Democracy in Russia (1900) essays

Democracy in Russia (1900) essays There were no prospects for democracy in Russian in 1914. Tsar Nicholas II believed he had the god-given right to rule over his country absolutely. His power to govern was reinforced by the strongest institutions in Russia, The Orthodox Church, The Army, and the peasant class. Even the Tsars opposition unwittingly aided him in quashing all hope for democracy. While there were some small democratic institutions, they only helped reinforce the Tsars belief that the people could never govern themselves. Embodied in Stolypins reforms, these polices helped sustain the Stars rule until its eventual collapse. That couplep with the Tsars policies of oppression, brutality, censorship, and class separation all helped him further in his goal to hold on to supreme power. The concessions he made to the people only served to further reinforce his right to rule. Nicholas II used repression, propaganda, the Orthodox Church, religion, migration, anti-Semitism, and war to help sustain what he believe d to be his divine rule. Nicholas was educated by private tutors and the reactionary Pobyedonostzev. Alexander III gave his son little training in affairs of state, and Nicholas proved to be a charming but ineffective and easily influenced ruler. Soon after his accession Nicholas stated that he intended to maintain the autocratic system. Nicholas was convinced that he had an absolute, God-given right to rule...as he saw fit...he refused to grant democratic right even to the Russian nobility. (Kronnenwetter, 43) The Tsars belief in his religious right to power was pushed on to the people both by himself and the Orthodox Church, which had been a creature of the Tsar since Peter the Great. (Moynahan, 30) The Russian Orthodox Church dates from the conversion of the Slavs by missionaries from Byzantium, led by Saint Cyril and Saint Methodius, in the ninth century A.D. In the tenth century Ch...

Vacuum Definition and Examples

Vacuum Definition and Examples Vacuum Definition A vacuum is a volume that encloses little or no matter. In other words, it is a region that has a gaseous pressure much lower than that of atmospheric pressure.A partial vacuum is a vacuum with low amounts of matter enclosed. A total, perfect, or absolute vacuum has no matter enclosed. Sometimes this type of vacuum is referred to as free space. The term vacuum comes from the Latin vacuus, which means empty. Vacuus, in turn, comes from the word vacare, which means be empty. Common Misspellings vaccum, vaccuum, vacuume Vacuum Examples Vacuum tubes are devices, usually made of glass, that contain very low gas pressures inside the tube.Space is considered a vacuum. Space does contains matter, but the pressure is much lower than what you would find on a planet, for example.A vacuum cleaner sucks up debris because it creates a pressure difference between the area to be cleaned and the suction tube.Your lungs intake air when your diaphragm drops, creating a partial vacuum in the alveoli of the lungs, causing air to rush in.

Data Analyses Research Paper Example | Topics and Well Written Essays - 750 words

Data Analyses - Research Paper Example Almost 95 % a vast majority turned out to be as a full time student with only 5 % studying as part time students. When question was asked regarding their drinking habit on campus 48 respondents out of 58 said that they don’t drink on campus however 9 respondents said they rarely drink on campus where as only 1 respondent said that he/she drink occasionally. When respondents were asked regarding bar on campus and how would it affect the school’s social atmosphere and help in reducing the stress amongst students? The answers were of split nature few endorsing it few going against it and few chose air of finality or stayed neutral. The facts and figures regarding this question are, 17 respondents strongly opposing the idea of campus on bar on the other hand 11 respondents were strongly supporting this idea. Furthermore 6 respondents believe that its impacts would not turn out to be fruitful so they opposed it by demonstrating and marking no in questionnaire however 20.7 % (12 respondents) were unsure so they remained neutral. The final 12 respondents out of 58 were confident that bar on campus will help students to reduce stress and there is no harm in it. 16 students out of 58 were confident about allowing 2 drinks per day which also makes them majority, however 15 respondents believe that only one drink should be allowed per day, 11 respondents have different ideas they believe that this intake should be raise up to 3 drinks per day while 13 respondents were against all restriction claiming that there should be no limit on drinking per day for students. There were quite a few alternatives that come across while performing research. The first and foremost was that the school should focus on promoting sports and other extracurricular activities rather than opening bar on campus as this will shift students focus towards other things, another alternative was regarding

Mexican Healthcare system Article Example | Topics and Well Written Essays - 1000 words

Mexican Healthcare system - Article Example The improvement in the healthcare system in Mexico continued throughout the 19th century registering a great status improvement in the 1990s, where the mortality patterns were found to match with those the most developed societies. The government of Mexico has established a three-tire health system that takes care of all its citizens at subsidized rates. The Mexican Social Security Institute (IMSS) was established in 1943 to cater for the welfare of all employees in the private sector and their dependants within the country, which works as a tripartite system involving the joint funding by the employer, the federal government and the employee. The Institute for Social Security and Services for State Workers (ISSSTE) on the other hand caters for the social welfare and the health needs of the government employees (Johnson & Stoskopf, 2010). The difference in the healthcare systems between the USA and Mexico lies in various fundamental concepts. First, there is a disparity in the covera ge of the healthcare system in the USA and Mexico, where all citizens in the country are covered through the three-tire healthcare system; while in the USA the healthcare system does not cover all citizens (Garman, Johnson & Royer 2011). Secondly, the cost aspect presents another disparity, where the cost of healthcare in Mexico is lower, compared to the USA. Another major difference is that in Mexico, most of the healthcare system falls under the public sector, while in the USA, most of the healthcare is provided by the private sector (Johnson & Stoskopf, 2010). Characteristics of the consumers, providers, payers, and regulation policies in Mexico, compared to USA The characteristics of the consumers in the Mexican healthcare system varies from those of the USA consumers in that, the Mexican consumers do not necessarily need to have a healthcare insurance to be able to access subsidized healthcare, while in the USA, the consumers need to be covered by a health insurance scheme to b e able to access subsidized health service (Garman, Johnson & Royer 2011). The characteristics of the providers on the other hand, varies greatly between Mexico and the USA, since public the healthcare providers in Mexico operates under government sponsorship, thus providing subsidized healthcare service to the citizenry. On the other hand, the providers in the USA comprises the private sector as the main player, thus the access to subsidized services are a preserve of a few, who can afford health insurance. Nevertheless, the USA government accounts for a larger share of healthcare provision and financing, accounting for 46% financing of the healthcare system, while the Mexican government accounts for a slightly lower share, financing 44% of the healthcare provision in the country (Johnson & Stoskopf, 2010). The regulation policies also differs, though to a smaller extent, with the USA providing an open and optional feeding system, where the patients are free to choose the menu, whi le at the same time being allowed outside food. On the country, the Mexican health system offers a single brand of food, while prohibiting outside food in the health facilities (Garman, Johnson & Royer 2011). The staffing, appointment and timeliness policies also differs in both country, with the USA applying an adequate staffing policy for its healthcare, as well as upholding a strict appointment and timeliness policy, as the fundamental aspects of healthcare pro

Dr Jekyll and Mr Hyde Essay Example for Free

Dr Jekyll and Mr Hyde Essay The famous Dr. Jekyll and Mr Hyde was written by Robert Louis Stevenson and has remained popular ever since its publication in 1886. Robert was born in 1850 and was born in Edinburgh, Scotland. He was brought up a calvalist, however followed the bohemian life style. He married Mrs. Fanny Osbourne in 1880 and supported Priest Dameor who cared for the lepers. Dr Jekyll and Mr Hyde is a rich tale of the duality of mankind and how we are in essence creatures created for good, however in all of us there is the seed to do bad. The moral of the story is an old biblical one that many Christians recite daily in prayerLead us not into temptation, but deliver us from evil. This might be one of the reasons Stevenson wrote this book; Jekyll lives a double life of propriety and shame, imprisoned by the moral demands of Victorian society, and so did Stevenson. He too was surrounded by upright, religious and rigid citizens. He was even pressured into studying law at Edinburgh University. This book was written as a horror story. We know this because of the settings and plot. Stevenson wrote the book at the time of many murders in the east of London and the complete ignoring of social values and heartless deeds committed by Mr Hyde are totally in synch with Jack the Ripper and Sherlock Holmes. Mr Hyde represents the exact opposite of what Victorian gentlemen should act and the savageness of his actions is what made the book so scary back then. The story takes place in London during the nineteenth century. The central mood of the novel is one of mystery and terror. Stevenson creates dark settings to create a mood of anticipation and mystery. E.g. He was aware of an odd, light. Mr Hyde only comes out in the dark, foggy night, which subsequently makes the reader suspect mainly sinister intentions and automatically informs the reader that there is an expectation of trouble and something threatening, as the dark brings ominous feelings and terror to the reader. Stevenson changes the weather from regular night to more dark and foggy so that it is almost impossible to see clearly, therefore emphasising the fact through the fog, there is something concealed and surreptitious lurking about which makes the reader feel anxious. Also, he makes the character more evil looking in the dark e.g. In the darkness of the night he gave an impression deformity without any namable malformation. This makes the reader picture a horrific creature that makes them feel defenceless and exposed. Stevenson describes the fog being broken up as a haggard shaft. This gives the sense of destructiveness and violence. Also the quote swirling wreaths gives the sense of death as wreaths is what is placed on-top of a coffin. Finally Stevenson describes the gloomy avenues as mournful re- invasion of darkness which gives the sense of decay and obscurity. All these quotes also make the reader feel uneasy and apprehensive. The quotes It seems she was romantically given and London from all around very silent gives an eerie effect and provides a somewhat peaceful response. These quotes are also examples of emotive language, because they give the reader an emotional response. A certain sinister block and tramps slouched are both examples of figurative language which gives the reader a precise picture of what is in the setting. The quote tramps slouched gives us an unpleasant image of what reality was really like for the poor, making the reader feel uncomfortable as well as sympathetic. As addition to Stevenson using figurative and emotive language, he also uses a wide range of verbs like ragged and dingy which helps the reader to get a detailed picture of the insecurity and filthiness in which they lived through, and adjectives like ragged children huddled, which illustrates the fear and torment which even children went through. The quotes low growl of London and city in a nightmare, all give off the impression that the streets of London at the time were grimy, dangerous, dingy and simply terrifying places to live. Also the word growl, an example of personification, gives a sense that there is a savage, ruthless and a ferocious monster prowling about London. Finally the metaphor, light of some strange conflagration, gives a reference hell which makes the reader feel uncomfortable. Even though there are many quotes referring to the struggles of Victorian society, there are on the other hand several quotes which describe the other side of Victorian society which was entirely different. For example, bachelor house, close by the fire and gratefully to bed, all give off a cosy, warm, safe and welcoming impression. So yet again we have another contrast of the rich, warm, safe Victorian residence to the poor, insecure and generally tough Victorian slums. This shows that if you were rich you could use the power whatever way you like, however if you were poor, you were trapped in a world of poverty and in a sense of revulsion. There are three main characters in the novel, Dr Henry Jekyll, Edward Hyde and Mr Utterson. Dr. Henry Jekyll is a prominent middle- aged doctor and throughout the novel he is physically described as both tall and handsome. He is also extremely wealthy and by all who him, he is described as well respected and proper. For example, Stevenson describes Jekyll as a entertainer and a person known for charities which gives the impression that Jekyll is a warm, pleasant, middle class gentleman. In the book, his voice is only heard in the concluding chapter (Henry Jekylls full statement of the case), only after being described through the lens of Utterson, Lanyon, Poole and Enfield. The doctors belief that within each Human- being exists two countering forces, good and evil, leads to his experiments to try to separate the two. This however, was not done merely for scientific reasons, but also because he enjoyed escaping the confines of the respectable guise of Dr. Jekyll. The quote which illustrates this is The transformation was succeeded by a sense of joy. This also suggests that people didnt know what was right and what was wrong and would do and ask questions later. Also in the book he is described as less distinguished for religion, which suggests he too questioned Christianity like many other people of his time. For example, Darwin challenged religion as he came up with the theory that we evolved from monkeys which would mean the world wasnt made is seven days. Edward Hyde is a small, deformed, disgusting young man (much younger than Dr Jekyll) that is devoid of an apparent profession. Also the quote deformed illustrates that some Victorians disliked and rejected disabled people. Stevenson describes Hyde as callous and violent and a murderous mixture of timidly and boldness, which gives the impression Hyde is a fierce, ruthless, brutal monster. Despite the many descriptions of the horror that Edward Hyde invokes (by Lanyon, Utterson and Enfield), we are never told in detail precisely why or what features are so disgusting to observers, which emphasises the fact the novel was made in the time where phrenology (judging someone by their appearance) was the key to knowing if someone was good or evil. Hyde is also often compared to animals e.g. snarled, implying that he is not a fully evolved Human- Being. Another factor which suggests he is compared to animals is the fact he only menaces society at night e.g. trampling a girl in the street and murdering Sir Danvers Carew, which relates him to rodents and other nocturnal animals. Finally the quote the man seems hardly human, illustrates the fact Hyde is not a whole and has something missing. Good. Mr Utterson is the narrator of the book and is described as tall and loveable. He is a middle- aged lawyer plus someone that all the characters confide in throughout the novel. As an old friend of Jekyll, he recognises the changes and strange occurrences that centre around both Jekyll and Hyde. Stevenson describes Utterson as a reliable and Modest man which suggests he is perhaps the most circumspect and respected character in the book; therefore, it is significant that we view the crimes of Hyde through his observant frame. However, when Utterson discovers Hydes body in a red cabinet, instead of reporting it to the police he precedes in reading a letter addressed to him, which suggests he is more interested in his social status than solving the mystery. The quotes his friendship seemed to be founded in a similar catholicity of a good nature and his friends were those of his own blood or those who he had seen the longest, illustrates the fact he is insular, biased and narrow-minded. Knowing this makes the reader question if the story is told accurately and truthfully. The thing I noticed about this novel is that all the women are either victims or maids. E.g. the girl who got trampled on, the maid who witnessed the murder of Sir Danvers Carew and the house maid. This suggests that the middle class Victorian society were very sexist. However, if a Victorian was to read a modern day horror story, they would probably come up with the same conclusion, as the majority of victims in todays horror stories are women. The strange case of Dr Jekyll and Mr Hyde is typical of the horror genre as it has many factors in which we would expect to see in a horror story today. For example, the story is mainly set at night, there are victims and most importantly the evil character is punished at the end of the novel. Mr Utterson is the narrator of the book and we are told the story through his eyes and told as though its true. This contributes to the element of suspense as we only know what Utterson knows. Suspense is also built up as Stevenson writes as if there is a final explanation as to whom the mystery figure is but doesnt let on and instead lets the suspense build. He occasionally allows a small amount of information out just to whet the appetites and keep up an atmosphere of mystery and confusion. For example, at the end of chapter five (Incident of the letter), Utterson says Henry Jekyll forge for a murderer. Not only does this make you wonder who the murderer is, but it also makes the reader want to read on. This atmosphere, one of controlled suspense, gradual building up of a sense of horror and destruction is achieved through a slow accumulation of unemotional detail, as this leaves the reader wondering what the characters are like and what they might do. I believe horror stories today do still follow a similar pattern, in the fact people who do bad deeds are usually punished, they are packed with suspense and often include someone trying to solve the mystery or catch the villain or monster, which in our case is Mr Utterson. However, the major difference in more recent examples of the genre is the tendency to locate the monstrous squarely within the normal, rather than presenting it as a threatening creature, such as Mr Hyde and Frankenstein, all made by individuals. Alfred Hitchcock had in fact changed this direction of the horror genre in 1960 with Psycho; the movie not only presented its most frightening moment, the shower murder, it also suggested that horror resides in everyday life rather than in alternative worlds of the supernatural or the gothic. Finally, the recent so called slice and dice films, such as Halloween, and living dead movies such as the night of the living dead are demonstrations of how contemporary special effects technology can depict increasingly gruesome and imaginative dismemberment and mutilation usually at the expense of character, plot and theme. Even though these are all films, we can still see how there is a greater desire for horror stories which are related to everyday occurrences or objects. In Dr Jekyll and Mr Hyde, Robert Louis Stevenson illustrates the devastating effects of meddling with Gods creation and how our negative and evil desires and urges can overtake our original selves until we lose touch of who we once represented. Furthermore, Dr Jekylls desire and addiction to temporarily alter his existence results ultimately in his deadly demise. Jekyll and Hyde demonstrates how innocent curiosity about the darker sides of our nature can soon get out of hand and how evil is compulsive and how evil can so easily take control of the good. Stevenson has used Jekyll and Hyde to show that everyone has good and evil inside them. He portrays this very well by using the setting to portray good and evil e.g. dingy street and a grand residence. He also makes a very important point which is relevant today as it was in the nineteenth century. This is that bottled antisocialable behaviour can lead to sudden violent outpourings, such as seen in Hydes murder of Sir Danvers Carew. In Victorian society no one questioned God so the idea of something happening which isnt controlled by God would be unusual. Also electricity had only just been invented so people were quite wary about the things science could do. I think the main theme in the book is duality and how London is split into good and evil, rich and poor, scientific fact and experimenting new ideas. The final point I wish to mention is how they kept secrets. On the outside people were warm and inviting, however inside, people kept intimate secrets, such as dealing with drugs, alcohol and prostitution. I believe this was probably due to the fact there wasnt much pleasure in this type of life. There are many morals included in Dr Jekyll and Mr Hyde; however there are two main morals which stand out, one straight forward moral and a more complex moral. The straight forward moral is that if you do bad deeds you will be punished and also how addiction can lead to violence and how violence can lead to murder. The more complex moral, however is about the appeal of being Mr Hyde. Because Mr Hyde is described and talked about so much, he is probably the most interesting and exciting character in the book, which turns the straight forward moral on its head and makes Hyde the most appealing character in the novel. I believe the relevance of Dr Jekyll and Mr Hyde has changed considerably over the last hundred years. The main difference is that the Victorians saw this book religiously, however now when we read this book we think its about personal weakness and how addiction can lead to evil. A Victorian also wouldnt see the relevance of drugs and alcohol in this book, nor would they understand the relevance of addiction and what effect it has. Some may say that as humans, we wear masks. Not real masks, but masks that cover up our true personality showing our good side around our friends and our bad side around our family. These are great examples of mans fight in duality; our good side is always competing against our evil side, resulting in our duality, our fight over good verses evil. In this story, Doctor Jekyll is a regular scientist with the same feelings as every other human being; Mr. Hyde is a manifestation of Doctor Jekylls evil side and as a result, he is able to commit murder without any guilt. In the end, the evil manifestation won, taking completely over the Doctors body. The fight between good and evil is over! Finally, I believe the strange case of Dr Jekyll and Mr. Hyde is about how Dr Jekyll struggles to decide either to do the right thing and be a good citizen, or to do the thing Dr Jekyll desires the most and to be Mr. Hyde which he knows is wrong.

Left for Dead :: Personal Narrative Teaching Education Papers

Left for Dead In 1988, my last year of high school, twelve years before the start of the new century, some genius in L.A.U.S.D. thought it would be a grand idea to dress all the kindergarten students in Graduation outfits with 2000 streaming across their chest. And have them presented to the rest of the students as the future graduating class of the year 2000. The students, some gazing off into space, others fidgeting with their cap and gown, a few looking a bit lost and confused, were to be trumpeted that day and given cookies at the end of the assembly. So I was informed by one of the honorees sitting next to me on top of the stage. Cookies were on a lot of these future Twenty-First-Century minds. The little guy next to me couldn't wait for this "stuff" to end so he could get the cookies he was promised for wearing his cap and gown. He wondered aloud if I was going to get any cookies. He was entering twelve years of schooling, and I was finishing twelve years of schooling. The beginning meets th e end. I wanted those cookies too. I began to imagine him remembering this day twelve years from now on his "real" graduation. Will he be this excited about graduating high school as he is about the cookies, or will he look forward to pizza afterwards with the family and some dead end job? I suddenly felt time wrapping around me, shaking thoughts from my mind. How many of these students will finish school? How many will drop out or quit? Glancing around at the future citizens of a new time, a new beginning, a new world, a new era---well something like that---I couldn't help but think the future looked far away even for me. I could only imagine it must be forever for these little guys. I was from this same elementary school as these little tykes and I was about to step up to the podium and give a speech because some genius at the school found out I was Student Body President. I guess they thought I represented what was right about L.A.U.S.D. All this thinking about the future started to depress me. I will be thirty-one when these guys leave school. The cookies were looking to be the better part of that day. Invited back to my alma mater, Fair Avenue Elementary, I was asked to say a few words, any words, on high school and graduating.

Blondie

Fair and Lovely Human skin color ranges In variety, from the darkest brown to the lightest plank's- white. Recently, I saw a video about skin color In India. I was surprised and devastated . Their skin color affects their status in society there. They can be denied education, jobs etc. A fair skin person is considered attractive regardless that the person have a healthy figure. My shocking discovery was that many Indian people, mostly women are so obsessed with fair skin. They will go to the ends of the Earth to lighter there skin.They believe ark skin complexion is ugly and the lighter guarantees more opportunities in life. For example If you are fair skin there are bigger changes to get married , get better job and better opportunities in life. Issues that dark skin girls face are different for each girl. One girl was told that she Is a dark skin and Just because of that she will not will be wealthy and rich In her life. That her dark skin complexion will not bring her a husband. H ow was she feeling about that?She TLD get too upset because she knew that she will find someone that will like her for who she is. After being rejected couple times finally she found her husband with who now she has family. But not only now, Indian people are having this issue long time ago. Elder people are telling how some of them had been rejected and some of the weddings also been canceled. The girls had been called ugly. One girls said that she was feeling angry but on the end of the day she knows that not only the outside look what is important is inside too, it's the persons heart.One of the way they are trying to get fair skin Is by using fair skin cream. The fairness creams marketing strategies, which show that a girl can't get married unless she Is fair, change the mindset of Individuals. The visual media has changed Its strategy so much that even fair skin people also use fairness products They use different types of cream. One of them is the power brand called Fair and L ovely. Skin lightening products like this one is not Just used locally, the usage goes viral. The advertising they have for the cream is Just amazing .From the way how they are advertising it to the enormous number of users. Most of them tried to light their skin while on the other side the rest of the population face the problem, accepting It and moving on In life. My attention was drawn to the young dark skin boy, the way how he was treated from the people around him, his friends especially from his teachers. He tried to get fair skin with using creams. The influence from his surrounding affected his decision to different from the other kids. Imagine having no friends in school Just because of your skin color? Ewing ashamed of himself not wanting to be social with fear that his errs might beat him up because of his skin color. The way how they talked to him , the influence that it had on him like a young person who is now developing his morals, his personality , his behavior. I am glad that he is not that influenced from the teachers and that and that he has his family support to grow and develop by accepting his dark skin color like straight not weakness. Man also have been influenced by this trend of bleaching skin. They also thing that being like skin can bring you more opportunities in life.They still believe that if you are dark skin you are poor person and no wealthy. Through the different stages this fair skin stereotyping or Colorist has a different effect. From its impact on self-esteem to it impact on career's and marriage. From one side, I believe everyone is free to do whatever they want . On the other side its sad the opinion for fair skin, that only like that people are beautiful, is so deeply ingrained into the culture. Lets something that people from India don't do it for themselves it's about society and pleasing others.

Sentinel Event

A1. Sentinel Event Review of the medical record for the specified patient (SP) was completed 09/16/12. The medical record revealed that the SP was a minor child with a diagnosis of history of frequent and recurrent tonsillitis and was scheduled to have the tonsils and adenoids removed 09/14/12 at 10:30 AM as an outpatient procedure. Review of the medical record for the day of 09/14/12 revealed that the SP was admitted to the pre-admission testing area at 9:00 AM. At 10:00 AM the SP was in the pre-operative area with the peripheral intravenous line in place and the pre-operative medications were being administered.At 10:30 AM the SP was in the operating room (OR) and the procedure was performed as scheduled. At 11:15 AM, the SP was moved from the OR to the post anesthesia care unit (PACU). At 12:15 PM, the SP was successfully recovered from the procedure and both the surgeon and the anesthesiologist cleared the SP to go home. The medical record revealed a nurse’s note by the pr e-operative nurse on 09/14/12 at 10:30 AM that documented a conversation between the pre-operative nurse and the SP’s mother where the mother stated she was leaving to run an errand involving an older sibling and left a cellular telephone number.The only documented instruction from the mother was for the nurse to call if the SP got out of surgery sooner than expected. In an interview with the PACU nurse conducted on 09/15/12 at 10:00 AM, the PACU nurse stated that on 09/14/12 at approximately 12:30 PM, the patient was released for home to her father, who was identified by his driver’s license; the PACU nurse stated that she provided written instructions for the patient’s post-operative care and follow up appointment to the father.The PACU nurse stated that the patient’s father verbalized understanding of the discharge instructions and left with the patient. The medical record lacked documentation of this encounter. The medical record also lacked documenta tion of any restrictions as to which parent was permitted to take the patient home. The patient’s mother arrived at the hospital on 09/14/12 at approximately 1:00 PM to take the patient home and was extremely distraught when she discovered her daughter was not in the PACU as she expected.There was a shift change at 1:00 PM and the oncoming nurses did not know that the patient was released to her father. As a result, security was called and a hospital-wide child abduction alert (code pink) was activated. In addition to hospital security, local law enforcement was also notified of the missing child. The SP’s mother told the hospital security officer that she and the SP’s father were divorced and she had full custody of the SP and the SP’s siblings. On 09/14/12 at approximately 1:30 PM, the SP was located at the father’s residence, in the care of the father.The SP’s father stated that he took the SP to his residence to wait for the SP’s mother to arrive. No charges were filed against the SP’s father. The hospital management and security personnel assured the SP’s mother that this incident would be investigated and processes would be put in place to prevent it from happening in the future. A2. Personnel There were several employees who had interactions with the SP and her mother during the outpatient hospital procedure. The first person was the hospital registrar who took the SP’s demographic information from the SP’s mother.The next person was the pre-operative nurse who took obtained the SP’s clinical information and medical history from the SP’s mother, performed the initial physical assessment (height, weight, vital signs, cardio-pulmonary, and head to toe), and obtained peripheral intravenous access. The people who then interacted with the SP were the surgeon, the anesthesiologist, and the operating room nurses. The surgeon also had an office visit with the SP and her m other in the days leading up to the surgery. The OR nurse took over care when the SP was moved from the pre-operative area to the OR.The OR nurse made the SP comfortable until she was under the anesthesia and began the recovery process after the surgery was completed. The next person who interacted with the SP was the post anesthesia care unit (PACU) nurse. The PACU nurse was responsible for monitoring the SP during the recovery phase when she was coming out from under the anesthesia. During the post anesthesia phase, the surgeon and the SP assessed and evaluated the SP. Both the surgeon and the anesthesiologist had to sign the papers to release the patient to the discharge nurse. Finally, the patient was transferred to the care of the discharge nurse.The discharge nurse released the SP to her father. After the SP’s mother came back to the hospital and reported the SP was missing, the Chief Nursing Officer (CNO) was immediately involved. The CNO met with the SP’s mothe r and alerted the security team and local police to the disappearance of the child. The local police were able to locate the SP at her father’s house approximately 30 minutes after she was reported missing. The CNO had the responsibility to the SP’s mother to launch the investigation into the cause of her disappearance and to implement a plan of correction so the incident could be prevented in the future. A3.Personnel Issues Several factors negatively affected the coordination of patient care by the employees on 09/14/12. First, the communication between the admission personnel and the SP’s mother was ineffective when the registrar failed to obtain privacy information and/or ask about any custody situation. Second, the pre-operative nurse did obtain the custody information and the mother’s cellular telephone number and documented these on her clip board. However, the pre-operative nurse failed to report this as important information to the operating room nurse upon transfer of the SP from the pre-operative area to the operating room.As a result, the operating room nurse did not alert the PACU nurse to this important information upon transfer of the SP from the OR to the PACU area. The hospital failed to have hand off policies and procedures in place when a patient was moved from one area of surgery to another. They depended solely on their electronic record and did not have any reporting requirements in place when a patient was moved from the admission to pre-operative to operative to post-operative areas. There was a cultural/language barrier between the PACU nurse and the Hispanic discharge nurse making verbal communication very difficult.Other factors of poor communication were staffing ratios and the perspectives and attitudes of the staff. In interviews conducted with the registrar, the pre-operative nurse, the PACU nurse, and the discharge nurse after the sentinel event, they all had a negative, finger pointing attitude of doi ng the minimum to get by and not taking responsibility for the sentinel event. There was also a cumulative feeling among the staff of fear of reprimand or of being ignored in expressing thoughts about the security of pediatric patients in the surgery area, â€Å"Organizational structure has a direct impact n the communication within an organization. The way the hierarchy of an organization is designed either invites feedback, open-mindedness and effective communication or stifles, controls and restricts the ability of subordinates to freely express thoughts, feelings and ideas (Papa 2012). † In the post sentinel event interview, the pre-operative nurse expressed an idea about matching hospital wrist bands for both the child and the parent. This was a good idea, but no system for matching wrist bands was in place.The pre-operative and post-operative areas were understaffed that day making communication among the nurses hurried and ineffective, ultimately creating gaps in commu nication and contributing to the sentinel event. The fact that the surgical area was so short staffed left very little time for the nurses to give hand off reports. As a result, many important details were overlooked. The CNO failed to ensure that the required monthly staffing meetings were held among the surgical team members.Finally, the security personnel were not even called for several minutes after the SP was reported as missing and the security manager failed to perform the â€Å"code pink† child abduction drills on a quarterly basis as required by the hospital’s policy. A3a. Improve Interactions The initiative to improve interactions among the personnel working on 09/14/12 included a new policy implemented on 10/01/12 regarding obtaining custody information and privacy information at the point of registration for any minor child whether it is in the emergency room, inpatient, or outpatient areas of the hospital.This policy included a stipulation that three thin gs are established: a list of people who are permitted private information, a list of people who are permitted to take the patient out of the hospital, and a four digit pin number established by the parent. Information and/or the patient themselves will only be released strictly to a person who is both on the privacy list and who have the pin number. A policy and procedure was also implemented on 10/01/12 in the outpatient surgery area which included detailed procedures for patient hand off when the patient was moved from one area to the next.A new patient hand off form was created which included basic demographic data, medical history, allergies, medication profile, the privacy list, pin number, and any other pertinent custody information for minor children. The registrar must document that both a verbal report and the written report were given to the pre-operative nurse. The pre-operative nurse must then document this same information was relayed both verbally and in writing to th e OR nurse and the OR nurse is also required to document this same information was relayed both verbally and in writing to the PACU nurse.The hand off forms must be signed by both the person reporting off and the person receiving the report and filed in the patient’s paper chart or scanned into the patient’s electronic medical record. A mandatory in-service meeting for all staff was held on 09/28/12 to teach the staff the new policy and procedures. Also, the required monthly staff meetings for the entire surgical team (including physicians) will be implemented to serve as a town hall approach discussion to get any complaints or suggestions by the staff out in the open.In addition to the monthly staff meeting, there will be required in-service education for the staff for the next twelve months including patient safety, child abduction prevention, improvisational workshops to prompt discussion among staff, patient hand-off, time out before discharge, patient rights, dive rsity training, verbal communication, nonverbal communication, shift change reporting, patient satisfaction, and patient education. A4. Quality Improvement The identification and data gathering quality improvement method was used in the root cause analysis of the sentinel event.First the problem was identified; the processes needing improvement were pediatric safety and staff communication. These processes were identified through the post sentinel event interviews of the staff, administrative staff post sentinel event huddles, and surgery staff post sentinel event huddle (including security staff). The data was gathered from the SP’s medical records and a timeline was created starting when the SP entered the hospital and ending when the SP left the hospital with her father. This timeline included an analysis of what was actually done by each employee and also what should have been done to prevent the sentinel event.The question of why was asked when inactions were determined to be what resulted in the sentinel event. Along with the SP’s medical record, all other medical records for minor children who received outpatient surgery at the hospital during the first two weeks in September were also analyzed to determine that the inactions on the part of the outpatient surgery staff were a systemic problem and that this was not an isolated case. Staffing ratio policies were reviewed and security policies on â€Å"code pink† drills were also reviewed.Staff meetings were held weekly where feedback was provided to staff during the root cause analysis process regarding performance indicators and benchmarking against other hospitals of similar size in the areas of patient hand offs, staff to patient ratios and performance of security drills including child abduction drills. After the data was gathered, all involved in the sentinel event were gathered and a list of causes of the sentinel event was created. This list was used in creating the recommendat ions to improve staff communication and creating the process change to ensure that the sentinel even does not recur.B1. Risk Management Program The process of obtaining custody information and privacy information at the point of registration for any minor child, in all areas of the hospital, will be managed and directed by the head Quality Improvement Officer of the hospital. The new policy also has a requirement to prevent the sentinel event from happening again; at the point of registration any minor child under the age of 18 will have a bar-coded band put on their wrist or if they are less than four years old, on their ankle.The parent(s) or legal guardian(s) will be required to wear a wrist band with a matching bar code. Before the child is discharged home, both wrist bands will be scanned with the computer bar code scanner to ensure the wrist bands match. Only the parent(s) or guardian(s) with proof of legal custody will have the wrist band. Additionally, at the point of regist ration, the parent(s) or guardian(s) will be asked to choose a four digit pin number which will be noted in the electronic medical record under the security tab.At the point of discharge, the parent(s) or guardian(s) will be required to give the four digit pin number before the child is released to them for discharge. These measures are to be implemented by 10/05/12 with 100% compliance expected by 10/12/12. Starting on 10/05/12, the Quality Improvement Officer will audit 25% of all admission paperwork on a weekly basis to ensure compliance with the new policy. The Quality Improvement Officer will keep a log of this audit process and the outcomes of the audits. If a registrar is found to be out of compliance with the requirement, disciplinary action will occur.Starting 10/05/12, the Nurse Manager of the outpatient surgery area is required to audit 25% of the outpatient medical records on a weekly basis for compliance with the new patient hand off policy and procedure which applies t o adult and minor child patients. She will also keep a log of this audit process and the outcomes of the audits. The Quality Improvement Officer and the Nurse Manager of the outpatient surgery area will hold bi-weekly meetings with the heads of each department in the hospital to review the audit results and to obtain feedback from each department regarding the new policies and procedures.The Nurse Manager of the outpatient surgery area will hold bi-weekly meetings with the outpatient surgery staff to review the audit results and to obtain feedback on the new admission process for minor children and the new patient hand off process for all patients. Starting 10/01/12, the Nurse Manager of the outpatient surgery area will also be responsible for closely monitoring the daily staffing ratios and ensuring that adequate staff is working during each shift.Also starting 10/01/12, the head of the security department will be responsible for performing the â€Å"code pink† drills monthl y and documenting these in the security log book. New security cameras will also be installed in the outpatient surgery area, at all exit doors, by 10/12/12. B1a. Resources The resources needed to support the changes to prevent the sentinel event from recurring are the medical staff, corporate compliance staff, administrative staff, human resources, and outside compliance consultants.The legal team was immediately involved in the sentinel event to minimize the risk involved in an event such as child abduction. The finance department will provide the financial resources to purchase the new bar coded band system and the new security cameras. The staff will need to be trained on the new policies and procedures by the education department. Also, it is essential that each shift and each department have an adequate staffing ratio which is the responsibility of the hospital administration and the CNO.Human resources, administration, and the CNO were involved in interviewing and counseling the staff involved in the sentinel event. They will have an ongoing responsibility to follow up with the staff to ensure compliance with the new policies and procedures. Outside compliance consultants were also utilized in completing the root cause analysis, creation of the plan of correction, and implementing the plan of correction. C. Sources Papa, J. (2012, May 9). General format. Retrieved from http://www. ehow. com/about_6071356_communication-organizational-structure. html

Free Essays on Origin Of World In Egyptian Mythology

Their understanding of the cosmic order was from direct observation of nature. Therefore their creation myths concern themselves with gods of nature; the earth, the sky, the sun, the moon, the stars, and of course, the Nile river. According to their ancient belief, waters of chaos surrounded the world, which was divided in three parts: â€Å"Earth†, â€Å"Sky† and â€Å"Underworld† also known as â€Å"Duat†. In their belief the sun used to journey down to the underworld at night, which was why it couldn’t be seen. But the crucial and disturbing question that came to pass was that how did it all began in the first place. There are numerous perception and paradigms concerning this essential question. â€Å"The River Nile† had an all-enveloping aspect on the Egyptian life. The Nile was worshipped as a god and had a place in Egyptian ritual and mythology. . Since the Nile River, with its annual floods played a critical role in this cosmic order. It should come as no surprise to find water the fundamental element in the Egyptians ideas of creation. As with the Nile, each year the flood no doubt caused commotion to all creatures living on the land, eventually the floods would recede and out of the chaos of water would emerge a mound, which contained procreative energy that was the source of all life. The mound was the key to all creations. This â€Å"Risen Land† personified the god â€Å"Tatjenen†. Now after that another essential question that arose was where did this mound arose at first and who was the first god to appear. Division of Egypt: Looking back at Egyptian civilization we find that it was divided in two parts; â€Å"Upper Egypt† also known as â€Å"Heliopolis† and â€Å"Lower Egypt† known as â€Å"Hermopolis†. Each of these claiming that the mound rose in their part of the land gave different theories about the origin of world. Heliopolis’s Conception: At â€Å"Heliopolis† the â€Å"Ennead† i.e. â€Å"Group of nine gods† were worsh... Free Essays on Origin Of World In Egyptian Mythology Free Essays on Origin Of World In Egyptian Mythology Their understanding of the cosmic order was from direct observation of nature. Therefore their creation myths concern themselves with gods of nature; the earth, the sky, the sun, the moon, the stars, and of course, the Nile river. According to their ancient belief, waters of chaos surrounded the world, which was divided in three parts: â€Å"Earth†, â€Å"Sky† and â€Å"Underworld† also known as â€Å"Duat†. In their belief the sun used to journey down to the underworld at night, which was why it couldn’t be seen. But the crucial and disturbing question that came to pass was that how did it all began in the first place. There are numerous perception and paradigms concerning this essential question. â€Å"The River Nile† had an all-enveloping aspect on the Egyptian life. The Nile was worshipped as a god and had a place in Egyptian ritual and mythology. . Since the Nile River, with its annual floods played a critical role in this cosmic order. It should come as no surprise to find water the fundamental element in the Egyptians ideas of creation. As with the Nile, each year the flood no doubt caused commotion to all creatures living on the land, eventually the floods would recede and out of the chaos of water would emerge a mound, which contained procreative energy that was the source of all life. The mound was the key to all creations. This â€Å"Risen Land† personified the god â€Å"Tatjenen†. Now after that another essential question that arose was where did this mound arose at first and who was the first god to appear. Division of Egypt: Looking back at Egyptian civilization we find that it was divided in two parts; â€Å"Upper Egypt† also known as â€Å"Heliopolis† and â€Å"Lower Egypt† known as â€Å"Hermopolis†. Each of these claiming that the mound rose in their part of the land gave different theories about the origin of world. Heliopolis’s Conception: At â€Å"Heliopolis† the â€Å"Ennead† i.e. â€Å"Group of nine gods† were worsh...

How to Construct a Strong Conclusion

How to Construct a Strong Conclusion How to Construct a Strong Conclusion Once you’ve written most of an assigned paper, you might struggle to create a proper conclusion. The conclusion, when you leave your audience with your final message, could be the part a reader remembers most. Knowing this, the conclusion should be written with as much thought and consideration as the rest of your piece. If you’re having trouble constructing a strong conclusion, here are some useful pointers: What makes a good conclusion? A good conclusion needs to combine your ideas accurately and seamlessly. It is expected to bring your reader back to your thesis statement and emphasize its significance. The reader should also have a general reminder of your main points and feel compelled to act in some way, motivated by what they learned from your paper. Different ways to form your conclusion Restate your introduction This conveys the reader back to your starting point and links all the ideas in the essay. Revisit the question or statement in your introduction that was meant to catch your reader’s interest this could be an illustration, a question, a story, or a famous quote. In this type of conclusion, you answer your question, provide the final events of the story, or give further details to explain your statement. Outline your main points A quick and simple way to end your paper is to reiterate your main ideas. This method works well for longer essays but may be tedious if used for shorter ones. Rather than merely repeating your ideas, it’s more interesting to the reader when you show how your points are connected. Issue a challenge to your reader You can stimulate your reader to do something or initiate a change based on the findings of your paper. Present this challenge or call to action and its benefits to the reader or its advantages over other actions. Your aim is to inspire your reader with their ability to create positive change in their own life or in the lives of others. Visualize the future Though the particulars of your essay, you help your readers broaden their view and look at the bigger picture. Your goal is to help them understand the relevance of your views to their present or future condition and realize how these affect their life or impact society in general. Present a thought-provoking question If you wish your reader to think more about the topic and explore your ideas further, you can leave them with a question. This could be used to inject a different viewpoint from that stated at the beginning of the essay or to offer interesting or unique information. A solid conclusion to your paper makes it more memorable. It ties your introduction and body into a unified whole. Knowing different ways to create a good conclusion helps you organize your thoughts better and choose the method that suits you. If you need assistance with essays, papers, case studies, and other academic research, in the GTA and throughout Canada is here to help. Our team of professional writers specializes in services for your academic needs. Get in touch with us at 1-800-573-0840.

The Origins of Organizational Research (Case Study) Coursework

The Origins of Organizational Research (Case Study) - Coursework Example While Rousseau (1997) covers the same ground, particular attention in this case would be paid to the Barley and Kunda article which provides a thorough and scholarly review of the management literature dating back to the industrial revolution. The approach used in this research article is mainly theoretical in nature as it seeks to analyse the development of different models and theories that seek to explore how research in management has been developed over a period of time dating back to the industrial revolution. Various theories were formulated by other scholars hence this subject would not be new in the field of research which makes it imperative to comment on the existing theories and attempt to identify any research gap in the literature available if there would be need for the formulation of any other theoretical framework that may significant in conducting future researches. This case quotes the contribution of (Chandler, 1977), which posits that modern American industrial history is marked not only by the rise of large corporations and the professionalization of management but by the formulation of theories that minister to one of managements central problems: the control of complex organisations. Whilst this is not a direct quotation, the researchers acknowledge that the industrial history is a complex issue and some scholars have previously attempted to look at the same topic. An indirect quote is significant in that it generalises the theories or any other information that exists on the topic under review. A close analysis of the Barley and Kunda article and the Campion article show that the use of references has been widespread and extensive throughout. This is a review article and Campion posits that review articles should be more comprehensive in the references included. It can also be noted that multiple referencing is a common feature of the review article. In attempting to emphasise a point, in some instances, the authors used