Legal and Ethical Issues in Medical Sales Free Essay Example, 2500 words

Off-label use can be defined as the use of drugs by doctors for purposes other than those approved by the FDA. It has become evident from various studies that a considerable proportion of patients are subjected to off-label use. This is so because doctors are free to prescribe any legally marketed device for uses other than the ones allowed by the FDA. This is so because Section 906 of the Federal Food, Drug, and Cosmetics Act points out that the Act does not interfere with the authority of a healthcare practitioner to prescribe or administer any legally marketed device for any condition or disease within legitimate health care practitioner-patient relationship (FDA, n.d). Thus, as a study by Kesselheim, Mello Studdert (2011) from the Brigham and Women s Hospital, Boston, points out, there is widespread off-label marketing of medicines in the US which cannot be controlled under the existing laws. The study identified three methods of off-label marketing. They are the expansion of d rug use to unapproved diseases, expansion of drug use to unapproved disease subtypes, and expansion of drug use to unapproved dosing strategies that often involve higher doses. We will write a custom essay sample on Legal and Ethical Issues in Medical Sales or any topic specifically for you Only $17.96 $11.86/page

Essay on Original Writing Short Story - 883 Words

Original Writing: Short Story It was the night of the year that few children can sleep. The night when everyone hopes that snow will fall and they will wake up to a garden of glistening diamonds grown by the morning sun. It was Christmas Eve. As many had hoped, snow was falling. It slowly covered the houses and streets in a thick blanket. The moon shone her silver light down on the white world, and but for one, there was nobody to view the kind of beauty that things such as love and dreams are made of. The only one there to see the spectacle was a small boy of five, or six years. This little boy possessed a beauty not of this earth, a beauty that surpassed even all that surrounded him. His†¦show more content†¦On the night that every other child wished for toys, and puppies, this little boy wished for love. And nothing more. Finally, the little boy came to a stop, not wanting to ever take another step again. He raised his downcast eyes, and in front of him stood a church. He remembered that he had been to church before, and the building that loomed above him stirred vague memories. The boy made himself stumble a few more steps, and pressed his face to the glass door he had arrived at. He looked in, and saw the church was lit up inside. There was light coming from behind a man on a big cross, and two huge Christmas trees shone in heavenly splendor. Looking at the man on the cross, he had a faint recollection. He half-remembered, a long time ago, that someone reading from a big book had said that the man on the cross would come on Christmas. That he came every Christmas. The little boy supposed that if anyone would help him, it would be the man inside. He loved everyone. So, the little boy laid down in front of the church, and as he slipped off into sleep, a glimmer of hope, that the man would come and save him from the cold and loneliness, warmed his heart. The snow continued to fall, and bells jingled far in the distance. Presents were laid under trees, and visions of sugar plums danced in most childrens heads. But not the little boy who slept on the church steps under the winterShow MoreRelatedEssay about Original Writing: Short Story927 Words   |  4 PagesOriginal Writing: Short Story The weather was not unusual this morning. London had just received her share of rain for the year. The sky hinted the existence of the sun but dark gray clouds seemed to quench even the hope of such a splendor. It is February, month of sweethearts, ice cold days, and even colder nights. The month that all of London hoped would come soon, for it would mark the soon end of winter, the end to hibernation, when boys could finally once againRead MoreReflection Of A Short Story900 Words   |  4 PagesI enjoy writing short stories because the activity allows me to express my creativity and speak my mind. However, I often have trouble finishing compositions, and my English professors will often tell me I need to improve my work. Recently, I wrote a short story titled â€Å"Unexpected† for a fiction-writing class and made countless changes to the tale based on several guidelines. The revisions to â€Å"Unexpected† have benefited my story, but I could have done more to improve it. My original story served asRead MoreEdgar Allen Poe s Style Of Drama And Personification1029 Words   |  5 PagesEdgar Allen Poe was one of the most well-known, albeit short-lived, authors and poets of the early 19th century. Regardless of his passing at the young age of 40, his works lives on to this very day. His style for writing in dramatic fashions and being the original horro r author have left a mark on literature history. The short stories of The Raven and The Cask of Amontillado were some of the more well-known works of Edgar Allen Poe. 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Though I enjoyed the reading and analyzing literature writing and organizing my thoughts on paper was more challenging, especially since I was more used analyzingRead MoreEssay about Analysis of 2 Translations of Beowulf667 Words   |  3 Pagesoutstanding translations, two of which are by Burton Raffel and Seamus Heaney, different ways of writing are portrayed. Grendel’s description is written quite differently in both translations. Heaney’s translation is more similar to the Anglo-Saxon style of writing than Raffel’s translation. In Heaney’s translation, he uses a kenning to describe the Danes whereas Raffel uses simple wording to get the same story across. Heaney calls The Danish people â€Å"Ring-Danes† to get his translation to be closer toRead MoreLiterary Techniques : Edgar Allan Poe And Richard Connell1598 Words   |  7 Pagesimpossible. There are two main ways an author can give an overall feeling of macabre; literary style and technique. Only the most skilled authors have successfully used various literary elements, like suspense and foreshadowing, to create ageless stories and earn a position in the history of literature. Well known authors, such as Edgar Allan Poe and Richard Connell, use specific literary techniques to inspire and horrify young minds through their timeless works of literature. Biography of EdgarRead MoreWe re Flying By Peter Stamm990 Words   |  4 PagesIn the fall semester, I started reading short stories again. I had not done so in a while, and it started when my friend lent me his copy of Nine Stories by J.D Salinger. I had read some of them in high school, but after reading them again with addition of the others, I was inspired to write short stories. Writing a book seemed too daunting, especially when I did not know how to write one or how to start. I figured writing short stories was the best way to start. 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Mental Health Nursing for Practitioners - myassignmenthelp.com

Question: Discuss about theMental Health Nursing for Practitioners and Providers. Answer: A mental health patient may not have complete recovery from his or her illness. One may recover from the physical illness but in mental health, nursing the word complete recovery is a rarely used. Mental health nursing is more than the treatment or management of symptoms. Recovery refers to having support, building resilience and ability to process thoughts. For this purpose the recovery principles are developed that will help guide the patients recovery from mental illness. In this assignment Jeremy Oxleys recovery pathway is discussed. He is the founder of the band named, Sunny Boys and is known to be a gifted musician. He was diagnosed with schizophrenia. He lived twenty years with this illness and yet returned to the stage. The essay discusses the principles of recovery in response to the mental health problems experienced by Jeremy. Sunny Boys is the popular Australian band, led by the famous guitarist, Jeremy Oxley. The documentary video shows the life of Jeremy and his remarkable journey with schizophrenia. At the age of 18, he was popular as talented singer and was popular of successful band. In early 1980s, Oxley performed along with Peter (elder brother). Peter was a bass guitarist. They achieved a great success in very short period of time. Oxley became a busy man right in those years and engaged in hectic schedules of recording sessions and relentless touring. It turned out be stressful for him and ultimately led to physical as well as mental burnout (Chien et al., 2013). In one incident, Oxley in 2012, walked out of the Enmore Theatre. Nobody could comprehend the rationale of this behaviour. It was the sign of his crushing health. Eventually, this came out be schizophrenia and Oxley was trapped into this lonely horror of mental illness (The Sunnyboy, 2013). Bill Bilson, the childhood friend of Oxley, describes him as fun loving and gentleperson. His friends knew him as perfectionist. Bill was a drummer of the band Sunny Boys. He was in surfing before and later engaged in guitar playing. He described that Oxley, was highly stressed due to hectic schedule. Eventually he started to have disturbed thinking pattern and paranoid thoughts. He started with excessive alcohol consumption and was slowly turning arrogant particularly during the shows (McGorry, 2014). He failed to continue with the high performance in band as earlier. Soon the newspaper articles exposed his bad behaviour to the public, He was always found to be down and out, as he sought the refuge of alcohol and drugs. This phase indicates a heavy impact of schizophrenia on Oxley. This behaviour led to the demise of the popular band, The Sunny Boys. Peter was initially unable to comprehend the rationale for this bizarre behaviour of Oxley. It was difficult for Jeremy at that point to understand and accept his mental illness. He refused to undergo treatment and he was separated with his brother. It was difficult life for Jeremy as he was becoming a complex personality. He was himself not able to figure out the changes happening in his life. He was experiencing auditory hallucinations. He experienced hearing voices of people who are not around him. He had illusion that people prefer his brother Peter more than him. He felt that somebody stole his music from him. These were classic signs of schizophrenia and hearing of voices is also known as first-rank symptom for schizophrenia. Jeremys non compliance to the medical treatment could be justified by his denial of illness. He refused to accept Schizophrenia and denied the medical intervention. He also did not maintain a healthy regime knowing about his unusual heart rhythms and diabetes. Many people refuse treatment as they fail to understand and accept the psychotic episodes experienced by them (Chandra et al., 2014). This significantly hampers their recovery process. People cannot accept mental illness as fast they could cope up with the physical illness. Consequently, their quality of life is deteriorated. Awareness of mental illness is less likely to be found in some people (Kate et al., 2013). It was same with Jeremy as he had no insights of Schizophrenia. He married Mary Griffith, who finally helped him to recover from Schizophrenia (The Sunnyboy, 2013). Recovery from mental illness is not known as clinical recovery. It is more of a personal recovery, where a person understands the illness, and expertise with the manifestations of the illness. It is different from the clinical illness where a person has to work hard to change the attitude towards life, values, beliefs, attitude towards life, emotional and social skills, roles and feelings (Cavelti, Homan Vauth, 2016). In this type of recovery a person have to try to live a meaningful life despite the limitations imposed by the mental illness. It is called as living in hope and adding value to life, to make it more meaningful. In this type of recovery, a mentally ill patient tries to find purpose to life and way to grow beyond the catastrophic events. Recovery from complex mental health condition needs a change in personal attitude and perspective towards life. It cannot be cured solely based on medications. Emotional support is vital to recover from schizophrenia (Hasson-Ohayon et a l., 2014). It requires proper guidance to cope up with the limitations of the illnesses. Mary offered such support and guidance to Oxley. She gave him mental comfort to cope with his illness. They had a happy life together and had two children Kieran and Lachlan, also came out be a helping hand in Oxleys recovery (The Sunnyboy, 2013). There are six principles of mental health recovery according to the National Recovery Framework. This framework is to guide a patient, to hope and gain confidence, engage proactively in life, understand and accept the mental illness and its symptoms, cope up with disabilities, gain personal autonomy, build social identity, and foster positive self-image (Hasson-Ohayon et al., 2014). In the subsequent sections some of the principles are explained that are relevant to the given case study. The first principle deals with the recovery of an individual with ones own uniqueness. It means that the recovery is all about having satisfactory life. This type of recovery is based on opportunities for making healthy choices that can add value to life. The objective of the recovery principle is to help a patient live a meaningful life, and be a contributing factor in a society (health.gov.au, 2013). This recovery principle emphasise on the individual empowerment and improving the quality of life. Mary empowered Jeremy, to make choices that are healthy for his life, their family and children. Jeremy gained a social status with his wife and two children. With the emotional support and attachment of love, Jeremy could make individual choices. He could recognise his importance, and uniqueness which made him engage in self management process (Department of Health, 2017). The second principle refers to the way of empowering and supporting the individual with mental illness, to make choices, explore the choices meaningfully and creatively and acknowledge the choices (health.gov.au, 2013). Jeremy could make individual choices as he was empowered during his recovery period. During his recovery he was engaged in painting to express his thoughts and emotions. He could vent out his feelings through colours and painting. It helped him to become more creative and expressive. He was happy to teach guitar to his children. It made him and his children when playing music as depicted in video. Eventually it helped Jeremy to gain strength and own accountability of his actions. As he spent time with his family, he felt more responsible towards his life. To help Jeremy balance his personal life and professional liabilities this engagement was necessary. To make him use his opportunities, it was necessary for him to ensure balance between support and duty of care. The fourth principle is also relevant to the case study that deals with patients dignity and respect. In this type of recovery, interaction with the mentally ill patient is respectful, courteous and involves honest communication (health.gov.au, 2013). Recovery is based on considering the sensitivity of each individual and respecting their beliefs and values of life. Mary respected Jeremy despite of his illness considering him an important part of her family. Even the children engaged with him actively in communication. This made Jeremy feel empowered as he was getting attention to his needs, choices, and belief system. He felt his dignity was maintained as he played equal role in family as father and husband. His opinions were respected giving him the feeling of autonomy a measure of recovery (Shanks et al., 2013). Using the National Recovery Framework the essay illustrated the Jeremys recovery from schizophrenia. He was empowered by his wife Mary and rectifying his thought process made him take healthy decisions. Eventually he gained the confidence to return back to the pop-music industry. It was a commendable journey of 20 years of lived experience with mental illness. Jeremy is still seeking treatment. He is yet to find many more answers to life. He was engaged in good communication system, support and empowerment process, which made him optimistic about life a measure of good recovery orientation process (Williams et al., 2017) It can be concluded from the case study of Jeremy Oxley, that the mental health services need to incorporate these recovery principles when treating the mentally ill patient. The patient centered approach is the holistic approach as demonstrated by Mary in the video. Instead of solely relying on medication, she also collaborated with the clinicians. Thus, National Recovery Framework guides mental health professionals to design care plan that deals with language of hope, self management of illness, and committed nursing. There is a need of right conjugation of services, supports and treatments. The life of Jeremy Oxley is inspiring in the sense that it is not impossible to recover from complex mental health conditions. References A national framework for recovery-oriented mental health services: Guide for practitioners and providers. (2013).health.gov.au. Retrieved 17 September 2017, from https://www.health.gov.au/internet/main/publishing.nsf/content/67d17065514cf8e8ca257c1d00017a90/$file/recovgde.pdf Cavelti, M., Homan, P., Vauth, R. (2016). The impact of thought disorder on therapeutic alliance and personal recovery in schizophrenia and schizoaffective disorder: An exploratory study.Psychiatry research,239, 92-98. Chandra, I. S., Kumar, K. L., Reddy, M. P., Reddy, C. M. P. K. (2014). Attitudes toward medication and reasons for non-compliance in patients with schizophrenia.Indian journal of psychological medicine,36(3), 294. Chien, W. T., Leung, S. F., Yeung, F. K., Wong, W. K. (2013). Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care.Neuropsychiatric disease and treatment,9, 1463. Department of Health | Principles of recovery oriented mental health practice. (2017).Health.gov.au. Retrieved 17 September 2017, from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri Hasson-Ohayon, I., Mashiach-Eizenberg, M., Elhasid, N., Yanos, P. T., Lysaker, P. H., Roe, D. (2014). Between self-clarity and recovery in schizophrenia: reducing the self-stigma and finding meaning.Comprehensive psychiatry,55(3), 675-680. Kate, N., Grover, S., Kulhara, P., Nehra, R. (2013). Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia.Asian journal of psychiatry,6(5), 380-388. McGorry, P. (2014). Film review The Sunnyboy.Australasian Psychiatry,22(5), 503-503. Shanks, V., Williams, J., Leamy, M., Bird, V. J., Le Boutillier, C., Slade, M. (2013). Measures of personal recovery: a systematic review.Psychiatric Services,64(10), 974-980. The Sunnyboy. (2013). Retrieved from https://edutv.informit.com.au.ezproxy1.acu.edu.au/watch-screen.php?videoID= 655842 Williams, J., Leamy, M., Bird, V., Harding, C., Larsen, J., Le Boutillier, C., ... Slade, M. (2012). Measures of the recovery orientation of mental health services: systematic review.Social psychiatry and psychiatric epidemiology,47(11), 1827-1835.

Young Adults And Alcohol Essays - Drinking Culture, Alcohol

Young Adults and Alcohol The drinking age in the United States is a contradiction. At the age of eighteen, one can drive a car, vote in an election, get married, serve in the military and buy tobacco products. In the United States you are legally an adult at eighteen. An eighteen-year-old, however, can not purchase alcoholic beverages. The minimum drinking age should be lowered from twenty-one in the United States. Unbelievably, the United States citizens trust their sixteen-year-old children to drive three thousand pound vehicles. We require our working young to pay taxes. We trust the decision-making abilities of eighteen year olds in public elections, with the right to smoke, and with the choice of marriage without parental consent. Our young adults are encouraged to join the army and fight for their country. We however believe that until the age of twenty-one our young adults can not handle alcohol. There is an ever-growing problem on campuses all across the nation: the abuse of alcohol. College freshman, usually nineteen, enter college with a bias involving the drinking law. In almost every aspect other than the drinking age, these freshmen are considered adults. However, they are told by the law they are not responsible enough to handle alcohol. Elizabeth Whelan declares, "Banning drinking by young people makes it a badge of adulthood -- a tantalizing forbidden fruit" (84). This badge of adulthood is quickly attained by college freshman, who lash out at the drinking age, with binge drinking. The abuse of alcohol by young people can likely be prevented, certainly not in all cases but in many. In most European countries moderate drinking is common by teenagers. These teens have been taught about the dangers of alcohol and were brought up by parents who let their children experience alcohol moderately. Whelan observes, "Though the per capita consumption of alcohol in France, Spain and Portugal is higher than in the United States, the rate of alcoholism and alcohol abuse is lower "(84). United States parents should take the hint from Europe and educate their children about alcohol. Parents should not just say alcohol is bad and evil. Parents should teach about the effects of alcohol, how to drink properly and when alcohol is appropriate. Parents have the chance to properly educate their young adults. These young adults will experience alcohol somewhere and will be given an education by someone. The lessons of alcohol should be learned at home. There are many possible remedies to the problem of underage alcohol abuse. The best possible curative would be to lower the drinking age to nineteen, not eighteen. At eighteen many young adults are still in high school. However, at the age of nineteen most young adults are out of high school or close to graduating. The thought of high school seniors legally drinking would put a bad taste in many citizens' mouths. In Canada, the drinking age is already nineteen which entices many nineteen or twenty year olds across the border for a drink. Our young adult population lashes out at the law by drinking excessively. There are too many young adults being hurt while abusing alcohol. Too many deaths, rapes and accidents have occurred. This illegal action can be deterred, and many lives will be saved, but only through the education by parents and society. The drinking age should and can be lowered with the approval and assistance from the citizens of the United States.

zubori essays

zubori essays Martin Luther lived from 1483-1546. Luther was born on November 10, 1483 in Eisleben in the province of Saxony. His protestant view of Christianity started what was called the Protestant Reformation in Germany. Luther's intentions were to reform the medieval Roman Catholic Church. But firm resistance from the church towards Luther's challenge made way to a permanent division in the structure of Western Christianity. Luther lived in Mansfield and was the son of a miner. He later went on to study at Eisenbach and Magdeburg. After studying at these institutions he moved on to study at the University of Erfurt. Luther started out studying law, but then went on to enter the religious life. He went into the religious life due to the fact that he felt that he would never earn his eternal salvation. He didn't feel that all of the prayer, studying and sacraments were enough. Therefore, Luther felt that he would never be able to satisfy such a judging God. Not being able to satisfy this God meant eternal damnation. After entering the religious life he later became an Augustinian monk and entered the Augustinian monastery at Erfurt in July of 1505. While in this monastery Luther became a well known theologian and Biblical scholar. In 1512 Luther earned his doctorate in theology and became a professor of Biblical literature at Wittenberg University. Luther took his religious vocation very serious. This led him into a severe crisis in dealing with his religion. He wondered, "is it possible to reconcile the demands of God's law with human inability to live up to the law." Luther then turned to the New Testament book of Romans for answers. He had found, "God had, in the obedience of Jesus Christ, reconciled humanity to himself." "What was required of mankind, therefore, was not strict adherence to law or the fulfillment of religious obligations, but a response of faith that accepted what God had done." In other words he realized that religion is ...

2011 Hurricane Names

2011 Hurricane Names 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 Below you will find the listing of hurricane names for the Atlantic Ocean for the year 2011. For every year, there is a pre-approved list of tropical storm and hurricane names. These lists have been generated by the National Hurricane Center since 1953. At first, the lists consisted of only female names; however, since 1979, the lists alternate between male and female. Hurricanes are named alphabetically from the list in chronological order. Thus the first tropical storm or hurricane of the year has a name that begins with A and the second is given the name that begins with B. The lists contain hurricane names that begin from A to W, but exclude names that begin with a Q or U. There are six lists that continue to rotate. The lists only change when there is a hurricane that is so devastating, the name is retired and another hurricane name replaces it. Thus, the 2011 hurricane name list is the same as the 2005 hurricane name list although four hurricane names were retired after the devastating 2005 hurricane season so on the 2011 list Dennis was replaced by Don, Katrina was replaced by Katia, Rita was replaced by Rina, Stan was replaced Sean, and Wilma was replaced by Whitney. 2011 Hurricane Names ArleneBretCindyDonEmilyFranklinGertHarveyIreneJoseKatiaLeeMariaNateOpheliaPhilippeRinaSeanTammyVinceWhitney

Research paper about any topic Example | Topics and Well Written Essays - 1750 words

About any topic - Research Paper Example But modern research suggests that the legalization can create positive impact on the economic and medical system of a country. Scientifically it has been proved that the use of marijuana is less dangerous than that of alcohol, aspirin and tobacco. Scarce law enforced for the consumption of marijuana resulted in to loss of billions of dollars. But the regulation and legalizing of marijuana can help to boost the economic growth rate of a country and decrease the crime rate. This research paper will analyze and discuss about the optimum benefits for legalization of marijuana in United States. The proper term of marijuana is cannabis sativa. Since the year 1937, the discovery of leaf has created huge controversy about its legalization. The positive impact of marijuana towards economic and medical structure of a country surpasses its negative influence. Strict laws adopted to restrict the consumption of marijuana by United States Government. Research suggests the medical importance of marijuana. Marijuana helps to reduce nausea, vomiting and reduce stress of struggling life of human beings. In United States, $5 billion spend each year to restrict people using marijuana. The humongous amount of money spend is equivalent to the 1 % GDP of United States. The medical benefit of legalization of marijuana cannot be denied. Marijuana can help to treat nausea during the time of cancer chemotherapy, Crohn’s disease, muscle spasms, seizure disorders and poor appetite. Marijuana can help to the health of lungs and reduce effect of tobacco. In January 2012, researchers of Ameri can Medical association published that the use of marijuana can help to increase the capacity of lungs. Tobacco smoking can dismantle the function of lungs but consumption of marijuana can raise the capacity of lungs. A study published in the year 2003 shows that marijuana can help to prevent epileptic seizure. Marijuana can also help to prevent eye disease called glaucoma. This

Research Essay Example | Topics and Well Written Essays - 750 words - 7

Research - Essay Example The adoption of the hourly rounding program is expected to check different aspects of patient care, including pain assessment, patient positioning, assessing the accessibility of different possessions to the patient and also checking toileting needs. There are different healthcare regulatory institutions addressing the problem of patient falls. Following the publication of the 1999 report by the Institute of Medicine (IOM), the National Quality Forum produced a survey report, showing the 27 adverse events that could be prevented through the adoption of more effective care practices. These adverse effects include the disability and the death of patients, due to patient falls – while they are being served at healthcare institutions (NFQ, 2007). In 2008, the CMS (Center for Medicare and Medicaid Services) adopted policies objecting the compensation of the payment made –following the treatment of hospital-acquired conditions at different healthcare institutions (Sherrod, Brown, Vroom & Taylor Sullivan, 2012). The serious disability and the deaths arising from patient falls – occurring among the patients under the case of healthcare institutions – are among the hospital-acquired conditions that could not b e compensated. Among the solutions proposed to address the problem of patient falls, through the guideline summary drafted towards its prevention was the adoption of hourly rounding. The hourly rounding program was proposed as the program to facilitate the monitoring of changes in the comfort and the conditions of patients, which could counter the increasing incidences of patient falls (AHRQ, 2008). The program of hourly rounding – which is initiated to improve the safety of patients and to reduce the avoidable healthcare expenses – is not a new concept, despite the fact that it has been reviewed and redeveloped (Oldrich, Kalman & Nigolian, 2012). The program

Schools and Delinquency Essay Example for Free

Schools and Delinquency Essay The research done on chapter 5 from the book juvenile justice is very interesting to say the least. The way it made the information on it easy to understand is very helpful to me.. Also the research done describes the truancy and dropout rate and the thing that the state is doing to prevent them from increasing more. One of the reasons why researchers think that drop out accrues is because of the race or the ethnicity. One thing that is for sure is that they don’t know the order in which delinquency accurse whether it’s due to drop out or the other social factors or maybe something that’s happening in the youth’s family. They have put up curfews and other programs that have proven to drop the dropout rate and truancy. Which I think is great because the less time the youths have outside the less likely they are to get involved with gangs or start abusing drugs or alcohol. Another research is the shooting rate in schools and how it is a rare crime compared to any other youth related crime, and because it is a rare crime the media covers it and I shock the nation because of it. Because of this the states have given more funding’s to make the schools safer. They want to make sure that the schools are a place where the students can feel safe and not have to worry about being in danger all the time. But still schools still continue to have a high level of crime in them even with all the precautions that are being taken. Most of the time having to do with bullying or sometime it has to do with the fact that students are being introduced to illegal drugs in school premises. The research on bullying say that bullying is one of the factors in school shootings, and because of this research they have started to make programs for anti-bullying. Research also says that males are more likely to report being bullied than females. I think that this is because of the reason the females are more afraid of what is to happen then the males. Also they say that bullying has an effect on attendance for the reason that some kids don’t want to go to school for the reason that they are scared of the people there, and also it has proven to ave a long lasting effect that affect the victim of bullying for long periods of time. The way I think schools should deal with troublesome or kids engaged in delinquency are these. I think that they should be put in different classes. So that the teachers are more focused on the troublesome students and not have to worry about the other well behaved students. Another way to handle this situation is to make a school for youths that are going down the path of delinquency. In this school they should have stricter rules on attendance. If they missed school for to many days they should be taken on a trip to show them what there life could be in the future. I have seen a show where the parents take action and put their kids in a program where they take them to jail and they are treated like criminals. They also introduce them to male and female prisoners that yell and tell them the reasons why there are where they are. Some of the times this program helps put the youth back on track and show them that what they are doing is bad and the life that they could be living is behind bars in a squared box. In my opinion the schools are doing everything in their power to help the trouble some students. I do believe that some teachers don’t worry as much for the youths that are misbehaving because they think that they will get nowhere in life. For this reason is why I think that we should make the things that I mentioned earlier a must that way they get the attention that they need to get and everyone is learning in one way or another. From my experience I think that it is necessary to take action now. I have seen many people drop out of school because they thought that what they are learn is use less but because most of the time teachers don’t give them the attention they needed because sometimes when youth misbehaved was because they thought that the work was hard and the teachers would not help them with it because they may have not cared about them because of the way they behaved. Being involved in a youth’s life is important for many reasons and one main reason is so that the youth does not fall into the wrong steps in life. Having read all this research on delinquency has opened up my mind that it does not only happen for one reason but for many like for example being bullied or not understanding the work given to them at school and acting out on it in a bad way so that their peers don’t realize the reasons to why they never want to do their work.

Oppression of Women in Chopins Story of an Hour and Gilmans Yellow Wa

Oppression of Women in Chopin's Story of an Hour and Gilman's Yellow Wallpaper    "The Story of an Hour" by Kate Chopin and "The Yellow Wallpaper" by Charlotte Perkins Gilman share the same view of the subordinate position of women in the late 1800's. Both stories demonstrate the devastating effects on the mind and body that result from an intelligent person living with and accepting the imposed will of another. This essay will attempt to make their themes apparent by examining a brief summery of their stories and relating them to their personal histories. It will reveal this theme further through analysis of setting, visual and conceptual symbolism, and by exploring the relationships between the characters in each story. In the "Story of an Hour", we are told that Louise has a bad heart condition. A friend of the family has discovered that there was a bad accident at her husband?s job and he is on the deceased list. Louise?s sister carefully tells her this distressing news; however, instead of falling apart, Louise finds herself feeling as if she has a new lease on life because she will finally be able to live for herself. Suddenly, her husband walks in the door, and shocked, Louise drops dead of a heart attack. The physician says it was from "a joy that kills" (341-342). In "The Yellow Wallpaper", the main character is attempting to heal from a nervous disorder. Her physician prescribes the "rest cure" which allows her to do nothing: no housekeeping, no writing, and no visiting with family or friends. She cannot even play with her baby. Her husband insists that she stay in a room upstairs and she eventually goes insane. Both Chopin and Gilman borrow from real events in their lives when writing these stories. Kat... ...V. Roberts and Henry E. Jacobs. Upper Saddle River, New Jersey: Prentice-Hall Inc. Simon Schuster/ A Viacom Company, 1998. 542-553. Gilman, Charlotte Perkins. "Why I Wrote ?The Yellow Wallpaper?" Ed. Catherine Lavender; The College of Staten Island of the City University of New York, Fall Semester, Oct. 1997. (25 Jan 1999)   Ã‚  http://www.library.csi.cuny.edu/dept/history/lavender/whyyw.html McChristie, Pat. "Women Need to Work" Copyright: 1998. Cyberwoman (30 Jan 1999) http://www.cyberparent.com/women/needwork.htm Wyatt, Neal "Biography of Kate Chopin" English 384: Women Writers. Ed. Ann M. Woodlief Copyright: 1998, Virginia Commonwealth University. (26 Jan. 1999) http://www.vcu.edu/engweb/eng384/katebio.htm "Why are Women Leaving Marriage in Droves?" Marriage. Copyright: 1998. Cyberwoman (30 Jan 1999) http://www.cyberparent.com/women/marriage1.htm

Development can improve your work Essay

?1.3- explain how learning and development can improve your own work, benefit organisations, and identify career options. Learning and development means that you will be able to broaden your knowledge and skills in that particular aspect of your job role. This will improve your marketability in your job, meaning more people will recognize your company. This also helps you to understand your job role better and to open up possible places for future promotions. When learning new skills, you could realise that you are now able to do a job you used to think was impossible to complete. In completing a job it increases your value to your employer and helps provide that you keep your job and hopefully advance with the company that you are working for, also meaning more career offers, as people around different company’s may recognize you, meaning that they like the way your work and could potentially ask to employee you. It can benefit work as well the employee is better qualified and should have a better understanding of their job role.

Healthy Life

Healthy life is a very important thing in our lives. We should watch what we eat. We should look at the nutrition label whenever we buy food and drinks. The most important thing on healthy life is exercise. Living healthy is very relaxing.The best thing to do if you want to live healthy is look at the nutrition label on anything you are eating. Look at how much calcium does the food has because it’s an essential nutrient to our body needs everyday and keeps our body run smoothly. Potassium give you strength and endurance that maintain higher level for a long time. Iron is the another best thing you should worry about because iron helps the blood transport oxygen from the lungs to the tissue cells where it is needed and if you don’t get the iron you need in future you will have problem. They are more good vitamins that you can eat for example â€Å"Multi-Vitamins† has everything you need for the whole day.The most important thing about being healthy is exercise be cause it prevent you getting any type of diseases. There are a lot of things that help you when you exercises everyday. Your body improves stamina because you motivating yourself to work your body out more and you feel better about yourself. The most important thing I have notice is insomnia problem because your not active an you cant’t sleep right. When you work out and active an doing stuff insomnia goes away and you will get nice sleep. Exercising is very important to everyone lives.Living a healthy and relaxing life is very important in our lives because you can live longer. If you don’t work out and be lazy and don’t worry about exercising your long term life will be in danger. Everyone should start exercising everything and trust me you will feel a different in your life.

What You Should Know About Unequal Treaties

What You Should Know About Unequal Treaties During the 19th and early 20th centuries, stronger powers imposed humiliating, one-sided treaties on weaker nations in East Asia. The treaties imposed harsh conditions on the target nations, sometimes seizing territory, allowing citizens of the stronger nation special rights within the weaker nation, and infringing on the targets sovereignty. These documents are known as unequal treaties, and they played a key role in creating nationalism in Japan, China, and also Korea.   Unequal Treaties in Modern Asian History The first of the unequal treaties was imposed on Qing China by the British Empire in 1842 after the First Opium War. This document, the Treaty of Nanjing, forced China to allow foreigner traders to use five treaty ports, to accept foreign Christian missionaries on its soil, and to allow missionaries, traders, and other British citizens the right of extraterritoriality. This meant that Britons who committed crimes in China would be tried by consular officials from their own nation, rather than facing Chinese courts. In addition, China had to cede the island of Hong Kong to Britain for 99 years. In 1854, an American battle fleet commanded by Commodore Matthew Perry opened Japan to American shipping by threat of force. The U.S. imposed an agreement called the Convention of Kanagawa on the Tokugawa government. Japan agreed to open two ports to American ships in need of supplies, guaranteed rescue and safe passage for American sailors shipwrecked on its shores, and allowed a permanent U.S. consulate to be set up in Shimoda. In return, the U.S. agreed not to bombard Edo (Tokyo). The Harris Treaty of 1858 between the US and Japan further expanded U.S. rights within Japanese territory, and was even more clearly unequal than the Convention of Kanagawa. This second treaty opened five additional ports to US trading vessels, allowed U.S. citizens to live and to purchase property in any of the treaty ports, granted Americans extraterritorial rights in Japan, set very favorable import and export duties for U.S. trade, and allowed Americans to build Christian churches and worship freely in the treaty ports. Observers in Japan and abroad saw this document as a portent of the colonization of Japan; in reaction, the Japanese overthrew the weak Tokugawa Shogunate in the 1868 Meiji Restoration. In 1860, China lost the Second Opium War to Britain and France, and was forced to ratify the Treaty of Tianjin. This treaty was quickly followed by similar unequal agreements with the US and Russia. The Tianjin provisions included the opening of a number of new treaty ports to all of the foreign powers, the opening of the Yangtze River and Chinese interior to foreign traders and missionaries, allowing foreigners to live and establish legations in the Qing capital at Beijing, and granted them all extremely favorable trade rights.   Meanwhile, Japan was modernizing its political system and its military, revolutionizing the country in just a few short years.  It imposed the first unequal treaty of its own on Korea in 1876.  In the Japan-Korea Treaty of 1876, Japan unilaterally ended Koreas tributary relationship with Qing China, opened three Korean ports to Japanese trade, and allowed Japanese citizens extraterritorial rights in Korea. This was the first step toward Japans outright annexation of Korea in 1910. In 1895, Japan prevailed in the First Sino-Japanese War. This victory convinced the western powers that they would not be able to enforce their unequal treaties with the rising Asian power any longer. When Japan seized Korea in 1910, it also nullified the unequal treaties between the Joseon government and various western powers. The majority of Chinas unequal treaties lasted until the Second Sino-Japanese War, which began in 1937; the western powers abrogated most of the agreements by the end of World War II. Great Britain, however, retained Hong Kong until 1997. The British handover of the island to mainland China marked the final end of the unequal treaty system in East Asia.

Before Obamacare, the National Health Insurance Plan

Before Obamacare, the National Health Insurance Plan Introduction In 2009, President Barack Obama unveiled his proposal for a plan intended to reduce the soaring costs of healthcare by providing all Americans with health insurance. The plan, titled Healthcare America at the time, would eventually be passed by Congress as the Patient Protection and Affordable Care Act of 2010. The following article, published in 2009, outlines President Obama’s original vision for what we now know as â€Å"Obamacare.† Key Takeaways: Original Obamacare What became â€Å"Obamacare† was called Healthcare America when first proposed by President Barack Obama in January 2009.The plan was intended to lower the nation’s healthcare costs by providing all Americans with health insurance.Under Healthcare America, all U.S. residents not covered by Medicare or an employer-provided plan would be allowed to buy insurance at lower rates through a government-run Health Care for America program.All U.S. employers would be required to provide their employees with insurance coverage or pay an additional tax to help pay for Healthcare America.Maximum monthly health insurance premiums paid under Health Care for America were to range from $70 for an individual to $140 for a couple.Healthcare America was greatly modified and eventually enacted as the Patient Protection and Affordable Care Act on March 23, 2010 Obamacare as Envisioned in 2009 A national health insurance plan, administered by the federal government as an alternative to private health insurance, will probably be proposed this year by President Obama. Despite the massive cost of a universal health insurance plan, estimated at up to $2 trillion over 10 years, support for the plan is growing in Congress. Obama, and Democratic congressional leaders argue that by reducing health care costs, a universal health insurance plan would actually help reduce the national deficit. Opponents argue that the savings, though real, would have only a minor impact on the deficit. While the politics and pros and cons of nationalized health care have been debated for years, the national health insurance element of President Obama’s overall health care reform agenda appears to have a good chance of happening. So far, the framework of Obama’s national health insurance plan is best described in Jacob Hacker’s â€Å"Health Care for America† plan. The Goal: Health Insurance for Everyone As described by Jacob Hacker of the Economic Policy Institute, the national health insurance plan – â€Å"Health Care for America† – attempts to provide affordable health insurance to all non-elderly Americans through a combination of a new Medicare-like program provided by the government and existing employer-provided health plans. Under Health Care for America, every legal resident of the U.S. who is not covered by either Medicare or an employer-provided plan could purchase coverage through Health Care for America. As it currently does for Medicare, the federal government would bargain for lower prices and upgraded care for every Health Care for America enrollee. All Health Care for America enrollees could choose coverage under the affordable Medicare-like plan offering them free choice of medical providers or a selection of more expensive, comprehensive private health insurance plans. To help pay for the plan, all U.S. employers would be expected to either provide health coverage for their employees equal in quality to Health Care for America or pay a modest payroll-based tax to support Health Care for America and help their employees buy their own coverage. The process would be similar to how employers currently pay an unemployment tax to help fund state unemployment compensation programs. Self-employed persons could buy coverage under Health Care for America by paying the same payroll-based tax as employers. Persons not in the workplace could buy coverage by paying premiums based on their annual income. In addition, the federal government would offer the states incentives to enroll any remaining uninsured individuals in Health Care for America. Non-elderly beneficiaries of Medicare and S-CHIP (the State Childrens Health Insurance Program) would be automatically enrolled in the Health Care for America Plan, either through their employers or individually. In summary, supporters of the Health Care for America plan say it would provide the U.S. with universal health care coverage by: being available to any legal U.S. resident without good workplace coverage;requiring that employers (and the self-employed) either purchase coverage comparable to Health Care for America for all their workers or pay a relatively modest payroll contribution (6% of payroll) to fund Health Care for America coverage for all their employees; andrequiring that Americans who remain without insurance either purchase private coverage or buy into the Health Care for America Plan. For persons already covered by employer-provided health insurance, Health Care for America would virtually eliminate the suddenly very real threat of losing coverage because of layoffs. What Would the Plan Cover? According to its supporters, Health Care for America will provide comprehensive coverage. Along with all current Medicare benefits, the plan will cover mental health and maternal and child health. Unlike Medicare, Health Care for America will place limits on total annual out-of-pocket costs paid by enrollees. Drug coverage would be provided directly by Health Care for America, rather than by private health plans. Medicare would be modified to allow it to provide the elderly and disabled with the same direct drug coverage. In addition, preventive and well-child checkups would be provided to all beneficiaries at no out-of-pocket cost. How Much Will Coverage Cost? As proposed, the maximum monthly Health Care for America premium would be $70 for an individual, $140 for a couple, $130 for a single-parent family, and $200 for all other families. For those enrolled in the plan at their place of work, anyone whose income was below 200% of the poverty level (about $10,000 for an individual and $20,000 for a family of four ) would pay no additional premiums. The plan would also offer extensive, but so far unspecified, assistance to enrollees to help them afford coverage. Health Care for America coverage would be continuous and guaranteed. Once enrolled, individuals or families would remain covered unless they become covered by a qualified private insurance plan through their employer.

Development of Herbs and ayurveda Case Study Example | Topics and Well Written Essays - 1250 words

Development of Herbs and ayurveda - Case Study Example associate their lifestyle with fashion in health. The choice of Himalaya nourishing cream compliments the craze for fashion in India.Amongst the 720 crore market for the Indian fairness cream Himalayahealthcare wishes to acquire 2 percent market share (www.himalayahealthcare.com /search). MISSION (www.himalayahealthcare.com /mission) To establish Himalaya as a science based problem solving,head to heal brand harnessed from nature's wealth and characterised by trust and healthy lives. To develop worldwide markets and have an in-depth long-term approach maintaining highest ethical standards . To co-operate and take into consideration the talents of each member of the Himalaya family and the nearby communities in the local region where Himalayaproducts are consumed. To support the eco-friendly environment. mf.. Mohan 3 To ensure that each employee strongly reciprocates...Women besides fashion also want health and this nourishing cream fulfils their need and want because it is a gentle blend of herbal extracts that create vitality and youth for the skin. Himalaya herbal nourishing cream is light and non-greasy and provides nourishment, all day long. It protects the skin from pollution and dry weather.

The Marshall Plan and Communism after World War 2 Essay

The Marshall Plan and Communism after World War 2 - Essay Example Historical facts are used for purposes of knowledge and understanding of past events to help explaining contemporary and future events. On this basis, research into finding the answers to the above question will add knowledge to historians and other interested stakeholders. In addition, the information obtained will enable historians and other stakeholders in explaining contemporary and future communism. Such facts are provided within the analysis and conclusion of the paper. Section B: Summary of Evidence Communism is the economic and social system where property and resources are collectively owned and controlled by classless society. Marshall Plan (named after Secretary of State George Marshall) was intended to provide aid for fostering reconstruction of economies that had been destroyed by the World War II Between 1948 and 1951, US through the Marshall Plan (European Recovery Program, ERP) pumped money into Western Europe in order to spur redevelopment after the World War II Mars hall Plan was based on the dislocation of the entire European economy during the World War II Deteriorating European economies provided vistas for people to come together and own resources and production channels Main intention was to combat the spread of Soviet communism Goals of the Marshall Plan included: Rebuilding devastated region Removal of trade barriers Modernization of industry Making Europe prosperous again after the World War II Marshall’s success kept the Western Europe out of the communist bloc Economic weapons can be used in solving diplomatic problems Section C: Source Evaluation Ambrose, Stephen E. "The Presidency and Foreign Policy." Foreign Affairs 70.5 (1992): 120. In this article, Ambrose identifies some of the foreign policies employed by the US. Foreign policies are usually the guidelines that affect how a given nation interacts with other nations. This resource identifies the fact that Marshall Plan was developed out of the US foreign policies. The art icle provides the foundation of the plan making the research on the topic easier. Nonetheless, the article does not explicitly describe the Marshall Plan. Bernadette, Whelan. Ireland and the Marshall Plan 1947-1957. Dublin: Four Courts Press, 2000. Print. Bernadette in her book attempts to describe how Ireland benefitted from the Marshal Plan that was in effect between 1947 and 1958. Notably, the book addresses very crucial point in respect to how communism was going to arise within Europe had there been no aid from the US. What’s more, this book attempts to describe how communist bloc was a major concern for the US given that they had just emerged victors in the Second World War. Such information is important in establishing effectiveness of the Marshall Plan in preventing communism within the Western Europe. However, the limitation of the book is that it fails to explicitly provide a description and evaluation of the effects of Marshall Plan on communism in Europe. Burk, Ka thleen. "The Marshall Plan: Filling in some of the Blanks." Contemporary European History 10.2 (2001): 267-94. In the journal of Contemporary European History, Burk’s article revolves around the Marshall Plan and how it attempted to reconstruct the European economy. Burk’s article identifies some of the ‘blanks’ that many historians have failed to identified for all this time. For instance, Burk claims

Knowledge and theory are embedded across the study of accounting Essay

Knowledge and theory are embedded across the study of accounting - Essay Example Secondly, the concept of accounting is also defined as a strong social dynamism, which substantially helps organisations to build strong sustainability by delivering transparent view of the financial records to the societies, organisations and people surrounding to it (Kennedy, 2011). In relation to the continuous evolution of accounting theories and practice guidelines, organisations in the present globalised business environment are highly focused on complying with a specific set of accounting principles in order to conserve reliability and validity of the financial records (Kennedy, 2011). Therefore, with this concern, the essay intends to critically explore the statement â€Å"Knowledge and theory are embedded across the study of accounting.† The discussion of the essay reveals few of the major accounting theories and principles employed by the organisations in the contemporary business phenomenon. Over the years, scholars have been intrigued by different concepts and disciplines and have been engaged in expressing their views in the form of study. In this regard, several scholars have contributed their efforts towards the study of accounting. These studies are considered to be of prime importance for myriad reasons. In addition, the study related to accounting has been considered as an attempt towards explaining the various reasons and logic behind certain accounting practices. The studies are further considered to be extremely important as the accounting standards are framed and developed with reference to these studies. The study on accounting involves sound reasoning of various practices as well as it deals with the examination of pros and cons in accounting practices. The importance of the study of accounting can be thus related with the effectiveness of the current accounting standards and guiding principles espoused by the

History of Food in the US

History of Food in the US Evolution of the food Cooking is a process which one can never discovered. Cooking and food are the things which were always being evolving with time. For the survival the most important requirement of a creature is food. If we move to prehistoric time cavemen created weapons for hunting to survive and as the fire was discovered the whole way of eating food changed. When colonization began and civilization have been set, hierarchy of classes of people started evolving on the basis of work done by them. Three categories were made like food for royal people, warrior people and Poverty-Stricken people to describe food. As the technology started evolving time by time in the area of agriculture people started developing new type of vegetables and fruits by the help of pesticides, hybrid technology and insecticides as compared to what they we use to eat in early times the food which use to grow naturally. But as people learn about the bad effect of pesticides and insecticides they started moving to organic food. Many decades back when women stay at home to take care of the family members, whereas the men use to work for earning money to fulfill the basic requirement of the family. Now a days when women are working with men in every field, so that’s why they get less time to cook food at home by which ready to eat food came in market. This is how centuries have passed and food has been evolved. American cuisine History of the United States can be reflected by its cuisine. European colonization introduced the number of ingredient and cooking style. In 19th and 20th century many style stated expanding in proportion to the immigrants flowing in from many other countries, this flow of immigrants diversified the food all over the country. Early American used number of cooking technique, in the early cuisine which were combined with the early European cooking ways structure the basis of American cuisine. When colonist came to eastern seaboard, they use to cultivate animal for their clothing and food, same as what they use to do in Europe. The diet of American colonist started rely on the region they use to live. Large amount of animal oils and fat were made to cook the colonial food whereas new Englanders use to have rum and beer, because marine trade gave them easy approach to the ingredient for producing rum, in which the main ingredient was molasses, which was easily available at trade in West Indies. In 19th and 18th centuries, American started developing new food during 1890’s – 1920’s production of food and presentation came in business. One Attribute of American cuisine is the fusion cuisine which was influenced by regional and ethnic which formed a modern cooking style. http://www.mediander.com/connects/2175/cuisine-of-the-united-states/ California cuisine California cuisine is known for its fusion cuisine and fresh goods, which came from fertile Salinas’s valley which is also known as salad bowl of America, to the wine countries all over the state. Health-conscious lifestyle of the people have combined with the local produce and have made a creative and modern type of cuisine. California has been a center for many immigrants and carried a range of distinct culture together, and time by time the cultures have synchronized and formed a fusion cuisine. Many ethnic food of the countries were modified according to local tastes, and keep on developing throughout the year. http://www.mapsofworld.com/pages/mmmerica/united-states-of-mmmerica-cuisine-of-california/ Sourdough Bread In 1849, during the California gold rush, a vital part of the San Francisco cuisine is sourdough bread. However the bread was developed way back in history, and yet it has become reputed in the world because of its deep sour flavor and its heavy texture. Also it is very hard to produce at any other place in the world. The microorganism used in the making of the bread can only survive in the circumstances prevailing in San Francisco bay area. The miners during the gold rush ate sourdough bread as one of their favorite starter and carried it around while they traveled state to state thereby spreading the delicious bread around in each place they went. Due to the popularity of the bread in San Francisco and its spreading method sour dough came to be a name for miners and the mascot of the today’s football team San Francisco 49ers is known as sourdough bread. In 1849 the Boudin bakery began baking sourdough bread and it has been in production ever since it has crisp and chew crust and goes along perfectly with a lot of the perfect soup of San Francisco, like clam chowder and cioppino and is often found to be carved and shaped into a bowl by hollowing it out and it is used to serve soup in it. Crab Louie It is a salad which is made from crab meat, in San Francisco from the 1900’s. Many story are being told about the origin of the dish, but it has been believed that it is a San Francisco dish. Seafood meat, tomatoes, lettuce could be romaine or iceberg, asparagus and hard boiled eggs are mixed and tossed with Louie dressing, which is made by adding mayonnaise and chili sauce seasoned with peppers. Now a day’s Thousand Island dressing can also be used. Cioppino Cioppino is a fish medley stew soup, San Francisco creation. The soup was created by the Italian immigrants in the mid nineteenth century. When fishermen from coastal region of Italy came to San Francisco and started living over there as a fishermen. When the day ends, they use to gather all the leftover and chop them, put them in a pot and create a stew. The word cioppino came from the word â€Å"to chop†, though some claims that it derived from cries of â€Å"chip in† which was heard when they use to return to the dock, asking everyone to add the seafood in the pot. Whereas cioppino in San Francisco is usually made with a mixture of scallops, Dungeness Crab, shrimps, clams, squids, numerous white fish, and mussels which were stewed in a broth of red wine. Shellfish were kept in their shells while they were stewed, which in terms added flavor, to broth. Afterwards Sicilians immigrants developed the shrimps by putting tomatoes in the broth, the way it is served today. Stew is used to be served with the meat in the shell. http://www.mapsofworld.com/pages/mmmerica/united-states-of-mmmerica-cuisine-of-california/ Famous Chefs and Restaurant of California Wolfgang Johannes Puck is a celebrity chef who owns a renowned restaurant named Spago. He spread the California cuisine by cooking food for high profile guest and their parties like Oscar after parties. Alice water is a restaurateur, chef and author. She owns Chez Panisse restaurant in Berkeley, California. Her restaurant is known for preparing food from organic and locally grown ingredient. Mette Williams is a celebrity chef who became famous by winning in a popular food network show because of her fresh and new thinking on Italian cuisine. Currently she is the executive chef of culina restaurant in Beverley hills. http://www.visitcalifornia.com/Articles/Famous-Faces-In-the-Kitchen/

The Army Essay -- essays research papers fc

There are many job oppurtunitiesin the army. Anyone one can join and be anything he wants. In the army everyone has the chance to travel the world. The army has certain benefits and requirements. All of them will be explained. The army is the oldest of the armed services and is responsible for land operations. The army has to be prepared to use any action to overcome any enemy that threatens the U.S. and the nation's intrest. The army helps train the military forces of some friendly nations and supplies them with the equipment their nation needs. (Army) "While aspiring to be the most esteemed institution in the nation, we will remain the most respectedarmy in the world and most feared ground force to those who would threaten the intrest of the United States." (The United States) "The army has a non-negoitiable contract with the people of America to fight and win our nation's wars." (The United States) To enlist in the armyon active duty, a person must meet the followingmeet the following requirements: Anyone between the ages of 17-35, a U.S. citizen or registered alien, healthy, and in good physical condition. Another way would be to join the SROTC in college. A person joinning this program earns college credits and recives cash. Anyone can qualify for scholarships that add up to sixty thousand dollars. The requirements are the applicant must be in a particiapating college or university, between the ages of 17-34, and a U.S. citizen. If the applicant...

Practicum Evaluation Summary Essay

The practicum learning agreement created between the masters of Science in nursing (MSN) student and the instructor was approved for the goal to perform in the role of a nurse educator at the Domiciliary Rehabilitation Program at the Orlando Veterans Affairs Medical Center (VAMC). The population of the Domiciliary Residential Rehabilitation Program is veterans with multiple and severe medical conditions, mental illness, addiction, or psychosocial deficits. Military-related posttraumatic stress disorder (PTSD) can negatively affect the veteran’s well-being (Health Services Administration, 2010). The care needs of the nursing staff were assessed to identify the need for the educational program in the rehabilitation program. Further development, implementation and evaluation of a program to improve the veteran’s quality-of-life were the objectives to provide the best outcomes of a teaching/learning program. The learning agreement included the strategies to accomplish the objective with an established time-line and self-reflective journal to meet the best outcomes. Professional relationships were established with a mentor and networking with the organization improved professional advancement capabilities at the Orlando VAMC. Evaluation of the effectiveness of the project produced positive outcomes to improve the veterans’ quality of life. The role of a leader used evidence-based decision-making and applied ethical standards. The importance of nursing theory provided the principles to generate nursing knowledge and create practices to help the veterans who are affected by PTSD. The practicum experience enhanced the role as a nurse educator to improve cost-effective nursing practices for the veterans at the VA Medical Center. Effectiveness of Project The project began with an idea using a practicum project brainstorm worksheet (Appendix A). The learning objectives were established, and a timeline was used to maintain a deadline for completion (Appendix B). Each learning objective used Bloom’s taxonomy for three learning domains: cognitive/knowledge (mental learning), affective/attitudes (growing feeling learning) and psychomotor skills (manual/physical learning) (DeYoung, 2009). The first learning objective analyzed peer-reviewed literature and evidence-based research to identify the disease process and formulation of  best practices (Burns & Groves, 2009). An extensive reference base was conducted and used to draft a needs assessment that was discussed with the mentor, mental health team, nurse manager, and educator (T. Russell, H. Ortiz, D. Hopson, personal communication, Summer, 2013). Their experienced feedback was practical in completing an effective outcome to the objective. The next learning objective was to design the educational program using a PowerPoint presentation, hand-outs, knowledge test, and final evaluation. A teaching plan guideline with learning objectives followed Veteran Affairs Health Administration procedures for quality and performance (Orlando VAMC, 2013). A summary of the program was presented and approved by administration. Implementation of the learning program was coordinated with approval of management. A flyer was created to announce the class dates and times. All three shifts on the rehabilitation department were provided a verbal pre-test and lectured on the topic. Many opportunities for open-discussion helped the staff explore their own beliefs and experiences to improve their knowledge and skills. The post-tests were scored and found a positive correlation to learning and accomplishing the program objectives. The VAMC evaluation tool was used to score the course and instructor. Self-reflective journaling helped to identify strengths and weaknesses of the program and teaching techniques used. The results were shared with the mentor who provided encouragement to learn from the experience and build knowledge of performing as an educator. The outcomes of implementing the teaching program was completed and found to be successful in improving nursing knowledge by providing evidence-based practice to enhance the veteran’s well-being. A final evaluation of the practicum learning used the Orlando VAMC evaluation form. The teaching program method was appropriate for learners. A detailed reflective analysis in the portfolio included results from a final meeting with the mentor, administration, mental health team, and educator. All favored the educational program to improve nursing standards of care for veterans with PTSD in the rehabilitation program. Encouragement to expand the teaching to nursing staff on all mental health departments and in the orientation program for newly hired nursing personnel was made by the mental  health chief nurse. The outcome had few strength and weaknesses in which to learn from. The weaknesses are personal areas of improvement that can be enhanced with continued experience as an educator, optional training aids available at the VAMC and continued evaluations for improvement. Another weakness of the project was the small learning experience as compared to the nursing population at the VAMC. MSN Program Student Learning Outcomes A quality assessment process from up-to-date journal reviews can provide the decision-making for new interventions in patient care. Evidence-based decision-making requires the integration of the best available research evidence addressing specific clinical questions (Kranke, 2010). A systematic review of literature was pooled to obtain data about PTSD issues. Prepared health professionals use evidence to inform safe practice and account for positive patient care outcomes are the aim for delivery of health care. Competence, education and skills play a critical role in achieving safe patient care in a complex health care system. Nursing professionals have the role to ensure the translation of evidence into practice while evaluating outcomes. The demand for improved patient care and a safe health care delivery system is taught at the University of Phoenix and the Veterans Health Administration. Nurses have a direct effect on patient care outcomes and quality (McLaughlin & Kaluzny, 2006) . Influencing change is essential in any organization and a good change agent is required as a leader (Tomey, 2009). Analyzing and identifying the need to implement an educational course to teach nursing staff how to better care for veterans with PTSD requires the collection of data, using the right tools, preparing objectives, and evaluating the process of change. Advance nursing education has helped to gain the skills to diagnose and plan positive change to improve patient care outcomes. The principles of successful leadership are important in affecting change. Leadership skills are necessary to drive and maintain change. Views on diversity can bring change to programs. Veterans bring their own set of beliefs and values to a diverse and multicultural environment. Providing relevant care is important for nurses to understand their own beliefs, culture and values as well as understanding the veteran’s views. Their rights to confidentiality and privacy are trusted by patients to be maintained by medical personnel. A code of ethics, moral philosophies and  effective communication is learned in advance nursing education to help guide the decisions in meeting patient care needs (Burkhards & Nathaniel, 2008). Theory provides the framework to structure and builds knowledge (Walker & Avant, 2005). Models can help to link research, education and practice. The change process is complex. Nursing practice theories provide the framework for interventions and prediction of outcomes. Theories can guide practices in nursing that focus on the difference and similarities in respect to human care. Nursing theory provides the foundation to assess, evaluate and plan interventions. A theoretical perspective can help to meet the challenges of health care delivery and provide guidelines for nursing practices (Fitzpatrick & Whall, 2005). Nursing theory is essential in nursing research, education, practice, and development. Nursing theory helps to decide what is known and what needs to be known. The benefits include better patient care, enhanced professional status, improved communication, and guidance for research and education. Because care cannot be measured, theory can analyze it. Nursing models and theo ry are beneficial to the nursing practice. Development of Professional Nursing Career The project provided the opportunity to perform as a nurse educator and gain experience for advancement in this specialty. Involvement with nurse administrators, the mental health team, the nurse educators, and adjunct staff provided valuable opportunities to network. My work on the practicum project has advanced to expanding the program I created and the formal invite to join the mental health and rehabilitation team. The educational program has also advanced best practices of nursing personnel to perform with higher knowledge and skills. Years of nursing experience, expertise knowledge in mental health and gerontological nursing and the learning experience gained from the practicum project exposed me to knowledge and skills to take responsibility in leadership and advance my nursing career to a management level in the near future. Conclusion The practicum project was a success in improving patient care for veterans who have PTSD at the rehabilitation program. The experience from achieving personal learning objectives was a rewarding experience. Performing as a  nurse educator using evidence-based decision-making in creating and implementing a program at the Orlando VAMC was evaluated as effective and safe in teaching best practices. Leading and advocating for ethical principles, addressing diversity and applying theory contributed to full development of my professional nursing career. The practicum experience has provided the knowledge, skills and experience to further advance my career in professional nursing. References Burkhards, M.A., Nathaniel, A.K. (2008). Ethics & Issues in contemporary nursing (3rd ed.). Clifton Park, NY: Thomson Delmar. Burns, N., & Groves, S. K. (2009). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (6th ed.). St. Louis, MO: Elsevier. DeYoung, S. (2009). Teaching Strategies for Nurse Educators. Upper Saddle River, NJ: Prentice Hall. Fitzpatrick, J. J., & Whall, A. (2005). Conceptual Models of Nursing: Analyisis and application (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall. Health Services Administration. (2010, November). Veterans have unique needs: VA program to be specific to vets. Mental Health Management Advisor, 15(11), 126-128. Retrieved from CINAHL database Kranke, P. (2010, September). Evidence-based practice: how to perform and use systematic reviews for clinical decision-making, 27(9), 763-772. doi: 10.1097/EJA.0b013e32833a560a McLaughlin, C. P., & Kaluzny, A. D. (2006). Quality improvement in healthcare (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers, Inc.. []. doi: Retrieved from Orlando VAMC. (2011, January 22). Quality management sy stem (Medical Center Policy 00Q-12). Orlando, FL: VA Medical Center. Tomey, M. (2009). Guide to nursing management and leadership (8th ed.). St. Louis, MO: Mosby. Walker, L., & Avant, K. (2005,). Strategies for Theory Constructions in Nursing, (5th ed). Upper Saddle River, NJ: Prentice Hall. Appendix Practicum Project Brainstorm Worksheet This worksheet must be completed prior to the first class meeting for NUR/590A. Identify a goal for the practicum project and more than one potential project idea. Practicum Goals: To perform in the role of nursing educator at the Orlando Veteran’s Administration (VA) Domiciliary (Rehabilitation) Program by assessing and identifying learning needs of nursing staff related to assessment of, and caring for, veterans with military-related post-traumatic stress disorder (PTSD). To develop, implement and evaluate a nursing educational program for nursing staff that will address these learning needs and hopefully improve quality of life for these veterans and their families. Description of Project Potential Mentor and AgencyDraft Objectives (completed in Week One class) Project Idea # 1 PowerPoint presentation and lecture Create a program to educate nursing staff to learn and understand how to care for veterans with PTSD at the rehabilitation center using classroom lecture with PowerPoint presentation for all shifts.Michele Reed, JD,MSN,RN Orlando VAMC-Conduct a review of literature to use evidence-based nursing practices -Design a teaching/learning plan using a PowerPoint presentation, handout and test -Implement the program to the nursing staff at the Rehabilitation Center -Evaluate the teaching/learning program and practicum experience Project Idea #2 Self-learning guide and test Create a program to educate nursing staff to learn and understand how to care for veterans with PTSD by developing a self-learning guide to PTSD care for veterans at the rehabilitation program.Michele Reed, JD,MSN,RN Orlando VAMC(Same as listed above)

Environmental sustainability of Nestlé Essay

Introduction The environmental and sustainability report has become more and more important information to reflect the corporate social responsibility of the company. The companies, in particular the big multinational companies listed in the public, have paid much attention to disclose the relevant information recently (Environmental Leader, 2008). Nestlà © is one of the famous food manufacturing company, and this present paper is to study the relevant environmental and sustainability of Nestlà © accordingly. Environmental sustainability of Nestlà © Based on the sustainability report of Nestlà ©, the relevant environmental sustainability performance information of Nestlà © has been clearly laid out, including government and systems, life cycle approach, the impact of water, climate change, air emissions, transports and distribution, packaging optimization, waste and recovery and biodiversity (Veritas, 2012). In light of the information provided by Nestlà ©, the value of Nestlà © in relation to the environmental sustainability is to enhance its environmental performance and efficient operations, decrease the negative impacts on the natural resource, and constantly employ the cost saving approaches in terms of raw materials, water, etc. Meanwhile, the goal of Nestlà © is to supply the delicious food and beverages, as well as obtain the better environmental performance, with a view to enhance the efficiency of business operation and environmental impact accordingly (Veritas, 2012). In Nestlà ©Ã¢â‚¬â„¢s report of environmental sustainability, it has introduced various actions that Nestlà © carried out this year in order to achieve the environmental sustainability goals. The actions taken by Nestlà © include investing CHF 143 million in environmental improvements, performing the relevant project to enhance the environmental impact by reducing water use, non-renewable energy consumption, GHG emissions, avoiding waste and enhancing the utilities of the products, such as the packaging. In addition, Nestlà © also has worked with the suppliers to improve the performance of its supply chain (Veritas, 2012). Nestlà © has provided the quantity information of its performance environmental sustainability since year 2001, including reducing 17% GHG emissions, reduced by 58% and 42% per tonne of product in terms of water withdrawals and energy consumption respectively. Meanwhile, the renewable energy consumption has reduced to 12% of total energy consumption, and the wa ter discharges has reduced by 64% per tonne of product. The efforts that Nestlà © put into the environmental sustainability may increase the cost of its business, but on the other hand, those efforts can also generate more production volume. For instance, the total on-site energy consumption slightly increased by 0.5%, while the total production volume increased by 73.3% over the same period since year 2001. Furthermore, Nestlà © has obtained various awards and recognitions of its performance in environmental sustainability, such as 2011 Stockholm Industry Water Award, 27th World Environment Center Gold Medal award for its commitment to environmental sustainability (Veritas, 2012). Based on the information provided by Nestlà ©, it has demonstrated that Nestlà © has paid much attention to the environmental issue and Nestlà © has the high social responsibility of the environment impact. Meanwhile, there are various elements that heavily influenced the operations of Nestlà ©, and Nestlà © needs to face the relevant challenges of those impacts, including the access of the clean water, constant innovation for the tasty and nutritious food and beverages for the growth population, reducing GHG from its operation, etc. (Veritas, 2012). In the end, the efforts and resources that Nestlà © engaged has not only obtained the long terms positive impact of its corporate profits, but also established the favorable corporate image of its brand and obtained the highly reward for the public (Kolk, 2004). Conclusion To sum up, Nestlà © has established a systemic approach in environmental sustainability and has disclosed the comprehensive environmental sustainability reports to the public. Nestlà © is not the company that only simply chases the growth of its financial revenues, but it also focuses on the environmental impact caused by its business. The release of the relevant information that the company engaged in sustainability activities can make the shareholders and the public know much about the value of company, and generate the positive influences in the long term.