Saturday, August 22, 2020

A Doll’s House: Characterization and Symbolism Essay

â€Å"A Doll’s House† by Henrik Ibsen is a play that joins the utilization of portrayal and images to catch the audience’s thoughtfulness regarding show conventional existence of a white collar class family. Societal position is the most significant portrayal device in A Doll’s House. Practically every character is carefully bound into the jobs that are put on them by society. Nora must be the accommodating housewife. Christine possibly realizes that how generally will be glad if she’s satisfying a similar job. She blossoms with helping individuals. Torvald must be the prevailing spouse. Krogstad battles against the unwanted observation the network has of him. It is the point at which the characters battle against these jobs that the play’s primary clashes are uncovered. As in most show, the character’s activities additionally characterize them. Krogstad invests the vast majority of his energy undermining and extorting, giving us what a foul kind of individual he can be. Christine attempts her best to help Nora all through the play, which gives us a thought of her mindful nature. At that point there’s Torvald. His activities paint him as domineering and self important. He’s the great vain spouse. His little concessions to Nora show that he loves her in his manner. At long last, we have Nora. Her bound battle to stay quiet is the focal activity that drives the play. Her untrustworthy techniques disclose to us a great deal about who she is as a character. We see what society has constrained her to fall back on in her distress to support her better half. At the point when we search for images in the play, the Christmas tree, a merry article intended to fill an enriching need, represents Nora’s position in her family unit as a toy who is satisfying to take a gander at and adds appeal to the home. There are a few equals drawn among Nora and the Christmas tree in the play. Similarly as Nora educates the house keeper that the youngsters can't see the tree until it has been finished, she reveals to Torvald that nobody can see her in her dress until the night of the move. Torvald’s study is another image that speaks to the haven of male predominance and dynamic. Guys in the nineteenth Century overwhelm the home as well as the working environment and this is predominant through the play. With the utilization of portrayal and imagery, â€Å"A Doll’s House† by Henrik Ibsen calls attention to the scandalous little tidbits about the working class and breathes life into it.

Friday, August 21, 2020

Transport Disagreement Essay Example

Transport Disagreement Essay A contradiction occurred between the gatherings (for example the year 13 business group and European Study Tours). The agreement guaranteed that there would be a mentor at the removal for the individuals who went on the Prague trip. Anyway in the latest possible time, it was discovered that the mentor was not at the removal for those on the Prague trip, and if it somehow managed to be taken it must be paid for.The terms and states of the European Study Tours organization for grievances and issues (http://www.euro-study-tours.co.uk/pages/normal/common.aspx?id=33l=0) states that: For all protests and claims which don't include demise, individual injury or ailment, we lament we can't acknowledge obligation in the event that you neglect to inform us of the objection or guarantee completely as per this proviso. On the off chance that you neglect to follow this straightforward objections method, youre option to guarantee the remuneration you may somehow or another have been qualified for might be influenced or even lost as a result.As an outcome, Miss Carter called the crisis contact of European Study Tours Will, the chief, and clarified that she was unsatisfied with the manner in which they took care of things. So as a methods for critical thinking, a portion of the possibility cash raised from the gathering pledges occasions sack pressing and the cake slow down, was utilized to pay for the cable car administration to get to the bowling alley, where following an hour of time was lost to plan for the stream voyage later in the evening.Norah an operator of Excalibur a visit organization in Prague, may have caused this misconception because of correspondence issues. We will compose a custom paper test on Transport Disagreement explicitly for you for just $16.38 $13.9/page Request now We will compose a custom paper test on Transport Disagreement explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom paper test on Transport Disagreement explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer She believed that the bottling works business visit would have been subsequent to bowling rather than previously. In this way, she may have imagined that the mentor was not required since the bowling alley was a short stroll from Park Hotel.This is as the bowling community is situated in the old town square in Prague (http://www.pragueexperience.com/places.asp?PlaceID=654) just as Park Hotel (http://www.hotels-of-prague.com/park/index.htm) which is a brief stroll from the bowling centre.As an outcome, it was helpful for the year thirteen business group to have marked a composed agreement with European Study Tours to guarantee pay for the mentor burden during the outing. Likewise, language boundaries turned into a major issue for the gathering during the Prague trip. A case of this was with year thirteen business understudy Joe Medlin, who requested a pizza at the Park Hotel Pizzeria in Prague and got an inappropriate one, making the gathering late. This likewise exhibits how language obstructions created to turn into a major issue for the group.FlightsThe simple stream trip to Prague was set to take off from London Gatwick at 6.25pm GMT (Greenwich Mean Time). In any case, this flight was postponed by 60 minutes. For this situation, the gathering chief Miss Carter was not in a situation to submit a question to pick up remuneration for the gathering, because of the terms and conditions:The flight timings given on booking and definite on your affirmation receipt are for general direction just and are liable to change. The most recent timings will be appeared on your tickets or flight affirmation which will be despatched to you around fourteen days before takeoff. You should in like manner check your tickets cautiously quickly on receipt to guarantee you have the right flight times. It is conceivable that flight times might be changed much after tickets have been despatched we will get in touch with you as quickly as time permits if this happens. In this manner the gathering head was not qualified for guarantee pay or help for the gathering after the flight delay happened. This was as the aircraft Easy Jet was giving the air transport and not European Study Tours who just organized it, which is expressed in the terms and conditions for flight delays: We lament we are not in a situation to offer you any help with the occasion of deferral at your outward or toward home purpose of takeoff. Under EU law you have rights in certain conditions to discounts as well as remuneration from your carrier in instances of denied loading up, crossing out or postponement to flights. Full subtleties of these rights will be announced at EU air terminals and will likewise be accessible from Airlines. Be that as it may, repayment in such cases is the duty of the aircraft and won't naturally qualifies you for a discount of your vacation cost from us. We can't acknowledge obligation for any postpone which is because of any of the reasons set out in proviso 10(1) of these booking conditions (which incorporates the conduct of any passenger(s) on the flight who, for instance, neglects to check in or load up on schedule).

Effects of Genetic Food Modulation-Free-Samples-Myassignmenthelp

Question: Examine about how individuals are enduring because of craving everywhere throughout the world. Answer: Presentation These days numerous individuals in the rising scene is experiencing craving and starvation as the food produces is not exactly the creation of populace, along these lines less number of decisions are accessible. In this way progresses in science and information are basically has address the terrifying difficulties by taking care of the universes populace (ScienceDirect, 2018). Hereditary changed innovation has permitted a large portion of the individuals in all inclusive to approach a differing and copious gracefully of food stock that is sheltered to eat. Aside from that it is similarly increasingly nutritious and extra more affordable (QUARTZ, 2018). Hereditary designing Hereditary designing is utilized for controlling gens in a creature which demonstrates to improve living being. The greater part of the hereditary designing is polished in farming area. Hereditary Engineering has a few advantages in the creation of food industry which restrict to horrible climatic conditions, creepy crawly contaminations and spares structure infection (Harlander, Roller 2012). It likewise lessens the measure of endeavors required on cultivating, in this manner spares the vitality. Hereditary building is the purpose behind decreasing the world craving as it cuts off the food at low cost. It is utilized to change and improve the living being. The hereditarily adjusted strategies give financial development to ranchers which lead to sanitation. Hereditary designing is quicker and drifting on the planet as it keeps unwanted gens from entering in the variety (Conserve Energy Future, 2018). There are a few advantages of hereditary building in farming part, monetary area to food preparing strategies. As by utilizing Genetic system (GM) the creation of food crops has expanded to millions, in short it is evaluated that around 300 million section of land is required. This was made conceivable by accessibility of bio advances which kept up the degree of creation of food (Walsh and Rooyen, 2015). Not just horticultural division is profited by there is a high financial addition by the progressed hereditary creation as it diminishes the expense of pesticide and use of herbicides (Thebalance, 2018). Impacts of Genetic food tweak This hereditary innovation began in year 2011 by republic logical and mechanical research group of Australia, there are different reasons why this innovation is been rehearsed. As the populace is rising step by step, the development of universes populace gives association of utilizing GMO. The significant commitment of GMO is to expel starvation around the globe. Decimation of appetite comprehensively is n higher need of GMO. Defense As the populace is expanding quickly interest for crops is boosting all around. Accordingly it is critical to improve the creation of yields. The present situation exhibit that the pace of increment in crop yield is 1.7% just, then again yearly addition needing crop yields ought to is around 2.4% to satisfy the needs of individuals. Thusly, to fulfill the need of individuals and serve the populace with healthful food is conceivable just by embracing methods for advancement of yield. It is one of the significant subject has it is useful as far as potential dangers and natural impacts for the two buyers and makers of food. Hereditarily altered creature fundamentally targets relieving all the present moment and dependable medical issues (Tumushabe, 2018.). Statics indicated that hereditarily adjusted food is expanding the yield of creation of food by over 22% that is the reasons it is been utilized. Extraordinarily, where the issue of food used to happen have received hereditarily adjusted strategy. It is significant as it gives food security by expanding yield it is utilized in different businesses from clinical industry to normal ecological. It gives invulnerability to maladies. It is a lot of innovation which changed the structure of cells and it is liable for life on the Earth. Hereditary designing additionally assumes a key job in clinical industry for diagnosing a few maladies and imperfections in clinical (Rosen and Shapouri, 2018.). Location techniques are set up to diminish the control of these living beings. It additionally gives progressed accommodating of capacity and association. There are food emergencies everywhere throughout the world. Ranchers in nation lose somewhere in the range of a great many corers consistently in nuisances and restoring of illnesses because of absence of offices. To build the opposition of nuisances and creepy crawlies hereditary change is utilized so as to support the efficiency and by and large food flexibly so that there is no starvation. As utilization of food has expanded in the ongoing decades the business is concentrating on improving the nature of creation fundamentally improving healthful properties. The decrease of creation cause enormous hazard and gigantic financial misfortune, in this manner advancement of new innovation has given industry the chance to better food process. In a years ago the degree of accessibility of food tock as outfit downwards, as the creation of yield is defenseless as indicated by the climatic conditions and other cataclysmic events. World Health Organization (WHO) have likewise given good grades to GM crops as it gives security appraisals and decreases the hazard in human wellbeing. As per World Health Organization no consequences for human wellbeing is noted because of utilization of GM food and have been affirmed for the utilization. Aside from that populace is developing step by step, the predication for creation of mass is dubious. This is the explanation food deficiency happen in certain nations. The issue of food deficiency is settled by new biotechnology which offers device by which good measure of food is created, which guarantees food has been provided to whole populace (Von et. al, 2015.). Hereditary adjusted innovation has picked up fame in the periods it makes the item accessible in the market. Additionally, it is progressively suitable for advancement of market procedures of the item. The improvement of this innovation has profited the advancement of correspondence between purchasers. Operational correspondence helps customers in settling on choices about the items (Osiemo, 2018.). Aside from that GMO includes creation of high caliber of food by controlling the arrangement of sugars. It additionally improves food preparing procedure by adjusting it, it changes the plant creation as well as substantial for creature items. Hereditary alteration gives a few benefits by expanding yield, diminishing expense and decline ecological harm. It additionally gives changed nature of food by offering improved food to the buyer. This really improves the kinds of the item which upsurges the financial effect in the market. As the creation should be possible is less time, and prerequisite of less land which settle the issue of soil disintegration or natural issues. It is likewise utilized for inoculation reason as it creates protein and as indicated by logical research the alteration of yield decreases crop disappointments and diminishes the odds of illnesses (Godfray and Garnett, 2014). Craving Problem in Africa In a years ago the weep for hunger has broad across Africa. In this nation a large number of individuals are undernourished. A huge number of people were kicking the bucket because of appetite ceaseless and dangers. Food emergencies in Africa were developing yearly then exertion of New Green Resolution was taken to give in any event twofold of yield creation (Pray and Ledermann, 2016). Appetite is consistent agony for Africans and is settled by taking care of projects in the zones where there is absence of food. Forestalling and defeating the battle of lack of healthy sustenance and sparing the individuals who are starving. The purpose behind this endure is outrageous neediness in the nation, atmosphere changes to development of populace. Still there are around in excess of 800 million people who rest without eating or kicking the bucket because of starvation. By hereditary balance of food innovation it very well may be thought of completion the yearning issue on the planet (Walsh and Van, 2015). Particularly African nations have embraced this innovation which bolstered ranchers to access to better seeds and methods. The importance of GMO is finishing the craving issue on the planet, supporting ailing health and conquering the issue of destitution. Africa made a stride ahead for conquering the battle against appetite and hunger. GMO helps nations who are experiencing food frailty and thriving. Along these lines, Africa centers around expanding the creation of harvests for improving food security (Biesalski et. al, 2016.). Be that as it may, the issue of ailing health should be explained as well. Ranchers are guided to take care of the issue of supporting. The issue of craving in Africa was settled by hereditarily adjusted yields for open discussion. It builds the creation of food in Africa and made food accessible to more extensive territory. It impacts the food supplements by developing the monetary access to food (Zheng, Tashiro, Wang and Sonomoto, 2015). The primary purpose for hunger in Africa was startling dry season condition, poor gather procedure. The less food gets gathered which is one of the explanation behind appetite. It was evaluated by UN Food and Agriculture Organization that 233 million individuals were undernourished in 2016. One of the advantages of GMO has helped in embraced the issue of food hunger. Developing of these yields has demonstrated the development in farming fragment. The GM innovation has created financial development in the nation which prompts settle the issue of starvation. These harvests are taking care of more individuals as they are less expensive to develop and expanded the time and expanded respects give food to hungry. GM crops are cutting off benefit to the business as it is pushing ranchers by trend setting innovation to grow more yields. Not just lessening food hunger it has generally advantageous for society as it improves food insurance. It produces creatures and plants with gainful characteristics and has become a section for development in food industry (Hu and Xiong, 2014). Another test is developing of the hole between food protections

Saturday, July 11, 2020

Writing College Papers

Writing College PapersWhen students reach college, they naturally want to learn all they can about how to write college papers. Some students consider the course to be a prerequisite for higher education. Yet many do not even know that they have to get their hands on their own high school yearbook in order to begin writing their own papers.The most common requirement of a student's preparation is to properly research the topic. It helps a lot when a student is writing a paper. The college applicant should know his or her topic and should know how to organize it. A student can expect to write a topic proposal.A student should write a final decision and thesis based on the topic proposal. At times, a student may simply write the topic, its original title, and the conclusion.A student should know about the different styles of writing. It helps the student in understanding if he or she is doing something right. Theses are usually different from papers.Student's college papers need to be submitted before the deadline. This ensures that the college gets everything ready in time. Students who are applying for honors programs will receive better grades if they submit their papers early.High school students normally would have already mastered the basics in writing. College papers will be an entire different game. However, students will still have to learn how to write well. That is where word processing software comes in.College papers can be written by using a word processor, Microsoft Word, or any other word processing software. A student should master the grammar before he begins. The college application does not have to be an exact copy of the one he wrote in high school. He or she can simply add information to the original one.Students who are thinking of applying for college can look for ways on how to make their college applications stand out. They can try to include the key points of the college course and the research to determine the right grades.

Thursday, July 2, 2020

Taxation Research and Communication Essay - 825 Words

Taxation Research and Communication (Essay Sample) Content: Taxation Research and CommunicationNameInstitutional AffiliationTaxation Research and CommunicationThe current tax law system in the United States has surfaced from Statutory, Administrative and Judicial sources. New laws are introduced every year, and these sources change continually. Clients might, therefore, come with many questions regarding corporate taxation. Many of them do not have any practical background, and it is essential that you communicate in the laymanà ¢Ã¢â€š ¬s language so that they can understand. In the U.S, Corporate tax is imposed at a federal state level, most state level, as well as some local levels on the returns of companies treated as corporations, solely for tax purposes. According to Cummings, Book income, timing of income and tax deduction may differ from taxable income (2010). It is a requirement that Corporations in U.S.A file their tax returns every year. It, therefore, means that they must make tax payments quarterly.Firstly, I wou ld have a consistent plan of action. My measures would be an organized program that would help me provide answers to my clients and achieve my goal of satisfying their needs. After identifying the problem facing the clients, people tend to skip ahead and start seeking solutions, instead of doing research and analysis first (Cummings, 2010). Frequently, skipping steps result in unwarranted assumptions that may later prove counterproductive, costly and embarrassing. When the client is given a careful explanation and answer, it leads to actions that are proactive and preventative, by the client. Also, the findings provided by the clients will be legit because sufficient research has been done (Cummings, 2010)..My plan of action would, therefore, begin by analyzing the clientà ¢Ã¢â€š ¬s question in hand. Analysing the clientà ¢Ã¢â€š ¬s question is essential to this process. It is necessary that the client and I agree solidly about the obstacle being addressed. Step two would be to ana lyze the problem that needs to be addressed. Here I will look at all the aspects of corporate taxation. These aspects include the mission of taxing entities, performance in terms of revenue collected and methods of tax collection, and resources. In this step, I will analyze how the public perceives this mode of taxation. I might also look at the external environment that is our neighboring countries and look at the state of their corporate taxation for comparison purposes with U.S.A. There are two main sources of tax that I would use to research the problem; the primary sources and the secondary sources (Hu, Smith Westbrook, 2008). The primary sources are the statutory sources that include; 1 U.S Constitution. Article I, Section 8 of the Constitution gives the Congress the authority to levy taxes laws. Tax bills have to stem from the House of Representatives (Hu, Smith Westbrook, 2008). 2 Tax treaties. These are agreements made between various countries to facilitate the alleviation of double taxation of the companies subject to tax laws of both these countries. 3 Corporate taxation from the statutory, administrative, and judicial sources and the federal tax authority.Secondary sources include unofficial publications. These unofficial publications include; 1 Treatises. These offer legit tax analysis and also cite to and reprint primary tax certification. 1 Loose-leaf services. These research tools connect primary and secondary materials. These connections provide access to excerpts from congressional reports, regulations and statutes, administrative rulings, and other necessary documentation (Hu, Smith Westbrook, 2008). These loose-leafs are also useful finding aides because they offer users sophisticated finding lists3. Tax services 4 Periodical Literature.

Wednesday, May 20, 2020

Analysis Of Film Production Of The Merchant Of Venice

Film Review Michael Radford s 2004 film production of The Merchant of Venice provides a well-executed and generally faithful rendition of Shakespeare s play. Radford s production especially succeeds in both its casting and set design that elevates the mood and drama contained in Shakespeare s text. In addition to the filming, particular attention was taken to following the original text, but some interesting in liberties in plot details were taken. Radford’s production serves as an exemplar of film adaptions of Shakespeare’s play; it takes the challenge of adapting the text to the screen with excellent casting, bold filming, and well imagined sets. Jeremy Irons as Antonio, the merchant, gives a convincing mix of optimism converted to pessimism as he prepares for his death in the court. Perhaps the best casting, Al Pacino plays an excellent Shylock that initially invokes the movie watcher’s empathy then turns quickly into an enraged, psychopathic persona reminiscent to his ch aracters in Scarface or Godfather. Particularly, Pacino shows off his talent in the famous ‘Hath not a Jew eyes’ monologue where Pacino takes us through a full emotional range of compassion, sympathy, to scorching rage. Similarly, Radford uses this scene to show off his directorial chops: the scene uses a ‘follow shot’ in which the camera follows Pacino’s character as he crosses the dark Venetian streets, through a brothel to find Antonio’s comrades, and back into the streets where the heart of hisShow MoreRelatedMacbeth9435 Words   |  38 Pages------------------------------------------------- Macbeth From Wikipedia, the free encyclopedia This article is about Shakespeare s play. For other uses, see  Macbeth (disambiguation). A poster for a  c.  1884 American production ofMacbeth, starring Thomas W. Keene. Depicted, counter clockwise from top-left, are: Macbeth and Banquo meet the  witches; just after the murder ofDuncan; Banquo s ghost; Macbeth duels Macduff; and Macbeth. Macbeth  is a play written by  William Shakespeare. It is consideredRead MorePorn and Censorship15240 Words   |  61 Pagessexually explicit material that is wholly or primarily designed to produce sexual arousal (i.e., whose only or overriding aim is to produce sexual arousal) and material whose aim is to do this in order to make some other artistic or political point. The film, Last Tango in Paris arguably aims to arouse audiences, but this is not its primary aim. It does so in order to make a broader political point. It is sometimes assumed that pornography, in this second sense, is published and consumed by a small andRead MoreMarketing Management130471 Words   |  522 Pages INTRODUCTION: The apex body in United States of America for the Marketing functions, American Marketing Association (AMA) defines marketing as â€Å"Marketing consists of those activities involved in the flow of goods and services from the point of production to the point of consumption. The AMA has since amended its definition to read as: â€Å"Marketing is an organizational function and a set of processes for creating, communicating, and delivering value to customers and for managing customer relationshipsRead MoreBanking Concepts and Practices39548 Words   |  159 Pagesand Rome. EUROPE: Many European countries established public banks either for facilitating commerce or to serve the government. Begun as an office for transfer of public debt, The Bank of Venice [1157] is the most ancient bank. The Bank of Amsterdam was established in 1609 to meet the needs of the merchants of the city. It accepted all kinds of specie deposits to be withdrawn or transferred to another account later using a certificate valid for six months. These written orders in the course ofRead MoreInternational Management67196 Words   |  269 Pages The revised or newly added â€Å"Integrative Cases† positioned at the end of each main part of the text were created exclusively for this edition and provide opportunities for reading and analysis outside of class. Review questions provided for each case are intended to facilitate lively and productive written analysis or in-class discussion. Our â€Å"Brief Integrative Cases† typically explore a specific situation or challenge facing an individual or team. Our longer and more detailed â€Å"In-Depth Integrative

Tuesday, May 19, 2020

Essay about The Art of Tattoos - 1110 Words

Tattooing has changed and grown rigorously over the past couple centuries. The practice of tattooing is an ancient one dating back to about 4000 B.C. and is worldwide in its distribution (Roenigk 179). Tattooing has grown to now be considered a mainstream activity and is no longer confined to prison populations, sailors, and gang members. Tattooed bodies now include adolescents, career women, and college students (Millner 425). Throughout all these years, tattoos have been used as protection against danger, as love charms, to restore youth, to ensure good health and long life, to accomplish fertility, to bring about the death to an enemy, to cure an illness, to insure a happy afterlife, and even to acquire supernatural power. Although†¦show more content†¦If getting a tattoo by an amateur, with which you may or may not be aware, they often use objects such as pens, pencils, knives, needles, or straight pins and inject substances such as India ink, carbon, charcoal, or mascar a (Millner 426). To achieve various colors you must use certain pigments or even a mixture of pigments. Some pigments would include: Carbon, Cinnabar, Cadmium selenide, Sienna, Cobaltous aluminate, Chromic oxide, Chromium sesquioxide, Cadmium sulfide, Ochre, Iron oxide, Manganese, and Titanium dioxide. Although puncturing the skin is usually painful, preoperative sedation by heavy alcohol intake helps to mask the pain (Roenigk 180). Fading occurs in some tattoos, but other designs may persist for life. Bacteria living on needles, and other instruments used for tattooing, and the risk of infections can lead to multiple health risks. Some reported medical complications of body art include bleeding, tissue trauma and scarring, bacterial infections, tetanus, viral infections, and in some cases even oral and dental injuries (Mayers 29). Multiple health risks associated with non-sterile tattooing practices include the blood-borne infectious diseases of HIV, hepatitis B, hepatitis D, and h epatitis C (Millner 426). Syphilis is a widely known infection that can be acquired directly from the tattooing needle. Primary syphilis may appear in a tattoo in the form of a chancre, a painless ulceration most commonly formed during the primaryShow MoreRelatedAre Tattoos, Art?678 Words   |  3 PagesThere are many forms of art in today’s society, all ranging in a wide variety of intricacy and complexity. From performing arts, there is also interpretive arts and the classic hand molding and paint brush wielding type of art. Most art is easily distinguished, but there’s another form that has been bubbling to the surface for quite some time now and that art form is tattooing. Though many disagree that this is an actual art form, most often times, people determine tattooing as a â€Å"rite of passageRead MoreTattoos and Body Piercings as and Art Form992 Words   |  4 PagesAshley Beth Logan Manuscript Speech D. Webb Speech 106 Tattoos and Body Piercings Good e vening. I would like to start by asking how many of you have a tattoo or piercing other than your ears. Did you know that in most work environments, you are usually not even considered for employment if you’re tattoo or piercing is visible during the interview? I am one of the many people who believe tattoos and body piercings are a form of self expression. However, there are still that few out there whoRead MoreThe Overlooked Art : Tattoos A Social Issue1931 Words   |  8 Pages The Overlooked Art: Tattoos a Social Issue When you think of social issues there are many that come to mind ,but there is one that though it effects many is overlooked. That issue is the acceptance of tattoos into our main stream culture. Tattoos actually have a very long history in our culture but in the past, was concentrated in small out of the way pockets of society like the military and criminals. This has slowly started to change and tattoos have started to make their way into the commonplaceRead MoreTaking a Look at the Tattoo Culture786 Words   |  3 Pagesuntil recent time’s people adorned themselves with tattoos as a symbol of self-expression. However they are now most commonly used in mainstream culture as a means of self-decoration. Today’s generation of youth are experiencing a positive relation to tattoo culture. As they are in the middle of an increasingly â€Å"tattoo friendly† and â€Å"tattoo flooded† society. The aesthetic value of tattoos has exponentially increased as they b ecome a more legitimate art form and are accepted as fashion accessories. WithRead MoreTattoos and Society Essay1436 Words   |  6 Pagespresent themselves to the world. Tattoos have been predominantly linked with a rebellious attitude and pictured on out of control stereotypes such as rock starts, bikers, sailors, and disobedient teenagers who want nothing more than to hack off their parents. With a new coming of age generation and a step into a more lenient and liberal society these types of patrons still participate in body art but so do doctors, lawyers, or just the run of the mill house mom. Tattoos signify religious beliefs, culturalRead MoreTattoos And Body Of Tattoos Essay1577 Words   |  7 PagesTattoos and body pierced has been in our society for many years. Back then when tattoos was not a thing, many culture and religion used to inked their skin. In 1920s tattoos was common on prisoner, sailor, bikers, and that is why a huge part of of the population does not accep t tattoos. Now, these days the art of tattoos is increasing, making a lot of money every year. These days people are getting more and more tattoos, making themselves addicted to it. Body art is used by people to express theirRead MoreThe View of Tattoos in Our Society Today Essay1522 Words   |  7 PagesThe View of Tattoos 1 The View of Tattoos in Our Society Today Melissa Oliphant Axia College of University of Phoenix The View of Tattoos 2 â€Å"People who drink, do drugs, have been jailed or do not believe in religion are more likely to be tattooed. â€Å" , said Mom. Is there any truthRead MoreExpressing Identity Through Tattoos and Piercings Essay786 Words   |  4 PagesExpressing Identity through Tattoos and Piercings The rising popularity of tattoos and body piercing is more than just the latest fashion craze. This type of body art has been a part of this world for thousands of years. Tattoos and piercings have served as amulets, status symbols, declarations of love, signs of religious beliefs, adornments and even forms of punishment (Smithsonian.com). In the later years (1940 – 2000) tattoos and piercings were more common among teenagers and young adults, butRead MoreTattoos : Culture And Culture1485 Words   |  6 Pagesof every culture and the American culture is no different. One of the aspects of American culture is the tattoo. Tattoos have been around for centuries, they are also part of other cultures and appeal to a broad variety of people. Tattoos became part of American culture through cultural diffusion, which is where one culture shares its culture with another through direct contact. Recently tattoos have re-assimilated into American culture and society by first being associ ated with deviant behavior andRead MoreTattoos in the Workplace Essay916 Words   |  4 PagesTattoos in the Workplace Christina Responsive-Final Draft April 4, 2013 There is always a lot of controversy when it comes to tattoos. Most people instantly have an opinion of them; they are either for or against tattoos. What is not realized is the fact that there is a ton of time and effort put into the sketching and placement of a tattoo. People tattoo themselves as a way of self-expression and liberation. Unfortunately, in the business world, most executives do not believe there is such

Wednesday, May 6, 2020

Gene Therapy And Human Genetic Engineering - 1646 Words

â€Å"Although we are all members of a single species, we differ from one another in such visible traits as the color of our skin and the shape of our noses, and in biochemical factors such as our blood types and our susceptibility to certain diseases† (Sheridan College Institute of Technology and Advanced Learning, 2013, p. 34). To understand human physical development and evolution one has to understand biological anthropology as the focus on humans as biological organisms. Biological anthropologist conduct research, and form techniques of modern molecular biology to learn about human variation and how it relates to different environment humans lived in as well as their conditions. Genetics is the study of heredity and variation in living organisms. biological Anthropology looks at how biological traits from one generation to the next get passed along. The article describes gene therapy and human genetic engineering as an evolution indicating that by allowing tools such as gene therapy we underestimate the amount of influence it may have on our species. The gene therapy has helped human species develop and understand more about viruses and and certain diseases that have developed and evolved throughout evolution. Genetics also helps understand what humans have in common and what distinctive from other species. â€Å"Biological adaptations is the process in which humans, as both individuals and groups, develop biological characteristics that relate to environmental conditions†Show MoreRelatedGenetic Engineering : Designer Babies1687 Words   |  7 PagesBackground History Genetic engineering is the modification of the genes to be able to change the characteristics of the person. â€Å"Designer babies† is when the parents choose the genetic information of the child, while in embryo. The genetic engineering will occur hand in hand with in vitro fertilization. For â€Å"designer babies† to actually be created, the parents need a donor with the genes the parents want inserted in their child. Whereas, genetic therapy is the changing of the person’s genes after they haveRead MoreThe Benefits of Genetic Engineering Essay1459 Words   |  6 Pagesanother controversy broke out, do humans have the right to make life? Most of the concern comes from the fear of control over the production and development of human beings. But, those who are against cloning would most likely look the other way if they needed gene therapy after receiving a grim diagnosis. There are many aspects of genetic engineering and to thoroughly understand it looking int o each is absolutely necessary. In order to understand genetic engineering, the key terms in this controversyRead MoreGenetic Engineering Research Paper1341 Words   |  6 Pagesto mix and match characteristics among unrelated creatures by moving genes from one creature to another. This is called â€Å"genetic engineering.† Genetic Engineering is prematurely applied to food production. There are estimates that food output must increase by 60 percent over the next 25 years to keep up with demand. Thus, the result of scientist genetically altering plants for more consumption. The two most common methods for gene transfer are biological and electromechanical. â€Å"Early experiments allRead MoreGenetic Engineering : Technology, Equipment, And Experimentation Essay1678 Words   |  7 Pagesindividual. This process is known as genetic engineering. The aim of genetic engineering is to add new genes that have not been found in the individual. This could involve changing a base pa ir A-T or C-G in the DNA. In order to do this, scientists need to alter an existing gene in an organism s genome to make it express at a higher level. The genome is the full set of DNA, including all of the genes that the organism originally has. Each genome contains genetic information needed in order to createRead MoreGenetic Engineering : A New Technology1311 Words   |  6 PagesGenetic Engineering Genetic engineering is a new technology that is not utilized to its full potential. Often called modern biotechnology, genetic engineering can bring humanity into a better medical and agricultural age. Genetic engineering is an important scientific breakthrough because by altering DNA, scientists can improve food, create organs for transplant, and prevent certain diseases and birth defects. The field of genetic engineering has developed very quickly due to the greater understandingRead More Genetic Engineering: Our Key to a Better World Essay1128 Words   |  5 Pages What is genetic engineering one might ask and why is there so much moral controversy surrounding the topic? Genetic engineering as defined by Pete Moore, is the name given to a wide variety of techniques that have one thing in common: they all allow the biologist to take a gene from one cell and insert it into another (SS1). Such techniques included in genetic engineering (both good and bad) are, genetic screening both during the fetal stage and later in life, gene therapy, sex selectionRead MoreGene Therapy : An Experimental Stage1252 Words   |  6 Pagescliche seen throughout modern day society, new advancements of science might be proving otherwise. Gene therapy is a new technique that allows physicians to alter one’s genetic code, effectively treating and preventing disease. Though still in an experimental stage, gene therapy has been successful in treating a variety of diseases including cancer and neurodegenerative disorders. The benefits of gene therapy are clear to the scientific community, while the limits to place on the practice are ambiguousRead MoreEssay about The Human Genome Project1274 Words   |  6 Pagesâ€Å"Genetic engineering is, at best, a debatable branch of science. For some, it is the wave of the future: a method for perfecting the human genome, discarding flaws from infants before they are born and ensuring they live longer, healthier lives. For others, it is an abomination: a method of circumventing what nature gave you, and wholly unnatural. Which one is right?† (Bird). Naturally, genetics is the scientific study of inherited variations in the DNA strand. This topic sparked curiosity amongRead MoreGenetic Engineering: Brave New World1012 Words   |  5 PagesGenetic engineering has been around for many years and is widely used all over the planet. Many people don’t realize that genetic engineering is part of their daily lives and diet. Today, almost 70 percent of processed foods from a grocery store were genetically engineered. Genetic engineering can be in plants, foods, animals, and even humans. Although debates about genetic engineering still exist, many people have accepted due to the health benefits of gene therapy. The lack of knowledge has alwaysRead MoreHow Genetic Engineering Should Not Be Researched For Ethical Reasons1452 Words   |  6 PagesJoshua Romo Mrs. Ford English 6 29 January 2015 Changing Genes Jim s mother stared into her son s eyes, grasping her husband s hand tightly as the doctor delivered the life-changing news. All the mother wanted was for Jim to be normal, but as the doctor explained the boy’s condition, she began to fear he may not be normal after all. The son was diagnosed with Sickle Cell Anemia, a genetic disorder that affects the shape of red blood cells. Without treatment, Jim would have a high chance of dying

Poverty in Latin America - 805 Words

This paper will discuss the poverty in Latin America. Latin America has always been in poverty and although there have been some ups and downs, the poverty level remains great. First, we will discuss the region that is known as Latin America, the determining factors of poverty, the statistics and history of the poverty in Latin America and the future of the poverty in Latin America. Latin America refers to the areas of America in which the Spanish or Portuguese languages prevail. These areas include Mexico, most of Central and South America, Cuba, Dominican Republic, Puerto Rico and Brazil. Latin America can be subdivided into different regions, such as North America, South America, Central America and the Caribbean. (Wikipedia, Retrieved†¦show more content†¦Many programs are available to the public in order to help Latin America and the people thereof. I believe the people themselves and the entire dynamic of Latin America will need to change before the poverty levels change significantly. Donations and charities may help but they will only scratch the surface. The issues of Latin America are deep and need to be dug up and dealt with by the people of Latin America. In conclusion, we see that this is a current problem that is steadily being addressed and researched. Latin America needs help and resources in order to come out of poverty. They also must make changes within their own system so that the help can be well received and utilized to the fullest. . References Latin America. (2010, June 7). In Wikipedia, The Free Encyclopedia. Retrieved June 7, 2010, from http://en.wikipedia.org/w/index.php?title=Latin_Americaoldid=366711869 Poverty. (2010). In Merriam-Webster Online Dictionary. Retrieved June 7, 2010, from http://www.merriam-webster.com/dictionary/poverty Poverty in the Developing World – Latin America and the Caribbean, (2010). Retrieved June 7, 2010, fromShow MoreRelatedPoverty in Latin America1502 Words   |  6 Pages Poverty, or the inability to afford basic human needs, is an issue that is spread worldwide. There are people everywhere who cannot afford shelter, food, healthcare, or education. It seems easy enough to ignore the bum asking for change on the street, but it becomes near impossible in regions where whole families are begging on the street. This rings true in Latin America and it is extremely frustrating to see social inequality this extreme. This essay will examine how much poverty exists inRead MoreHealth And Poverty Of Latin America1809 Words   |  8 Pages Maternal Health in Bolivia Stephanie Spencer Fall 2014 Health Poverty in Latin America Section 1E Globally, maternal health is an issue that has not been given adequate attention in many regions. Many women across the world are unable to avoid many preventable health consequences of pregnancy, which are usually extreme enough to result in death. In the Latin American region, Bolivia has some of the worst maternal health care systems, due to the underdevelopment of healthcare practicesRead MoreImpact of Agricultural Trade liberalization on Poverty in Latin America1300 Words   |  6 Pagesliberalization on Poverty in Latin America Historically the agricultural sector has been an important sector for the economies of Latin America because of this the issue of global agricultural trade liberalization has been a hotly contested issue. Some suggest it may harm Latin American countries and increase poverty by opening up the sector to foreign competition from more technological advanced nations. Others have argued that it will increase economic competitiveness and reduce poverty by promotingRead MoreAmerica, Mexico, The Caribbean, And South America Make Up Latin America Essay1070 Words   |  5 PagesCentral America, Mexico, the Caribbean, and South America make up Latin America. Approximately 640 million people reside in this region. Latin America is the largest foreign supplier of oil to the United States. It is the United States’ fastest growing trading partner, as well as its biggest supplier of illegal drugs. Latin America is also the largest source of U.S immigrants, both documented and not. The life expectancy for females is 72 years of age and the life expectancy for males is 79 yearsRead MoreEssay on The Impact of the Remittances in Latin America1400 Words   |  6 PagesIntroduction In Latin America migration and remittances have become structural features in the economy, the society, and in the political environment; due to the underdevelopment and inequality of the region. Because they relative importance, trends in migration and the impact of remittances in population of Latin America are the main topics that we will analyze in this research focusing on reduction of poverty and inequality. This research will aim to answer the next: Do remittances financeRead MoreThe Policy Instruments And The International Monetary Fund1373 Words   |  6 Pagesachieve; however, John Williamson in 1990 claimed that Washington based institutions such as the United States Government, think tanks, and the International Monetary Fund had formed a general consensus regarding economic development polices in Latin America (Williamson 1990). He outlined a framework and described ten policy instruments that policymakers agreed were necessary to aid developing countries. The ten reforms that he mentioned included: fiscal discipline, public expenditures focused on healthRead MoreEssay on U.S. Influence on Latin Culture989 Words   |  4 PagesUnited States intervention within the affairs of Latin American politics in the beginning of the twentieth century, and since the advent of a U.S. effort towards the modernization of Latin America, influences aimed at empowering communities and bringing a bout democratic movements among Latin American countries have been accompanied by various forms of exploitation and cultural decimation (Leonard, 1999). Efforts at modernization of Latin America have been carried out partly in opposition to theRead MoreArgumentative Essay - Education in Latin America848 Words   |  4 PagesFUTURE, A LATIN-AMERICAN PERSPECTIVE by Ana-Maria Gonzalez â€Å"Education leads to a brighter future.† Quite a clichà ©d phrase, actually. So popular, that people tend to forget the true significance of it. It is known that Latin America faces numerous problems that makes looking into the future a discouraging view; but we fail to realize the lack of education may be the root of these issues, including violence, unemployment and poverty. Even though education is widely available in Latin America, peopleRead MoreImmigration Of Latin Americans : Immigration Essay1364 Words   |  6 Pages Immigration of Latin Americans Immigration involves the movement of a group of people from one country to another where they do not possess citizenship. There are many reasons in which people may leave their country such as employment, lack of resources, family, fear due to violence, exile, the American dream. In 1965, Congress changed immigration law in ways that allowed much more intake from Asia and Latin America than earlier. Before 1965, the intake was mostly from Europe. Since then, overRead MoreWb, Idb And The International Development Association1279 Words   |  6 PagesWB, IDB and CDBs contribution to education in the Region Through loans, innovative financial solutions, policy advice and technical assistance, the World Bank supports a broad range of programmes aimed at reducing poverty and improving living standards in the developing world. Working through the International Bank for Reconstruction and Development and the International Development Association, the Bank uses its financial resources, skilled staff, and extensive knowledge base to help developing

Development in the World of Business Samples †MyAssignmenthelp.com

Question: Discuss about the Development in the World of Business. Answer: Introduction Over the bygone years there has been a great amount of development in the world of business. It is noted that with a growth and modernization of companies, themanagement tend to outsource functions. Moreover, outsourcing is recognized as one the most crucial aspects that not only benefit start-ups, but also act as a helping hand to growing firms (Stanfield and Thompson, 2014, pp. 331-349). As compared to activities performed within an organization, the concept additionally provides several benefits. In addition to building up external relations with service providers, enterprises tend to enter into partnerships as well. With a growth of outsourcing in the corporate world, the feature is now recognized to be of strategic importance. Stanfield and Thompson (2014, pp. 331-349) also stated in their article that being a part of a company`s fundamentals, outsourcing also has certain requirements that needs to be fulfilled. However, outsourcing also tends to have several complications and i ssues that immensely affect the smooth functioning of a firm. This particular project focuses on the various advantages and disadvantages of outsourcing business functions. In order to understand the concept in a detailed manner several journals, articles, books and other secondary sources have been used. Further, the report along with comparing and contrasting the previously published materials, also tend to focus on filling up literature gaps. Project Objective The principal objectives for this project are the following: To learn about the various advantages of outsourcing business functions. To learn about the various disadvantages of outsourcing business functions. Project Scope The aspect of outsourcing in the modern world is a widespread aspect and hence needs a careful understanding for analysis. It is noted that various reviewed sources such as journals, books and articles have been utilized for this matter. Additionally, the project tends to have a real life approach as well. In addition to depending on published works, the report concentrates on highlight important subtopics, getting a detailed insight and thereby come to a proper conclusion. Literature Review Advantages of Outsourcing Business Functions As per Verma, Singh and Gupta (2013, p. 12), outsourcing functions in a business is of strategic importance. It is noted that the multi-dimensional aspect can be broken down into several individual parts. Further, benefits of the aspect can also be broken down into smaller categories depending upon the functions. Peck (2017, p. 173) summarizes the various pros of outsourcing into five parts: lowered production cost, tax evasion, relational rents, strategy oriented, and flexibility. On the other hand, the journal by Smogavec and Peljhan (2016, pp. 127-131), distinguishes the various benefits offered by the feature in the following manner: Expert Operations: It is with the help of experts that a company can achieve greater results. Outsourcing enables a firm to build up stronghold relationships with professionals of different field. In addition to a rise in capabilities, external service providers help firms with technical know-how and investments. Moreover, skill, competency, control and managerial efficiency also rise (Parlour, 2016, p. 89). With a planned and well coordinated outsourcing of function, enterprise become more competitive and gain stability. Cost Reduction: Unlike the work of Peck (2017, p. 173), the journal of Smogavec and Peljhan (2016, pp. 127-131) concentrates on a detailed discussion on this characteristic of outsourcing. It is noted that along with production expenses, there is downfall in operational costs. Apart from lowering working capital and unnecessary expenditure, outsourcing helps to develop tax efficiency of organizations. On the other hand, there is also a increase in employment andmanagement capacities along with cut-down of process investments. It is noted that, the feature also ensures lowering of overhead costs as well. With a downfall of spending by the administration, there is a consequent rise in savings. However, Cromie and Zott (2013, p. 183), compares internally and externally carried out functions. In contrast to interior functions, outsourcing not only costs less but also integrates specialization. Outsourcing posses the capability to bring down economical costs by 20% - 50% (Szymczak, 2013, p. 59). Concentration on Core Business: Among the various operations in a company, there also exist functions that are unimportant and cause loss in the long-run (Lacity and Willcocks, 2015, pp. 237-245). Outsourcing practices significantly helps themanagement of a firm to differentiate core activities from the non-core ones and thereby draw focus to it. For example, organizations often outsource accounting practices and concentrate on manufacturing goods, thereby advancing towards a developed strategy that along with building competitive advantage factors help to serve customers in a better way. As per Molinelli and Paccagnella (2013, pp. 87-98), it is momentous that outsourcing practice facilitates companies to concentrate on core processes, access specialized skills and enjoy economies of scale. Enhanced Innovation: The shift of focus from non-core practices to core processes greatly helps the management of a business to develop competitive advantage factors. Similarly based on the idea of Smogavec and Peljhan (2016, pp. 127-131), Oshri, Kotlarsky and Willcocks (2015, p. 89) in their book states that the outsourcing acts as a helping hand to reallocate resources from domestic activities to innovation. It is noted that the feature enhances creativity within the organizational structure that further leads to a rise of production and performance levels. Time Pressure Management: Every enterprise is confronted with an issue of managing time-sensitive functions (Szymczak, 2013, p. 59). It is noted that outsourcing helps the management to perform effectively and deliver results timely. On the other hand, Bowman (2016, pp. 215-231) takes into consideration the case of peak seasons when a firm has to deal with exclusive orders to enjoy an increased level of profit. It is the outsourcing functions breaks down pressure and ensures fulfilment of targets. Despite of a detailed analysis in the journal of Smogavec and Peljhan (2016, pp. 127-131), it fails to takes into consideration the case of the several other advantages of outsourcing functions in case of a small or newly start-up business. Based on the book of Hill (2015, p. 310), a few more benefits of the aspect can be identified as follows: Risk Sharing: A standout amongst the most essential factors in any venture is risk assessment and investigation. It is by outsourcing procedures on to specialists that a firm profits from their increased knowledge and mitigate potential dangers. Geographical Dispersion: The rise of digital technology has enabled companies to outsource activities over these mediums. In addition to lower costs and timely delivery of the services, firms are able to operate on holidays as well (Mol and Brewster, 2014, pp. 20-34). Simplifies Project Management: It is noted that the use of online channels and social mediums for professional work is common in the modern world. The outsourcing of processes using specialized websites enables a simplified management of the activity. Simplifies Work Relationship: Outsourcing of business functions tends to build up contractual bonds between an organization and service providers. Bowman (2016, pp. 215-231) contradicted that the presence of informal relationship between employees leads a rise in production levels. However, it is only with the downfall of unofficial bonding and rise of professional that acts a helping hand to any firm. Disadvantages of Outsourcing Business Functions In the words of Garrigos-Simon, Gil-Pechua?n and Estelles-Miguel (2015, p. 274), like any other feature in an organization, outsourcing also has its own set of disadvantages that limits its success in the corporate world. On the contrary, Vitasek, Ledyard and Manrodt (2013, p. 518) states that it is only with the use of calculated metrics in the process of outsourcing functions that will not only help to evade complications, but also shall ensure a smooth flow of operations. Mol and Brewster (2014, pp. 20-34) in their work identify five major drawback of the concept: hollowing out, transaction costs, opportunistic behaviour, reduced learning and creativity. It is noted that unlike Smogavec and Peljhan (2016, pp. 127-131), factors like innovation, expanded scopes, and operation costs are recognized as major cons of outsourcing by Hill (2015, p. 310). On the other hand, the various disadvantages identified by Mosca and Bordelon (2017, pp. 81-132) after a detailed investigation into the field are as follows: Failure of Internal Expertise: An increased outsourcing of functions tends to escape training and development of employees in a firm. Further, an interactive environment would also lead to downfall of motivation among the workers which leads to degraded performance levels. However, Peck (2017, p. 173) suggests that outsourcing of human resource functions such as recruitment, training, performance management, compensation, mentoring, coaching, corporate reallocation and employee communication would help to build up internal expertise. Degraded Management Control: Outsourcing activities directly leads to the loss of managerial control on the processes and its outcomes. Moreover, an excess of dependability on external service providers might also result in confinement to definite operational arrangements. Similarly Jefferson (2013, p. 398) also believes that, outsourcing functions contributes towards breaking down administrative control and limits development of a competitive edge. With a diminished rule on delivery of activities, a company`s liability exposure seem to increase. Succession Planning Risk: Based on the work of Vitasek, Ledyard and Manrodt (2013, p. 518) it can be said that outsourcing may result in varied and low quality results. In addition to affecting future plans of a firm, external functions might not be a long term source of competitive advantage. Further, service providers who have no knowledge of a company`s objectives will act as a liability. It is the adequate balance between the motives of a firm and targets of outsourcing that lead to effective outputs. Proprietary Data Risk: It is noted that rise of confidentiality concerns are one of the most important factor that affects outsourcing. Moreover, outsourcing also act as a threat to intellectual capital thereby affecting the management`s decision to approach external service providers. However, in conflict to Mosca and Bordelon (2017, pp. 81-132), the published material of Peck (2017, p. 173) states that the advantages and disadvantages of outsourcing tends to balance each other. On the contrary, Jefferson (2013, p. 398) recognizes several other limitations of outsourcing business functions, which are as follows: Existence of Hidden Costs: As compared to internally performed activities, outsourcing is likely to be cheaper. Conversely, there exists various hidden cost in the process that severely affects its smooth operation. The complicated contracts between organizations and big service providers often include various unexpected costs that are harmful for any SME (Stanfield and Thompson, 2014, pp. 331-349) Share Financial Trouble: Even though inviting expert agencies for performing internal activities tend to cut down risks, it often leads to a dangerous situation by bonding the two financially. It is noted that service providers do not intend to take part in any loss of a firm. Public Backlash: As opined by Verma, Singh and Gupta (2013, p. 12) people with a moral belief regarding externalisation of activities do not prefer firms that involve in such affairs. However, there is no such mention in the work of Mosca and Bordelon (2017, pp. 81-132). Loss of Information: Among the several problems, the transfer of lengthy data governing complex processes is a hard task. It is prominent that the exchange of information to overseas freelancers or external agencies results in a loss of data, thereby creating confusion. Conclusion Based on the above project it can be inferred that the notion of outsourcing business function has been a topic of debate for business professionals in the bygone years. However, with the modernization of the business world, the aspect has gained importance. It is noted that like every other aspect in a company, outsourcing also tends to have its individual benefits and drawbacks. Additionally, there has also been a growth of service provider agencies that particularly focus on operating in this particular field. As compared to internally carried out activities, outsourcing processes provides a firm with several exclusive advantages. On the other hand, the presence of complications and challenges not only affect emprises, but also greatly impact the aspect. However, it can be understood that it is only with building up of effective plans, coordinating objectives, and expanding control that would minimize negatives of outsourcing. Furthermore, as compared to the drawbacks of the conce pt, the numerous advantages tend to be of greater significance that plays a major role in leading and guiding business organizations towards success. References Bowman, A. (2016).What a waste: Outsourcing and how it goes wrong. Manchester: Manchester University Press, pp. 215-231. Cromie, J. and Zott, L. M. (2013).Outsourcing. Detroit: Greenhaven Press, p. 183. Garrigos-Simon, F. J., Gil-Pechua?n, I., and Estelles-Miguel, S. (2015).Advances in crowdsourcing. Cham: Springer, p. 274. Hill, C. W. L. (2015).International business: Competing in the global marketplace. New York, NY: McGraw Hill Education, p. 310. Jefferson, A. (2013).Business process outsourcing: 23 most asked questions : what you need to know. Brisbane, Australia: Emereo,p. 398. Lacity, M. C., and Willcocks, L. (2015).Nine keys to world-class business process outsourcing. London: Bloomsbury, pp. 237-245. Lacity, M. C., and Willcocks, L. P. (2013).Outsourcing business processes for innovation. Cambridge, MA : MIT Sloan Management Review, pp. 28-46. Mol, M.J. and Brewster, C., (2014). The outsourcing strategy of local and multinational firms: a supply base perspective.Global Strategy Journal,4(1), pp. 20-34.Bottom of Form Molinelli, F. E., and Paccagnella, L. S. (2013).Economics of regulation and outsourcing. New York: Nova Science Publishers, pp. 87-98. Mosca, J.B. and Bordelon, G.R., (2017). Human Resource Managers Detect Management and Legal Disadvantages to Outsourcing.Business, Management and Economics Research,3(2), pp. 81-132.Bottom of Form Oshri, I., Kotlarsky, J., and Willcocks, L. P. (2015).The Handbook of Global Outsourcing and Offshoring: The Definitive Guide to Strategy and Operations. New York: Springer, p. 89. Parlour, D. (2016).Successful outsourcing and multi-sourcing. London: Routledge, p. 89. Peck, J. (2017).Offshore: Exploring the worlds of global outsourcing. Oxford: Oxford University Press, p. 173. Smogavec, T., and Peljhan, D. (2016). Satisfaction with outsourcing: Empirical analysis on the case of SMEs.Corporate Governance, pp. 127-131. Stanfield, K., and Thompson, S. (2014). Outsourcing.Biall Handbook of Legal Information Management. Farnham : Ashgate, pp.331-349. Szymczak, M. (2013).Managing towards supply chain maturity: Business process outsourcing and offshoring. Houndmills, Basingstoke, Hampshire; New York, NY : Palgrave Macmillan,Bottom of Form p. 59. Verma, S. B., Singh, S. K., and Gupta, S. K. (2013).Business process outsourcing. New Delhi: Shree Publishers Distributors, p. 12.Bottom of FormTop of Form Vitasek, K., Ledyard, M., and Manrodt, K. B. (2013).Vested outsourcing: Five rules that will transform outsourcing. New York: Palgrave Macmillan, p. 518.

Nursing Case Study Patients Treatment

Question: Describe the Nursing Case Study for Patients Treatment. Answer: Section 1: Clinical decision making and care provision The decisions taken by the nurses have immense implications on the patient outcomes. They take an active participation in the clinical decision in healthcare system regarding the patients treatment. It is the process of gathering and evaluating the information to make decisions regarding patient care (Barry Edgman-Levitan, 2012). It includes the various cognitive processes, skills, and the freedom to make decisions, education, knowledge, communication, monitoring and accountability to make the best clinical judgment for the patient (Hoffman, Aitken Duffield, 2009). If the patient related safety problems are solved, then there would be fewer chances of errors made in healthcare industry. The nurses have a duty to report for the findings and take necessary clinical decisions. The clinical decision-making by nurses involves the knowledge, evidence-based practice to critically appraise and scientifically prove to ensure quality patient safety and care (Cranley et al., 2009). The clinical decision-making also includes the education and technological resources, nursing practice and training. In order to provide the best quality of care and safety to the patients, a nurse needs to clinically think, judge and act accordingly to the situation. The use and implementation of scientific knowledge is important in the critical decision making process (Simmons, 2010). The implementation of current knowledge by nurses to ensure patient safety and care is crucial in decision-making process (Lake, Moss Duke, 2009). Apart from knowledge and evidence-based practice, the communication skills are also important. The communication skills focus on delivering and receiving information to the patient and their family members and information about the risks and benefits about different prognostic or intervention processes (Parker et al., 2009). The active listening towards the patients and their families to ensure the patient centered safety and care. The decision-making process also involves the patients and their family in decision-making process (Mullan Kothe, 2010). The monitoring and reporting by the nurses have a great impact on the clinical decision making for the patients safety. There was no proper monitoring by the Hospital at Night team and he was not escalated as a patient of concern in emergency treatment. The improper documentation would give lack of data for comparative study and treatment of the patient. The documentation and reporting helps to generate awareness about the situation of the patients and to raise flag in case of emergency. It also accounts for the safe decision-mak ing and reduce the chances of errors in the decision making process. The practice of safe-decision making includes integration of scientific knowledge, experiences to anticipate the situations that are likely to happen in the future. In the Inquest into the death of SM, there was failure of documentation and reporting of the patient. There was lack of documentation and reporting of the low oxygen saturation levels in SM. There was no reporting of the continual and unrestricted use of oxygen in the patient. The monitoring of the patient to look for any abnormal findings and well documentation and reporting is required to provide the patient care and safety. The correct monitoring would help to prevent medication errors and rate of death in hospitals (Mitchell et al., 2010). There was no review or assessment of the low oxygen saturation levels and hypoxia throughout his admission except for only one occasion. There was no proper documentation of the scores on the Q-Adult Deterioration Detection System (Q-ADDS). There was failure in the addition of the s cores on the early warning observation form. There was incorrect scoring of the patient and so SM was never escalated as a patient of concern. There was improper documentation in the scoring of the early warning observation form and when SM was escalated as a patient of concern, it was not well documented. On 2nd July, scores of two were not documented properly and seven was added correctly. SM also scored 4-6 around thirteen times in the 24 hours, and the root cause analysis team reported that the case required the higher levels of action including the involvement of the consultants. To provide the patients with the quality ensured care and safety, proper reporting about the findings to avoid errors in ensuring quality care. For the proper reporting, monitoring and documentation is important about every physical parameters of the patient (Jones, King Wilson, 2009). On 3rd July, SM flagged four on two occasions but he was not recorded on the Q-Adult Deterioration Detection System. As a result, the Hospital at Night (HAN) did not escalate SM. There was no medical documentation of SM for the persistent low oxygen saturation levels. The accountability and responsibility also accounts for patients safety and care provision. Nurses are responsible for ensuring safety of the patient and are held accountable for the actions. The failure of the reporting nursing staff to investigate the persistent low oxygen saturation levels showed the lack of responsibility by the nurses that might have escalated SM for emergency treatment. Nurses are held answerable for their actions and responsible in performing their duties. The proper reporting about a patients condition is important for the appropriate treatment (Kelly Ahern, 2009). The Hospital at Night reviewed SM and flagged as an outlier during his admission. However, SM received the appropriate prophylaxis for the venous thromboembolism (VTE). He also received the proper treatment for the VTE by the surgical team. The findings of the chest X-ray showed a collapsed area in the lung that explained SM high oxygen demand and his persistent low oxygen saturation levels. There was no analysis of the blood gas to check for the possible cause of his low oxygen saturation levels. Moreover, SM did not receive the chemical prophylaxis as the first dose but that was not considered as the contributing factor for his death. The nursing staff reported the patients requirement for oxygen but did not raise any flag for his abnormal oxygen saturation levels. The incidence reporting is important to know what actually happened in a case and helps in legal documentation and fulfilling of formalities (Kirwan, Matthews Scott, 2013). There was also reduced mobility that accounted for the SM venous thromboembolism (VTE) after his surgery but there was no assessment regarding his restricted mobility. Despite of his continuous hypoxia, tachycardia and high oxygen demand, there was no raised flags and considered him as a patient for emergency treatment. There was failure to complete the early warning observation form despite of the recording of his scores. There was also failure of the treating team to identify the deterioration in the SM condition. They did not made an emergency call after the reporting of the nursing staff that SM is on oxygen demand for last six days. The Australian government has established many policies and processes to increase the proper reporting of the event, assure quality mechanisms and open disclosure in the adverse events in patient care and safety. Section 2: Tort of Negligence The tort of negligence in nursing is failure to act and take appropriate steps to avoid or prevent the loss or injury to the patient (Huang McLean, 2010). A nurse is capable of caring for the patient but does not care for and as a result, the patient has to suffer unnecessarily. The malpractice and professional negligence by the nurses and the hospital staff that cause emotional and physical damage to the patients (Mair, 2014). The hospital staff, physicians, nurses and healthcare professionals involved in the medical malpractice. The nurses neglect the patients generally face the tort of negligence. The tort of negligence is applied to the nurses who are negligent towards ensuring patient care and that have posed a threat to the life of the patient. The nurses were negligent in the case of SM. They would have been more careful and less negligent regarding the reporting and documentation of his condition. The negligence was also seen regarding the continuous low oxygen saturation le vels of SM. The negligence in nurses to record, document and report to the concerned authority could cause breach of duty. The quality of patient care is hampered and the patient could file a lawsuit against that particular nurse (Staunton Chiarella, 2012). The wrong recording of the scores was also under the tort of negligence. The persistent low oxygen levels in the patient were continuous but the nursing staff and the Hospital at Night was negligent and did not escalate him as a patient for emergency treatment. They were not bothered to investigate and find out the possible outcome of the low oxygen saturation levels in the patient. The reduced mobility in the patient was a matter of great concern but the medical staff was negligent in reporting and raising flag for the emergency treatment. The further reduction in mobility after the surgery should have been a matter of concern and triggered for the assessment but the treatment team was not concerned about the issue. The claim o f negligence contains the negligence arising due to the duty and care by the doctor owed towards the patient, breach of duty by the nurse and a direct implication of the negligence that harm a patient causing him injury or loss (HEATON, 2014). The continuous hypoxia, tachycardia and low oxygen saturation levels demanded immediate investigation and questioning and the arterial blood gas analysis but the medical team was negligent and did not concern to look into the matter. The nursing staff documented and reported the significant periods of hypoxia and low oxygen saturation levels but the medical team did not raise any flag or concern and took immediate steps to make the situation under control. The tort of negligence includes the poor documentation, proper reporting and monitoring of the patients condition that would increase the duration of stay (Atkins, De Lacey Britton, 2014). The X-ray of the chest showed a collapsed area in the lung that explained SM high oxygen demand and hi s persistent low oxygen saturation levels but the medical team was negligent about this major finding. There was no one person who was responsible for the death of SM, the medical team, the nursing staff, the Hospital at Night team and the surgical team were negligent and careless towards SM. Section 3: Ethical Issues In patient centered care, there are many ethical issues in nursing practice. The clinical decision-making involves guidelines for ethics that are intended to provide patient centered care. The nurses have to follow the professional ethics guidelines that are necessary to provide the best quality of care to the patients. The patient has the right to control his or her life and the nurses have to make decisions according to the circumstances. The act of beneficence and non-malfeasance also accounts for the ethics in nursing practice. These ethics are quoted to provide patient care, respect human dignity and to work in collaboration to provide the best quality and high standard care by the healthcare system. The act of beneficence and malfeasance is aimed at providing the best care with an aim to work for the welfare of the patient and cause minimum harm (Yeo et al., 2010). The code of ethics in Australia aimed to identify the standard ethics and principles in nursing practice and to in corporate them in their nursing practice. The code of ethics also guides the nurses to make decisions that are ethically correct and implement them in their nursing practice. The ethical values also safeguard the rights of the patients and ethical values for the nurses (Johnstone, 2015). The surgical team ignored the reduced mobility in SM post-operative. The patient required the immediate treatment for the persistent low levels of oxygen saturation but they ignored the condition and did not raise any flag for the emergency. It was unethical and unfair on the part of the nurses that they did not report or document his hypoxia, tachycardia and persistent low oxygen levels. The ethical code of conduct also demonstrates that the justice is ensured for every patient providing the patient the right to refuse or accept treatment (Burkhardt Nathaniel, 2013). The nursing team did not add and document the scores on the early warning assessment warnings. They also raised flags but the medica l team did not bother to look into this matter and act accordingly. The SM care was ethical at some stances but was unethical under the breach of duty, tort of negligence and dereliction of duty. The patients capability in decision-making along with the refusal to treatment and the involvement of the patients family in the decision-making constitutes the respect for autonomy (Izumi et al., 2012). The nurses reported about the persistent low levels of oxygen in SM but in several situations were negligent about his continuous demand for oxygen. Despite of the raised flag, SM was not documented under the Q-ADDS form as a patient of emergency rather he was treated as an outlier from the time of his admission. The nursing staff did not respect the act of autonomy in case of the patient in providing and meeting the requirements of the patient. The respect for autonomy, beneficence is the key principles that are focused to provide the patient centered care and protect the rights of the pat ient (Schneider Whitehead, 2013). They also violated the act of beneficence as they were negligent about the patients condition and that contributed to his death. References Atkins, K., De Lacey, S., Britton, B. (2014).Ethics and law for Australian nurses. Cambridge University Press. Barry, M. J., Edgman-Levitan, S. (2012). Shared decision makingthe pinnacle of patient-centered care.New England Journal of Medicine,366(9), 780-781. Burkhardt, M. A., Nathaniel, A. (2013).Ethics and issues in contemporary nursing. Cengage Learning. Cranley, L., Doran, D. M., Tourangeau, A. E., Kushniruk, A., Nagle, L. (2009). Nurses' Uncertainty in Decision?Making: A Literature Review.Worldviews on Evidence?Based Nursing,6(1), 3-15. HEATON, L. (2014). Legal aspects of nursing.Kozier Erb's Fundamentals of Nursing Australian Edition,3, 57. Hoffman, K. A., Aitken, L. M., Duffield, C. (2009). A comparison of novice and expert nurses cue collection during clinical decision-making: Verbal protocol analysis.International journal of nursing studies,46(10), 1335-1344. Huang, S. J., McLean, A. S. (2010). Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective.Critical Care,14(3), 1. Izumi, S. S., Nagae, H., Sakurai, C., Imamura, E. (2012). Defining end-of-life care from perspectives of nursing ethics.Nursing ethics,19(5), 608-618. Johnstone, M. J. (2015).Bioethics: a nursing perspective. Elsevier Health Sciences. Jones, L., King, L., Wilson, C. (2009). A literature review: factors that impact on nurses effective use of the Medical Emergency Team (MET).Journal of clinical nursing,18(24), 3379-3390. Kelly, J., Ahern, K. (2009). Preparing nurses for practice: a phenomenological study of the new graduate in Australia.Journal of Clinical Nursing,18(6), 910-918. Kirwan, M., Matthews, A., Scott, P. A. (2013). The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach.International journal of nursing studies,50(2), 253-263. Lake, S., Moss, C., Duke, J. (2009). Nursing prioritization of the patient need for care: A tacit knowledge embedded in the clinical decision?making literature.International Journal of Nursing Practice,15(5), 376-388. Mair, J. (2014). An introduction to legal aspects of nursing practice.Contexts of Nursing, 167. Mitchell, I. A., McKay, H., Van Leuvan, C., Berry, R., McCutcheon, C., Avard, B., ... Lamberth, P. (2010). A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.Resuscitation,81(6), 658-666. Mullan, B. A., Kothe, E. J. (2010). Evaluating a nursing communication skills training course: The relationships between self-rated ability, satisfaction, and actual performance.Nurse education in practice,10(6), 374-378. Parker, R. M., Keleher, H. M., Francis, K., Abdulwadud, O. (2009). Practice nursing in Australia: a review of education and career pathways.BMC nursing,8(1), 1. Schneider, Z., Whitehead, D. (2013).Nursing and midwifery research: methods and appraisal for evidence-based practice. Elsevier Australia. Simmons, B. (2010). Clinical reasoning: concept analysis.Journal of Advanced Nursing,66(5), 1151-1158. Staunton, P. J., Chiarella, M. (2012).Law for nurses and midwives. Elsevier Australia. Yeo, M., Moorhouse, A., Kahn, P., Rodney, P. (Eds.). (2010).Concepts and cases in nursing ethics. Broadview Press.

Thursday, April 23, 2020

Sunflower Ripples free essay sample

I can still see the bright yellow petals, burning their image into my head. The green stalks that tower down on me continue to cast a shadow in my conscience. Sunflowers forever bloom in the depths of my soul. I watch a smaller me running through fields of barren sunflowers, with the sunflower seeds freshly harvested. My younger brother takes a stick to a stalk and petals fly everywhere. We laugh as we pretend to fight epic battles against dragons and ninjas. Our imaginations run wild. I am at the movies with friends by seven. My cell phone rings, startling those around me. It s my mother. She tells me to come outside. The events to play hit like an ambulance driver hits the gas pedal on route to an emergency. My dad is leaving for Iraq in an hour. We have to say goodbye. He promises he will be home soon. We will write a custom essay sample on Sunflower Ripples or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He wants me to take care of my mother. I dont sleep. Instead I lay awake in bed. The ceiling has a conversation with my eyes, bouncing ideas around about death and war and heaven. How do these subjects apply to my life? The next morning I wake up early. I take the sticks I used the day before and walk to the sunflower fields. Instinctively, my hand swings the stick at anything it can make contact with. Sunflower petals burst into the air like fireworks. Leaves fall with stalks and in my blind furry I feel tears running down my cheeks. From nowhere arms wrap around me, and pick me off the ground. My neighbor Michael carries me out of sunflower fields and into the dark. I go from innocent child to aware young adult. Dragons and ninjas pose no threat. Instead I fear guns and bombs. I crave knowledge and understanding of this unknown planet that I have been reborn into. With eyes so aware I will seek out opportunities to grow in my existence just as I did in the sunflower fields. As I look towards college I know I will bring my appetite for knowledge. I want to explore the world further and connect others to it through journalism. By being renewed in such a way I learned that I want to spread democracy just as my father did. I will fight this fight without guns or bombs. My tools will be a pencil, words and truth. I will bring this flame of determination to college. Meanwhile, ripples of sunflower fields stretch infinitely through my life and into the universe.

Friday, April 17, 2020

Writing Essays to Help You Learn How to Take a Test

Writing Essays to Help You Learn How to Take a TestIf you are taking your test for the first time, then a good tip would be to use test sample essays to help you decide what you are going to write. However, they will not be specific to that subject area and therefore can be written on any topic. Using them is a great way to get used to writing in general, and therefore to test taking, too.Students may find it difficult to write an essay on their own and yet come up with something that is of high quality. Some of the essay samples that are available are high quality and do a very good job of guiding you through the process. These can be helpful, but they should only be the first step in getting your essays ready for tests.When you are looking at these samples, make sure that you keep the basics in mind. In other words, the more detailed the essay, the less likely you are to be able to write it yourself. The same goes for the types of essays available as well. Since they are more detai led, you will need to know what type of information you will need to include in order to answer a question.Keep in mind that the essay samples that you look at will be tailored to that particular subject. In other words, if you are studying English, then you will not find a sample essay on the subject of economics. However, it would be a good idea to consider essay samples on subjects such as business and finance when you are trying to study for your classes.A very important thing to remember is that the topics that you write about must be related to the actual course that you are taking. This is so important that there is even a section within the sample essays that you are looking at in the form of research. These will list a number of things that you can use to guide you through the research process.Most of the time, a test or quiz has some type of importance to the students taking it. For example, they may be taking an exam that is graded on a scale of one to five. When you are using the essays to help you learn how to take a test, remember that the more valuable the test or quiz, the more valuable the essay should be as well.The variety of the different essay samples is also good for students. This means that it will be easier for them to get started in writing essays that they will find of value. They can start out with one of the sample topics and then move on to the next after getting familiar with the topics that they are working with.Using essay samples in the first place is also good because these essays will give you the best tools to start writing your own essays. Theses are written by professionals who have found success with this process, so they will have some idea of what to write about. This is good because then you can benefit from their experience in the process.

Tuesday, March 17, 2020

Gold and north Carolina Essay

Gold and north Carolina Essay Gold and north Carolina Essay American History I chose to discuss Christopher Bechtler for the topic of my paper because he was a person of many talents and I can show the different aspects of Christopher Bechtler and his family, Christopher sailed to the United States in 1829 from Le Havre, France, he soon after arrived in New York City with his two son’s Augustus, Charles and brought along his nephew Carl Bechtler. Christopher Sr. soon opened up a small Jewelry shop in Philadelphia, Bechtler intended to stay and make Philadelphia a final place to call home being that his nephew was newly married to his German-American wife Sophia Fleck with whom he had four son’s and three daughters with, Bechtler decided to move him and his entire family to Rutherfordton, North Carolina in hopes of becoming a gold prospector I see that Mr. Bechtler was a man of many talents and ambitions nothing was impossible for him if he could gain some finical wealth from it. On April 25, 1830 Bechtler decided to purchase a tract of land in Rutherford County from a gentleman named John Bradley, being Bechtler was not yet a citizen of the United States yet ,he in trusted a German-American man named Martin Kibler to hold the title to his land, three months later Bechtler officially became a citizen of the United States of America. Bechtler consistently needed assistance with translators as well as witnesses for legal transactions; Bechtler never took advantage of learning the English language he knew bites and pieces of the English language to get through tolerable conversations, I believe Bechtler made the move from Philadelphia to West North Carolina in 1830 because there was a finical gain for him and his family and the opportunity for his business to flourish as a clock and watch maker, so Bechtler posted an advertisement in the North Carolina Spectator and the western Advertiser that he was open for business, I also believe that Bechtler was in the midst of a gold rush, this was one and certainly wouldn’t be the last place that gold was discovered in the United States. Being that North Carolina was the first place in the United States to have founded gold in this state by John Reed in 1799, there weren’t any kind of major mining operations that begun until 1825, that’s when gold bearing vein quartz was found in the hillside in North Carolina, by 1830 the gold rush was plentiful and very profitable at this time North Carolina gold production was valued at more than half a million a year, to be more pacific there was a worth alone in 2011 of 12.6 million dollars made in 2011, this gold was shipped overseas or sent to the Federal mint in Philadelphia, most of the gold stayed in the region, I do believe that this what was tempting to Bechtler to make the decision to move to North Carolina gold can be used for a number of things; like art work being used in a dust form, Bechtler has an obvious need to create jewelry out of the raw material called gold. Bechtler finally had sir-combed to gold fever himself in hopes of getting rich, in 1837 Bechtler decided to dig a tunnel 80 feet deep on this tract of land he had purchased in 1830, Bechtler sought out information from a British geologist George Featherstonhaugh, Featherstonhaugh told Bechtler that his land wasn’t very promising for gold and to have such an extensive dig, but Bechtler wouldn’t give up that easily on his dream to strike it rich, you know when a person has dedication to something like this when they put this as their last will and testament that â€Å" our ore will be found good†, just reading about Bechtler and his many ventures into profitable businesses made me think if the gold digging didn’t pan out he could always fall back to what he knew; which was fine custom made jewelry, which ultimately became his first business in North Carolina, he opened a watch and jewelry store in Rutherfordton, he wasn’t just a† one trick pony† as it were put he sold rings, earrings, necklaces, collar buttons,

Saturday, February 29, 2020

Assess Client and Manage Patient for Respiratory-myassignmenthelp

Respiratory- The most urgent nursing assessment priority is to conduct respiratory assessment of patient to get information related to respiratory rate, auscultation of the lungs and oxygen saturation rate of patient after fall. This is important because high falls often cause soft tissue injury to lungs and may lead to subdural hematoma (Granhed et al. 2017). Hence, respiratory assessment may give idea about level of respiratory problem or soft tissue injury in patient after fall. GIT and metabolic- This assessment is important for patients because Jake has mainly complained about abdomen pain since admission to the ED. During this assessment, information about past medical history, current lifestyle and medication and nutritional uptake is necessary to determine the impact of any of these factors in contributing to stomach pain. It may indicate about intolerance to some food or side effects of medication since Jake is talking many medications. Onset, intensity and duration of pain will help to determine the correct medication for patient too (Macaluso   and McNamara 2012). CVS- As the patient sustained fall from high height, checking vital signs like blood pressure and heart rate is necessary to identify symptoms of anxiety and heart rate variability in patients after fall. It may also give idea about the cardiovascular causes of falls (Palvanen et al. 2014) CNS- CNS assessment is important for Jake because fall from high height might have resulted in brain injury in patient and it may help to predict level of consciousness in patient after fall. This assessment may help the nurse to take further action to minimize future fall incidents. Renal- Falls are associated with decrease in renal function in patient and renal assessment might indicate about fluid balances status and urinary pattern after fall (Gallagher, Rapuri and Smith 2007). Skin- Skin assessment is also a vital assessment for patients as he might have sustained several skin injury and color of skin, temperature and moisture can give idea about any skin infection. Psychological and discharge- Assessment in this area is needed to understand Jake’s emotion and view after fall. This will to gather motivation of patient for recovery and mental capacity to handle challenges in the treatment process. The essential nursing assessment for patient with left sided chest pain will be to collect HEART score of patients as it will give data related to history, ECG, age, risk factors and troponin (Six et al. 2013). The data can help to determine the ischemic nature of chest pain in Jake. The PQRST assessment tool can also help to determine the main factor and severity of pain patient. As Jake has history of hypertension, the BP assessment of patient will also be essential to determine the cardiovascular risk status of patient and cardiovascular cause of chest pain (Daskalopoulou et al. 2015). Left sided chest pain is an indication of heart disorder. Blood clot in the lung or pneumothorax can also lead to sharp pain and chances of this are high in Jake due to fall.   Te immediate nursing intervention for left sided chain pain will include immediate vital sign assessment of patient and making Jake sit in a semi-Fowler position to review pain. Oxygenation and relevant drugs will also be needed to reduce the intensity of pain (Abbas 2014). The rational for taking HEART score of patient is that this tool considers the risk stratification component responsible for chest pain and so it can help the clinician to make accurate diagnostic and therapeutic choices for patients like Jake (Six, Backus and Kelder 2008). The main advantage of considering semi-fowler’s position for patient with chest pain is that it facilitates airway management and relieving breathing difficulty in Jake due to chest pain (Godden and CPAN 2016). In addition, oxygen supplementation decreases the pain level if it is ischemic in nature (Raut and Maheshwari 2016). Two actual nursing complications due to left sided chest pain include shortness of breath in patient and risk of heart failure in patient. The two potential nursing complications evident due to left sided chest pain are development of precarditis and postinfarction angina in patient. 1.  Ã‚  Ã‚  Ã‚  Ã‚   Complain of left sided chest pain in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Monitor and document characteristics, intensity and heart rate or BP changes due to pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Review past medical history of myocardial infarction in patient This nursing intervention will give idea about level of anxiety and intensity of pain in patients (Than et al. 2014). Pain documentation is crucial for resolution of patient’s problem 2.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of ineffective tissue perfusion due to fall injury and abdominal pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Assessment of skin, peripheral pulse, edema and vital signs in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Assessment of GI function Due to fall from high height, injuries might contribute to pulmonary complications in patients and abdominal pain. Hence, vital sign and skin assessment is critical to assess GI dysfunction and other complication in Jake after falls (Morton et al. 2017). This intervention is beneficial to prevent risk of complication in patients 3.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of excess fluid volume due to fall  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Maintain fluid intake in patients Auscultation is beneficial in identify and manage risk of heart failure. Maintaining fluid intake is necessary to enhance fluid retention. Jake also take two cans of beer everyday and restricting the use of beer is also necessary for recovery of patient (Platz et al. 2016) Risk of heart failure and circulatory problem in patient can be controlled 4.  Ã‚  Ã‚  Ã‚  Ã‚   Discomfort in patient due to chest and abdominal pain  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Consider repositioning patients and proving analgesics Positioning will facilitate airway management in patient and analgesics will cause pain relief (Cortà ©s, DiCenso and McKelvie 2015) It is an effective intervention to minimize discomfort and intensity of pain in Jake 5.  Ã‚  Ã‚  Ã‚  Ã‚   Anxiety or fearful attitude in Jake due to chest and abdominal pain and fall injuries  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Communicate with patient and identify perception and feelings of anger or grief in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Orient patient to routine and expected activities Communication with patient is important to know about coping capability of patient and reduce symptoms of depression. Orienting to routine activities distract patients from emotional stress and lead to improvement in signs of depression (Jayasinghe et al. 2014) Patient’s expression about current and future worries will help to take adequate steps to mitigate symptoms of anxiety in patient 6.  Ã‚  Ã‚  Ã‚  Ã‚   Acute abdominal pain in patient Abdominal pain in patient might also be caused by diarrhea. Hence, it is necessary to assess bowel movement in patient Bowel movement will help to determine the appropriate food and medications needed for patient to reduce pain Bowel pattern assessment is critical to proactively assess symptoms of nausea, constipation and diarrhea in patient 7.  Ã‚  Ã‚  Ã‚  Ã‚   Risk of bone or muscle injuries due to fall  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Conduct skeletal/muscular assessment of patient Clinical assessment would help to evaluate the severity of muscle or bone injury On the basis of   severity of injury, the nurse can consult the clinician regarding the use of conventional treatment option of medication or going for physiotherapy (Phelan et al. 2014) 8.  Ã‚  Ã‚  Ã‚  Ã‚   Prevent infection in patient  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Implement hand hygiene and infection control intervention for Jake Due to fall, Jake is dependent on major activities of daily living. This may increase the risk of infection in patient. Hence, maintaining adequate hand hygiene and infection prevention technique is essential to prevent infection (Anderson et al. 2014) Infection control will minimize development of other complications in Jake  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Regular PQRST assessment is necessary to analyze different factors contributing to pain Routine assessment of chest pain is critical to reduce the risk of myocardial infarction or heart attack in patient PQRST is a structured assessment method to identify the characteristics, intensity and cause of chest pain. Increased dependence in activities of daily living Provide assistance to Jake while walking, moving, dressing and going to washroom Support is ADLs is critical to complete daily life activities and reduce risk of fall in health care setting It is most effective step to support patient during difficulties in ADLs. Low physical activity and risk of obesity related complication in patient Provide guidance in physical therapy and moderate exercise intervention This I s essential to maintain minimum level of physical activity in patients Moderate exercise improved quality of life of critically ill patients Abbas, A.D., 2014. Evaluation Of Nurses ¢ Practices Concerning Chest Pain Management For Patients In The Emergency Unit.  Kufa Journal for Nursing Sciences, 4(1).‎ Anderson, D.J., Podgorny, K., Berrà ­os-Torres, S.I., Bratzler, D.W., Dellinger, E.P., Greene, L., Nyquist, A.C., Saiman, L., Yokoe, D.S., Maragakis, L.L. and Kaye, K.S., 2014. Strategies to prevent surgical site infections in acute care hospitals: 2014 update.  Infection Control & Hospital Epidemiology,  35(S2), pp.S66-S88. Cortà ©s, O.L., DiCenso, A. and McKelvie, R., 2015. Mobilization Patterns of Patients After an Acute Myocardial Infarction: A Pilot Study.  Clinical nursing research,  24(2), pp.139-155. Daskalopoulou, S.S., Rabi, D.M., Zarnke, K.B., Dasgupta, K., Nerenberg, K., Cloutier, L., Gelfer, M., Lamarre-Cliche, M., Milot, A., Bolli, P. and McKay, D.W., 2015. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.  Canadian Journal of Cardiology,  31(5), pp.549-568. Doherty?King, B., Yoon, J.Y., Pecanac, K., Brown, R. and Mahoney, J., 2014. Frequency and duration of nursing care related to older patient mobility.  Journal of Nursing Scholarship,  46(1), pp.20-27. Gallagher, J.C., Rapuri, P. and Smith, L., 2007. Falls are associated with decreased renal function and insufficient calcitriol production by the kidney.  The Journal of steroid biochemistry and molecular biology,  103(3), pp.610-613. Godden, B. and CPAN, C., 2016. Airway issues.  Perianesthesia Nursing Care, p.23. Granhed, H., Altgà ¤rde, E., Akyà ¼rek, L.M. and David, P., 2017. Injuries Sustained by Falls-A Review.  Trauma & Acute Care. Ho, P.M., Lambert-Kerzner, A., Carey, E.P., Fahdi, I.E., Bryson, C.L., Melnyk, S.D., Bosworth, H.B., Radcliff, T., Davis, R., Mun, H. and Weaver, J., 2014. Multifaceted intervention to improve medication adherence and secondary prevention measures after acute coronary syndrome hospital discharge: a randomized clinical trial.  JAMA internal medicine,  174(2), pp.186-193. Jayasinghe, N., Sparks, M.A., Kato, K., Wyka, K., Wilbur, K., Chiaramonte, G., Barie, P.S., Lachs, M.S., O'Dell, M., Evans, A. and Bruce, M.L., 2014. Posttraumatic stress symptoms in older adults hospitalized for fall injury.  General hospital psychiatry,  36(6), pp.669-673. Macaluso, C.R. and McNamara, R.M., 2012. Evaluation and management of acute abdominal pain in the emergency department.  International journal of general medicine,  5, p.789. Morris, P.B., Ference, B.A., Jahangir, E., Feldman, D.N., Ryan, J.J., Bahrami, H., El-Chami, M.F., Bhakta, S., Winchester, D.E., Al-Mallah, M.H. and Shields, M.S., 2015. Cardiovascular effects of exposure to cigarette smoke and electronic cigarettes.  Journal of the American College of Cardiology,  66(12), pp.1378-1391. Morton, P.G., Fontaine, D., Hudak, C.M. and Gallo, B.M., 2017.  Critical care nursing: a holistic approach. Lippincott Williams & Wilkins. Palvanen, M., Kannus, P., Piirtola, M., Niemi, S., Parkkari, J. and Jà ¤rvinen, M., 2014. Effectiveness of the Chaos Falls Clinic in preventing falls and injuries of home-dwelling older adults: a randomised controlled trial.  Injury,  45(1), pp.265-271. Phelan, E.A., Mahoney, J.E., Voit, J.C. and Stevens, J.A., 2015. Assessment and management of fall risk in primary care settings.  The Medical clinics of North America,  99(2), p.281. Platz, E., Lewis, E.F., Uno, H., Peck, J., Pivetta, E., Merz, A.A., Hempel, D., Wilson, C., Frasure, S.E., Jhund, P.S. and Cheng, S., 2016. Detection and prognostic value of pulmonary congestion by lung ultrasound in ambulatory heart failure patients.  European heart journal,  37(15), pp.1244-1251. Raut, M.S. and Maheshwari, A., 2016. Oxygen supplementation in acute myocardial infarction: To be or not to be?.  Annals of cardiac anaesthesia,  19(2), p.342. Six, A.J., Backus, B.E. and Kelder, J.C., 2008. Chest pain in the emergency room: value of the HEART score.  Netherlands Heart Journal,  16(6), pp.191-196. Six, A.J., Cullen, L., Backus, B.E., Greenslade, J., Parsonage, W., Aldous, S., Doevendans, P.A. and Than, M., 2013. The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study.  Critical pathways in cardiology,  12(3), pp.121-126. Than, M., Aldous, S., Lord, S.J., Goodacre, S., Frampton, C.M., Troughton, R., George, P., Florkowski, C.M., Ardagh, M., Smyth, D. and Jardine, D.L., 2014. A 2-hour diagnostic protocol for possible cardiac chest pain in the emergency department: a randomized clinical trial.  JAMA internal medicine,  174(1), pp.51-58.