Tuesday, August 25, 2020

Corporate Strategy Part A Essay Example | Topics and Well Written Essays - 2000 words

Corporate Strategy Part A - Essay Example evaluated by the correspondence business in 2013 was $81,447.9 million and that of the purchaser gadgets industry was $247.2 billion in spite of minor vacillation. The market estimation of the businesses has pulled in various household and global organizations and therefore rivalry has expanded impressively. Most noticeable organizations working in these businesses are Apple, Samsung, Lenovo, Dell, Blackberry, Amazon and Nokia (Market line, ‘Global correspondences equipment’, http://advantage.marketline.com.ezproxy.lib.swin.edu.au/Product?pid=MLIP1262-0005, 2014, (got to 10 August 2015); Market line, ‘Global - Consumer Electronics’, http://advantage.marketline.com.ezproxy.lib.swin.edu.au/Product?pid=MLIP1271-0012, 2014, (got to 10 August 2015)). The business condition has gotten exceptionally unique with substantial presentation to different vulnerabilities. In such manner, key administration assumes a significant job for overseeing vulnerability by methods for choices, speculations and procedures. Pushing forward on this idea, the paper surveys and looks at condition, market and business procedures of two eminent organizations, Apple and Blackberry for understanding their serious methodology and future possibility. Market and industry investigation is basic for organizations since it presents tremendous extension for getting present and future market size, development rate and benefit of industry, valuing structure of the business, advertise patterns and key achievement factors for the organization regarding its rivals. Michael E. Watchman (‘The five serious powers that shape strategy’, Harvard business audit, vol.â 86, no. 1, 2008, pp. 25-40) has proposed the five power model for industry investigation and the system has been actualized to survey industry condition of Apple and Blackberry alongside brief SWOT examination. The correspondence gear and purchaser hardware industry mainly includes little purchasers and individual shoppers who transcendently end clients of the

Saturday, August 22, 2020

Improving Wound and Pressure Area Care in a Nursing Home Essay

In Sprakes and Tyrer’s (2010) investigate article entitled â€Å"Improving Wound and Pressure Area Care in a Nursing Home†, the viability of wound and weight ulcer the board was inspected. The pace of wounds and weight ulcers in a nursing home is regularly a marker of the nature of care got as these wounds can prompt sickness and a diminished personal satisfaction (Sprakes and Tyrer, 2010). Sprakes and Tyrer have recognized holes in by and large administration of wound and weight ulcers. They have additionally recognized an enormous volume of referrals with respect to counsel and backing for wounds and weight ulcers. Therefore the authors’ look into was pointed toward whether use of another injury and weight ulcer the board framework in the nursing home would diminish rate and seriousness of these wounds (Sprakes and Tyrer, 2010). This article because chose for study was because of individual experiences with pressure ulcers in the nursing home setting and direct perceptions of the weakening impacts they can have on a person. Rundown Research occurred in a nursing home that was chosen because of perceptions of ineffectively oversaw wounds and weight ulcers. The authors’ generally speaking point of the exploration was to â€Å"improve results for patients requiring wound and weight ulcer management† (Sprakes and Tyrer, 2010, p. 47). The creators anticipated gathering this objective through improving staff information, improving documentation, lastly promising proprietors to maintain the best possible measures of care. Before executing their administration structure, the creators acquired information to set up a control. The creators gathered information over a multi month term in regards to recurrence of wounds and weight ulcers and in regards to the occasions extra help attendants were reached to help with wounds/pressure ulcers. Next, staff information was evaluated with respect to wound and weight ulcer appraisal and the executives (Sprakes and Tyrer, 2010). The creators at that point made an exceptional competency-based structure. This competency-based system filled in as the standard of care to be utilized all through the task. It likewise filled in as an assessing instrument when estimating staff execution. From that point the creators at that point proceeded to talk about the venture with the staff. Concerns, obstructions, and advantages were totally examined as the creators felt â€Å"if staff comprehend why change is happening, they are bound to execute the required change† (Sprakes and Tyrer, 2010, p. 47). While executing their competency-based system the creators chose four attendants to be upheld through the program. Just four were picked because of the measure of time required to help every individual part. The four medical attendants at that point got two hypothetical instructional meetings with a day on wound appraisal and a day on pressure ulcer anticipation and the board (Sprakes and Tyrer, 2010). When complete, the medical attendants worked nearby one of the creators in executing the system in the clinical setting. Consummation of the procedure took a normal of about a month and a half for every medical attendant (Sprakes and Tyrer, 2010). After finishing of the program the four medical caretakers had their insight rethought and another arrangement of information was gathered over a multi month duration to permit time for the nursing staff to join the structure into training (Sprakes and Tyrer, 2010). Subsequent to examining the information, the creators found a 77% decline in the quantity of wounds and a 57% abatement in the quantity of weight ulcers. The information additionally uncovered a huge increment in wound and weight ulcer documentation and a decline in the quantity of contacts to strong medical caretakers. When reconsidered the staff exhibited an expansion in information and expertise. By and large the creators arrived at the resolution that both the nursing staff and patients impressively profited by the venture. Based off the outcomes, they empower the usage of comparable ventures in other nursing homes (Sprakes and Tyrer, 2010). Examination of the authors’ references confirms their suitability to the investigation; nonetheless, 66% of the references utilized are not current as shown by a distribution date more prominent than 5 years. Investigate Based on the article, the authors’ reason for the examination was obvious and the outcomes were indisputable. The authors’ choice to execute a confirm based injury appraisal instrument was an incredible decision as it altogether profited documentation rates as one was not being utilized in the nursing home earlier. Through this decision it was apparent that the creators had the option to enable the nursing to staff to â€Å"ensure the believability of their calling and give responsibility to nursing care† (North Carolina Concept-Based Learning Editorial Board, 2011, p. 2324). While investigating the examination it unmistakably exhibits the effect that legitimate rules and instruction can have on wound and weight ulcer the executives. Through training the creators had the option to help the nursing home in forestalling the event of progressively twisted and pressure ulcers as â€Å"prevention is the objective for the customers in danger for pressure ulcers† (NCC-BLEB, 2011, p. 1918). In spite of the fact that this article is a decent asset for data and measurements on wound and weight ulcers, it isn't suggested for people searching for specific nursing intercessions utilized for wound and weight ulcers. While the creators did comprehensively clarify their competency-based system, they needed profundity in clarifying explicit data and mediations instructed and utilized all through the venture. All in all, this work incredibly adds to the nursing calling since it made a one of a kind quality administration plan that can possibly better various nursing homes and improve the lives of numerous patients. References North Carolina Concept-Based Learning Editorial Board. (2011). Nursing: An idea based way to deal with learning (Vols. 1-2, pp. 1915-1926, 2324, 2425). Upper Saddle River, NJ: Pearson Education, Inc. Sprakes, K. , and Tyrer, J. (2010). Improving injury and weight zone care in a nursing home. Nursing Standard, 25(10), 43-49. Recovered from http://search. ebscohost. com/login. aspx? direct=true&db=rzh&AN=2010893921&site=

Friday, July 31, 2020

Finding Therapists as a Highly Sensitive Person

Finding Therapists as a Highly Sensitive Person Psychotherapy Print Finding Therapists as a Highly Sensitive Person By Jodi Clarke, MA, LPC/MHSP twitter linkedin Jodi Clarke, LPC/MHSP is a licensed professional counselor and mental health service provider with over 20 years of experience in the field. Learn about our editorial policy Jodi Clarke, MA, LPC/MHSP Updated on May 16, 2019 SDI Productions / Getty Images More in Psychotherapy Online Therapy Being a highly sensitive person (HSP) is not a bad thing. It simply means that you tend to process things more deeply, such as cues, emotions, and experiences. You are quite aware of your surroundings and have a keen gift for picking up on subtle cues in your environment that others may not notice. Since you might tend to pick up on these subtle cues and process those more deeply than other people do, it is not a surprise to think that you might feel overwhelmed during experiences that are not-so-subtle. Things like loud noises, drastic temperature change, crowds, or emotionally-charged situations can create distress because your system becomes overstimulated. You might also find that you have a harder time healing after experiences that involve betrayal, loss, or rejection. Keep in mind that being an HSP is simply a way of being in the world. Many people who identify as an HSP may have had experiences in their lives of other people telling them that they are too sensitive, or cant let things go. These can be painful things to hear, especially from those we care about, and leave us feeling like we are  misunderstood or, worse, weak or incapable. As Elaine Aron, Ph.D., states clearly in her work with highly sensitive people, There is nothing wrong with high sensitivity. Sensitivity is an advantage in many situations and for many purposes, but not in other cases. Like having a certain eye color, it is a neutral, normal trait inherited by a large portion of the population, although not the majority. Dr. Aron estimates that this trait of high sensitivity is found in 15-20% of the population. Not sure if you would be considered a highly sensitive person? You can take a quiz by Dr. Aron to learn more. Asking for Help as a Highly Sensitive Person As an HSP, you may have experienced situations and people who have left you questioning yourself, your perceptions, and your abilities. This is not a good feeling and can leave you feeling flawed in some way. We tend to shy away from letting people in, fearing betrayal, loss, or rejection. It can feel risky for an HSP to ask for help, no matter how much they feel challenged and might struggle at work, in their personal lives or in their relationships. When we have particularly deep wounds that need healing, such as abuse or trauma, it can be overwhelming to think we would need to trust someone with our stories and experiences to help us find healing and peace. The following are some tips for reaching out and finding a therapist who will understand how to work with a highly sensitive person. Starting Your Search Dr. Aron outlines specific steps to finding a therapist in her book, The Highly Sensitive Persons Workbook: The Practical Guide for Highly Sensitive People and HSP Support Groups. One of the first suggestions she makes is to appreciate that this decision will have a profound impact on your life. Take the decision to heart and take the time to research options before deciding. Your therapist will be someone you are incorporating into your life for a period of time, consistently offering you a safe space to share experiences and process through challenging emotions. Finding a Licensed Therapist Although many people offer services as a helping professional, it is important to look for providers who have the proper education, training, and licensure to practice in their field. Examples of this would be psychiatrists, psychologists, licensed therapists, and social workers. There are state board regulations in place for these professions and, although providers vary greatly, selecting someone who is formally trained and credentialed by their state board will allow you to know that they have met specific criteria to practice in their chosen field. Many providers offer this information on their websites or other listings but, if you are unable to find that information easily, do not be afraid to ask the person about their credentials and licensing. Where to Look   You can find a lot of information about therapists online. There are many online listing sites and other websites dedicated to sharing information about available therapists and can be searched by location so you can see what options are available close to you. Remember that you will likely be seeing this person on a regular basis for a period of time, so keep that in mind as you consider scheduling and commuting. Examples of online listings include: Good TherapyTheraviveThe Highly Sensitive Person Website Find Help With the 9 Best Online Therapy Programs Reach out and Gather Information Some therapists offer free consultations, briefly in person or over the phone. If you find a provider who seems like they would be a good fit for you, and they do not state that they offer a free consultation, do not be afraid to ask. Most therapists will be glad to spend 15 minutes over the phone, or even by email, to answer questions about their training and experience. Keep in mind this consultation time may need to be scheduled in advance, and some may prefer you come into the office for an in-person consultation. Dr. Aron suggests that HSPs make a point of sharing enough information during their consultation or first session to gather information about how the therapist responds in session. Things to consider might include: Are they approachable and engaged in conversation?Do they seem compassionate and understanding?Do they allow you to share during the first session?Do you find that they have helpful insights?Do they allow you to ask questions about their training or credentials? Although some therapists are highly sensitive people themselves, others are not. It is not necessarily a requirement for your chosen therapist to be an HSP like you, but you may have that preference. Allow yourself to gather the information necessary to know if this is a safe environment and if the therapist understands the gifts and challenges of HSPs. Allow Yourself Time to Decide After speaking with a few therapists, take a little time to walk away and consider your options. Reflect on things like their interactive style, and even the environment of their office. It can be easy for highly sensitive people to second guess themselves or question their perceptions. Remember, you have a gift of reading cues well, so allow yourself time to reflect on the information you have gathered in your search, and make a solid decision of who might be the best fit for you.

Friday, May 22, 2020

Essay about The Effects of Class Structure in the 1920s

Class Structures in the 1920’s The emerging inequitable class systems and antagonisms of the nineteen twenties saw the traditional order and moral values challenged, as well as the creation of great wealth for few and poverty for many. The Great Gatsby, written by Francis Scott Fitzgerald, explores the causes and effects of the unbalanced class structures. Fitzgerald outlines the idea that the desire to accumulate wealth and status is a common ambition amongst the lower classes; when that desire is reached, the traditional upper class is challenged by the emerging newly wealthy, which finally leads to destructive consequences. By creating rigid class structures, traditional upper class, new wealth, and the poor in The Great Gatsby, it is†¦show more content†¦Gatsby comes from the Platonic conception of Gatz and by comparing Gatsby to Platonic Idealism, the idea of Gatsby becomes immortalized and genuine. Gatsby, representing the lower class desires to alter his status to an unalterable conception, which e pitomizes the new money’s desires. Tom Buchanan, the embodiment of the traditional upper class, is a domineering man who desires only one result, to maintain his status and wealth. Tom obsesses over maintaining a pure, rich class of Caucasians that he believes should never be challenged: â€Å"‘It’s up to us, who are the dominant race, to watch out, or these other races will have control†¦this idea is that we’re Nordics. I am, and you are, and you are, and†¦we’ve produced all the things that go to make civilization- oh, science and art, and all that’† (13). The only characters in this excerpt are Tom, Daisy, Nick, and Jordan and they all come from well-regarded families who are prosperous compared to the other characters in the novel. Since Tom only converses with them about their duty to protect civilization, it suggests that they are the class holds a responsibility to maintain its position. Tom is a symbol of the tradition al wealth and he proposes that in order to protect civilization, their traditional wealthy class must be conscious of the threat they are under. These contrasting desires pose a difficult situation for the classes where they mustShow MoreRelatedSelf-Centeredness Illustrated in The Great Gatsby757 Words   |  4 PagesFitzgeraldÂ’s novel, that takes place in Long Island during the 1920Â’s, The Great Gatsby. The book, which takes almost a satirical view of the social and moral problems of the 20Â’s, shows how people who are completely submerged in only their own business are never satisfied. Like many of the characters in The Great Gatsby, being negligent of other peoples lives causes you to end up being miserably self-centered and naà ¯ve, which was evident in all levels of the 1920Â’s social structure. It seemsRead MoreThe Great Gatsby By F. Scott Fitzgerald1472 Words   |  6 Pagesare moral and noble to suffer. In The Great Gatsby, F. Scott Fitzgerald comments on this concept with the characters Tom and Gatsby. By comparing and contrasting Tom and Gatsby in The Great Gatsby, Fitzgerald develops his critique of the class structure of 1920s America that allows corrupt characters to thrive while punishing sympathetic characters for striving for their dreams. Fitzgerald contrasts Tom’s and Gatsby’s old and new money statuses to display the corruption of the American Dream thatRead MoreHarlem : An Emerging Slum1547 Words   |  7 Pagesâ€Å"ghetto.† As discussed in the article, there once existed a great Harlem before it emerged into the ghetto it’s seen as today. The image will then show the effects of gentrification in Harlem, transferring the â€Å"ghetto† back into a prosperous neighborhood. Osofsky begins by discussing the early stages of Harlem as a negro community. By the 1920s, aside from a small amount of scattered white families, Harlem had become predominantly black. It was slowly becoming recognized as the Black Mecca. OsofskyRead MoreThe Tale of a Society Through Fitzgerald Essay1258 Words   |  6 PagesRoaring 20’s. F. Scott Fitzgerald captured all three with his literary voice. He made impressions everywhere with the supreme achievement of his third novel, The Great Gatsby. This novel is a tale of people’s sensational lives in the 1920’s. Fitzgerald uses The Great Gatsby to exemplify the American identity during the early twentieth century. Fitzgerald uses symbolism and other narrative techniques to illustrate the materialistic chase of the American dream by upper-class society in the 20s. BeforeRead MoreParallels In Power And Othering In 1984 And Imbeciles.1416 Words   |  6 PagesImbeciles Like many I was aware of the eugenics movement in the United States in the 1920’s. However, after reading the story of Carrie Buck and learning more about the nature of the procedurals involved in these sterilizations I have a new found understanding of the roles Power and Othering played in the unlawful tests conducted on Carrie buck and many members of her family. The way in which those elite of the 1920’s mimics the party and the thought police in George Orwell’s 1984, is incredibly interestingRead MoreEssay On Clarissa And Septimus1121 Words   |  5 Pagesshell-shocked veterans in the twentieth century. As for Clarissa, in the twentieth century, she was living the lavish life. Society is a constantly changing with the people around it and the structures as well. Often, society does not realize how much pressure is placed upon on one’s being. It is the structure on someone who believes in something and what they feel is right. The foundation of oneâ €™s behavior can rest solely in a world where one is raised. There is a struggle of feeling like we mustRead MoreAnalysis Of Mother To Son By Langston Hughes768 Words   |  4 Pages ï ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½It s had tacks in it, ï ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½And splinters, ï ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½Ã¯ ¿ ½And boards torn up, And places with no carpet on the floor- Bare. But all the time, I se been a-climbin on, And reachin landin s, And turnin corners, And sometimes goin in the dark, Where there ain t been no light. So boy, don t you turn back. Don t you set down on the steps Cause you find it s kinder hard. Don t you fall now- For I seRead MoreMusic During The 1920 S1609 Words   |  7 PagesMusic in the 1920’s The Jazz Age was a cultural movement that took place in America during the 1920 s (also known as the Roaring Twenties) from which both jazz music and dance emerged. This movement matched with both the equally phenomenal introduction of mainstream radio and the conclusion of World War I. The 1920s was the decade that marked the beginning of the modern music era. Some of the popular music genres were Jazz, Dance Bands, Blues, and Broadway. The decade marked the beginning ofRead MoreSocial Class Effect On Characters1418 Words   |  6 Pages 1920s Social Class Effect on Characters The social structure portrayed in the novel effect the Characters as they looked onto the other characters with different ideals and views. It caused the downfall of the characters as it came to the end as each character starts to show their true selves. If they were all the same class they could have gotten along better and even change the outcome of the story. Each Character comes from a different back ground and different social class. The differentRead MoreF.Scott Fitzgeralds The Great Gatsby Essay967 Words   |  4 Pagespeople’s exciting lives in the 1920’s. Fitzgerald uses the Great Gatsby to illustrate the American identity during the early twentieth century. Fitzgerald uses symbolism and narrative techniques to illustrate the materialistic chase of the American dream by upper-class society in the 20s. Before one can fully understand the way in which Fitzgerald wrote, it is important to know the time in which he came from. F. Scott Fitzgerald lived and wrote in the time of the Roaring 20’s and the Jazz Age. Fitzgerald’s

Sunday, May 10, 2020

Analysis Of Ray Rice Domestic Violence - 1565 Words

1. The medias interaction with victims of domestic violence is different from their interaction with victims of other types of crimes. The media tends to focus on the abuser more so than the victim, and for good reason. One reason is that they do not want to re-victimize the victim. Linda Osmundson offered her advice to journalists and she said to focus on the abuser, do not allow alcohol to become an excuse, and abuse is a world view and not a disease (Tompkins, 2014). Osmundson also said that journalists should remember that victims are reading, listening and watching coverage (Tompkins, 2014). I agree with Osmundson, especially the point she made about how victims are reading, listening, and watching. It was not too long ago that the†¦show more content†¦If you do not want to be thrusted into the public eye, then do not commit an act of domestic violence. Janay Rice mentioned in her Instagram statement that the media took away something that her husband worked for all his life. The media did not take ANYTHING away. The NFL suspended him, not the media. If he has worked his whole life to play football, maybe he should have thought twice before letting his emotions get the better of him. The fourth video, Fox News, at first glance when it came on and I saw four women and 1 man on the panel I thought for sure that it was going to be one sided in favor of Janay Rice. What I did not expect to hear was Ed Henry stating that Ray Rice was treated unfairly because it was caught on video. Unfairly... Are you kidding me. He was not treated unfairly. He chose to put his hands on his wife and that comes with consequences. I felt Fox News depicted the case fairly, one person felt like the perpetrator was treated unfairly, and they really did not say that much about Janay. The fifth video, NBC News, was short and did not discuss much about the incident but instead focused on Ray Rice and how he is going to get back to playing football. What I found interesting was Janay Rice, her mom and dads body language. Janay Rice is not looking at Ray Rice at all and she is not touching him. Now to me that says a lot. If he really did make a mistake and he has not done this before and this was a one timeShow MoreRelatedDomestic Violence Among Celebrities Are More Violent Than Average Citizens1947 Words   |  8 PagesDomestic violence among celebrities Introduction Domestic violence is widely regarded as a highly contentious issue in the United States. For this reason, it receives a great deal of attention from the law-enforcement and media professionals. However, there are significant reasons to believe that the way these incidents are portrayed in the media engenders false assumptions about the nature of this social problem. Specifically, there is no evidence to suggest that NFL players are more violent thanRead MoreDomestic Violence And Its Effects On The Society Essay1699 Words   |  7 PagesIntroduction Domestic violence is not is not just physical abuse, but is any behavior that is intended to control another person through the use of verbal assaults (*cite*) A huge social issue throughout the world today. Domestic violence is not only limited to spousal abuse but also includes sibling abuse, elder abuse and child abuse. Domestic violence may also be known as family violence, wife or child beating and domestic abuse. (cite) Domestic Violence s a very important social issue throughoutRead MoreMarijuana Is The Safest Of All Recreational Drugs1600 Words   |  7 Pagesviolent crimes. The government and its laws unnecessarily vilify marijuana. Instead of pursuing higher threat criminals, cops are spending their time busting young adults for possession. According to the American Civil Liberties Union’s (ACLU) original analysis, marijuana arrests now account for over half of all drug arrests in the United States. Most of the people are arresting aren’t big time drug deale rs, but rather people with small amounts of marijuana (Marijuana Arrests by the Numbers†). If lawsRead MoreViolence Against Women During The United States2143 Words   |  9 PagesViolence Against Women The topic this policy analysis assignment will focus on is violence against women in the United States. Seven in ten women experience some form of violence in their lifetime (Unite, n.d.). To curtail violence against women, the Violence Against Women Act of 1994 created the first U.S. federal legislation acknowledging domestic violence and sexual assault as crimes, and provided federal resources to encourage community-coordinated responses to combat violence (nnedv.org, nRead MoreCountry Analysis - Japan5097 Words   |  21 PagesCountry Analysis Japan Table of Contents Subject Page History 3 Physical Environment 4 Economic Environment 5 Social Structure 8 Living Conditions 13 Demographics 16 Religion 17 Arts 20 Movies 21 Language 22 Core Values 23 References 25 History Japan gained independence in 660 BC. The national holiday is December 23 (1933), which is the birthdayRead MoreA study on customer perception towards E Banking facilities12297 Words   |  50 Pagesparts of Bhubaneswar only and does not necessarily shows a pattern applicable to all of Country. 2. Some respondents were reluctant to divulge personal information which can affect the validity of all responses. 3. In a rapidly changing industry, analysis on one day or in one segment can change very quickly. The environmental changes are vital to be considered in order to assimilate the findings. 4. People were mostly unwilling to talk because of their heavy schedule or they get annoyed with theRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pages53 3 Women in the Twentieth-Century World Bonnie G. Smith 83 4 The Gendering of Human Rights in the International Systems of Law in the Twentieth Century †¢ Jean H. Quataert 116 5 The Impact of the Two World Wars in a Century of Violence †¢ John H. Morrow Jr. 161 6 Locating the United States in Twentieth-Century World History †¢ Carl J. Guarneri 213 7 The Technopolitics of Cold War: Toward a Transregional Perspective †¢ Gabrielle Hecht and Paul N. Edwards 271 8Read MoreThe Impacts of Mncs in the Economy of Bangladesh14643 Words   |  59 Pagesof the firm. The OLI paradigm argues that a corporation uses direct entry via FDI as the preferred mode if it 1) it has ownership advantage, a patent or other intellectual property and 2) It has a location advantages in the host economy, large domestic economic market or low production cost, and 3) An internalization advantage, it is better to undertake production itself. Such FDI will increase the capital value of the foreign –investing corporation. Read MoreFundamentals of Hrm263904 Words   |  1056 PagesHRM 28 PART 2 Chapter 3 Chapter 4 THE LEGAL AND ETHICAL CONTEXT OF HRM Equal Employment Opportunity 56 Employee Rights and Discipline 84 PART 3 Chapter 5 Chapter 6 Chapter 7 STAFFING THE ORGANIZATION Human Resource Planning and Job Analysis 110 Recruiting 132 Foundations of Selection 154 PART 4 Chapter 8 Chapter 9 TRAINING AND DEVELOPMENT Socializing, Orienting, and Developing Employees 182 Managing Careers 208 PART 5 Chapter 10 Chapter 11 Chapter 12 Chapter 13 MAINTAININGRead MoreInternational Management67196 Words   |  269 Pages The revised or newly added â€Å"Integrative Cases† positioned at the end of each main part of the text were created exclusively for this edition and provide opportunities for reading and analysis outside of class. Review questions provided for each case are intended to facilitate lively and productive written analysis or in-class discussion. Our â€Å"Brief Integrative Cases† typically explore a specific situation or challenge facing an individual or team. Our longer and more detailed â€Å"In-Depth Integrative

Wednesday, May 6, 2020

Oh, What a Lovely Pair! Free Essays

Another drop of sweat dropped down my forehead and off the end of my nose as my eyes moved vigorously behind my dark shades. â€Å"Oh what a lovely pair!† I thought to myself, however I seemed to have thought out loud rather than to myself. My curious wife, who was lying on her sun bed next to me queried: â€Å"A lovely pair of what?† â€Å"A lovely pair of sunglasses, they are great at keeping out the glare. We will write a custom essay sample on Oh, What a Lovely Pair! or any similar topic only for you Order Now † I was getting rather bored on his sunbathing outing to the beach, so I decided to take some money out of the wife’s purse and head up towards the main town, where I could have a beverage and possibly a bite to eat. To get up towards the bars and restaurants I had to cross over a main and very busy road, there were always mopeds rushing by, not even giving you the slightest of chances to cross over. Even though there are plenty of zebra crossings throughout the resort’s roads, I think that the locals just assume that the black and white stripes across the street are a nice decoration. Finally I managed to get to the other side of the mad obstacle. It would have been a good twenty-minute stroll up past some tacky old souvenir shops until I reached the exciting part of the holiday resort. Another drop of sweat dropped down my forehead and off the end of my nose as my eyes moved vigorously behind my dark shades. â€Å"Oh what a lovely pair†¦I’ll have to get hold of them.† I thought to myself while looking in a shoe shop, at the young lady on the till. Unfortunately, I must have thought a little on the loud side. An elderly lady, who was stood behind my asked: â€Å"A lovely pair of what?† So I replied, â€Å"A lovely pair of moccasins, I’m sure they would keep out the rain, and not rub your feet the first time you wear them!† I continued with my trip, from the shops to the main shopping centre of the holiday resort. There were lots of clothes and designer gear in these shops; they were the upper class stores of the Spanish town. I fancied a new pair of trousers as the ones that I was wearing were a little on the small side and were beginning to go a little on the shiny side, a bit like the tradition of schoolboy’s trousers, short and shiny. I started to browse each designer store, on my search for a new pair of nice looking trousers, within my tight price range of course. I certainly could not afford any of the clothes in these upper class shops; I come from a lower class household back home in England. I thought to myself, â€Å"I can’t be dreaming about these clothes, I’ve got to look for a respectful charity shop such as Oxfam or even Scope.† But then I realised that we are in Spain here, not England. I was sure that in this foreign country they wouldn’t know what I was on about if I asked directions for a charity shop! I decided that it would be a good idea to give the local bookshop a small visit to purchase a Spanish phrase book. So I headed towards the book shop, that wasn’t too far away from where I was, just a couple of hundred yards away from the designer shops in this shopping mall. I arrived at the shop and noticed that it was closed for lunch, but it reopened within five minutes. So I went to buy a sandwich from across the way. I sat down on a relatively new bench that was situated right outside of the bookshop, munching away at the sandwich. I came across quite a few grizzly and rather chewy bits of ham, they were spat straight out. By the time I had finished eating what could have been eaten of the sandwich, the bookshop was open. I entered the shop and asked the sales assistant whether he sold phrase books. He spoke perfect English, so this task was not too much trouble for me at all. I followed the man to what seemed like an educational section of the shop. He picked up a phrase book off the shelf and gave it to me to have a look. I decided to buy the book I paid in cash. I exited the posh shopping mall and headed up towards the small, tacky old souvenir shops. I took the same route as earlier on. I came across a young man, who looked well educated; he was in a business suit with a lovely pair of trousers on. I was going to ask him where he bought his trousers, but then noticed what a silly thing that would be. I could have asked him where the nearest charity shop was, but he would have thought that I was a scruff or something, in the end I decided to just ask the man for the time. I was trying to pick someone out of the passing crowd who was normal looking, and not an over-paid businessman. After a good five minutes of searching I decided to approach an old lady, she was wearing some old and tatty clothes, to be honest, they looked as though they were bought from some kind of charity shop or car boot sale. So I caught eye contact with the lady and asked, â€Å"Hay una tienda caridad por aqui?† Which in English means, â€Å"is there a charity shop around here?† The lady replied, â€Å"Si, esta a la derecha† which means, â€Å"Yes, it’s on the right.† So I looked to my right and there it was, a small charity shop, not up to as good as a standard as the ones home in England, but it still sold the same type of goods and proceedings went to a charity in the local area. As it was very hot outside, I dedicated myself to purchasing a pair of Hawaiian shorts rather than a nice pair of trousers. I tried them on in the fitting room, they were slightly loose and baggy, but this didn’t bother me as I had heard my nephew talking about how good it is to have baggy shorts, I thought that these would pull the girls and would be a cool fashion accessory. I walked over, in a cool way to the counter; I looked in the mirror and said to myself â€Å"Wow baby, you look sexy in those!† I pointed to the phrase in my phrase book that translated to â€Å"How much?† and I was pretty much surprised at the cheapness of the garment, 250 pesetas, that is around à ¯Ã‚ ¿Ã‚ ½1 in English money. I handed over the money and the lady gave me a used plastic bag to put my old trousers in. I exited the shop. As I started to walk up towards the bars and restaurants, in my cool stroll, I got the impression that people were pointing and laughing at me. I soon realised that there was one huge draft coming in from the rear end of my new shorts, there was a great big hole in the back of them. No wonder they were so cheap! I started to go excessively red in the cheeks, I felt like curling up into a small ball and going into none-existence. Looking for a public toilet, the draft was becoming increasingly gusty. I found a nice little local cafà ¯Ã‚ ¿Ã‚ ½, so I thought that I would give the toilet a bit of custom, while I made a quick change of pants. The bar was full of locals; they greeted me in a warm fashion, until I walked past them, towards the toilet. The whole place just burst out with laughter. Not pleased with the fact that people could humiliate me in such a way, I locked the door behind me and got changed as soon as possible. Another drop of sweat dripped down my forehead and off the end of my nose as my eyes moved vigorously behind my dark shades. â€Å"Oh what a lovely pair!† I celebrated at the top of my voice. I had learnt my lesson the hard way, â€Å"Don’t buy items from foreign charity shops ever, ever again, at least if you don’t want to be ripped off. I ran out of the local cafà ¯Ã‚ ¿Ã‚ ½ and headed towards some English bars. I ordered a large Scotch. After my session in the bar, I flagged down a taxi from the main road and took a ride back to the beach. There was my angry wife, she had the properties of a raging bull, and some Germans had stolen our sun beds by draping their towels over them while she was bathing. â€Å"Where have you been? I’ve been worried out of my mind.† My curious, hag of a wife asked. So I looked at her with a frustrated expression on my face. I produced the dodgy pair of shorts from the used plastic bag that the lady in the shop had given to me. My wife asked, â€Å"What is wrong with those? They look fine to me.† â€Å"What? I asked furiously. â€Å"These shorts have me more bother in the last couple of hours than you have since our marriage, it is unbelievable.† My wife still couldn’t see the ‘slight’ imperfection in the garment, so I decided to point it out to her. â€Å"Now do you see what is wrong with them?† The look on her face was outstanding, I wish I had my two for the price of one disposable camera with me; it would have made a great picture for her fiftieth birthday in the local newspaper. We both laughed together, she still brings that point up now, twenty years on. I should never have stayed with this woman; I should have approached the babe on the beach earlier on, or even the stunner in the shoe shop for that matter! Another drop of sweat dripped down my forehead and off the end of my nose as my eyes moved vigorously behind my dark shades†¦ How to cite Oh, What a Lovely Pair!, Papers

Wednesday, April 29, 2020

Woodrow Wilson Wouldnt Yield free essay sample

Academic Flanagan United States History II Professor Houseman October 21, 2014 section 330 After reading Thomas A. Baileys article on Woodrow Wilson Wouldnt Yield, I feel this quote best represents exactly what Woodrow Wilson stood for. He was a man who wanted peace and would not yield for anyone or any country unless it was best for him and our country. In Thomas A. Baileys article, his argument that Willows fourteen points and most notably the League of Nations wasnt passed not Just cause of the points themselves.But because of Willows failure to see little changes and revisions to his plans, the League would have fallen through, instead of pitfall in the Senate like it did. On March 4, 1919 39 Senators or Senators-Elect, more than enough to defeat the treaty-published a round robin to the effect that they would not approve the League of Nations in its existing form. Bailey also argues that Willows character, in that his huge desire for morality and idealism, we also much to lame for his stubbornness in keeping the League of Nations unrevised or compromised upon. We will write a custom essay sample on Woodrow Wilson Wouldnt Yield or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Something that Bailey really touches on is Willows desire for his League of Nations was so strong that he inevitably handicapped himself in order to get his message out to the public. When he went touring the United States speaking in public places about the League of Nations, he ended up putting his body in such stress that half of his body became paralyzed. The high point and the breaking point f the trip came at Pueblo, Colorado, where Wilson, with tears streaming down his cheeks, pleaded for his beloved League of Nations. That night Willows weary body rebelled. He was whisked back to Washington, where he suffered a stroke that paralyzed the left side of his body. Wilson worked incredibly hard and his desires for the League where so strong, his personal interest where at no interest to himself. The last thing and most evident thing in was Willows huge compassion for this issue. If e didnt have as big of heart he would have never gone overseas to see it through, or put his body up to extreme situations to make sure his opinions were heard. At that time no President had ever gone abroad, and Republicans condemned the decision as evidence of a dangerous Messiah complex-of a desire, as former President Taft put it, to hog the whole show . Wilson obviously felt responsible for making the world moral, and that responsibility may have been handed to him divinely. This article, truly shows the importance of a determination and going above and ended to achieve a common goal.Wilson was a very stubborn man and always wanted his points to come out on top. People made fun of him and did not take him seriously which, was one of the reasons he had such a problem with his fourteen points, but he did not let that stop him, which why I admire his compassion and work ethic. He made a lot of scarifies and did all he could for our nation, and that itself truly embarks the traits of a true and compassionate leader, yet along U. S. President.

Friday, March 20, 2020

Migrant workers - The opposite way of the American dream essays

Migrant workers - The opposite way of the American dream essays Migrant Workers: the opposite way of the American dream II ABOUT THE AUTHOR 03 III MIGRANT WORKERS IN THE USA AT THE DECADE OF 30 04 IV OF MICE AND MEN MIGRANT WORKERS 06 This present paper is about one of the most important American novels called Of Mice and Men by the Pulitzer Prize winner John Steinbeck. It is a story focused on two men who move from ranch to ranch in order to find work. It is set is Salinas, California, the authors birth place and it takes place during the Great Depression. Despite all the other themes and elements present on it, there is one that calls out attention most. We found very interesting the fact that all the characters, but the farmer owner and his son, were migrants and all of them had dreams and that throughout their histories none of those dreams came true. So, in order to understand that bad fortune it was necessary to study about that time period and learn more concerning the effect of the Great Depression on the Americans life. This could be seem unimportant at a first sight but it becomes very important when one realizes that it was not only the financial world that suffered with the stock market crash but the whole nation in its most far places and that all lives in America were affected in any way. Our aim is to show that in going to California looking for their dreams, the migrants were caught in a kind of mousetrap, a no way out situation. They were far from their houses, friends, parents, with no money on them. They were exploited and forced to work long and hard hours for insulting wages. They had no choice if they wanted to work. There were lots of them in the same situation and near them there was always another one that will be glad on taking the job. There are many other interesting themes such as lonely, loyalty, camaraderie presents on this novel but as we said above we are going to try to demonstrate how ...

Wednesday, March 4, 2020

The United Monarchy of Israel and Judah

The United Monarchy of Israel and Judah After the Exodus and before the division of the Hebrew people into two kingdoms was a period known as the United Monarchy of Israel and Judah. After the Exodus, which is described in the Biblical book of the same name, the Hebrew people settled in Canaan. They were divided by tribe, with the bulk of the tribes residing in the northern regions. Since the Hebrew tribes were frequently at war with neighboring tribes, the tribes of Israel formed themselves into a loose confederation, which required a military commander to lead it. Judges, who partially served in this capacity (as well as serving in legislative and judicial capacities), accrued power and wealth over time. Eventually, for military and other reasons, the followers of Yahweh decided they needed more than a military commander a king. Samuel, a judge, was chosen to appoint a king for Israel. He resisted because a king would compete with the supremacy of Yahweh; however, Samuel did as bid [see: 1 Samuel 8:11-17], and anointed Saul*, from the tribe of Benjamin, as the first king (1025-1005). David (1005-965), from the tribe of Judah, followed Saul. Solomon (968-928), son of David and Bathsheba, followed David as king of the united monarchy. When Solomon died, the United Monarchy fell apart. Instead of one, there were two kingdoms: Israel, the much larger kingdom in the north, which split apart from the southern kingdom of Judah (Judaea). The United Monarchy period ran from c. 1025-928 B.C. This period is part of the archaeological period known as Iron Age IIA. Following the United Monarchy, the Divided Monarchy ran from about 928-722 B.C. *There is a problem with the dates of Saul since it is said that he ruled two years, yet must have ruled longer to encompass all the events of his reign.

Monday, February 17, 2020

New Treatment of Aortic Stenosis by Transcatheter Aortic Valve Research Paper

New Treatment of Aortic Stenosis by Transcatheter Aortic Valve Implantation - Research Paper Example The most common of aortic stenosis undergo in patients 65 years of age and over (called senile calcific aortic stenosis) (Kulick, 2012). General symptom of aortic stenosis patients are exertional dyspnea (shorten fatigue), angina pectoris (chest pain), syncopy (fainting), and congestive heart failure. Every aortic stenosis patient will be investigated by multidisciplinary team; 2 interventional cardiologists, 1 cardiac surgeon, and an anaesthesiologist (Bedogni et al., 2011). In general, the treatment for aortic stenosis patients, who are not showing symptoms of the disease, is to take medicine while the severely symptomatic aortic stenosis patients must have surgical aortic valve replacement. Transcatheter aortic valve implantation (TAVI) is the new procedure for severe aortic stenosis treatment. The progression of this treatment makes it suitable for patients who are inoperable or very high risk with standard surgical aortic valve replacement. In addition, the procedure of TAVI is executed in a catheterization laboratory or hybrid operating room, under general anaesthesia and without cardiopulmonary bypass (Jean-Bernard et al., 2009). The procedure of TAVI is the device implant with two transcatheter aortic valves (the Edwards SAPIEN valve, ESV or the Medtronic Corevalve, MCV) with three approaches used (transfemoral, transaxillary, or transapical) (Godino et al., 2010). The transcatheter aortic valve implantation (TAVI) was underwent with the first patient in 2002 (Rodes-Cabau, 2010). Furthermore, TAVI clearly achieved safety and efficacy of the percutaneous treatment in aortic stenosis towards the end of 2010 (success rates > 90% and 30 days procedural mortality rates < 10%) (Rodes-Cabau, 2010). The aim of this case study will be to capture the progression of transcatheter aortic valve implantation, for patients who are inoperable or with very high surgical risk in standard aortic valve replacement. Firstly, it will briefly review the cause of aortic stenos is, followed by an explanation of transcatheter aortic valve implantation procedure with two difference transcatheter aortic valves and three difference approaches. Finally, the major effective procedure of TAVI and future development of TAVI will be discussed. Impact of Aortic Stenosis Degenerative Aortic Stenosis is the most common valve disease, and its prevalence is projected to increase in the coming years due to aging populations. This has implications not only for those specializing in cardiovascular disease; Aortic Stenosis is increasingly diagnosed and treated by other medical specialties, including internal medicine, geriatrics and intensive care. This point to the increasing rang of the impacts that aortic Stenosis has been established to have. The Aorta, both ascending and descending, is responsible for the circulation of oxygenates blood throughout the body. It is no wonder that the partial or complete Stenosis of the Aorta would lead to varied conditions that can be de tected either in Intensive care Unit, when the patient is in a stupor, or by the gastric, as a result of ventral pooling of blood, caused by its stagnation in the veins, venules, and arterioles. This pooling is caused by the lack of, or limited pressure from the Aorta, to help in the circulation of

Monday, February 3, 2020

Astronomical objects Essay Example | Topics and Well Written Essays - 2750 words

Astronomical objects - Essay Example One of the most impressive achievements of science is the development of a quite detailed understanding of the physical properties of the Universe, even at its earliest stages. Astronomy and Cosmology is a fundamental part of our natural sciences today. Through close interaction with other disciplines, above all with mathematics and physics, it is been expanding, which on one hand triggers from knowledge, and then on the other profits from them. The great majority of astronomical objects are characterized by large masses and enormous energies. These generally cause matter to exist under extreme conditions of temperature and density, which, even today still lie well beyond what can be realized in a physicals laboratory. The various forms of matter that is encountered away from the Earth, at great distances is being studied as an area of interest. In current astrophysical cosmology there is some interesting and more or less generally accepted observational facts. Thus, in any active-ga lactic-nucleus phenomenon massive central objects like black holes, tachyons, neutrinos, WIMPS etc are expected to be common, and they are surrounded in a variety of scales, by gas clouds commonly termed circumnuclear gas, with liner a dimensions of a few ten kilo space. All these and few other astronomical objects and their current position in the study of cosmology is being discussed in this thesis.Neutron Stars: Neutron stars are highly compact stellar objects with masses ~ 1-2 M (where M is the mass of the sun), and radii of order 10km. ... observational data on neutron stars, gathered with a wide variety of detectors from radio to gamma-ray, provides increasingly stringent constraints on theories of their constitution. Precision radio and optical timing measurements show that pulsars have remarkable long-term timing stability, and thus the neutron stars forming them must have reasonably thick rigid crusts anchoring stable magnetic fields. Despite substantial work over the past half century, the nature of matter at the extreme densities in the cores of neutron stars remains uncertain. A better understanding of the possible states of matter in neutron stars interiors can also enable the world of cosmology to infer whether an independent family of denser quark stars, composed essentially of quark matters can exist (Rowan, 1996). Strings: Strings are extended objects with an intrinsic tension (energy per unit l length). Recent years have seen a radically different approach to the problem of quantum gravity this has led to a different idea of the possible structure of the quantum gravity theory. One of the most exciting ideas is that the fundamental entities upon which quantum operations must be performed are not point-like but are one dimensional. Such objects are usually known as strings, or more often super strings. In the last decades string theory has become a promised candidate for the underlying theory of the fundamental interactions of nature. However, even though lots of progress has been done it has not been yet possible to confront it with real physics. One possibility to achieve this is through cosmology by studying the cosmological implications of string theory. On the other hand string theory would

Saturday, January 25, 2020

Incorporating Telemedicine into a Surgical Practice

Incorporating Telemedicine into a Surgical Practice Kristen Harkey Complex wounds can create a challenge for the patient as well as the surgeon. The challenges faced include operative management, cosmesis, long-term management, effects on lifestyle for patient and caregiver, and self-image (Park, Copeland, Henry Barbul, 2010). Hospitalized patients will have the surgical team, the wound care specialist, and a bedside nurse to assist them in their daily care. When these patients are ready to leave the hospital they can feel anxiety about providing care for themselves, especially if they have a complex wound present. This anxiety can decrease once they learn how to care for themselves at home while having the readily available supplies, but then they must leave their homes to travel to come to the surgical office for a wound check. This can be a burden to not only the patient but their primary caregiver. The purpose of this paper is to introduce an evidence-based change project that focuses on providing patients with the option of telemedicine office visits. Background In 2010, approximately 51.4 million inpatient surgeries were performed in the US according to the National Center for Health Statistics (CDC/NCHS, 2010). Wound complications can be an important cause of postoperative morbidity following a laparotomy (Mizeell, Sanfrey, Collins, 2014). Acute wound care is needed in all patients with surgical and traumatic wounds, when an incision is made this creates a wound which will need further attention. There are a multitude of ways to address these wounds such as wet to dry dressings, dry packing strips, wound vac systems, and if needed further surgery such as a skin graft. These wounds can then become chronic when they have failed to proceed through the reparative process to produce anatomic and functional integrity in 12 weeks (Sen, 2009). Both acute and chronic wounds can become a significant financial burden on both the healthcare system and the patient’s themselves. Significance With the sheer number of surgeries listed above, this will create wounds that need to be managed appropriately. Not only are wounds created by surgery, they can also be created by trauma or massive soft tissue infections (Park, Copeland, Henry Barbul, 2010). Part of this management may be further surgical interventions to restore the fascia or possibly watchful waiting. In our facility in 2014, 3349 patients were evaluated by our wound care specialist. Of these 695 patients had surgically created wounds and approximately 656 were managed with wound vacs (G. Caldwell, personal communication, January 20, 2015). These patients will need to be followed in the outpatient setting for ongoing wound assessments, possible change in wound management, or further surgical intervention if indicated. The outpatient care to these patients will include discussions on proper nutrition to promote wound healing, activity levels, timing of dressing changes, and ongoing assessments of the wounds. It can create a significant burden to patient and caregiver to travel to office visits for ongoing assessment of the wounds which can take as little as ten to fifteen minutes to examine once they have arrived back to the exam room. This short office visit can create a significant burden to the patient and their caregiver, this burden can include ability to keep themselves clean throughout the trip, financial, and time-strain. PICO Question and Components Evidence-based practice (EBP) can be described as a â€Å"life-long problem solving approach to clinical decision-making that involves the conscientious use of the best available evidence with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and systems† (Melnyk Fineout-Overholt, 2011). EBP will help to ensure high quality, safe, relevant, and up-to-date care while at the same time improving patient outcomes (Robb Shellenbarger, 2014). One of the ways to create EBP in a way that will yield the most relevant information from a search is to form a question in the PICOT format. The PICOT format is composed of the following: â€Å"P† will describe the patient population, â€Å"I† will reveal the intervention or issue of interest, â€Å"C† will reveal the comparison intervention or status, â€Å"O† will reveal the outcome, and â€Å"T† will reveal the time frame in w hich the intervention/issue of interest will accomplish the outcome (Melnyk Fineout-Overholt, 2011). For the purpose of this paper, the author will include all components listed except for time which will be addressed at another juncture. Population The population of focus will be outpatient postoperative patients in the home health setting. The patient population will be those with acute/chronic wounds, ages eighteen and up, both male and female patients with no restrictions on ethnicity. The wounds will likely be compromised of complex abdominal wounds, however no limit will be placed on the type/cause of the wound. The patient’s will live in North Carolina or South Carolina and reside within a 4 hour drive from Charlotte, NC. No restrictions will be placed on the agency providing home health services to the patient. Intervention Telemedicine is defined by the World Health Organization (WHO) to be the practice of healthcare using video, interactive audio, and/or data communications (Chanussot-Deprez Contreras-Ruiz, 2008). With the use of telemedicine the patients will be able to stay in their own home. This will also provide an enhanced team based approach because we will have both the patient, patient’s caregiver if applicable, and the home health nurse. This will provide accurate documentation of wound measurements. The appropriate wound care will then be provided by the home health nurse, and if applicable the wound vac will be re-applied. Comparison The comparison group will be a standard office visit. The standard office visit will consist of the patient and their caregiver coming to our surgical practice, in one of our two locations. The patient will be required to wait for their appointment time and wait as required for the provider to see them. If a wound vac is present, this will be removed in the office and will not be re-applied per standard operating procedures. The patient will have a temporary dressing replaced and will then need the home health nurse to come to their home upon their arrival to re-apply the wound vac. This consists of a standard office visit in our practice. Outcome The anticipated outcome, will be no effect on wound healing when using telemedicine. For the practitioner, one important aspect of examination of the wound is not only using your sense of sight but also your sense of smell. The smell of a wound can be indicative of necrotic tissue that requires further debridement or possibly a wound infection. This sense will be missing with telemedicine and the practitioner will need to rely heavily on the home health nurse for this aspect of assessment. Another outcome for this study will be increased patient satisfaction. The patient with a complex abdominal wound may have difficulty at baseline maintaining adequate coverage for the drainage, this is more of a challenge when you add frequent position changes associated with traveling to a health care provider’s office. In summary, a postoperative surgical patient will require care for the surgical wound in an outpatient setting. This care can be frustrating for the patient, the patient’s caregiver, and the home health nurse. With the addition of telemedicine to a surgical practice this will decrease the burden of traveling to a standard office visit as well as enhance multi-disciplinary care for the patient. It is the hope of the author that for complex wounds that remain difficult to manage in the outpatient setting, the inpatient wound ostomy nurses who provided care inpatient will be able to assist more in the outpatient setting by providing continuity of care. Conclusion With every surgery performed a resultant wound is created. Wounds can also be created by trauma or massive necrotizing soft tissue infections (Park, Copeland, Henry Barbul, 2010). The surgical wound can heal without difficulty and the patient returns to his activities of daily living, however a multitude of wound complications can occur delaying wound healing. Some wound complications will require further surgery, however due to the nature of these wounds surgery may need to be delayed for up to one year or longer. This can cause caregiver strain and for the patient can take away many of the freedoms we enjoy on a daily basis. As part of a standard office visit the patient is expected to arrange transportation to our office, wait for his/her appointment time, have their wound examined, and then if a wound vac is used they are expected to have this re-applied when they get back to their home by the home health nurse. With the addition of telemedicine to the patient’s postopera tive care, they would be able to have a multidisciplinary team visit them in the home using telemedicine resources. This would significantly decrease the burden travel can create for these patients with complex wounds. References CDC/NCHS National Hospital Discharge Survey (2010). Retrieved from  http://www.cdc.gov/nchs/data/nhds/4procedures/2010pro4_numberprocedureage.pdf Chanussot-Deprez, C. Contreras-Ruiz, J. (2008). Telemedicine in wound care. International  Wound Journal, 5(5), 651-654. Melnyk, B. Fineout-Overholt, E. (2011). Evidence-based practice in nursing healthcare: A  guide to best practice (2nd ed.). Philadelphia, PA: Wolters Kluwer|Lippincott Williams   Wilkins. Mizell, J., Sanfrey, H., Collins, K. (2014). Complications of abdominal surgery. Retrieved  from http://www.uptodate.com. Park, H., Copeland, C., Henry, S., Barbul, A. (2010). Complex wounds and their  management. The Surgical Clinics of North America, 90(6), 1181-1194.  doi: 10.1016/j.suc.2010.08.001 Rob, M., Shellenbarger, T. (2014). Strategies for searching and managing evidence-based  practice resources. The Journal of Continuing Education in Nursing, 45(10), 461-466. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T. K., Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair Regeneration, 17(6), 763-771. doi:10.1111/j.1524-475X.2009.00543.x Incorporating Telemedicine into a Surgical Practice Incorporating Telemedicine into a Surgical Practice Kristen Harkey Imagine presenting to the hospital for your planned cesarean section, a time of great anxiety and joy. During the procedure you unfortunately have a complication and an enterotomy (cut into the intestines) is made, but missed at the time. Hours later you develop increasing abdominal pain and a rash spreads quickly across your abdomen. Your healthcare providers explain you have an infection called necrotizing fasciitis and this requires further surgery to treat the condition. The individual then wakes up possibly weeks later with most of their abdominal wall, upper thigh skin, some muscle layers missing of both the abdomen and thigh, as well as stool draining from the middle of the wound. The individual is informed they have an enterocutaneous fistula that will likely not be able to be repaired for several months to a year. This person is finally able to transition home with their newborn, a gaping abdominal wound, stool draining from the wound, not allowed to have anything to eat or drink, and are attached to intravenous nutrition twenty-four hours a day. This would be overwhelming for the most health literate patient, much less an individual with limited resources and low health literacy. Our health can change quickly with an unexpected surgery that causes a complex surgical wound. This wound must be monitored closely in the outpatient setting to prevent further complications including loss of limb or possibly life. Typically the patient’s wound care has been provided in the home by a home health nurse. Subsequently the patient and family caregiver are then expected to travel to the doctor’s office for intermittent follow-up examinations of the wound over a weekly to monthly schedule which could last up to one year or more postoperatively. Leaving the patient’s home with these complex wounds can be a burden due to factors such as increased pain, time-consumption, financial costs, and possible embarrassment if the wound or ostomy appliance leaks. Some of this burden could be relieved with virtual visits. Overview of Problem of Interest In the United States 6.5 million individuals are affected with chronic wounds that require ongoing care (Sen et al., 2009). Patients are expected to travel to their healthcare provider’s office for follow-up examinations and sometimes this requires a long care ride, wait in the office, and then travel home. It is difficult to maintain a dressing on the wound in the most basic of circumstances, such as during times of everyday activity in their home. With the addition of traveling this can become an overwhelming and untidy endeavor while the healthcare provider will likely only spend minutes examining you. Due to this some patients will not come to their follow-up appointment and this can be detrimental to their health by prolonging wound healing, increasing risk for infection, and delay future surgical repairs. When the individual is at home, they require home health services for ongoing wound care as well as provision of supplies. The home health nurse sees the patient on a m ore regular basis than the healthcare provider and will call the providers’ office with important changes they note. Unfortunately this process may take several phone calls which takes valuable time for the home health nurse and increases wait time for care of the patient. Most patients have an expectation that surgery will help them heal or cure their disease. Unfortunately approximately 22% of patients may experience moderate to complete postoperative disability (Shulman et al., 2015). Home health nursing will provide some relief for the patient and a multidisciplinary approach is necessary to manage complex treatment modalities (Wilkins, Lowery, Goldfarb, 2007). In Carolinas Medical Center Main in 2014, 3229 patients had wound care provided by our wound ostomy care nurse team and of those 820 were surgical patients (G. Caldwell, personal communication, January 25, 2015). These are many of the patients that require ongoing care in the outpatient setting to prevent further complications. In the United States (US) in 2000, forty million inpatient surgical procedures were performed and at that time the need for post-surgical wound care was sharply on the rise (Chittoria, 2012). In the US the amount of money spent on wound care, diminished quality of life, and the loss of productivity for the individual and caregiver comes at a great cost to our society (Sen et al., 2009). Therefore it is in our best interest as providers to provide safe and effective care to our patients in the most convenient format for both the patient, caregiver, home health nurse, and the healthcare provider. Review of Literature One of the first steps to address a problem is reviewing evidence available to support the proposed intervention. Virtual care is currently being used in many different platforms such as urgent care, psychiatric care provided in ER’s, preventing readmissions in heart failure patients, and many other venues. The examination of acute and chronic wounds is one venue that has found success. In the plastic surgery population where visual exam is heavily relied upon for decision-making, telemedicine has been shown to have great potential. Gardiner and Hartzell (2012) performed a systematic review of twenty-nine articles. Twenty-eight of the articles noted a benefit including improved access to expertise and cost reduction through conserving hospital resources and avoiding unnecessary transfers (Gardiner Hartzell, 2012). Wallace, Hussain, Khan and Wilson (2012) had similar findings in the burn population where they noted improved assessment and triage, avoidance of unnecessary trans fers and a potential for health care savings when using virtual care. In the trauma population a 90% accuracy was noted in assessing traumatic plastic surgery injuries whether the practitioner was using bedside visual exam or transmitted digital images (Gardiner Hartzell, 2012). Wilkins, Lowery, and Goldfarb (2007) used their initial investigation to determine the feasibility of virtual wound care and then moved forward with performing a pilot study using a store and forward technique. At the time of initial referral the mean wound surface area was noted to be 5.85 cm2. Using virtual care the authors noted in 58.2% of the wounds, the diagnosis or treatment plan was changed. This change in diagnosis or treatment plan resulted in an average decrease of 58% from the initial wound size over an average time period of 40.2 days. The authors went on to note 95.5% of patients found telemedicine consultation more convenient than traveling and 98.2% of patients were either satisfied or very satisfied with the care they received (Wilkins, Lowery, Goldfarb, 2007). An article published in 2014 by Kidholm, Dineseen, Dyrvig, Rasmussen, and Yderstraede was noted to be the largest and most comprehensive research project to evaluate telemedicine effectiveness and costs for patients with chronic diseases. The results revealed telehealth reduced mortality with an odds ratio of 0.54. Mortality in the control group was noted to be 8.3% while the intervention group was 4.6%. The authors also noted a 10.8% lower hospital admission rates in the intervention group with an odds ratio of 0.82 (Kidholm, Dinessen, Dyrvig, Rasmussen, Yderstraede, 2014). Telemedicine may be applied to many different aspects of medicine, but a benefit has been shown in the examination and long-term treatment of wounds (Wilkins, Lowery, Goldfarb, 2007). Telemedicine has been shown to satisfy both the clinician as well as the patient, while continuing to provide quality care. Therefore a solution to the burden of traveling to the doctor’s office, decreasing financial strain, decreasing caregiver strain, and improving access to care are all potential benefits of providing care using virtual visits. Purpose of Project The purpose of incorporating telemedicine into our surgical practice is to provide our patients with the most efficient high quality care in the most appropriate setting for the patient. A standard office visit consists of the patient traveling to our office, being evaluated by the medical team, and then having to travel back to their home. This evidenced based project will allow the patient to stay in their own home and have the providers visit them via a virtual visit. Upon discharge from the hospital the patient will be evaluated for inclusion into the virtual visit program. If the patient is determined to meet the criteria including living in NC, using Healthy at Home to provide home health services and have a complex surgical wound; then an appointment will be made for the virtual visit. The home health nurse will proceed to the patient’s home at the assigned appointment time and use their tablet for the visit. The provider will then join the home health nurse in the virt ual setting and the patient’s wound will be evaluated. Appropriate changes in the treatment plan for the wound will occur and the provider will assure all questions/concerns are addressed with the patient, caregiver, and home health nurse. One desired outcome for this project will be to maintain a high level of patient satisfaction, as we do in our office. As providers, we would like to provide more efficient care and this may be possible by having one provider performing postop visits virtually while another provider evaluates new consults in the office. It will be important for this project to provide the same level of care that we provide in the brick and mortar office, as well as following all current standards of care. Project Management The facility where this project takes place is a Magnet facility. To receive this designation an organization must prove they have several key characteristics including empirical outcomes as well as integrating evidenced based practice and research into operational and clinical processes (American Nurses Credentialing Center, 2014). An important goal for our organization this year will be to provide care in new ways, one of which will be providing more opportunities for our patients to experience virtual care. This innovative project is meant to assure that we are improving quality, enhancing value and dealing with the complexity of health care today (Harris, Roussel, Walters, Dearman, 2011). Implementation Team The backbone of quality improvement work is the team and their teamwork (Ogrinc et al., 212). The team for this project will include individuals from different disciplines to ensure success. The author of this paper will serve as the operational lead on the project, assuring all aspects of the project are coordinated. Our administrative lead will be the practice manager for our outpatient sliding scale clinic. He will be able to assist the project in assuring we meet meaningful use standards as we do in the office, as well as building templates in our scheduling software, and facilitate changes in the organization. A management associate with the virtual care division will remain part of the team, as she has had past experience with implementing similar projects and has provided invaluable support. The next member of the team will be a member of the IT department and will assist the team in choosing the right technology/platform for this project. He will not only assist in the beginn ing stages of this project but will be a constant resource for ongoing IT support. The administrator for the home health agency will be a member of this team, she will provide information regarding her organization and provide us with establishing workflow for the home health nurse. This will be an important step as this project is meant to provide multidisciplinary care, however it will not be beneficial for it to provide more efficiency for our team but not the home health team. The chairman of surgery who also serves as the interim lead of the acute care surgery team, as well as the two surgeons who practice on the same service. This team will serve to bring virtual care visits to our surgical practice. Risk Management Strategy It is important to examine every project to identify external and internal items that either positively or negatively affect the project. One type of assessment that can be performed is the strengths, weaknesses, opportunities, and threats analysis (SWOT analysis). During the SWOT analysis the system is fully examined from the clinical micro to the macrosystem perspective (Harris, Roussel, Walters, Dearman, 2011). For this project some strengths noted include other departments within the facility using virtual visits and a department dedicated to assisting new groups to use this technology. Another strength is the patients included in this project will remain in the global ninety day postoperative fee which will not require reimbursement from insurance companies and keep the cost incurred limited. It is important to then examine some of the weaknesses which include removing a provider from an already overbooked clinic to participate in this project, the additional cost of the techno logy, and surgical postoperative care has not been provided in this manner in our facility prior to this. When further evaluating opportunities associated with this project, the ability to be the only surgical providers providing care virtually will set this team apart and appeal to more consumers and home health agencies. Another opportunity would be to include all home health care providers in our area and obtain licensure to be able to provide virtual visits in South Carolina. Some threats to this project include newer technology that hasn’t been tested, a good working relationship with the home health agency must be in place, and is it possible for the team to provide confidential care to our patients using virtual visit technology. Organizational Approval Process Initially this project was approved at the departmental level after multiple discussions with the chairman of surgery for the metro division of our healthcare system. Prior to proceeding to the IRB process, the facility requires submission of your proposal to the Nursing Scientific Advisory Council (NSAC). Once NSAC has evaluated a proposal fully and any revisions have been completed you may move forward with your submission to the IRB. Role of Information Technology in this Project Information technology will play an integral part of this project. Although virtual visits are used throughout the hospital system, they have not been incorporated into the surgical practices within our system. This project will include an IT tech to assist in choosing the best platform to serve our patient population while being user friendly for our home health nursing colleagues. It will be important for our platform to work well with the technology available to the home health nursing team. This will assure we are able to provide the best quality visit and address not only the provider’s needs, but also the home health team, patient, and caregiver. The project needs IT support for both the onsite provider as well as the home health team in the patient’s home. Plans for IRB Approval An institutional review board (IRB) is a committee that is mandated by the National Research Act, Public Law 93-948 and is required in institutions that conduct biomedical or behavioral research that involves human subjects (Harris, Roussel, Walters, Dearman, 2011). IRB approval will be sought for this project using the Carolinas Healthcare System’s IRB. The submission type will be expedited. This approach was chosen because it is evidenced based research and poses minimal human risk to the participants (Chatham University). Prior to approval by the IRB this project must be submitted to the NSAC therefore this will be performed in September 2015. Once approval has been obtained by the NSAC the information will then be submitted to the IRB for approval, likely in November 2015. This letter can be reviewed in Appendix A of this paper. References American Nurses Credentialing Center. (2014). Magnet model. Retrieved  fromhttp://www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model Chatham University. (n.d.). Institutional Review Board (IRB). Retrieved from  http://my.chatham.edu/tools/irb/ Chittoria, R. (2012). Telemedicine for wound management. Indian Journal of Plastic Surgery,  45(2), 412-417. Gardiner, S., Hartzell, T. L. (2012). Telemedicine and plastic surgery: A review of its  applications, limitations and legal pitfalls. Journal of Plastic, Reconstructive   Aesthetic Surgery: JPRAS, 65(3), 47–53. doi:10.1016/j.bjps.2011.11.048 Harris, J., Roussel, L., Walters, S., Dearman, C. (2011). Project planning and management:  A guide for CNLs, DNPs, and nurse executives. Sandbury, MA: Jones Bartlett  Learning. Kidholm, K., Dinesen, B., Dyrving., A, Rasmussen, B., Yderstraede, K. (2014). Results from  the worlds largest telemedicine project-The whole system demonstrator. EWMA journal,  14(1), 43-48. Ogrinc, G., Headrick, L., Moore, S., Barton, A., Dolansky, M., Madigosky,  W. (2012).Fundamentals of health care improvement: A guide to improving your  patients’ care(2nded.). Oakbrook Terrace, IL: The Joint Commission and the Institute  for Healthcare Improvement. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T., . . . Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair and Regeneration, 17, 763-771. Shulman, M. A., Myles, P. S., Chan, M. V., McIlroy, D. R., Wallace, S., Ponsford, J. (2015).  Measurement of Disability-free Survival after Surgery.Anesthesiology,122(3), 524-536.  doi:10.1097/ALN.0000000000000586 Wallace, D., Hussain, A., Khan, N., Wilson, Y. (2012). A systematic review of the evidence  for telemedicine in burn care: With a UK perspective. Burns, 38, 465-480. Wilkins, E., Lowery, J, Goldfarb, S. (2007). Feasibility of virtual wound care: A pilot study.  Advances in Skin Wound Care, 20(5), 275-278.

Friday, January 17, 2020

Charisma: Psychology and Enormous Overwhelming Presence Essay

Whenever we want to define any word we usually look at the meaning in the dictionary. In Greek, charisma is any special grace conferred by God on an individual. Charisma refers to the enormous overwhelming presence that some people have. It is the ability to influence others by being connected with them physically, emotionally, and culturally. Although it is difficult to have a specific definition of charisma, but we could describe some people as a charismatic person who have an extraordinary ability to inspire, influence, and draw other’s attention. Charisma is usually associated with leaders who have a power and high positions, but it could be a characteristic of actors, public speakers, mathematicians, scientists, singers, or any other people. Charisma indicate a positive meaning; however, it could has it own dark side. Some leaders how have charisma causes huge damage to the world in the human history such as Hitler. Hitler was able to get a wide popularity by his support to the nationalism and anti-communism ideas. Later, he established the Nazism organization which believes in racism against other races and the altitude of certain races to others. The real number of his victims is unknown but it said that it reached more than 10 million victim. Some philosophers believe that charisma is innate characteristic while psychologists believe that it could be learned by increasing the individual’s awareness of his emotions and linking it to other people’s feeling, emotions, and needs. So, how can we have a magnesium personality? There are some some tips you could do to be a charismatic person, some of it are: having self-esteem, matching the body language to your speech, thinking before speaking and arranging your ideas, accepting criticism, and being unique in finding practical ideas to develop your character and your surroundings.

Thursday, January 9, 2020

Are You a Good Listener Quiz

Are you a good listener? Lets find out. On a scale of 25-100 (100 highest), how do you rate yourself as a listener? _____ Let’s find out how accurate your perception is. Rate yourself in the following situations and total your score. 4 Usually, 3 Frequently, 2 Sometimes, 1 Seldom ____ I try to listen carefully even when I’m not interested in the topic. ____ I’m open to viewpoints that are different from my own. ____ I make eye contact with the speaker when I’m listening. ____ I try to avoid being defensive when a speaker is venting negative emotions. ____ I try to recognize the emotion under the speaker’s words. ____ I anticipate how the other person will react when I speak. ____ I take notes when it’s necessary to remember what I’ve heard. ____ I listen without judgment or criticism. ____ I stay focused even when I hear things I don’t agree with or don’t want to hear. ____ I don’t allow distractions when I’m intent on listening. ____ I don’t avoid difficult situations. ____ I can ignore a speaker’s mannerisms and appearance. ____ I avoid leaping to conclusions when listening. ____ I learn something, however small, from every person I meet. ____ I try not to form my next response while listening. ____ I listen for main ideas, not just details. ____ I know my own hot buttons. ____ I think about what I’m trying to communicate when I speak. ____ I try to communicate at the best possible time for success. ____ I don’t assume a certain level of understanding in my listeners when speaking. ____ I usually get my message across when I communicate. ____ I consider which form of communication is best: email, phone, in-person, etc. ____ I tend to listen for more than just what I want to hear. ____ I can resist daydreaming when I’m not interested in a speaker. ____ I can easily paraphrase in my own words what I’ve just heard. ____ Total Scoring 75-100 You’re an excellent listener and communicator. Keep it up.50-74 You’re trying to be a good listener, but it’s time to brush up.25-49 Listening isn’t one of your strong points. Start paying attention. Learn how to be a better listener: Active Listening. Joe Grimms Listen and Lead project is a fabulous collection of listening tools. If your listening could be improved, get help from Joe. Hes a professional listener.

Wednesday, January 1, 2020

Essay about Atomic Bomb - 1788 Words

The Atomic Bombing of Hiroshima and Nagasaki nbsp;nbsp;nbsp;nbsp;nbsp;The first atomic bomb was dropped on Hiroshima, on August 6, 1945. The world would never be the same. This paper will discuss the significance of the atomic bombs dropped on Hiroshima and Nagasaki and how they led to the success of the Allied forces. It will also discuss how the United States developed the atomic bomb, the decision to drop the bomb, the weakening of Japan, the actual bombing an destruction of both cities, the surrender of Japan and the impact the atomic bomb would have in the future. nbsp;nbsp;nbsp;nbsp;nbsp;During World War II, the United States was afraid that Germany would develop the atomic bomb first. Germany had taken over Norway,†¦show more content†¦The committee was headed by Secretary of War, Henry Stimson. The committee argued about whether to drop the bomb on a Japanese city or to have a demonstration explosion in an isolated part of Japan. However, some committee members thought that the plane may be shot down or the bomb may not explode. Therefore, they decided not to have a demonstration bomb. The committee decided that the bomb needed to be dropped directly on a city. Stimson wrote the President, quot;We can propose no technical demonstration likely to bring an end to the war; we see no acceptable alternative to direct military use.quot; Soon after that a group of scientists wrote Harry Truman asking not to drop the bomb on any city. They knew that the atomic bomb could cause too much destruction to be dropped on a populated area. Yet, the decision was made by the President. In order to save thousands of Americans lives, the bomb would be dropped (Feinberg, 1995, 26-27). nbsp;nbsp;nbsp;nbsp;nbsp;The primary target in the bombing was Hiroshima. The day Hiroshima would be bombed was August 6, 1945 and it would be the first time ever that an atomic bomb would be dropped from a plane. Before the primary plane took off, four weather planes flew over Hiroshima, Niigata, Kokura, and Nagasaki. The weather over Hiroshima was perfect. The B-29 bomber that dropped the first atomic bomb was named the Enola Gay. It was named after the maiden name of the pilots mother. With the atomic bomb in theShow MoreRelatedThe Atomic Bomb1214 Words   |  5 Pagessurviving an atomic bomb is a perfect example of surviving.. A man with a miracle on his side. His story became famous throughout the world. This man had the courage to tell his story to the world. Surviving the two atomic bombs is not a small thing to comprehend. Therefore, it would take a man who had the courage and integrity to survive it all. On August 9, 1945, the B-29 bomber wedged through the clouds in a Japanese city of Nagasaki that unleashed a 22-kiloton plutonium bomb known as â€Å"FatRead More The Atomic Bomb1719 Words   |  7 PagesThe Atomic Bomb Albert Einstein predicted that mass could be converted into energy. 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Everyday life was consumed by thoughts and worries but driven by the curiosity of this new science (Osteen 1994). The ability to split the uranium atom was discovered in 1938 inRead MoreAtomic Weapons And The Atomic Bomb1709 Words   |  7 Pagessurviving the dropping of the atomic bomb on her city, Eiko Taoka would watch helplessly as her infant son died of radiation poisoning--something she blames herself for to this day (Taoka). There are thousands of stories like these, and each one describes the incredible destructive power behind atomic weapons and the deep wounds they leave behind. Even now, seventy years after that fateful day, writers and filmmakers utilize the terror induced by the thought of atomic warfare in their stories andRead More The Atomic Bomb Essay1549 Words   |  7 Pages it will be discussed why the Atomic Bomb is the biggest method of destruction known to man. The paper will be discussing the results of the Atomic Bombs, along with the effects years after the initial explosion. People always wonder how many people actually died in the two Atomic Bombs which were dropped in Japan. This question will be answered, along with the method that citizens were actually killed by the bomb. Besides the initial blast winds that an Atomic Bomb gives off, people may be killed