Relationships between Throwing Mechanics and Shoulder Distra essays

Relationships between Throwing Mechanics and Shoulder Distra essays This article entitled, Relationships between Throwing Mechanics and Shoulder Distraction in Professional Baseball Pitchers, discusses the strain and increased susceptibility to injury within the shoulder that comes from the extreme forces and torques when pitching a baseball. The article focuses on a study that was done on 40 professional pitchers during the 1998 Cactus League spring training. Using high-speed video data and other specialized instruments, scientists were able to produce some evidence to support the always evident theory that pitching at a higher velocity and bigger work loads, more innings pitched, causes more stress on the shoulder and elbow. These researches came up with many numbers that were a little difficult for me to understand but with their tools, research, and data they explained why pitchers are so injury prone and why ...50% of pitchers experience shoulder or elbow injury sufficient enough to keep them from throwing at some point in their career. A distraction force equal to body weight acts on the shoulder joint as the ball is released from the hand. This force acts along the upper arm as tendons pull the arm away from the joint. When pitching distraction occurs at eh elbow and shoulder joints as the energy in the throwing arm is quickly degenerated after the explosive instant of ball release. Throwing over handed as baseball pitchers do is not a normal movement associated with the body movement and puts an incredible amount of stress on the elbow and shoulder joint. Whereas, throwing under handed as softball players do is and rarely have shoulder or elbow problems. This study was done not only to asse ss the related injuries to pitching but to also provide scientific basis for improved preventive and rehabilitative protocols for baseball pitchers, which could benefit coaches and trainers and more importantly, the pitchers. ...

Superior Bank Trust

Superior Bank Trust The thrift financial Institution Superior Bank Trust is one of the largest. It is located in Chicago and has many branches eighteen of which can be found in the Chicago area. It is owned by one of Chicago's wealthiest families the Pritzkers and Alvin Dworman a well-known real-estate investor from New York. With assets totaling $2.3 billion and deposits of $1.6 billion Superior Bank FSB got caught up in some problems with sub prime loans. This was their main focus. Sub prime lending is lending to people who are poor credit risks. They lend money or issue credit cards at high interest rates. Many companies have prospered using this method but most have gone under due to rising default rates and early prepayments by borrowers who can refinance at lower rates. Superior Bank Trust's failure was directly related to sub prime lending.Regulators were believed to have detected problems as early as January 1999.LoanThese regulators should have been the ones to step in and notice that things weren't going the way they should have been. Instead Superior's management is bearing the brunt of the blame in this situation. Ellen Seidman states "responsibility for the success or failure of any depository institution rests with its management, directors, and owners." This may be true but if management and financial intermediaries had been performing their tasks properly they would have noticed that there where parties involved in their credit system that they didn't know enough about to make accurate lending decisions on. They should have noticed that their clientele accumulated as a result of adverse selection. They weren't given an option. They were picking the best of the worst. Management and owners should have questioned the intentions of their customers. They should have been aware that their clients might have...

Protecting Homeland Security Essay Example | Topics and Well Written Essays - 500 words

Protecting Homeland Security - Essay Example Following the events of Sept. 11, the U.S. government has had a keen awareness of the risks posed by international terrorist groups, but it is divided over whether the military should be restructured in order to better respond to those threats. One major element of that dilemma has been the funding. With the Pentagon already engaged in expensive, armed conflicts in Afghanistan and Iraq, two countries invaded by U.S.-led forces as part of the war on terrorism, many wonder whether the U.S. can afford to implement major reforms in its military ranks. Since there is no clear answer to that question, efforts to institute far-reaching structural and policy changes in the U.S. military have divided many within Congress, the Pentagon and the defense industry, which produces the equipment and weapons used by the U.S. military. Supporters of military transformation include Bush, many prominent members of his administration, high-ranking officials in the Pentagon, members of Congress and a number of firms within the defense industry. They collectively argue that, due to the war on terrorism, conditions are right for reforming the military for the 21st century.

Ethics Case Study Example | Topics and Well Written Essays - 750 words - 2

Ethics - Case Study Example ethics of the professional standards which permits her to prevent bias, undue influence and conflict of interests of others to override business judgments or professionals. The stakeholders that will be affected by the unethical decision which may arise following the request made by Mr. Rashid, the managing director, includes the customers, the investors, the business partners and shareholders. The stakeholders deserve to be told the truth pertaining to the performance of the business (Amat & Gowthorpe, 2013). This can only be done if the correct, honest and accurate figures are recorded. Maryam Mohammed should refer the managing director to relevant regulations and laws that are against such an action. She should tell Mr. Rashid that the action is against the code of ethics in the accountant profession (Amat & Gowthorpe, 2013). She has a professional obligation of ensuring that honesty and accuracy is done and she should not be involved in actions that discredit her profession. Maryam should be able to report the unethical issue to the company’s audit and financial committee or her supervisor at the place of work. A professional accountant has an obligation of preventing undue influence, conflict of interest as well as bias of others to override business judgment or profession (Amat & Gowthorpe, 2013). She should do follow up to ensure that the Managing director is punished. Ethics can be defined as the discipline that deals with what is bad or good and with moral obligations and duty. Accounting is the process that involves describing the business processes in numbers. The bookkeeping numbers of a company’s accounting records should be accurate and honest in order to be considered ethical. Ethical dilemmas in accounting entail a supervisor directing a subordinate to interfere with the actual financial figures. Accuracy and honesty are the ethical issues in accountings. Accountants as well as bookkeepers have an obligation of ensuring information is

Organisational System Security Internet Security Issues Essay Example for Free

Organisational System Security Internet Security Issues Essay Adware – Is a software which you get when you have downloaded a different program or software for free or at a reduced price. Its main purpose is to download adverts to your computer screen when you visit websites. Adware is seen by a developer as away to recover costs of making software. But to the general user adverts on there monitor are annoying because it puts them off of what there doing and they have to close every advert down manually. Blackhat – Is a name given to a hacker whose purpose is to access data with out permission and to damage it or change it. Blackhat hackers can do this for arrange of reasons to make profit or as a hobby. They may also send other users viruses, internet worms or spam them. This type of hacker is known as the bad guy in the computer world. Botnet – Is a software robot, when a spammer sends out viruses to general users a Bot is attached to it. Once the spammer has control of the infected computers then they will have to purchase a Botnet which then lets them operate the controlled computers, then the spammer will send out a message to the computers cause them to send spam to mail servers, resulting in users opening up there mail will have tons of junk. Denial of service – Is an attack which leaves users with out use of the services of a website which they would normally use. The DoS attack does not normally mean the controller of it has stolen information, but has cost the company which it has targeted money and time. This can cause users that use that company’s website to purchase what they want from another website meaning that company’s business rivals are making money from the DoS attack on them. Exploit – Is a software which contains commands that take advantage of a computer system with weak security, the purpose of an exploit is to give a user more privileges on a computer system allowing them to access more data which was previously restricted from them. A weakness in the exploit is that it stops running when a newer version of the software is installed. Keylogger – Is a device which you can get as software or hardware it is connected or installed inside your keyboard. Its function is to log in keystrokes. There are many different reasons why we may use this such as helping fix computer system errors or seeing how an employee users there keyboard to see if there good at there job. You can purchase Keylogger’s off the internet. Malware – Is a software, its task is to damage a computer system such as to give a computer system a virus. Malware gets its name from the beginning of the word malicious and the ending of the word software. Malware’s include arrange of harmful programs such as computer viruses, worms, Trojans, rootkits and sometimes adware. Packet sniffing – Is a software or hardware which is used to analyze traffic that is passing through over a network. The packet sniffer checks each packet then decodes them so that they can be analyzed, to check there content. The analyzing is useful for finding out network problems, monitor network usage from users and debug client and network protocols. This will help maintain a network. Phishing – Is a term given that is a breech of security by a hacker. Such as attempting to acquire sensitive information on other computer users like there usernames, passwords and credit card information. The hackers target popular websites such as eBay, MySpace and PayPal. They get hold of user’s personnel information by sending fake emails pretending to by your bank. Piggybacking – Is a computer word which refers to a user connecting there laptop or computer to another persons internet connection. Then using the internet without the permission of the owner of the internet connection. But if you own a cafà © and have a hotspot this is not considered piggybacking because you have given permission to people to use your hotspot to connect to the internet. Spyware – Is a computer software that is secretly installed on to your computer and can take control over something’s that you do on it. It can install software which you did not want on your computer also it can make you go on websites that you did not click to go on and it could led you to harmful viruses that could affect your computer. When turning off your computer spyware can even change your computer settings. Trojan – A Trojan is a computer virus that appears on your computer designed to cause your computer harm. It has been know to be similar to a worm. Some Trojans may not cause harm to your computer but the six main types of Trojans are ones that cause remote access, data destruction, download, get on to a server, anti – viruses software disabler and denial of service attack. Whitehat – Is the name given to a hacker, who’s purpose is to prevent a breech of security within a company or organization. They are normally employed by a company to protect against there counterparts blackhat hackers who want to hack and steal information and data that does not belong to them. In the computing world the Whitehat hacker is know as the good guy. Worm – Is a computer program which sends copies of its self to networks, designed to cause harm to the network that they have targeted. It likes to eat up the bandwidth used on the network. Worms can also cause serious harm and damage to a computer operating system by attacking the weak parts of the computer. Zero-day Attack – Is a threat to computers, by trying to take control of computer applications that are unknown or patchfree. The attacker that controls the zero-day attack normally sets it up on a public forum because of the number of users that it could affect. Zombie – Is a computer that has been attached to the internet by a computer hacker. The owners of zombie computers do not know that there computers have be compromised. They are normally used as part of a botnet, but while they have been put in zombie mode the hacker can use other user’s computers to send Trojans or other harmful viruses. Resources Adware http://en.wikipedia.org/wiki/Adware Blackhat http://en.wikipedia.org/wiki/Black_hat Botnet http://en.wikipedia.org/wiki/Botnet http://www.ibiblio.org/botnet/flora/indexstart.html Denial of service http://searchsoftwarequality.techtarget.com/sDefinition/0,,sid92_gci213591,00.html Exploit http://en.wikipedia.org/wiki/Exploit_(computer_security) Keylogger http://en.wikipedia.org/wiki/Keystroke_logging http://www.actualspy.com/ Malware http://en.wikipedia.org/wiki/Malware http://www.microsoft.com/technet/security/alerts/info/malware.mspx Packet sniffing http://en.wikipedia.org/wiki/Packet_sniffer http://netsecurity.about.com/cs/hackertools/a/aa121403.htm Phishing http://www.antiphishing.org/ http://www.webopedia.com/TERM/p/phishing.html Piggybacking http://www.thefreedictionary.com/piggybacking Spyware http://en.wikipedia.org/wiki/Spyware Trojan http://en.wikipedia.org/wiki/Trojan_horse_(computing) Whitehat http://en.wikipedia.org/wiki/White_hat Worm http://en.wikipedia.org/wiki/Computer_worm#Protecting_against_dangerous_computer_worms Zero-day Attack http://en.wikipedia.org/wiki/Zero-Day_Attack http://www.wisegeek.com/what-is-a-zero-day-attack.htm Zombie http://en.wikipedia.org/wiki/Zombie_computer

The Silence Of The Lambs Essay -- Silence Lambs Cannibalism Essays

The Silence of The Lambs   Ã‚  Ã‚  Ã‚  Ã‚  Clarice Starling, a student preparing for a life in the FBI, hunts a serial killer by use of vague information given to her by an incarcerated psychologist. Hannibal â€Å"The Cannibal† Lecter relays information to Clarice in exchange for information about herself. The killer, known only as "Buffalo Bill", kidnaps large women, keeps them alive for a few days, and finally skins them. Clarice works against time as Buffalo Bill takes his newest victim, a U.S. Senator's daughter, and the countdown to death begins. "The Silence of the Lambs" was chosen for the title because it is Clarice Starling's ultimate goal for the bloodcurdling screams of the lambs in her nightmares to cease. When she was younger, she witnessed the slaughtering of a herd of lambs and to this day she awakens horrified some nights to escape the nightmares that she so longs to end. She believes deep down that if she catches Buffalo Bill herself she will sleep soundly in the silence of the lambs.   Ã‚  Ã‚  Ã‚  Ã‚  My first interpretation of Clarice was that she was very bright and observant. She reads people very well and is quick to make an accurate judgement, as in with Frederick Chilton, the prison warden. I believed that she was a very strong woman and was very careful to appear that way to others.   Ã‚  Ã‚  Ã‚  Ã‚  Clarice Starling did have a large change in herself. She began the story with a careful mentality; a risk would have been unheard of. She was always making sure she w...

Nursing Care Plan of a Patient with Embolic CVA Essay

Summary of Admission History and Progress Notes: 67-year-old male has a history of non-ischemic cardiomyopathy with ejection factor of 24%, chronic left ventricle thrombus on anticoagulant, hypertension, metastasis of prostate cancer, chronic kidney disease stage 3. Patient was admitted to UCSD emergency department on 08/20 after falling down stairs. Patient presented confused but conscious. Upon presentation in the ED he had left face, left arm, and left leg weakness. After MRI and cerebral angiogram, findings were conclusive to a right-sided embolic CVA. Echocardiogram revealed apical ventricular thrombus. Patient presented to ED on Coumadin therapy with INR at 3.1. Patient was not a candidate for thrombolytic therapy. He continued on Coumadin and aspirin 81 milligrams was added. Left-sided weakness resolved within one to two days. Cardiologist at UCSD recommends Cardiac Thrombectomy to prevent further strokes. Neurologist recommends endovascular intervention to prevent future embolic strokes though not during an acute episode. Patient was held at UCSD ED for permissive hypertension during acute stroke. Patient complained of cough with green phlegm over the past few days; chest x-ray findings of no local infiltrate. Pathophysiology: Embolic cerebral vascular accident (CVA); stroke   Etiology/Risk factors: Risk factors include a history of transient ischemic attack, hypertension, elevated serum cholesterol, diabetes mellitus, smoking, cardiac valve diseases, anticoagulant therapy, oral contraceptive use, methamphetamine use, aneurysm, or previous stroke (Swearinger, 2012). Pathophysiology: A stroke is caused by disruption of oxygen supply to the brain by either thrombotic occlusion, embolic occlusion or cerebral hemorrhage. Most thrombotic strokes are the result of atherosclerosis. Plaque formation builds to the point of blockage in the large blood vessels that deliver blood to the brain. Most embolic strokes are caused by a cardiac emboli resulting from cardiac valve disease or atrial fibrillation. The carotid artery feeds the main blood vessels of the brain, therefore cardiogenic emboli have a direct path to the brain (Swearinger, 2012). S&S: Signs and symptoms vary depending on severity and side of brain affected. Symptoms may improve within 2 to 3 days as cerebral edema decreases. Patient may appear apathetic, irritable, disoriented, drowsy or comatose; incontinence may occur; unilateral weakness or paralysis may occur; headache, neck stiffness or rigidity may be present. The patient may have difficulty chewing or swallowing and may present with unequal or fixated pupils (Swearinger, 2012). Diagnostics: Time is critical in diagnosing the type of stroke a patient has experienced. A patient is no longer eligible for rTPA if the critical window of 3 hours from last seen normal has expired. CBC, electrolytes, blood glucose and clotting factors should be drawn immediately in order to determine eligibility for rTPA. An MRI will reveal the site of infarction and other brain structure abnormalities related to cause and effect of the CVA. An MRI may take as long as an hour to complete. While a CT scan is generally a diagnostic tool of choice in many emergency situations due to the rapid process, ischemic areas will not show in the CT imaging until they start to necrose 24 – 48 hours after the CVA (Swearinger, 2012). Complications: Complications include recurrence of CVA, paralysis, aspiration, depression, falls, and coma. Chronic left ventricle thrombus on anticoagulant: Anticoagulant therapy is prescribed to prevent increased formation of existing thrombi. Outside of the hospital environment, the anticoagulant of choice is usually warfarin because it may be taken PO. When the therapeutic range of warfarin is achieved patient’s INR will be 2.5-3.5. Cardiogenic trombi are the result of the heart’s inability to effectively ejecting blood after managed daily living, therefore the blood becomes stagnant and begins to clot (Deglin , Sanoski , & Vallerand, 2013). Chronic kidney disease (CKD) stage 3 is marked by a GFR 30-59 mL per minute (Bladh, et. al., 2013). CKD is a progressive and irreversible disorder. Aggressive management of Hypertension and Diabetes Mellitus, both of which are common contributing risk factors, may slow progression. Eventually CKD can progress to end-stage renal failure (ESRD). Before development of ESRD, a person with CKD can still manage normal daily living through diet and medication (Swearinger, 2012). Diagnostic Tests, Results and Rationales: Diagnostic Tests Results Rationales MRI Several areas of restricted diffusion within right MCA region; consistent with acute embolic infarcts MRI images differentiate between acute and chronic lesions. Ischemic strokes can be identified early. Site of infection, hematoma, and cerebral edema can be viewed through MRI (Swearinger, 2012) Cerebral angiogram Right MCA stroke, right internal artery non-flow limiting dissection with associated pseudo-aneurysm; right superior trunk M3 occlusion Identify presence of hematoma in stasis of blood vessels after a rupture (Swearinger, 2012) Chest x-ray Negative for infiltrate A presence of infiltrate could indicate pneumonia or heart failure (Swearinger, 2012) Echocardiogram Severely depressed left ventricular ejection factor; apical ventricular thrombus Assess ventricular and valvular function of the heart, ejection fraction, and hemodynamic measurements (Swearinger, 2012) Cerebrovascular carotid duplex Low flow right ICA; bilateral proximal ICA right 9.5 mm, left 5.5 mm; no significant stenosis; vertebral arteries patent with antegrade flow Evaluation of carotid arteries to detect occlusions three-dimensional visualization providing information on circumference, length, and thickness of plaque volume (Swearinger, 2012)

Advice and support

The role of domiciliary, respite and day services that may contribute to end of life care can be resumed such as the respite care service, by; they put their life on â€Å"pause† to provide the care that is required. It's a very important responsibility. The role of funeral directors that may contribute to end of life care is varied. A funeral director has many responsibilities that entail preparing the body for burial, making arrangements for viewing and services and coordinating all aspects of the service.This includes making sure that the individual wishes and key people wishes are carried out including religious customs. 6. 2 The role and value of an advocate in relation to end of life care is to support and enable individuals to express their views and concerns, to access information and services, to defend and promote their rights and responsibilities, and to explore choices and options 6. 3 While using an advocate, individuals at the end of life and their key people can focus more on recuperation or end of life care rather than handling the details surrounding care.Using the services offered by an advocate can reduce individual and key people stress, lessen the chance of treatment and billing errors and help foster a greater sense of cooperation between the individual, key people, medical professionals and health insurance providers. 6. 4 Support for spiritual needs, such as religious beliefs are especially important for an individual at the end of life because during a particular difficult event of life, such as end of life that is a major event of life, the faith of an individual will help to access, with prayers, to give courage and to accept the situation. 5 A range of sources of support to address spiritual needs can be found by having access to spiritual support from your local community faith leaders. For example, if you are a member of the Christian religion, you can access spiritual support by going in your own church and determine the sp iritual needs that cover your faith best.To resume, a range of sources of support to address spiritual needs means to have access to related spiritual support in accords of respect of your own beliefs, religion and culture. 7 7. 1 Line manager or Social worker: Support would best be offered by other members of he team such as, line manager or social worker, when an individual need to organise help with housework, shopping and cooking, or a personal care assistant to help with tasks such as washing and dressing.Religious representatives: Support would best be offered by other members of the team such as, religious representatives, when an individual's religious factors or cultural beliefs may impact on the decision making process of end of life care and so it is important to determine as far as possible whether they practised any particular faith as well as being able to ascertain cultural eliefs.Specialist nurse: Support would best be offered by other members of the team such as, sp ecialist nurse, because a specialist nurse, district nurse or GP can tell to an individual how to access these healthcare professionals and about the specific types of help and support available in the area of the individual. Occupational or other therapist: Support would best be offered by other members of the team such as, occupational or other therapist, because they can visit the individual at nome to assess whether specialist equipment that would help the ndividual to move around and to be able to do as much as possible the individual can do. . 2 Specialist palliative care nurses: Specialist palliative care nurses are experienced in assessing and treating your symptoms and also provide counselling and emotional support for you and your carers. Most specialist palliative care nurses work closely with a wider hospital or community palliative care team, which includes doctors and other healthcare professionals. Specialist palliative care nurses are sometimes referred to as Macmill an nurses. However many Macmillan professionals are nurses ho have specialist knowledge in a particular type of cancer.You may see them when you're at clinic or in hospital. Doctors: Doctors specialising in palliative medicine give expert medical advice on managing people with advanced disease. They work closely with palliative care nurses and may visit people at home if needed. Nurses: Some community palliative care teams have nurses who can visit you at home and provide practical care such as washing, dressing and giving drugs. A specialist palliative care nurse will usually arrange care from these nurses.Physiotherapists: Physiotherapists can help ill people to move around. They can also help with pain relief and if you have breathing problems. Counsellors: Counsellors are trained to help people in all types of situations. Seeing a counsellor can help people to understand and express their feelings, and cope better with their situation. Spiritual care coordinators or chaplains: S piritual care coordinators or chaplains offer spiritual care and support for an individual. 8. 1 To support individual's care through the process of dying in my own role, means I will use the correct techniques; that include; timings; hygiene; use of equipment; safe isposal; and recording information, to offer appropriate support to individuals and key people such as family, friends, carers and others with whom the individual has a supportive relationship when they have been told about the time-scales of the individual's death and the process of their dying.I will treat the individuals with values that adherence to codes of practice or conduct where applicable to my own role and the principles and values that underpin in my work setting, including the rights of children, young people and adults.That include the rights; to be treated as n individual; to be treated equally and not be discriminated against; to be respected; to have privacy; to be treated in a dignified way; to be prote cted from danger and harm; to be supported and cared for in a way that meets their needs, takes account of their choices and also protects them; to communicate using their preferred methods of communication and language; and to access information about themselves.Preferred method of communication and language can include the individual's preferred spoken language; the use of signs; symbols; pictures; writing; bjects of reference; communication passports; other non-verbal forms of communication; human and technological aids to communication. Also, I have to take into consideration, factors that may affect the health, well-being and development of individuals.Such factors may include adverse circumstances or trauma before or during birth; autistic spectrum conditions; dementia; family circumstances; frailty; harm or abuse; injury; learning disability; medical conditions (chronic or acute); men health; physical disability; physical ill health; poverty; protound or complex eeds; sensory needs; social deprivation; and substance misuse.Caring out my own role, to support an individual's care through the process of dying, request a perfect hygiene and use of the personal protective equipment; such as apron, gloves and mask. Infection control is very important, washing of hands before and after wearing of personal protective equipment according to my workplace policy. For example; after disposed of my apron, gloves and mask in the clinical waste bin, I will washes and dry my hands thoroughly with the full hand washing technique to not contaminate myself or others.Where possible, I will promote active support that encourages individuals to do as much for themselves as possible to maintain their independence and physical ability and encourages people with disabilities to maximise their own potential and independence. I will provide individuals with privacy and facilities to meet their immediate needs and give them time to adjust to the knowledge that they are dying. I wi ll communicate with the individuals using their preferred method of communication and language, in an appropriate manner, and at a level and pace with which they are comfortable.I will support individuals and key people to identify any information they want. I will work with others people within and outside my organisation that are necessary for me to fulfil my Job role, to enable the information requested by individuals and key people to be accessed, within confidentiality agreements and according to legal and organisational requirements, and I will complete records in ways that can be understood by all who are authorised to access them.In my own role, to support individual's care through the process of dying, means I will provide appropriate support and time to ndividuals who wish to express their feelings and communicate their concerns and to express their beliefs and preferences about their death, but in the same time, I will avoid pressurising them to talk about their death. Wh ere an individual finds it difficult or impossible to express their own preferences and make decisions about their life, achievement of this standard may require the involvement of advocates or others who are able to represent the views and best interests of the individual.Where there are language differences within the work setting, achievement of this tandard may require the involvement of interpreters or translation services. Some individuals that have their key people, may want to identify the people they wish to be informed about their death, so I will contact calmly and without delay, the identified people so that they can be with the individuals when they die. I will fulfil any wishes expressed by individuals that are within my own role, responsibility and competence.Appropriate action have to be take to inform others people within and outside my organisation of changes to individuals' condition and any expressed ishes and preferences, that means I have to record and report o n actions, procedures and outcomes within confidentiality agreements and according to legal and organisational requirements within my work place. Last, I have to manage appropriately any of my own feelings that have been aroused by the individual's death. 8. Addressing any distress experienced by the individual promptly and in agreed ways through the process of dying, do echo to understand the distress due to end of life care through the process of dying for an individual. End of life care encompasses alliative care, which tocuses on managing pain and other distressing symptoms, providing psychological, social, and spiritual support to individuals, and supporting their key people such as; family members; friends; individual's carers; and others with whom the individual has a supportive relationship.Palliative care can be provided at any stage in the progression of an individual's illness, not only in the last days of an individual's life when the focus of treatment has generally mov ed from trying to actively manage disease and prevent deterioration to managing the ndividual's symptoms and keeping the individuals comfortable. The most difficult and sensitive decisions through the process of dying are often those around starting, or stopping, potentially life prolonging treatments such as cardio pulmonary resuscitation, renal dialysis, clinically assisted for nutrition and hydration, and mechanical ventilation.These treatments have many potential benefits including extending the lives of the individuals who otherwise might die from their underlying condition. But in some circumstances they may only prolong the process of dying or ause to the individual unnecessary distress. The benefits, burdens and risks of these treatments are not always well understood and concerns can arise about over or under treatment, particularly where there is uncertainty about the clinical effect of a treatment on the individual, or about how the benefits and burdens for that individua l are being assessed.Doctors and nurses, with other members of the team, such as; line manager, religious representatives, specialist nurse, occupational or other therapist, social worker, GP, district nurses, nurses who specialise in a specific isease, specialist palliative care nurses, physiotherapists, counsellors, spiritual care coordinators or chaplains, and key people involved in the decision making process may also be unclear about what is legally and ethically permissible, especially in relation to decisions to stop a potentially life prolonging treatment. 8. To adapt support to reflect the individual's changing needs or responses, make think why the individual needs or responses are changing. Individual's changing needs or responses can be cause due to many factors. Be aware of possible signs of dementia in the individuals with whom you work. Dementia is a term used to describe various different brain disorders that have in common a serious loss of brain function that is us ually progressive and eventually severe, in an individual previously unimpaired, beyond what might be expected from normal ageing.That means, when individuals seen confused in their needs or responses, it's can be cause of dementia. In the majority of situations, change might be in relation to; changing environments (example ward to ward, hospital to home, home or hospital to residential care); changing physical and/or mental conditions and functioning; and sudden disability. Adapt support to reflect the individual's changing needs or responses are best meet with an Advance Care Planning.Advance Care Planning is a process of discussion between an individual and the people in their support network. It usually takes place when it is expected that an individual's condition is likely to deteriorate and following serious deterioration, the individual may not be able to make decisions or communicate their wishes. Make decisions or communicate the wishes of the individuals, pass through by many methods of communication, including; the objects of reference; communication passports; other non verbal forms of

Better Education essays

Better Education essays Better Education: The Controversy Over School Vouchers Education remains Americas most influential avenue of opportunity. Most Americans recognize the necessity of an elementary and secondary level of education to succeed within the highly competitive world beyond adolescence. Without a basic foundation of fundamental knowledge, an opportunity to compete against a world of advancing proficiency would leave those lacking such aptitude behind. Like the millions of Americans who recognize education as the one of the nations priority concerns, George W. Bush, the 43rd president of the United States, led his 2000 presidential campaign with education at the top of his agenda. Bushs principles of interest for education reform include seven specific points: achieving equality, promoting excellence, to stop funding failure, to restore local control, to provide parents with information and options, to ensure every child can read, and to improve school safety (George W. Bush). Of these proposed programs, the most controversial idea supported by the Bush campaign includes an unprecedented wide-scale school voucher system. This program suggests that tax dollars will be provided as vouchers for parents to send their children to the school of their preference. School vouchers, also known as scholarships, would redirect the flow of education funding channeling it directly to individual families rather than to school districts (Coulson). Idealists hope that school vouchers will extend the concept of choice in education, improved education standards, and give equal education opportunity. Though the program advocates reform of the traditional American school system to help improve school standards and conditions, the controversy over school vouchers as a solution remains unanswered and a topic of heated debate. Because failing education systems remain at the forefront of Americas concern, innovative at...

Praying Mantis Sex and Cannibalism

Praying Mantis Sex and Cannibalism The female praying mantis is often painted as an evil seductress, a cannibalistic lover that lures males closer, only to eat them after mating. Is her reputation deserved? Does praying mantis sex always end in cannibalism of the male? Female Mantis Shaming or Truth? Rumors of the praying mantis cannibalistic tendencies began when scientists observed their mating behavior in a laboratory environment. Entomologists would offer a captive female a potential mate and would quite often be horrified to watch the female bite the head or legs off the smaller male- sometimes even before mating. After the male had served his copulatory purpose, he was nothing more than a good meal for the female and her upcoming offspring. For a long time, these observations of praying mantis sex in the lab were thought to be the way things were in the mantid world.   Much Less Common in the Wild After scientists started observing praying mantis sex in a natural setting, the story had a different ending, which is good for the males. When unconfined by laboratory terrariums (and not starving), the majority of praying mantis mating ends with the male flying off unharmed. By most estimates, sexual cannibalism by praying mantis females occurs less than 30 percent of the time outside the lab. Those are better odds for the fellows than what had been seen in the lab. Praying mantis sex, it turns out, is really a rather romantic series of courtship rituals and dances that typically ends satisfactorily and safely for both parties involved. How Males Choose Females Given a choice between females, male praying mantises will move toward females seen as less aggressive (i.e., ones they hadnt just seen eating another male) more often than the more aggressive females. The males also tend to prefer to mate with females that appear fatter and more well fed than others, as the skinnier and hungrier mantises are more likely to eat their mates during or after sex. This could also point to the males being more attracted to females that are healthier, for the betterment of their offspring.   Advantages of Beheading Your Mate There is a decided advantage for the female if she does decide to behead her lover. The praying mantis brain, located in his head, controls inhibition, while a ganglion in the abdomen controls the motions of copulation. Absent his head, a male praying mantis will lose all his inhibitions and consummate his relationship with wild abandon. And what if shes hungry? For certain, a slow-moving and deliberate predator like the praying mantis is not going to pass up an easy meal. If a male makes the unfortunate choice of a hungry female for a mate, hes probably going to be toast after theyve mated. Either Way Could Benefit the Males A twist: Being eaten by the female paradoxically may mean that that particular male has more of his genetics making it to the next  generation  if more of his sperm fertilize his mates eggs while she is eating parts of him. More eggs are laid by females who eat their mates as well (88 vs. 37.5 in one study). However, if a male can mate more than once, that also increases his odds of having his genetics passed on.

What explains the demise of the Bretton Woods system Essay

What explains the demise of the Bretton Woods system - Essay Example The joint venture brought about a system wherein countries having problems in balance of payments can solve it because of one of the feature of fixed exchange rates in the agreement. This has laid to an economic reconstruction in Europe for a very long decade which in turn gave rise to capitalist expansion, which has not been seen till date. This gave an added boost to the global economy where mostly in the capitalist countries, the standard of living of the working class has improved to a very high extent. (Bordo & Eichengreen, 1993). In the period of post World War 1, majority of the countries had a tendency to go back to the previous situation of financial stability and security as it prevailed before such wars were held. The old gold standard were again preferred and every country tried to incline towards it and by 1926 all the leading economies again established the system and accordingly the circulating money of every nation had to be geared by gold reserves and foreign currenc ies to a huge extent. But while implementing the gold several steps were undertaken mistakenly as a result of which the economic and financial relations collapsed leading to the Great Depression in 1929. In order to reduce the deficit in payment balance by deflating its currency every single country gave a boost to its export product to increase its competitiveness in productivity. This idea fell in place and was running successfully till the countries continued deflating their currencies. This over laid phenomenon marked an international deflation competition which led to unemployment among masses, enterprises were rubbed out of bankruptcy, many credit institutions failed and also hyper inflation was noted to occur in various countries concerned. (Kenen, 1994; Moggridge, 1980). Due to this phenomenon of Great Depression, several conferences who were dealing with the world monetary problems ended up in failure in the decade of 1930s. But every country tended for a stabilizing system that rectified mistakes which became one of the evident phenomenons. After this, several plans were made in order to build an innovative monetary system and an institution that will supervise all sorts of actions and financial hazards. During the war time conditions, all of the initial negotiations happened. (Kenen, 1994; Moggridge, 1980). In Bretton Woods, New Hampshire (USA), an international conference took place in 1944. This conference was attended by 44 countries so as to restructure the international finance and currency relationships. The International Monetary Fund (IMF) and The International Bank For Reconstruction And Development (IBRD/ World Bank) was created by the participants of this conference . In addition, they also accepted the fact of implementing a system of fixed exchange rate with the U.S dollar as the leading currency. Harry Dexter White, the American Minister of State in the U.S treasury and the British Economist John Mayard Keynes were responsible to devel op the plans for the Bretton Woods system. They also stated that they want to establish a system which would be acceptable by all the nations. The ideas of Harry Dexter and Keynes always happened to be very similar to each other. The White Plan supplements that a Bank for Reconstruction and an International Stabilization Fund should be put up. This was similar to what Keynes has described in his plan. But there was a little difference which got reflected in Keynes plan was he wanted to vest the IMF ideas with possibilities to create money and with the authority to take actions on a very large scale. Whenever there will be imbalances in the balance of payments both the sides, that is, both the debtors and creditors must change their policies. Countries that have their payments in excess should increase their scale of imports from the countries

Business ethics Essay Example | Topics and Well Written Essays - 3500 words

Business ethics - Essay Example In such context, it is crucial for management to realize the importance of business ethics in maintaining the sustainability of business operation. Hence the study has decided to look back at importance business ethics in context to modern organizational settings. The study has selected HSBC, which is a renowned bank, for understanding the importance of business ethics in the organization. Analyzing the impact of business ethics on internal and external stakeholders of HSBC will also be the part of the analysis. In the last section the study will provide recommendation to the bank for improving their current business ethics approach. Business Ethics- Theoretical View According to research scholars such as Geraint (2003), Moberg (2003) and Kidd (2003), business ethics play significant role in those cases where the organization is suffering from asymmetric turbulence in terms of business operation, controlling activities of agents or managers, fraudulent activities to achieve undue adv antage and disregard of interest of shareholders and stakeholders. From academic viewpoint, business ethics can be subdivided into three parts such as, Descriptive Business Ethics- moral values of the business owner to run the business in transparent manner without hurting the interest of shareholders and stakeholders and Normative Business Ethics- supporting activities required to control and discourage unfair business practices by organizations (Brenkert, 2004). However, very few research scholars have actually tried to create demarcation between organizational structures driven business ethics from process driven business ethics. In this paper the study will try to identify the role of business ethics in context to organizational structure, organizational process and organizational performances. The proposed model can be viewed in the following manner. (Source: Svensson and Wood, 2011) There is no doubt that the concept of business ethics is multifaceted and number of research to pics can synchronized in implicit or explicit manner with the ethical perspective of business operation. For example, maintaining business ethics in terms offering high value to external stakeholders such as customers (Svensson, 2009), performing corporate social responsibility (CSR) in order to become responsible corporate citizen who is ready to put serious effort to improve quality of life of unprivileged section of the society (Young and Kielkiewicz-Young, 2001), improve the sustainability by forcing the supply chain partners to follow human rights while treating with workers (Lippman,1999), following green purchasing policy to ensure environmental sustainability (Zsidisin and Siferd, 2001), sustainable supply chain management (Svensson, 2007), following corporate governance codes in order to ensure better governance and decrease the scope for the organization to commit financial fraud which can not only hurt the interest of shareholders but also affect the interest of stakehold ers (La Porta et al, 1997 & Shleifer and Vishny, 1997). Ethical Structure Factors like