Montagnais Tribe Essay

The Montagnais Tribe Summary and Analysis: a. The myth comes from the the Montagnais tribe (also known as the Naskapi Indians), who are now called Innus (they have a lot of names) b. The location of the tribe during the pre-columbian era was in eastern Canada, in what is now Quebec. When the Europeans began dominating the Montagnais’ tribal lands, the Montagnais recognized that the Europeans could be of some use to them. They became quick allies with the french, and made a compromise with them to handle all of the tribe’s fur trade in turn for protecting them against their enemy tribe, the Mohawks. c. Main characters: – Atachecam – creator of the earth, the Montagnais don’t know much about him – Messou – flooded the entire earth and rebuilt it, loves his lynxes – Muskrat – Brought back the piece of land that Messou uses to rebuild the earth – The Lynxes – Messou’s beloved pets, dumb enough to get stuc k in a lake d. The Montagnais tribe believed that the world was created by a powerful god named Atachecam. However, they don’t know how he created the earth, nor do they know much about him. One day, Messou was hunting with his lynxes when the lynxes got trapped in a lake. Messou looked all over for them, but could not find them, until a bird came by and said that he had seen the lynxes going into the lake and that they were stuck there. Messou tried to go into the lake to save the lynxes, but he overflowed the lake and flooded the entire earth. Messou tried to send a raven to retrieve a piece of ground that he could use to rebuild the earth, but the raven was unsuccessful. Then he sent an otter to retrieve some ground, with the same results. Finally, Messou sent a muskrat to get land, and the muskrat returned successfully with a piece of ground. Messou rebuilt the earth, exacted revenge on whatever had been holding his lynxes, and married the muskrat to repopulate the earth. e. The Montagnais believed that the earth, or their land as they knew it, was an island that had been created by Messou when he flooded the earth, and that all of the offspring between the muskrat and Messou became ancestors of all of the current creatures of the earth (including humans.) In other words, the Montagnais believe that they were the original people on this land. f. The myth sounds vaguely familiar to the story of Noah’s Ark; in fact, in an altered version of the Innus creation myth, the Montagnais God commanded a man to build a large canoe, and then flooded the earth. In comparison (with the first story), Messou can be connected to Noah, although Noah was not the cause of the flood that God created. The fact that Messou married the muskrat to repopulate the earth could be connected to how, in saving all of the animals, Noah was able to repopulate the earth after the flood. In this myth, there is nothing that would necessarily support the theory of the crossing of the Bering Strait, aside from the fact that there was a flood, which very well may have occurred after the Ice Age in the Younger Dryas era, but the myth can definitely support the idea that the Montagnais were an original people. It certainly can be inferred that the creation myth could hold to some level of truth, (symbolically, of course.) g. What we can learn from oral history, especially this myth in particular, is whether or not certain tribes are an original people or sub-cultures of other tribes. We may also be able to tentatively trace the immigration of these tribes back as far as the Ice Age or possibly even before. h. Bibliography â€Å"Indians and Colonists Relations.† 123helpme.com. 123helpme.com, Inc. 2012. Web. â€Å"Montagnais.† Atlantapedia.com. Atlantapedia, Inc. 2012. Web. â€Å"Montgnais Religion.† bigorrin.com. Article Archives. 2012. Web.

Ellie Enterprises †Deloitte Audit Case Essay

Alternative Investments Among the five funds, three of the funds, Cloudy Retirement 500 Index, Cloudy High-Yield Hedge Strategies, and Cloudy Real Estate All starts, are alternative investments. Those three funds, as the case states, are not registered under the Investment Company Act of 1940 or under the Securities Act of 1933. Thus, they are not offered to the investing public or are not been required to offer significant information to public. Moreover, the investment product held by Cloudy High-Yield Hedge Strategies is hedge fund. It is not traditional investment, such as stock or bonds, and is difficult to determine the current market value. Existence of the investments The confirmation did not provide sufficient competent audit evidences to support the existence of the investments; therefore, the engagement team must perform additional procedures. AU Session 332 states, â€Å"Confirmation of the holdings on a security-by-security basis typically would constitute adequate audit evidence with respect to the existence assertion.† The confirmation Union provided, which is on fund-by-fund basis, is not detail enough to typically be considered as adequate audit evidence. Moreover, the audited financial statement of the alternative investment, which could provide significant audit evidence, is not available before the issuance date of the auditors’ report on Ellie’s consolidated financial statements. This fact further proves that the engagement team needs to conduct substantive procedures. To assess the existence of the investments, following procedures can be performed. First, the engagement team can request transactions involved in each five of funds during the funds’ fiscal years. Actual transactions prove that Ellie’s investments have been held in those five different funds. Second, as the case states, the Committee periodically review plan performance and assets allocation. Therefore, the Committee must kept reports and memos regarding their plan performance or discussions with Union. The engagement team can collect documents related to Ellie’s investments in those five funds from Ellie and Union. Documents from the investor entity and trustee entity can prove the existence of investment activities. Moreover, by comparing those documents, the engagement team can test whether Union’s investment behavior has aligned with the strategies or  any adjustments made to the Ellie’s investments. An example can further illustrate. For example, the Committee decided to change the investment allocation. It is expected to see Union held documents which contain details showing the change of the strategy, specific investment that Union made, and the performance after adjustments. Such documents are sufficient evidence to prove that Ellie’s investments are in the funds and being appropriately management by Union. Lastly but no lease, obtaining related information directly from a third party may also be helpful in this case. The engagement team can directly contact five fund managers and inquire them whether Ellie’s investments were held in the funds. Value of the investments Simply confirming investments in the aggregate neither prove the existence of the investments, nor support the valuation of the investments. Furthermore, there is a time lag in reporting between the date of the financial statements of the funds and the date of the auditor’s report on Ellie’s consolidated financial statements; thus, the engagement team should perform additional procedures. Cloudy Retirement intermediate-Term U.S. Treasury To check the accuracy of the amount of share held by Ellie, the engagement team could request the fund manager to provide documents stating the amount of shares held by Ellie. This fund is registered with the SEC under the Investment Company Act of 1940 and under the Securities Act of 1933. Normally quoted market prices for such funds are available from sources such as financial publications, the exchanges, or NASDAQ. The engagement team could obtain the quoted market prices of the fund and check the prices with those on the confirmation. Cloudy High-Yield Hedge Strategies Since this fund is not registered with SEC under the Investment Company Act of 1940 or under the Securities Act of 1933, the engagement team is unable to get quoted market prices and compare with numbers on the confirmation. However, the engagement team could request a more detailed confirmation providing information of the underlying investments. Next step the engagement team can take is to evaluate the underlying investment and the reasonableness of the assumptions used in fair value calculation. Since  evaluation may involve a lot of specialized knowledge and techniques, the engagement team could employ a specialist. Under the situation that the engagement team did not receive a detailed confirmation of the underlying investments, there are several procedures can help with the assessment. First, the engagement team can collect previously audited financial statement for the funds to compare information the team obtains for this year. If Ellie didn’t make a lot of change on its investments and the performance of funds held by Ellie are stable in recent years, but investment balance of this year is very different from ones of previous years, the engagement team need to increase the risk and take a closer look at the evaluation of Ellie’s investment of this year. Other than previously audited financial statement for the funds, meeting minutes, memos, or summaries that document valuation or judgments made during managing the investment are evidence that auditor should collect and review to help assessment. Second, the engagement team can call or visit the auditors of Union to ask their opinion about the valuation of the investments that Union managed. Besides, the engagement team also could pick some sample transactions and then test the fair value measuremen t involved in those transactions to see whether the fair value measurement are reasonable or comply with industry standard. Last but not least, the auditing team can directly contact the five fund managers to check out Ellie’s balance.

Self regulation and behavior disorders Research Paper

Self regulation and behavior disorders - Research Paper Example This would facilitate the teachers to handle such pupils in the right way. Pedagogical evidence is one of the methods that helped the teachers to equip themselves with knowledge pertaining to self-regulation problem. The other method used was the use of videos that demonstrated behavioral changes among kids and adults. The videos served as an excellent method of gathering information concerning to the apprenticeship. The videos included both the PBIS and ABA analysis of behavioral changes. Results Results showed that children with behavioral changes had a problem to do with their brain. The behaviors come from the way biological mechanisms frame it. The baseline for the interventions required included the use of scripts defining the events of self-regulation. These scripts were for the teachers to adhere in the event of evaluating children with such a disorder. Use of natural methods of countering PBIS was a major intervention for the teachers and persons concerning to self-regulatio n. Strengths and limitations The evaluation of self-regulation included strengths that helped the teachers to originate the right interventions. These interventions required that enough evidence concerning to the causes of self- regulation became clear. Limitations facing apprenticeship included the difficulties of changing adults to change behaviors that they are already used to (Ylvisaker and Feeney, 2009). 2) Behavioral and Emotional Self-Regulation In children: Relations with the Nogo N2 Purpose of study The study aimed at establishing stimulus triggering behavioral regulation. The stimuli amplify the way the brain responds, a matter that is connected to the behaviors of a person. Population involved included children in the ages 5-6 years. These were children with bad behavior records, appearing uneasy and those brought up by aggressive parents. Methods One of the methods was the use of gamma synchrony that would trigger the state of mind of a certain person. Gamma involves the use of electrotherapy to check on the reception of a child’s brain electrotherapy. The other method was the use of nogo N2 that involved scrutiny of dorsal and ventral parts of the ACC. This part revealed the association between parenting and neurology. Results It was true that the behavior of children reflects the different environs in which they are brought up. This explains that children brought up by aggressive parents are liable to have behavioral disarrays. Stimuli included things such as the environment a particular child. Evidences showing that stimuli defined the behavior of a child included the electrophysiological. This enabled us to know the way in which stimuli contributed to behavioral change. Strengths and limitations One of the strengths of this research was that activators of a child’s behavioral change became clear. This meant that a child with such behaviors gets proper handling. Evidences showing the relationship between stimuli and behavioral chan ge were advantageous because they gave sound relations. One limitation that rose from the use of nogo N2 was that ventral ACC was not a proper way of handling children from authoritarians (Segalowitz et al, 2010). 3) Decreasing Child Defiance: Is Inquiry Indispensable? Purpose of study The study was aimed at describing how one can reduce defiance of children.This is because research had it that some children display defiance when trey are still small. Methods One way of establishing the truth

History Essay Example | Topics and Well Written Essays - 500 words - 47

History - Essay Example In over four hundred years ago, some of the settlers and Europeans coexisted peacefully, while others fought each other. Even today, many people are still migrating to America to seek a better life. Although slave trade is outdated, there is a high rise of illegal immigrants. Immigration is relevant in today’s world; it has a great impact on the economy. People who run factories, restaurants and farms, find immigrants helpful in their businesses. Immigrants are a cheap source of labor. Therefore, this means low operating costs, high profits, and low prices for commodities produced. For some Americans, immigrants are a hurt to the economy, for instance, high school drop outs who are seeking jobs say immigrants are interfering with the job entry level to take lower wages. Other groups in the society believe immigrants provide a great source of labor, which result to high yield. Immigrants spending on necessities like food, shelter and clothing leads to an increase in domestic gross product. Immigration has resulted to an increase in population, with an estimate of 82% increase from the immigrants. The immigrants come with a positive attitude to excel; they are known to be creative, industrious and adventurous. Many of the immigrants start their businesses that contribute to revenue. In social circles, racism is experienced towards the immigrants, especially the minority groups. For instance, racism exists between the Africa Americans and the non-white Latino immigrants. Attacks and fights have also been experienced between African immigrants and Africa Americans. Because of migration, religion has great diverse in America. For instance, increase in Islam, Hinduism, and Buddhism. Politically, most of the immigrants associate with groups that address immigration issues. The issue of shared amenities is believed to strain a state with time. For instance, if water sources are not increased, then people will

International Politics in Twentieth Century Essay

International Politics in Twentieth Century - Essay Example I will begin by giving a liberal account f the relationship between the economy, the state and power. Liberal idealism in international politics did not re-emerge, after the devastation f the Second World War, until the 1970s. Rapid advances in technology, the growth f organisations like the European Community, and the impact f events like the 1973 oil crisis pointed towards evidence f growing interdependence between states. At the same time liberal literature made significant inroads into the rigid inside/outside, domestic/international distinctions characteristic f realism, with the emergence f trans-national relations and world society. Modern interdependency theory uses free trade and the removal f barriers to commerce as prof to their claims. "The rise f regional economic integration in Europe was inspired by the belief that the likelihood f conflict between states would be reduced by creating a common interest in trade and economic collaboration amongst members f the same geographical region." European powers, instead f resolving their differences militarily, would cooperate within a commonly agreed economic and political framework for their mutual benefit. Eventually cooperation between states would increase and broaden as mutual advantages could be gained. Membership f the European Union would entail compliance with its rules, which itself would discourage the absolute pursuit f national interests and weaken state sovereignty. Liberal institutionalists such as Rosecrance argued that the "growth f economic interdependency had been matched by a corresponding decline in the value and importance f territorial conquest for states." In the modern world the benefits f trade and cooperation among states greatly exceed that f military competition and territorial control. Traditionally nation states regarded the acquisition f territory and land as the means to increasing national wealth. The state has transformed from being a 'military state' to a 'trading state'. Statesmen increasingly became aware that the accumulation f national wealth and development relied more heavily on macro-economic policies that increased the competitiveness f their economy compared to other states. Higher levels f efficiency, technology intensive modes f production and valuable human capital all give incentives for multi-national corporations and businesses to invest in the country. Neo-liberals point out that commercial relations between businesses and individuals have diminished the influence and power f the state. Although there is suspicion the role oil has played in the ongoing war in Iraq one cannot doubt the repercussions the war has had internationally. Britain and America have to some extent isolated themselves diplomatically from Europe (their closet allies) and the wider world. Nowadays due to the complications f economic interdependence it makes states less able to act aggressively because otherwise they face risking economic penalties imposed by other members f the international community.

Best practices for teaching literacy for student with significant Research Paper

Best practices for teaching literacy for student with significant disabilities - Research Paper Example Literacy therefore, encompasses the lifelong as well as intellectual processes of generating meaning from a critical perspective presented in the form of a print or written text (Browder et al 2009). The primary role to all literacy relates to reading development that encompasses a progression of necessary skills for understanding spoken words as well as decoding the written words that eventually leads to deep understanding of the text. Developing reading encompasses a variety of complex language underpinnings that touches on awareness of speech sounds, patterns use in spelling words, meaning of words as well as grammar among others. Once a person acquires these skills, the person attains full literacy that also ensures the ability to apply critical analysis as well as inference and synthesis (Browder et al 2009). Writing accuracy as well as coherence together with basing the thoughts on creativity also serves as important factors in developing the literacy of individuals. However, there exists a significant challenge for teaching students with significant disabilities. Various approaches have been employed over the recent past to enhance students with severe disabilities to gain literacy. The paper therefore examines the best practices that ensure effective teaching literacy for these disadvantaged students. Achieving improved literacy improvements for students has been for long a major goal throughout the society settings. The trend towards enhancing students suffering from both moderate and severe intellectual disability has however remained elusive for a significant period of time until the recent past attributes towards ensuring equal opportunities for all. Limited opportunities, poor quality or absence of literacy instructions for the intellectually disabled students have for long made literacy acquiring challenging for students suffering from intellectual disabilities. The traditional

Spain Economy Essay Example | Topics and Well Written Essays - 1500 words

Spain Economy - Essay Example The ERM is essentially a managed float exchange rate regime where the currencies of the participating countries are allowed to float at a specific band. Most of the currencies of participating countries are allowed with a fluctuation band of 2.25% against a central rate while the Portuguese escudo and the Spanish peseta were allowed a broader band of 6%. Constant intervention of the participating countries' central banks became prevalent to control exchange rate. As the German mark is the most stable currency of the group, it became the yardstick or the central rate with which all the other currencies are measured. The mark has become the unofficial reserve currency, meaning that if Spain was intervening to buy pesetas it would be selling marks in exchange for pesetas (Weerapana, 2004). The reunification of East and West Germany commenced the collapse of the ERM in 1992. It is important to note that the reunification necessitated the transfers of huge amounts from the large rich economy of the West Germany to the smaller, poorer East. These huge transfers which accounts for 50% of the West Germany's savings created a budget deficit which reached 13.2% from the original 5%. As the German government is becoming nervous on the prospects of high inflation, it started pursuing contractionary monetary policy. However, the combination of the expansionary fiscal policy (transfers to East Germany) and contractionary monetary policy yield to a surge in German interest rate (Weerapana, 2004). As inflation raged through Germany, the world interest also rose. Due to these, there was an outflow of money from European countries thereby causing the devaluation of ERM currencies like peseta.... The regime of General Franco left an essentially fascist economy to Spain which is characterized by lack of economic freedom. The economy is dominated by large public institutions controlling all sectors and monopoly was prevalent. However, the accession of the country in the European Union during 1986 necessitated Spain to â€Å"open its economy, modernize its industrial base, improve infrastructure, and revise economic legislation to conform to EU guidelines.† These huge developments in the country’s policies and structure irrefutable introduced changes in its economy. The immediate years following the country’s ascent to the EU marked Spain’s economic boom. It should be noted that from 1986-1990, Spain saw substantial mount in Gross Domestic Product, reduced the ratio of public debt to GDP, decreased unemployment from 23% to 10%, and curb inflation to under 3%. By the end of 1990, GDP reached more than 50 trillion pesetas while the annual per capita income amounted to 1.1 million pesetas. However, this economic boom was followed by a recession in the mid-1992 to 1994 which was the most severe economic depression since the international oil crisis. Spain faced huge challenges which greatly affected its financial system and international relations. Meanwhile, changes in trade policies, specifically lowering trade restrictions facilitate a freer movement of merchandise among Spain and its trading partners, while promoting efficiency in the economy. The situation in the United States in very much different by the economic state of the European Union. Europe is currently considered as the largest economy at the moment while the United States is recognized the largest and one of the most technologically advanced nations.

The Body Assignment Example | Topics and Well Written Essays - 250 words

The Body - Assignment Example 571). The notion of being in a pageant is like an obsession in the society, going beyond the bounds of schooling and social ethics, where most of them are geared towards socializing of womens bodies (Anderson-Fye, 2004, p. 572). The community’s perspective is inclined towards pleasing the tourists and many will do whatever it takes to look good to them by getting thinner bodies. This craze makes even parents encourage their daughters to get thinner and please the many tourists visiting the country (Anderson-Fye, 2004, p. 579). Further, the strip clubs frequented by tourists prefer thinner women and thus girls are encouraged to eat less to get better pay and recognition to them (Anderson-Fye, 2004, p. 580). The tourists are a motivation towards getting better body images as a promise of employment and other future career benefits like the threat of Kara. The extent of connectivity in the global scene has indeed influenced the bodily aspects of the people in the country. Most girls who have gone on trips in other countries have been influenced to take up their traits, in the example of the United States (Anderson-Fye, 2004, p. 586). Further, the interconnectivity through media has also influenced the body aspects of the people in the way that outside influences determine their attitudes towards body size (Anderson-Fye, 2004, p.

Marketing Research Case study Example | Topics and Well Written Essays - 250 words

Marketing Research - Case Study Example If the second sample provides similar results then the remaining funds from the $30,000 can be rolled out across the nation. Some of the strengths of this may be that if it is the case that the initial pilot sample was not representative than a new strategy can be devised, however if the pilot example is representative than we have a good understanding that the expanded study will generate positive results. 2. What could be the ramifications of your budget decisions? Solution: The ramifications of my budget decision could be described as being low risk modest return. If it is the case that the second pilot study does yield positive results than we know that our approach to gathering information is sound and as such we can roll out our program into different markets. Moreover if we learn that we have generated some sort of false positive in the premier pilot study than it may be that we should have to completely reevaluate the way in which we collect the data. If the former case holds true we would be rolling out approximately $30,000 and would generate effective information for the company to modify their marketing strategies but we would also be taking company money that could be spent on other internal projects.

The impact of human growth, development and identity on cognitive Essay

The impact of human growth, development and identity on cognitive impairment - Essay Example The cognitive development is the acquisition of the ability to reason as well as solve problems. In the case of the 32-year old service user, her cognitive development is interfered with due to the environment she lived. She suffered maltreatment during her childhood and adolescent, making her nondependent in taking care of her needs. She suffered from emotional abuse and neglect during her early years of human development. As a result of the maltreatment, the service user now suffers from irritable bowel syndrome, sleep disorder, and depression. Irritable bowel syndrome is as a result of stress and anxiety. There are various theories presented to explain the interruptions in cognitive development. According to Erik Erikson’s theory of human development, youths must revolve around two crises during their adolescence stage. The term crises describe internal conflicts linked to human development. The way a person resolves the crisis will determine their personal identity and future growth pattern (Kivnick & Courtney, 2014). However, development theories have criticized Erikson’s theory. The development process is considered much more fluid and flexible than Erikson thought (Porfeli, et al., 2013). Jean Piaget’s theory of cognitive development classified the cognitive development stages in four, from birth through adolescence to adulthood. A child who passes the four stages progresses from the simple sensorimotor response to the ability to classify objects and after that engage in hypothetical and deductive reasoning (Beilin & Peter, 2013). The four stages include Sensori-Motor, Preoperational stage, Concrete Operational stage and the Formal operations stage. Feud’s theory of personality argues that structure and conflict in the human mind shape personality. He implicated the structure of the mind i.e. id, ego and superego and the solving of these conflicts among these parts in shaping the human

Literacy Narrative Essay Example for Free

Literacy Narrative Essay Due Date: Friday night, September 6th by midnight in the digital dropbox on Angel Desired Learning Outcomes: 1.Understand our personal development as readers and writers or persons 2.Explore writing as a means of self-discovery 3.Choose the appropriate voice, diction, and audience for a personal literacy narrative 4.Use various invention, drafting and revising/editing strategies as needed 5.Demonstrate appropriate conventions of grammar and style of written English 6.Use technology effectively and correctly to complete the assignment READINGS FOR PAPER: 1.Norton, Chapter 7: Writing a Literacy Narrative, Chapter 40: Narrating, and Chapter 57: additional examples of literacy narratives to be selected by the instructor 2. Quick Access Concise, Chapter 1: Understanding College and Other Writing Situations and Chapter 7a c: Strategies for Writing Typical Kinds of College Papers ASSIGNMENT: After completing the readings for this assignment, follow the guidelines in Chapter 7 of your Norton Field Guide, particularly pages 43-46. Additional tips on the writing process itself appear in the chapter, as well as samples from professional writers. As your text advises, follow these steps. 1.Choose a topic. A single event that you recall vividly would be a good choice. See the suggestions on page 43. 2.Consider the rhetorical situation, particularly your audience and stance. Your instructor will discuss conventions in more detail, but this type of writing does not require a formal tone and may use the first person (â€Å"I†). Grammar and  format, however, need to be correct. 3.Be sure you understand the nature of narrating (Chapter 40) and have the kinds of details and stance that motivate and excite your readers. A good narrative always has an element of conflict. 4.Apply the information in your Field Guide on generating ideas, drafting, and revising under the direction of your instructor.

Impact of Stress on Health and Well-being of the Individual

Impact of Stress on Health and Well-being of the Individual The objective of this assignment is to define holistic and define stress, and discuss the impact of stress on the health and wellbeing of an individual. Firstly the writer will look at holistic approaches and define stress. The writer will also look at how stress effects the individually biologically, psychologically and sociologically. Finally the writer will discuss approaches to managing stress. The term â€Å"Holistic or Holism† derives from the Greek word meaning entire, whole, total. The Oxford Dictionary of Nursing (2014) defines â€Å"Holistic† as an approach to patient care in which the psychological, physiological and social factors of the patient’s condition are taken into account, rather than just the diagnosed disease. Holistic medicine is not a separate medical or treatment method, but it is an alternative philosophy regarding the approach to health. This holistic nursing approach originated in the United States of America and was formally introduced to the United Kingdom in 1977 and was seen as an alternative approach nursing rather than the traditional orientated task approach. Florence Nightingale herself encouraged holistic care; she recognised how important the environment and a multi directional approach was, rather than a one- dimensional therapy process. According to Dossey (2008) Health is a multifaceted complex concept, it relates to an individual’s well-being in a given environment, and is defined by pathology and the traditional biomedical health approach, holistic care looks at treating the underlying causes and not just the superficial ones. Barker (2004) also states the holistic model of care is widely accepted in the field of nursing, it favours a comprehensive in-depth assessment of entirety rather than the medical approach which just studies the disease in the patient. The holistic care approach takes into consideration all the persons individual psychological, sociological and mental health needs. Every man, women and child consists of a body and mind, and any changes in a person’s life will eventually cause changes in their existence. Aggleton and Chalmers (2000) describe holism as the fundamental wholeness of human beings. Hogston and Simpson (1999) define the holistic nursing process as a systematic problem solving framework that enables the nurse to plan care accordingly targeting the specific needs of the individual. The holistic approach has two focal factors. The first factor treats the individual as a separate entity, secondly the holistic approach analyses the psychosomatic approach of a disease and magnifies it by putting the patient in a specific time, along with their needs and quality of life. Alfaro-LeFevre (1998) described the holistic nursing process as a five stage framework comprising of: Assessment: to collect data regarding health status and monitor for evidence of health problems. Diagnosis: to identify actual and potential health issues. Planning: to determine therapeutic interventions and achievable goals. Implementation: to put plans into action and observe response. Evaluation: to assess the outcomes, to check if goals have been achieved or whether changes need to be made. A holistic approach to health makes prevention vitally important as finding a cure, this continuous model of care can extend over an individual’s life. The holistic approach drives to manipulate fundamental determinants of health that occur and this offers an upstream attack on threats to health. This may be the best approach and outcome in coping with the unhealthy lifestyles and the ageing and longevity of life in the population in the 21st century. These determinants contribute to a rise in stress, which can contribute to a rise in other diseases such as heart disease, cancer, stroke and other long standing mental health problems. The Oxford Dictionary of Nursing defines stress as â€Å"any factor that threatens the health of the body or has an adverse effect on its functioning, such as injury, disease, overwork, or worry. Constant stress brings about changes in the balance of hormones in the body. Selye (1976) describes stress as a unifying concept; it is a non-specific r esponse to a huge variety of stimuli. According to Edwards and Cooper (1988) stress should be discussed in terms of stimuli, responses and the relationship between them. Stress is actually part of modern life; at times it may become a useful tool and serve a purpose. Stress can motivate you for promotion at work, or push you to run that last mile of a marathon. Nevertheless if you lose control and dont get to grips with your stress, it can become a long-term problem and it can have a severe detrimental effect and interfere with your job, family life, and health. The causes of stress differ for every individual. Everyone has different stress triggers; we are open to various amounts of different stimuli. Beckwith (1996) states defining stress, its causes and symptoms are just as complicated. It is often characterized as a reaction to modern and social factors, stress is a disruption in an individual’s physiological and psychological homeostasis that force them to deviate from u sual functioning in interaction with their jobs and work environment. Stress is defined by Auerbach (1996) as a three way relationship between demands on a person, that person’s feelings about those demands and their ability to cope with those demands. Stress can effectively destroy the quality of life for the individual, his or her family and for society as a whole, it has become as dangerous as pollution to modern society Srivastava (1999). Some people thrive in the pressure cooker of life. Stress is a personalized experience and can vary extensively even in the same identical situation for different reasons. Some individuals can perform and complete many duties at the same time and have a list of things to do that would stretch and overpower most of us. Every individual has different stress triggers. How person A copes to how person B copes is completely different. A simple example of a daily stressor is the journey to work, college or school. Person A who is sitting in th e traffic, will sit and become very angry at the long delay, but Person B sitting in the next car accepts that there is lots of traffic and copes with the situation. The same stressor or stimuli, but two completely different reactions to the same situation. Stress level will differ based on your personality and how you respond to situations. The same situation can arise in any individuals life, whether it be moving to a new home, a heavy workload, too much responsibility, working long hours, studying for exams or simply leaving the house. Snyder, Lefcourt and Herbert (2001) state, Stress resides neither in the situation nor in the person, it depends on a transaction between the two. Barlow (2000) states suffering from stress, anxiety or phobias can disrupt daily routines, limit work efficiency, reduce self-esteem, and place a strain on relationships. Individuals will do whatever they can to avoid the uncomfortable and often-terrifying feelings of anxiety. Bourne (2011) supports Barl ow by stating people with specific phobias, or strong irrational fear reactions, work hard to avoid common places, situations, or objects even though they know theres no threat or danger. The fear may not make any sense, but they feel powerless to stop it. Specific phobias according to Sylver, Lilienfeld and Laprairie (2011) can cause stress, the threat of a terrorist attack, global warming, dogs, cats, bees, wasps, spiders, germs, heights, driving, public transport, flying, dental or medical procedures, and even elevators. People with phobias realize that their fear is irrational, and even thinking about it can often cause extreme anxiety. According to Beidel Turner (1998) while some phobias develop in childhood, most seem to arise unexpectedly, usually during adolescence or early adulthood. Their onset is usually sudden; you have no control over these events and they may occur in situations that previously did not cause any discomfort or anxiety. All of these factors can lead to stress. Stress is a worrisome illness. Stress has numerous faces, and sidles into our lives from many directions. No matter what the causes are, stress can put the body and mind under extreme pressure. Constant or chronic stress can have real physical effect on the body. It weakens the immune system, increasing the individual’s vulnerability. Stress engulfs the body and saturates it with stress hormones. The heart thumps, muscles tense, breathing quickens and the stomach churns. 1

Rene Descartes Meditations Critique

Rene Descartes Meditations Critique The flow of this paper will primarily be a series of inquiries on Rene Descartes methodic doubt as a philosophical method which has become the foundation of his metaphysics. In other words, this paper will point out several inconsistencies in Rene Descartes deductive process starting from its roots up to the conclusions he arrived at. In the Rene Descartes Meditations of First Philosophy, he expounded the epistemological problems surrounding the scholastic tradition. He furthers his argument that human knowledge is relying too much on traditional doctrines, which he said is based on unproven presuppositions. This gave way to the birth of a dilemma between what is certain knowledge and what is unwarranted belief. This mind set of Descartes led him to develop a method by which he can deduce what is true from a single fundamental principle This is Rene Descartes Universal Methodic Doubt. He started by stating that in order for us to seek for truth, it was necessary, at least once in the course of our lives, to doubt, as far as possible, of all things. He said that in the course of ones life, many prejudices have been accepted as true, that in turn deviate us from knowing certain truth. He also stated that we ought to consider as absolutely false all that is doubtful. He then went on to discuss why we should doubt our senses. He stated that it is common knowledge that our sense is not infallible, our senses are subject to error, and thus it would be imprudent to put our trust onto something that deceives us on a regular basis. He further argued that we cannot really acquire certainty on what is real when in fact we experience the same stimulations whether we are asleep and dreaming, or awake. The next subject of Descartes universal methodic doubt is mathematical demonstrations. He argued that there was no guarantee about the certainty of such mathematical demonstrations because of mans fallibility. He said that there was no way to be sure that we are not deceived by a God who made it appear to us that things exists but in truth are non-existent. He even went on to assume that God does not exist for the sake of argument, in which he replied that a lesser cause of his being will likewise mean that there will be a greater reason for us to believe that we could be continuously be deceived. Finally Descartes concluded that we cannot doubt our existence while we ourselves are, in fact, doubting. He stated that we cannot suppose that we are not while we doubt because we cannot possibly conceive that what thinks does not exist at the very moment when it thinks. This is how Descartes arrived at the single fundamental principle that he was seeking in order to deduce other forms of truth Cogito, ergo sum! At this point Rene Descartes encountered a problem in his line of thought. He cannot rely on the truth of his existence when it is based on the trustworthiness of his reasoning because his reasoning ability is also subject to the very method he created the universal methodic doubt. This is when he demonstrated the existence of an infinitely perfect being, who gave man faculties which are trustworthy and capable of discovering truth. His ontological argument about Gods existence is as follows. He stated that we have the idea of God as an infinitely perfect being in our mind. And it is necessary for an infinitely perfect being to exist; otherwise it is not an infinitely perfect being. He also tried to prove Gods existence by means of causality. He, once again, began with the premise that we have the idea of an infinitely perfect God, and since the idea represents an infinitely perfect being, we being finite, cannot have been able to produce such an idea using our limited faculties. This idea being beyond our limited capacities can only originate from a being that possess infinite perfection. After examining Descartes metaphysics from its roots up to its conclusions, this paper will pose various inquiries regarding the inconsistencies of Rene Descartes method. Rene Descartes began his inquiry by doubting all form of knowledge without exception, he even went further as to deem things with the slightest possibility of doubt as absolutely false. Using Descartes very own method, what makes the idea of an infinitely perfect God true? And if the idea of an infinitely perfect God doubtful how can he deduce, from this doubtful idea, the existence of God? Rene Descartes used the idea of the existence of God as an escape route to his philosophical dead end regarding the trustworthiness of his reasoning ability, but the idea of an infinitely perfect being is subject to his universal methodic doubt, thus he cannot prove the trustworthiness of his reasoning abilities, not to mention that the very same doubtful trustworthiness of his reasoning ability was used to prove the existence of God in the first place. In only goes to show that since the very idea of a God is doubtful, every other thing must remain doubtful. The trustworthiness of Rene Descartes reasoning ability was assumed as an effect of the existence of an infinitely perfect being; and this infinitely perfect beings perfection is made certain to him by means of his reasoning ability, before he was able to prove the validity of the trustworthiness of his reasoning ability. He assumed the trustworthiness of his reasoning ability in order to prove the existence of God in order to prove the trustworthiness of his reasoning ability, thus he commits a fallacy called begging the question also known as a circular argument. His line of thought was nullified because a doubtfully valid faculty can produce only a doubtfully valid argument, and a doubtfully valid argument can only lead to a doubtfully valid conclusion. This series of inconsistencies in Rene Descartes method goes to show that the very moment Rene Descartes decided to adopt a method of universal doubt to deduce a fundamental philosophical principle in which he will deduce other forms of truth, is the same moment that he created an unsurpassable wall that will render any method of acquiring truth impossible. His actual procedure in all the arguments he presented is that he presupposes the validity of his reasoning when in fact it is also subject to the methodic doubt that he devised hindering him from accepting the validity of his reasoning before he can prove the existence of an infinitely perfect God. The only possible end for his arguments is to accept a sort of universal scepticism, because no certitude can ever be attained in a system that doubts and ultimately deem the foundations of human reason as false. If the very nature of his mind is subject to doubt, not to mention deemed as absolutely false, then all ideas, judgements, a nd inferences can no longer be trusted. If Descartes mistrusts the simple judgments of 2+3=5 and A square has four sides, how can he trust his faculties in making the far more complicated arguments with which he tries to prove Gods existence and infinite perfection?

MIDI for beginners :: Computer Science

MIDI for beginners Background The acronym MIDI stands for Musical Instrument Digital Interface. A Musical Instrument is a machine that makes sounds which humans have decided to call music. Digital means information that is encoded in numerical form, i.e. numbers, while Interface means a machine which facilitates communication between two or more systems. In practical terms, MIDI is a standard way for all sorts of modern musical equipment to talk to each other. This equipment commonly consists of things like keyboards, computer sequencers, synthesisers, and samplers, but it also includes mixers, tape recorders, effects generators, guitars, drum kits, wind instruments etc. The MIDI Standard was designed in the early 80's by a partnership between Roland and Sequential Circuits, two of the largest synthesiser manufactures of the time. This came about because of pressure from keyboard players, who wanted a universal interface standard for all their synthesisers to comply to. They were fed up with different synthesiser corporations using their own communications standard which were incompatible with those of other corporations. After the publication of the MIDI standard in 1984, other musical equipment manufactures quickly began to implement it in the designs of their products and MIDI became a world wide standard. A major advantage of MIDI over old analogue interface standards, such as CV (Control Voltage), is that it is possible to transfer up to sixteen channels of data down one cable, as opposed to CV's one channel per cable. Another major advantage of MIDI is that it enables computers equipped with MIDI to be used to write music and control musical equipment. This is done with programs called sequencers. They can give a very high degree of control over music, impossible through conventional means. Another advantage of MIDI is that it is now a world wide standard, insuring that practically all professional electronic music equipment will be compatible with it. Having sixteen channels to transfer MIDI data can also be a limitation when you want to use more than sixteen channels. However, this problem can be got around by using two or more midi interfaces each giving sixteen channels. Another limitation of MIDI is that you can not use it to transfer real time digital audio. MIDI information is transferred by sending a digital signal down a wire from one system to another. This digital data takes the form of binary numbers, physically transferred by sending zero volts for zero or off and plus five volts for one or on. Certain binary numbers convey certain types of information, for example a certain binary number will tell the device that a note on a keyboard has been pressed. This is called a note on event and the

Race Relations in Modern American Society Essay -- Papers

Race Relations in Modern American Society Race relations are an ever prominent issue in American society. Controversies focusing around race are a commonly seen smeared across the front page of the newspaper or headlining on the evening news. The opposition is usually between a minority group and "The Man," a colloquialism used by many Blacks to refer to the overwhelming power stemming from white racist tendencies. This racial tension can sometimes can cause the oppressed to band together against the oppressor. Many times, the most prevalent link is between the African American community and the Latino community. Here we find two groups of people with very similar lifestyles who find camaraderie between themselves when dealing with America’s racism. Although the specifics may differ, the experiences of Blacks and Latinos, specifically Mexican Americans, has impacted the two communities very similarly. For example, many sociologists agree that the slavery experience is the cause of many problems Black America has today. Things such as "Black on Black" crime, broken homes, high poverty levels and drug problems are believed to have links back to slavery. Much like Blacks, Mexican Americans have problems in their communities today that stem from their dealing with immigration in this country. Their problems still exist greatly because immigration is still going on between Mexico and America. The affects of slavery and illegal immigration began many years ago, continued throughout history and continue into today’s culture. In the late 19th century and early 20th century, Blacks were oppressed with the use of Black Codes followed by the implementation of Jim Crow laws and segregation. These acts of racism have since be. .. ...welfare, those who are gang affiliated, the drug users and those that live in run-down, crowded tenements who suffer from tuberculosis and depression. It forgets the many who are forced to work in sweatshops and live below poverty level. Secondly, the Model Minority Myth is a dangerous concept because Asian Americans are alienated from the majority race as well as the minority race pool. They are still perceived by white America as outsiders yet are set up for resentment by other minorities. This makes life hard for the Asian American that achieves because he is almost forced to turn against his other brothers and sisters of color. This is detrimental to the well-being of the Asian American in this country. This concept should not be used to describe the modern Asian American and should be recognized as a stereotype like any other in our society.

Dysfunction in a World of Order Essay -- Character Analysis, Private W

Carson McCullers â€Å"Reflections of a Golden Eye† is a story about the lives of a six dysfunctional people living on an army post during peacetime. The characters lives are entwined both public and private, but when the private becomes public it reveals a truth that leads to path of destruction. Private Williams is a solitary man full of secrets and desires. Captain Weldon Penderton, a closeted homosexual, and his cheating wife Lenora have a fiery relationship. Major Morris Langdon, who is having and affair with Lenora, lives next door to the Pendertons with his unstable wife Alison and their flamboyant Filipino houseboy Anacleto. McCuller’s writes about these characters as if she can identify with each of their struggles to conform to world around them. She pulls the reader into a world where â€Å"man’s capacity for error, cruelty, guilt, self deception and self- destruction† creates chaos (Dayton 421). McCullers shows the reader a hars h view of low-self esteem and desires while conveying the importance of being true to oneself in order to foster healthy relationships. Many People, who are raised in an environment that do not include interacting with different types of people, often struggle with building relationships with people they don’t know. Private Williams has no social skills; he is an introvert who lives his life in self-imposed isolation even though people on the army post surround him. Williams is much like Mr. Singer’s character in the â€Å"Heart is a Lonely Hunter† for though â€Å"he appears to be fully and actively engaged in life, he too is trapped in his own grotesquerie, unable to establish that vital contact with some other person which would make him fully and recognizable human† (Vickery 21). ... ...eldon. If fact, their selfish affair has had a direct or indirect negative impact on everyone in the story. Lenora and Morris cannot see beyond their primal passions to realize or care about the cause and effect of their infidelity. This is the case of many people who venture outside of the martial commitment. Instant gratification and the lack of control have ruined many marriages. Lenora and Morris’s affair causes tragedies for the rest of the clan. In Conclusion, McCullers story is about six people struggles to conform to a world around them. She shows a world where â€Å"man’s capacity for error, cruelty, guilt, self deception and self- destruction† creates chaos (Dayton 421). McCullers shows the reader a harsh view of low-self esteem and desires while conveying the importance of being true to oneself in order to foster healthy relationships.

Malignant Hyperthermia: What You Need to Know

Malignant Hyperthermia: What You Need to Know Ivy O. Corlew, BSN, RN, CNOR Conneaut Medical Center–OR Malignant Hyperthermia: What You Need to Know What is Malignant Hyperthermia or MH Malignant Hyperthermia (MH) is a rare, life threatening, pharmacogenetic disorder characterized by hypermetabolic state of skeletal muscle induced by inhalation anesthetics like halothane, sevoflurane, desflurane and the depolarizing muscle relaxant agent like succinylcholine (Rosenberg et al, 2007).Clinical signs are; Increased end tidal CO2 production which is an early sign, tachycardia, tachypnea, trunk or total body rigidity, masseter (jaw) muscle rigidity after succinylcholine which occurs commonly in children, marked temperature elevation (maybe a late sign), respiratory and metabolic acidosis, myoglobinuria(MHAUS, 2011). If left untreated the patient will experience cardiac arrest, kidney failure, blood coagulation problems, internal hemorrhage, and possibly death (slideshare, 2010) Nursi ng AssessmentNurses taking care of surgical patients must be knowledgeable regarding MH so they can identify clinical signs and symptoms early on, its emergent treatment, and be able to respond promptly and appropriately. Preoperative assessment by nurses are crucial in identifying the patient, who could be at high risk for Malignant Hyperthermia, so MH triggering agents can be avoided during anesthesia. Example of questions to ask to help screen for MH susceptibility are (AORN 2012): 1. Has anyone ever told you that you had a â€Å"bad† reaction to anesthesia? 2. Has anyone ever told you that you or your family member had a problem with anesthesia? . Have you or a family member experienced a high fever while under anesthesia? 4. Has anyone ever told you or a family member they had a difficult time opening your jaw during general anesthetic? 5. Has anyone in your family died unexpectedly in the operating room? 6. Have you or anyone in your family experienced sunstroke or heat stroke resulting in hospitalization? 7. Have you ever noticed dark â€Å"cola-colored† urine after a general anesthetic or after experiencing a heat-related illness? Treating MH Dantrolene IV is the only drug available in the market to treat Malignant Hyperthermia.It is difficult to mix and is time consuming to reconstitute. It comes in yellowish colored powder that when fully mix with non-bacteriostatic sterile water, the color stays the same. The new brand Dantrium IV (dantrolene sodium for injection) mixes in just 20 seconds (MHAUS, 2011). However, this is not what we have stocked in our cart. According to MHAUS (2011), dantrolene suppresses the exaggerated rise in muscle cell calcium that seems to trigger MH by binding to the calcium channel site in muscle that is responsible both for calcium release and, likely, calcium entry into the cell.Dantrolene may cause significant muscle weakness in patients with preexisting muscle disease and should be used with extreme caution in those patients. When used with calcium channel blockers (verapamil or diltiazem), dantrolene may produce life-threatening hyperkalemia and myocardial depression. Once a patient has been successfully treated for 36 hours with intravenous dantrolene, he/she may be switched to oral dantrolene until the CK or Creatine Kinase level is trending down and there is no further evidence of acidosis or hypermetabolism and temperature spikes. A recommended 36 vials be stocked.Treating Malignant Hyperthermia crisis is a complex nature, and it involves several staff members. The first thing to do in the event of suspected MH crisis is to recruit extra staff. The following steps are outline by role (MHAUS, 2011): The surgeon should stop or complete the procedure as soon as possible. The anesthesia provider stops inhalation agents; stops warming blanket; increase minute ventilation; inserts esophageal temp probe; inserts NG tube for lavage as needed; administers dantrolene IV; inserts an arteria l line; draws blood for chemistry, ck, coagulation, ABG.If peaked T waves on ECG, administers calcium then glucose and insulin. If T waves are not peaked and arrhythmia present, injects bicarbonate. The circulating nurse brings in MH cart; mixes dantrolene based on 2. 5 mg/kg with 60 ml of non-bacteriostatic sterile water, repeat dose until the signs are controlled. The circulating nurse should document the event. A second nurse assist in mixing dantrolene and hands syringe to anesthesia provider. A third nurse brings in emergency crash cart; places urinary catheter; assist in drawing blood or with other task.A fourth nurse brings in plastic bags with ice and cold IV fluids; places ice bags on exposed parts like groin, axilla, and neck (without compromising sterility); iced saline lavage of any open body cavities such as the stomach, bladder, or rectum. Cold I. V. fluids are administered using 0. 9% sodium chloride, but Lactated Ringer’s is avoided so that acidosis is not wor sened (Martin, 2009). Stop cooling measures when temperature falls to 38 °C (MHAUS, 2011). A laminated copy of MHAUS dantrolene dosage chart is located on top of MH cart to minimize precious time wasted in calculating dosage per kilogram.As soon as patient is stabilized, transfer patient to ICU or call transfer center for an emergent transfer to UH Case SICU or ED. Knowing your Role All staff involved in the MH crisis response should conduct a debriefing meeting as early as possible. Points to consider including (AORN, 2012): 8. Was the MH cart adequately stocked and immediately available? 9. Were enough staff members available to manage the crisis effectively? 10. When staff members responded, were they familiar with task expected in MH crisis? 11. Was MHAUS appropriately notified? 12. Do staff members have other ideas about planning care for a future MH crisis? 3. Has a root-cause analysis been done (MH is considered a sentinel event)? Staff Competency By using the mannequin as our patient, and mixing the expired dantrolene from MHAUS, perioperative staff did fairly well during the MH mock drill simulation by following thru with the expected roles. MH drill should be held at least quarterly to help perioperative staff practice early recognition of MH crisis and how to act accordingly. MH drill also improve OR (operating room) team coordination and provides opportunities to serve in each of the four roles mentioned (Martin, 2009). PreventionEarly detection of clinical signs and symptoms of MH, knowing your role and a prompt response to this emergent crisis can save your patient’s life. MH crisis prevention is the key and the best treatment you can provide to your patient. Knowledge about MH is a must for nurses taking care of a patient before, during and after operative care. Armed with this knowledge, you can make a difference in your patient’s lives. References AORN (2012). AORN Malignant Hyperthermia Guideline. In Perioperative Standards an d Recommended Practices: For Inpatient and Ambulatory Settings (pp. 5,8-9). Retrieved from http://online. statref. om/titleinfo/fxid-234. html Martin, C. L. (2009). A Practical Guide for Malignant Hyperthermia Management. OR NURSE 2009, 24. Retrieved from www. ORNurseJournal. com Rosenberg, H. , Davis, M. , James, D. , Pollock, N. , & Stowell, K. (2007). Malignant Hyperthermia. ORPHANET JOURNAL OF RARE DISEASES. doi:10. 1186/1750-1172-2-21 Malignant Hyperthermia Mock Drill Kit. (2011). Healthcare Professionals. Retrieved from http://www. mhaus. org/healthcare-professionals/#. T6rV3VI2cTY Malignant Hyperthermia (2010, January 28). [Video File]. Retrieved from http://www. slideshare. net/wright958/malignant-hyperthermia-3015604

Child and young person development Essay

Development in children is gaining skills and experiences in every aspect of the child’s life. The different types of development are split into three main categories: physical development, communication and intellectual development and social, emotional and behavioural development. Physical development improves the child’s body skills such as gross motor development, which is using large muscles such as the muscles within arms and legs, and fine motor development, which is the use of precise muscles such as those of the hands and fingers. Communication and intellectual development allows the child to communicate and connect with different members of society – family, friends and all others – whilst also improving the child’s understanding and thinking skills. Social, emotional and behavioural development allows the child to develop relationships with other children and adults whilst learning the necessary skills to live in society with others and a llows the child to form their own unique identity and self-image. Although each child develops at their own rate, there are things or certain milestones that are to be expected when reaching a certain age. Between birth and 3 months old babies cannot understand what is happening to them. They do not understand that they are being cared for, and they do not even realise that they are people. They feel ‘happy’ when they feed but don’t fully understand what ‘happy’ is. As babies are not able to think, they will pick up on somebody’s feelings and mirror them. Although babies grow to exist by themselves, outside of their mother’s womb, most of their bodies are still very immature. As they don’t understand their environment, babies can become very distressed if they are given too much to see. From birth to 3 months, babies communicate with others by crying. This allows their carer to know when they are hungry, tired, etc. From birth, when a baby’s cheek is touched, they will turn their head towards the feeling. By six weeks old, babies can smile responsively. By 2 months old, a baby can usually kick its legs vigorously. By 1 month old, a baby can follow a moving light, however, by 2-3 months old, they can watch a moving face accurately. Between 3-6 months old, babies are beginning to understand their surroundings. T hey start to know and recognise regular people within their lives, e.g. their mother, father, grandparents and siblings. They begin to make eye contact and at this age, start to smile. If they see that an adult looks cross, they will feel and look worried. Babies have trouble grasping  that themselves and their primary care-giver (usually the mother) are separate. It is between 3-6 months old that babies start to gain some control over their bodies. They start to explore their hands and feet and begin to understand that they can feel on the outside as well as the inside. Babies ‘coo’ for pleasure and they are able to ‘talk’ to their toys by 6 months old. Between 3-4 months old, they are able to hold objects, and swipe at dangling objects, but usually miss. Between the ages of 4-6 months, a baby will usually learn to roll over. By 6 months old, a baby will usually be able to support their own weight by standing on their feet for very short periods of time. Between 6-12 months is the stage that babies explore through physically doing. They will begin crawling and rolling over independently. From 6-8 months they will be able to sit up with support, and from 9 months onwards will be able to do so on their own. From 9 months old, babies will be able to use things such as furniture to stand up. Babies can imitate sounds and actions and recognise words and phrases. They can say a few words unclearly and it is at this point that they begin to respond to their name. Between the ages of 6-12 months, they are able to point to familiar things and they realise that things still exist when they are out of sight and will begin to look for them. Tow ards 10-12 months old, babies like to put things in containers. They like to remain physically close to their primary care giver, and shows pleasure when that person returns to them. They seek comfort when they are upset and start to read other people’s emotions. Babies, between the age 6-12 months, enjoy games such as Peek-a-Boo, and they play purposely with toys. They become anxious around strangers and may cry or cling when their parents leave.

Law Enforcement Essay

Policing as historically been a reactive enterprise. Law enforcement efforts are focused on responding to citizen request for service. Policing at the state and local level is structured to meet the demands for service. Ideas such as community policing as well as problem oriented policing have attempted to move policing into a proactive, future-oriented process. Policing will be greatly impacted by the rapid changing cultural dynamics of our communities. The most significant trend will continue to be the utilization of technology to law enforcement manifest in nearly every aspect of policing. The technology we currently have helped solve many crimes, prevent crimes, and facilitate crimes that have yet to be committed. The quick growth of technology continues to increase the weakness and fear, giving criminals new ways to commit crimes and police new tools to stop them. As neighborhood as well as drug crimes has slowed down a new wave of crime such as terrorism, internet as well as hacker crimes as taken the fore front. The tech savvy generation that is now emerging, will become even more tech crime knowledgeable. Law enforcement agencies will be dealing with smarter criminals. As police agencies make basic changes in gathering, accessing, communicating, as well as sharing information. Police administration will be at the center of system development and management. Technology will establish a very quick changing social environment to which law enforcement officers will have to adjust. This could lead to law enforcement officers who are not accustomed with or who cannot grip technology use to have to retire before their time or be passed up for any promotions. Technology will grant essential policing methods, structure, as well as process that law enforcement will have to create, incorporate, as well as learn. The twenty-first century has put policing into a whole new milieu one, in which the causes of crime often lie outside the immediate community, demanding new as well as innovative approaches from law enforcement. Law enforcement has been issue video cameras as well as other great technology to help them surveillance high crime areas in the communities. The decrease is cost and the increase in quality of technology in surveillance cameras, accompanied with a greater public acceptance of street surveillance, will push the trend towards more cameras. Though possibly the trend has subside, the public has become tolerant of privacy because of what happen on the 2001 terrorist attacks as well as following terrorist efforts made police realize that they need to understand the foundation in communities. There are a number of things that can affect the future of policing. It can be seen as a negative or a positive. Future policing in part will rely upon on the kind of society being policed as well as the social, economic and political realities. Policing has been seen as a slow-to-change subculture because of how fast technology continues to rotate. It is difficult to image how law enforcement will be able to cope with the emerging complexity of combating terrorism as well as internet crimes. While at the same time, trying to keep crime at a low rate in the communities. The possibility that law enforcement officers will not be able to keep up with the change of time of terrorism, cybercrime, technology was seen as the top leading serious threat. Another foreseen danger in the eyes of law enforcement is the misuse of power as well as abuse of authority by the men and women in charge. Aggressive policing and racial profiling could undermine the public trust with law enforcement officers. Unqualified law enforcement lacking leadership or a sense of public service also poses a very large threat to police. The threat is police enforcing the law as well as providing service that is managed by unqualified or under qualified person in control. Leadership occupies an important role towards the success or failure of every organization. Police performance affects by policing because of the lack of police on the force verses the high number of police that was in the past. This affects the number of police that is out protecting the community, stopping the high volume of crime we face today as well as the future ahead. Law enforcement agencies will have to adapt as well as change quickly, embrace technology and analyze emerging trends in communities. Another issue that can affect policing in the future is funding. Without the funding we would not be able to keep up with the hi-tech criminals if we cannot afford the equipment we need to keep up with them and stop them from committing these types of crimes. Most law nforcement department budgets are not big enough to get the latest equipment to fight crime as well as be unable to service the community fully. Some of the technology may seem like an invasion of privacy that can lead to a lawsuit but this type of technology can help fight crime. The changes that need to be made to effectively address these critical issues Officers need more extended training and yearly workshops to keep them up to date on the latest crimes of criminals to deter them from continuing the crimes weather there street crimes or cybercrimes. Reorganizing the way they fight crime can help them out a lot. Cooperation of law enforcement of all levels along with coordination with other agencies will be necessary to deal with crime that crosses jurisdiction. Internet crimes and offenses as well as terrorism are examples of such. Local police need to be more aware of what happen on and around their beat, the more they are aware the less bad things can happen in the community they patrol. They can keep the public safe and at peace. Law enforcement needs a bigger budget, to get all the latest equipment to keep up with the hi-tech criminal. This funding will help in the capture of the criminal who uses technology to commit crimes. It is believe that the added high tech spyware as well as the increase in surveillance can greatly help out other law enforcement departments as well as homeland security if necessary. Excellent technological knowledge, great educated and trained officers as well as leaders, and better community ties were seen by most as the significant promises in the future of policing. If there is a willingness of law enforcement agencies to work together, communicate, and share information with all jurisdictions and levels of government it would be a better working relationship that can benefit everyone. Great partnership with the community, improved technology, and ethical, educated employees is a good way to start for a policing future. You need to build relationships in order to build power to fight the crime and terrorism. It would be a more productive fight against crime if everyone was on the same page.

Spoof Ad

Tropicana Is an American company which specialises In the production of orange lulce_ This company, owned by PepsiCo, claims that it produces 100% fresh orange juice as it is stated on their orange juice cartons â€Å"100% pure squeezed†. On the contrary, researchers have found that Tropicana's promise of fresh Juice is not quite true. PepsCo Inc. released a series of posters almlng to convince customers that Tropicana orange Juice is more than just Juice, rather it is an essential for the body because it provides vitamins, fibers, and other nutritional benefits.The Ad, â€Å"It's More Than Orange Juice† emphasises a more positive reaction towards the brand, when truly the product does not live up to its promise. According to Heml Weingarten, a blogger on Fooducate, Tropicana orange juice is kept in refrigerator vats for more than 6 months before it is distributed to the supermarkets. Hemi also adds that in order to prevent harmful, pathogenic bacteria from forming Trop icana strips the freshly squeezed orange Juice of its flavour and colour, then adds them back through flavour packs when the orange Juice Is ready to be sold (18, 2013).Alissa Hamilton, author of the book â€Å"Squeezed: What You Don't Know About Orange Juice† noted that: â€Å"Tropicana Orange Juice does not possess the same amount of fibers, vitamin C, and other nutritional benefits that oranges provide† which Is considered as a Ile towards the juice being 100% pure and natural (2011). Rationally speaking, every orange fruit on earth has its own taste, some are sweet some are sour. On the other hand, Tropicana's orange Juice all taste the same which Is impossible unless It Is chemically engineered.Also, Tropicana's Orange Juice Is ble to last for a month without changing Its flavour which clearly does not happen with truly fresh orange juice. Mike Valente, in his article â€Å"Tropicana Orange Juice: Not So Orange! † explains how the Juice is pasteurized and d eoxidized, and once that is done the Juice is able to last for a longer period of time (2011). All of the above evidence Is consistent with the fact that Tropicana Is marketing their Orange juice product using lies through their ads trying to convince consumers that their product is â€Å"100% pure and natural† when it is really not.This act of manipulation led the Tropicana company to court. Jonathan Stempel stated that a lawsuit was filed against Tropicana for their fraud (2012). The Natural Society adds: â€Å"Tropicana Brand just settled out of court to the tune of 9$ million† for false advertising (2013). Spoof Ad By Lhkat Tropicana is an American company which specialises in the production of orange juice. This company, owned by PepsiCo, claims that it produces 100% fresh orange juice as it is stated on their orange Juice cartons â€Å"100% pure squeezed†. On the PepsCo Inc. eleased a series of posters aiming to convince customers that Tropicana orange Jui ce is more than Just Juice, rather it is an essential for the body because it product does not live up to its promise. According to Hemi Weingarten, a blogger on Fooducate, Tropicana orange Juice is kept in refrigerator vats for more than 6 months when the orange Juice is ready to be sold (18, 2013). Alissa Hamilton, author of the nutritional benefits that oranges provide† which is considered as a lie towards the s impossible unless it is chemically engineered.Also, Tropicana's Orange Juice is able to last for a month without changing its flavour which clearly does not happen with truly fresh orange Juice. Mike Valente, in his article â€Å"Tropicana Orange Juice: Not All of the above evidence is consistent with the fact that Tropicana is marketing their Orange Juice product using lies through their ads trying to convince consumers that â€Å"Tropicana Brand Just settled out of court to the tune of 9$ million† for false

Assignment 2 Essay Example | Topics and Well Written Essays - 750 words - 6

Assignment 2 - Essay Example The mathematical model presented by the Deming was considered to be unrealistic model. The new approach of business presented by Deming demanded to change the whole system and completely restructure the system. Restructuring the complete system made the model controversial. Deming’s concept of variation can be implemented to the classroom by understanding the statistical theory. With the implementation of the statistical theory, it is easy to reduce the impact of variation by implementing and enhancing technology, design of the study and through proper training of staff and students. A wood cutting machine cuts wood logs into desirable sized lumber. Wood logs are manually inserted with the help of lifting machine and then the logs are cut into half and then equal sized parallel strips of timber are cut. The common variation factors are hardness of the wood logs, wear of the cutting blades and machine vibrations. Some times the size of the wood logs differs from one another. In the similar manner, sometimes the blade stops rotating which is caused due to the slip of the motor bearing. Deming provided a systematic and mathematical quality control education method that required science, statics, and industrial engineering management. There is a need to generate vision, teach the students approached to be successful, decision should not only based on effective cost, constantly improve the system, train the staff and hire people with good knowledge and skills to teach, provide guidance to the students instead of being their lords, gain respect of the students instead of asking for the respect, reward the efforts of the students, never punish the students but allow than to self improve themselves. Juran’s philosophy emphasizes that quality, production and economy can be increased by improving the management. He described the three management improving ideas to improve the system’s

CULTURAL DIMENSIONS IN ADVERTISING Research Paper

CULTURAL DIMENSIONS IN ADVERTISING - Research Paper Example Therefore, the researcher found that a mix of Spanish and English is most effective in these populations, as it mixes accommodation and respect (the Spanish part of the ad) with a positive feeling of linguistic security (the English part of the ad). Meanwhile, in all countries, there is a negative side to advertising. This negative side is that advertising encourages a feeling of inadequacy, and advertising also denigrates traditional social norms. The question that needs to be answered is what are the specific connotations that English convey in the different countries that are covered by the research, and why is advertising considered to be negative in some instances? I. Sociolinguistic Aspects of English Advertising A. In Japan The use of English in the country of Japan is becoming an increasingly popular phenomenon. The attribution of the high number of loan words in Japan dates back to the Meiji Restoration in 1868, in which Japan was transformed from feudal to a modern state by adopting Western civilization (Takashi, 1990, p. 327). There are a high number of English loan words in the Japanese language, much more so than loan words from European nations. English loan words represent 80.8% of Western loan words in Japan, with the other western loan words coming from France, Germany, Italian and Dutch (Takashi, 1990, p. 327). This is because the Japanese study English more than any other foreign language. There is some thought that the Japanese people regard English as representative of something cosmopolitan and international, and modern English words are seen as conveying sophistication and modernity, especially in they are used in advertising. (Takashi, 1990, p. 327). Part of the reason for this is because, before, 1931, English words were used in Japan for new concepts and things (Takashi, 1990, p. 327). Previous studies indicate that Japanese males use English loan words more when talking about academic subjects, as opposed to every day life, while Japa nese females use English when speaking on every day topics, as opposed to academic topics. (Takashi, 1990, p. 328). Other studies indicated that commercials that were aired in European languages, such as English, German, French and Italian, and used Western imagery, such as background music, scenery, and a Western person, conveyed the social values and stereotypes attached to these languages. (Takashi, 1990, p. 328). Still other studies showed that young Japanese girls use English loanwords when they want to appear fashionable. (Takashi, 1990 328). Takashi's (1990) study focused upon the language of contemporary advertising, particularly the usage of English in the Japanese contemporary advertising. The focus was on the use of English loan words in Japanese advertising, with 506 Japanese commercials with English loan words and 413 print advertisements with these loan words. For the purpose of this study, the term â€Å"loan word† denoted any English word that had been morphol ogically, phonologically and syntactically integrated into the Japanese language. The study also delineated advertisements that were aimed at specific populations, such as female, young and old, and sought to discover how loan words were used in these specifically targeted advertisements. The study found a total of 5,556 English loan words

How is the reasoning on the given issue adrift and how might that Thesis

How is the reasoning on the given issue adrift and how might that reasoning be approved I chose the issue of Legalization of M - Thesis Example One side is against Marijuana legalization and wants it to be banned or abolished because of the negative impacts, it could have on the human lives. On the other hand, the supporting side views at the positive effects of Marijuana, particularly its medicinal purposes and how its legalization could save many lives and alleviate the sufferings of many people. However, if one takes the supporting stance and favors legalization of Marijuana, the reasoning seems adrift regarding certain aspects. At the same time, a stronger reasoning can be formed in favor of legalization. So, this paper focusing on the issue of legalization of Marijuana will discuss how marijuana can aid many suffering people, although there seems to be some adrift, which can also be covered with more stronger reasoning. People suffering from certain health ailments and pro-groups consider Marijuana has an effective treatment option. Although marijuana is harmful to the physical and mental health if it is misused, none i s as tragic as the rejection of medicinal marijuana to many patients, who could have some of their physical and mental pain alleviated. Marijuana, commonly known as weed, pot, hash or cannabis is known for its intoxicating effect, often causing the individual to experience states of mental pleasure through a heightened effect of pleasure on the pain and sensory receptors. This is the reason why marijuana has been banned. However, it is important that we also realize the medical uses that the plant has, mainly acting as a pain reliever to those who suffer from ailments such as cancer, where other pain relievers are not quite as effective. In addition, Marijuana is being proved to be an effective cure or even a controlling cure for many health ailments. Thus, the legalization of marijuana for medicinal purposes is sure to make lives better for those who suffer from diseases as well as chronic pains. While analyzing the legal perspective, we understand that the government made the deci sion based on the anti-drug campaign and the overall social implications. Special attention was not given to the percentage of patients who are greatly benefited by the use of marijuana as a medical drug. Marijuana is the term given to the dried form of the hemp plant Cannabis Sativa. That is, it is a dry, shredded green and brown mix of flowers, stems, seeds, and leaves derived from the hemp plant Cannabis sativa (Shohov 1). The main chemical in the plant which gives the users a kind of mental ‘high’ (a kind of ‘false’ mental pleasure) and eventually many problems is the delta-9-tetrahydrocannabinol, THC for short. This is where the adrift in the reasoning comes into the picture. Here, the adrift takes place from chemical or even behavioral angle. That is, as Marijuana gives that mental high, it is being abused by the users in many ways. Marijuana users could suffer from various diseases, affecting different parts of the body. Firstly, Marijuana has a dang erous effect on the lungs’ functioning. As the inhaled Marijuana first enters the lungs, the carcinogens found in it, will get deposited in the lungs, leading to diseases like Cancer. â€Å"Marijuana users usually inhale more deeply and hold their breath longer than tobacco smokers do, which further increases the lungs’ exposure to carcinogenic smoke† (â€Å"NIDA InfoFacts: Marijuana†). Following the lungs, the heart’s functioning will also affected by Marijuana. Inhaling of Marijuana increases the hearts’

Companys annual report and accounts Assignment Example | Topics and Well Written Essays - 1500 words

Companys annual report and accounts - Assignment Example The strong cultural values make their identity as well as it is the integral part of their success (J Sainbury Plc, 2013, p.1). David Tyler is the chairman of the company. In real fair price, they are offering the best food for health. Profit making is not only the main of the company. They respect the environment. Their aim is to be the greenest grocer of UK. As well as they are funding for different charitable causes. From being a retail shop it is now diversifying its business by going online, opening own brand bank, they also doing property related business. All of these help them to acquire the whole market. In every aspect of need and demand Sainsbury can stand with their product as well as services. As a super market it is the first sponsor of the London 2012 Paralympics Games. The company has a market share of 16.5% in the UK super market (Mirza, 2012, pp.34-87). When an investor wants to invest in any company he needs to analyse the financial information of that company. The huge amount of numbers in the financial statement may confuse the investors. So financial ratio is a simpler and more organised way by which the investor can easily make his judgement about the financial position of the company. So we can say that Ratio analysis is a tool which is mainly used for different quantitative analysis of one company’s financial statement (Friedlob and  Schleifer, 2003, pp.45-67). The company’s liquidity, solvency, efficiency and capital structure of the company can be understood by using ratio analysis. Some of the ratio discussed below. Comparing with the expenses and relevant costs of the company, what is the ability of the business to generate earnings is measured by this type of ratios. Profit margin and return on assets are the two basic profitability ratios to measure the earnings capability of the companies (J Sainsbury plc, 2012, pp.2-5). The above table shows the yearly amount of profit and revenue. We can see that it is continuously

HRM And SHRM Essay Example | Topics and Well Written Essays - 750 words

HRM And SHRM - Essay Example Virgin very early realized that simple management of employees is not good enough to achieve greater success in the global market. It took the idea that investment in human element with respect to all aspects of the organization is essential for the success of the company. It integrated management of human resources into organizational strategy and has reaped tangible benefits as a result of this. Virgin took the HRM approach of designing systems, policies, and procedures to manage employees and integrated it with SHRM approach wherein human resources were seen as the key asset, extensive interest was shown and investment was made in order to meet key objectives. The approach of the group towards SHRM can be best understood by their group motto: "Our people come first†. Virgin has adopted various initiatives to ensure that their employees are managed effectively. Safe working environments are created, training is undertaken to ensure that employees are updated with the skills n eeded to handle their work, employment contracts for all staffs, and many more HRM initiatives have employed. There are other HRM systems in place such as bonuses, stock options, profit sharing, etc. Along with this Virgin have come up with numerous SHRM strategies such as recruitment criteria were in the company looks for values and character among the prospective employees that can uphold the company's brand value. Only those are selected who possess values that fit with the company's brand culture (Verma, 2006).

Michael Murphy Essay Example | Topics and Well Written Essays - 750 words

Michael Murphy - Essay Example Murphy’s message stands-out from that of the other contenders as it is geared towards enhancing democracy and equality. His campaign team has worked tirelessly to mould their party’s flag bearer into a force with whom to reckon. The candidate has been marketed with a high-end consumer brand through a coherent and comprehensive program of fonts, web designs and logos. The entire graphic designed for his campaign have been made using the same design (Marshment, Stro?mba?ck and Rudd, 2010). This has made it simple for the supporters to adopt the designs when campaigning for their favorite candidate. His personality has also been brought into full public limelight through the publishing of a new novel that details his life experiences and aspirations. The iconization of Murphy has made the electorates feel as if they know him beyond the political circles. His campaign blogs and messages quote his vision that offers a compelling future. His vision clarifies, inspires and foc uses on the progress of the individual members and the entire nation. How are the Three Candidates Positioned? The opinion polls show that the campaign promises being made by Murphy are appealing to most party members as compared to his competitors. The popularity gap has widened recently to 10%. The national polls also place him as the strongest candidate to compete with the opponent from the conservative party in the general elections. The increase in the number of new youth members within the party is associated with his aggressive campaigns of popularizing the party outside the traditional circles. How are the Candidates differentiated from each Other? Murphy has numerous unique characteristics that distinguish his campaign demeanor from other competitors. They include personal charisma, public speaking, listening skills and his positive attitude towards challenges (Rossiter, 2004). Murphy possesses the highest educational qualifications among the contestants with a Masters degr ee in political science and currently pursues an undergraduate degree in economics. This improves his chances as the preferred candidate among the party members in spearheading the efforts geared towards improving democracy. Other leadership qualities that make him be favored by the party delegates include his willingness to make hard decisions, decisiveness, and capability to understand the leadership problems currently facing the party, effective management skills and sharing of other people’s values. Murphy is the only contestant in the race who has some prior experience in good performance within the party leadership. He was entrusted with taking care of the youth affairs which has seen the representation of youths and women in the administrative posts in the party. What are their Strongest Voter Segments? The strongest voter segments for Michael Murphy are the youths and women who believe in change with reference to his earlier performance record. His prolonged status as the youth leader within the party has made him interact with all the party members implying that everyone is aware of his leadership skills. What Messages are they focusing on? The main theme that Murphy is focusing on is the Enhancement of the Democratic Space and Fair Representation of all Groups within the Party. This will place the party at a better position to defeat the Conservatives in the national elections. This is encompassed in his campaign motto of hope and restoration. Murphy is also focusing on reaching the

Does mandating nurse-patient ratios improve care Coursework

Does mandating nurse-patient ratios improve care - Coursework Example ult, experts in healthcare have argued that in order to better safety of patients and quality of care there needs to be a higher number of nurses so as to lower the nurse-to-patient ratio (NPR), which will ensure nurses have more time with patients, which will ensure quality care and assessment-which are contributing factors to enhancing quality and safety of care. The findings and debates around the ratio have already led to the development of legislation in some states and the publication of various researches, articles and papers on the same issue. This paper reviews various articles on this issue as covered in five academic databases accessed online using the following search words: â€Å"does mandating nurse-patient ratios improve care.† Title of Source, URL and author: The first work titled â€Å"The effect of nurse staffing on selected outcomes of care† is a 2008 publication found on the ProQuest online database. This piece of work can be viewed online at this Uniform Resource Locator (URL): https://online.cdu.edu.au/webapps/portal/frameset.jsp?tab_tab_group_id=_19_1. The work is authored by Moh’d, Ali Saleh from The University of Wisconsin. The â€Å"ProQuest Dissertations and Theses† (PQDT) Database is under the ProQuest group of databases which hosts a wide array of European and American dissertations. The collection includes theses that date back to 1962, and dissertations that date back to 1861 to the current time. The database provides access to both old and most recent resources and is particularly resourceful for researchers because it offers access to information from various disciplines. The main objective of this database is to offer access to theses and dissertations from various disciplines to researchers and students in various fields. The source sampled from this database highlights issues that relate to the nurse-to-patient ratio. The major objective of the work was to cover a study that examined the influence of nurse staffing on job

Public Memory and Commemoration, Roadside Memorials Annotated Bibliography

Public Memory and Commemoration, Roadside Memorials - Annotated Bibliography Example This article talks about the efforts to police the installation of road memorials. The discussion is brief but it is able to present clearly the two sides of the debate. The Gympie Regional Council, in particular, is ambivalent in its position in the debate. Although proposing to eliminate the roadside memorials that have burgeoned at the sites of different vehicular accidents the Council seems to excuse these roadside memorials as well. Hence, the councilors attempted to put into effect the statute prohibiting the roadside memorials, but simultaneously it will allow flowers or crosses provided that they are looked after and do not cause road dangers. This article demonstrates that the banning of roadside memorials is not an easy decision to make. This article presents a comprehensive discussion of the several factors that contribute to the hazards of roadside memorials for motorists. Some of the identified factors are visibility and environmental conditions. The author depicts how governmental organizations, like the National Fire Protection Association’s Standard for Automotive Fire Apparatus, try to lessen the accidents caused by roadside memorials by obliging ambulances and fire trucks in the United States to put signs in different sites and retroreflective markings. This article is relevant to the currently study due to its overarching premise that issues of roadside safety are complicated. Roadside memorials may be one of the reasons for these vehicular accidents but there are other factors to take into account. This article could be use to support the arguments for keeping roadside memorials. This book describes the symbolic sites of the ‘informal’ roadside memorials that have begun to emerge recently, marking rural, suburban, and metropolitan sceneries. Roadside memorials, according to the author, are usually considered as ‘spur-of-the-moment’ occurrence. Nevertheless,

Affordable Care Act Essay Example for Free

Affordable Care Act Essay Abstract The Affordable Care Act Health coverage was developed to provide and guarantee coverage for sickness, injury and preventable health measures. Many people suffer from illness’ that go untreated because they have no health insurance or cannot afford it. The Patient Protection and Affordable Care Act allows everyone to have health insurance. In this case study I will explain how the affordable Care Act in North Carolina has improved. The impact of the Affordable Care act on the population that it affected The Patient Protection and Affordable Care Act (ACA) is the most comprehensive reform of the United States. The Affordable Care Act (ACA) also called Obama Care transforms the non-group insurance market in the United States, mandates that all residents will have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare. Many people are opposed to Obama Care, simply because their high Republican beliefs won’t allow them to participate in any program put in place by a Democrat. Participating in a Healthcare program shouldn’t be chosen by whichever political party you believe in, it should be determined by carefully thought out plans and weighing the pros and cons of whichever coverage best suits you and your family’s needs. The Affordable Care Act  does not affect people or families currently covered with adequate health insurance. Those who already have Heath Care in place are protected by the â€Å"Grandfather Policy†. However, it does affect lower income Americans without health care making below 138% of the Federal Poverty Level (FPL). They may qualify for Medicaid under Medicaid expansion, if they meet all of the policies requirements. This puts health care within reach of many people denied health care in the past. The President of the United States put laws in place that all people participate in the Affordable Care Act and get health care insurance or be penalized and pay monthly fines. This legislation ensures that all people be treated equally†¦ the rich, poor or anywhere in between, you must have health insurance. To some this program seems very beneficial, but we as Americans do not like the government controlling our Medicare choices. These newly enacted Affordable Care Acts were set in place to help all Americans receive health care and medical treatment. This act wasn’t put in place to provide care to people living in the United States illegally; undocumented immigrants and people who have been in the United States for less than five years do not qualify. The uninsured people, who gain insurance coverage in 2014, will obtain their coverage through the state’s Medicaid program. Beginning in 2014, the Affordable Care Act requires that states expand Medicaid coverage to most uninsured adults with modified adjusted gross income no greater than 138% of the federal poverty limit. Children in families with incomes no greater than 200% FPL will continue to be eligible for Medicaid or North Carolina Health Choice (North Carolina’s Child Health Insurance Program (CHIP). Other people will gain coverage through private insurance offered through the Health Benefit Exchange (HBE). (Milstead, 2013, p. 199) . The impact of the economics of providing care to patients from the organizations view In the case study, the impact of the affordable care act on North Carolina uninsured population in 2011 showed childless, non-disabled, nonelderly adults could not qualify for Medicaid. Being poor, unemployed or homeless did not qualify a person for Medicaid. People, who are uninsured, are more likely to delay care and less likely to receive  preventive services, primary care, or chronic care management. As of 2014, The Affordable care Act adults will be able to qualify for Medicaid if their income is no greater than 138 percent of the Federal Poverty Level. That income level was set at $30,429 for a family of four in 2010. However, some states do allow a family of four to have higher incomes and still qualify. The case study also showed that providing Medicaid to all people across the chart insured total coverage to all people and the FPL (Federal Poverty Level) had risen to a level where all peo ple were nearly identical to one another. Suggesting that if health care is provided equally throughout the nation there will be a lull in infectious diseases and untreated illnesses because everyone would seek treatment since they have coverage. Some of the economic growth and plans involve tax credits to individuals and families participating in Affordable Care Act, helping to keep participation affordable to all. Doing so helps to promote membership to all, thus keeping costs at a minimum and entices more families to participate. Another planned impact would be the cap placed on insurance company’s expenditures, careful monitoring of costs to provide service will eliminate overcharging by insurance companies and its affiliates. The government understands that it will take a number of years before the Affordable Care Act will show how much of a positive impact this program has on its participants. However, the government promises that keeping health care costs affordable will eventually lower rates and spending across the board. It says that with health care more available to all, more people get better and employees will come in to work reducing sick days and create better productivity, and financial gain for everyone. The Affordable Care Act also keeps families from financial ruin now when a family member becomes sick or unable to work they can still have health coverage through policies of their own or coverage provided through a participating family member. Before when a family member got sick they had to worry about being cut off of coverage if they lost their jobs. Families also had the added worry of escalating medical expenses while they were suffering through their sicknesses. Many feared losing their homes to pay for medical expenses. How the patients will be affected in relationship to the cost of treatment, quality of treatment, and access to treatment The Residents of North Carolina’s will have access to quality, affordable health care under the updated health insurance reform. The Affordable Care Act of 2014 will have a positive effect on patient safety and outcomes. It will provide many resources to allow patients easier access to insurance for health care costs and preventive care such as cancer screenings and vaccines. It will give incentives to health care facilities to improve the care being given. It is also mandated for all healthcare facilities to use electronic health record systems to keep track of all patient information to minimize errors. Doing this will also ensure that all patients receive the same care and treatment at all facility’s and that hospitals can share new developments or procedures. Reducing costs and prolonged hospital stays and long drawn out treatments, patients in need of specialized treatments can be sent to facilities better equipped to treat them with records of their treatments already in the system. (R. Kocher, J. Emanuel, M. Deparle, 2014, pp. 536-540) The Affordable Care Act provides medical coverage for families and children and is required to continue to make such coverage available for an adult child who is not married until the child reaches age 26. However, the Affordable Care Act is not obligated to make coverage available for a child of a child receiving dependent coverage. These people are considered parents themselves, and are expected to work and provide health care for their dependent children themselves. The ethical implications of this act for both the organization and the patients Since the beginning of 2010 adults, can qualify for Medicaid if their income is not greater than 138 percent of the Federal Poverty Level. Gaining strength over the last couple of years as of 2014 everyone is qualified to get Affordable Health Care as long as they meet the plans restrictions and verifications. As everyone in North Carolina gains health coverage, the state and county governments could potentially reduce some of the expense to safety net providers currently used to help pay for services to the uninsured. Under this new mandated health reform, hospitals and medical  providers will be assured funding and payment since this program is to be funded by the federal government. Thus providing a system where medical facilities can focus on patient care, and not worry about the un or under insured not being able to pay for the care they receive. When organizations across the entire United States are given enough funding to cover the expense of new equipment and supplies, it allows more opportunities for hiring more educated staff members, and lets health providers focus on patient care. The state of North Carolina may eventually experience a decrease in unnecessary use of the emergency department and reduced hospitalizations as more people gain coverage and access to preventive and primary care services. Once health care is made more readily available and affordable to more people and families, the risk of fraud and abuse of services would be greatly reduced. These worries and concerns will all but be eliminated because health care would now be available to all Americans. Even Americans who were once refused treatment due to pre-existing health problems can now be seen by a physician. The Affordable Care Act prohibits pre-existing condition exclusions, refusals of treatment and all other discriminations based on health status by group health plans. Reference Milstead, J. A. (2013). Health policy and politics: A nurses guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. Kocher, R., Emanuel, E. J., DeParle, N. M. (2010). The Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges. Annals Of Internal Medicine, 153(8), 536-W.190 Kovner, A. R., Knickerman, J. R. (2011). Health care delivery in the United States. (10th ed.). New York, NY: Springer. 2014, 01). Impact of Affordable Care Act on North Carolina Uninsured Population. StudyMode.com. Retrieved 01, 2014, from http://www.studymode.com/essays/Impact-Of-Affordable-Care-Act-On-46392180.html (P.L. 111-152 Summary of patient protection and affordable care act (P.L. 111-148, H.R. 3590), with amendments of the health care and education reconciliation act of 2010, H.R. 4872). (2010). Tax Management Tax Practice Series Bulletin, 22(7), 12-31. Retrieved from http://search.proquest.com/docview/193794262?accountid=14872