Friday, November 29, 2019

Thomas Jefferson Essays (581 words) - Randolph Family Of Virginia

Thomas Jefferson Third President of the United States of America. Thomas Jefferson Thomas Jefferson (1743-1826) was the third president of the United States and a creator of the Declaration of Independence. Thomas Jefferson was a philosopher, politician, scientist, architect, inventor, musician, and writer. Thomas Jefferson was also one of the smartest leaders in history. His father was named Peter Jefferson, a very rich Farmer from Virginia. Thomas's Mother, Jane Randolph Jefferson, was part of the Randolph family. The Randolph Family was a big part of Virginia history, and also very rich also. Peter and Jane Jefferson moved to Goochland county, because Peter had just gotten 400 acres of land there. Thomas Jefferson was born in the log cabin in which the family lived. Thomas Jefferson was the third child out of four brother and six sisters. Two years after Thomas was born, William Randolph, a cousin of Mrs. Jefferson and a close friend of the family, died. His will requested that Peter Jefferson move to his estate, take care of the house and land, and make sure Randolph's four children get educated. The Jefferson's remained at Randolph's estate for seven years. The estate was called Shadwell. Thomas Jefferson was quite the little intelligent boy. At age nine, Thomas Jefferson Started Latin, Greek, and French Studies at a boarding school. Thomas liked to Horse back ride, Canoe, Hunt, and fish. When Thomas was fourteen years old, his father passed away. Thomas Jefferson was the oldest son, so Thomas had to take care of the family. Jefferson was a tall, slender boy with sandy reddish hair and fair skin that freckled and sunburned easily. A serious student, Thomas also enjoyed the lighter aspects of the education of a Virginia gentleman. Jefferson learned to dance and play the violin. Weekends and holidays Thomas spent either at Shadwell entertaining guests or at his friends' plantations. After two years at William and Mary (A College in Virginia's capital city), Jefferson left to study law. Thomas still studied French, Italian, and English history and literature. In 1767, Jefferson was chosen to the practice of law in Virginia. Jefferson's main source of income was his land. That's because most lawyers didn't make enough money back then. On New Year's Day, 1772, Jefferson married Martha Wayles Skelton, a 24-year-old widow. Patty (That's Jefferson called her) shared her husband's love of music and played the harpsichord and piano. The marriage was happy, except Mrs. Jefferson's ill health. Of their six children, only two, both of them girls, lived to maturity. Martha Jefferson died in 1782. The death of his wife had a profound effect on Jefferson and probably influenced his return to politics, which Thomas Jefferson had considered leaving. On June 21, 1775, Jefferson took his seat in Congress. The following summer, Jefferson sat in Congress as an elected delegate, not as an alternate. It was at this session that Thomas Jefferson wrote his most famous document, the Declaration of Independence. On July 4, 1776, the Declaration of Independence was formally adopted. The connections with America with Great Britain were broken. Within a few days the declaration was being read to people throughout the colonies, and it was received with great pride. Jefferson managed to spend considerable time with his family. Thomas took up building projects at Monticello and continued to develop his land. Jefferson was a philosopher a architect, and an inventor. Thomas invented the dumbwaiter, a swivel chair, a lamp-heater, and an improved plow. In May, 1784, Congress appointed Jefferson a diplomat. Jefferson was to go to France. There Thomas Jefferson was to help the other ministers, Benjamin Franklin and John Adams, in arranging commercial treaties with various European

Monday, November 25, 2019

Free Essays on Senior Reflection

Senior Reflection Essay As a candidate for the graduating class of 2005, I am asked to reflect on my undergraduate journey concerning the IUPUI Principles of Undergraduate Learning. These particular principles, total of six, concern with a variety of the characteristics of an undergraduate student. I have attained these principles at some point in my undergraduate journey at IUPUI. The first principle is of core communication and quantitative skills and this concern with my ability to read, write, speak, listen, and perform quantitative analysis, and use information resources and technology. I have positively and effectively attained this principle at IUPUI because I have written numerous papers expressing my ideas and facts in many classes I have taken such as English W131, and W231. I have also depicted my ability to communicate orally in one-on-one and group settings and I have done this in a speech class. Finally, I have made efficient use of information resources and technology for example: at the University Library, student labs, etc. I have used these resources for my personal and professional needs that are concerning school related work. The second principle concerns critical thinking significantly, my ability to analyze information and ideas carefully and logically from multiple perspectives. I have attained this principle by learning how to analyze complex issues and make informed decisions concerning my future. For instance, I had to make numerous decisions concerning my major since I wish to attend a Medical School in future. I have also done research in laboratories and wrote reports and thesis papers on particular subjects which display my ability to synthesize information in order to arrive at reasoned conclusions. The third principle is of integration and application of knowledge and this concerns my ability to use information and concepts from studies in multiple disciplines in my intellectual, professional... Free Essays on Senior Reflection Free Essays on Senior Reflection Senior Reflection Essay As a candidate for the graduating class of 2005, I am asked to reflect on my undergraduate journey concerning the IUPUI Principles of Undergraduate Learning. These particular principles, total of six, concern with a variety of the characteristics of an undergraduate student. I have attained these principles at some point in my undergraduate journey at IUPUI. The first principle is of core communication and quantitative skills and this concern with my ability to read, write, speak, listen, and perform quantitative analysis, and use information resources and technology. I have positively and effectively attained this principle at IUPUI because I have written numerous papers expressing my ideas and facts in many classes I have taken such as English W131, and W231. I have also depicted my ability to communicate orally in one-on-one and group settings and I have done this in a speech class. Finally, I have made efficient use of information resources and technology for example: at the University Library, student labs, etc. I have used these resources for my personal and professional needs that are concerning school related work. The second principle concerns critical thinking significantly, my ability to analyze information and ideas carefully and logically from multiple perspectives. I have attained this principle by learning how to analyze complex issues and make informed decisions concerning my future. For instance, I had to make numerous decisions concerning my major since I wish to attend a Medical School in future. I have also done research in laboratories and wrote reports and thesis papers on particular subjects which display my ability to synthesize information in order to arrive at reasoned conclusions. The third principle is of integration and application of knowledge and this concerns my ability to use information and concepts from studies in multiple disciplines in my intellectual, professional...

Thursday, November 21, 2019

Management Strategies in Action Essay Example | Topics and Well Written Essays - 3000 words

Management Strategies in Action - Essay Example In most cases, the number of customers may be too many having different expectations, some of which may be contradictory to those of other customers. For example, some customers expect high mileage from an automobile, while others want more power. Another set of customers may want both mileage and power. The designer of the engine of the automobile has to satisfy the expectations of this whole group of customers in the best possible way. Customers have their own unique way of expressing their expectations, when enquired about. QFD helps to convert these expectations, called 'Voice Of Customers' (VOC), into engineering or technical requirement. In the example of automobiles, expectation of high power would technically mean generation of high torque by the engine, while expectation of high mileage would employ the technical need for a 4 stroke engine. QFD lets the designers know where their products or services stand vis--vis the competitors' products or services on the customer expect ation profile. QFD aids in objectively determining which technical requirement implemented would result in maximum possible satisfaction of most customers. Also it lets the designers know which technical requirements if neglected completely and not implemented, would not affect the satisfaction level of customers much. QFD emerged as a useful tool manufacturing but also in services set-ups. Quality Function Deployment (QFD) has been used in Japan since 1966 to help companies better understand how their customers define quality, and then assure that the internal operations such as design and manufacturing can actually deliver it. QFD has been widely practiced by various divisions of Japanese competitors of ours such as NEC [Akao 1990, Takada 1992, Uchimaru et al., 1993] and Panasonic [Akao 1990], and even European [Olsson 1993, Jacobs 1996] and American ones [Bosserman and Stoner 1994, Bohem and Squires 1995, Richardson and Barnard 1996, Stickel and Bosserman 1996]. There are references to the application of this technique during the 1970's at Mitsubishi Heavy industries, by Komatsu, Fuzi, Isuzu, Konica and Matsushita. Yogi Akao (1972), presently a professor at Asahi University. Yogi Akao has been credited with developing this technique to the present form. In 1987, the QFD research group of the Japanese society of quality control (JSQC) led by Akao published a final survey report on the status of QFD application among 80 Japanese companies (Akao et al., 1987; 1989). The companies surveyed listed the following as the purpose of using QFD: setting design quality and planned quality; benchmarking competitive products; new product development that sets the company apart from competitors; analyzing and accumulating market quality information ; communicating quality related information to later processes; deploying design intent into manufacturing & identifying control points for the GEMBA (a Japanese term that refers to the place where source infor mation can be learned); reducing initial quality problems, reducing design changes; cutting development time; reducing development costs & expanding the market share. In recent years, the more QFD-proficient of these companies have upgraded to Comprehensive QFD, which includes several tools to better analyze the Voice of the Customer, and more concise deployment matrices that address specific design requirements such as performance, function, technology, capability, as well as the components,

Wednesday, November 20, 2019

Choosing MBA Program Essay Example | Topics and Well Written Essays - 1000 words

Choosing MBA Program - Essay Example The most vital factor considered when choosing an MBA program is the cost of the program. In Canada, the most expensive business administration programs are offered in Rotman (Toronto), Ivey (Western), Queens, Schulich (York) and Desautels. Their prices range from $50,000 to around $100,000. Also, the cheapest business administration programs range from $5,000 to approximately $10,000. They are offered in institutions such as the University of Quebec, Royal Military College, Sherbrooke, Laval and Memorial (MBA Programs.org., 2012). The other factors considered when selecting an MBA program include the teaching quality, peer group, competition, international accreditation, reputation of the school, curriculum, and bilingualism among other factors (Hecterra Inc., 2012). All these factors are of vital importance before an individual selects his or her Masters in Business Administration program of choice. When one earns a Masters in Business Administration degree, they are able provide m anagement skills and business skills. Furthermore, the program shapes one’s vision to do international business. Most school profiles provide convenient information regarding the programs (Bragg, 2011). In Canada, these programs at accredited schools are similar to those in Anglo-Saxon countries. This is because the accreditation standards are not similar in most countries. Some states have various legal requirements for accreditation. Firstly, the learners cover a wide field of programs. Afterwards, in their second year they specialize on their curriculum of interest. Most of the business administration programs provide training which goes beyond general business management. Additionally, the programs allow the individual to earn joint degrees (Corbett, 1998). The full-time and part-time Masters in Business Administration programs are often seen as the tradition education model. This is mainly because the students cover a wide range of topics in their first year. Lucky enoug h, the part-time MBA programs are flexible because, the student can multitask. This asserts that learners are able to work while subsequently pursuing their studies since; there programs require less class time (Corbett, 1998). In this case, I have chosen to specialize in the accounting field. The Master of Accountancy is regarded as a graduate professional degree which prepares the learners for public accounting. Furthermore, this field of specialization provides the learner with 150 credit hours as required by most states before taking the Uniform Certified Public Accountant Examination. The program runs for a period of one year which contains over twelve semester credit courses. On the contrary, the accounting field is not liable for preparing the learners to undertake (Certified Public Accountant) CPA examinations. From research, after graduating, one enters into the consulting or the corporate accounting field. Alternatively, the graduates have the capability to pursue Certifie d Internal Auditor (CIA) or Certified Management Accountant (CMA) among other certificate programs. For online accredited programs, accounting allows learners to perform duties such as financial planning, information technology operations, reviewing corporate budgets among other operations. The Master of Accounting Program (MAcc) also develops the learner’

Monday, November 18, 2019

Painful Ankle Medical Treatment Case Study Example | Topics and Well Written Essays - 500 words

Painful Ankle Medical Treatment - Case Study Example Medications: The patient has been on analgesics broad-spectrum antibiotics regimen that ended three days ago; provided at the clinic. No other medication currently.Allergies: The client has a specific protein food allergies, cannot eat eggs. There is no known drug allergies.Immunisation: Tetanus injection immediately after the cut (one week ago) scheduled for a repeat (booster) in three weeks’ time (Greaves and Johnson 2002, p.38).SH: the patient is married, living with the wife and two children. He is a farmer while his wife owns a grocery shop. Does not smoke but occasionally takes alcohol.His hobbies include reading, listening to music and tending the flowers.O/E: Stable general outlook. Not sick-looking. NAD on examination of the head, Neck, back, chest. Hands.Left foot: The ankle joint is swollen. The patient reports painful joint and cannot walk well.ROM: ROM: Active: Flexion- Cannot flex the ankle due to pain on anterior aspect Extension- full range; with minimal pain o n movementAbduction- painful Adduction- painfulMedial Rotation- painful Passive: Flexion- full range; with pain on anterior aspect the ankleExtension- full range; painful Abduction- full range; painfulMedial Rotation- painfulResistive: Flexion-with intense pain on anterior aspect of ankleExtension- painful Abduction- painfulMedial Rotation- painfulImpression: Ankle sprain

Saturday, November 16, 2019

Determinants Of Infant Mortality Health And Social Care Essay

Determinants Of Infant Mortality Health And Social Care Essay The infant mortality rate of African American newborns within the first year of life is more than twice that of white newborns and higher per 1,000 deaths than any other racial or ethnic group in the United States. Using social ecological model as the theoretical framework, the goal is to understand the causes of racially disparate infant mortality rates. This paper will present health disparities and related social inequities that may underlie these troubling outcomes for childbearing women and infants in the United States. Introduction Infant mortality rates are often used as a measure of a populations general health status, socioeconomic conditions, and availability and access to quality health care. The decrease in the rate of infant death in the United States has been observed for births to both white and black mothers. Although there has been general improvement in infant survival, there has been widened gap in the racial disparity in infant mortality rates. The ten leading causes of infant mortality in the United States are: 1) birth defects: 2) causes related to short gestation or low birth weight (LBW); 3) sudden infant death syndrome (SIDS); 4) maternal complications of pregnancy; 5) complications of placenta, cord, and membranes; 6) accidents; 7) respiratory distress of newborn; 8) bacterial sepsis of newborn; 9) diseases of the circulatory system; and 10) intrauterine hypoxia and birth asphyxia. Infants born to black mothers had the highest IFM due to prematurity and LBW. Additionally, low birth weight and premature infants who survive the first year of life continue to face serious health problems and developmental problems. The social-ecological model has been chosen because it takes in account factors that influence disparate rate among black American infants. Disparities in infant mortality by race and class continue to be a national disgrace. The purpose of this study using the social ecological model will be: (1) discuss individual factors that influence infant mortality and (2) discuss multiple levels of factors that influence infant mortality rate. Methods The literature was searched using the databases of CINAHL, Pub Med (Medline), Eric, PsychInfo, Science Reference Center, and SocioIndex for the years 199-2010. The search terms included social ecological, black women, African American women, parenting, infant mortality, health, social inequalities. Inclusion criteria included a) original research; b) studies published in English; c) peer-reviewed journal; d) articles on black woman and infant mortality; and e) social ecological model. Of the 140 articles identified, only those studies with health, social determinants, black women, social ecological model, African American in the abstracts and full text articles were include (n=39). Social Ecological Model Vulnerable populations are at substantially greater risk of poor physical, mental and social health and have much higher rates of morbidity and mortality. Despite these greater health needs, they also typically face greater barriers to accessing timely and needed care and, even when receiving care, have worse health outcomes than others . The social ecological approach considers the nested arrangement of behavioral and environmental determinants of health. posits that concepts of health promotion require analysis of the health habits and lifestyles of participants, as well as constraints and resources present within participants environments. Secondly, the social ecological approach recognizes the importance of changing interpersonal, organizational, community, and public policy.Finally, the social ecological model has been chosen to analyze personal, community and societal institutions impact on infant mortality. Results Intrapersonal Resources The intrapersonal resources include individual characteristics such as perceived lack of knowledge, attitudes, beliefs, health practices, age, race/ethnicity, income and education and employment status variables effect infant mortality . In order to understand the individual interpersonal characteristics one needs to critically examine the mothers knowledge regarding maternal education and health practices. Social inequities related to educational opportunities and social resources may influence health behaviors or practices that are associated with infant health. Compared with women who receive adequate prenatal care, those who do not seek a reasonable amount of care tend to be young, less educated, single, and/or to have other children . have documented the powerful association between a persons socioeconomic status and mortality. The gap in infant mortality based on mothers years of formal education has also widened significantly over time. Maternal education appears to be an increasingly important predictor of infant survival. Researchers observe that key risk factors for infant mortality, including smoking during pregnancy, delayed or no prenatal care, and lack of health care coverage, vary substantially with socio-economic status and maternal education . Behavioral factors account for about half of premature mortality, and almost all vary by socioeconomic status. The greatest behavioral risk for premature mortality is tobacco use. In 2005, the IFM rate for infants of mothers who smoked was 74 percent higher than the rate for nonsmokers . Those with less education and less income are more likely to smoke. Smoking prevalence reflects likelihood of initiating smoking as well as of quitting, and different policies are relevant for those stages of smoking. However, the more educated were more likely to try and quit, and among those who tried to quit with higher incomes were more likely to succeed. This suggest that efforts to encourage quitting need to be geared more strongly to those with less education and that the means of quitting need to be made more accessible to the poor. Breastfeeding has been shown to reduce rates of infant mortality in the United States and worldwide . However, the rates of initiation and maintenance of breastfeeding are less frequent among black women than white and Hispanic women,. Maternal education again is associated with substantial disparities: women with 9th-to 11th grade education are least likely to breastfeed to 6 months, whereas women with college degrees are most likely to do so as well as to report ever breastfeeding with the most recent birth . Infant mortality rates vary with maternal age, with the highest 2005 death rates documented for infants of the youngest mothers those under age 15 (16.4 per 1,000 live birth), and oldest mothers- aged 40 and older (7.9 per 1,000 live births) . Among older mothers, especially those of low social economic status, infant mortality rates may be affected by pregnancy complications related to advanced maternal age, such as gestational diabetes mellitus and hypertensive disorders. Other contributing factors are black womens higher rates of intra-uterine growth restriction, preterm premature rupture of membranes, placenta previa, preterm birth, very preterm birth, cesarean delivery, light vaginal bleeding, and heavy vaginal bleeding compared to the white population . Chronic stress can affect health both directly and indirectly through its effects on health behavior. While people in all walks of life experience stress, lower-SES persons live and work in more stressful environments. Higher IFM among well- educated black women has been attributed to their cumulative experience of chronic stress over the life course, which causes wear and tear on their reproductive health over time. identified a number of factors that contribute to greater stress at lower SES levels, including economic strain, insecure employment, low control at work, and stressful life events. determined that lifelong accumulated experiences of racial discrimination by black American women constitute an independent risk factor of preterm delivery. noted association between black American womens exposure to chronic stress from interpersonal racism and infant, very low birth weight (VLBW). Black American women who were exposed to what they perceived as racial bias and internalized their responses to unfair treatment had a fourfold greater risk of hypertension as well. proposed the classic host (i.e., pregnant women), environment (i.e., chronic social stressors), and agent (i.e., immediate emotional stress or physical stressors) are ongoing stressors as well as social and cultural modifiers of stress may have influence on how particular stressors is experienced or what the physical response to it may be. Researcher have also suggested that being a woman is a characteristic that cannot be neglected in the context of maternal stressors. Being a black woman produces a double effect of racial and gender discrimination and related stress which in turn impacts their health and the outcomes of subsequent pregnancies. Interpersonal Resources Interpersonal resources include culturally relevant social support as well as social norms that may facilitate behavioral capacity and health behavior change . Research has confirmed that loneliness is detrimental to health. Good health is positively correlated with involvement and satisfying relationships with other people. Studies show that married people live longer than unmarried people and that there are lower death rates among those who have lots of social support. A social network not only assists with instrumental assistance such as childcare, finances and housing, but it is a persons major source of emotional support. A personals level of social support is one of the most potent indicators her degree of vulnerability . Broken relationships create lifelong conditions of high stress and low support, which in turn pattern physiological, psychological, and behavioral responses that put the mother at risk for poor nutrition during pregnancy, and her baby at risk for fetal and infant deaths. Black American families are disproportionately affected by broken relationships, which contributes to disparities infant mortality . Infants born to unmarried mothers had higher IMR compared to those born to married mothers in 2002. However, the IMRs are significantly higher for married black American mothers than for unmarried black American mothers. In a report, maternal grandmothers were more frequently nominated than other source of parenting help including spouses, current or former partners, relatives, friends and professionals. Grandmothers have a tremendous influence on a womans lived experiences. Maternal grandmothers tend to improve child survival rates, as do potential sibling helpers at the nest. In this study, researcher suggests that while help from family may be a universal feature of human child-rearing, who helps is dependent on ecological conditions of the family. Fathers can also have a tremendous influence on the health of mothers and their infants. Some fathers focused efforts are under way in the United State, including the USDAs Fathers Supporting Breastfeeding Program, which uses a video, posters, and brochures designed to target Black men. Poor family and social support, negative attitudes of family and friends can pose a barrier to good health practices. , observed that there was an association of single motherhood and negative birth outcomes with single parent household, which occurred more often and longer than married or coupled households. Community and Environmental Resources The community resources and environmental resources may have a significant impact on individual characteristics of the mother, for instance, substandard housing, lack of transportation, and child -care problems can prohibit a mother from attending prenatal classes or obstetrical appointments. A key to reducing infant mortality is to address the barriers that stand between low-income women and adequate prenatal care. Racial and ethnic minorities tend to live in medically underserved areas, and many black American and Hispanic families lack a regular source of care, making do with outpatient clinics and hospital emergency rooms in times of crisis . According to a study by the Agency for Health Care Policy and Research, low-income pregnant women are more likely to seek and be satisfied with prenatal care if they can avoid long waiting time, see providers who explain procedures, and have access to ancillary services, especially substance abuse services and childbirth education. Health pr oviders have also begun to understand the need for culturally competent providers and the availability of medical personnel who speak the patients primary language. Exposure to damaging agents in the environment, including lead, asbestos, carbon dioxide, and industrial waste, varies with socioeconomic status. Those lower on the SES hierarchy are more likely to live and work in worse physical environments. Poorer neighborhoods are disproportionately located near highways, industrial areas, and toxic waste sites, since land there is cheaper and resistance to polluting industries, less visible. Housing quality is also poorer for low-SES families. As a result, compared with high-income families, both children and adults from poor families show a six fold increase in rates of high blood lead levels, while middle-income adults and children show a twofold increase Economic differences do not fully explain the persistent high infant mortality rates of black American women and other minority groups. Several studies in the early 90s examined the effect of racial residential segregation on the health outcomes of Black Americans and a positive association between black-white dissimilarity and black infant mortality rates was shown after controlling for metropolitan area poverty rates. After an initial focus on infant mortality, several authors examined the association between racial segregation and mortality in other age groups. Their general finding indicated that black mortality is positively associated with residential segregation and with residence in predominantly black areas. Current research still indicates racial residential segregation as one of the fundamental cause of racial disparities in health. The physical separation of the races by enforced residence in certain areas is an institutional mechanism of racism that was designed to protect whites from social interaction with blacks. The degree of residential segregation remains extremely high for most Black Americans in the United States. The authors review evidence that suggests that segregation is a primary cause of racial differences in socioeconomic status (SES) by determining access to education and employment opportunities. SES was determined to remain a fundamental cause of racial differences in health. The US sociological literature suggests that residential segregation along racial/ethnic lines is not primarily a result of the residential preferences of minority groups. National and metropolitan area surveys have shown that, on average, Black Americans and Hispanics would be more willing than Whites to live in relatively integrated neighborhoods. On the other hand, several studies, including audit studies involving experimental designs, have indicated that Black American and Hispanics continue to face discrimination in housing and mortgage markets even after income has been controlled. Discrimination prevents upwardly mobile members of minority groups from becoming more spatially integrated with Whites. Organizational Resources Organizational resources have a strong effect on the individual characteristics of mother. Lack of access, provider availability and geographic distance, quality of care, timeliness, and types of services creates health disparities for minority women. If a client lives 3 hours away from the regional medical center, the client will have an increased burden placed on her because of the lack of resources available in her own community. used the ecological model as a framework for applying social justice concepts to the care of childbearing women and families. They discovered by addressing health disparities exclusively on an individual level ignores the effect of social practices and institutions on the health of childbearing women and infants and serves as a barrier to achieving the goal of social justice. Although there are a number of mechanisms through which socio-economic status influences health, there is a distinctive link between utilization of health care services and health st atus. Prenatal care most often is associated with medical care, in which case it is an important factor in the prevention of poor birth outcomes, particularly prematurity and/or low birth weight and their associated neonatal mortality . Typically, efforts to improve infant health in the United States have focused on timely, appropriate care during pregnancy and delivery. While these services remain the keys to giving babies a good start in life, they do not sufficiently address the maternal health problems that often underlie infant mortality. There is a growing consensus that prevention efforts need to begin well before conception, especially for those mothers at greatest risk for poor pregnancy outcomes. Several months of medical attention cannot overcome many years of disadvantage and poor health. Women, particularly minority women need good care between pregnancies. Good maternal health requires diagnosis and management of chronic disease well before conception. But lack of health insurance keeps women from getting the care needed to maintain their own health and improve their chances for healthy pregnancies. Before pregnancy, women qualify for Medicaid only if they have extremely low incomes- well below the poverty line (68 percent of the Federal poverty line for working women, and under 41 percent for those who do not work). Once they become pregnant, women are held to a less stringent requirement (185 percent). As a result, many low-income women who qualify for Medicaid only after a confirmed pregnancy test often experience delays in enrollment and referral to a provider suggests that disparities in neonatal mortality are primarily determined by not only the birthrate of extremely premature infants but access to specialized obstetrical and pediatric care. This analysis suggests that the epidemiology and social meaning of disparities in infant mortality are intensely dynamic and increasingly reflect the interaction between social forces and technical innovation. interviewed a total of 6, 2999 white, black American, Hispanic and Asian adults, to view their differences in perceptions of health care system. It was determined that bias and cultural competence are not fully explained by such factors as demographics, source of care, and patient-physician communication, but it may partially explain disparities in patient ratings of individual health care provider cultural competence. As such, interventions aimed at improving access to a regular source of care and enhancing patient-physician communication may improve patient ratings of interpersonal bias and cultural competence of physicians; however, such interventions alone are not likely to substantially improve ethnic minority patients perceptions of bias and cultural competence in the health care system as a whole. Moreover, disparities in preterm births have proven very difficult to overcome. In 2005, the preterm-related infant mortality rate was more than three times higher for black mothers than for white mothers . Infants chances of survival often depend on technology and expertise available at local hospitals. Hospitals serving a high proportion of minority patients have higher than expected mortality rates for infants born at very low birth-weights . In 1999, Congress requested in the Institute of Medicine (IOM) report, entitled Unequal Treatment: Confronting Racial and Ethnic Disparities, in Healthcare, assess is the extent of racial and ethnic disparities in healthcare, the study concluded that although myriad sources contribute to these disparities, some evidence suggests that bias, prejudice, and stereotyping on the part of healthcare providers may contribute to differences in care. From the IOM report, assuming that access-related factors- such as insurance status and the ability to pay for care are the same, the possibility that overt or subtle biases or prejudice on the part of healthcare providers might affect the quality of care for minorities; suggests the need for intervention strategies to improve access to quality health care . Discussion The impact of social and environmental factors on the behavior and health of individuals and populations has been understudy for years. Addressing health disparities from an individual, community and organizational level is important to the social health of United States. Nationally, black infants have the worse birth outcomes than any other racial and ethnic group. By exploring the social ecological model a more comprehensive approach to acknowledging how individual challenges, environmental resources, and organizational structures influences the health behaviors of black women. Social inequities may contribute to differences in access to or quality of health care, which leads to less knowledge and skill in promoting personal and family health, thus results in poor health and birth outcomes. To rekindle concern about infant mortality to the level of effective action, public health professionals must refocus the publics attention on assuring that all women are provided adequate education and services to help them avoid unintended pregnancies, that all pregnant women receive services in appropriate facilities, and that the causes of preterm deliveries are discovered. Effective action in these areas would not only improve infant mortality overall; it would also reduce racial and ethnic disparities in infant health . Implications for Research and Practice In summary, prevention of an infant early death is not a health outcome, but rather a surrogate endpoint for optimum fetal, infant, and lifelong health. Racial and socio- economic disparities in rates of preterm birth and infant mortality area among the most widely recognized but, least understood aspects of infant and maternal health in this country. In particular, the persistent black/white differential requires intensive study. At any age, and at any income, education or socioeconomic level, an black American mother is more than twice as likely to lose her infant as a white woman. Given the complexity of the layered intrapersonal, interpersonal, local, and national contexts in which social justice operates, and realizing social justice is a work in progress; we can certainly help move nursing and medicine toward integrating concepts of social justice for the betterment of society, as a whole . Adoption of universal health-care coverage for women and children and providing optimum work policies for women is worthy goals. Additionally, new interventions designed with the social context of friends, family, and neighborhood associates, can be used to improve birth outcomes.

Wednesday, November 13, 2019

A Straightforward Wedding Speech by the Groom -- Wedding Toasts Roasts

A Straightforward Wedding Speech by the Groom I've put a bit of a speech together today, but after the previous speaker put us all to sleep I'll try to make mine a bit more interesting and entertaining. Sorry; only joking. On behalf of my beautiful wife and I, we would like to thank you all for coming along, and sharing this very special day with us. And a huge thank you for the wonderful presents. I would like everybody here, especially my wife, to know how lucky and proud I am to be standing here today speaking to you as her husband. She is beautiful, caring, intelligent. charming and (pause) ... What's that?... I can't read your writing darling! Seriously though, I am overwhelmed at how beautiful she looks, and can't believe how privileged I am that she has become my wife. ...

Monday, November 11, 2019

Religion Is More Effective Social Control Mechanism Essay

In the discussion of this work, I have divided it into three main segment . The first parts would consider the introduction which would talk about the concept of religion and that of social control. In the same section I would also consider the position of Ross as stating that religion is a more social control mechanism that enacted laws of society. The second and third part would look at how these religious elements would or can inform crime prevention and last the conclusion respectively. By definition religion has been defined by many scholars in various ways according to their perspectives but all seems to be pointing at one being which the belief in the supernatural. For the purpose of this work, I would go for the definition according to J. B Pratt (1920; p. 2). According to J B Pratt, religion is â€Å"the serious and social attitude of individuals and communities towards the power or powers which they conceive of as having ultimate control over their interest, and destinies†. This definition was captured by Max Assimeng In his book â€Å"Religion and Social Change in Ghana: introduction to the study of religion†. Based on this and many of the definition on religion, I agree with Ross that religion is a more effective social control mechanism that enacted laws for society. What is social control one may ask? Social control in its broader sense is the system of maintaining law and order in society and ensuring that members of society conform to the accepted ways of behavior. (Nukunya, 1992:81). This definition of religion and social control takes us to the basic argument of Ross for postulating that religion is a more effective social control mechanism that enacted laws for society is found in the macro theory of social control as suggested by Abotchie (2012). In this theory Ross argued that instead of thinking that social control mechanism could be found in some conventional laws constructed by some individuals or groups, one should think of it as embedded in the belief systems which is grounded in religion. For him, a person’s behavior is determine by the fact that he fears the wrath of the supernatural and this make him to conform to the laws of society. This belief can be supported by a verse in the Christian bible that states that â€Å"behold I come quickly and my reward is with me, to give every according to his work shall be† (Rev. 22:12). As an institution, the marriage institution was and still can be lively bringing in elements such as the traditional social control mechanism. This is because they believe in these mechanisms such as the concept of psychic padlock and gbolomagba for instance was and can still be useful combating crimes such as infidelity and adultery as postulated by Abotchie. Thus, this belief is the believe vested in the gods and the people trusted in their powers and so send their cases to them for a verdict to be given where the offenders may be dealt with severely if found guilty. Again religion serves as social control mechanism that enacted laws for the people in a sense and thereby preventing crimes in Ghana as it is believe that the offences committed strikes at the collective conscience of the community represented by the ancestors. Thus people would not do certain things such as destroying a clan’s totem. This action would inform crime prevention in that it would prevent people from poaching in the Ghanaian society. Among some communities in Ghana however the people believe that committing suicide is an act of abomination which is punishable the ancestors. Also people see this suicide as associated by evil spirit and that a family with such records for instance would be refuse marriages from other families. This instance may instill into the people a sense of refraining from committing such acts. In Ross supposition, the political system of the country is also influenced by religion as a control mechanism. For instance, before a person is elected into office, the Holy Bible or the Holy Quran IS given to the person to swear with. This is done because it is believe that the taking of the oath would compel the person to conform to the rules and regulations since the infringement of the laws would bring about inner sanctions between the individual and the supernatural. As a means of informing crime prevention in Ghana, religion provides a sense of community where people find security and safety. This has to a large extent brought some prevention since the desperate and the dejected could find belongingness within these bodies and would allow them to refrain from acts which otherwise would have been unlawful in our society. Thus for Ross religion gives assurance as it is stated in the bible â€Å"seek first the kingdom of God and his righteousness and all other things shall be added unto you† (math 6:33).

Saturday, November 9, 2019

The Definition of Atomic Volume and How to Calculate It

The Definition of Atomic Volume and How to Calculate It The atomic volume is the volume one mole of an element occupies at room temperature. Atomic volume is typically given in cubic centimeters per mole: cc/mol. The atomic volume is a calculated value using the atomic weight and the density using the formula: atomic volume atomic weight/density Alternatives Another way to calculate atomic volume is to use the atomic or ionic radius of an atom (depending on whether or not you are dealing with an ion). This calculation is based on the idea of an atom as a sphere, which isnt precisely accurate. However, its a decent approximation. In this case, the formula for the volume of a sphere is used, where r is the atomic radius: volume (4/3)(Ï€)(r3) Example For example, a hydrogen atom has an atomic radius of 53 picometers. The volume of a hydrogen atom would be: volume (4/3)(Ï€)(533) volume 623000 cubic picometers (approximately)

Wednesday, November 6, 2019

Au Revior Les Enfants Essays - Childhood, Youth, Youth Culture

Au Revior Les Enfants Essays - Childhood, Youth, Youth Culture Au Revior Les Enfants 592099243 Au Revior Les Enfants The movie Au Revior Les Enfants ,or Goodbye Children translated, has a lot of symbolism that applies to the films theme and subject in its title alone. The theme of childhood, innocence, and adulthood-growing up and the subject of the movie is seen in the title and throughout the entire film. Childhood is portrayed throughout the film in many different ways. One obvious way is the games the children play on the stilts. It is ironic that the games they are playing have to do with war and fighting, the same things that are going on outside the gates of the monastery. During the movie you also see the innocence of childhood when the children trade different items for marbles and when Julian wets his bed. You also get to see the children start to grow up in a sense. The boys in the movie look at nude women, read books about romance and smoke cigarettes. These things show how the boys are growing up and about to enter adulthood but still are children and have a lot of growing up to do. The symbolism in the title is seen though out the movie in many different aspects. Goodbye Children is seen when the children start to grow up, they are growing up and saying goodbye to their childhood, The title is also portrayed when when the children are taken away from the monastery and Julian waves goodbye to the rest of the children. Some other ways the title is also seen is when Father Jean is taken away and says goodbye to the children. You are left not knowing what is going to happen to them if this is just goodbye for now or goodbye forever until the narration lets you know. Then you are also saying goodbye to the children also. The symbolism in the movie and in the title help show the theme and subject of the movie.The movie shows how the characters saying goodbye to the innocence of childhood and hello to the real world of adulthood. The fact that the children and Father Jean are taken away shows the movies title in the aspect that they are saying goodbye to the rest of the children. The movie has may other types of symbolism though out. These are just some ways the movie shows symbolism regarding its title.

Monday, November 4, 2019

Reviewing Company's Mission Statements Research Paper

Reviewing Company's Mission Statements - Research Paper Example It should also be the standard with which the company is willing to be evaluated. According to Bart and Tabone (1998), mission statements should be ‘enduring, passionate, and lacking in specific quantitative measurements’. However, there are circumstances when a company finds its mission statement outdated and is often misaligned with new business objectives. There are times when a company’s mission statement is no longer â€Å"relevant in addressing to new realities† (Radtke, 2009) and thus be a subject for review to â€Å"reflect changes in institutions, as well as in the environments within which the institutions are called on to function† (Bart & Tabone, 1998). This paper examines such instances when companies modify and alter their mission statements in accordance to the changes in corporate values and the business environment. The paper should further explain why corporations are spending time reviewing their mission statement and why this has become an increasing concern for the organization. Mission Statement and Its Impact The main benefit of crafting an effective mission statement is that it creates an impact to people who get exposed to it. According to Abrahams (2007), a well-crafted mission statement serves as a â€Å"practical focus for individuals within the corporation†. This means that company statements often inspire and influence certain needs and aspirations of the organization and its employees. When assimilated into the organization’s culture, mission statements become an integral part of the strategic planning process of the company (David & Pierce III, 1987). In other words, it helps company managers and employees to stay focused on the organization’s goals. However, a mission statement is not only be beneficial to people within the company but also to its target audience – customers, investors, and possibly donors. Birbaum (2004) emphasized the significant impact of a company ’s mission statement to its customers because it is what defines them. When people are presented with an organization’s statement of intent, it gives them a clear picture of what the organization is trying to do. Because of these reasons, mission statements are considered as â€Å"an actual blue print for a company’s future and ultimately, its success† (Abrahams, 2007). When the organization successfully integrates the goals and values expressed in its mission statement and acts according in accordance to its principles, then it secures its morale and strengthens its reputation as a company. On the other hand, when a company succumbs to weaknesses and failures inside and outside the organization, its morale crumbles and its reputation becomes shaky. Mission Statement and Its Limitations An organization’s mission statement is central to its business strategy. As such, it is important that company statements should be, according to Bart and Tabone (1 998), â€Å"enduring (i.e., they should not have a time frame); passionate (i.e., they should be emotionally charged); and lacking in specific quantitative measurements (i.e., financial goals)†. However, Grunig & Kuhn (2008) further extends these characteristics of mission statements into reasons why it should be flexible and dynamic. The authors argued that while a mission statement does not include a time frame for its validity, it should nevertheless remain under review

Saturday, November 2, 2019

Differentiated Instruction In the Classroom Research Paper

Differentiated Instruction In the Classroom - Research Paper Example At the California Montessori Project Charter School teachers use differentiated teaching methods that are based on Maria Montessori’s philosophy of following the child. In other schools in Sacramento the teachers that will be interviewed will share their techniques for small group work. There are also academic programs, such as â€Å"Handwriting without Tears,† that provide differentiation written into the curriculum. Each of these curricula is creating a new pathway for teaching, specifically because of the positive results which are currently being achieved. To continue with this approach, are also several trying to refine and work forward with the learning approaches that are used. Purpose of this Study The purpose of this study is to define the approaches to differentiation as well as whether this will benefit students that are learning with specific approaches. When examining the differentiation in the classroom, there will be the focus on showing the accomplishmen ts, progression and potential problems associated with this approach. Defining this will benefit students, teachers and educators, specifically because there will be more knowledge and background on differentiation. This will be combined with the understanding that education can begin to progress and change for classrooms which are inclusive of alternative styles for teaching. The research will provide information from Gardner, Vygotsky and Montessori as some of the researchers working with differentiated instruction. The research conducted to support this paper will help teachers with new skills and knowledge to best support their students in the classroom. It will also work to identify more of the... The significance of the study is to prepare teachers to expand their horizons when it comes to instructional strategies that are evidence-based and a proven product. It is expected that through this study, there will be the capability of creating new approaches to teaching and learning. Understanding the benefits and the gaps of differential instruction can help to refine the new methodology of teaching while assisting those within the classroom to approach students in a different manner. If this methodology can begin to evolve and become a standard within the classroom, there will be the capability of creating new opportunities for growth in the educational system. This report makes a conclusion that the concepts which were used in the qualitative study, as well as the quantitative research show that there is a demand to change the overall instruction in the classroom. The theoretical approaches show that there are diverse needs, both with the socio – cultural basis and with the cognitive learning capabilities which the children carry. This is combined with the needed changes associated with diverse settings which are now incorporating special education with gifted students, specifically because of the recognition that each student doesn’t have slower or faster learning abilities, but instead has different ways of learning. The theoretical concepts show that there are many associations with benefits and needs for differential instruction. While there is a strong need for the instruction, there are also questions over how to intertwine the theories with practical methodologies. The Montessori Method is one which has found explorati on as a main approach to the classroom.