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