arts Essays (219 words) - Applied Ethics, Euthenics, Business Ethics

As recently as a decade ago, many companies viewed business ethics only in terms of administrative compliance with legal standards and adherence to internal rules and regulations. Today the situation is different. Attention to business ethics is on the rise across the world and many companies realize that in order to succeed, they must earn the respect and confidence of their customers. Like never before, corporations are being asked, encouraged and prodded to improve their business practices to emphasize legal and ethical behavior. Companies, professional firms and individuals alike are being held increasingly accountable for their actions, as demand grows for higher standards of corporate social responsibility. Individual companies dont really have to deal with the work ethics issue alone. Government legislation gives corporations foundational guidelines for ethical behavior in the workplace. Government legislation about ethical behavior in the workplace also helps to hold companies accountable for the treatment of their employees (Brems, 2009). Who is responsible for acting ethically? Is it the manager, the "company," the stockholders? Ultimately, it is every individual. Each person is responsible for his or her own actions, including professional ethics (May, 2004). An ethical business environment can encompass any work-related concern from discrimination to fraud. In order to create a work environment that reflects ethical behaviors and social responsibility a company ...

Copia and Copiousness in Rhetoric

Copia and Copiousness in Rhetoric The rhetorical term copia refers to expansive richness and amplification as a stylistic goal. Also called  copiousness and abundances.  In Renaissance rhetoric, the figures of speech were recommended as ways to vary students means of expression and develop copia.  Copia (from the Latin for abundance) is the title of an influential rhetoric text published in 1512 by Dutch scholar Desiderius Erasmus. Pronunciation: KO-pee-ya Examples and Observations Because ancient rhetoricians believed that language was a powerful force for persuasion, they urged their students to develop copia in all parts of their art. Copia can be loosely translated from Latin to mean an abundant and ready supply of language- something appropriate to say or write whenever the occasion arises. Ancient teaching about rhetoric is everywhere infused with the notions of expansiveness, amplification, abundance.(Sharon Crowley and Debra Hawhee, Ancient Rhetorics for Modern Students. Pearson, 2004)Erasmus on Copia- Erasmus is one of the early enunciators of that sanest of all precepts about writing: write, write, and again write. He also recommends the exercise of keeping a commonplace book; of paraphrasing poetry into prose, and vice versa; of rendering the same subject in two or more styles; of proving a proposition along several different lines of argument; and of construing from Latin into Greek...The first book of De Copia showed the student how to use the sche mes and tropes (elocutio) for the purpose of variation; the second book instructed the student in the use of topics (inventio) for the same purpose...By way of illustrating copia, Erasmus in Chapter 33 of Book One presents 150 variations of the sentence Tuae literae me magnopere delectarunt [Your letter has pleased me greatly]...(Edward P.J. Corbett and Robert J. Connors, Classical Rhetoric for the Modern Student, 4th ed. Oxford Univ. Press, 1999)- If I am truly that peace so extolled by God and by men; if I am really the source, the nourishing mother, the preserver and the protector of all good things in which heaven and earth abound;... if nothing pure or holy, nothing that is agreeable to God or to men can be established on earth without my help; if, on the other hand, war is incontestably the essential cause of all the disasters which fall upon the universe and this plague withers at a glance everything that grows; if, because of war, all that grew and ripened in the course of t he ages suddenly collapses and is turned into ruins; if war tears down everything that is maintained at the cost of the most painful efforts; if it destroys things that were most firmly established; if it poisons everything that is holy and everything that is sweet; if, in short, war is abominable to the point of annihilating all virtue, all goodness in the hearts of men, and if nothing is more deadly for them, nothing more hateful to God than war- then, in the name of this immortal God I ask: who is capable of believing without great difficulty that those who instigate it, who barely possess the light of reason, whom one sees exerting themselves with such stubbornness, such fervor, such cunning, and at the cost of such effort and danger, to drive me away and pay so much for the overwhelming anxieties and the evils that result from war- who can believe that such persons are still truly men?(Erasmus, The Complaint of Peace, 1521)- In the right spirit of playfulness and experimentatio n, Erasmuss exercise can be both fun and instructive. Although Erasmus and his contemporaries clearly were delighted by language variation and exuberance (think of Shakespeares indulgence in his comedies), the idea was not simply to pile up more words. Rather copiousness was about providing options, building stylistic fluency that would allow writers to draw upon a large array of articulations, choosing the most desirable.(Steven Lynn, Rhetoric and Composition: An Introduction. Cambridge Univ. Press, 2010) Backlash Against CopiaThe latter part of the sixteenth century and the first part of the seventeenth witnessed a reaction against eloquence, specifically against Ciceronian style as a model for writers, both in Latin and in vernacular literature (Montaigne, for example)... The anti-Ciceronians distrusted eloquence as something speciously ornamental, therefore insincere, self-conscious, unsuited for expressing private or adventurous reflections or disclosures of the self... It was [Francis] Bacon, not inappropriately, who wrote the epitaph of copia in that famous passage of his Advancement for Learning (1605) where he describes the first distemper of learning when men study words and not matter....It is ironical that in later years Bacon came to dislike the excesses of Senecan style nearly as much as those of copie. It is likewise ironical that the man who deplored the former popularity of copia was, of all writers in his time, most responsive to the advice in De copia about collectin g notes. Bacons obsessive fondness in his writings for sententiae, aphorisms, maxims, formulae, apophthegms, his promptuary, and his habit of keeping commonplace books were a tribute to the methods taught by Erasmus and the other humanists. Bacon was more indebted to prescriptions for copia than he allowed, and his prose leaves little doubt that he was studious of words as well as matter.(Craig R. Thompson, Introduction to Collected Works of Erasmus: Literary and Educational Writings I. University of Toronto Press, 1978)

Nursing Leadership Essay Example | Topics and Well Written Essays - 1000 words

Nursing Leadership - Essay Example To practically calculate the cost of nursing care, I referred to an orthopedic unit, which had 12 patients who were at different situations and had different acuity levels. PCS would be calculated on the following:  To practically calculate the cost of nursing care, I referred to an orthopedic unit, which had 12 patients who were at different situations and had different acuity levels. PCS would be calculated on the following:  Ã¢â‚¬ ¢ 4 patients were in a condition to be discharged and had acuity level 1: 4 X 1= 4.†¢ 4 patients were under therapy and had acuity level 4: 4 X 4= 16.†¢ 4 patients were under regular had acuity level 2: 4 X 2= 8.This total of 28 hours would be expanded by adding further 48 hours of an 8-hour shift for 8 patients who did not discharge in 8 hours which makes a total of 76 hours. This grand total of 76 hours can be used to determine Full-Time Equivalent (FTE) for a unit.However, this formula does not give an accurate value because it does not have space for variances made according to situations. For instance, if a patient was acquiring 2 hours and later demands 3 hours due to some uncertainty in patient’s condition. The cost is still being evaluated for 2 hours and thus giving 3 hours till the patient get stable. To neutralize these differences, Relative Value Unit as an index number is given to each unit based on the amount of resources which can be managed to produce nursing care.  For instance, $1,250,000 is given to a unit which has total RVUs of 5,196.50.... 4 patients were under therapy and had acuity level 4: 4 X 4= 16. 4 patients were under regular had acuity level 2: 4 X 2= 8. This total of 28 hours would be expanded by adding further 48 hours of an 8 hour shift for 8 patients who did not discharge in 8 hours which makes a total of 76 hours. This grand total of 76 hours can be used to determine Full Time Equivalent (FTE) for a unit. However, this formula does not give an accurate value because it does not have space for variances made according to situations. For instance if a patient was acquiring 2 hours and later demands 3 hours due to some uncertainty in patient’s condition. The cost is still being evaluated for 2 hours and thus giving 3 hours till the patient get stable. To neutralize these differences, Relative Value Unit as an index number is given to each unit based on amount of resources (labor and capital) which can be managed to produce nursing care (Kelly, 2008). For instance $1,250,000 is given to a unit which has total RVUs of 5,196.50. The amount will be divided by RVU’s to bring out the cost per RVU. For instance $1,250,000/ 5,196.50 = $ 240.55 per RVU. Thus the cost of one patient of level 4 acuity will be $ 240.55 X 4= $962.2 for one day. This formula of calculating the nursing cost does not either gives an exact cost because situations can vary and can demand excess resources. Thus there is no accurate calculation system to recognize exact nursing cost. It all depends on the acuity level which itself is not certain but varies according to patients conditions. These results can help outline the nursing care budget which is helpful to envision all pro’s and con’s to later deal with the finances affectively (Kelly, 2008). Dq2#2)

Learning Plan Outcome Report Essay Example | Topics and Well Written Essays - 2000 words

Learning Plan Outcome Report - Essay Example Patient assessment skills in the area of emergency nursing are important for several reasons (Sbaih, 2001). The most important of them is gradually increasing patient loads and increased waiting time. Nurses may segregate patients needing immediate attendance by being able to identify the patients with serious problems. This also fulfils two graduate qualities of the nurses, which are ability to apply knowledge in real situations and ability to identify the methodological and substantive limitations of the field and to apply a disciplined mode of enquiry in practice. To be able to apply nursing assessment skills in the patients with TIA needs ability to execute a detailed central nervous system examination to know whether the patient is progressing towards CVA. This is a changing situation in the patient's clinical status which can be determined through a thorough clinical examination. This clinical information must be located, evaluated, managed, and used in the clinical context of the patient's condition. It is evident that the clinical skill of the nurse in this context will be limited, and an accurate assessment of learning will imbibe this point (Schriver et al., 2003). This means this would also involve the capacity to evaluate current knowledge. In the real clinical scenario of the Emergency Department, this means an independent demonstration of the skill, and therefore, it means taking the responsibility for learning development. In order to reach a diagnosis which would classify the urgency of the patient means responding confidently to changing clinical scenarios in a flexible and adaptable manner, and a critical thinking approach would develop through this which would also promote sustenance of intellectual interest for further learning (Hageness et al., 2003) Product Information Fact Sheet on Clinical Assessment of TIA and CVA in the Emergency Nursing Q1. What is TIA Ans 1. TIA or transient ischemic attack is a state of transient deficiency of cerebrovascular blood supply leading to alterations in vision or speech, dizziness, weakness, a sudden fall, or a temporary paralysis on one side of the body. Usually, this is reversible, but calls for a detailed neurological examination to rule out any permanent neurological deficits (American Association of Neuroscience Nurses, 2004). Q2. What is CVA Ans 2. CVA or cerebrovascular accident is also known as stroke or brain attack. By definition, it is occurrence and persistence of neurologic dysfunction for more than 24 hours as a result of disruption of blood supply to the brain in an irreversible manner (American Association of Neuroscience Nurses, 2004). Q3. How does CVA occur Ans 3. Most of the CVAs are ischemic. About 30% of these patients may have hemorrhage within the brain to be attended, supported, admitted, and managed immediately for higher mortality and morbidity. Thus, in the emergency nursing area, it is important to identify the categories of these patients so appropriate management can be provided (Hickey, 2004). Q4. What are the other associated conditions in these patients Ans 4. TIA or CVA originates from diseases of the blood vessels. In some patients the associated heart disease is the cause of TIA or CVA. Hypertension is commonly associated with most of these cases. While assessing a patient with CVA, it is to be remembered that many

Art Review on Piece of Art Work by Ber Vasques Essay

Art Review on Piece of Art Work by Ber Vasques - Essay Example With these stencils he sprayed dark pink paint, which fell onto the sewed pink lines. Regarding the face, the artist used pieces of men’s underwear. He sews the face using this underwear, which had been dyed using different intensities of pink color. This sewing created a great interaction between the external and the internal contours (Cuff & Mattson, 1982). The Spanish adjectives used here had a significant meaning. These adjectives are words that cam up as a result of the subject being portrayed, in other words, the portrait’s subject. These portraits include Sheriff Joe Arpaio in Maricopa County in Arizona. The artist also had a consideration for those audiences who were not Spanish, for instance the English audience. This consideration can be reflected by the fact that the artist used Spanish words, which are understandable to English speakers. These words used are cognates to English. For instance, facista, segregacionista and racista are the different Spanish wor ds, which may mean face, segregation and racist. The portrait was a prison warden. The artist had noticed something about the warden that was a matter of concern. In order to blow the whistle, he applied his artistic capacities to express his point. In the portrait, the artist was capturing the features that were associated with the warden. His portrait was made using pink dye since he was fond of making the prisoners under his responsibility wear pink underwear. Therefore, this was an art of stereotypical and comical stripped uniforms (Grant, 2010). The person portrayed by the artist is famous for his support for Arizona’s Act, The Support Our Law Enforcement and Safe Neighborhood Act. The law enforcement officers used this act in determining the immigration status of an individual especially when the suspicion is reasonable enough that the person is illegitimate immigrant who is only after perpetration of racial profiling. The jail that the portrait is in charge is in bad b ooks since it is accused of violating inmate’s constitutional rights. They for instance, endanger the health of the inmates by denying them medical attention even when they have serious mental and medical issues (Huxley, 1982). The portrait, therefore, reveals the bad side of the prison warden. The department of justice is looking for him so that he can cooperate in the investigations accusing him of unconstitutional seizures and searches as well as discrimination. Therefore, the artist accomplished his goal by beating him in is own game. He used his techniques to hit back at him. He stripped him, compromising his masculinity and then went ahead to dishonor or disrespects him in his own official portrait. What is challenging regarding him is the idea of understanding his hate. It is also harder for his violence, pride and denigration of human beings to be understood since he is an officer, who is expected to be far away from this (Reyner, 2007). The examination of the Ber Vas quez’s image also brings into focus a couple of ideas and messages that were meant to be communicated during the creation of this particular work of art. Consequently, it is very possible to break the image into smaller parts in order to obtain a vivid understanding the whole image. By this deconstruction, it is clear that the interpretation of the ideas conveyed by the image would come not from the actual meaning of the image, but from the different roles played by the different components

Glasgow Coma and Glasgow Outcome Scales for Brain Injury

Glasgow Coma and Glasgow Outcome Scales for Brain Injury ABSTRACT Traumatic brain injury (TBI) is a leading cause of death in adults under the age of 45 and an estimated 7.7 million people in the European Union are living with a disability caused by TBI. The severities of these injuries are differentiated by the use of the Glasgow Coma Scale (GCS), and the outcome is assessed by the Glasgow Outcome Scale (GOS). These scales can be used to develop a prognosis for individuals with TBI’s in various ways. Primarily, the lower the GCS score the more severe the brain injury and therefore the worse the outcome for the patient. The GOS is applied 6 months after injury and provides a score of 1-5 with a lower score indicating the worse outcome, death. To conclude GCS by itself cannot be used to provide a long term prognosis for brain injuries. GCS can be used in addition to other factors such as presence of a midline shift on Computer Tomography and fixed pupil dilations are significant in determining prognosis. The presence of lesions on the brainst em correlates with the GCS and GOS scores allowing reliable and valid prognosis’ to be made. INTRODUCTION Traumatic brain injury (TBI) affects an estimated 1.4 million people every year in the United Kingdom (UK)[1], and is a leading cause of death in adults under the age of 45. [2] It is currently estimated that at least 7.7 million people in the European Union are living with disabilities caused by TBI’s. [3] TBI’s account for 6.6% of the Accident Emergency (AE) attendees. [4] 95% of all TBI’s presented at AE are mild, 5% severe and moderate injuries. [5] It is extremely important to determine the severity of the TBI as it has implications on the treatment and later rehabilitation of the patient. TBI can be open or closed injuries, with open TBI injuries being linked to worse functional outcomes and increased mortality. The most common method of assessing TBI is the Glasgow Coma Scale (GCS) and a common method for addressing the outcome of a patient is the Glasgow Outcome Scale (GOS). WHAT IS THE GLASGOW COMA SCALE? The GCS is a test to ascertain the consciousness of a patient after being subject to a TBI. The maximum score with this scale is 15 and the minimum 3, this is comprised of three sections: eye opening, verbal response and motor response. (Table 1). GCS is included in National Institute for Health and Clinical Excellence (NICE) guideline on head injury3 to provide information on survival rates for patients suffering different severities of TBI. The guideline also indicates that GCS is a measurement that should be taken at the scene of the injury by paramedics. If this is not possible it should be taken at admission to AE as early indication of TBI severity is imperative in the later treatment. The GCS differentiates between the severities of head injury by score ranges. A GCS of 13-15 indicates a mild head injury, 9-12 moderate and 3-8 severe. The GCS score can be affected by the time it is applied after injury, therefore in order to universalise this, GCS is often used once the patient has been stabilised.4 The GCS can be difficult to use in trauma cases, as localised trauma, swelling, sedation and intubation can affect testing the eye and verbal responses. [6] [7] In a survey performed by The European Brain Injury Consortium only 49% of patients could be tested fully against the scale after being stabilised in resuscitation.[8] Feature Response Score Total Eye Opening Spontaneously 4 To speech 3 To pain 2 No response 1 E: /4 Verbal Response Orientated 5 Confused 4 Inappropriate words 3 Incomprehensible words 2 No response 1 V: /5 Motor Response Obeys commands 6 Localises pain 5 Withdraws from pain 4 Flexion to pain 3 Extension t pain 2 No response 1 M:/6 Total Score GCS /15 Table 1- Glasgow Coma Scale Components of the GCS and how each section is scored individually Adapted from: Bethel J. 2012, Emergency care of children and adults with head injury, Nursing Standard, 26(43), 49-56 The GCS is considered by some to have acceptable inter-rater reliability[9] when used by experienced practitioners. However mistakes are made consistently by inexperienced users of up to 1 mark per section. Inter-rater reliability was shown to improve after exposure to a training video.[10] Reliability with scoring is imperative in making accurate TBI severity diagnosis, and then the relevant treatment associated with them. In severe TBI’s the motor component of the GCS is the best indicator of prognosis, this is due to verbal and eye scores not being able to be performed. [11] This has led to an adaption of the motor score of the GCS, called the simplified motor score (SMS). The SMS has 3 scores: 2 obey commands, 1 localises pain and 0 withdrawal to pain.[12] It was found that the SMS and GCS were useful in indicating whether neurosurgery was needed and also intubation. Overall GCS was better in predicting chance of death, however SMS was able to be used to assess patient involved in trauma more effectively as intubation and eye swelling would not be detrimental.12 This indicates that SMS may be better used in conjunction with GCS with patients who present to AE with severe head trauma. HOW CAN THE GLASGOW COMA SCALE BE USED IN BRAIN INJURY PROGNOSIS? A more severe TBI will lead to a worse 6-month functional outcome for the patient. 30% of patients with initial GCS [13] and 50% of patients with GCS ≠¤8 after being stabilized in resuscitation will die.6 Patients who have a GCS score of 3-5 have a 5% chance of survival 6 months after injury.[14] There is no direct correlation between GCS score and the patient’s ability to function in daily life afterwards. This is due to varied functional outcomes being linked to different scores on the GCS.[15] Patients with GCS ≠¥8 had 85% chance of favourable prognosis, if this score was obtained 24 hours post-admission.[16] The predictive value of GCS scores alter according to the time at which the score was obtained. GCS scores obtained at least 24 hours after trauma were linked to the grade the TBI was classified by MRI data. These grades are associated with brain stem lesions, grade 4 being the worst and grade 1 the best. The higher the GCS score the lower the grade of brainstem lesion and therefore the better prognosis in terms of functional outcome for the patient. 14 In a study performed by Utomo et al there were no patients with GCS 3-8 that were living independently 6 months after injury. In addition patients with this GCS score were 24 times more likely to die when compared to patients with GCS score 13-15.[17] GCS alone cannot accurately predict the brain injury prognosis for a patient. However, if GCS is applied with computer tomography (CT) evidence and pupil dilations, then a prognosis of possible functional outcome can be made for an individual patient.[18] WHAT IS THE GLASGOW OUTCOME SCALE? The GOS was developed to assess functional recovery of patients with brain injuries.[19] The GOS is based on a structured interview that assesses 7 areas: consciousness, independence at home, independence in the community, work, leisure and social events, relationship with family and friends and finally return to normal life.[20] The area in which the patient is living is not taken into account with the GOS but is taken note of separately. GOS is often split into two broad outcomes: favourable and unfavourable. Favourable outcome encompasses good recovery and moderately disabled. Unfavourable outcome includes: death, persistent vegetative state and severely disabled.9 The standard GOS has a 5 point scale (Table 2) but was extended after concerns were raised that it was not sensitive enough in detecting minor disabilities that may restrict the patient in returning to work. This led to the GOS extended (GOSE) being devised. Guidance has been published to increase the universal reliability of the GOSE[21], but there are still issues with its application. This is mainly due to the time period between the TBI and the GOSE being applied, this is normally taken at 6-12 months post injury. A GOS assessment at 12 months was more reliable than at 6 months[22], but it may increase the number of patients lost in follow up. 10% of patients who were moderately or severely disabled at the 6 month GOS test improved by one category. GOS GOS(extended) 1 Death 1 Death 2 Persistent Vegetative State 2 Persistent Vegetative State 3 Severely Disabled 3 Lower Severely Disabled 4 Upper Severely Disabled 4 Moderately Disabled 5 Lower Moderately Disabled 6 Upper Moderately Disabled 5 Good recovery 7 Lower Good Recovery 8 Upper Good Recovery Table 2 Glasgow Outcome Scale Shows on the left hand side the original GOS (5 point scale) and on the right the extended GOS (8 point scale) Adapted from: Nichol A, Higgins A, Gabbe B, Murray L, Cooper D, Cameron P. 2011, Measuring functional and quality of life outcomes following major head injury: Coma scales and checklists, Injury, 42(3), 281-287 The 5 sections of the GOS refer to the functional ability that will ultimately be achieved by the patient. Vegetative state refers to the patient being unable to respond; severely disabled patients cannot live on their own; moderately disabled patients can live by their selves but have reduced ability to work; good recovery infers that the patient returns to work fully.[23] It is also possible that the patient when interviewed presents a more positive outlook of their situation leading to the GOS score being faulty. In addition to this a patient may be given a GOS score of 5 indicating a good recovery, but this only refers to the patient being able to return to work. With a good recovery prognosis may still have changes in personality and an inability to cope in social situations.20 This leads to the GOS not fully indicating a good recovery, again highlighting the reason why the GOSE was devised. Under these circumstances a patient can be given a GOSE score of 7 indicating a lower good recovery. The GOS and the GOSE scores can be obtained via phone call increasing their practicality as a scale. This scale is reliable when performed over the phone due to the standardized interview which informs the score that the patient will receive.19 HOW CAN THE GLASGOW OUTCOME SCALE BE USED IN BRAIN INJURY PROGNOSIS? When applied to the GOS a patient with a severe TBI had 40% likelihood of death; 4% chance of being in a vegetative state; 16% severe disability; 19% moderate disability and 21% chance of a good recovery.6 This was a 40% likelihood of a favourable functional outcome at the 6-month GOS test. This is compared to mild brain injury that had 9% chance of dying; 0% of being in a vegetative state; 14% of severe disability; 24% of moderate disability and 53% of having a good recovery.6 This has a 77% overall prognosis of a favourable outcome for individuals with a mild brain injury. This shows that the GOS will make a differentiation in functional outcome for different severity of brain injury. This score is unlikely to change from an unfavourable to favourable outcome after this time period although some small improvements may be seen.18 Any further improvement is probably linked to rehabilitative treatment, and not the improvement of the patient’s TBI. There is a 94% chance of a good recovery with GCS >8.5 (9 +) and age ≠¤49.5 years. This is compared to an 81% chance of good recovery with GCS >8.5 (9 +) and age ≠¥49.5 years. This highlights how age can affect the probability of a patient achieving a good recovery from their brain injury.[24] Patient’s aged >75 years with a moderate or severe TBI were three times more likely to die from their TBI than patients aged 65-74 years. It was also less common for patients aged >75 years to be living independently 6 months post-injury than patients that were younger.15 The age of the patient and the severity of their TBI need to be taken into account when deciding on treatment. The prognoses for individuals in the 75+ age range are unfavourable according to the GOS. 15 Due to this treatment should be decided based on this factor. There is a correlation between the GOC score a patient is given and the grade of their brainstem lesion that is provided by MRI data. A higher grade of brainstem lesion correlates to a more unfavourable outcome for the patient.14 CONCLUSIONS Overall the GCS cannot by itself provide either long or short term brain injury prognosis. This is because there are too many variables that affect each GCS score, including the fluctuation of the GOS associated with these scores and the difference in reliability depending on who has applied the scale. The GCS is used to assess the severity of a brain injury and to allow medical professionals to constantly monitor the patient’s progress. GOS can be used to give prognosis 6 to 12 months after injury; if the scale is used before this time then the score will not indicate the full functional outcome of the patient. This time period of scoring is not beneficial for prognosis at such a time that it will be used to inform treatment of the patient. The GOS does not provide a long term prognosis for brain injury as over time and with rehabilitation improvements can be made past what is predicted. Due to the time period necessary for GOS to be more accurately applied, the GCS can be used for the interim on a general scale in order to infer the likely GOC score a patient may receive. This score will be linked to other factors such as age, pupil dilation and presence of a midline shift on computer tomography, in addition to initial GCS score.18 To conclude the GCS and GOS are vital in identifying the severity of brain injury and are still the most used scales for their purpose due to their simplicity and acceptable reliability. The use of these scales in brain injury prognosis helps direct treatment for individual patients, and allows realistic individual rehabilitation goals to be made for that individual. References [1]Hodgkinson D, Berry E, Yates D. 1994, Mild head injury – a positive approach to management, European Journal of Emergency Medicine, 1(1), 9-12 [2] Moppett I. 2007, Traumatic brain injury: assessment, resuscitation and early management, British Journal of Anaesthesia, 99(1), 18-31 [3] Roozenbeek B, Maas A, Menon D. 2013, Changing patterns in the epidemiology of traumatic brain injury, Nature Reviews Neurology, 9(4), 231-236 [4] Swann I, Walker A. 2001, Who cares for the patient with head injury now?, Emergency Medicine, 18(5), 352-357 [5] National Institute for Health and Clinical Excellence (NICE) 2014 Head Injury; Triage, assessment, investigation and early management of head injury in children, young people and adults Available at: http://www.nice.org.uk/guidance/cg176/resources/guidance-head-injury-pdf (Accessed 18/03/2015) [6] Chieregato A, Martino C, Pransani V, Nori G, Russo E, Simini B et al. 2010, Classification of traumatic brain injury: the Glasgow Coma Scale is not enough, Acta Anaesthesiologica Scandanavica,  54(6), 696-702 [7] Kushner D, Johnson-Greene D. 2014, Changes in cognition and continence as predictors of rehabilitation outcomes in individuals with severe traumatic brain injury, Journal of Rehabilitation Research Development, 57(7), 1057-1068 [8] Murray G, Teasdale G, Braakman R et al. 1999, The European Brain Injury Consortium survey of head injuries, Acta neurochirurgica, 141(3), 223-236 [9] Rowley G, Fielding K. 1991, Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users, Lancet, 337(8740), 535-538 [10] McLernon S. 2014, The Glasgow Coma Scale 40 years on: A review of its practical use, British Journal od Neuroscience Nursing, 10(4), 179-184 [11]  Lingsma H, Roozenbeek B, Steyerberg E, Murray G, Maas A. 2010, Early prognosis in traumatic brain injury: from prophecies to predictions, Lancet Neurology 9(5), 543-554 [12] Singh B, Murad H, Prokop L, Erwin P, Wang Z, Parsaik A, et al. 2013, Meta-analysis of Glasgow Coma Score and Simplified Motor Score in predicting traumatic brain injury outcomes, Brain Injury, 27(3), 293-300 [13] Thornhill S, Teasdale G, Murray G, McEwan J, Roy C, Penny K. 2000, Disability in young people and adults one year after head injury: prospective cohort study, British Medical Journal 320(7250), 1631-1635 [14] Maas A, Stocchetti N, Bullock R. 2008, Moderate and severe traumatic brain injury in adults, the Lancet Neurology, 7(8), 728-741 [15]  Udekwu P, Kromhout-Schiro S, Vaslef S, Baker C, Oller D. 2004, Glasgow coma scales score, mortality, and functional outcome in head-injured patients, Journal of Trauma and Acute Care Surgey, 56(5), 1084-1089 [16] Woischneck D, Firsching R, Schmitz B, Kapapa T. 2013, The prognostic reliability of the Glasgow Coma Scale in traumatic brain injuries: evaluation of MRI data, European Journal of Trauma and Emergency Surgery, 39(1), 79-86 [17] Utomo W, Gabbe B, Simpson P, Cameron P. 2009, Predictors of in-hospital mortality and 6-moth functional outcomes in older adults after moderate to severe brain injury, Injury, 40(9), 973-977 [18]  Husson E, Ribbers G, Willemse-van Son A, Stam H. 2010, Prognosis of six-month functioning after moderate to severe traumatic brain injury: A systematic review of prospective cohort studies, Journal of Rehabilitation Medicine, 42(1), 425-436 [19]  Brooks D, Hosie J, Bond M, Jennett B, Aughton M. 1986, Cognitive sequelae of severe head injury I relation to the Glasgow Outcome Scale, Journal of Neurological and Neurosurgical Psychiatry, 49(5), 549-553 [20] Jourdan c, Bosserelle V, Azerad S, Ghout I, Bayen E, Aegerter P, Weiss J, Mateo J, Lescot T, Vigue B, Razarourte K, Pradat-Diehl P, Azouvi P. 2013, Predictive factors for 1-year outcome of a cohort of patients with severe traumatic brain injury: results from PariS-TBI study, Brain Injury, 27(9), 1000-1007 [21] Wilson J, Pettigrew L, Teasdale G. 1998, Structured interviews for the Glasgow Outcome Scale and the extended Glasgow Outcome Scale: Guidelines for their use, Journal of Neuro-trauma, 15(8), 573-587 [22] Nalt J. 2001, Prediction of outcome in mild to moderate head injury: A review, Journal of Clinical and Experimental Neuropsychology, 23(6), 837-851 [23] : Nichol A, Higgins A, Gabbe B, Murray L, Cooper D, Cameron P. 2011, Measuring functional and quality of life outcomes following major head injury: Coma scales and checklists, Injury, 42(3), 281-287 [24] Oh H, Seo W. 2013, Development of a decision tree analysis model that predicts recovery from acute brain injury , Japan Journal of Nursing Science, 10(1), 89-97

What is Cancer :: essays research papers

What is Cancer The article entitled â€Å"What Is Cancer?† from the American Cancer Society’s web site discussed how cancer forms and effects people in different ways depending on what type of cancer they have. It also mentioned how cancers are treated and ways to prevent cancer.   Ã‚  Ã‚  Ã‚  Ã‚  Cancer forms from the uncontrolled growth of abnormal cells in the body. When we are born we all have normal cells that continually grow until adulthood. We also have abnormal cells that are in our body. As we reach adulthood our normal body cells stop dividing for growth purposes and only divide to replace dead or damaged cells. The abnormal cells in our body continue to divide even into adulthood and form cancerous cells. Most cancers develop into tumors while others flow throughout the body via the body’s bloodstream. An example of this is leukemia.   Ã‚  Ã‚  Ã‚  Ã‚  Not all tumors that are created in the body by the abnormal cells become cancerous however. Some tumors called benign tumors are not cancerous and will not affect the body in as harmful ways as cancerous tumors would. Benign tumors are still dangerous however there size can be harmful to the body by growing in places that they are not needed and putting pressure on other parts of the body.   Ã‚  Ã‚  Ã‚  Ã‚  All types of cancer are different and respond to different types of treatment. Different cancers also have different rates of growth. These different rates of growth are what cause different cancers to be more harmful than others. Cancer is the second leading killer in the United States. Over half of men and one third of women will develop cancer in their lifetimes. Millions of people are now living with cancer because of new treatments that have become available through extensive research.

Interventions in order to increase the National Achievement Test of 4th Year Students of Malabon National High School Essay

The primordial purpose of this study is to provide the students with a complete and balanced education and to develop their performance in National Achievement Test (Nat) . Thus, the results of this study will benefit the students, the teachers and the school administrators. This study is significant because it will provide the indispensable facts for the students of Malabon National High School who were taking the National Achievment Test (NAT). including the faculty and school administrators as a result in a pervasive exposure of the aforementioned subjects. This study will serve as the basis for future plans of action by the school administrators with regard to the necessary actions for the school and for the students who were taking or will take the National Achievement Test (Nat). Among the persons who will be directly or indirectly involved are the following: This study will not only benefit the school administrators but also the entire student body as it will create a milieu of awareness about the Interventions in order to increase the National Achievement Test (NAT). The teacher and students of the Malabon National High School including the out-of-school youth will have a better understanding of the limitation; Importance of the National Achievement Test will enable them to know the area of difficulty and strength thereby guiding them in reconstructing their programs to suit their needs. Furthermore, this study will serve as a theoretical model for future studies of the same nature if ever the existing problem has penetrated in this case will exist in the future. Future researchers will benefit from this study, and it will provide them the facts needed to compare their study during their respective time and usability.

Falling Angels Practice Essay Essay Example

Falling Angels Practice Essay Essay Example Falling Angels Practice Essay Essay Falling Angels Practice Essay Essay Many of his works have been mostly influenced by a number of once styles he has either seen or studied such as folk dance, romantic classical, ballet style and neo-classical, while also incorporating jazz style. Sir Skylines Falling Angels is clearly presented though the use of space based on the elements of dance to communicate the main intent of the work which can be described as the conformity felt by women. The beginning of the work in the first phrase shows the 8 female dancers slowly emerging from the anonymous blackness of the upstage, traveling In a forward direction to the forefront. Once all 8 dancers eave entered the forefront of the stage slowly, the lighting then changes Into individual box- Like shapes, one for each Individual dancer. All 8 dancers are distributed across the performance space In an x- like floor pattern. In terms of shape, Skylarks Falling Angels shows a use of both angular and curved shapes. Within the middle section of the work, the eight dancers pull on their black leotards to create a curved, pregnant like shape. Furthermore, at the very ending position, the dancers end in a shape that involves the elbow braced with splayed hands, head heron back, legs apart In parallel, feet in doors flexing with knees slightly elevated in a low level as they rest on their backs with their focus upwards in a childbirth position. : Sir Julian has used an extensive amount of space throughout his choreography that suggests how women were seen as mens toys or that they are obsessive over body Image, Being too fat or skinny. The use of time captured throughout the work can be clearly described through the relationship between the drumming accompaniment and the movement. The Drumming composed by Steve Reich begins with a simple rhythmic pattern tapped by a stick on a bongo drum. In the first phrase of the work, there is no drumming, just complete silence which sets up natural rhythm . Then, as the single beat of drumming occurs, the dancers execute a single accent in canon with the wing-like shape motif used throughout the whole work. As the drumming continues into double and triple beats, it starts to layer while the movement corresponds and becomes more fast and complex. One beat of the rum equals one movement while 2 beats of the drum equals 2 movements. However, towards the end of the work, the dancers move with their own internal/ natural rhythms, while almost ignoring the beat of the drums. Sir Julian has effectively used time throughout his work to create variation In the way the dancers respond using movement. The movement choreographed by Sir Julian clearly shows a vast range of dynamics to further the quality of movement convey through the concepts of conformity felt by women. Seen wealth the work, there Is a section involving the dancers executing a much sustained upright shift in weight while rocking. I nerve Is a Susanne percussive accent Involving a Jerk or spasm AT ten Knee. This creates variation and contrast within the same phrase. In the middle section of the work, there is a clear relationship seen between the drumming accompaniment and the percussive and sustained dynamics as the layering of the music begins. The Sustained and percussive dynamics are used in Falling angels when all the dancers in unison ooze into the floor in parallel, knees and feet together, with the extension in he flick motif of the arms in a wing-like shape with their focus down. Through the use of this drumming, the timing of Falling Angels provokes the dancers being consumed by the beats as is travels throughout their entire body causing them to react synthetically. Therefore Julian has successfully used dynamic to further the audiences understanding of how the staccato dynamics reflect the dancers kinesthesia response. In conclusion Sir Julian has used space, time and dynamics to reflect intellectual, emotional and physical content of the females.

Free Essays on The Early Empire

The Early Empire- Roman Architecture Rome has so many beautiful features about it, that I didn’t know where to begin. I decided that I would talk about the architecture of early Rome. There are plenty of architectural buildings built in early Rome. These buildings set the building point for a lot of famous buildings today. For example, the Colosseum is just one of the buildings that a lot of sports arenas have imamate. I will talk about this and other buildings and give you information about them. With the birth of the empire there emerged a desire to glorify the power of Rome by erecting splendid buildings and civic monuments. It was believed that art should be created in the service of the state. Although Roman expansionism left a wake of death and destruction, it was responsible for the construction of cities and the provision of basic human services in the conquered areas. To their subject peoples, the Roman conquerors gave the benefits of urban planning, including apartment buildings, roads, and bridges. They also provided police and fire protection, water systems, sanitation, inhabitants, including gymnasiums, public baths, and theaters. Thus, even in defeat, many peoples reaped benefits because of the Roman desire to glorify the empire through visible contributions. Although the Romans adopted structural systems and certain motifs from Greek architecture, they introduced several innovations in building design. The most significant of these was the arch, and, after the second century, the use of concrete to replace cut stone. The combination of these two elements resulted in domed and vaulted structures that were not part of the Greek process. One of the most outstanding of the Romans, civic projects is the aqueduct, which carried water over long distances. The Pont du Gard is part of an aqueduct system in southern France tha... Free Essays on The Early Empire Free Essays on The Early Empire The Early Empire- Roman Architecture Rome has so many beautiful features about it, that I didn’t know where to begin. I decided that I would talk about the architecture of early Rome. There are plenty of architectural buildings built in early Rome. These buildings set the building point for a lot of famous buildings today. For example, the Colosseum is just one of the buildings that a lot of sports arenas have imamate. I will talk about this and other buildings and give you information about them. With the birth of the empire there emerged a desire to glorify the power of Rome by erecting splendid buildings and civic monuments. It was believed that art should be created in the service of the state. Although Roman expansionism left a wake of death and destruction, it was responsible for the construction of cities and the provision of basic human services in the conquered areas. To their subject peoples, the Roman conquerors gave the benefits of urban planning, including apartment buildings, roads, and bridges. They also provided police and fire protection, water systems, sanitation, inhabitants, including gymnasiums, public baths, and theaters. Thus, even in defeat, many peoples reaped benefits because of the Roman desire to glorify the empire through visible contributions. Although the Romans adopted structural systems and certain motifs from Greek architecture, they introduced several innovations in building design. The most significant of these was the arch, and, after the second century, the use of concrete to replace cut stone. The combination of these two elements resulted in domed and vaulted structures that were not part of the Greek process. One of the most outstanding of the Romans, civic projects is the aqueduct, which carried water over long distances. The Pont du Gard is part of an aqueduct system in southern France tha...

Delegation & Empowerment Annotated Bibliography

Delegation & Empowerment - Annotated Bibliography Example Curtis, E., & Nicoll, H. (2004). Delegation: A Key Function of Nursing. Nursing Management, 11(4), pp. 26-31. Curtis and Nicoll have managed to discuss delegation and employee empowerment as a key attribute of effective leadership. They have discussed various theories of effective leadership and have used works of other scholars to emphasize on the importance of delegation in an environment where team works is an essential element. Following the outcomes of these theories, they have presented an easy step-by-step guide of effective delegation, whilst discussing benefits of delegation and empowerment for delegators and delegtees. They have also mentioned the factors that can hinder the effectiveness of delegation process and the importance of delegation in organizational settings. Curtis and Nicoll are both highly learned and well-educated lecturers at the school of nursing and midwifery studies, Trinity College, University of Dublin. The work that they have presented mainly address registered nurses and importance of delegation for nurses however that discussion is only limited to the introduction part and rest of it is rather generalized, which can interest any regular reader. This peer-reviewed article will help in understanding the fundamental concepts of delegation and the factors affecting the personnel involved along with the process of delegation, itself. The article further outlines the basic concepts and general layout of the delegation process which will help in understanding the dynamics of this phenomenon.... The article itself sheds light on the importance of delegation and empowerment in today’s organizations. The article asserts that given today’s delayered organizational structure, managers are required to ensure that employees are provided with necessary knowledge and authority to perform the tasks assigned with them effectively. Swarnalatha and Prasanna have discussed the approaches to empowerment of employees along with conditions necessary for empowerment. One positive attribute of this article is discussion regarding the role of organizational structure and policies in employees’ empowerment in the process of delegation. The research has thus moved its focus from personnel to organization which makes it address the holistic dimensions of this process. At the end, the article discussed process and advantages of empowerment at length. Hoch, J., White, K., Starkey, C., & Krause, B.A. (2009). Delegation and Empowerment in CAATE Accredited Athletic Training Educat ion Programs. Athletic Training Education Journal, 4, pp. 139-43. The research contains a quantitative analysis along with theoretical discussion regarding delegation and empowerment of department heads, in this case, program directors. The research helps in identifying the possible reasons behind managers choosing to delegate or not delegate some of their tasks to their juniors. Except Hoch, all the other researchers are PhDs and have authored other articles on the similar subjects. Where other articles were helpful in having literary information about established theories, this research helps in understanding practical implications of these theories. The research has two dimensions. At one end, it sheds light on the program directors/ managers perspective and also identifies

Individual politics assignment Essay Example | Topics and Well Written Essays - 1500 words

Individual politics assignment - Essay Example Department also considers the financial needs of every policy (A.H.C. S.A, 2004). In her budget of 2014, the Australian government made certain policies directed towards bringing new changes to the health sector. The Minister of Health mentioned three policies in the Dutton conference. The paper analyses these policies to identify their strengths and weaknesses. The paper also identifies the perspectives of the claims presented. It will also make some comparison between the stated plans with those of foreign countries. Australia has a high percentage of ageing people (Australian Bureau of Statistics, 2013). Unlike in the 1970 and 1971, a youthful generation has dropped to 22% from 31% in the early 1970s (M.H.C.C. A.C.T., & C.S S., 2007). The government through its various departments projects that in the coming 40 years, 25% of the Australian population will be people with over 65 years of age (Australia, 2011). In the health sector, the country is facing the problems associated with old age. The government understands this and is planning to offer more support for the sector so that it can improve its services to serve more people. Currently, the public health system is only able to serve, on a weekly basis, 170 people diagnosed with dementia. However, the country has to prepare for the future. The government projects that in 2050; there would be 7,500 cases of dementia per week (W.A.C.O.S.H, 2007). The country thus has to get ready to face such an issue in the future. Therefore, in the 2014 budg et, the government allocated more money for the expansion of services like genomics testing in MRI and MBS screening. The argument of the government is valid considering the real situation in Australia. There is a sociological problem. Australian population is aging at high rate. The health sector has to prepare to face this