Thursday, May 21, 2020
Ronald Stuart Thomas was a Welsh poet and Anglican Clergyman who lived from 1913 to 2000. He spent all of his life in small farming communities in isolated parts of Wales. He didnt care for the modern world, but instead believed in living a traditional life. After reading these two poems, it becomes apparent that R.S Thomas views on the developing technological world and the traditional ways influenced his poetic work greatly. He was very concerned about the environment, and this idea is clearly stated in the poem Lore, especially were he says: ?What to do? Stay Green, Never mind the machine,? I think that these lines, clearer than any of the other lines in Lore or Cynddylan on a Tractor, sum up R.S Thomas beliefs on theÃ¢â¬ ¦show more contentÃ¢â¬ ¦There is also a buried rhyme in the last two words in each of the two lines, although, on first hearing the poem the way it was intended to be read (enjambment), I didn?t notice the rhyme. ?After the slow poison And treachery of the seasons.? Again, I think these lines refer to the harsh life that Job has lived, but this time, I think that R.S Thomas is trying to say that instead of living, we are all really just slowly dying, that the time that we spend alive, is also the time that is edging us closer to death. The metaphor ?treachery of the seasons? is again referring to how time passing, is, in a sense, killing you. ?Miserable? Kick my arse! It needs more than the rain?s hearse,? The first part of this quotation is a rhetorical question, and it sounds much more light-hearted and joking compared to the sobering previous two lines. It also radiates a sense of defiance and obstinacy towards the very idea of his life being miserable. ?It needs more than the rain?s hearse,? again, this is a pretty serious metaphor, quite a contrast to the previous line. Arse and hearse is an eye rhyme, but I think it is quite strange that R.S Thomas would choose to link these two words together, considering the difference in tone, the word arse is said in quite a humorous sort of way, which is very different from hearse, which is of course connected to death. ?Wind-drawn, to pull me off The great
Wednesday, May 6, 2020
The pros and cons of Hybrid/Alternative Fueled Vehicles: There are many factors to consider when purchasing a Hybrid or Alternative Fueled Vehicle. Most times when searching for a vehicle, consumers tend to search for amenities to help cut cost. When considering alternative fueled vehicles, consumers have to keep in mind that there are several types of hybrid vehicles with different operating abilities to choose from to satisfy the needs of the consumers. With hybrids, there are three types which are hybrid electric vehicles, plug-in hybrid electric vehicles and all electric vehicles. Since they all operate differently, it is important to be informed to ensure the consumer is happy and satisfied with their investment. Hybrid ElectricÃ¢â¬ ¦show more contentÃ¢â¬ ¦This is often referred to as the Ã¢â¬Å"all electric rangeÃ¢â¬ of the car. Most of the driving with the plug-in hybrid comes from the stored electricity. If a consumer would like to use this vehicle to do light commuting, they can plug the vehicle in at night and the next day; this vehicle will be able to be driven in all electric modes. The batteries to the plug-in electric vehicles can be charged using an outside electric power source, the internal combustion engine or by the regenerative braking. When braking, the electrical motor behaves as the generator which uses the energy to charge the battery. There are two configurations used to combine power from the electric motor and the engine which are parallel and series. Parallel connects the engine and the electric motor to the wheels through mechanical coupling. The electric motor and engine drives the wheels directly. With series, plug-in hybrids only use the electric motor to drive the wheels. All Electric Vehicles use battery packs to store the electrical energy that provides power to the motor. These types of vehicles are charged by plugging the vehicle to an electrical power source. Since this car does not produce direct exhaust or emissions, itÃ¢â¬â¢s been said to be a zero-emissions vehicle. The use of fuel is not needed with this vehicle so this helps reduce petroleum consumption. This type of vehicle has a short range per charge than conventional vehiclesShow MoreRelatedThe Pros and Cons of Hybrid Cars Essays852 Words Ã |Ã 4 Pagesefficient while using energy. One of these inventions is hybrid cars. Though hybrid cars are a known technology, not many people know exactly what they are all about. Since many people donÃ¢â¬â¢t know exactly what theyÃ¢â¬â¢re about, they then really have no interest in purchasing one. Hybrid cars are very different from gasoline cars. Gasoline cars run purely off just gasoline which pollutes the air. A hybrid car can run off gasoline and work as an electric car. Using both of these systems, gasoline powered andRead MorePriua1542 Words Ã |Ã 7 Pagesdevelopment and production of a hybrid fuel-efficient vehicle to be put in the market as early as 1997. Analysis: The automotive industry is facing new challenges regarding customers being more environmentally concerned and sensitive towards fluctuations in the prices of gas. This potential market segment would be interested in a hybrid powertrain such as the one being developed by Toyota. The company has a longstanding history of producing efficient, reliable and valuable cars. Toyota Production SystemRead MoreHybrid Cars Vs. Conventional Cars869 Words Ã |Ã 4 PagesBack in 1999, two of the most renowned car companies made a car with a purpose of fuel efficiency. Back then, there were only two hybrids available in the world market. Due to gas prices increasing, people find this type of car as a solution to this problem. 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A gasoline-electric car, which uses both systems of gasoline powered and electric powered cars, emits less pollution intoRead MoreHybrid Vehicles And Climate Change922 Words Ã |Ã 4 PagesHybrid Vehicles and Climate Change Are hybrid vehicles really that much better than normal gasoline vehicles? There are known pros and cons of having hybrid vehicles. Climate change is a huge issue in society and continues to grow as a worldwide issue. Hybrid cars use both a battery powered engine as well as a gas powered engine, itÃ¢â¬â¢s a very complex system for more things to go wrong in. Also, it has a special system for storing brake energy in an on board battery. Two motors in a vehicle have someRead MoreHybrid Cars And Hybrid Electric Vehicles902 Words Ã |Ã 4 Pagesdaily life, there is two types of cars i.e. Gasoline vehicles and hybrid-electric vehicles, hybrid-electric cars which used quite a while but not as much as their gasoline counterparts. The difference between these two cars is mainly the Engine, tank, and the source on which the cars work. The hybrid-electric vehicle is more a computerized and electric version where it switch between running on gasoline and electricity. Other than that major changes, these cars are fundamentally the same. The bodyRead MoreA Pro Versus Con Argumentative Article Essay1347 Words Ã |Ã 6 Pagestheir strong views on the topic in a pro versus con argumentative article. Blumenauer and Byrd both built up their credibility by using strong sources, including facts and statistics, and appealing to the readersÃ¢â¬â¢ emotions; however towards the end of the article both sides had a slight flaw which we akened their credibility. When analyzing both viewpoints of the topic, the credibility of the sources and appeals to ethos in the article are very important. The pro side of the article was written by EarlRead MoreFuel Consumption Problems and Solutions Essay1434 Words Ã |Ã 6 PagesIn this essay I will attempt to solve one of the biggest problems in modern world Ã¢â¬â dependence and very large consumption of gasoline. According to the Seattle Times, Americans use over 880 million gallons of gasoline per day. With an average of 755 cars for every 1000 people, the United States of America consumes more gasoline than South America, Europe, Africa, and Asia combined (Source: Energy Information Agency) ! Modern world get well more than 80% of its energy from fossil fuels, major part of
The law is not effective in dealing with the problem of human trafficking. Discuss (using relevant International and Domestic law). According to the Trafficking in Persons Protocol, Human Trafficking is the recruitment, transportation, transfer, harbouring or receipt of persons, by threatening or using force, or any other form of coercion, abduction, fraud, deception, abuse of power or of a position of vulnerability; or giving or receiving payments or benefits to relieve the consent of a person having control over another person, for the purpose of exploitation. We will write a custom essay sample on Human Trafficking in the Caribbean or any similar topic only for you Order Now Human Trafficking is characterized by 1. The Act (What is done) 2. The Means (How it is done) 3. The Purpose (Why it is done) People may fall victim to Human Trafficking for many purposes. One common purpose is for prostitution. Sexual labour is identified as coerced labour. Other common purposes are for child labour and the sex trade. The Vatican has described Human Trafficking as being worse than slavery and has been described as the Ã¢â¬Å"Silent Crime of the CaribbeanÃ¢â¬ . Regional organizations such as the Association of Caribbean States, CARICOM and the Organization of American States have all expressed their displeasure at the rapid increase of human trafficking cases in the Caribbean. This growing practice impacts many nations across the world and the Caribbean has recently been drawn into what is being called a Ã¢â¬Å"global panic. Ã¢â¬ In the Caribbean the group causing the most concern in regards to Human Trafficking is Irregular Migrants Ã¢â¬â this includes the females transported to other locations (countries or regions) as commercial sex workers. The nature of the purpose can, without scholarly or legislative support, indicate that this is a violation of basic human rights. Caribbean governments are being asked to present an annual report to the US government outlining the steps they have taken and will take to challenge unregulated migration and forced labour, which are indicators of human trafficking. The countries are ranked according to their compliance with USÃ¢â¬â¢ wishes and a country that does not rank well or refuses to present a report are threatened with economic sanctions. Jamaica is among some of the countries that have been negatively ranked. However, the US government believes that Jamaica has the will and potential to improve their third tier status. Most victims of human trafficking may find themselves in situations where they fall prey to both physical and emotional abuse. Oftentimes Caribbean women are lured to the US with false promises of employment and are then sold by trafficking gangs, to the highest bidders all over the US and Europe. Caribbean states are eager to remain in good moral standing on an international platform. Hence, concerns about human trafficking in the Caribbean have increased mainly due to the idea of female prostitution and the urgency to rescue and protect a womanÃ¢â¬â¢s sexual purity. Makes you think, doesnÃ¢â¬â¢t it? Do they actually care about these issues or do they care by extension of their international image? Human trafficking is generally practised in the Caribbean in an effort to supply a demand for cheap, unskilled labour (irregular immigrants) and for sex workers in the tourist industry (irregular migrants). Human trafficking is common in many regions which are overpopulated and have high unemployment and poverty rates. According to the IOM* Legal Review concerning trafficking in the Caribbean statue laws have been put in place for the prosecution of traffickers, the protection of trafficking victims and the prevention of trafficking activities. Outside of the US and Europe, many other countries do not have the resources to put in place extensive legislation to fight human trafficking. However, there are some laws that can offer help to curb trafficking activities. The CaribbeanÃ¢â¬â¢s inability to compare favourably with the level of the US and EuropeÃ¢â¬â¢s fight against human trafficking is due to many economic, social, and legal factors. Some such factors are * Ã¢â¬Å"Law enforcement including prosecution and sentencing which may also be as a result of often using outdated criminal codes with inadequate penalties, many of which have not been reformed since the countries gained their independence. Ã¢â¬ (IOM 2005) Most Caribbean nations do have the desire to eradicate human trafficking but the state of their economies paired with their pre-independence law enforcement techniques serve as a deterrent. Of all the countries that have made an effort to combat human trafficking, Guyana has been the most successful by drafting a bill to Parliament which includes life penalties for trafficking persons, and stiff penalties for other trafficking related activities. This bill covers every eventuality concerning human trafficking. Jamaica has also introduced the Child Care and Protection Act which stipulates a penalty of ten years for trafficking children and provides protection to child victims. The provision that covers trafficking states that: 10. (1) No person shall sell or participate in the trafficking of any childÃ¢â¬ 24 This leaves the rest of us at the will of traffickers, donÃ¢â¬â¢t you think. Unless the victim is a child, there is simply no law to cover such an eventuality. There is no legislation that criminalizes trafficking in women and children; however elements of the crime are upheld in the criminal code. But considering that some instances of human trafficking is likel y to be for sexual purposes, sexual offences law can help to prosecute criminals involved. Most Caribbean countries include in their constitutions a guaranteed freedom from forced labour and slavery. This guarantor dictates a fundamental right but does not include how it is to be implemented. This right is only enforceable against the state and not private individuals or entities, which means there is no provision for redress against actual traffickers. There are clearly inadequate provisions for victims of human trafficking, largely due to the limited resources that are available to implement these services. The Ã¢â¬Å"patchworkÃ¢â¬ criminal approach can continue to be used as a substitute for a better legislative system until concrete provisions are instituted to cover the eventualities of human trafficking. And even then it is recommended that the weak and inconsistent criminal laws are reformed. INTERNATIONAL LAWS AGAINST HUMAN TRAFFICKING 1. United Nations Convention against Transnational Organized Crime 2. United Nations Protocol to Prevent, Suppress, and Punish Trafficking in Persons, Especially Women and Children 3. United Nations Protocol against the Smuggling of Migrants by Land, Sea, and Air 4. United Nations Global Initiative to Fight Human Trafficking (UN. GIFT) 5. Universal Declaration of Human Rights (1948) 6. Coordinated Mekong Ministerial Initiative against Trafficking (COMMIT) * Coordinated by China, Laos, Thailand, Cambodia, Myanmar, and Vietnam 7. Caribbean Counter-Trafficking Model Legislation 8. Belize Ã¢â¬â Trafficking in Persons (Prohibition) Act, 2003 9. Guyana Ã¢â¬â Combatting of Trafficking in Persons Act 2005 How to cite Human Trafficking in the Caribbean, Essay examples
Sunday, April 26, 2020
Neighbourhood Nursing Essay The ethos of a report by Cumberledge, Neighbourhood Nursing A Focus for Care (DOH, 1986), was to introduce nurse prescribing from a limited formulary to improve the care of patients in their own homes, and it identified that district nurses wasted valuable time requesting prescriptions from general practitioners (GPs) when they had seen and assessed the patient themselves with no medical involvement (Baird, 2003). Nurses as prescribers need to be aware of the influences on prescribing and the need for bias to be controlled in the information sources that they use, as patients receiving prescriptions from nurse prescribers will assume the product prescribed is safe and appropriate for them (Parker, 2000). In order to demonstrate the principles of safe, effective, appropriate and cost-efficient prescribing, the author will analyse the critical incident described in Appendix 1, and using the prescribing pyramid (NPC, 1999) to assist decision-making, explore the most appropriate course of action in terms of treatment. Consider the Patient Before prescribing, a thorough assessment of the patients medical and social history should be taken (NPC, 1999). We will write a custom essay sample on Neighbourhood Nursing specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Neighbourhood Nursing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Neighbourhood Nursing specifically for you FOR ONLY $16.38 $13.9/page Hire Writer A leg ulcer has been defined as the loss of skin below the knee, which takes more than six weeks to heal (Dale et al, 1983). Mr X had injured his leg six weeks prior to his referral to the DNs, therefore a leg ulcer assessment was conducted that incorporated a Doppler ultrasound, assessment of previous medical history and assessment of the limb and wound to determine the underlying cause of the ulcer and any associated diseases. This assessment will influence decisions about prognosis, referral, investigation and management (RCN, 1998). Lack of appropriate clinical assessment of patients with limb ulceration has often led to long periods of ineffective or inappropriate treatment (Stevens et al, 1997). The Doppler ultrasound revealed an ankle-brachial pressure index (ABPI) of 1.1 and 1.0 in the left. This gave an indication that Mr X had a vascular problem rather than arterial. The wound bed was sloughy, with slight inflammation around the edge, indicating a localised infection, which could delay healing; the wound was also malodorous again indicating infection was present. Chronic venous insufficiency of the lower extremities is a complicated disorder, affecting the productivity and wellbeing of millions of people worldwide (Donaldson, 2000; de Araujo et al, 2003). It is also a major cause of morbidity among patients in hospital and community settings (Nelson, 2001) Venous disease is the most common cause of leg ulcers. Identification of the risks of venous ulceration is important, as is optimal therapy, which requires control of abnormal venous physiology combined with adjunctive treatments to correct secondary skin ulceration, infection and lymphoedema (Donaldson, 2000). Which Strategy? Having established that the reason the ulcer was not showing signs of healing was due to venous insufficiency to the affected limbs and a localised infection to the wounds, the options for treatment needed to be considered. Liaison with his GP was essential to discuss pain management strategies with Mr X to control any pain he was suffering along with any anti-biotic therapy regarding the localized infection. However, the role of bacteria in chronic ulcers is a matter of debate and many authors have contradictory views regarding the use of antibiotic therapy (Tammelin et al, 1998). Within the local trust, guidelines suggest that if the patient is not showing signs of clinical infection such as pyrexia, friable, bleeding granulation tissue or cellulitis, antibiotics are not indicated. Furthermore, routine swabbing is not recommended as this is thought to be neither helpful nor cost-effective (Gilchrist, 2002). All chronic wounds contain bacteria and often represent either secondary colonisation or merely contamination, therefore not actually causing clinical infection (Morison et al, 1999). Consider the Choice of Product Short-stretch compression bandaging has been shown to be equally efficacious when compared to other compression systems in healing venous ulcers independent of associated factors (Scriven et al, 1998; Nelson, 1996; Vowden, 1998). This has directed a trend towards the use of short-stretch bandaging as a cost-effective and proven method of reversing venous hypertension and enhancing the wound repair process in some patients (Charles, 1998). Short-stretch compression bandages are fairly inelastic because the weave allows for minimal stretch and recoil (Charles, 1998). When applied to a leg at 90-100% stretch with a 50% overlap the inelastic nature of the bandage allows it to form a firm tube. When the muscle of the calf contracts, it reflects or rebounds from the wall of the tube, which increases the action of the calf muscle pump, thereby promoting venous return to the heart. It also has an effect on the microcirculation with an overall improvement in the function of the skin (Klyscz et al, 1997; Coleridge-Smith, 1997). The combination of increased calf muscle pump activity and an improved microcirculation as a result of short-stretch compression therapy therefore has the potential to correct venous incompetence and promote healing in venous disease. Non-compliance is a recognised problem in the use of compression therapy (Mayberry et al, 1991; Taylor, 1992). There are a number of reasons why this is the case, including factors such as forgetting instructions, difficulty managing the bandages and discomfort caused by the bandages for example, finding them too hot (Samson and Showalter, 1996). Mr X had experienced leg ulcer in the past and had not felt happy with four layer bandaging as he had complained of them making his legs too hot and also they felt bulky. Negotiate a Contract To ensure concordance it is important that the patient plays a central role in the decision-making process (NPC, 1999). If the patient is not consulted and does not understand the rationale for dressing choice, compliance with the treatment may be affected (Cole, 2004). A nurse prescriber has to balance dressing cost with nursing time, together with patient acceptability and concordance (Edwards, 2000). Mr X had experience of other wound care products used on his leg in the past, and had strong opinions about which ones he was willing to accept the use of. It is important to be aware of influences that may affect the way treatments are prescribed however, such as patient pressure or drug companies promotional advertising (Brew, 1994). Autonomy is grounded in respect for patients ability to choose, decide and take responsibility for their own lives (Randers and Mattiasson, 2004), but had his decisions been inappropriate, unsafe or not based on best evidence, agreeing to prescribe them could be deemed maleficent (Pridmore, 1998). Providing information on the benefits of the treatment proposed, in addition to the drawbacks enabled him to make an informed choice. Ultimately, negotiation ensures that the patient receives the most appropriate evidence-based care, which is safe, and which he agrees on. Review the Patient Twice weekly visits were agreed with Mr X to monitor the effectiveness of the bandaging and ensure that it was not causing a reaction, was helping to debride the slough, reduce the localised infection and absorb the exudate. Mr X was informed of the signs of an adverse reaction to the dressing, such as itching, increased localised pain and irritation at the site of the dressing, and advised to ring the DN if at all concerned. If the dressing used caused a reaction to Mr Xs leg and it was not picked up soon enough and the dressing removed, the effects could be deemed maleficent (Pridmore, 1998). Ongoing evaluation of the prescribed treatment should always be undertaken, as modifications may need to be made if conditions change (Morison et al, 1999). Once the primary objective has been achieved, the assessment process needs to be repeated in order to identify the next treatment objective until the wound has healed (Collier, 2002). After one week the inflammation surrounding the ulcer had gone and there was evidence that the slough was beginning to lift. Mr X had not reported any discomfort or irritation to the ulcer or surrounding tissue, which suggests that the dressing prescribed, was suitable for him. Record Keeping As a registered nurse one has both a professional and legal duty of care, therefore all nurses have a responsibility to keep accurate and up-to-date records that should be an accurate account of treatment, care planning and delivery that provides clear evidence of the decisions made (NMC, 2002a). This form of communication ensures that all members of the healthcare team involved in the care of the patient are fully informed, and ensures changes in the patients condition are detected at an early stage (NMC, 2000b). Details of the prescribed treatment were entered into Mr Xs assessment notes with a clear rationale for the choice of treatment. The trust has a specific form to complete that informs the GP of the treatment prescribed, which was completed and handed to Mr Xs doctor. Reflection Utilising a structured model of reflection by Driscoll (2000) has provided a useful means of reflecting on the incident described and analysing the decisions made. Although Mr X had expressed strong opinions about the choice of treatment he was willing to accept on his ulcer, negotiation had enabled a decision to be made that was safe, appropriate and cost-effective, in addition to being acceptable by him, thus ensuring concordance. Using the prescribing pyramid (NPC, 1999) provided a systematic, structured method of decision-making in relation to the choice of treatment, therefore ensuring that all essential aspects that needed to be considered were included. Conclusion Many district nurses have expertise in the different causes and manifestations of leg ulceration and wound care, thus most GPs tend not to interfere in the treatment, preferring to take advice from the experts in this field. So it makes sense that district nurses should be able to prescribe the most appropriate choice of dressing themselves. A good knowledge of wound healing mechanisms in relation to venous ulcers, in addition to a knowledge of treatment choices that reflect local policy, their suitability, contradictions and adverse reactions based on evidence not influence, ensured that Mr X received a dressing that proved successful in reducing the bacterial load, healing of the ulcer and comfort. The dressing did not cause any reaction or deterioration, therefore was safe and effective.
Thursday, March 19, 2020
Monday, March 2, 2020
How to Pronounce the Spanish RR Pronouncing the RR sound in Spanish can be difficult for some, but its possible to learn! 10 Steps to Master the Spanish RR Sound Keep in mind that there are two R sounds in Spanish: the single R sound and the double R (or RR) sound.Keep in mind that the single R sound is used whenever the single R appears in a word, except when its at the beginning of a word or after an L, N or S, when the RR sound is used.The RR sound is also used to sound the letter combination of rr, which used to be considered a separate letter of the Spanish alphabet.Keep in mind that the Spanish R and RR dont share the distinctive R sound of English. Think of them as separate letters entirely.Remember that the RR is a trilled sound formed by a flapping of the tongue against the front roof of the mouth.Visualize the front of your tongue as a flag flapping in a vigorous breeze.Now try purring like a cat. If youve succeeded, you are approximating the RR sound.Alternatively, relax and pretend youre a child making the sound of a revving-up motor.Another way is to pretend it is extremely cold. Now make the sound of exhaling with your lips flap ping together. Now do the same thing with your tongue against the roof of your mouth. Alternatively, loosely hold the tip of your tongue at the front roof of your mouth. Now try blowing air between the tip of the tongue and roof of your mouth while you partly relax the tongue. Try an Audio Lesson To hear the rr sound in words as spoken by native speakers, listen to an audio lesson on rr. Sample words in this lesson are perro (dog), carro (car), barra (bar, such as one made of metal) and hierro (iron, the metal).
Saturday, February 15, 2020
Case Study Example 2. The HR department will also offer monthly training to all employees. This is because 76 % of the respondents signified that they needed additional training. Employees will be categorized into two groups based on the training they need. The trainings available are computer and communication training. Computer training will be offered by a local- based institution, providing training on computer packages, for 4 months. Training will be offered on every afternoon of Friday and Saturday. Much of the training will focus on computer packages, as networking is an essential tool of communication, in the modern corporate world. On the other hand, five members of the staff will lead their colleagues in leaning communication techniques. This will be done daily as from 3pm to 5pm. 3. The facilities and comfort provided by the company are pretty reasonable; however, the HR department will consider improving medical and transport facilities because 90 % of the respondents need modern welfare administration. In the next 3 months, the companyÃ¢â¬â¢s heath unit is going to be stocked with modern medical equipment to improve service delivery. Additionally, one doctor and three nurses are going to join the medical team, in the next one month. Two more luxury buses will be delivered to the fleet department, in two months time. This, in addition to the existing buses, will enhance movement of employees from one point to another. 4. The HR department will also review its promotion and transfer strategies because 63 % of employees need regular employee movement. It is necessary to note that this will only depend on an employeeÃ¢â¬â¢s performance and efficiency. Therefore, those who need regular movements must improve their work output and efficiency. While interviewing employees, most of the correspondents complained that relationship between labour force and management is