Friday, November 29, 2019

Hootie The Blowfish free essay sample

It was my first concert. My friend invited me to go with her and her mom to see Hootie and the Blowfish for her birthday and I eagerly accepted. In August we started our wild night with a submarine sandwich tailgate party. Cars were parked in every direction as far as I could see. The friendly spirit of the strangers around us pumped us up for the show. The size of Great Woods surprised me. It was smaller than I had imagined. Even our lawn seats were close enough to see the band! As the mass of people filled in, the green lawn disappeared. Adjacent blankets became communal. As soon as Hootie appeared on stage, the excited crowd roared. Everyone stood and danced for the entire two-hour act. I loved being in such a carefree environment! When Hootie finally played Time, I was completely satisfied. I knew this concert was the highlight of my summer. We will write a custom essay sample on Hootie The Blowfish or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It was an awesome beginning of many concerts to come

Monday, November 25, 2019

Resuscitation From Severe Hemorrhage Essays - Medical Emergencies

Resuscitation From Severe Hemorrhage Essays - Medical Emergencies Resuscitation from Severe Hemorrhage The resuscitation after severe hemorrhage is a very delicate process which involves many biological factors with a very small time window. To successfully revive a victim of severe exsanguination, one must work quickly within the "golden hour" time limit. In this time period, there are various trauma that must be avoided; cardiac arrest, hypotension, hemorrhagic shock, and hypothermia to name a few. This article encompasses the current technology for resuscitation as well as future possibilities for research. The basic idea behind the resuscitation process involves the restoration of normotension in the blood stream while avoiding cardiac arrest, and hemorrhagic shock. Even when normotension is restored and cardiac arrest is avoided, hemorrhagic shock, which can cause organ failure, is often a problem. There are 3 types of hemorrhagic shock: compensated hemorrhagic shock; uncompensated hemorrhagic shock, the shock which is reversible; and irreversible hemorrhagic shock. The most popular way of resuscitation is the use of lactated ringer's solution to make up for lost blood volume by making the cells swell and in turn restores normotension. This works fairly well but it is not the optimal treatment. PATHOPHYSIOLOGY Half of the deaths that occur annually are due to acute illness or injury, and are associated with circulatory failure or shock. Some of these deaths could be avoided by the proper monitoring. The present technology is the monitoring early in the temporal course of an acute illness to observe the cardiac index, oxygen delivery and oxygen consumption. In the future, a possibility for a very effective non-invasive monitoring device, would be one which can provide the following cardiac output readings: pulse oximetry for estimating arterial hemoglobin oxygen saturationas a reflection of pulmonary function; transcutaneous oxygen and CO2 tensions as reflections of tissue perfusion; and noninvasive blood pressure readings. Non- invasive systems are far more effective than invasive systems because it provides a constant display of the data and they can also be used anywhere; in the hospital or in the field. In the future, if systems like these are perfected, shock may be easily ! intercepted and avoided, thus resulting in a huge number of lives saved. FUTURE STUDIES ON HEMORRHAGIC RESUSCITATION Future studies on resuscitation should be centered around shock, prevention of cardiac arrest as well as increasing oxygen transport and increasing blood volume. The validity of blood pressure as a measure of organ viability and optimum possibility of resuscitation should be investigated as well. But mainly the resuscitation research should center around something which can do all of these quickly and efficiently so that resuscitation will save lives from the hospital to the battlefield.

Thursday, November 21, 2019

Costruction Contracts Essay Example | Topics and Well Written Essays - 2250 words

Costruction Contracts - Essay Example It is observed that the building projects are seldom completes on the given time due to one reason or the other. Reasons of the delay might be a) delay on the part of contractor b) suspension of work c) non payment to contractor in time and the d) circumstances beyond the control of stakeholders. The contractor as per the agreement, bound to complete the task within the given timeframe. If work is not done within the allocated time, the contractor is obliged to compensate the losses suffered by the employer. In the scenario No.1 where an old cellar was discovered by the Cash ( the contractor) on site which was not identified by Woolley Wilson Developments (WWD)( the employer ) hence, caused extra time and expenses to the contractor, which should be born by the employer. In the scenario No. 2 the contractor had to call in British Gas Company to reposition the main gas pipeline which took near about sixteen days to get the job done, caused a delay of 16 days in the accomplishment of pr oject, therefore, bound to pay compensation to the above said employer. The competent court of law or the arbitrator as the case may be, shall determine the compensatory amount payable to the affected stakeholder keeping in mind the actual losses. Further, the competent jurisdiction or the arbitrator empowers either to increase or to decrease the compensatory amount provided substantial violations of the contract were found. According to UK law, unliquidated damages are determined by the competent court of law provided the loss is proved by the petitioner. Only then claimant shall be entitled for compensation. In the case of Surrey CC v Bredero Homes (1993)2, it was held by the court that damages were not merely awarded on failure of compliance but to the loss suffered. Contrary to that, in the case of Chaplin v Hicks (1911)3, the court of law awarded compensation to the claimant. It transpired from the said judgments that the court even considers those claims where monetary losses are not occurred. In accordance with law, damages are analyzed in order to place the claimant in the same position where they were, if they performed as per the agreed terms. Now the question is how to quantify the damages occurred for the expected losses. Here we found two options to handle the issue a) reason of non performance and b) remedial measures to mitigate the losses. We may refer the cases of Radford v De Froberville (1977)4 and Tito v Waddell (no 2) (1977)5. In referred cases, the court had the diversion views as far as compensation for the damages are concerned. In other words, court of law while deciding the cases of compensation assessed the damages first. Under English law, damages are categorized in two ways a) liquidated damages and b) unqualified damages. As per civil code of conduct, liquidated damages are taken as penalty. In the mentioned situation, liquidated damages clause, if inserted in the contract, is applicable. Breach of a contract attracts compensation under liquidated damages. Provided a) either uncertain or difficult to quantify b) amount of compensation based on actual losses c) adequate remedy e) planted damages. If aforesaid criterions are not fulfilled, liquidated damages clause in the contract has no potential value. Penalty has nothing to do with the

Wednesday, November 20, 2019

Educational Action Research Annotated Bibliography

Educational Action Research - Annotated Bibliography Example In this attempt, the author employs expositions of ethnography and action research so as to decrease the effect of epistemological cleavage between these two different approaches. Subsequently, the research is more relevant as it involves author’s experience relating to participation in three reception classes. After practically developing this method and its efficacy with the design and approach of new methodological approach in the field of educational research, the authors concludes that the participation in early years education by using the method of participation can be used as a new methodological approach in this field.Dick, B. (2004). Action research literature: Themes and trends. Action Research, 2(4), 425-444. The author has reviewed various action research related books and has developed perspective on the theme and direction of these books. Among finding various themes, the author has found material related to action science, inquiry, system-related approaches and the important aspect of action learning as well in which role and involvement of education, community, health, and organizational developments and subsequent practical applications have been detailed as well. a number of developing themes and trends have been identified including the increase and expansion of action research along with constructive inquiry, participation, involvement of community are those certain factors that have gained currency within the growing context and perspective of action research.

Monday, November 18, 2019

Interdisciplinary views, interventions& effectiveness Research Paper

Interdisciplinary views, interventions& effectiveness - Research Paper Example It affects how a person feels, think and act as they live daily. Furthermore, it helps in determination of how a person relates to others, handle stress and make choices (Kinnear, 1995). On the psychological perspective, child abuse and mental health portrays behavior problems such as posttraumatic stress disorder and separation anxiety. The abused children undergo difficult time in their lives in addition to parental substance abuse. The aftermath of sexual abuse can form the start of a child’s negative behaviors and negative experiences. According to Sgroi (1982), sexual abuse to a child is a mental disaster as it can cause a child to become an irreversible, unforgettable, pain in the subconscious mind. Psychologically, mental illness can affect mood, thinking and behavior. MacFarlane et al (1986) observed mental health is important but the disorder can arise due to family history, history of sexual abuse, life experiences. On the sociological perspective, Desai (2010) elaborates how social changes have affected child abuse problems. The children welfare and women’s movements has made the problem to rapidly rise in the public attention. Furthermore, patriarchal authority and socialization has resulted to the problems of mental health and child sexual abuse. The rising rate of divorce globally put the children at risk of these problems. However, Kinnear (1995) also suggest that it also assists the children to escape from intolerable and oppressive family situations. External controls erosion on sexual behavior and sexual revolution are also singled out as factors that have aggravated children sexual abuse and mental health. Childs sexual abuse treatment is a complex process. One of the challenges is its occurrence in the larger intervention contexts. Treatment which forms part of intervention should be handled by a team of professionals. A treatment approach as an intervention employed in a child sexual abuse should address the prerequisite

Saturday, November 16, 2019

Leadership Public Health

Leadership Public Health QUALITIES OF A GOOD PUBLIC HEALTH LEADER Definition of leadership What is leadership in public health Difference between Management and leadership Discuss issues/trends related to Healthcare that make Leadership in public health significant (to address and keep up with the trends in healthcare) Governments role Digital divide in the system (ex. Electronic health records) Political social functions Budget (optional)- but since we covered this topic this past week- discretionary budget process covers the public health costs, which is very minimal Qualities of what makes a leader Conclusion PUBLIC HEALTH LEADER QUALITIES OF A GOOD PUBLIC HEALTH LEADER Abstract Leadership skills are different from management skills. While the two are equally important for the success of public health organization, they are different in terms of roles and abilities. Managers are placed in power, whereas leaders are given power by their followers. Leaders also inspire their followers as well the local and national community he/she serves. Recent events have caused public health leaders to take on new roles. CONTINUE†¦ The topic of leadership is one that has been studied and researched for years. Professionals and managers desire it and companies and organizations seek it from their employees. The coveted skill is wanted by all, but possessed by few. What is considered a good leader, or a great leader, is even harder to come by. And the field of public health—a field that changes constantly and evolves quicker than health officials can keep up with—demands great leadership. A good public health leader is defined in many ways and by many skills. It can be argued that any manager can be leader, but the literature and research prove otherwise. There are certain skill-sets that set a good leader apart from the manager. Being knowledgeable in several areas relating public health and management is integral for the success of the public health leader and the organization he/she serves. Equally important are having the personal qualities expected of a leader and being perceived as a leader by the supporting staff. Combining these attributes along with management skills ensures that a leader is prepared for and ahead of the public health curve. Management versus Leadership Being a great leader is demanding, but even more so, is being a good public health leader. Public health is different from other fields because the work itself is always evolving. The target audience, the methods, and the promotional plans are always changing. Managing these tasks is not enough, especially when dealing with an audience that often does not want the information. Work can become redundant and employees and quickly lose interest, stamina, and sense of purpose. This is where a great leader can emerge. One of the key differences in leadership and management is the ability to inspire. Almost anyone can manage or run a task if proper instruction is received. Everything from distributing the work, creating work plans, and managing the budget can be done by a manager. But leaders can inspire people and create a single vision. When staff is truly motivated, the end result is a much better product that involved a united team (Cooper, 1990). In fact, if given a choice, people â€Å"would rather follow a leader than a manager† (McLean, 2005). This notes a clear distinction in favor of the leader, as noted by staff. Ideally, a manager can be a great leader, and some may argue that leadership is one of the roles played by a manager. However, McLean makes another distinction in the leader, suggesting that the leader â€Å"is conferred power from followers that allow him/her to influence their actions† (2005). This means that the leader is given power by those following him, versus the manager who is appointed to the manager role. This power comes with the ability to influence followers and have an effect on their outcome(Peter, 2001). While there are clear differences between management and leadership, it is impossible to say that a successful organization could still exist without the two of them working simultaneously. After all, the above assumes that a great leader can be a great manager. However, great leadership does not come automatically with great management skills. Each role requires a different skill set. Managers are essential to a public health organization for their attention to detail and ability to follow orders and complete tasks in a timely and efficient manner. Leaders are then essential for the motivation and inspiration of supporting staff. As McLeans wraps it up, â€Å"both are essential and both have their place they just have different emphases† (2005). Definition of a Public Health Leader Other than the ability to inspire, the leader is defined by several other abilities. The leader is also influential, and has the ability to attract followers and have them transmit their goal and vision to new potential followers. This is especially important when working with large public health firms and organizations. It is nearly impossible for the leader to individually reach every single person and inspire them directly. Leaders thus depend on followers to inspire others as well. This is where the next definition of a leader is introduced; the ability to be a great mentor as well. Mentoring is a great way to mold someone and teach them the importance of leadership in public health. Novick et al. describe leadership mentoring as â€Å"experience, by the work of insight, by personal growth, and by learning from mentors† (2008, pg. 292). While some may argue that great leaders are born, many great leaders can emerge from the situation they are presented. Gaining experience and learning by following a leaders example are a great way in which new leaders can emerge and benefit by seeing a good leader act before it is their turn to. Thus leadership also involves the skill of making leaders out of others. The public health field also demands that its leaders be influential outside of the organization it immediately serves. One of the most important tasks in public health is the ability to influence your local community and national niche organizations that share similar goals and objectives. This means that a leader in public health must possess the competency of building and keeping ongoing relationships with community organizations (Saleh et al. 2004, pg. 1247). Forming successful partnerships helps an organization reach its goal faster and more efficiently. For this reason, it is imperative that the public health leader be in tune with the goals of its organization in order to partner with the right organizations. At the same time, public health leaders need to be aware of the larger picture. Public health is so grand and it becomes impossible for a leader to be great in every aspect of the field. According to the American Public Health Association, being aware of the larger picture is recognizing ones role in public health, or rather taking â€Å"ownership of ones particular job and having the creativity to do it (2000, pg. 11). This also involves setting appropriate priorities based on the current needs of the organizations. This involves looking at the larger picture, assessing which goals are most important to the future of the organization, and setting priorities to accomplish these goals. Leadership also requires the ability to react to new sudden needs of the public health organization. Clear examples of these are the events of September 11, 2001. These events left public health officials dumbfounded. Almost immediately, officials became aware of how little they were prepared for such a disaster. Leaders were forced to think and react quickly, and soon after there was a surge of new educational opportunities related to emergency preparedness. The same leaders learned to be â€Å"more effective in responding to ever-changing public health challenges† (Saleh et al. 2004, pg. 1246). The role of an effective leader is clearly not easy. While a leader mains role is to inspire a vision and work in others, leaders must also possess a variety or related skills. Therefore, the definition of a public health leader includes the ability to mentor and produce new effective leaders and serve as a leader in both the local and national communities with a same vision. Leaders must also be able to see the grand picture and set timely and relevant priorities, as well as think and react to sudden public health needs( Donald, 1991). Current Trends in Public Health Leadership Using the example of September 11, 2001, it became obvious to officials that there were clear gaps in the system and that current leaders did not all possess the adequate skills for such a disaster. Programs emerged to educate public health leaders about bioterrorism, crises response, and disaster management (Burrell, 2007, pg. 62). These subjects fall outside of the comfort zone for many public health leaders, since much of public health falls within the field of heath, nutrition, environmental health, physical and emotional well-being, and disease prevention. The goal of these programs is to provide formal training in areas that are critical. In fact, several accredited universities have made this effort easier by providing programs relating to homeland security, terrorism, emergency preparedness and related disciplines. Burrell states that such programs help address the â€Å"threats [that] have created a need for all public managers to expand their knowledge and develop new skills† (2007, pg. 63). Several universities, particularly those in the DC area, are now making it easier for public health leaders to receive training in these areas. Qualities of what makes a leader Competence By carrying out preventive medicine and communicable disease control, occupational health, food safety, and disaster response programs a good public health leader exercises a sense of responsibility. This is a good attribute of a public health leader who is able to relate well to the ground in respect to the above issues. By carrying out all the assigned duties and disseminating to the relevant staff within a public officer fulfill all the doubtful acts that responsibility is not being undertaken. The work of a public health leader ranges from various areas and in order to fulfill the required fields he or she had to assign various duties to his colleges. Without a good sense of responsibility, effective work performance will not be put in place which might end up putting the public at risk since poor service deliver y will be delivered .therefore a good public health leader should be one who is able to exercise effective responsibility in a senses that they are able to be judged acc ording to how dissemination of what has been assigned to the m has occurred. A well established focused and self defined health leader should be able to establishes and maintain contact with medical treatment facility and local public health agencies to ensure an integrated public health program flows between all the sectors. The medical sector .without a continuous flow of events service delivery will be impossible which requires that a public health officer should resolve to having good communication skill that enable effective passage of information from one section to another. Courageous As a public health leader, one must emulate courage in order to be decisive person. A good public health leader ought not to be afraid of failure since without this, he or she will not be able to function as a leader. One should have the courage to maintain their convictions or go with a gut instinct. A good public health leader should always admit that a mistake has been committed without hesitation showing how brave one is in the tackling of the environment. Skillful This attribute will be able to ensure that a public health leader lays down corrective mechanism that are able to ascertain aspect which show that he or she is capable of undertaken the task in hand. This will involve showing of skill knowledge and the aptitude by the leader. A well focused skilled leader in the public health sector carries out all the necessary task making his or her colleges follow due to extra ordinary character that he or she will display in managing a given scenario. The matters that concern health are the most complex tasks that a leader might handle since this are real life situation that unless taken seriously into consideration, loss of life might occur. Therefore the leader should be able to tackle the hardest thing that surrounds the immediate environment since he or she has the necessary skill available. The skills can range from practical, mental and technical skills. A good public health leader should emulate good advisory skill which bears in mind on h ow advises will be given out on military public health issues, manning, and training. This is a fundamental aspect that requires great attention. Advising on critical issues requires that one has good counseling skill that enable him or her put into practice what is needed. Influential In the sense that even when carrying out various developments he or she will be able to initiates, nonstop and conduct preventive medicine and communicable disease control programs .being influential requires that one will be able to disseminate all that is required to all the colleges therefore boosting the morale of what is being done. Patience gives clear characteristics of a public health officer who will, be able to clarify all that is needed before acting upon them. For example when the employees are unable to clearly clarify or understand what is being talked about, the public health leader ought to verify it in details and make sure that all the tasks assigned to the are done according to the intended purposes. A good public health leader should embrace loyalty in that he or she should be able to perform mutually to the colleges what seems desirable by all since unless this is emulated ,the same will be fall him making progression in this sector top reduce by a large margin ( Swayne E. 2001). Flexible Having such attributes a public health leader will be able to change from one aspect to the other successfully ensuring that effective measures are put in place to minimize lost efforts. With these qualities a public health leader will be able to adapt to the immediate environment when fluctuations arise .this in reality entails a leader who has the intellectual capabilities of focusing on the prediction of what is to occur. Take an example where an outbreak of a specific epidemic occurs, flexibility of this situation will be determined by the leader. Being resilient will enable the leader to ensure that failure is an opportunity to expand to the real life scenario without fearing what might succumb to them but tackling it with ease with resilience, public health leaders should consider every failure as a step closer to the realization of their dreams. A leader has to lay down good examples to others, taking a role model position .All the people working around and staff members would like to emulate what they see that is positive and that doing this is the person in charge of their affairs. Public health officers should bear this quality such that what is perceived by them to be a right perspective still remains to be so by the other team players. By being a role model the public health officer embraces a sense of confidence which also is gained by the other team players and with this service delivery in highly enhanced. Tackling some issue in the public health sector requires great confidence in the interest of the public sefty.Take a case where gaseous poisonous substances have spilled in the air, the public health sector will have to make appropriate action in the determination of the root cause of this phenomena. To an ordinary person without skills, training and confidence, doing this task will be a great risk to life, however if one is trained, the confidence usually inspired by the trainer who in this case is the leader of the public health sector keeps them going. Conclusion A good public health leader should instigate buoyancy in others and be persistent in a crisis. Though this sector is a tough one to tackle leaders her should embrace one another and come together to solve the relevant problems that exist within the locality. Good listening skill should be developed since communication is a two way traffic, therefore leaders should try as much as possible to be good listeners. In the course of coming up with new ways and means of communicating a smooth flow of events will prevail therefore saving on other irrelevant costs that might occur. Management and leadership should go hand in hand in that though leaders are people are followed by other people through their own choice and managers have to be obeyed; these two disparities have to be merged in order to come up with a formidable action plane that will be able to facilitate smooth flow of events The public health leader has to have the capacity of embracing new talent and nature it. Sincerity and re liability are particularly significant for any good leader embracing realistic goals. By setting goals a good public health leader will be setting avenues that lead to the attainment of the goals. This targets when attained should be credible to the participants who took part in the achieving of results unlike praising the leader. The public health sector being the toughest areas to tackle should be reformed such that there is always the division of labor. This will enhance inventions and innovations which will give out the definition of development through the total commitment and support from the whole team. References Cooper, T. (1990). The Responsible Administrator. San Francisco: Jossey-Bass. Donald, S (1991). â€Å"Innovative Organizations Require Innovative Managers.† Public Administration Review. 41:5, 507-513. Peter, N. (2001). Leadership: Theory and Practice. Thousands Oaks, CA: Sage. Swayne E. (2001). Leadership and Management, Public Health: Cases and Context, by Sage Publications

Wednesday, November 13, 2019

The Joys of Skydiving Essay -- Personal Narrative, essay about myself

It was a warm and sunny Saturday morning when my friend, Sivi, and I left our home to travel to the small local airport located outside of town. Just the previous night we had received 4 hours of classroom training in how to perform a successful "Skydive" and now we would receive 4 more hours of practical, hands-on training. Sivi and I have spent a lot of time talking with, and taking care of Senior Citizens on a volunteer basis. Through many conversations, we discovered that one of the major regrets that people have, as the near the end, is that they didn't experience everything that they wanted to when they were younger. The major reason for this was fear. Fear that they would fail or fear that they might be injured. Sivi and I had decided years ago that we would never allow fear to prevent us from trying something new. Now, in our middle and late forties, we had decided to voluntarily jump out of a perfectly good airplane just for the experience of doing so. When we arrived at the airport, there were about 10 other people. Most of them were men and we were the only couple. Of course the first matter of business was to read and sign a waiver that stated that we would NOT hold the skydiving school liable if our jump turned out to be, shall we say, less than perfect. I must admit that this certainly brought out some of the apprehension that Sivi and I had managed to bury deep inside ourselves. Next, we were sent to a shed where there were several sets of coveralls. Here we were instructed to pick out a pair of coveralls and a helmet that fit (as best as possible) and put them on. I must say that I felt more than a little silly wearing a pair of torn and uncomfortably tight coveralls ... ...ove the ground, I yanked down on the parachute control straps with all of my strength. The parachute got more air, and I slowed, almost to a standstill, and gently touched the ground. As my feet touched the Earth, I went into my roll and then stood back up. No broken bones or bruises. Sivi, immediately came out to greet me, and we both felt a great sense of relief and pride. Once again we managed to overcome our fears and experience something that cannot be imagined or viewed like a movie, but must be felt. As we walked to our car, we realized just how much the day had taken out of us physically. We were both bruised and sore from our practice jumps into the gravel pit and very tired. But, at the same time, our souls felt warm and satisfied at discovering that we could overcome our fears and experience the joy and freedom of skydiving.