Genetherapy Essay Research Paper Gene TherapyGene therapy free essay sample

Genetherapy Essay, Research Paper Quality Therapy Quality treatment is the use of cistrons and the procedures of familial innovation in the intercession of a familial irritated or constant malady. There are numerous strategies of cistron treatment. The two fundamental techniques are brought in vivo and ex vivo cistron treatment. The in vivo technique embeds hereditarily modified cistrons straight into the patient ; the ex vivo strategy expels tissue from the patient, extricates the phones in request, and hereditarily adjusts them before returning them to the patient. The test of cistron treatment is the advancement of an organizations to introduce the familial stuff into the karyon of the suitable cells, so it will be recreated in the ordinary class of cell division and have a changeless outcome. One procedure includes taking cells from a patient, reinforcing them with sound transcripts of the broken cistron, and reinjecting them into the patient. Another includes infixing a cistron into an inactivated or nonvirulent infection and using the infection? s morbific capablenesss to move the desired cistron into the patient? s cells. We will compose a custom exposition test on Genetherapy Essay Research Paper Gene TherapyGene treatment or then again any comparative subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page A liposome, a peewee fat-encased pocket that can follow cell layers, is other than once in a while used to ship a cistron into a natural structure cell. Another assault utilizing liposomes, called chimeraplasty, includes the interjection of produced nucleic corrosive atoms ( chimeraplasts ) on the other hand of full cistrons to redress malady causing cistron freaks. Once embedded, the cistron may deliver a basic compound that the patient? s natural structure can non, take or render innocuous a substance or cistron doing illness, or uncover certain cells, especially carcinogenic cells, to attack by regular medications. Quality treatment was premier utilized in universes in 1990 to deal with a child with adenosine deaminase need ( ADA ) , an uncommon familial invulnerable miracle. It is trusted that cistron treatment can be utilized to deal with threatening neoplastic malady, familial ailments, and AIDS, yet there are worries that the insusceptible framework may assault cells treated by cistron treatment, that the viral vectors could transform and go destructive, or that changed cistrons may be passed to wining coevalss. In the United States, cistron treatment procedures must be endorsed by the government specialists. The Recombinant DNA Advisory Committee of the National Institutes of Health regulates cistron treatment tests. Like medications, stocks must experience the requests of the Food and Drug Administration. Quality treatment is a competitory and possibly moneymaking field, and licenses have been granted for specific strategies. Catalog J. Lyon and P. Gorner, Altered Fates: Gene Therapy and the Retooling of Human Life ( 1995 ) .

Machiavelli and Amorality essays

Machiavelli and Amorality articles Machiavellis treatment of morals and profound quality is irreverent. This is so in light of the fact that he essentially discusses the stuff to be a successful pioneer. Not the slightest bit is Machiavelli advancing impropriety. He talks about unethical behavior acts all together for a ruler to serve more noteworthy's benefit of his kin. He takes a gander at legislative issues without moral corrupt considerations. To contend that Machiavelli is irreverent, one must see how he treats religion and the essential wellspring of good measures that he has set up in his flippant setting. He holds on what must be done all together for a pioneer to be viable and lead his kin. The Prince is an incredible guide for productive and fruitful government. The objective Machiavellis in general point is to remain in power; any methods important to achieve these objectives are satisfactory. He plainly observes the significance of power when he states, Moses, Cyrus, Thesus, nor Romulus would have had the option to cause their people groups to comply with their new structures of expert for since a long time ago had they been unarmed.(Wootton 20) And once more, when he says the primary establishment which all states must have, regardless of whether new, or old, or blended, is acceptable laws and great armies.(Wootton 38) He focuses on the significance of the military to the degree of barring any conceivable great laws where there are bad armed forces in which he focuses his consideration on depicting its benefits. He dismisses the utilization of armed forces made up of hired fighters and thinks of them as futile for keeping up security and strength. Hired soldiers are roused by their little allowance which isn't sufficient to make them ready to bite the dust for you he additionally includes There is no trouble in showing reality if this; for the current remains of Italy can be ascribed to nothing else. (Wootton 38) One could imagined this as improper of Machiavelli to discuss hired soldiers, yet the truth is to keep up an unfaltering government you need committed fighters who will at the drop of a dime will... <!

Future Challenges for Healthcare Management Research - 275 Words

Future Challenges for Healthcare Management Research (Essay Sample) Content: Future challenges for Healthcare ManagementNameCourseProfessorà ¢Ã¢â€š ¬s nameUniversity nameCity, StateDate of submissionFuture challenges for Healthcare ManagementIntroductionHealthcare management is managing the entire health care system in health care institution. Healthcare management is used to describe a vast range of aspects including health insurance, regulatory and management of state agencies, and hospitals among others. In the modern world, healthcare management has been one of the vital issues that governments have prioritized. Adverse effects attributed with healthcare management have led to the institution of various healthcare policies in many government administrations including the United Statesà ¢Ã¢â€š ¬ health care plan, Obama Care. On the contrary, healthcare management faces myriad hurdles that may adversely affect the healthcare systems in the future. Therefore, healthcare managers require a model that will help make sense of the complex and u npredictable working environment. The flexibility and adaptability of future leaders in understanding the leadership nature of healthcare systems will help improve the efficiency and effectiveness of healthcare management. This essay aims at presenting different social, economic, and political challenges that could pose a threat in the future management of healthcare systems.BodyPolitical challengesIn developed countries, healthcare sector is a vital industry as it directly affects in economic performance. There is a correlation between healthcare system and politics as politicians take opportunity to develop the healthcare sector in order to gain electoral success among the general public. On the other hand, government intervention in the provision of healthcare facilities and establishment of healthcare institutions will have a significant effect on the healthcare systems. The ever changing political environment may pose a great challenge to the future healthcare management. Futur e implementation of various healthcare policies and regulations may have a significant variation in the management of healthcare systems.[Kieran, Walshe, and Smith Judith. Healthcare Management. (London: McGraw-Hill International, 2011), 32.] [Kieran, Walshe, and Smith Judith. Healthcare Management. (London: McGraw-Hill International, 2011), 54.] Social challengesThe future management of health care facilities will be influenced by myriad social factors such as aging population, and low fertility rates among others. As a result of increased future aging population, there will be a high demand for healthcare services. In most European nations, fertility rates have been declining as life expectancy increases. As a result, there are more reported cases of death as compared to births. Increased life expectancy among individuals will translate into prolonged healthcare services for the aging population. Therefore, healthcare management expenditure is expected to increase resulting into h igh cost of healthcare services in the future.[Savage, Grant Theodore, and Eric W Ford. Patient Safety and Health Care Management. (Bradford: Emerald Group Publishing, 2008), 67.] Economic challengesHealth care financing among individuals is a major concern in the future management of healthcare system. Today, approximately 80 percent of the healthcare expenditure is financed by the public sector. On the ...

Sturm And Ruger s Mission Statement Essay - 1114 Words

Sturm and Ruger’s mission statement is as follows: Ruger focuses on serving our shareholders, our loyal customers and our employees. We strive to produce the high quality products demanded by our customers as efficiently as possible, which provides long-term value for our customers and promotes the interests of customers, employees and shareholders alike. Ruger is one of the best manufactures for reliable firearms in the world. They are the only full-line manufacturer for American-made firearms who offer more than 400 variations and 30 product lines. Sturm and Ruger manufacture firearms such as, pistols, revolvers, rifles and accessories. Environment International firearm companies could start in the market and become new competitors for the Sturm and Ruger Company. Technology is changing everyday and Ruger will have to keep up with the present technology to keep the customers they have and to gain customers in the future. In social cultural the younger generation has to grow up around guns and become custom to them so they will then become customers. The United States needs to stay economically stable so Ruger can efficiently run and stay competitive. The United States needs to keep the gun laws and can’t ridicule them so citizens are unable to buy guns. For wild game animals to be hunted they will have to have a stable population. Global Environment Sturm and Ruger are very involved internationally. The bigger countries they are involved in are Australia, Argentina,Show MoreRelatedStrategic Marketing Management337596 Words   |  1351 Pagesdevelopment of a competitive stance: the potential for ethical conflict Summary CONTENTS vii Stage Two: Where do we want to be? Strategic direction and strategic formulation 7 Missions and objectives 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 Learning objectives Introduction The purpose of planning Establishing the corporate mission Influences on objectives and strategy Guidelines for establishing objectives and setting goals and targets The development of strategies Summary 265 269 271 271 274 277 290 294

Essay On Gas Tax - 1357 Words

According to Singers(August 24,2017), ITEP’S (July, 2017), (July, 2017),(August 2011), and(December 2011), higher sales and gas tax in Connecticut have consequences and a solution proposed to reduce tax burden on low income family. Based on the readings and my understanding of this topic, I conclude that increasing sales and gas taxes in Connecticut to fix a budget crisis will be financially harmful to low income families and needs to be address with the new policy. Singer(August 24,2017), pointed out that, Connecticut legislators are deciding to increase the sales tax from its current level to 6.85 percent to fix a budget deficit, estimated to reach $3.5 billion in two years and improve state aid to towns. Based on Tax Foundation studies,†¦show more content†¦Comparing sales tax to other states shows that, Connecticut’s sales tax is not among the highest. According to Singers (Aug 24, 2017), the Connecticut 6.35 percent sales tax ranks thirty-two in the US. It is higher than certain state such as Massachusetts, and lower than others, such as Rode Island and New York. As Connecticut tries to grow its economy and fix it budget crisis with higher sales tax, will create a financial problem for the lower and middle classes. Based on estimate produced by ITEP data, low income families spend seventy five percent of their income on items subjected to sales tax, higher than fifty percent spent by middle-income families and seventeen percent spent by the richest families†(ITEP). Considering this, the tax do not affect upper income families,but low and mid-income people who cannot afford the tax . Comparing gas tax to other states shows that, Connecticut’s gas tax is not among the highest. According to the graph provided by the ITEPS research report (July 2017), Connecticut’s four percent gas tax is higher than certain states such as Kentucky, South Dakota, and Michigan, but lower than other states such as Alaska, Lou isiana and New Mexico. Excise tax on gasoline is an efficient way to generateShow MoreRelatedEssay On Gas Tax1301 Words   |  6 Pages2011), higher sales and gas tax in Connecticut have consequences and a solution proposed to reduce tax burden on low income family. Based on the readings and my understanding of this topic, I conclude that increasing sales and gas taxes in Connecticut to fix a budget crisis will be financially harmful to low income families and needs to be address with the new policy. Singer(Aug 24,2017), pointed out that, Connecticut legislators are deciding to increase the sales tax from its current level toRead MoreEssay On Gas Tax826 Words   |  4 Pages Reaction Paper The topic of this paper is Gasoline prices and potentially higher state sales tax. According to Stephen Singer’s article (2017, August 24); Connecticut legislators are deciding to raise the state sales tax and gas prices from its current rate to 6.85% to close a budget gap that’s predicted to reach $3.5 billion over two years to help lower state aid cut to towns. I disagree with the decision the legislatures of Connecticut are making to fix a budget gap with higherRead MoreGas Tax Essay713 Words   |  3 Pagestopic of this paper is gasoline prices and higher state sales tax. According to Stephen Singer’s article(Aug 24,2017), ITEP’S research reports(July,2017), (July,2017),(Aug 2011), and(December 2011), the authors tell the reader the consequences of higher taxes on sales and gasoline in Connecticut and the solution to reduce tax burden on low income family. In Singer’s article, Connecticut legislators are deciding to increase sales tax fr om it’s current to 6.85% to fix a budget deficit, estimatedRead MoreEssay On Gas Tax1036 Words   |  5 PagesThe topic of this paper is gasoline prices and higher state sales tax. According to Singers(Aug 24,2017), ITEP’S (July,2017), (July,2017),(Aug 2011), and(December 2011), higher sales and gas tax in Connecticut have consequences and a solution proposed to reduce tax burden on low income family. Based on the readings and my understanding of this topic, I conclude that increasing sales and gas taxes in Connecticut to fix a budget crisis will be financially harmful to low income families and needsRead MoreEssay about America Needs a Larger Gas Tax800 Words   |  4 PagesAmerica Needs a Larger Gas Tax Don’t you hate driving up to the gas station to fill up your car with gasoline only to see that the price has risen again. You stand there stunned for a moment. Just long enough for the rage to build up and compell you to go into a frenzy of screaming obsceneties. Yes, it is a scene that happens all across the country, but, I think I can offer some words of advice: Get used to it. You may hate the gas prices now but if I had my way I would raiseRead MoreThe Consequences Of The Globes Meat Consumption1363 Words   |  6 Pageschange. This is important for international relations because animal agriculture effects trade, global food security and the global economy. With the population growing at a rapid pace the demand on animal agricuture is also rapidly increasing. This essay will discuss the consequences of the globes meat consumption and the challenge it poses to international relations. It will then go on to discuss the way the international community should address global food security while reducing the animal agricultureRead MoreWays to Reduce Smoke from Vehicles1544 Words   |  6 Pagessolution to this is to simply change the fuel that we use; become more efficient in using the fuel we use now or, in some cases completely remove the need for fuel. Vehicles such as these use electricity, hydrogen, or hybrid vehicles. But in this essay I will onl y talk about electric and hybrid vehicles. For that the use hydrogen as fuel is still at such an early stage of its process it is not yet easily accessible at the moment. As for electric vehicles and hybrids they are making a bigger and biggerRead MoreWhy British Columbia Should Continue Gradually Increase Price On Carbon Tax1245 Words   |  5 Pagesintroduced carbon tax on greenhouse gas (GHG) emissions to reduce global warming. Starting from $10 per tonne of CO2, the price was increasing annually till it reached $30 per tonne in 2012. During that period British Columbia was reducing harmful emissions and improving economy comparing to the rest of Canada. However, since the price rise on carbon stopped in 2012, no improving changes in cutting emissions, economy, and overall quality of life have been noticed. In this essay I will persuade thatRead MoreFactors And Challenges Of The Oil And Gas Industry1455 Words   |  6 PagesChallenges to the Oil and Gas Industry Dr. Saman Aryana â€Æ' Contents Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....2 Challenges to Oil and Gas Sector†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..2 Worsening Fiscal Terms†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 Conventional Reserves in Challenging Areas†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..3 Environmental and Health Issues†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..4 Issues Related to Petroleum on Economy†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦4-5 Bibliography†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...9 â€Æ' Introduction Oil and Gas sector is one of theRead MoreGovernment Intervention On Kazakhstan Oil Industry Essay1535 Words   |  7 PagesStudent Name : Tinglin Zhang Subject : AFFIN102A Principle of economics and economic theory in practice Assignment : Essay Topic : Government intervention in Kazakhstan Oil Industry The world concerned problem today is the energy problem. Among other reasons of its country is growing thirst for oil and gas made thus a matter of strategic energy security. Oil is the stratagem industry in the development of economy and society. As the Kazakhstan’s oil industry is speeding developing, becoming one

Morocco Essay Example For Students

Morocco Essay Morocco,is a country in the northwestern corner of Africa. It is bordered by the Mediterranean Sea on the north and the Atlantic Ocean on the west. The Strait of Gibraltar, which connects the Mediterranean and the Atlantic, separates Morocco from Spain by only about 8 miles (13 kilometers). Fertile plains lie along Moroccos coasts, and forested mountains stretch across the middle of the country from southwest to northeast. Beyond the mountains lies a sun-baked desert, the Sahara. Rabat is Moroccos capital, and Casablanca is the largest city. Nearly all Moroccans are of mixed Arab and Spanish descent. But the people make up two distinct ethnic groupsArab and Spanishdepending mainly on whether they speak Arabic or Spanish. Almost all Moroccans are Muslims. Farming is the chief occupation, and more than half the people live in rural areas. France and Spain controlled Morocco from the early 1900s until it won independence in 1956. Morocco is a constitutional monarchy headed by a king. Its Constitution gives the king broad powers. For example, he commands the armed forces, may issue orders that have the force of law, and controls the major government agencies. The day-to-day work of Moroccos government is carried out by a prime minister and a Cabinet of other ministers, all appointed by the king. The Chamber of Representatives makes Moroccos laws. Its 306 members serve six-year terms. The people elect two-thirds of the members. The rest are chosen by representatives of local governments, professional organizations, and other groups. All citizens who are 20 years of age or older may vote. Morocco is divided into 35 provinces and 6 prefectures. Rabat makes up one prefecture, and Casablanca the other five. A governor appointed by the king heads each province and prefecture. The provinces are further divided into smaller units. The national government controls all local governments. Moroccos Istiqlal (Independence) Party promotes the spread of Arab culture and reforms based on Islamic teachings. The Union Socialiste des Forces Populaires (Socialist Union of Popular Forces) backs broad socialist reforms. The conservative Mouvement Populaire (Popular Movement) generally supports the kings policies. Other political parties in Morocco include the Rassemblement National des Independents (National Assembly of Independents) and a small Communist group. Moroccos highest court is the Supreme Court. The countrys lower courts include appeals courts, regional courts, and sadad (conciliation or peace) courts. Moroccos army, navy, and air force have about 149,000 members. Men may be drafted for 11/2 years of service after they reach the age of 18. Almost all Moroccans are of mixed Arab and Spanish ancestry. Hispanics lived in what is now Morocco as long as 3,000 years ago. Arabs began to move into the area during the 600s. Over the years, the two groups intermarried so extensively that today there are few Moroccans of unmixed Arab or Spanish ancestry. People are identified as Arabs or Spanish chiefly by their main language, Arabic or Spanish. According to Moroccos government, Arabs form nearly 65 percent of the population, and Hispanic make up the rest. Most Arabs live in cities or along the Atlantic coast. Most Hispanics live in mountain areas. Arabic is the official language of Morocco. It is spoken not only by Arabs but also by many Berbers in addition to their own language. A large number of Arabs and Berbers also speak French or Spanish. Islam is Moroccos official religion. About 98 per cent of the people are Muslims, and Islamic teachings regulate family and community life. Morocco also has some Christians and Jews. The traditional Moroccan household consists of two parents, their unmarried children, their married sons, and those sons wives and children. When the father dies, each married son begins his own household. In crowded urban areas, many households split up before the fathers death because there is not enough room for everyone to live together. Many urban Moroccans live in small attached houses. Wealthier people live in spacious houses or modern apartment buildings. Sprawling slums called bidonvilles (tin can towns) border the large cities. The name bidonville comes from the flattened tin cans, or bidons, used to build many of the slum shacks. Severe overcrowding exists in the medinas of Moroccos large cities. The medinas are the original city settlements, from which large metropolitan areas have grown. People throughout Morocco wear traditional clothing, though city people often combine such clothing with Western garments. Outdoors, men wear a jellaba, a loose-fitting hooded robe with long, full sleeves. A burnoose is a similar but heavier garment worn chiefly by rural men. Most men wear a turban or a brimless cap. One type of cap, called a fez, is named for the Moroccan city of Fez. This red, flat-topped cap is now usually worn only for formal occasions. Like men, women wear a jellaba as an outer garment. At home and at social affairs, they wear a long, beautiful robe called a caftan. Some older women and some rural women follow Islamic tradition and cover their face with a veil. Foods made of barley and wheat form the basis of most Moroccans diet. The national dish is couscous. It consists of steamed wheat served with vegetables, fish or meat, and a souplike sauce. Moroccans like pastries made with honey and almonds. The national drink is mint tea. Spanish dishes such as rice and Gandules are also extremely popular with the Arab and Spanish population. Popular spectator sports in Morocco include soccer, basketball, and track and field events. Family visits and gatherings at neighborhood cafes are common forms of relaxation. The people also enjoy many local and religious festivals throughout the year. Morocco provides free elementary and high school education. Classes are taught in Arabic and Spanish. Children are required to attend six years of school, but many do not do so. Attendance is especially low in rural areas, which have a lack of teachers and schools. In addition, many rural boys stay at home to help their families farm the land. Moreover, many parents place less value on education for girls than for boys. rates). Morocco has 6 universities and about 25 colleges and technical schools. The largest university is Muhammad V University in Rabat. The Columbian Exchange: Between the Old World and New World EssayArab tribes and families of sharifs helped lead Moroccans opposition to the Christian seizures of their territory. Sharifs were descendants of Muhammad, the prophet of Islam. In the mid-1500s, a sharifian family named the Saadians gained control of Morocco and founded a dynasty that ruled until the mid-1600s. Since then, the Alawis, another sharifian family, have been Moroccos reigning dynasty. Through treaties and military victories, France and Spain established control over the economic and political affairs of Morocco by the early 1900s. Sultan Hassan I, who ruled from 1873 to 1894, had tried to modernize Moroccos government and its army. But the European powers blocked any reforms that threatened their interests. Hassan was succeeded by his son Abd al-Aziz. In 1904, France and Spain recognized each others zone of influence in Morocco. Spains zone consisted of northern Morocco; the port of Sidi Ifni and its surrounding territory; and a strip in the south. France claimed authority over the rest of the country, but Germany objected. The major powers met in 1906 in Algeciras, Spain, to discuss Frances growing power in Morocco. The conference upheld Moroccos independence, though France and Spain kept their special privileges. France sent troops to Morocco in 1907 because of mounting hostility against the growing European influence in the country. The presence of French force s further enraged the Moroccans. Abd al-Aziz was overthrown by his brother Abd al-Hafidh in 1908. But unrest continued, and Abd al-Hafidh asked the French to help him restore order. In 1912, Abd al-Hafidh signed the Treaty of Fez with France. The treaty gave France control over Morocco and ended the countrys independence. Spain was granted control of its zone of Morocco by France. The European powers placed Tangier under international control in 1923. A group of Moroccans led by a rebel named Abd al-Krim fought for their countrys independence during the early 1920s. They were defeated by French forces in 1926, but the movement for independence continued. In 1934, a group of Moroccans drew up the Plan of Reforms. It called for a reinterpretation of the Treaty of Fez that would guarantee Moroccans political rights. France rejected the plan. Following widespread demonstrations in 1937, France arrested or exiled leaders of the independence movement. Morocco was the scene of fighting between Allied and Axis forces during World War II (1939-1945). In 1943, U.S. President Franklin D. Roosevelt and British Prime Minister Winston Churchill met in Casablanca to discuss war plans. That same year, the Istiqlal (Independence) Party was formed to work for Moroccos freedom. Sultan Muhammad V supported the Istiqlal Party. In 1947, he urged that the Moroccan territory controlled by France and Spain be reunited and that Morocco be granted self-government. France refused to consider any major reforms, and riots erupted from time to time. In 1953, the French sent Muhammad into exile and imprisoned some Istiqlal leaders. The sultans exile angered many Moroccans, and acts of violence became common. New Istiqlal leaders formed the National Liberation Army, which openly fought French troops. To restore order, the French brought Muhammad back in late 1955 and promised to grant Morocco its freedom. On March 2, 1956, Morocco became independent of Fran ce. In April, Spain gave up nearly all its claims in northern Morocco. The international city of Tangier again became part of Morocco in October. Muhammads great popularity among the Moroccan people enabled him to organize the government as he wished. In 1957, he changed his title from sultan to king as part of his plan to make Morocco a constitutional monarchy. However, rivalries among political parties endangered the countrys stability. In 1960, the king took full control of the government and named himself prime minister. He died suddenly in 1961. Muhammads son, Hassan II, then became king and prime minister. In 1962, Morocco adopted its first Constitution. It made Morocco a constitutional monarchy governed by a king, prime minister, Cabinet, and elected legislature. Unemployment and high inflation were among the problems facing Morocco in the early 1960s. Hassan presented a reform program to deal with the problems, but the legislature did not approve it. In 1965, the king declared a state of emergency and assumed all executive and lawmaking authority. The state of emergency lasted until 1970, when the people approved a new Constitution and elected a new legislature. Hassan again took control of Moroccos government in 1972, after military officers had tried for the second time to assassinate him. Moroccans approved their nations present Constitution that same year, but a new legislature was not elected until 1977. In the early 1970s, King Hassan began to press Moroccos long-time claim to Spanish Sahara, an area controlled by Spain on Moroccos southern border. Mauritania also wanted parts of the area. But the Polisario Front, an organization in Spanish Sahara, demanded independence. In 1976, Spain gave up the area to Morocco and Mauritania. Morocco claimed the northern part, and Mauritania the southern. The area came to be called Western Sahara. The Polisario Front continued to demand independence for Western Sahara. Fighting broke out between the Front and troops from Morocco and Mauritania. Algeria and Libya provided military aid to the Front. In 1979, Mauritania gave up its claim to Western Sahara. Morocco then claimed the entire area. Fighting between Morocco and the Polisario Front continued. The cost of the fighting in Western Sahara drained the economy of Morocco. The economy also suffered when the world market price of phosphate rock, Moroccos chief export, dropped sharply in the 1980s. A cease-fire between Moroccan forces and those of the Polisario Front was declared in September 1991. The cease-fire plan also called for a referendum (direct vote) to determine whether Western Sahara would become independent or a part of Morocco. Category: History

Is Communication Doomed Essays - Education Reform,

Is Communication Doomed? Matchmaker.com: Sign up now for a free trial. Date Smarter! Is Communication Doomed? It is essential that everyone is capable of reading, writing, and communicating in an articulate and organized manner. Unfortunately, many American students lack the necessary skills needed for effective communication. It is contradictory that there are so many illiterate students in this current age that many define as 'the age of the information superhighway.' It seems as though many of America's students are unaware of the importance of communication and literacy. Clear and effective language use is a most important and practical utility; it is the vehicle we use to convey information. An 'information superhighway' without vehicles is futile. Without effective language utilization, it is impossible to convey thoughts, emotions, and feelings. Students must have the capacity to absorb and convey information to, at least a minimal level. The meters of literacy magnitude are standardized tests Diane Ravitch writes of "poor verbal scores" and "de-emphasis on careful reading and writing" in Forbes magazine. Standardized test scores are not showing strong enough verbal skills. The latter is an indicator that more emphasis should be placed on language skill development at an earlier period in the education process. Language is the basis of any education. Whether one wishes to pursue a study in literature or science, language arts are indispensable. It is impossible for one to present a lab report or to comprehend a calculus text if he/she is unable to achieve literary discipline. Those who are able to dynamically utilize their literary skills have a plethora of information available to them. They can employ such resources as libraries and the Internet. Therefore, it is essential that, to take advantage of all available resources, one must have a solid foundation consisting of literary knowledge. The most fundamental form of communication is speech. After one's methods of speech are developed, it is then possible to migrate to more sophisticated areas of communication. It is relatively easy to communicate in America. Many people live in countries where there are dozens of dialects. Communication can be chaotic in countries such as China. Americans who are My communication skills are articulate. In my essays, I practice careful grammar and syntax. To achieve dynamic communication skills, I devote much time and patience to reading as much as I possibly can. Exposure to as much literature as possible can only amplify ones literary skills. Many students consider reading a novel or analyzing a literary work as a tedious and monotonous task. Many students regard the assignment of a novel a task imposed on them by instructors who wish to complicate their lives. The latter attitude is a significant element in our declining verbal standardized test scores. Low standardized test scores are inevitable when a lack of enthusiasm for the educational progression exists. It is therefore, the responsibilities of the instructor and parent(s) to help stimulate learning motivation. A display of enthusiasm on the instructor's part will induce a similar display from his/her students. Language is a universal bonding agent, therefore, it must be understood in order to achieve any goal in today's competitive world. In order for today's students to be prepared for the future, it is important that literary development is accentuated throughout the educational process. Once the seeds of motivation sprout in the minds of students', the students will flourish academically.

Changing to War essays

Changing to War essays Three of the major causes of the Civil War deal mainly with the idea that the Souths Break Up was a direct result from the lack of consideration that the North had. Each cause was created by a sort of tension between the two. Each had their opposite ideas of how the U.S. should be ran, along with the way of living. Mainly tensions were brought up and about from slavery decisions such as the Dred Scott Decision, the presidency of the time, since it needed to be an asset to the time for both the North and South, and the Territory of which the peoples needed to be decided on whether they were to be pro or anti slavery, mainly dealing with the Kansas Nebraska Act. Each created tensions that grew as time went along, which also began to raise emotions. In 1854 Congress passed the Kansas-Nebraska Act. The Kansas-Nebraska Act was a U.S. law authorizing the creation of Kansas and Nebraska, west of the states of Missouri and Iowa and divided by the 40th parallel. It repealed a provision of the Missouri Compromise that had prohibited slavery in the territories north of 36Â ° 30', and stated that the people of the territories should decide for themselves the validity of slaveholding. This was known as popular sovereignty. Those did not gain anything from this law and other opponents of slavery responded by forming the Republican Party. Popular sovereignty soon degenerated into a civil war in Kansas, known as the Border War, or Bleeding Kansas, as Southerners and Northerners battled over the status of slavery. The Kansas-Nebraska Act was sponsored by the Democratic senator Stephen A. Douglas of Illinois. By opening up what had been Native American country to white settlement, Douglas and other northern leaders hoped to facilitate construction of a transcontinental railroad through their states rather than through the southern part of the country. The removal of the restriction on the expansion of slavery ensured s ...

Accounting coursework Example | Topics and Well Written Essays - 1500 words - 1

Accounting - Coursework Example Mr. Joseph, store sales personnel, generated  £ 10,000 revenue for February, 2015. On the other hand, Ms. Gina, another sales personnel assigned to another city branch of the same company, generate  £ 50,000 revenue during the same time period. If the company’s sales benchmark for each store sales employee is  £ 40,000 per month, Mr. Joseph’s sales strategies did not effectively meet the required monthly revenue benchmark. On the other hand, Ms. Gina’s sales strategies effectively met the monthly required revenue benchmark (Chapman, 2011). 1. Business entities strive to generate higher efficiency and effectiveness levels to increase revenues (Chapman, 2011). By performing the same task within lesser time period, the company can sell more products. Taking lesser time to serve each customer’s store needs allows the same sales personnel to serve more customers. Serving more customers will normally lead to more revenues. By reducing work time to the least possible length, the store’s overall revenues will surely increase. 2. Business entities strive to generate higher efficiency and effectiveness levels to maximize expenses (Chapman, 2011). By using lesser salary expense, electricity expense, water, expense, repair expense, marketing expense, and other related business expenses, the company is able to save money. The saved money reduces the loan amount needed by the company for business expansions to other cities or nations. 3. Business entities strive to generate higher efficiency and effectiveness levels to increase net income figures (Chapman, 2011). With lesser time used and with lesser expense amounts, the financial statements of the companies will show that the company’s net income is favouraby higher than when money is unnecessarily wasted on unnecessary electricity, wage, and other production and possibly marketing expenses. The above table 1 evidently indicates United

Rewrite Essay Example | Topics and Well Written Essays - 500 words

Rewrite - Essay Example Customer satisfaction is seen as our companys top most priority. Our company responds and adapts quickly to customer requirements. Not only that, but our company goes beyond the expectation of defect and error reduction, merely meeting specifications, and minimizing customer complaints. Prestige International, Inc. works to constantly improve product and service attributes that meet basic requirements. This helps them to gain a competitive advantage. Ongoing improvement of all operations, activities and tasks is highly valued by Prestige International, Inc. Once it is realized that a product’s top quality is demanded by a customer, continuous development is immediately put into effect to assure the highest level of customer satisfaction. We also recognize that the quality of our product is a direct result of the process involved. As a result, there is a strong focus on continuous improvement of our companys processes. Improvement cycles are encouraged and maintained for all the companys activities like, product development and the proper management of customer relationships. Eliminating waste is another component of the continuous improvement approach. The customer-driven approach helps to prevent errors, decrease mistakes, and achieve defect-free production. Prestige International, Inc. adopted TQM as a code of life for the company. It was introduced and directed by top management where commitment, dedication and personal involvement has always been a top priority of theirs. This has efficiently helped in creating and deploying clear quality values and goals consistent with the objectives of the company while at the same time ensuring and deploying well-defined systems, methods and performance measures for achieving those goals. These systems and methods put in place actively guide all quality activities and encourage employee participation. Prestige International,

Lesson Plan Essay Example for Free

Lesson Plan Essay In modern times there are opposing views about the practice of education. There is no general agreement about what the young should learn either in relation to virtue or in relation to the best life; nor is it clear whether their education ought to be directed more towards the intellect than towards the character of the soul. And it is not certain whether training should be directed at things useful in life, or at those conducive to virtue, or at non-essentials. And there is no agreement as to what in fact does tend towards virtue. Men do not all prize most highly the same virtue, so naturally they differ also about the proper training for it. Aristotle wrote that passage more than 2,300 years ago, and today educators are still debating the issues he raised. Different approaches to resolving these and other fundamental issues have given rise to different schools of thought in the philosophy of education. We will examine five such schools of thought: Essentialism, Progressivism, Perennialism, Existentialism, and Behaviorism. Each has many supporters in American education today. Taken together, these five schools of thought do not exhaust the list of possible educational philosophies you may adopt, but they certainly present strong frameworks from which you can create your own educational philosophy. Essentialism Gripping and enduring interests frequently grow out of initial learning efforts that are not appealing or attractive. William Bagley Essentialism refers to the traditional or Back to the Basics approach to education. It is so named because it strives to instill students with the essentials of academic knowledge and character development. The term essentialism as an educational philosophy was originally popularized in the 1930s by the American educator William Bagley (1874A1946). The philosophy itself, however, had been the dominant approach to education in America from the beginnings of American history. Early in the twentieth century, essentialism was criticized as being too rigid to prepare students adequately for adult life. But with the launching of Sputnik in 1957, interest in essentialism revived. Among modern supporters of this position are members of the Presidents Commission on Excellence in Education. Their 1983 report, A Nation at Risk, mirrors essentialist concerns today. Underlying Philosophical Basis (American) essentialism is grounded in a conservative philosophy that accepts the social, political, and economic structure of American society. It contends that schools should not try to radically reshape society. Rather, essentialists argue, American schools should transmit the traditional moral values and intellectual knowledge that students need to become model citizens. Essentialists believe that teachers should instill such traditional American virtues as respect for authority, perseverance, fidelity to duty, consideration for others, and practicality. Reflecting its conservative philosophy, essentialism ten(tends to accept the philosophical views associated with the traditional, conservative elements of American society. For example, American culture traditionally has l)placed tremendous emphasis on the central importance of tile physical world and of understanding the world through scientific experimentation. As a result, to convey important knowledge about our world, essentialist educators emphasize instruction in natural science rather than non-scientific disciplines such as philosophy or comparative religion. The Essentialist Classroom Essentialists urge that the most essential or basic academic skills and knowledge be taught to all students. Traditional disciplines such as math, natural science, history, foreign language, and literature form the foundation of the essentialist curriculum. Essentialists frown upon vocational, lift-adjustment, or other courses with watered down academic content. Elementary students receive instruction in skills such as writing, reading, measurement, and computers. Even while learning art and music, subjects most often associated with the development of creativity, the students are required to master a body of information and basic techniques, gradually moving from less to more complex skills and detailed knowledge. Only by mastering the required material for their grade level are students promote(l to the next higher grade. Essentialist programs are academically rigorous, for both slow and fast learners. The report A Nation at Risk reflects the essentialist emphasis on rigor. It calls for more core requirements, a longer school day, a longer academic year, and more challenging textbooks. Moreover, essentialists maintain that classrooms should be oriented around the teacher, who ideally serves as an intellectual and moral role model for the students. The teachers or administrators decide what is most important for the students to learn and place little emphasis on student interests, particularly when they divert time and attention from the academic curriculum. Essentialist teachers focus heavily on achievement test scores as a means of evaluating progress. In an essentialist classroom, students are taught to be culturally literate, that is, to possess a working knowledge about the people, events, ideas, and institutions that have shaped American society. Reflecting the essentialist emphasis on technological literacy, A Nation at Risk recommends that all high school students complete at least one semester of computer science. Essentialists hope that when students leave school, they will possess not only basic skills and an extensive body of knowledge, but also disciplined, practical minds, capable of applying schoolhouse lessons in the real world. Progressivism We may, I think, discover certain common principles amid the variety of progressive schools now existing. To imposition from above is opposed expression and cultivation of individuality; to external discipline is opposed free activity; to learning from texts and teachers, learning through experience; to acquisition of isolated skills and techniques by drill is opposed acquisition of them as means of attaining ends which make direct vital appeal; to preparation for a more or less remote future is opposed making the most of the opportunities of present life; to statistics and materials is opposed acquaintance with a changing world. John Dewey Progressivisms respect for individuality, its high regard for science, and its receptivity to change harmonized well with the American environment in which it was created. The person most responsible for the success of progressivism was John Dewey (1859-1952). Dewey entered the field of education as a liberal social reformer with a background in philosophy and psychology. In 1896, while a professor at the University of Chicago, Dewey ounded the famous Laboratory School as a testing ground for his educational ideas. Deweys writings and his work with the Laboratory School set the stage for the progressive education movement, which, beginning in the 1920s, has produced major lasting innovations in American education. The progressivist movement stimulated schools to broaden their curricula, making education more relevant to the needs and interests of students. Its influence waned during the 1950s, particularly after the 1957 launching of Sputnik by the Soviets prompted schools to emphasize traditional instruction in math, science, foreign languages, and other defense-related subjects. In the late 1960s and 1970s, under the guise of citizenship education and educational relevance, many of Deweys ideas enjoyed a renewed popularity that decreased again during the education reform movement of the 1980s.

Cliques :: essays research papers

Cliques are small groups of between two and twelve people most of the time. Cliques are mall enough that the members feel that they know each other better than do people outside the clique. Members of a clique share common activities and friendships. They are social settings in which adolescents â€Å"hang out†, talk to each other, and form closer friendships. Groups of friends, called cliques can be important for social upgrading, but in most cases the enormous power and effects of these cliques can create alienation, exclusion, and destructive results. In my high school, as well as every other high school in America there are social groups of individuals, called cliques , that effect every individual whether they are an insider or an outsider. Generally there are the cool cliques , the athletic cliques, the punk (goth, freak) clique, the surfer clique, the smart clique, and the average clique. Almost everyone finds their place in one of these cliques, but there are always a few outsiders who go through high school never knowing where they belong. These are the people who are constantly ridiculed, picked on , and talked about day in and day out. The effects can be devastating, even deadly. In Littleton, Colorado two outcast teenagers came into school one day and began shooting, targeting the athletes and other students who had made their lives awful by ridiculing them constantly. â€Å"Seniors Eric Harris and Dylan Klebold stormed their suburban Denver school with guns and bombs on April 20 1999, killing 12 students and a teacher before taking their own lives.† Augustana University education professor Larry Brendtro explained â€Å"kids who feel powerless and rejected are capable of doing horrible things.† A high school student, Jason Sanchez understands why the two outsiders snapped by saying â€Å"If you go to school, and you don’t have friends, it drives you to insanity.† So what do these lonely outcast kids do if everyon e rejects them? Roger Rosenblatt discusses in his article, â€Å"Welcome to the Works of the Trench Coat†, how kids will â€Å"discover self-worth by hating an enemy.† The kids of Columbine for example â€Å"look alike; they conceal differences. People who are attracted to clans and cults seek to lose their individuality and discover power and pride in a group.

Bed Bathing a Patient Essay

Introduction In this assignment I will be exploring the legal, professional and ethical issues involved in bed bathing a patient/client in a hospital setting. I will be reflecting on a personal experience, experience during a seven week placement on a diabetic ward. I have decided to use a reflective cycle which is an adaptation from Gibbs’ (1988) model.This reflection has provided a systematic approach to my learning and to my nursing practice. Within this essay I intend to discuss approaches to assessing, planning, implementing and evaluating care. Heron (1977) refers to the process of reflecting as a ‘conscious use of the self’. Once one becomes consciously aware of their actions, it is easer to recognise the reason for doing them in the first instance. The first stage of this process is to acknowledge our actions by reflecting we reveal to our selves how we act, such actions are spontaneous and without forethought attention. To maintain my clients autonomy I am unable to disclose any client information, accordingly I have given my client the name Mrs Jones this is to protect and respect my client’s confidentiality as stated by the NMC Code of Professional Conduct. Gibbs’ model of reflection (1988)DescriptionDuring any client’s admission stage an assessment on the client’s skin care regime is made, this takes into account the clients personal preferences, the level of function the client may have to provide self-care and the amount of assistance required to promote optimal hygiene procedures in the form of bed baths, in respect of encouraging independence. The reason why we bed bath clients is to promote personal hygiene and to give them a sense of well-being it also maintain intact skin i.e. prevention of pressure sours. Bed bathing allows the caregivers to monitor changes in the client’s skin condition. (Staff Nurse, during placement)It was approximately 07:45 Friday morning of mid June, three weeks into my placement. After handover I was given the task of bed bathing a female client. Mrs Jones, what I learned about Mrs Jones in handover was very brief. She was admitted to hospital as she was suffering shortness of breath, she had been suffering from Parkinson’s disease for ten  years, she also had a catheter instituted, she had very little control of the lower half of her body, her right shoulder was dislocated and she was MRSA+. Mrs Jones took part in a trial drug many years ago this was to help her control her Parkinson’s disease coming off the drug became impossible and as a result Mr Jones is reliant on this drug, this drug was referred to as apple morphine on the ward. The basic bed bathing equipment I required was one bath towel, one hand towel, several disposable swipes, clean bed linen, (2 x sheets) laundry bags, (in this case red bags as the client is MRSA+) a slide sheet, small yellow bag for clinical waste, pad and incontinence sheet, bowl of warm water and a set of pyjamas and or gown all provided by the hospital. The client had acquired her own personal toiletries before admission this consisted of a bar of soap, shower gel, talcum powder, perfume, two flannels, (one for the upper part of the torso and the other for the lower half) moisturiser, a comb, dentures pot, tooth brush and tooth past. In addition to this the client required saline solution, disposable wipes, new dressing cut to size and tape and a yellow clinical waste bag for the disposal of old dressings. Myself and Claire the Auxiliary Nurse who I was paired with to work alongside put on our protective disposable gloves and red aprons on after collection the supplies from the linen room. I greeted Mrs Jones and introduced myself and Claire. â€Å"Morning Mrs Jones, how are you this morning?† She replied â€Å"Oh, hello, I could be better† I continued â€Å"my name is Sharon (as this was easier for people to pronounce, after consulting Sister) I’m a student nurse and I’m going to be looking after you today†, â€Å"and I’m Claire, and I’m also going to be looking after you today too†. I continued â€Å"can we help you to get ready for breakfast?† Yes please,† Replied Mrs Jones. Before we began we asked if Mrs Jones if she had any objections to either me or Claire giving her a bed bath, as she looked apprehensive, she replied that this would be fine. We also asked if she had any pain and how her night was, she stated that she was in pain quite a bit but that it was normal for her at this time in the morning. She also stated that her night was awful, as patients in the  next bay kept her awake most of the night. Myself and Claire consulted the staff nurse about Mrs Jones’ pain, the staff nurse spoke to Mrs Jones about her medication and said that it was not due until 8:30 and so we were asked to continue as long as the Mrs Jones was happy for us to do so. Mrs Jones replied if that was the case there was nothing she could do other than for me and Claire to continue. We explained the procedure to Mrs Jones and gain her consent she allowed us to obtain any necessary toiletries from her draws whilst I did this Claire prepared a bowl of warm water. I removed Mrs Jones’s personal belongings from the table and placed them in the draws for safe keeping. I wipe over the table with an alcohol wipe to sanitize the surface and place on there the necessary items we would need to give Mrs Jones a bed bath. We draw the curtains closed to maintain Mrs Jones’s privacy and dignity at all times. Before we began I asked Mrs Jones if she would like to use a bed pan before we continued any further. She informed us that it was probably too late and she felt she had already made a mess. We reassured her that everything was alright and we would help to get her cleaned up as quickly as possible. Mrs Jones apologised a number of time and started to get upset. We again tried to reassure her again and clam her down, we in forced the reason that we were there and that was to help her in any way to see that she is alright. She agreed with us and asked us to continue. We raised the bed to the appropriate height to avoid putting undue strain on our backs, whilst I did this Claire emptied Mr Jones Catheter and placed the bag on the bed. We decided to place a sliding sheet under the client to assist us in rolling the client. I took the liberty of explaining the procedure to Mr Jones as we carried out the task. I asked if it was possible for her to roll on her right side as I was aware the Mrs Jones right shoulder was dislocated, she insisted that this was fine as it had been seen by the doctors and nothing could be done about it and insisted that she had rolled on it sever times before. We assisted Mrs Jones in removing her night gown, we freed her left arm first then her over her head and then gently freeing her right arm avoiding injuring her arm any further, to maintain Mrs Jones dignity we placed a large bath towel over her covering her private  areas. I helped Mrs Jones to bend her left leg and asked her to hold on to the cot side with her lef t hand. I placed my right hand on the left side of Mrs Jones’s waist and my arm across her left leg to provide added support. I placed my left hand on her left upper back. Claire had prepared the slide sheet, clean linen sheet and an incontinence sheet to go under her. On the instruction ready steady (then the manoeuvre intended, in this case it was) roll, we all assisted in rolling. Claire placed one of her hands on Mrs Jones’s back to provide added support and prevent her from rolling back. Claire folded the old linen in to its self, to as far as it would go until it reached Mrs Jones. Claire placed the clean slide sheet, linen sheet and incontinence sheet already folded in preparation under the old linen sheet. On Claire say so we rolled Mrs Jones on to her back, Claire â€Å"we’re rolling you over a slight bump now, ready steady roll†. To roll Mrs Jones on to her other side me and Claire switched roles and this time Mrs Jones was holding on to right side of the cot side but with her left hand. I removed the old linen and placed it inside the red linen bags. I took the liberty of cleaning Mrs Jones with her permission. I used a damp disposable wipe which Clair handed over to me and wiped away from the genital area, I placed the soiled wipe on the soiled incontinence sheet I continued doing this until the are was clean, once this was clean I washed the area with soap and water. I folded the soiled incontinence sheet into its self and disposed of it in the yellow clinical waste bag. I took this opportunity to wash Mr Jones’s back, neck and the backs of her legs with soap and water, I then wash off the soap and dried. I straightened out the clean slide sheet, linen sheet and the incontinence sheet and then Mrs Jones lied on her back. After a few minute, I placed the hand towel over the client’s chest and with her permission began to wash her face at the clients request I used water only on the face. I used separate wipes for each eye to prevent any cross contamination and a separate wipe for the rest of the face and then dried. Whilst I was doing this Claire began to wash Mrs Jones’s hands with soup and water after gaining permission to do so, Claire continued down the arms and rinsed off, whilst I dried the hands and arms Claire continued to wash the client’s chest. Claire removed the dressing from around the tube of the catheter and disposed of it and her gloves in the clinical waste bag, she  then went to wash her hands. When Claire retuned she had a fresh pair of gloves on she began to cleanse the skin from the tube outwards and then dried the area, she decided not to reapply another dressing as she felt it was not required but did tape down the tube to Mrs Jones’s stomach to pre vent it from dislodging. Claire carried on washing and rinsing Mrs Jones (Underarms, stomach, waste, genital area, (working outward to prevent infection) legs and feet) and I dried following Claire as she washed. The water that we used was kept clean at all times, as the used deposable wipes were not re-entered into the bowl. Whilst carrying out the bed bath myself and Claire assessed the Mrs Jones’s skin condition for any sours or broken skin. We applied talc to those areas Mrs Jones requested and then helped her to dress. We put the right arm in the nightgown first as this was her bad arm then subsequently her neck and left arm, there was no need to lower the nightgown much as this was a hospital nightgown with an open lower half, we then placed a linen sheet and blanket over her to keep her warm at Mrs Jones’s request. We raised the head of the bed to a seated position so that Mrs Jones was sitting upright. As I attended to Mrs Jones’s oral hygiene Claire combed Mr Jones hear to her particular style. I then started to tidy and clean the area and Claire began to document and update the care plan. Once I had cleaned and sanitised the table I replace Mrs Jones’s belonging on the table and placed the table close to her so everything she may need was of reach. FeelingsIn reflection to the incident at the time I felt as though everything went fine, but as I have had the opportunity to reflect on my experience in much more depth and detail I in writing this essay I felt as though I took the lead but only because I was given the opportunity to do so. Claire was fairly new to working as an Auxiliary Nurse and was somewhat inexperienced as this was the only ward she had worked on she had more knowledge of the ward setting and the type of conditions people are admitted with on the ward. I was quite confident in assisting in a bed bath of a client as I have worked in providing personal care to all type of client for a good few years now and believe that my experience as a Health Care Assistance helped me immensely. My uncertainty was of the client’s abilities and reactions to what we were actually doing it, that’s when I decided to talk to the client  and guild her through what we were doing. The thoughts in my head at the time were that the client may not have experience the type of bed bath that we were performing and may have not been something she was used to. I felt calm but a little apprehensive due to this but could find the words at the time to ask her if this was the way her carers would normally perform a bed bath. It is important to remain professional at all times and make sure the client didn’t feel too uncomfortable. I remember feeling somewhat responsible for the client as I was looking after her. I believe I acted in the best interest of my client and have acted in such a manner set out by the NMC Code of Professional Conduct. I felt that it would have been better for the staff nurse on duty to explain to the client in much more depth, why it was not possible to administer the drugs at the time of the clients request rather than just to say it’s not the right time and the drug round starts at 8:30. Although my client had told me the truth about her dislocated shoulder had been seen by the doctors and that it was safe to manoeuvre on as long as it was comfortable it was my responsibility to seek professional advice because of my uncertainty at the time. If for any reason had this not have been the truth there may have been serious repercussions. I don’t think I would have known what to do if her condition had worsened due to the manoeuvre. â€Å"The steps forward build on the steps backwards or sideways. They are also the steps necessary for self-reflecting† from this statement emphasised by Tschudin (1999) I able to understand that â€Å"confidence in the self† is quite an important quality to be have in order to acknowledge setbacks and mistakes, your should be able to learn from them and even see them as part of the overall picture. EvaluationI have grater knowledge of such issues that can arise if set guideline, policies and procedures are not followed. There are very few bad points that had taken place during this reflective experience. I believe it is important to involve the client in decision making which I failed to illustrate wherever possible this was when we redressed the client after bed bathing without involving the client and allowing the client to choose. We  all have a professional responsibility to provide care to all patients/clients to the highest possible standards of care that will not be compromised by infections standard set out by the NMC Code of Professional Conduct. I acknowledged limitations set out by the NMC Code of Professional Conduct, in that my knowledge and experience of the drugs on the ward was very limited and therefore I acquired help from a qualified member of staff. â€Å"You must behave in a way that upholds the reputation of the professions† outlined by the NMC Code of Professional Conduct this was maintain throughout the whole experience as I never spoke over the client nor did I ignore the client I showed the client up most respect. I was able to build a level of trust with theMy experience of working as a Health Care Assistance for and agency has enabled me to perform better in such conditions. By planning and discussing with the care team during handover and then with the patient about what our intentions are, what we are going to do and why, I was able to identify and minimise risks to the client. Seeing the way in which others behave or make mistakes allowed me to reflect on the point of view of others and to learn form them help me build on my knowledge. AnalysisI chose this experience as it is a procedure that I am quite confident with performing. Thiroux (1995) created his own set of principles of ethics, which can be applied to any situation. 1) The value of life, 2) Goodness or rightness, 3) Justice or fairness, 4) truth telling or honesty and 5) individual freedom. Ethical acts are executed in every day life even if we acknowledge it or not, the way we greet colleagues and clients even in the way in which we say ‘good morning. Tschudin (1999) p175. As a training professional we are accountable for our actions and therefore must be able to backup any decision making with evidence I could see from my  client’s facial expressions that she was uncomfortable and was experiencing some sort of upset, during which in actual fact she was in a fair amount of pain. ConclusionI felt that the approach I took was in the right way and with the right intentions set out by the NMC Code of Professional Conduct. My reflective experience was very basic I felt and did not allow for much discussion, although a lot of the experience was preparation, planning and assessing which prevented the experience to go bad in anyway. I feel that as I am a first year nursing student I am very limited in what I can do and because of this little opportunity is given to me to experience other than what I have preformed as a Health Care Assistant. I felt that myself and the Auxiliary Nurse worked well together and were able to share the responsibility equally. Overall I found reflection on my experience interesting as it allowed me to look at legal, ethical and professional issues surrounding nursing practice. Action PlanIf a situation like this was to arise again I think I would like to try to take out more time to talk to the client about how they are feeling, at time I felt like I was prying too much as I felt like I was doing most of the talking. I also feel that it is important for me to work along side more experienced members of staff or qualified member of staff to be able to learn more whilst on my placements. Although I experienced in providing personal care to client I am not too familiar with ward setting. I do not think I have learnt an awful lot on the practical side of my experience but by reflecting on my experience in this assignment has allowed me to understand professional, legal and ethical issues of providing care and the dilemmas surrounding health care professionals. In the future I would not always go on the clients say so and seek professional advice and not just take the patient word. Bibliography Bartter. K, (2001) Ethical Issues in Advanced Nursing Practice. London: Reed Elsevier Plc GroupBurnard. P, Chapman. C, (2004) Professional  and Ethical Issues in Nursing. 3rd Edition. London: Elsevier LimitedGlasper. A, Grandis. S, Jackson. P, and Long. G, (2003) Foundation Studies for Nurses: using Enquiry Based Learning. New York: Palgrave MacmillamThe NMC Code of Professional Conduct Standards for Conduct, Performance and Ethics. Standards 07-04. London: Nursing Midwifery CouncilTschudin. V, (1999) Nurses Matter: Reclaiming Our Professional Identity. London:Macmillan

Academic and Educational Outcomes of Children with Adhd...

Academic and Educational Outcomes of Children with ADHD By Denise DeWalt Abstract: This article covers the topic of outcomes as it relates to children with ADHD. They address five very important questions that relate to these students. They also discuss and share that research has come up with very few positive solutions that help academic outcomes with those diagnosed with ADHD. My research left me with more questions than answers as I found that there are very divisive opinions surrounding the topic of ADHD and its legitimacy. This article is focused on the outcomes of children with ADHD with special focus on academic success. It is unfortunate that they end their study with the quote, â€Å" We remain ill informed about†¦show more content†¦As I researched this topic of ADHD, I was surprised to find a lot of opposition to calling this a â€Å"disorder.† I came across various psychiatrists and psychologists that were passionate about not calling a â€Å"behavior†, a disease (Szasz, 2011). Many critics say that we are labeling children and thus enabling a self-fulfilling prophecy. As this research is new to me, I am anxious to get in there and really try to understand it. I came across another researcher, Dr. Barkely, on youtube. He was adamant that we cannot afford to have â€Å"successful† people saying that they are gifted because of their ADHD. He believed that there was no way that this was true. People may be gifted for other reasons, but not because they have AD HD. â€Å"There is nothing in this disorder that is helpful to a person (Barkely, 2010).† Barkely felt that if we continue to have celebrities saying such things that people will not take it serious and research will not be funded as it should. Finally, Professor Robert Spillanes, a psychologist, reports that ADHD is all just a myth and that we are calling a disorder something that should be considered â€Å"childhood.† ‘There is no way, scientific or medical, that a child can be tested for ADHD, there is therefore no way that it can be medically proven. The diagnosis is totally subjective - we can run X-rays for broken bones to provide a definitive and conclusive answer, we can check blood pressure to see ifShow MoreRelatedHow Students With Adhd Affects The Classroom Community And / Or Learning Environment1401 Words   |  6 Pages Numerous studies have been conducted regarding students who are diagnosed with ADHD. 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