Genetic Drift / Allelic Drift - Definition

The Inethical Reporting of Michael Jackson - 1282 Words

We are in a time where the public is more than eager to look into the lives of celebrities, and view the good, bad and the ugly sides of their lives. There are radio and television programs made to focus completely on celebrity journalism and celebrities often appear on main news programs. We have magazines and websites dedicated to celebrity lifestyle and we know that the most popular newspapers are those which contain celebrity gossip. Celebrity sells, and yet, it can only sell where there is a market for the product. Celebrity journalism tends to focus on the private lives of people already in the public eye, who are in that position through choice or otherwise. There is no question that ‘celebrity sells’, but there has to be a burden of responsibility on each journalist to ensure that simply because the ‘public has an interest’ in an individual celebrity does not mean that every story is ‘in the public interest’. Journalists are required to adhere to the same set of principles irrespective of the individual or group upon which they are reporting and this includes ‘celebrities’. However, people may argue that ethics in journalism are not mandatory. Journalism has power that should not be misused or abused, yet there are journalists with the field that do not embrace these ethics because loyalty is voluntary. The Society of Professional Journalists has a Code of Ethics that is adopted voluntarily and adhered to by many journalists. Although it does not seem to be a

Making everyone a Millionaire(persuasive speech 9/ Essay Example For Students

Making everyone a Millionaire(persuasive speech 9/ Essay 11/2001)Scott Andersen2/28/02Speech 111Making Everyone a Millionaire1: Introduction1: In a story in the New York Times written by David Barstow. Its estimated that over 1.6 billion dollars have been raised by charity organizations since the attacks on Sept 11th. That money has been raised for victims of that tragic day..But where has all the money gone?2: I started this speech as a simple exploration into the Red Cross and its Liberty Fund that was established to help victims of the attacks on Sept 11th. Instead I came across information and countless stories of political blunders, red tape, indecision, and the general chaos that has rocked the charity world since that day. Not all information I found was bad there were and are some good results coming from those organizations. In the short time I have Im going to share the financial problems facing our nation following the attacks. The causes of these problems and hopefully some suggestions for you to follow as you consider donating money. 11. Body1:There are countless victims from Sept.11th more then just the dead and injured. A variety of victims from poor too wealthy. From small businesses to the entire US economy. Here is a brief summary of the scope of victims. EXAMPLE: Maxim Gee. Worked house keeping at hotel by Reagan Airport. Lost job. Looks for new job.No jobs available. EXAMPLE: Bernadine Healy, The Red Cross President..resigns over the Liberty fund and where money is going. EXAMPLE: Since Sept 11th the government has officially declared we are in recession. Unstable Stock Market, Rising Unemployment. In a story from the Washington Post written by Michelle Singletaryshe quotes Ani Hurwitz. Who is a senior consultant from the New York Community Trust as she comments about ground zero. As awful as the scene and smell is, you cant help but notice all these tiny storefronts. You know there were people working in those stores and they no longer have a job2: Also past victims of terrorist attacks are being left out. An article in the New York Times by Diana B Henriques talks about past victims of terrorist attacks being left out of the new compensation fund. Oklahoma City Bombing, and the Two American Embassies in AfricaIn this article she talks about Edith Bartley whose father and brother were killed in African embassy bombings. Mrs. Bartley expressed deep sadness for the newly traumatized families of 9/11 but also a growing anger over the vast sums of public relief and private charity now being directed towards those families. Mrs. Bartley and 10 other families are quietly trying to get 1.5 million for their families. (Trans)Well Im sure you are saying to yourself 1.5 million Where did they get those numbers? Well I will try to explain. Cause:1: At the heart of the problem is the compensation Fund Part of legislation to save the airline industry. Written up in less then 24 hoursFinalized at 4 a.m. just hours before both the House and Senate passed the measure. Pressured into law by the Airline industryPres. Bush signed Sept 22ndThis measure will cost an estimated 15 billion dollars to taxpayers. 2: This compensation fund will compensate the direct victims of the attacks. Victims have to waive the right to sue the airlines. Victims will receive roughly the same amount as a court awardwhich routinely exceed 1 million The Compensation Fund totally ignores past victims of terrorism and future victims also. To quote Senator Roy Blunt of Missouri. Nobody had an idea of the liability we were assuming for the government. Are we going to raise 15 billion dollars for every terrorist attack? MY OPINION: This bill is clearly a result of politicians not considering the results of their good intentions. Where do we stop? And how much do we pay?PauseLETS TALK ABOUT MONEYBesides the 1.5 million for each family from the compensation fundTwin towers fund set up by Giuliani..Over 70 million no clear guidelines. .ue9fb0956bde8ff148fa301b878943e91 , .ue9fb0956bde8ff148fa301b878943e91 .postImageUrl , .ue9fb0956bde8ff148fa301b878943e91 .centered-text-area { min-height: 80px; position: relative; } .ue9fb0956bde8ff148fa301b878943e91 , .ue9fb0956bde8ff148fa301b878943e91:hover , .ue9fb0956bde8ff148fa301b878943e91:visited , .ue9fb0956bde8ff148fa301b878943e91:active { border:0!important; } .ue9fb0956bde8ff148fa301b878943e91 .clearfix:after { content: ""; display: table; clear: both; } .ue9fb0956bde8ff148fa301b878943e91 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue9fb0956bde8ff148fa301b878943e91:active , .ue9fb0956bde8ff148fa301b878943e91:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue9fb0956bde8ff148fa301b878943e91 .centered-text-area { width: 100%; position: relative ; } .ue9fb0956bde8ff148fa301b878943e91 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue9fb0956bde8ff148fa301b878943e91 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue9fb0956bde8ff148fa301b878943e91 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue9fb0956bde8ff148fa301b878943e91:hover .ctaButton { background-color: #34495E!important; } .ue9fb0956bde8ff148fa301b878943e91 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue9fb0956bde8ff148fa301b878943e91 .ue9fb0956bde8ff148fa301b878943e91-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue9fb0956bde8ff148fa301b878943e91:after { content: ""; display: block; clear: both; } READ: Etruscan Forgeries Essay9 universities offer college scholarships to the children of fallen firemen and policemenSurviving spouses of police and firefighters will receive a lifetime tax-free pension equal to a victims last annual salary. Plus health insurance. State funds; $400 a week for life of spouseFrom state crime victims fund $30,000. Red Cross pays a one time $30,000 paymentA Federal program pays family of first responder a lump sum of 151,635 Anyway you add that up.huge amounts of money are going primarily towards Policemen and Firemen. (Trans)I dont know about you but thats a lot of money being made available to a limited few people. CONCLUSION:1: Yes I agree that this was a terrible incident. But lets look at the problems caused by the poor legislation by our government. Victims are getting treated differently, some get immediate results others wade through red tape. Huge funds are being added to assistance money that was already in place. Our nation continues to give money to the popular charities. Some people are becoming millionaires while others get nothing. People and companies are profiting from the events of that day. Selling and promoting products with slogans about being patriotic and donating a certain percentage to a certain fund. 2: I was one of those people that shed tears over Sept 11th. I even donated the proceeds from my garage sale to the Red Cross. If I had known then what I know nowI would not have given my money to the Red Cross3: So what can we doI say stop giving to the charities that want to raise money for 9-11Instead give to local charities and try to follow these basic guidelines I found in an article by the New York Times. 1: Be cautious about donating to disaster victims featured in the news. In past disasters, some highly publicized victims have been flooded with gifts while others in need have been neglected. 2: If you want to designate your contribution, consider targeting families with limited financial resources. Or people who may not be eligible for state or federal benefits. 3:Consider giving to groups that protect the safety and civil rights of Arab Americans and Muslim Americans. 4: Pace your giving. Its not uncommon for donors to become burned out and unwilling to give more if another major crisis occurs. 5: Make a contribution in honor of the victims. To another charity that is not involved with the attacks. As these charities are likely to experience a serious drop in contributions. This is a war in which Vice President Cheney on the TV show Face the Nation has stated unfortunately more citizens will die here in America then troops will in combat. We are in for more deaths here so lets do the right thing. Act now and donate locallyThank You REFERENCES:Michelle Singletary (Oct 10 Washington Post) Multiple Levels of Victims and of help. Diana B Henriques ( Oct 2nd The New York Times) Fund for Victims Families Already Proves Sore PointDavid Barstow (Oct 15th The New York Times) Money for the Masses?(Oct 12th The New York Times) An Outpouring of Dollarswww. washingtonpost.com/articles/Nov14th Red Cross Accelerates Relief Effortswww. redcross.org/news/donationwork/html Your Donations at workWords/ Pages : 1,162 / 24

The nursing field Essay Example For Students

The nursing field Essay The nursing field extends many opportunities to be a very important part of the health care team. Nursing involves direct patient contact and varied skills and abilities. A nurse has a unique opportunity to ensure that they care for a patients comforts and needs, and can make a difference in every patients life. Various challenging opportunities are available under the broad category of nursing. A wide range of career opportunities is open to registered nurses. Many nurses choose to specialize once within the field of nursing. One specialized field that nurses can go into is nurse anesthesia. As anesthesia specialists, certified registered nurse anesthetists administer more than 65% of the twenty-six million anesthetics given to patients each year. They have licensed and certified registered nurse anesthetists in all fifty states. To become a nurse anesthetist, it is necessary to first become a registered nurse. There are four ways to become a registered nurse. We will write a custom essay on The nursing field specifically for you for only $16.38 $13.9/page Order now It is possible through a two-year community college, earning an associates degree in nursing, or through a three-year hospital based nursing school, earning a diploma. Other possible ways include a four-year university program, resulting in a Bachelors of Science degree in nursing, or the B. S. N. , as it is commonly called. For those who have a bachelors degree in another subject, there is a generic masters degree in nursing, a two or a three-year program beyond the bachelors degree. In the future, the B. S. N. is being considered the minimum qualification for a satisfying career. The two-year associates degree and the hospital-based diploma programs are rapidly closing around the country, and student nurses are being encouraged to enroll in four-year universities. Nursing education includes classroom instruction and supervised clinical experience in hospitals and other health facilities. Students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other behavioral sciences, and nursing. Corse work also includes liberal arts classes. Hospital departments provide supervised clinical experience in pediatrics, psychiatry, maternity, and surgery. Several programs include clinical experience in nursing homes, public health departments, home health agencies, and ambulatory clinics. The nurse anesthetist is an essential part of the surgical team. They are highly skilled and highly educated specialists who, under the direction of a physician, administer anesthetics to patients for all types of surgery. The nurse anesthetist prepares for a medical procedure by setting up assigned operating rooms with necessary equipment and supplies, meeting with assigned patients, and by completing necessary preoperative procedures. Preoperative procedures may include administering medication, hooking up the patients IV, and connecting the patient to a life support system. When the patient goes into the operating room for their surgery, the CRNA administers either a general or local anesthetic to the patient. They also practice in the obstetrics department, with psychiatric patients, in the respiratory therapy department, the emergency room and in dental offices. Attention to vital signs and changes in the patients condition is one important function of the nurse anesthetist. This is a field in which the nurse-patient relationship is critically important. The CRNA has to apply physiologic and psychologic principles with sensitivity while also employing technical skills and theoretical knowledge. The nurse anesthesia programs range from twenty-four to thirty-six months in length and encompass an academic and clinical practicum on a college degree level. The classroom curriculum emphasizes anatomy, physiology, pathophysilolgy, biochemistry, chemistry, physics, and pharmacology as they relate to anesthesia. All programs must offer a Master of Science degree or higher beginning in 1998. All programs require a four-year college degree in science or nursing, and at least one year of acute car nursing experience before entry. Schools usually define acute care as intensive care, coronary care, and emergency/trauma care. Once a student has completed their educational work, the nurse is eligible to take a national certification examination and become a certified registered nurse anesthetist. Laws also require continuing education every two years for recertification. .u07833cd143a4b22c06b81003515cb3c5 , .u07833cd143a4b22c06b81003515cb3c5 .postImageUrl , .u07833cd143a4b22c06b81003515cb3c5 .centered-text-area { min-height: 80px; position: relative; } .u07833cd143a4b22c06b81003515cb3c5 , .u07833cd143a4b22c06b81003515cb3c5:hover , .u07833cd143a4b22c06b81003515cb3c5:visited , .u07833cd143a4b22c06b81003515cb3c5:active { border:0!important; } .u07833cd143a4b22c06b81003515cb3c5 .clearfix:after { content: ""; display: table; clear: both; } .u07833cd143a4b22c06b81003515cb3c5 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u07833cd143a4b22c06b81003515cb3c5:active , .u07833cd143a4b22c06b81003515cb3c5:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u07833cd143a4b22c06b81003515cb3c5 .centered-text-area { width: 100%; position: relative ; } .u07833cd143a4b22c06b81003515cb3c5 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u07833cd143a4b22c06b81003515cb3c5 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u07833cd143a4b22c06b81003515cb3c5 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u07833cd143a4b22c06b81003515cb3c5:hover .ctaButton { background-color: #34495E!important; } .u07833cd143a4b22c06b81003515cb3c5 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u07833cd143a4b22c06b81003515cb3c5 .u07833cd143a4b22c06b81003515cb3c5-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u07833cd143a4b22c06b81003515cb3c5:after { content: ""; display: block; clear: both; } READ: Taekwondo: Korean Martial Arts EssayNurse Anesthetists work with physicians, nurses, and other health care professionals in well-lighted, air-conditioned, and surgically clean surroundings. They wear a surgical gown, cap, and mask while administering the anesthetics. Nurse anesthetists may need to lift, move, and position patients receiving anesthetics. While they are administering the anesthetic, they may stand or sit in one position for long durations of time. Certified registered nurse anesthetists are very much in demand and have many opportunities throughout the united states. The demand will continue to be excellent through the year 2010. This occupation is one of a group of registered nurses estimated to grow more than 33 percent. Reflecting the amount of responsibility, nurse anesthetists are one of the best paid nursing specialities. The reported average salary in 1997 was approximately $86,000. The middle 50 percent earned between $74,700 and $90,300. An article in the September 21, 1992, issue of Fortune magazine included nurse anesthetists among the top 20% of income earners in America.

Attention Deficit Hyperactivity Disorder Essays - Free Essays

Attention Deficit Hyperactivity Disorder Essays - Free Essays Attention Deficit Hyperactivity Disorder Understanding the Behavioral Disorder: Attention Deficit Hyperactivity Disorder (ADHD) Imagine living in a fast-moving kaleidoscope, where sounds, images, and thoughts are constantly shifting. Feeling easily bored, yet helpless to keep your mind on tasks you need to complete. Distracted by unimportant sights and sounds, your mind drives you from one thought or activity to the next. Perhaps you are so wrapped up in a collage of thoughts and images that you don't notice when someone speaks to you. "Tommy can't sit still. He is disruptive at school with his constant talking and clowning around. He leaves the classroom without the teacher's permission. Although he has above-average intelligence, Tommy has trouble reading and writing. When he talks, the words come out so fast no one understands him" (Rees, 1994). For many people, this is what it's like to have Attention Deficit Hyperactivity Disorder, or ADHD. They may be unable to sit still, plan ahead, finish tasks, or be fully aware of what's going on around them. To their family, classmates or coworkers, they seem to exist in a whirlwind of disorganized or frenzied activity. Unexpectedlyon some days and in some situations they seem fine, often leading others to think the person with ADHD can actually control these behaviors. As a result, the disorder can mar the person's relationships with others in addition to disrupting their daily life, consuming energy, and diminishing self-esteem. Attention Deficit Hyperactivity Disorder (ADHD) comes from the standard diagnostic reference of the American Psychiatric Association (APA). ADHD is a diagnosis applied to children and adults who consistently display certain characteristic Understanding ADHD 4. behaviors over a period of time. Hyperactivity has no single known cause and is therefore classified as a syndrome because it has a cluster of symptoms. It is generally characterized by excessive motor activity, short attention span, and impulsive behavior for a child's age. The most common behaviors fall into three categories: inattention, hyperactivity, and impulsivity. According to the DSM, signs of inattention include: ?becoming easily distracted by irrelevant sights and sounds ?failing to pay attention to details and making careless mistakes ?rarely following instructions carefully and completely ?losing or forgetting things like toys, or pencils, books, and tools needed for a task. (Frankovich, 1994) Some signs of hyperactivity and impulsivity are: ?feeling restless, often fidgeting with hands or feet, or squirming ?running, climbing, or leaving a seat, in situations where sitting or quiet behavior is expected ?blurting out answers before hearing the whole question ?having difficulty waiting in line or for a turn. (Frankovich, 1994) Under the criteria set by the APA, the diagnosis should include onset of the condition before age seven, lasting at least six months. There should also be a proven absence of mental illness or mental retardation. Parents can remove a huge burden of guilt from blaming themselves for their child's behavior. Knowing that scientists are finding more and more evidence that ADHD does not stem from home environment, but from biological causes. In the article ADHD Decade of the Brain, scientists find, "Not all children from unstable or dysfunctional homes have ADHD. And not all children with ADHD come from dysfunctional families" (1990). Some research shows that a mother's use of cigarettes, alcohol, or other drugs during pregnancy may have damaging effects on the child. Understanding ADHD 5. "These substances may be dangerous to the fetus's developing brain" (ADHD Decade of the Brain, 1990). One other theory that is not definite whether it is a definite cause or not is that refined sugar and food additives make children hyperactive and inattentive. As a result, many parents were encouraged to stop serving children foods containing artificial flavorings, preservatives, and sugars. There is no cure for ADHD. While research continues to help scientists understand the underlying causes, treatments have been developed to provide relief of symptoms. Management of the syndrome may involve more than one method. The primary ones are medication, psychological intervention, and diet. In extreme cases of hyperactive behavior, the physician may prescribe stimulant drugs which affect mood, the thinking processes and behavior. This controversial practice has been used since the 1930's to control hyperactivity. "The stimulants amphetamines like Ritalin, Dexedrine, and Cylert act on the nervous system, and have been shown to be effective in many studies. The drugs have a calming effect on hyperactive children" (Rees, 1994). Stimulants allow many people to focus and pay better attention, whether or not they have ADHD. The improvement is just more noticeable in people with ADHD. It is not easy coping with the frustrations of ADHD day

Important Steps to Take for Earthquake Preparedness

Important Steps to Take for Earthquake Preparedness On the 100th anniversary of the Great San Francisco Earthquake of 1906, thousands of scientists, engineers and emergency management experts gathered in San Francisco for a conference. From that meeting of the minds came 10 recommended action steps for the region to take against future earthquakes. These 10 action steps apply to society at all levels, including individuals, businesses, and governments. This means that all of us who work for businesses and participate in government activities have ways to help beyond taking care of ourselves at home. This is not a checklist, but rather an outline of a permanent program. Not everyone can utilize all 10 steps, but everyone should try to carry out as many as possible. People elsewhere take part in a culture of preparedness for their regional hazard, whether they live in an area prone to hurricanes, tornados, blizzards or fires. Its different in earthquake country because the big events are rare and they occur without warning. Things on this list that may seem obvious in other places have yet to be learned in earthquake country   or, they were learned and forgotten, like the San Francisco region in the years after the 1906 quake. These action steps are crucial elements of a disaster-resilient civilization and serve 3 distinct purposes: making preparedness part of the regional culture, investing to reduce losses, and planning for recovery. Preparedness Know your risks. Study the buildings that you live in, work in or own: On what kind of ground are they sited? How might the transportation systems serving them be threatened? What seismic risks affect their lifelines? And how can they be made safer for you?Prepare to be self-sufficient. Not just your home, but your workplace too should be ready for 3 to 5 days without water, power or food. While this is the normal suggestion, FEMA suggests carrying up to 2 weeks worth of food and water.  Care for the most vulnerable. Individuals may be able to help their families and immediate neighbors, but people with special needs will need special preparations. Ensuring this necessary response for vulnerable populations and neighborhoods will take concerted, sustained action by governments.Collaborate on a regional response. Emergency responders already do this, but the effort should extend further. Government agencies and major industries must work together to help their regions prepare for ma jor earthquakes. This includes regional plans, training, and exercises as well as continuous public education. Loss Reduction Focus on dangerous buildings. Fixing buildings that are likely to collapse will save the most lives. Mitigation measures for these buildings include retrofitting, rebuilding and controlling occupancy to reduce exposure to risk. Governments and building owners, working with earthquake professionals, bear the most responsibility here.Ensure essential facilities function. Every facility needed for emergency response must be capable of not just surviving a large quake, but also remaining functional afterward. These include fire and police stations, hospitals, schools and shelters and emergency command posts. Much of this task is already a legal requirement in many states.Invest in critical infrastructure. Energy supplies, sewage, and water, roads, and bridges, rail lines and airports, dams, and levees, cellular communications the list is long of functions that must be ready for survival and quick recovery. Governments need to prioritize these and invest in retrofitting or rebuilding as much as they can while keeping a long-term perspective. Recovery Plan for regional housing. In the midst of disrupted infrastructure, uninhabitable buildings and widespread fires, displaced people will need relocation housing for both the short and the long term. Governments and major industries must plan for this in collaboration.Protect your financial recovery. Everyone   individuals, agencies, and businesses must estimate what their repair and recovery costs are likely to be after a major earthquake, then arrange a plan to cover those costs.Plan for regional economic recovery. Governments at all levels must collaborate with the insurance industry and major regional industries to ensure the provision of relief money for individuals and for communities. Timely funds are crucial for recovery, and the better the plans, the fewer mistakes will be made. Edited by Brooks Mitchell

Modern Shipping Industry Essay Example | Topics and Well Written Essays - 1500 words

Modern Shipping Industry - Essay Example Even the applicability of privity of contract to the maritime contracts was established only after the court rulings in Tweddle & Atkinson [1861]1 and Thompson v Dominy [1845]2. Section 1 of the Bill of Lading Act was enacted to provide the right of suit to the consignee as well as the transferee of the Bill of Lading thus providing an exception to the privity of contract. However one major flaw was that the right of suit was made available only in respect of the conditions specifically and expressly mentioned in the Bill of lading. since the essence of Section 1 is to transfer the right of suit 'as if the contract contained in the bill of lading had been made with himself' . Thus made the section inoperative in those cases where the right of suit on reasons otherwise than on consignment or endorsement and this wording was adversely affecting the position of the Banks in whose favour the bills of lading were endorsed not giving them the right to sue. Under the circumstances where the Bills of lading were not able to be received by the consignees within such time the vessel reaches the destination, the buyer became the owner of the goods by producing a 'letter if indemnity'. As was decided in the case of The Delfini [19903] this act of becoming owner by delivery and 'not upon reason of consignment or endorsement' excluded the receiver's right to sue. The rulings in cases like The Aliakmon [1986]; where an endorsement was made in the Bill of Lading for the agent to take delivery on behalf of the consignee held that there was no transfer of property and in the case of The Aramis [1989]; since it was not possible to ascertain the specific goods consigned from a larger bulk, held that the property did not pass as laid down in Section 16 of the Sale of Goods Act 1979, have subsided the effect of the Delfini case. Cessation of Liability of the Ship owner: The decision in the case of Grant v Norway [1851]4 provided for the cessation of liability of the ship owner to the endorsee or transferee of the Bill of lading in cases where the ship owner can prove that the goods were not actually shipped., section 3 of the Bill of Lading Act 1855 was enacted to provide that statements made in the bills of lading with regards to the goods shipped would be conclusive evidence of such shipment "as against the Master or other persons signing the same". However this provision did not provide the necessary remedy for the problem as the ship owners were inclined to take advantage of the courts reading the provisions of Section 3 literally, by applying the principle of estoppel in their favour. Hence section 3 of the Bill of Lading Act proved ineffective in solving the issues created by the case of Grant v Norway [1851]5. Coverage of the Bill of Lading Act 1855: One final issue concerning the Bill of Lading Act was that it generally covered only 'Bills of Lading' and not 'sea way bills' which were the order of the day during the last few decades with the containerization of the goods which was not covered by the old Act. Provisions of the UK Carriage of Goods by Sea Act 1992: Section 2 (1) (a) of the UK Carriage of Goods by Sea Act 1992, empowers the consignee to sue the carrier in contract, where the consignee is the

Screening for early detection of Colorectal Cancer Research Paper

Screening for early detection of Colorectal Cancer - Research Paper Example The condition in its early stages may not be noticed by the person concerned, but can be detected in a number of ways. The United States Preventative Services Task Force recommends that every citizen aged between 50 and 75 be tested, thus prolonging the lives of 60 % of those affected. Those over this age can request a test. Detection can be done by testing stools for the presence of blood. This is done either using the chemical guaiac or by seeking for antibodies. Somewhat more invasive is a sigmoidoscopy, i.e. the lower bowel is examined using a flexible tube. A colonoscopy is a more extensive version of this, but searches the whole colon and may involve the removal of any suspicious polyps. This would normally be a follow up to other tests. In some cases a barium enema is used and the results x-rayed. In some cases a complete stool is sent for analysis. There is continued research on this topic. Pertinent issues to the delivery of healthcare raised by this topic. Because this cond ition is so prevalent in American society it is important that as much as possible to cut its incidence and severity as a life threatening condition. This can be done be early detection so that any polyps can be removed before they become cancerous. Therefore it is necessary that all those aged 50 – 70 have regular checks – perhaps every two years. If this is to be achieved the subject will need publicity, education, central organization and funding. Another area that requires public education would be in the area of diet. Americans tend to consume a high fat, high dairy food diet. Something similar to the ‘5 a day’ campaign in the United Kingdom . ... Something similar to the ‘5 a day’ campaign in the United Kingdom - that is the promotion of the idea that everyone needs to eat at least 5 portions of fruit and vegetables each day. ( NHS Choices , 5 a Day). Putnam, Allshouse and Kantor (2002) report a huge jump in average calorie intake within the United States over the last 25 years, this despite a recent tendency to use lower fat options. According to a report cited by Barone, (2007) those with colon cancer who ate a healthier diet, i.e. one based upon fruit, vegetables, poultry and fish, stand a better chance of total recovery than those who continue to consume lots of red meat, fats, refined carbohydrates, fat and sugar. The latter have a higher chance of the cancer recurring according to a study by Meyerhardt. Government Involvement In 2010 the NIH Consensus Development Program, part of the United States Human and Health Services, produced a statement entitled ‘Enhancing Use and Quality of Colorectal Cancer Screening.’ This document covers such things as trends in screening and how this might be improved. It considers such things as how screening can be monitored and what research is required and so indicates that this topic is one of concern to government agencies. The aim was ‘To provide health care providers, patients, and the general public with a responsible assessment of currently available data on enhancing use and quality of colorectal cancer screening.’ In 2004 the American Food and Drug Administration approved new treatment for advanced colorectal cancer. However more new treatments have since become available and require assessment and acceptance. Literature National Center for Biotechnology Information, U.S. National Library of

“Love” in Carol Ann Duffy’s Valentine Essay Example for Free

â€Å"Love† in Carol Ann Duffy’s Valentine Essay Many people usually see â€Å"love† only one side especially when they deeply fall in love with someone. There are a lot of poems that respond the feeling of these falling in love people about how beautiful love is. It is true that love is beautiful. On the other hand, for me sometimes love is also painful. I really like the sentence that â€Å"love is color-blind† because this sentence can show not only the positive side of love but also the negative side of love. So does Carol Ann Duffy’s Valentine. On Valentine’s day, many people will neatly prepare the present such as a red rose, a cute card, or something that extremely beautiful and worthwhile for their beloved couples but Carol Ann Duffy thinks that these presents are predictable. Carol Ann Duffy says that she will give an onion to whom she loves. Why onion? It is because an onion represents both sides of love. Love has many layers like an onion. You may waste your time for many people who are not the right one for you and will face many problems and barriers that you and your love have to fight for love before you will find â€Å"true love.† Along this way, sometimes you will be sad and cry many times like an onion when you peel it because an onion can make your tears. In contrast, you can say that the nature of an onion can refer to the levels of happiness that happiness has many levels itself. Sometimes it means comfort and memories but sometimes it means like a firework. In addition, Carol Ann Duff compares an onion to the moon too. Although the moon is wrapped in brown paper, it still has light. Like love, no matter what is going to happen, it is still light and beautiful. On the contrary, the moon is the sign of sorrow opposite of the sun. At first when you see the moon, you may consider that it is extremely beautiful but if you see it much closer, you will see it is rough. It is not so beautiful as you firstly see it from the far. It is like an onion because you will think it causes nothing until you peel it. In other word, it is like love. You cannot know that love can also hurt you whether you face it yourself. It takes time to know how painful love can be like it takes way to know how rough the moon is. Carol Ann Duffy tries to tell about the truth of love as she says â€Å"I am trying to be truthful†. You have chances to choose â€Å"to love or not to love† whether you choose â€Å"to love†, you should know that love is no t always end of happiness. It is like when you have the proposal. It is optional. You can choose to be still alone or to walk together with your love. Love will be possessive and honest as long as we walk along together or love can bring heartache if we do not get along well. If you agree the proposal, your life will be changed. If you are married, the wedding ring will stay on your left ring finger to show love between you and your love and it will stay forever if you get along well like the smell of an onion that will stick to your fingers when you peel it. But if not love can be deadly. You can get the suicide holding the knife if you are really disappointed â€Å"Its platinum loops shrink to a wedding ring, if you like. Lethal. Its scent will cling to your fingers, cling to your knife.† In my opinion, the knife also has two sides. It depends on you that you can use the knife in the useful way as the real knife can be used in your daily life. You can be a good wife with the knife because you can use knife to make amazing food for your husband. Conversely, you can also use the knife to make a tragedy scene. Therefore, you can choose your way by yourself. Love is always bitter-sweet. No one will be happy or sad about love all the time. Love has both sides itself. It can fulfill your hope or make you upset. Hence, Carol Ann Duffy’s Valentine is the poem that builds the realistic portray of love to make the reader be aware of love because love is not always beautiful, sometimes it is painful.

The Brain and Violence: An Unhealthy Combination :: Biology Essays Research Papers

The Brain and Violence: An Unhealthy Combination "Jack was walking down the street enjoying a snack he had just bought at a convenience store. Feeling good, he smiled at the stranger coming toward him while continuing to eat. The stranger suddenly pulled out a knife and began stabbing Jack. Bystanders pulled the knife away, but too late." "After the killing, the attacker said that he was deeply sorry. He had sensed a strange aura, then experienced a flashback of having been bitten and of having a hernia operation under local anesthesia. That was followed by hallucinations about Jack cutting off his flesh, testicles, and heart to eat them" (6). Everyday on the news one hears stories of crimes and murders such as the one above. Murders are committed every day; stores are robbed every hour; crimes are committed constantly. The truth is that violence has sadly become a common and prevalent occurrence in society today. In essence, one must ask himself whether or not these violent tendencies have any biological relation whatsoever. Is violence caused by disruptions or damage to the brain? Is there a genetic correlation? Or is violence brought about by something else, such as economic difficulties or social or cultural differences? And one must ask himself an even broader question-whether a cause for violence even exists. In 1848, a railroad worker, Phineas Gage, was working when an explosion caused an iron rod to impale his skull, damaging the front part of his brain. Although Gage miraculously survived, his behavior severely changed in that the intelligent and respectful man everyone knew suddenly because fitful, impulsive, and rude (2). This case is one of the first indications that violence may be related to some kind of damage or abnormality in the brain. Researchers have found correlations between violent and aggressive tendencies to damage or abnormalities to a specific part of the brain. Gage's accident probably resulted in damage to the prefrontal cortex. The prefrontal cortex is the brain's foremost outer position, located behind the eyes. This area of the brain is especially important because of it's importance in the orchestration of emotion, arousal, and attention. The prefrontal cortex seems to be the part of the brain that enables people to restrain themselves from acting on all of their impulses and is extremely vital for a child's ability to learn to feel remorse, conscience, and social sensitivity (5). However, although the function of the prefrontal cortex is known, why, or how, would prefrontal deficits cause violent tendencies or a more aggressive character?

Overcoming Bullying: King Essay Response Essay

​Bullying is a common problem effecting people ever. You can be bullied on any number of things; sexuality, style, opinion, and personality, just to name a few. Everyone deals with bullying in their own way. Some choose to ignore bullying and some choose to confront their bully head on. There are also some people who tell someone older and more experienced about their problems. Some of these methods are the right things to do, while others are not the advisable choice. I believe that everyone can come up with a suitable solution to this problem that benefits everyone involved. ​The easiest solution to this problem is to ignore the bully and hope that eventually the bully will grow bored and stop. This is not a very effective method for two fairly obvious reasons; one being that the bully may just come up with even more hurtful things to bombard you with, and the other being that if the bully chooses to leave you alone, he/she will just find a new victim to taunt, which doesn’t really solve any problems. ​The next best thing to do would be to inform an adult of what is going on and hope that they will be able to put a stop to hit. This is also not the most advisable method to stopping a bully because it will just anger the bully further. They will resent you for getting them into trouble. They might decide not to attack you in the sight of an adult but the bullying will grow worse when the two of you are alone. That doesn’t solve any problems and can in fact make things a lot worse. There is also a chance that the bully may bring some of their friends into the mix, so if caught him/her are not the one that stands accused of being a bully. ​The smartest action to take when putting a stop to bullying would be to confront the bully face to face. I’m not advising that anyone should fight because all violence does is cause problems. When being bullied I find that is best to discuss any issues with the bully so that matters can be straightened out and leave ever y party satisfied with the outcome. In some situations the bully may not realize that their actions are causing hurt feelings. When you confront the bully on these issues you show them how they are being hurtful so in the future they know not to say these things again. In other situations you may find that the bully is also being bullied by someone else and that in bullying you they are making themselves feel better about their situations. In  confronting them you discover this and that might prompt you to extend the hand of friendship, which would no doubt offer them moral support throughout their own difficult situation. ​Other people may feel like dealing with bullying in their own way. Some people find it easier to ignore the problem and hope that it goes away and others may think that bringing and adult into the situation will help solve the problem. Not every case of bullying is the same and not every method may be appropriate when dealing with certain cases of bullying. I believe that discussing your problems with the bully is the best solution and I try to do just that when I feel s though I am being picked on. Discussing a problem produces a solution beneficial to everyone and it is the step I recommend for anyone who is dealing with a bully. I hope that everyone will make this decision when confronting a bully, because it is the best way put an end to bullying. If everyone discusses the problems they are having with someone straight away violence wouldn’t be such a big issue, and I’m not just talking about violence between teenagers but violence between nations. If issues would be cleared up straight away there would be no need for violence and everyone could just get along. I believe that one day, if everyone discusses their problems and issues everyone will get along, putting an end to this unnecessary hurt. ​ ​​ ​​​​​​​​​​​

Solving Problems and Making Decisions Essay

Background The aim of the cervical screening programme is to reduce the incidence of, and morbidity and mortality from, invasive cervical cancer. This is achieved by screening eligible women between the ages of 25 and 65 years. In my role as an acting Senior Biomedical Scientist in the cytology department, I screen and report negative and inadequate cervical samples in line with XXX protocols as well as facilitating the flow of abnormal cervical samples through to consultant pathologists and ensuring appropriate recall management is given to patients. I am also involved with the supervision of staff and the production and management of in-house standard operating procedures. Description of Problem Although always monitored by XXX, the timeframe from taking a cervical sample to when it was reported has never been given a strict turnaround time target, unlike the screening programme in England, which since 2010 has had a 14-day turnaround time target. However, this is to change as XXX want women screened in XXX to have an equitable service to that of the women in England and with the introduction of new testing alongside the current cervical cytology test, laboratory turnaround times need to be under 3 weeks. In May 2013, the majority of our work was turned-around in 3.5 weeks with only 0.9% of our workload being reported within the proposed 3 week timeframe. Being aware that XXX were likely to implement changes within the next 12 months, we wanted to be proactive and improve our performance before XXX enforce improvement methods upon us or worse the service was moved from XXX. Therefore, the problem was identified as: How can we reduce our turnaround times to under 3 weeks (from date received in laboratory to date authorised)? Analysis of the Problem We were aware as a service that our turnaround times had increased over the last couple of years due to the loss of staff through retirement and centralisation and due to the transportation of work to an off-site laboratory for processing and then its transport to our department for screening and reporting. However, to identify the areas that we could improve, we created a work-stream to understand the flow of work through the laboratory process. A simplified version of the work-stream is found below: (Removed for confidentiality reasons) The days in the green ovals are average accumulative working days it would take to achieve a reported sample from arrival at the laboratory. These are working days and do not include weekends, therefore it is possible a further 2 to 4 days could be added to the actual turnaround time, making a possible estimated laboratory turnaround time of between 4 and 10 days. These days are calculated with no backlog, and therefore the next step would be to identify were backlogs or bottlenecks were occurring. The processing of work at XXX was beyond our control. As was the transport to and from XXX, which occurs on alternative days and is governed by XXX. Therefore, the two areas we could concentrate on were the booking in and the screening of slides. In May 2013, the administration staff based in XXX had a slight backlog of samples to book in, this equated to 1 to 2 days delay. The main cause of this delay was lack of staff and it wasn’t something we could address immediately as recruitment of new staff would take time and screening staff could not help as the backlog and delay in slides being screened was even greater. In the same month, the backlog of slides waiting to be screened was estimated at 2 to 3 weeks, this equated to around 3000 slides waiting to be screened. The backlog of screening work was not only affecting swift results to the patients it was also having an effect upon the screening staff morale as they had to see large numbers of slides waiting to be screened, which  could affect the turnaround further. We were also notified at this time that a member of the screening team would be leaving and therefore the urgency in reducing our turnaround times became more imminent as we would have less staff in a month or two. If no action was taken now the turnaround times would increase further once the member of staff left. As a result, the area we need to concentrate on and identify possible solutions to was the matter of reducing screening times of slides, by attacking this element of the laboratory process we should be able to reduce our overall laboratory turnaround times. Identification of Possible Solutions The Cytology senior staff members, including myself, started with a brain-storming exercise of trying to identify possible solutions. Due to constraints and safe-practices put in place by the NHS Cervical Screening Programme (NHSCSP) and XXX it is not possible to ask screening staff to screen each slide faster, as false positives and false negative results would increase and the quality would be affected. And we could not ask staff to screen for a longer length of time in the day, as screeners can only primary screen slides for a maximum of 5 hours a day, again due to the quality risk. However, staff could work overtime by coming in at weekends. To try and improve the workflow pathway within the screening room I decided to re-read the †Cytology improvement guide – achieving a 14 day turnaround time in cytology† produced by the NHSCSP when England was undergoing changes to its screening programme turnaround times. This guide is a collection of evidence-based ideas for improving workflow and turnaround times in the laboratory and administration departments of the cervical programme. We had already adopted one suggestion from the guide in 2010 regarding batching sizes of work, whereby we have reduced the number of slides in a tray from 20 to 8 slides. Although each slide was still being screened for the same time length, a tray of slides were being finished quicker and therefore the screening staff felt happier and kept the work flowing through  the laboratory. However, on inspection the work wasn’t flowing, as after primary screening, trays were being placed into the rapid review box and only taken out for review twice a day (first thing in morning and after lunch), with some staff only reviewing slides once per day. This was causing the first bottleneck and it was also having a knock-on effect on the authorising of samples by senior staff as large chunks of authorising was occurring first thing in the morning or after lunch, which due to the monotony of checking details and results was causing errors to occur in reporting. We therefore needed to undert ake a Lean transformation. Lean is an improvement approach to enhance flow and eliminate waste that was developed by Toyota. Lean is basically about getting the right things to the right place, at the right time, in the right quantities, while minimising waste and being flexible and open to change. Lean thinking focuses on what the customer values, any activity that is not valued is waste. If you remove the waste, the customer receives a more value-added service. In our department this means reducing our turnaround times, so that the customer (XXX women) get their cervical results in 3 weeks. We therefore had to remove processes that were not adding value to the end result. By investigating further it was noted that some screening staff were writing on the front and the back of the sample request forms if the samples were negative. There was no benefit in duplicating the result on the back of the form and therefore as part of Lean it is considered waste. Distraction was also a large issue in the screening room. To screen and report slides, it requires concentration to process and distinguish abnormal cells from normal samples. However, staff were regularly stopping screening to chat or employees from other departments were coming in to talk, make a cup of tea or to eat biscuits causing distractions of up to 30 minutes at times. The telephone was also a regular distraction, with service users phoning up for advice and results and the XXX administration department phoning up regularly to change and update patient managements. Summary of Options We eventually decided the options available to us were: 1. Screening staff to work overtime. If every member of the screening team and senior team (Senior Biomedical Scientist and Cytology Manager) were to partake in overtime work on one day of the weekend and managed to screen an average of 30 slides per day the backlog could be cleared in 9 to 10 weekends. However, partaking in overtime is a voluntary decision and not all staff members would want to or be able to work overtime. This means that if we were to only adopt overtime as an option a minimum of 9 weekends would need to be worked, and as we were not changing the day-to-day workflow process a further period of overtime may be needed in the future to minimise any further backlogs. Working overtime also had a cost implementation, as staff would need reimbursing for their time given. As overtime would be over a weekend this would be calculated at time and a half pay. 2. One tray of primary screening followed by one tray of rapid reviews. To overcome the current bottleneck of work after primary screening, it would be more advantageous to rapid review slides little and often instead of first thing in the morning or after lunch. The preferred scenario would be to primary screen a tray of slides and then screen a tray of rapid review slides and alternate like this throughout the day. This means the throughput of work is more constant and turnaround is less. These examples explain this option further: Current example – As you can see this example of current working practice means the slides take approximately 22 hours from being initially primary screened to being authorised. Proposed example – This example shows that by alternating between primary and rapid review screening the whole process up to authorising should take approximately 75 minutes. A saving in time of 20 hours and 45 minutes for those 8 slides to be reported and authorised. Some work primary screened at the end of the day will have to wait until the next day for rapid review, but on the whole most work will be turned around at a much faster pace. This could be implemented immediately with no cost implications or changes to staffs working pattern. 3. Authorising work little and often. The examples used above also outline how this can improve the bottleneck between rapid review and authorising. Currently authorising is carried out in large batches after rapid review has been completed mainly at lunchtime and occasional first thing in the morning. These large batches of work are monotonous and transcription errors can arise due to this. By having rapid review completed in small batches of 8, it is possible for senior staff to authorise in these small batches as soon as rapid reviews have been completed. This means authorisation can be achieved much sooner and hopeful reduce the risk of mistakes occurring. 4. Reduce waste. A Lean approach was considered and any process that didn’t add value was removed. The first wasteful process identified was writing on both front and back of request forms, writing on the back was considered worthless. This process approximately took 10 seconds to carry out. Therefore if this was stopped each screening staff member screening 30 slides a day on average would save 300 seconds a day. This equates to 5 minutes, which is more than enough time to screen one or two extra slides a day. Which over a week could mean 10 extra slides been screened by one screening staff member or 80 slides a week if all screening staff stopped. The second process considered was the taking of primary screening work from the work pile before necessary. Some individuals would pick up 2 trays of primary screening or would leave unfinished trays on their desks overnight. If these trays were left in the pile or half trays placed back into the work pile before going home, it would allow another member of staff to screen them sooner and therefore have them moving along the work-stream quicker. 5. Adopt quiet-time. The most controversial option considered was to implement quiet-time in the screening rooms. An initial quiet-time of between 9.30am-12.30pm and 1.30-3.30pm was suggested, asking all staff member to keep any talking to  work-related questions only and to deter any colleagues from other departments from coming into the screening room or phoning the department. No mobile phones would allowed in the department during these times and work emails were to be checked first thing in the morning or first thing after lunch. Evaluation of Options The NHSCSP advise on using a PDSA cycle (plan, do, study, act) to evaluate and to test out ideas to ensure changes make the improvement required before implementation. Although the cycle is good at temporarily trialling a change and assessing its impact, it’s not useful in highlighting the best option or options to adopt without trialling them all. We therefore need to analyse the strength and weakness of each option first. A decision matrix was created to evaluate and prioritise the 5 options above. The criteria we used to make the decisions were: Cost implications; would there be any extra cost involved with each option and was this a small or large cost. (Rated from 1 (high cost) to 3 (low cost)) Speed of implication; were we able to implement this option immediately or would it require much planning. (Rated from 1 (slow) to 3 (fast)) Effect on staff; would the staff be happy with these measure, would it cause a negative effect in the work place. Did the staff have to make large adjustments to their working practice. (Rated from 1 (high detriment) to 3 (low)) Speed of improvements; how long would it take for us to see a change in turnaround times if option was implemented. (Rated from 1 (slow) to 3 (fast)) Each option was rated for each criterion, so that we could establish any issues with each option. From looking at the table above, options 2 and 3 have scored well on all 4 criteria and therefore would be able to be implemented with little disruption but with a good impact on turnaround times. Option 1 unfortunately had too many issues regarding cost and the time it would take to gain agreement for funding the overtime and for staff to agree to giving up their free weekends. Also every staff member wasn’t able to participate due to personal commitments and families, this meant the overtime worked could vary greatly week to week. It was therefore decided options 2 and 3 would be trialled further and option 1 would be abandoned. Although option 4 would take time to see results, it was decided that by ‘Leaning’ up the work process could only be a good thing and that the ideas suggested to reduce waste in the workplace should be implemented immediately. The main cause for concern with option 5 was the detriment to the staff,  however this change to working practice was considered to be the one that would have the greatest affect on reduction of turnaround times. It was therefore decided to trial this for a while, and that once the backlog was reduced we could relax the quiet time option and re-implement it if the backlog was to increase again. We could now look at the PDSA cycle and using turnaround time as a measurement assess the capabilities of option 2,3,4 and 5. By starting to trial the options and regularly monitoring and studying the turnaround times (Do & Study) we can highlight any changes that may be necessary (Act) and think of new plans to tackle any issues that arise (Plan). Implementation Before implementing and disseminating the information to all the staff, the cytology manager and cytopathologist went over all the presented options and made the final decision to implement the improvements for reducing turnaround times. They were happy to put forward the 4 options identified to all the staff and create action plans for implementation. A staff meeting was held to explain the situation regarding increasing turnaround times and the options put forward in the form of an action plan to the staff on how we could reduce the turnaround times. The action plans presented were: It was important to us to use SMART action plans, which meant we had to be specific in our actions and create measurable, achievable and realistic plans. An achievable time frame was set by creating weekly and monthly milestones for reviewing our turnaround times. Staff were asked to provide their thoughts on these actions and identify any issues or bring forward any options not already covered. Staff members made known their fears regarding quiet time, with one staff pointing out their working times were 9.30am until 2.30pm, and therefore apart from lunchtime she cannot talk during her working hours. This was taken into consideration  and the hours of quiet-time were altered. It was also stated the quiet time was a short term proposal and would be lifted as the backlog reduced/ended. An idea of moving the boxes holding the work needing rapid review and the boxes holding forms for authorising was also put forward. As currently the boxes were located across two different rooms and in the furthest corner of one room, meaning the entire screening room was being disturbed when someone went to put work/forms in the boxes. By moving the boxes to an equidistant place between both room, it would reduce the time wasted in walking to the boxes and reduce disturbance to other staff. Therefore the new and modified action plans were added. The staff was also advised that the turnaround times would initially be monitored in-house on a weekly basis to trial these changes and if the turnaround times were improving the monitoring would default to the XXX monthly monitoring. The aim was to try and authorise 300 cases a day, this was a realistic number to screen between 8 screening and 2 senior biomedical scientist staff. This equated to 1500 slides a week authorised, and as approximately 1000 slides were received and booked in each week, this meant we would be clearing approximately 500 slides from the backlog each week. Review of Outcomes Work levels were reviewed weekly by the Cytology Manager using the laboratories computer system. It was possible to see that the workload being reported was greater than that of the workload coming into the laboratory, and therefore the backlog of work was decreasing. However, what helped staff morale and made them aware of a reduction in the backlog and an improvement in turnaround times was being able to visualise the time between the date the sample was taken and the date the sample was screened and also seeing the reduction in the pile of work that was waiting for screening. As all options were implemented at the same time it was not possible to identify the effects of each individual option. XXX were also gathering the 3 week turnaround figures for all laboratories and these were being disseminated amongst the screening staff on a monthly basis. From the graph provided by XXX, it is clear from the implementation of changes in June 2013 the percentage of samples turned around in less than 3 weeks has steadily increased. A slight dip in the percentage is noted between August and September 2013, this coincided with the loss of a staff member and a move to a new laboratory building, which resulted in screening down-time for a couple of working days. It was at this time a decision was taken to stop the strict enforcement of quiet time, allowing the occasional ‘chatter’ within the screening room. This made work more welcoming and created a happier work environment, this in turn seems to have helped in the increase of samples turned around in 3 weeks. The introduction of these measures over the past 12 months have seen the departments 3 week turnaround times increase from 0.9% to 100%. References NHS Cervical Screening Programme (NHSCSP) – Cytology improvement guide: achieving a 14 day turnaround time in cytology NHS Cervical Screening Programme (NHSCSP) – Continuous improvement in cytology: sustaining and accelerating improvement

Credible Words

Credible Words Credible Words Credible Words By Maeve Maddox Latin credere means â€Å"to trust† Used with the dative, it means â€Å"to believe, to give credence to a person or thing.† Several English words come from this word. Credo with a capital refers to the Christian Apostles’ Creed or the Nicene Creed. Lowercase credo means any statement of the aims or principles which guide a person’s conduct. Creed is used more often than credo for this declaration of guiding principles. For example, â€Å"The Declaration of Independence contains the clearest, most concise, and most eloquent articulation of the American creed.† The noun credit came into English from Middle French with the meaning â€Å"belief, faith, trust.† It came to be associated with money lent or borrowed with an agreement for repayment. A customer’s â€Å"credit† is the confidence a lender has in the customer’s ability to repay. Credit is also used as a verb in the general sense of accepting something as true or truthful. For example, â€Å"He found it hard to credit his own eyes; the lion was lying down beside the lamb.† Schools are â€Å"accredited† by outside regulating boards. They have received credentials stating that they can be trusted to meet certain standards. Article IV, Section 1 of the United States Constitution is known as the Full Faith and Credit Clause: Full faith and credit shall be given in each state to the public acts, records, and judicial proceedings of every other state. And the Congress may by general laws prescribe the manner in which such acts, records, and proceedings shall be proved, and the effect thereof. The adjective credulous came into the language with the specific meaning â€Å"believing in God.† The negative incredulous meant â€Å"not believing in God.† The meaning shifted as time went on. Shakespeare used credulous in the sense of credible, but modern usage assigns distinct meaning to the two words. Credulous has the connotation of being too ready to believe. It’s a synonym for gullible. For example, confidence tricksters prey upon credulous people who are quick to believe in get-rich-quick schemes. Credible means â€Å"able to be believed.† A credible witness is one who can be trusted to speak the truth. The negative forms, incredible and incredulous, are sometimes confused. For example, here’s a headline from a site selling a sweatshirt that bears a message about not touching the wearer: incredulous dont [sic] touch me pullover sweatshirt Like awesome, incredible is often used as a throwaway word to convey enthusiasm. Sweatshirts are incredible. Singers are incredible. Movies are incredible. Generally speaking, incredible usually applies to things that are hard to believe, while credulous describes people who believe things too easily. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:The Meaning of "To a T"Excited ABOUT, not "for" Narrative, Plot, and Story

The New Monarchies

The New Monarchies Historians have identified changes in some of Europe’s leading monarchies from the mid-fifteenth to mid-sixteenth centuries, and have termed the result the ‘New Monarchies’. The kings and queens of these nations gathered more power, ended civil conflicts and encouraged trade and economic growth in a process seen to end the medieval style of government and create an early modern one. Achievements of the New Monarchies The change in monarchy from medieval to early modern was accompanied by the accumulation of more power by the throne, and an according decline in the power of the aristocracy. The ability to raise and fund armies were restricted to the monarch, effectively ending the feudal system of military responsibility on which noble pride and power had been largely based for centuries. In addition, powerful new standing armies were created by the monarchs to secure, enforce and protect their kingdoms and themselves.  Nobles now had to serve on the royal court, or make purchases, for offices, and those with semi-independent states, such as the Dukes of Burgundy in France, were bought firmly under crown control. The church also experienced a loss of power – such as the ability to appoint important offices - as the new monarchs took firm control, from the extreme of England which broke with Rome, to France which forced the Pope to agree on a transfer of power to the king.Centralized, bure aucratic government emerged, allowing for a much more efficient and widespread tax collection, necessary to fund the army and projects which promoted the monarch’s power. Laws and feudal courts, which had often been devolved to the nobility, were transferred to the power of the crown and royal officers increased in number. National identities, with people beginning to recognize themselves as part of a country, continued to evolve, promoted by the power of the monarchs, although strong regional identifies remained. The decline of Latin as the language of government and elites, and its replacement by vernacular tongues, also promoted a greater sense of unity. In addition to expanding tax collection, the first national debts were created, often via arrangements with merchant bankers.​ Created by War? Historians who accept the idea of the New Monarchies have sought for the origins of this centralizing process. The main driving force is usually claimed to be the military revolution – itself a highly disputed idea – where the demands of growing armies stimulated the growth of a system which could fund and safely organize the new military. But growing populations and economic prosperity have also been cited, fuelling the royal coffers and both allowing and promoting the accumulation of power. Who Were the New Monarchies? There was massive regional variation across the kingdoms of Europe, and the successes and failures of the New Monarchies varied. England under Henry VII, who unified the country again after a period of civil war, and Henry VIII, who reformed the church and empowered the throne, is usually cited as an example of a New Monarchy. The France of Charles VII and Louis XI, who broke the power of many nobles, is the other most common example, but Portugal is also commonly mentioned. In contrast, the Holy Roman Empire - where an emperor ruled a loose grouping of smaller states - is the exact opposite of the New Monarchies’ achievements. Effects of the New Monarchies The New Monarchies are often cited as being a key enabling factor in the massive maritime expansion of Europe which occurred in the same era, giving first Spain and Portugal, and then England and France, large and wealthy overseas empires. They are cited as setting the groundwork for the rise of the modern states, although it’s important to stress they were not ‘nation states’ as the concept of the nation was not fully advanced.

Edible bird's nest Essay Example | Topics and Well Written Essays - 1000 words

Edible bird's nest - Essay Example They are also available in supplements in form of capsules, chewable and liquid. There are various strains of probiotics but the most common are lactobacillus and bifid bacterium. Many of the health claims about probiotic yogurt still require more scientific research to be carried out in order to ascertain the claims. One of the major claim is that probiotic yogurt can change the makeup the gut bacteria for the better. A study conducted at the University of California, Los Angeles in the USA discovered that probiotics can alter the brain function as well. As such, these findings could guide experts in creating dietary interventions that alter mood, anxiety, and stress as well as pain sensitivity. Scholars assert that symbiotic gut bacteria which are the complex ecosystem of micro organisms that are found in the human digestive system promote health benefits by boosting a person’s immunity and as such help with food digestion, maintaining a healthy weight and blood pressure (Heasman et al, 2001). Probiotic yogurt can be used at the work place to keep the workers energized especially for those who do manual work such as construction. It can also rejuvena te the emotional state of the people who are undergoing training or when seated in a seminar hall listening to lectures. This will keep people alert as it is said to boost concentration. Students should also be encouraged to take probiotic yogurt to enhance their understanding in class as well as improving their brain performance. Studies done on rodents seem to suggest that dietary changes to the gut bacteria altered the emotional behaviour and sensitivity to pain. However, there is little evidence to prove that bacteria eaten in food can alter brain function. In a study by the same university, a research was conducted that revealed that those who ate probiotic yogurt for a month showed improved brain function in both resting brain activity

Applications of the Scientific Method Essay Example | Topics and Well Written Essays - 1000 words

Applications of the Scientific Method - Essay Example From the business perspective, scientific methods help in making decisions, solving problems strategically or even for testing a new idea in the market. The specific problem taken for discussion is about developing a new product that is superior to competitor’s brands. We shall present a detailed analysis of the proposed hypothesis and evaluate the results for understanding the factors influencing the problem and its outcome. Scientific methods help the businesses to deal with the problems in a systematic replicable manner. The process starts with identifying the problem, analyzing the possible factors based on experience, and then forming the hypothesis that would help resolve the problem. The proposed hypothesis has to be testable and it is essential to gather data and information for testing the prediction, and finally it has to be evaluated on the basis of the outcomes generated. The scientific approach indeed requires a valid testing of the hypothesis with the available data, rather than relying solely on intuition and theoretical knowledge. Though scientific methods are successful in various fields, it is not so with the world of business, marketing and policies. The tendency of businesses to deal with the unpredictable human behavior makes the scientific methods to be less plausible. However, adopting the scientific methods for business decision-making can provide a better understanding of the potential market factors as well as the causal effects. â€Å"Product development plans can be best realized by taking the scientific method or at least the scientific temper of analysis and experimentation, which is followed by product decisions.† (Mathur, 2009, p.108). When developing a new product that is superior to competitor’s brands, the business has to analyze the existing demands and needs of the consumer’s market. The hypothesis presented is that the new products in the consumer market

Pricing strategies of Amazon Essay Example | Topics and Well Written Essays - 3000 words

Pricing strategies of Amazon - Essay Example 231). The most important factor to consider is the pricing of a product, as it is from this that the company will be viewed by the other entities in the industry and also potential customers. In achieving this, companies in general consider three main factors in coming up with viable pricing strategies that ensure their overall success. These are in terms of their basis of laying emphasis. There are the cost-based pricing strategies, which focus on a means of determining prices through incorporation of profit essentials in the product (Cryns 2002, p. 120). Moreover, there is the pricing based on customer observation whereby a business entity considers the best price that could fit accordingly to the customer base of that product. In addition, there is the pricing based on competitor substitutes, which considers competitor pricing to come up with prices that would most likely put a business at a better position for proper and advantageous competition. While these are the main pricing criteria that most companies consider prior to formulating a viable strategy, other entities such as Amazon maximize on their potential in regards to formulating their pricing strategies (Wuebker 2008, p. 111). ... Later on, it diversified into the sale of media such as CDs, DVDs and such other forms as MP3 based media files. After some years of relatively moderate growth, Amazon later on increased in terms of revenue and overall growth to become the largest online store (Smith 2011, p. 167). In addition, the store has diversified its products range to include most basic home appliances, extending further to even foodstuff. In order to achieve this status, and maintain these growth standards, Amazon has strategized effectively, successfully implementing a variety of pricing tactics that have ultimately exalted the entity forward. In light of the above, the first strategies that Amazon employs in attaining its status is the use of dynamic pricing mechanisms in order to spread their market base. In this form of pricing strategy, a company distinguishes between its customers, analyzing the various features that set apart the various categories of customers (Burton & Holden 2010, p. 145). Through t his research, a company focuses on such aspects as the frequency and trend of shopping that a faction of consumers adapts to in the course of carrying out their transaction. Through this kind of critical analysis, a company comes up with prices for its goods in relation to the trends that customers have adopted while purchasing products. As such, the ‘peak’ periods that most customers are carrying out their transactions are often characterized by higher prices than the other periods that customer density is relatively low. In its practices, Amazon extensively uses dynamic pricing strategy to delimit the prices of its products in relation to the cycle of demand as occasioned by the

Democracy Essay Example for Free

Democracy Essay Democracy is a means for the people to choose their leaders and to hold their leaders accountable for their policies and their conduct in office. The key role of citizens in a democracy is to participate in public life. Democracy is also a system of rule by laws, not by individuals. Democracy is not a government. It is a way of thinking and a responsibility. In a democracy there is no corruption in power because it is a transparent system; the governing doctrine states that citizens have the right to access the documents and proceedings of the government, which allows for effective public oversight. Like a sculptor, democracy grows with its work and appreciates its art Citizens have an obligation to become informed about public issues, to watch carefully how their political leaders and representatives use their powers, and to express their own opinions and interest. Voting in election is another important civic duty of all citizens. But to vote wisely, each citizen should listen to the views of the different parties and candidates, and then, make his or her own decision on whom to support. It is important that women participate fully both in politics and in civil society. In a democracy, every citizen has certain basic rights that the state cannot take away from them You have the right to have your own beliefs, and to say and write what u think. No one can tell u what u must think, believe, and say or not say. There is freedom of religion. Everyone is free to choose their own religion and to worship and practice their religion as they see fit. Every individual has the right to enjoy their own culture, along with other members of their group, even if their group is minority. Democracy Essay 2 In a democracy, the rule of law protects the rights of citizens, maintains order, and limits the power of government. In life there is no greater pursuit than that of equal voice. Every day people are fighting for the right to be heard. Democracy is that right on a grand scale. Democracy is not only being heard, but being listened to. Democracy is when u is given an equal vote on decisions that directly affect you. And when given this tremendous responsibility, people will surprise you. They rise to the occasion and educate themselves on the issues at hand. They also work hard to ensure that the next generation is knowledgeable. All citizens are equal under the law. No one may be discriminated against on the basis of their race religion, ethnic group, or gender. No one may be arrested, imprisoned, or exiled arbitrarily. No one is above the law, not even a king or an elected president In a democracy, the youth are educated. From birth they are taught that their voice matters and their vote counts. These are rights they must fight to maintain and will prosper from. No, democracies are not free of flaws. Some say that there is no way that something as simple as a popular vote could null the evils of unlawful power or social inequality. These woes are valid, but democracy can work. There are still consequences to right wrongs, and laws to help keep peace and balance. There is a difference between freedom and chaos. Without democracy, society suffers. In dictatorships there is no celebration of thought or creativity. A country cannot thrive if others; opinions are not appreciated. With only one opinion adhered to, the country will be at a standstill. As patience begins to wither, anger begins to rise like mercury in a thermometer. Each decision made with no consideration for those affected, every failed law, every time the system overlooks another citizen, every personal right Democracy Essay 3 is stolen, adds a degree to that temperature. Finally it becomes so hot that the citizens, like an overheated thermometer explode in anger; the people will revolt. This has happened many times in history. Our own country was built from this frustration and the fight for freedom. Without democracy, we lack progress in thought, technology, and polices; society is halted. The U. S. has thrived from our ability to create and then take said creations and improve them. Is this not the age of today? We do, want to, and communicate everything now. Without the right to improve, we would never have developed the technological world we live in. Without the voice to express innovative ideas, without the freedom to explore, we would never have achieved what we have. Stuck in the past we would stay. What would we do without progress? Democracy, like a car, gives you what you put into it. If u built it to be unhealthy, then it will pollute the air with poison. If you do not maintain its engine, it will fail you. The power of education fuels it forward, and most importantly people decide its fate.

The Biggest Influence on The Lion King - Hamlet or the Epic of Son-Jara

The Lion King is Disney's most successful movie to date. Many believe that the Lion King is Disney's only original movie; the only movie not previously a fairy tale from one country or another. In fact, The Lion King is in on based on Shakespeare’s Hamlet. Disney writers conceal the basic character archetypes and simplified storyline in a children's tale of cute lions in Africa. On the other hand William Shakespeare’s Hamlet was based on the Epic of Son-Jara or Sundiata. This lead to the debate is the Lion King based on Shakespeare’s Hamlet or the West African story, the Epic of Son Jara. Simba, Hamlet, and Son-Jara are all heroes in their own story. All of them must take on a villain that knew very well, but who does Simba’s journey resemble the most Does Simba represent Hamlet, the prince of Denmark, or Son-Jara, the lion king. The characters in The Lion King closely resemble the characters in Hamlet. Simba, the main character in The Lion King, embodies Hamlet. Simba and Hamlet are the son of kings and both are the rightful heirs to the throne. â€Å"By pairing the play Hamlet with the Disney movie, The Lion King, students discover that both Hamlet and Simba represent the mythical archetype of exiled child whose role is to restore world order and who has an heroic task. Students also realize that they too are unique individuals on heroic journeys.†(Gavin 55) Hamlet and Simba, when he was a lion cub, were banished from their homes. Simba exiled himself because he believed that he killed his own father but, it was in fact his uncle scar that killed him. Hamlet, on the under hand, was sent off to college by his uncle Claudius. Claudius became the king of Denmark after death of Hamlet’s father. Claudius believed that Hamlet played a h... ...ng. Dir. Roger Allers. Walt Disney Pictures, 1994. Flim. Simon, Peter Ed. The Norton Anthology of World Literature. Shorter second edition, Vol.I. New York: W.W. Norton + Company, 2009 Nobumitsu .The Epic of Son-Jara. Simon 1552-1587 William Shakespeare. Hamlet. Simon 1782-1872 Gavin, Rosemarie. The Lion King" and "Hamlet": A Homecoming for the Exiled Child. The English Journal 3rd ser. 85 (1996): 55-57. Print. Paterno, Domenica R. "The True Lion King of Africa: The Epic History of Sundiata, King of Old Mali." Annual Meeting of the National Council of Teachers of English. Orlando. 16-21 Nov. 1994. Speech. "Q&A WITH THE DIRECTORS OF DISNEY'S THE LION KING!" Interview by Victor Medina. Q&A WITH THE DIRECTORS OF DISNEY'S THE LION KING! Web. 3 Apr. 2012.

E Books and Traditional Books Essay

Throughout history of people, writing is the most significant way of communication and knowledge sharing. Human written on the walls and stones in the beginning. After that papers took the place of walls and stones. At the present time, thanks to technological advancement, lettering can write on electronic devices that called as e-books. This situation causes argument between e-book and paper book. It is argued that e-books will take the place of paper books in the future; in spite of benefits of e-books people should paper books, since it causes negative results such as physical sickness on human body, being less interactive and being easily copied. It is claimed that e-books can be read anywhere such as on the bus, in a cafe, subway, airplanes thanks to computer and smart phones; however this advantages result in physical sickness on human body. Computers and smart phones can have hundred of e-books in their memories. For this reason their using areas increasing day to day. Nevertheless this situation is not suitable in terms of human health. Because of making heavy weather of electronic devices for instance looking at screen for a long time, some disorders observable such as eye strain and headaches. Furthermore, due to screen resolution lower than paper, reading on e-books is more difficult. It is clear that e-books devices are harmful for human body. Another frequently heard arguments in favour of e-books is based on thanks to e-books nature is protected, however electronic books without paper less interactive. It stated that forests are destroyed for paper. Therefore e-books are appearing like eco-friend. Nonetheless only old and broken trees are cut to produce paper. In addition, electronic books are lower interaction between reader and writer. As Stokes states e-books are make it difficult to easily mark them up via underlining, highlighting and marginal notes (n. d). In briefly, paper books should be preferred in terms of interaction. Although it is argued that e- books are more available in global world and they are more economic, they are make it difficult to duplicate. It is often maintained that when you have a laptop and wireless internet connection, you can download all of books. Besides cost of e-books are lower than printed versions due to no printing expenses. However, e-books can be downloaded and shared via internet. Thanks to computer and smart phones, e-books are copied without difficult. Besides e-books can be easily hacked,stolen,lost on the internet without approval from the author or publisher. It is indicated in Wikipedia, duplicating of paper books in an amateur printing press is more difficult. To sum up, traditional books should be prefer by readers because they are more interactive, more reliable for preventing to copy and they do not have physical sickness on human body. Even if electronic devices are improved rapidly, none of them can not give friendliness and paper smell of traditional books to readers. They might be our closed friend whatever our age.

Betty Neuman

The theorist I selected is Betty Neuman. The theory’s historical background is extensive and has evolved over the years. According to www. nursingtheories. org it states â€Å"Neumann developed her Systems Model Theory in 1972 with the book entitled The Neuman Systems Model: Application to Nursing Education and Practice which included the Nursing process format & care plans included. In 1989 the book The Neuman Systems Model, 2nd ed. Created environment added to expand concept of environment. Spiritual variable added to diagram as fifth variable. The year 1995 brought about another book entitled The Neuman Systems Model, 3rd ed.Chapters on culture, international use of the Model, applications to administration and construction of conceptual-theoretical-structures for research added. In 2002 The Neuman Systems Model, 4th ed. Co-edited by Drs. Betty Neuman and Jacqueline Fawcett. Guidelines for clinical practice, model-based research, education and administration, plus appropri ate tools highlight this edition. The year 2010 The Neuman Systems Model, 5th ed. Co-edited by Drs. Betty Neuman and Jacqueline Fawcett. Chapters include an expansion of the client system as an individual, family, group and community.Highlights include advances in thinking about the created environment, reconstitution, and critical thinking within the context of the NSM. Middle-range theory development and integrative theorizing conclude the edition† (2013). A Description of key points of the theory are described on the website www. nursingtheories. org â€Å"The Systems model viewed the client as an open system consisting of a basic structure or central core of energy resources which represent concentric circles. Each concentric circle or layer is made up of the five variable areas which are considered and occur simultaneously in each client concentric circles.These are: Physiological – refers of bodily structure and function. Psychological – refers to mental p rocesses, functioning and emotions. Sociocultural – refers to relationships; and social/cultural functions and activities. Spiritual – refers to the influence of spiritual beliefs. Developmental – refers to life’s developmental processes† (2013) There are two major concepts regarded in the model. The first is stress reaction and systematic feedback loops. As it states on the website www. currentnursing. org â€Å"Client reacts to stress with lines of defense and esistance.Continuous feedback loops fine-tune the lines of defense and resistance so as to achieve maximal level of stability. The client is in continuous and dynamic interaction with the environment. The exchanges between the environment and the client are reciprocal (each one is influenced by the other). The goal is to achieve optimal system stability and balance. Prevention is the main nursing intervention to achieve this balance. Primary, secondary, and tertiary prevention activities ar e used to attain, retain, and maintain system balance† (2013).