Thursday, May 14, 2020
Smoke is something that we will deal with all throughout our lives, in everyday situations as well as in emergencies. But not all smoke is the same -- in fact, the smoke will vary depending upon what is being burned. So then what, exactly, is smoke made of? Smoke consists of gasses and airborne particles produced as a result of combustion or burning. The specific chemicals depend on the fuel used to produce the fire. Here is a look as some of the principal chemicals produced from wood smoke. Keep in mind, there are thousands of chemicals in smoke so the chemical composition of smoke is extremely complex. Chemicals in Smoke In addition to the chemicals listed in the table, wood smoke also contains a large amount of unreacted air, carbon dioxide, and water. It contains a variable amount of mold spores. VOCs are volatile organic compounds. Aldehydes found in wood smoke include formaldehyde, acrolein, propionaldehyde, butyraldehyde, acetaldehyde, and furfural. Alkyl benzenes found in wood smoke include toluene. Oxygenated monoaromatics include guaiacol, phenol, syringol and catechol. Numerous PAHs or polycyclic aromatic hydrocarbons are found in smoke. Many trace elements are released. Reference: 1993 EPA Report, A Summary of the Emissions Characterization and Noncancer Respiratory Effects of Wood Smoke, EPA-453/R-93-036 Chemical Composition of Wood Smoke Chemical g/kg Wood carbon monoxide 80-370 methane 14-25 VOCs* (C2-C7) 7-27 aldehydes 0.6-5.4 substituted furans 0.15-1.7 benzene 0.6-4.0 alkyl benzenes 1-6 acetic acid 1.8-2.4 formic acid 0.06-0.08 nitrogen oxides 0.2-0.9 sulfur dioxide 0.16-0.24 methyl chloride 0.01-0.04 napthalene 0.24-1.6 substituted napthalenes 0.3-2.1 oxygenated monoaromatics 1-7 total particle mass 7-30 particulate organic carbon 2-20 oxygenated PAHs 0.15-1 Individual PAHs 10-5-10-2 chlorinated dioxins 1x10-5-4x10-5 normal alkanes (C24-C30) 1x10-3-6x10-3 sodium 3x10-3-2.8x10-2 magnesium 2x10-4-3x10-3 aluminum 1x10-4-2.4x10-2 silicon 3x10-4-3.1x10-2 sulfur 1x10-3-2.9x10-2 chlorine 7x10-4-2.1x10-2 potassium 3x10-3-8.6x10-2 calcium 9x10-4-1.8x10-2 titanium 4x10-5-3x10-3 vanadium 2x10-5-4x10-3 chromium 2x10-5-3x10-3 manganese 7x10-5-4x10-3 iron 3x10-4-5x10-3 nickel 1x10-6-1x10-3 copper 2x10-4-9x10-4 zinc 7x10-4-8x10-3 bromine 7x10-5-9x10-4 lead 1x10-4-3x10-3
Wednesday, May 6, 2020
Among the top minds of the 20th century lie many great men who have devoted their lives to research in order to conclude an achievement of everyday remembrance as well in providing useful and technical information that will advance us in the future. Amongst these men lie Karl Marx, Albert Einstein, Charles Darwin, and Marie Curie. One name who is highly debated and criticized for his theories is neurologist Sigmund Freud. Arguments take place in order to prove SigmundÃ¢â¬â¢s authenticity and the level of influence that he contributed. Sigismund Schlomo Freud was born May 6, 1856 in Moravia. Freud is highly known for his theories of the unconscious mind and for creating the clinical process of psychoanalysis, which treated psychopathology byÃ¢â¬ ¦show more contentÃ¢â¬ ¦Therefore, the unconscious must distort the meaning of its information to make it through the conscious. As a result, the images in our dreams are not always what they appear to be. Therefore, dreams need to be inte rpreted by using psychoanalysis. Psychoanalysis is the method developed by Sigmund Freud that was intended to investigate the mind, conclude a symptom, and to provide a treatment for the symptom. In todayÃ¢â¬â¢s modern society, many discredit Psychoanalysis and deed it useless. As Mikkel Jacobsen said, Ã¢â¬Å"The truth is that Freud knew from the very start that Anna O. and his 18 patients were not cured, and yet he did not hesitate to build grand theories on these non-existent foundations...he disguised fragments of his self-analysis as Ã¢â¬ËobjectiveÃ¢â¬â¢ cases, that he concealed his sources, that he conveniently antedated some of his analyses, that he sometimes attributed to his patients Ã¢â¬Ëfree associationsÃ¢â¬â¢ that he himself made up, that he inflated his therapeutic successes, that he slandered his opponents. To many, there is not enough proof, truthiness, and cause of work to set Freud as the great neurologist that he is set to be. Yet, there are those who credit him and Psychoanalysis for being the stepping-stone towards todayÃ¢â¬â¢s foundation of psychology. Freud had a serious of works publicized. Three Essays on the Theory of Sexuality contains FreudÃ¢â¬â¢s Ã¢â¬ËdiscoveryÃ¢â¬â¢ of psychosexual phases: oral, anal, phallic-oedi pal, latency, and matureShow MoreRelated goodman brown Essay628 Words Ã |Ã 3 Pages Ã¢â¬Å"Young Goodman BrownÃ¢â¬ is a short story by Nathaniel Hawthorne is an excellent piece that clearly illustrates Sigmund Freud theory of repression through Young Goodman BrownÃ¢â¬â¢s faith in his puritan religion. Brown in his unconscious mind is, however, challenged by the evils which surround him that he tries to repress and thus, a battle between good vs. evil surfaces. nbsp;nbsp;nbsp;nbsp;nbsp; Growing up as a dedicated puritan, Young Goodman Brown was raised under strict religious guidelines thatRead MoreOne Flew Over The Cuckoos Nest Critical Analysis1479 Words Ã |Ã 6 Pagesfor a majority of his time in the ward, and does not see himself as a strong individual, although his large stature and overarching strength over all other patients. Chief Bromden does not wish to ever stand up for himself against Nurse Ratched, the head nurse in charge, he instead pretends to be deaf and dumb to avoid all confrontation with people. All the problems that keep him from leaving the ward, slowly being to disappear upon McMurphyÃ¢â¬â¢s arrival. Bromden is plagued with hallucinations of machinesRead MoreOne Flew Over The Cuckoo s Nest1226 Words Ã |Ã 5 Pagesillnesses work, as well as touches on masculinity, insecurity, impulse, sexuality, power, leadership, authority, racial sensitivity, and more. I intend to dissect and deconstruct this novel and peer at i ts inner meaning through the spectacles of Sigmund Freud, esteemed Austrian psychologist. FreudÃ¢â¬â¢s highly regarded contribution to the study of the human brain and mind opens the curtains of the books reality. Things like mental illness and depression were not well known or understood traits for a personRead MoreAnalysis Of The Movie Inside Out 1318 Words Ã |Ã 6 Pages Inside Out is the story of a young girl, Riley, who is forced to work through her emotions when she leaves her old life in Minnesota for a new start in San Francisco. Riley s Emotions are portrayed as little people inside her head and there are five of them: Joy, Sadness, Anger, Fear, and Disgust. Three theories that have been discussed in class and that are present in the movie Inside Out are the Memory Consolidation theory, Wish-Fulfillment theory, and the Creativity theory. Another theory,Read MorePersonality Is The Dynamic Organization Within The Individual Of Different Theories Of Personality Essay1732 Words Ã |Ã 7 Pagesstudy the human behavior using different theories of personality. While many theories are rational, the theory of the Ã¢â¬ËUnconscious mindÃ¢â¬â¢ emphasized by Sigmund Freud most resonated with me in explaining oneÃ¢â¬â¢s behaviors. Freud stressed the idea of our subconscious and its impact on our personality, using his analogy of the iceberg. Even though, Sigmund Freud (1856-1939) did not invent the concept of the conscious versus unconscious mind; he was the primary contributor who expanded on this intrapsychicRead MorePsychoanalytic and Trait Approaches Personality Assessment Essay996 Words Ã |Ã 4 PagesAssessment PSY/250 Psychoanalytic and Trait Approaches Personality Assessment I have always attributed personality as being a culmination of environment first, biology second, and traits, or what my understanding of them was. I was not aware of Sigmund FreudÃ¢â¬â¢s psychoanalytic approach, or the correct definition of the trait theory prior to beginning this class. The psychoanalytic approach to personality defines the origins of personality as being divided in to three parts; the id (unconscious), theRead MoreSigmund Freud s Theory Of Psychology2134 Words Ã |Ã 9 PagesTheorists. Sigmund freud Sigmund freud showed importance of all childhood experiences and different events, Sigmund very much concerntrated on the mental disorders other than the normal functioning. According to Sigmund freud childrenÃ¢â¬â¢s development is portrayed as a array of psychosexual stages. In the three essays of sexuality Sigmund Freud zoned these stages as oral, anal, phallic, latency and genital. All of the stages which are involved in the fulfillment the pleasure of a libidinal wish andRead MoreThe Raven, By Edgar Allen Poe1164 Words Ã |Ã 5 Pages Any time someone thinks, their brain has a special, designated voice for their thoughts. This voice, allows an individual to in some degree, have a conversation with their self, without necessarily communicating out loud. This voice in our heads has had numerous names throughout the years, such as a personÃ¢â¬â¢s conscious or recently has been called the Ã¢â¬Å"self.Ã¢â¬ Many researchers have wanted to know who and or what the actual voice is that we hear in our conversations. Richard Rass author ofRead MoreRene Dali s The First Days Of Spring1457 Words Ã |Ã 6 Pagesideas were new to art, the subconscious and flow of imagination were studied by Sigmund Freud in years prior. Artists of the surrealist movement were greatly influenced by his ideas and obsession with the subconscious. Salvador DaliÃ¢â¬â¢s The First Day of Spring was primarily influenced by Sigmund Freud s Interpretation of Dreams. Similar to other surrealist works, there are allusions to repressed desires. According to Freud, Ã¢â¬Å"The dream is a psychic act full of import; its motive power is invariably aRead MoreThe Yellow Wallpaper, By Charlotte Perkins Gilman1711 Words Ã |Ã 7 Pagesproblems will arise; Issues such as being more at risk for anxiety, stress, and health problems. Nervous exhaustion, just like anxiety, causes fearfulness more than anything else. This fearful thinking originates from the negative thoughts in a personÃ¢â¬â¢s head. It is similar to the idiom Ã¢â¬Å"you are what you eatÃ¢â¬ . In the event that someone who progressively consumes negative thoughts and decisions, will only produce negative outcomes. It is normal to have thoughts and feelings that are unfavorable. But once
Tuesday, May 5, 2020
Question: Discuss about the Warfarin Therapy for Atrial Fibrillation. Answer: Introduction: Atrial Fibrillation that is a medical condition occurring due to irregular heartbeats in patient enhancing the chances of blood clots ultimately leading to a stroke. Warfarin therapy is an effective treatment for the atrial fibrillation and discontinuation of the green vegetables is essential as these works in against of the regulatory and remedial procedure undertaken by the Warfarin therapy (Moss et al., 2014). The essay is a case study of Mrs. Lillian Gamble who is suffering from atrial fibrillation and is under Warfarin therapy for treatment. This essay outlines the learning needs of Mrs. Lillian gamble, aids and barriers to effective treatment with the help of Warfarin therapy. Furthermore, formulation of smart objective for effective imparting of awareness and effective teaching aid that can be undertaken. According to the case study, Mrs Lillian Gamble is a 78 years old aged woman who carries a long history of medical conditions. Recently she has been suffering from atrial fibrillation with the symptoms that started to show up three months back in term of chest pain, palpitations and dyspnoea (Raine et al., 2016). The learning requirement of Mrs. Gamble is on Warfarin therapy and prohibition from eating green leafy vegetables. Warfarin is an anticoagulant tablets that increases the time of blood coagulation by making it thin. The blood clot inside the body can causes cardiac arrest, heart failure or the failure of any other essential organ leading to ultimately death. Besides this, the consumption of green leafy vegetables has been prohibited for her as these vegetables contain high levels of vitamin K that helps in coagulation process. Continual consumption of these along with Warfarin tablets will breach the thinning of the blood. Aid and barriers are most common and prevalent issues faced by the healthcare professionals when dealing with the patients for any malady or illness. The level of understanding for a disease is not common and updated by the patients that lead to a lag and huge gap in undertaking the optimal treatment imparted by healthcare professionals (Loewen et al., 2017). Same issue prevails in the case of Mrs. Gamble who does not know much about her condition that is atrial fibrillation, its symptoms and why she is prevented from eating green leafy vegetables. Furthermore, due to long history of severe health conditions she has severe pain in the body and further impairment of the physical movement and activities. Besides this, she is lagging in optimal cognitive skills that have affected her ability to remember provided information and effectual decision-making. Furthermore, her short stay in the hospital has also breached the detailed understanding on her medical condition, symptoms and implem ented preventions (Lee et al., 2016). Increment in self advocacy can be done with optimal awareness allowing them to make independent decisions based on the knowledge. The SMART approach has been undertaken along with the Blooms Taxonomy of Learning Objective for the formulation of procedures and aims (Kirchhof et al., 2016). The goals are: Specific: To enhance the existing knowledge with the help of optimal communication of Mrs. Lillian Gamble on her medical condition that is Atrial Fibrillation and its prevailing symptoms in her. Further enhancing knowledge on what dietary intake she is required to consume during the remedial treatment. Besides this, awareness is to be provided on the Warfarin therapy in accordance with the prevailing issues such as overall lack in education, cognitive skills, decision-making, learning and understanding. Undertaking of certain exercises such as flash cards or mcqs based on the guidelines of the hospital will help in achieving the target (Culebras et al., 2014). Measurable: To conduct this awareness program with her for a week in order to instil complete information required by Mrs Gamble on the prevailing conditions in her understandable terminologies and interpretation. The growth and development must be determined daily with the help of questionnaire and asking for feedback. This also undertakes qualitative analysis on the approach of Mrs. Gamble towards the imparted knowledge and further critical evaluation is to be conducted to mould the further training (Culebras et al., 2014). Achievable: Within a week, the awareness program must instil optimal knowledge on the atrial fibrillation and related must be provided with the help of certain guidelines and exercises. To achieve this goal within time, effective trained and professional approach by the healthcare professionals is required that undertakes the training with efficacious compassion and dedication. For this, such professionals must be trained enough of handling patients with conditions as Mrs. Gamble (Kirchhof, 2017). Result-Oriented: Each and every aspect of the atrial fibrillation, warfarin therapy and other important information related to it must be meet leading to the completion of the program. Such measures will help in providing person centred training required by Mrs. Gamble. Time-bound: Within a week, the newly implemented awareness program for Mrs Gamble must provide optimal information required. Optimal efficacy is determined by critically analysing the effectiveness of the imparted information with the help of questionnaire (Kirchhof, 2017). Effective teaching aids and optimal environment for learning are two prime factors required for the learning and understanding of the patient to be imparted by the healthcare professionals regarding their prevailing condition. As Mrs. Gamble is suffering from different conditions such as cognitive impairment, lack in understand, learning and formulating the decision-making on the basis of the information given, different teaching aids that can be used for her are displaying information with the help of flash cards, using motion picture, providing her written information on the prevalent condition, existing symptoms, and knowledge on remedial treatment undertaken such as Warfarin therapy (Gladstone et al., 2015). The remedial environment required for optimal imparting of the information requires good knowledge on the condition of the patient case history and current condition. Furthermore, any kind of pressure must not adhere in mrs. gamble while implementation of the exercise. Beside s this, optimal regulation of the teaching aids such as flash cards, motion picture or written information in the form of brochures, flyers or a written booklet must be provided to mrs. gamble along with a small diary in which she can write and preserve the allotted prescription for the optimal intake of the medication provided. Effective communication is one of the essential criteria to be followed on which all other factors for the optimal regulation of the exercise depends. Effective communication must be patient oriented and implemented cautiously by the healthcare professional making the patient comfortable, congenial and interested enough towards the communication (Tamura, 2013). The series of induction includes the study of the old age and the case history of mrs. Gamble. This analysis needs to be studied by the healthcare professional as well as mrs gamble as well in order to understand the reason behind the prevailing health condition. She is a 78 years old woman with a long history of medical conditions such as hypothyroidism, hip replacement and the rehabilitation, abdominal pain, distension, septicaemia, MRSA infection, pseudoarthrosis, dyspnoea, chest pain, artial fibrillation and pneumonia. This long history has triggered symptoms of artrial fibrillation such as palpitations, chest pain, reduced exercising capability, dyspnoea, confusion and short of breath. After acknowledging and imparting the case history, information must be provided on arterial fibrillation and its effect on the coagulation process conducted by blood. Information must be imparted on the Warfarin therapy that conducts thinning of the blood and information on Coumadin medication th at is provided to mrs. gamble for treatment. Besides this, regulation of optimal diet is essential and green leafy vegetables must be prohibited till the time Warfarin therapy is been undertaken. Green leafy vegetables are rich in vitamin K that undertakes the coagulation process of the blood. The Warfarin therapy or medication is undertaken for the thinning of the blood. The function of the Warfarin therapy and green leafy vegetables are just opposite and this will prevent optimal regulation and treatment of the arterial fibrillation in mrs gamble. Furthermore, importance of prescribing Coumadin which is a colour coded tablets of Warfarin especially made for the patients suffering from confusion and impaired cognitive skills (Graudins, Chen Hopper, 2015). At the end, approach of mrs gamble needs to be generalised towards this in order to generate self advocacy in her. Self advocacy will provide optimal decision-making which is extremely essential for the regulation of the treatmen t provided by the healthcare professional as per the extent of own understanding and learning. Conclusively, the induction procedure includes background study of mrs. gamble, study on atrial fibrillation its symptoms and remedial Warfarin therapy that leads to prohibition of intake of green leafy vegetables (Jun et al., 2015). According to a study conducted by Gomes et al. (2013), warfarin therapy is essential for the treatment of various maladies such as Atrial Fibrillation, Pulmonary Embolism (PE), artificial heart valves, Deep Vein Thrombosis (DVT) and others. Warfarin is a medicine that prevents the clotting of blood by thinning it. Furthermore, this medicine is essential after big surgeries such as bypass surgery, cardiac arrest or any other surgery of organs. Coumadin and Marevan are two different brands of the warfarin tablet are available for commercial purpose. They come in different colours for different strengths to prevent any sort of confusion during consumption. Mrs Gamble is suffering from atrial fibrillation that promotes blood clotting. Optimal undertaking of this tablet by her will prevent clotting by thinning the blood. Besides this malady, old age and severe medical case history one of the prevailing factors of the symptoms shown by her. Confusion, unable to take correct doses, palpitat ion, short breath, body pain, weakness and unable to walk are some of the essential symptoms leading to decrement in her condition (Gomes et al., 2013). Another study conducted by Bjorck et al. (2013), though there are many advantages of using Warfarin tablet, certain limitations are also there if doses are not maintained optimally. This may lead to haemorrhage that is release of blood from ruptured and broken blood vessels. Older patients suffering from atrial fibrillation tend to get exposed from haemorrhage mostly within the thirty days of starting of Warfarin therapy. Furthermore, atrial fibrillation is also responsible for ischemic stroke. Occurrence of this stroke increases with age mostly in the aged people above eighty years of age. Alteration in the required doses of Warfarin therapy increases the chances of ischemic stroke in the patients suffering from atrial fibrillation to a greater extent (Bjorck et al., 2013). A study conducted by Dennis et al. (2017) determines that warfarin therapy is one of the most prevailing anticoagulant medication that is accepted by different healthcare professionals yet its context and usefulness is not fully informed and accepted in remote areas. Scope for improvement for determined when an analysis for the warfarin tablet users in the remote areas of Northern Australia was undertaken. A very less number of patients were aware with the concept of anticoagulation property of warfarin tablets (Dennis et al., 2017). The necessary information for Mrs. Gamble undertakes sufficient knowledge towards her symptoms, her prevailing malady that is atrial fibrillation, prohibition on certain dietary intake such as green leafy vegetables and remedial treatment provided to her through Warfarin therapy. Furthermore, Mrs Gamble must be provided information on the doses of the Warfarin to be consumed in a day. Besides this, resourceful information must be provided on the treatment plan covering different questions such as the importance of the consumption of the Warfarin tablet and the time of next blood test to determine the amount of the time the blood takes to coagulate. Furthermore, information must be provided on how to undertake the optimal usage of Warfarin at home on own for the continual intake of the medication (Wang et al., 2014). This can be done by regular consumption of the medication as prescribed by the doctor with the help of the colour coding of the tablet. Additionally, Warfarin tablets mus t be consume along with the evening meal but other schedule is to be prescribed by the doctor and consumption must be undertaken accordingly. Information of missing the doses in accordance with the prescription must be directly consulted with the doctor to prevent any dangerous implications. Conclusively, warfarin therapy is a good method of providing relief to the patients but must be undertaken in accordance to the prescription. Furthermore, regular blood test must be conducted that determines how much time blood is taking to coagulate with the help of International Normalised Ratio. Lower value will lead to more coagulation and high value will lead to bleeding. Besides this, Mrs. Gamble requires to follow all rules and regulation for the consumption regulation and maintaining equilibrium in the warfarin therapy (Coyle et al., 2015). Conclusively, warfarin therapy is the best possible solution for the treatment of atrial fibrillation among aged people. Besides this, different barriers such as ageing and maladies have affected Mrs. Lillian Gamble cognitive skills and ability of understanding, learning and decision-making. The major goal of teaching the patients regarding their prevailing severe healthcare condition is to improve their existing knowledge on the disease and why different remedial measures has been undertaken. Furthermore, effective communication along with the usage of teaching aids will create awareness in the patient leading to self advocacy. This measure is extremely important for the optimal conduction and regulation of the treatment provided by the healthcare professional to the patient. References: Bjrck, S., Palaszewski, B., Friberg, L., Bergfeldt, L. (2013). Atrial fibrillation, stroke risk, and warfarin therapy revisited.Stroke,44(11), 3103-3108. Coyle, D., Coyle, K., Essebag, V., Birnie, D. H., Ahmad, K., Toal, S., ... Krahn, A. D. (2015). Cost effectiveness of continued-warfarin versus heparin-bridging therapy during pacemaker and defibrillator surgery.Journal of the American College of Cardiology,65(9), 957-959. Culebras, A., Mess, S. R., Chaturvedi, S., Kase, C. S., Gronseth, G. (2014). Summary of evidence-based guideline update: Prevention of stroke in nonvalvular atrial fibrillation Report of the Guideline Development Subcommittee of the American Academy of Neurology.Neurology,82(8), 716-724. Dennis, J., Majoni, W., Tinsley, J., Kangaharan, N. (2017). Safety and Efficacy of Warfarin Therapy in Remote Communities of the Top End of Northern Australia.Heart, Lung and Circulation. Gladstone, D. J., Geerts, W. H., Douketis, J., Ivers, N., Healey, J. S., Leblanc, K. (2015). How to Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation: A Practice Tool Endorsed by Thrombosis Canada, the Canadian Stroke Consortium, the Canadian Cardiovascular Pharmacists Network, and the Canadian Cardiovascular SocietyHow to Monitor Patients Receiving Direct Oral Anticoagulants.Annals of internal medicine,163(5), 382-385. Gomes, T., Mamdani, M. M., Holbrook, A. M., Paterson, J. M., Hellings, C., Juurlink, D. N. (2013). Rates of hemorrhage during warfarin therapy for atrial fibrillation.Canadian Medical Association Journal,185(2), E121-E127. Graudins, L., Chen, F., Hopper, I. (2015). Warfarin brands.Australian prescriber,38(5), 150. Jun, M., James, M. T., Manns, B. J., Quinn, R. R., Ravani, P., Tonelli, M., ... Hemmelgarn, B. R. (2015). The association between kidney function and major bleeding in older adults with atrial fibrillation starting warfarin treatment: population based observational study.bmj,350, h246. Kirchhof, P. (2017). Integrated care of patients with atrial fibrillation: the 2016 ESC atrial fibrillation guidelines. Kirchhof, P., Breithardt, G., Bax, J., Benninger, G., Blomstrom-Lundqvist, C., Boriani, G., ... Calvert, M. (2016). A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference.Europace,18(1), 37-50. Lee, T. M., Ivers, N. M., Bhatia, S., Butt, D. A., Dorian, P., Jaakkimainen, L., ... Wing, L. (2016). Improving stroke prevention therapy for patients with atrial fibrillation in primary care: protocol for a pragmatic, cluster-randomized trial.Implementation Science,11(1), 159. Loewen, P. S., Ji, A. T., Kapanen, A., McClean, A. (2017). Patient values and preferences for antithrombotic therapy in atrial fibrillation.Thrombosis and Haemostasis. Moss, R. C., Lowe, G. C., Frampton, C. A., Revell, P. (2014). A nurse-led randomised controlled trial of a structured educational programme for patients starting warfarin therapy.Journal of Research in Nursing,19(5), 402-412. Raine, D. T., Begg, G. A., Moore, J., Taylor, E. C., Buck, R. T., Honarbakhsh, S., ... Thomas, D. E. (2016). 59multipolar contact mapping guided ablation of temporally stable high frequency and complex fractionated atrial electrogram sites in patients with persistent atrial fibrillation60intra-cardiac and peripheral levels of biochemical markers of fibroses in patients undergoing catheter ablation for atrial fibrilation61the don't wait to anticoagulate project (dwac) by the west of england academic health science network (ahsn) optimises stroke prevention for patients with atrial fibrillation (AF ....Europace,18(suppl 2), ii24-ii35. Tamura-Lis, W. (2013). Teach-back for quality education and patient safety.Urologic Nursing,33(6), 267. Wang, Y., Kong, M. C., Lee, L. H., Ng, H. J., Ko, Y. (2014). Knowledge, satisfaction, and concerns regarding warfarin therapy and their association with warfarin adherence and anticoagulation control.Thrombosis research,133(4), 550-554.
Thursday, April 9, 2020
In the first column below, type any questions or thoughts you have as you read. In the second column, record an example or detail from the story that brought about your question or thought. In the third column, note any answers you find or conclusions you make about the examples or details you recorded in the first column. Your completed graphic organizer should have a minimum of five complete entries. As I Read Graphic Organizer My Questions and Thoughts as I ReadExample or Detail from the Text Answers or Conclusions Is the sister likely to succeed? The sister is not likely to succeed because he ignored the sign and there is no other choice but dying. How does this paragraph relate to the title of the story? Is this story scary? Sad? Funny? Something else? Explain. To be honest, the story is very sad because a innocent girl that only wanted to see her brother What does the pilot want? The pilot wants to save the girl. We will write a custom essay sample on As I Read Graphic Organizer or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Is the pilot likely to succeed?The pilot is not likely to succeed because the others are die. What does the government want? The government wants the girl to die by being thrown off the ship. Is the government likely to succeed. The government is likely to succeed because hes getting what he asked for. Is the pilot a good person or a bad person? Explain. The pilot is a good person, because he really wants to save the girl, but everything thats going on right now he cant be the good person he wants to be.Is the sister a good person or a bad person? Explain. The sister is a good person, because she honestly didnt mean for all this stuff to happen for her self, but she wasnt aware of the law. What does the sister want? The sister only wants to see her brother. What will happen? The girl will be thrown off the ship into space and die. How does this paragraph relate to the title of the story? How does the authors description of Earth differ from, or contrast with, that of space?
Monday, March 9, 2020
In preparing for this assignment, I found myself interested in all of the four essays. This may seem trivial, or even predictable, if it werenÃ¢â¬â¢t for the fact that I honestly canÃ¢â¬â¢t remember the last time a read something that wasnÃ¢â¬â¢t directly related to passing a medical exam. I was moved by the awkwardness and passion in Tell Me, Tell Me; disturbed by the disclosures in Invasions; and intrigued by the conflict in Case Study: Please DonÃ¢â¬â¢t Tell! However, it was Marrying Medicine that really hit closest to home. Obviously the paper addresses an issue that concerns most female physicians and medical students. As the traditional Ã¢â¬Å"caregiver,Ã¢â¬ I think many of us tend to feel the need to care fully for our patients as well as care for our families. This creates a major source of conflict when time constraints prevent us from doing both. Furthermore, a legal obligation to provide care for the patients often tips the scales away from the people we would probably prefer to care for. As someone who is very close to and reliant on my family and very involved in personal relationships, it terrifies me to think my career choice may prevent me from creating the kind of home atmosphere IÃ¢â¬â¢m accustom to. Reading the essay again, I found another issue that was not quite as apparent, but that echoes a sentiment IÃ¢â¬â¢ve often felt. On one hand, Dr. Bannerjee knows what a competent, caring physician she is, and how she is desirable enough to have turned down many suitors. On the other hand, she has serious doubts about why her husband is with her. ItÃ¢â¬â¢s almost as if she has two distinct personalities: one that is secure, confident, and in control and another that is insecure, doubtful, and fearful. While she is obviously more intelligent and attractive than most women, she still grapples with the insecurities that plague the rest of her gender. On top of it, she has to deal with another duality of her personality: her ambitious, h... Free Essays on Reaction To Ã¢â¬Å"Marrying MedicineÃ¢â¬Å" Free Essays on Reaction To Ã¢â¬Å"Marrying MedicineÃ¢â¬Å" In preparing for this assignment, I found myself interested in all of the four essays. This may seem trivial, or even predictable, if it werenÃ¢â¬â¢t for the fact that I honestly canÃ¢â¬â¢t remember the last time a read something that wasnÃ¢â¬â¢t directly related to passing a medical exam. I was moved by the awkwardness and passion in Tell Me, Tell Me; disturbed by the disclosures in Invasions; and intrigued by the conflict in Case Study: Please DonÃ¢â¬â¢t Tell! However, it was Marrying Medicine that really hit closest to home. Obviously the paper addresses an issue that concerns most female physicians and medical students. As the traditional Ã¢â¬Å"caregiver,Ã¢â¬ I think many of us tend to feel the need to care fully for our patients as well as care for our families. This creates a major source of conflict when time constraints prevent us from doing both. Furthermore, a legal obligation to provide care for the patients often tips the scales away from the people we would probably prefer to care for. As someone who is very close to and reliant on my family and very involved in personal relationships, it terrifies me to think my career choice may prevent me from creating the kind of home atmosphere IÃ¢â¬â¢m accustom to. Reading the essay again, I found another issue that was not quite as apparent, but that echoes a sentiment IÃ¢â¬â¢ve often felt. On one hand, Dr. Bannerjee knows what a competent, caring physician she is, and how she is desirable enough to have turned down many suitors. On the other hand, she has serious doubts about why her husband is with her. ItÃ¢â¬â¢s almost as if she has two distinct personalities: one that is secure, confident, and in control and another that is insecure, doubtful, and fearful. While she is obviously more intelligent and attractive than most women, she still grapples with the insecurities that plague the rest of her gender. On top of it, she has to deal with another duality of her personality: her ambitious, h...
Saturday, February 22, 2020
Functions of Uniformed Police Officers - Research Paper Example Other authorities are to maintain peace and security in their respective areas. A uniformed police officer performs many functions, such as, traffic control, crime prevention, and implementation of law. In this paper, we will describe crime prevention, which is one of the most important functions of a uniformed police officer. Crime Prevention Lab (2010) states, Ã¢â¬Å"Many crime prevention programs rely heavily on police activityÃ¢â¬ (p. 85). Crime prevention is an attempt to either prevent the crimes or reduce the level of criminal acts. Reducing the risk of being a victim is the basic objective of crime prevention. Gilling (1997) states, Ã¢â¬Å"Crime prevention incorporates not only the practices of the entire criminal justice system, but also those of many other social and public policiesÃ¢â¬ (p. 2). A uniformed police officer reduces the crime rate and disorderly situations implementing effective crime prevention strategies. Crime prevention is a function, which involves d eploying protective people, prevention policies, and strategies (Hayes, 1997). These strategies are implemented in various judicial and extra judicial settings. It is one of the prime responsibilities of a uniform police officer to take proper measures to reduce the level of crimes in the country because crimes and violence not only make the lives of people insecure but also proves to be a risk for economy of a country. Implementation of crime prevention strategies plays a great role in the successful prevention and reduction of crime levels in a country. Sherman (2002) states, Ã¢â¬Å"Comprehensive crime prevention strategies frequently involve the mobilization of community members to participate actively in planning and implementing prevention activitiesÃ¢â¬ (p. 168). These strategies not only help the government in reducing the level of crimes but also help in generating the sense of security in the public living in any specific society. Crime prevention is a skill-based activi ty (Arrington, 2007, p. 27). The ultimate goal of crime prevention is to provide people with trustworthy security by eradicating crimes from the society. In order to achieve the goal of crime prevention, uniform police officers put an end to those specific factors or opportunities, which enable a criminal to get involved in any specific criminal activity. The main goal of crime prevention is not only to secure the lives and properties of the public but also to eliminate those reasons, which act as the root cause for the unlawful activities. It is one of the main goals of uniformed police officers to reduce or remove the opportunities for criminals from the country, and this goal can be achieved by increasing the desire among the public to act as the contributor to the improvement of society. Uniformed police officers create fear of punishment in the minds of criminals in order to prevent them from getting involved in any sort of criminal activity. Fear of punishment cannot be inject ed in the minds of criminals rather it is created by taking such steps, which should practically detain the criminals in order to create a risky environment for criminals. Crime rate in small part of a country puts a negative and fearful impact on whole country. People avoid going to those areas where there is no protection of life and property because security is always the first priority for every individual. It is the major responsibility of the uniformed police officers to apply such crime prevention
Wednesday, February 5, 2020
Moral dilemma of whether euthanasia is ethically acceptable - Essay Example This paper weighs in on the ethics of euthanasia as it applies to elderly people near death and suffering, and in the context of such people being in nursing homes and hospices, being administered end of life care. My own experience visiting, interacting with residents and workers, and reflecting on those experiences at Brandon Woods is the mine of concrete experience on which I intend to draw insights into the ethics of euthanasia. This paper situates the discussion of the ethical acceptability of euthanasia in such elderly care settings from the perspective of at least three normative theories of ethics: KantÃ¢â¬â¢s, utilitarianism, and cultural relativism. Ã ¡ultural Relativism:Cultural relativism basically posits that cultural perspectives color what is moral and ethical, and so people from one culture differ from another in terms of what they deem to be moral and ethical, or immoral and unethical. In other words, this perspective takes off from the observation in the natural world, that societies have differing takes on what is right and wrong, so that what is right and wrong in one culture may be at odds with how people in another culture view what is right and wrong. The texts give the example of the Eskimos, for instance, who have differing views on marriage, sex, infanticide, and taking care of the elderly from the west. The text further give the example of two differing cultures having differing takes on what is right and wrong when it comes to disposing of their dead fathers, with one culture practicing what the other culture deems to be immoral and unethical, and vice versa. The practices are eating the dead and cremating them. At the heart of cultural relativism is the position that morality is something that is arbitrary, or at most the result of how different cultures form their opinions about what is right and wrong. In this sense there is no absolute right and wrong, and that everything is a matter of practice, as well as of opinion. The fla w from this conclusion is also made evident in the text. Two or more cultures with differing ethical beliefs do not necessarily rule out the existence of an absolute moral and ethical standard. For instance, that one culture deems eating the bodies of their dead fathers unethical, and that another deems burning the remains of their dead fathers unethical, does not mean that there is no absolute moral and ethical standard with regard to disposing of the remains of dead fathers. It is just that two or more cultures differ in their beliefs. Similarly, that Eskimos differ in their beliefs from western society about marriage and selectively killing children does not mean that there are no absolute ethical standards concerning killing infants, and concerning swinging partners and leaving old people to die in the cold. For another example that drives home this point, that one culture views the world as flat rather than round, or that one culture deems the world to be created rather than be ing the product of evolution, does not mean that there is no absolute truth with regard to the roundness of the earth, or the validity of the proof of evolution theory. The problems with cultural relativism are compounded when one takes off from the premises of the theory and then pursues their logical consequences to the end. For instance, if morality and ethics are relative, then one culture is no better than the other, and there can be no talk of ethical or moral progress. There is only the relative belief of one culture as the basis of ethical judgment. This conclusion flies in the face of historical developments that see morality and