Wednesday, November 6, 2019

101 They Say Summary Professor Ramos Blog

101 They Say Summary Break Quick Write Take 3 minutes and find a quote or important point from the article we read for today. Anything that stood out to you that you can add to our conversation? MICHAELA CULLINGTON â€Å"Does Texting Affect Writing?†Ã‚  p. 462 The Art of Summarizing Chapter 2 explains how to write an extended summary. We will be working with this today moving into beginning our essays. Careful you do not write a list summary or â€Å"closest cliche†. The book treats summary and paraphrase similarly. Keep in mind that you will also be using quotes. What argument is Cullington responding to? What other arguments are they responding to? Are they disagreeing or agreeing with the issue? Break Be back in 10. Timeline Take a piece of paper and turn it on its side. On the left put the year you were born. On the right add in today. Fill in as many different literacies that you have learned. Literacy Sponsors According to Deborah Brandt,  sponsors of literacy are â€Å"any agents, local or distant, concrete or abstract, who enable, support, teach, model, as well as recruit, regulate, suppress, or withhold literacy- and gain advantage by it in some way.†Ã‚  Source In other words, sponsors can be anything that helps or hinders your literacy. For this class, I would like you to focus on positive sponsors. Multivocal Arguments A great way to explore an issue is to assume the voice of different stakeholders within an issue. Who are the stakeholders in the Cullington article? Assume a voice of one of the stakeholders and write for a few minutes from this perspective. We will discuss this briefly. Now we will assume a different voice on the issue. Write briefly from this perspective. Discuss. Quick Write What does assuming different voices help us with in regards to an issue? What are current issues where this approach would help us? 101 They Say Summary Kelly â€Å"Better Than Human† Quick Write Kevin Kelly argues that machines will eventually take over many jobs that we now perform. Depending on how you are looking at this scenario, this could be a good or bad thing. How do you see machines taking over our jobs? Can a machine replace your job? The Art of Summarizing Chapter 2 explains how to write an extended summary. We will be working with this today moving into beginning our essays. Careful you do not write a list summary or â€Å"closest cliche†. The book treats summary and paraphrase similarly. Keep in mind that you will also be using quotes. Kelly â€Å"Better Than Human† In small groups, find statements in the articles that explain their attitudes. Find a positive and negative statements from both the Carr (424), â€Å"Is Google Making us Stupid?† and Kelly, â€Å"Better Than Human† articles. Carr Positive Statement Negative Statement Kelly Positive Statement Negative Statement Nicholas Carr is less optimistic about the future impact of technology. Who do you find more persuasive, Carr or Kelly? Audience Who are you writing to? Why are you writing to them? Narrative Structure Focus on events in your story. What events help you to tell your story? First Event Next Event Next Event Final Event Do tell us what you went through. Show us what happened. Place us there with you. Free Write What literacy are you going to write about? What moment are you going to focus on? or Tell us about a moment in your literacy? Who was there, how did it happen, where were you? Homework Turn one of the free writes you have written into a longer shitty rough draft.

Monday, November 4, 2019

Acute Care Hospitals Assignment Example | Topics and Well Written Essays - 1250 words

Acute Care Hospitals - Assignment Example There two categories of hospital patients: the inpatient and the outpatient. The inpatients can be admitted for a single day or for a couple of days. Acute health services encompass all prevention, curative, and rehabilitation efforts. The primary objective is to improve the patient health within the shortest time possible. Emergency departments of several acute care hospitals have a limited bed capacity. Patients with acute health condition require urgent short-term treatment. Any delays or in the emergency department may worsen their health condition. Patients with acute condition require the lengthy stay in the emergency department. The goal of acute care hospitals is to discharge the patient once they are deemed stable and healthy. However, acute health care is not limited to the emergency department rather it also covers the intensive care department. The federal government has initiated programs that will increase the bed capacity in an emergency department of various public ho spitals. The government strives to expand the existing hospital capacity or construct additional acute care hospitals, especially in the rural areas. Concerns have arisen regarding the increased patient frequency in the emergency department. Most of the hospitals have resulted in diverting some of the patients to other hospitals due to the widespread capacity problem. A study carried out in Chicago revealed that public hospitals inpatient is expected to rise by 4% in the current year, this implies the need to expand the bed capacity by 40%. There is a broad disparity in the variation of the pattern of patient discharge and that of patient admission. The underlying reason for the disparity is the way the hospital processes are managed. The processes include inpatients tests, pharmacy and ward transfer.

Saturday, November 2, 2019

Difficulties faced by residents of 'red light' districts in the UK Essay

Difficulties faced by residents of 'red light' districts in the UK - Essay Example Based on the statistics provided by the Metropolitan Police in London there are around nine boroughs in which prostitution on the streets occurs which actually causes problems to the local residents. In addition to this the Metropolitan Police Service did expose that there are almost certainly 800 saunas, massage parlors and escort representations in London in which almost 5,000+ women work and provide sex services.2 These women have actually been forced or victimized into prostitution.3 Actually street prostitution and connected drug activity can induce real agony for local residents. Of late politicians and police commandants are made more responsible to residents by the local CDRPs (Crime and Disorder Reduction Partnerships). Prostitution has now turned out to be a foremost trouble in the UK as individuals at a very young age involve themselves in the profession. This profession not only affects the individual involved but their family, children and the local residents are also af fected. Legalizing this profession would not be advantageous since the individuals who are involved will find it very hard to come out of the profession. Apart from this legalizing would also make it a tolerable alternative of occupation. The result is that the dark side of this occupation that is – abuse, coercion, lack of choice – is cloaked under a layer of decency, a facade which those profiting from high benefits persistently uphold. Nearly 81% of women who work in brothels in the UK have come from overseas4; and most of them must have been trafficked. Present UK statute law has nothing to say about off-street prostitution. The present law submissively and unconcernedly approves this view of the trade. Provided that the law does not censure the misuse of prostitution there will always be a requirement for women to prostitute and when this demand is not met by the women who have previously been cajoled into prostituting themselves, coercion or forcing others into t his trade by the powerful will not stop. UN Special Reporter for Human Trafficking Sigma Huda pointed out in a latest report: â€Å"It is not necessary for demand itself to lead to trafficking; rather, it is sufficient that the exploitation fostered by the demand leads to trafficking†¦ The demand side of trafficking is not, therefore, properly understood as the demand for a trafficking victim’s prostitution, labour or services. Rather, demand must be understood expansively, as any act that fosters any form of exploitation that, in turn, leads to trafficking.†5 What is a brothel? Prostitution cannot be termed as illegal at a brothel provided the sex worker does not manage or even run the brothel. When a woman uses her house alone for prostitution, is not a brothel. This was established in (Gorman v Standen6, Palace Clarke v Standen7). On the other hand, where rooms or flats in a single building are leased independently to different individuals who provide sexual se rvices; it may be dealt as a brothel but only if they are in actual fact working jointly. In Donovan v Gavin8 it was demonstrated that the leasing of single rooms in a house under freestanding occupancies and to different prostitutes does not inevitably rule out the house, or portions of it, from being a house of prostitution. Communities & Street Prostitution Street prostitution changes

Thursday, October 31, 2019

Ethical Decision Making and Ethical Leadership Essay

Ethical Decision Making and Ethical Leadership - Essay Example The leaders, therefore, will discourage the worker from accepting the gift no matter the reasoning and justification. The email would look like ‘‘Dear officer, I am sorry to inform you that if you breach the company’s rule that abhors acceptance of gift from customers then be ready to face the consequences. This rule should be followed at all times.’’ This approach hampers the organization’s democratic space where the views of others are not taken into account leading to the growth of an autocratic system. The management is likely to plunge into a culture where they impose strict self-centered rules. Over time, with the resistance and breach of these rigid rules, the leaders may escalate up the moral reasoning ladder making them adopt a more rational perspective in solving moral dilemmas in decision making. Moral reasoning is not complete at stage one and that is the reasoning why it is regarded as a reasoning pattern for children who do not have the capacity to rationalize between good and bad. They, therefore, have to blindly set or follow the laid down laws or regulations. Convection and post convection stages are eye-openers in moral

Tuesday, October 29, 2019

Theories as the Basis for Nursing Practice Essay Example for Free

Theories as the Basis for Nursing Practice Essay Abstract Theory development is the fundamental step for expansion of nursing knowledge. The knowledge has been borrowed from different disciplines to build the nursing theories. The categorization of theories is based on their scope of practice. The grand nursing theories are the most complex and abstract in their nature. Middle range theories are inducted mostly from grand nursing theories. Orem’s self-care model is clear and descriptive; the theory has been applied, analyzed in a precise method to various areas in the current nursing practice successfully. A comprehensive knowledge of nursing theories is an integral part of graduate nursing. Initially I was also wondering just like the graduate student in the beginning of chapter 2 in (McEwen amp; Willis, 2011) about the application of theory to nursing practice. However the initial theory classes were lot of information in a short duration. Over the time of the course it became clear that theory development in nursing has been crucial to nursing emerging as a profession. The knowledge for nursing theory development has been based on silent knowledge, where the role is limited to following physician orders, received knowledge; this is the information from other fields like sociology, psychology, physiology and anthropology. Later on the theory development was based on individual experiences, practical skills and procedures and empirical data and evidence based practices (McEwen amp; Willis, 2011). Initially it was extremely difficult to comprehend the grand theories, however, as mentioned by Professor Williams (2012) analyzing the grand theories in the context of meta paradigms like human, environment, nursing and health made it quite interesting and simple to understand M. Y. Williams (personal communication, October 12, 2012). The analysis of theories based on the concept development and the logical relationships between the concepts, provides the opportunity to conduct further research in the nursing practice. Grando (2005) described the use of Orem’s theory to guide nursing practice as an example of modern nursing to distinguish nursing from medicine. Grando (2005) successfully implemented a self-care deficit model while treating patients to maintain mental health functioning. She developed a tool based on conditioning of the basic human factors leads to self care requisites like changing behaviors, re framing the habits and managing feelings. Grando (2005) was able to cultivate self care agencies like adequate knowledge, judgment and perception modification to facilitate aintenance of mental health. SCNDT has been successfully implemented in various settings like care of the patient with learning disability. Orem’s model was used in the nursing process to assess the needs of a patient named Sara suffering with Asthma and formulated the nursing diagnosis and care plan based on the needs identified. â€Å"The human needs are categorized into food, air, water, shelter, rest, social interaction, prevention of hazards and maintaining adequate normal function level† (Horan, Doran amp; Timmins, 2004, p. 35 ). The patient was asked to maintain a diary of all the teachings and the interventions to track the progress of the care plan. The conclusion of the study was: It proved as a useful frame work in this situation because Sara was involved in the entire process. From this she became aware of issues relating to her self- care needs and how to meet them. The authors have found that using Orem’s (2001) model in this practice setting has greatly enhanced Sara’s self-care abilities and acknowledgement of deficits plus, preventing possible future problems.

Sunday, October 27, 2019

Relationship Between Insomnia And Depression Psychology Essay

Relationship Between Insomnia And Depression Psychology Essay Nowadays, insomnia is the most widespread sleeping disorder of this century. Being one of the most common sleep disorders, insomnia can be defined as inability to maintain a good sleep hygiene. According to epidemiological studies, atleast one third of the general population suffer from sleep troubles and among this, the incidence rate of insomnia is around 6% to 10% (Daley et al. 2009). Insomnia can be viewed as either being a symptom or a syndrome; the term secondary effect or symptom can be applied in cases set off by psychiatric afflictions, diseases, intake of illicit drugs or excess of alcohol and even an aggregate of all these factors coupled with stress, anxiety or depression (Sivertsen et al. 2009). Insomnia can be evaluated using the Insomnia severity index (ISI) which based on the patients providing an assessment of the intensity of their symptoms (Bastien et al, 2001). The Pittsburgh Sleep Quality Index (PSQI) which makes use of questionnaires is a practical way to assess the sleep quality along with the troubles causing it over a certain period of time (Backhaus 2002). Insomnia is regularly linked to psychiatric disturbances such as depression. Some researches show that depression is the factor that causes insomnia while others disagree by stating that in fact, insomniacs are more prone to develop depression (Isaac Greenwood 2011). Depression can be investigated using the Beck Depression Inventory (BDI). This literature review will be focused on defining the different types of insomnia and whether or not they are caused by depression. The flow of the bidirectional relationship between insomnia and depression will also be presented to determine which one of these two is a risk factor. Insomnia caused by depression Types of insomnia Primary Insomnia Primary insomnia (PI) is the repetitive inability to commence or uphold sleep and this excludes any natural or psychotic disturbances (Backhaus 2002). This has an impact on the quality of life of the patient causing distress and unfitness both socially and physically. Woods et al. 2008 reports that PI occurs in atleast 3% of the population in the western developed nations. According to a study conducted in the general population by Morin et al. (2006), people complaining of dissatisfaction in their sleep are more like to be developing insomnia symptoms compared to those have an appeasing and pleasant sleep. Some of the symptoms that might qualify a person as being insomniacs are: difficulty to fall asleep, have trouble in upholding sleep, waking up early in the morning or have a non-regenerative sleep; these symptoms can either appear individually or in combination with one another as shown in studies by Leger et al. (2010). PI does not occur due to any other particular health condit ions. It is independent of other factors. Secondary Insomnia As defined by the DSM (Diagnostic and Statistical Manual of Mental Disorders), secondary insomnia can be linked to mental disturbances, trouble to sleep owing to a medical state or stimulation by a substance. Secondary insomnia is one which is related to another mental disturbance whereby one of the chief grievances is based on the inability of start or maintains a proper sleep and that the sleep even of it is initiated is not rejuvenating at all and this spans for over a period of atleast one month. It occurs in close collaboration with other psychiatric and medical conditions whereby clinical depression is one of the main concern, this state is considered as a causative agent for insomnia. Transient or Acute Insomnia Insomnia can be classifies as being transient or acute is the delay of sleep disturbance expand over a period of less than a few nights or not more than three to four weeks (Fetveit et al. 2008). This type of insomnia is more likely to occur in people who have no previous history of sleep disorders but who have been exposed to some distinctive cause such as caffeine intake, nicotine or any other medications. Chronic Insomnia Chronic insomnia can be interpreted in two different ways; either as a syndrome as a whole similar to PI or as being the consequence arising from a medical ailment such as secondary insomnia or mental imbalance such as major depression, anxiety or by overdose of drugs and alcohol (de Sainte Hilaire et al. 2005). In relation to Fetveit et al. (2008), primary insomnia caters for around 25% of all the cases of chronic insomnia. 2.2 The Mechanism of how Depression causes Insomnia Depression is a factor that triggers insomnia by causing imbalance or deficiency in terms of serotonin which is monoamine neurotransmitter. These particular serotonergic activies govern the sleep regulation. According to studies conducted in vivo by Joensuu et al. (2007), the availability of the serotonin transporter (SERT) changes at different stages of depression and this can be proved by using a technique known as SPECT (Single proton emission tomography). This decline in terms of SERT which is due to depression is mostly localised in the diencephalon in the mid part of the brain (Joensuu et al. 2007). This decline in terms of serotonin level negatively influences the sleep patterns since the serotonin is key constituent affecting both the sleep phases and mood (Buckley Schatzberg 2010). The hypersecretion of cortisol along with ACTH is an indicator of insomnia. Changes made to the Hypothalamic-Pituitary-Adrenal (HPA) axis along with the mode of action of the hormone that predict s the start of sleep triggers the onset of depression. The hormone melatonin keeps the circadian rhythm of the body constant. Some studies show that depression causes the level of melatonin to drop which in turn causes a domino effect on the serotonin level. In people with major depressive syndromes, the concentration of cortisol is much higher than that of melatonin (Buckley Schatzberg 2010) as shown in the graphs below which highlights the relationship between the level cortisol and melatonin. Fig. 2 shows the phase relationship between cortisol and melatonin for healthy control compared to the one suffering from mental disorder (Buckley Schatzberg 2010). Yet, there are still other numerous neurobiological mechanisms like the deficiency of the monoamine neurotransmitters, excessive activity in the HPA axis, the faulty action of the gene related to plasticity and circadian genes mutation that can give an explanation on the irregularity in terms of sleep patterns in depressive patients (Benca Peterson, 2008). This diagnosis of sleeping troubles using only polysomnography is not reliable and must be supported by functional imaging or EEG activity patterns to define the correlation between the behavioral and experimental observations (Benca Peterson 2008). The bidirectional flow of the relationship between insomnia and depression Depression causes insomnia In those people who suffer from MDD, one of their major grievances is insomnia. In the adult population, around 60% of them that fits the criteria defining MDD whine about insomnia and an average of 10% to 20% of the insomniacs show signs of MDD (Fava et al. 2006). Using multiple variances, the mean values mean response for two particular groups (insomniacs with or without symptoms of depression) responses pertaining t to BDI-II were analyzed. From the total score derived from the BDI-II, it was seen that depressed plus insomniac participants attained much higher grades on the total score scale in contrast to those with solely insomnia. A feature that highlights depression is the shift in the sleep pattern that leading to insomnia and other disturbances. Among 90% of the depressive patients are insomniacs as well according to a study by Fava et al. (2006), this clearly emphasize on the co-existence of depression and insomnia. Insomnia triggers depression Though not the only one, insomnia is regarded as being the main factor that has an impact on depression. Studies conducted by Pigeon et al. (2008), patients with insomnia are more likely to become depressed and remain so. From the cohort study obtained from health surveys of the HUNT-2 by Neckelmann et al. (2007), the relationship between insomnia and depression is simply based on their resemblance to one another. This defines insomnia as a state marker for depression. As established by Taylor et al. (2005) with BDI and sleep diaries to support the research, the probability of insomniacs developing depression was 9.82 times more than people without insomnia as presented by the table 1. Further, this same study states that the depression score for patients with combined insomnia is much higher compared to other studies. Table 1. Prevalence Rates expressed using the Beck Depression Inventory Score to relate insomnia and depression (Taylor et al. 2005). From the direct analysis of figure 3 below that 4 out of the 5 different depression statuses prevail from persistent insomnia while more than 50% of the sample did not remit or have an improvement from the condition (Pigeon et al. 2008). This proves that insomnia (persistent or intermediate) does have a significant impact on the number of people with improved condition. All these facts boil down to the fact that insomnia is certainly a major risk factor for depression. Fig. 3 highlights the relationship of insomnia and how it is a risk factor for depression (Pigeon et al. 2008) Discussion Different types of insomnia react differently when exposed to other factors such as MDD for example it does not in any way cause primary insomnia however in cases of secondary insomnia, it is considered as being the most crucial factors based on studies related to DSM. This study did not really determine whether a correlation exists between insomnia and depression since they have common symptoms, yet the use of BD1-II did perceive the symptoms of depression in insomniacs. The PSQI has a high sensitivity and specificity for insomnia patients in comparison to healthy controls, thus underscoring that it is a good measure for differentiating between good sleepers and patients suffering from sleep disturbances. Our data suggest, however, that the cut-off score should be set to 6 in order to maximize specificity while only modestly reducing sensitivity. In sum, the PSQI proved to be a valuable adjunct to clinical work on insomnia and is a useful first-line, easy-to-handle, and time-efficient questionnaire to evaluate sleep disturbances. Conclusion

Friday, October 25, 2019

Othello: the Abnormal Essay -- Othello essays

Othello: the Abnormal Five Works Cited  Ã‚  Ã‚   William Shakespeare’s tragic drama Othello presents to the audience a very abnormal character in the person of Iago. Also can one classify the epileptic seizure of Othello as normal? Let us in this essay consider the abnormal in the play. The abnormal behavior of the ancient is partly rooted in his misogynism. In â€Å"Historical Differences: Misogyny and Othello† Valerie Wayne implicates Iago in sexism. He is one who is almost incapable of any other perspective on women than a sexist one: Iago’s worry that he cannot do what Desdemona asks implies that his dispraise of women was candid and easily produced, while the praise requires labour and inspiration from a source beyond himself. His insufficiency is more surprising because elsewhere in the play Iago appears as a master rhetorician, but as Bloch explains, ‘the misogynistic writer uses rhetoric as a means of renouncing it, and, by extension, woman.’ (163) And how about epilepsy? In Act 4 the evil Iago works up Othello into a frenzy regarding the missing kerchief. The resultant illogical, senseless raving by the general is a prelude to an epileptic seizure or entranced state: Lie with her? lie on her? – We say lie on her when they belie her. – Lie with her! Zounds, that’s fulsome. – Handkerchief – confessions – handkerchief! – To confess, and be hanged for his labor – first to be hanged, and then to confess! I tremble at it. [. . .] (4.1) Cassio enters right after the general has fallen into the epileptic trance. Iago explains to him: IAGO. My lord is fall’n into an epilepsy. This is his second fit; he had one yesterday. CASSIO. Rub him about the temples. IAGO. No, forbear. The lethargy must have his quie... ...l find Iago peeping out from many of its pages. Still more, Iago’s name will be found appearing occasionally in bold print in books on abnormal psychology. (89-90)    WORKS CITED    Bevington, David, ed. William Shakespeare: Four Tragedies. New York: Bantam Books, 1980.    Campbell, Lily B. Shakespeare’s Tragic Heroes. New York: Barnes and Noble, Inc., 1970.    Coles, Blanche. Shakespeare’s Four Giants. Rindge, New Hampshire: Richard Smith Publisher, 1957.    Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.    Wayne, Valerie. â€Å"Historical Differences: Misogyny and Othello.† The Matter of Difference: Materialist Feminist Criticism of Shakespeare. Ed Valerie Wayne. Ithaca, NY: Cornell University Press, 1991.