrong doing than that person is also held morally responsible for that wrong doing. Not all people are responsible for their wrongful or injurious acts. Injurious acts are harmful acts that one freely and knowingly intends to do. People have to consider the circumstances under which the person was morally right or morally wrong for their actions. Excusing conditions are conditions under which a person causes an inj ury on accident and is â€Å"excused† from blame and should not be held morally responsible. There are 3 considerations under which a person is not held morally responsible for an injury or a wrong.One is not held responsible if: â€Å"one did not cause or could not prevent the injury, one did not know he was inflicting injury, and if one did not inflict the injury out of his own free will. † When a person is morally responsible for an act of injury or wrong doing there are also 3 things to consider. A person is held responsible if: â€Å"one caused or helped cause it, or failed to prevent it, one did so knowing what he or she was doing and if one did so out of his out free will. † Excusing is when a person’s moral responsibility is excused by the absence of causality, knowledge and freedom.Mitigating factors can diminish a person’s moral responsibly but it depends on how severe the injury or wrong is. In addition to the excusing conditions, there are also 3 mitigating factions that can lessen moral responsibility. One circumstance leaves a person uncertain about what he or shit is doing. Another makes it difficult, but not impossible for the person to avoid doing it. The third circumstance minimizes a person’s involvement in an act. In general, the more serious the injury is, the less the mitigating circumstances will diminish responsibility.

Rabaul Essay Response

Rabaul Essay Response Rabaul Essay Response ESSAY RESPONSE TO PRACTICE ESSAY Like many places of human settlement, the site of Rabaul (see Fig. 4) is subject to volcanic hazard. This hazard, a consequence of plate subduction processes involving the Pacific and Australian Plate (see Fig. 8) have been responsible for developing the island of New Britain in Papua New Guinea. The area has a geological history of violent eruptions where Simpson Harbour itself is an explosion crater, or caldera (see Fig. 3) and 500 people died in the 1937 eruption. As a consequence of vulcanism, humans benefit from the provision of a safe harbour as well as the potential for fertile soils to develop for farming. Whilst there are benefits gained from the volcanic activity on Rabaul, activity on the 20th September 1994 (see Fig. 10) resulted in significant social, economic and environmental upheaval. Currently, both Tavurvur and Vulcan are active and producing ash to a depth of 75 metres over the township. Appropriate mitigation by authorities must ensure that potentially dangerous hazards to people are avoided. A decision on whether to abandon or re-establish Rabaul will need to consider balancing the risk to residents with the economic and social upheavals that could result. The explosive eruption of magma, ash, gas and rocks had a significant environmental and socio-economic impact on the Rabaul area. Due to the prevailing South to Southeast winds, ash up to 75 centimetres in depth as well as poisonous gas affected the Rabaul area when Vulcan and Tavuruur erupted explosively (see Fig. 7 & 10). Whilst farmlands to the south [evidenced in the 3-D aspect sketch by Mr Raward] avoided the ash and gas due to the wind direction, had the eruption occurred between November and April, this highly acidic material may well have destroyed these farmlands. The risk of lahar and subsequent flooding is ever present if rain is added to this ash. Collapse of buildings has already occurred as a result of ash build up. The harbour also suffered sedimentation loads from the ash (see Fig. 5). This has a significant impact on the island’s capacity to trade and move its farm stock. Coupled with this impact is the possibility that further destruction of low-lying a reas could occur if tsunami activity is present. There is evidence in Figure 10 that â€Å"tidal waves† have entered the town. Although it is not clear as to what is meant by this, it may well be the flooding from sedimentation in the harbour, local rivers, or even tsunami activity from offshore tremors. Loss of viable farmland, landlessness, job loss, looting of local businesses and the cost to rebuild are just some of the socio-economic impacts of such a disaster. A decision to re-site Rabaul to the western end of New Britain minimises risk to residents but will have a significant impact socially and economically on the community. Residents will face inevitable debt, farmers and the community will have to rebuild their lives in a new place, resulting in significant economic and social stress for the people of Rabaul. International aid cannot be guaranteed so costs could become extreme. Without a protected harbour, the settlement will have limited ability to trade and move produce. Nevertheless, safety of residents can be guaranteed as this area is not volcanic. Re-establishment of damaged sections of Rabaul will result in less socio economic upheaval than a proposal to re-site. Nevertheless, residents will face a greater risk if they remain in Rabaul, as the volcano is in an active phase. A proposal to re-establish is socially sustainable given that it contains safe guards including interest free loans and

Toyotas European Strategy and Brand Reposition

Toyotas European Strategy and Brand Reposition Executive SummaryToyota is the second largest car manufacturer and seller in the world today. In Europe ithas long been a marginal player as compared to its other endeavors in markets within US,Asia and Latin America. Over the last few years Toyota's market share has increased inEurope even though the European market has several strong regional competitors.Toyota's vision is to capture 5% of the Old World's roadway by 2005.However, the problem persists of how to establish Toyota as a brand in the Europeanmarket. According to (www.economist.com, 2006), Toyota has been a major success inNorth America controlling over 10% of the market share but it cannot apply the samemarketing strategy in the European market. Europe has several countries, within whichthe population exhibits its own unique preferences for certain automobile brands.With rising fuel prices, growing concern for the environment and an excellenttransportation system throughout Europe, Toyota has a challenge in establishing itself.English: 3rd generation Toyota Prius G (2009/5 - )...Toyota must try and establish itself as a brand within Europe, specifically, a brand thatcaters to both the needs of the European market and consumer but, also makes Europe apart of the new motoring world. To successfully do this Toyota Motor Europe (TME)needs to do an extensive review of the current and future market, keeping stride with thevarious market segments in the region.Another important factor that TME would have to pay specific attention to is the socioeconomic factors prevalent in Europe currently. A combination of extensive marketresearch and the flawless creation of a new Toyota brand would take it beyond itsambition of achieving 5% growth in market share.Situation AnalysisToyota had first started exporting to Europe in the early 1960's beginning with countrieslike Malta, Cyprus and Denmark. The European market...

Ralph Ellisons Battle Royal Essay Example | Topics and Well Written Essays - 500 words

Ralph Ellisons Battle Royal - Essay Example "Battle Royal" holds a permanent interest because its underlying themes are human ones, with those being the battle against prejudice and the struggle to find a place in society. On the surface, Ellison's focus is upon the racial prejudices which confronted African Americans during a specific time in history. As that time has passed, the theme should have no continued, relevant current interest. The fact that it does is because racial prejudices are not the only form of discrimination which confront people. Any and all differences are a cause for prejudice and discrimination. In this sense, Ellison addresses all people and in the grandfather's words, provides advice for survival against prejudice. As the grandfather advises: "Live with your head in the lion's mouth. I want you to overcome'em with yeses, undermine'em with grins, agree'em to death and destruction, let'em swoller you till they vomit or bust wide open" (Ellison, 1952: 938). While it may have been offered to a young black male in the pre-civil rights era, this advice is valid for all. It warns against confrontation, insists upon the possibility of defeating one's enemy through passivity and, inde ed, provides a strategy for survival.

The Ethical Decision Making Process within the Law Enforcement Thesis Proposal

The Ethical Decision Making Process within the Law Enforcement Organization.An Examination of Inappropriate Unethical Behavior from Law Enforcement Officers while Working within the Communities - Thesis Proposal Example Ethical decision-making was to be treated as an essential area of concern among the local law and security enforcement agencies. One would be left to ask a number of questions that may lack a readymade answer. Why do law enforcement officers and security personnel engage in the unethical behaviour? What is the role of ethical decision making in addressing the vices of corruption and abuse of power among the police force? Is there a relationship between training and behaviour? What perception do the communities hold toward the conduct of law enforcement officers? These and many other frequently asked questions require answers that may only come along through a detailed study of the subject matter. Corruption, abuse of power, assault of women and other vulnerable groups during times of calamities have been manifest features of almost every law enforcing agency in the world. The security and other law enforcing groups have severally been reported to have used more force on the ordinary people than stipulated in the law (Caldero, Crank & Crank, 2014). The result of the tainted name of the law enforcement officers has been the fear and resentment by the communities that have fallen victims of circumstances in this regard. One would wonder the ethical picture manifested when ordinary people express their distrust and lack of confidence in a group that should perform a role that is paramount to peaceful human existence. Is it because of lack of proper training on the ethical standards and codes of moral conduct in the course of discharging their duties or is it a culture that has gradually made its roots in the system? Corrective measures are urgently needed to redeem the tainted r eputation and public image of the law enforcement and security agencies. The problem that has been identified is an increase of activity in unethical decision making by law enforcement officers on duty while serving within designated communities