Wednesday, November 27, 2019

The Bluest Eye by Toni Morrison Essay Example

The Bluest Eye by Toni Morrison Essay What is shame? Shame is defined as a feeling of guilt, regret, or sadness that you have because you are aware you’ve done something wrong. The Bluest Eye by Toni Morrison follows a young girl named Pecola Breedlove and her family. The central theme of Shame plays an important role in The Bluest Eye because shame shows the characters inner struggles with themselves and others, in addition to how it affects them on the outside. The symbol of the blue eyes is an important characteristic tied into the central theme of Shame. In The Bluest Eye, the blue eyes represent the need to see things in a brighter light. Instead of Pecola praying for a lighter skin color, Pecola prays for blue eyes because she believes that if she gets the blue eyes, she will see things in a new way and society will also see her in a whole new way. â€Å"It had occurred to Pecola some time ago that if her eyes, those eyes they held the pictures, and knew the sight,-if those eyes of hers were different that is to say, beautiful, she herself would be different.† (Morrison, 46). In the end, Pecola does get her blue eyes but for a price. Her sanity. â€Å"A lot. Mr. Soaphead said they would last forever. ‘Forever and ever Amen?’† (Morrison, 193). In this quote, Pecola believes that she has blue eyes thanks to Soaphead’s â€Å"sacrifice†. She loses her mind and talks to herself on a daily basis becau se the community (society) doesn’t want anything to do with her. She’s their â€Å"scapegoat† to make themselves feel more beautiful and happy with their lives. This connects to the central theme of Shame because Pecola was ashamed of her ugliness and how the world views her in an ugly life. Because of that, she believed that if she gets her blue eyes people will love her. We will write a custom essay sample on The Bluest Eye by Toni Morrison specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Bluest Eye by Toni Morrison specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Bluest Eye by Toni Morrison specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The Breedloves are characterized as black and ugly. â€Å"They lived there because they were poor and black, and they stayed there because they believe they were ugly. Although their poverty was tradit

Saturday, November 23, 2019

Alcohol Essays (653 words) - Drinking Culture, Alcohol Abuse

Alcohol Essays (653 words) - Drinking Culture, Alcohol Abuse Alcohol Alcohol Alcohol is a drug, but unlike most of the other drugs, it is socially accepted and is legal. Alcohol is bad for you and does have long term affects associated with it. Such as the long addiction to it, effects on the body, and the social interaction effects. Alcohol, and alcoholism is common in America, but drinking is more common around kids. Social drinking, a term kids and drinkers have come accustom to, is defined by one standard drink per hour, and no more than 3 per day, but some people just socialize around people that drink as heavily as they do and confuse that for social drinking. Addiction to alcohol can be acquired easily if not careful, binge drinking and family history are all keys in the identification of addiction. Family history could be linked to alcoholism by finding out if your family had problems in the past with alcohol, and it is determined by studies that genes have effects on alcohol. Alcohol is a drug, but legal unlike the other drugs on the street. In my opinion, all drugs are all harmful to the body, and can cause serious problems to you, and people around you, in the long run. Alcohol can effect the body in multiple ways. The tranquilizing effects of being drunk acts like a stimulate, but is a depressant, and causes the brain to lower self control, impairs vision and other senses, and effects bodily coordination. This tranquilizing effect is caused by the consumption of alcohol which in turn may cause serious effects on the liver, heart, and the brain. The alcohol consumption effects these organs, and has an overall personality change when signs of alcoholism begin. Alcohol overall has a detrimental effect over the body and the mind. I do believe alcohol is a drug and like other drugs which are not legalized in the U.S. it is still really bad for you. Also from alcohol a big risk is in evolved with drunk driving and getting alcohol poisoning. Both of these possible consequences are a big factor when someone drinks irresponsibly. Drunk driving accidents, and death, happen too much to not notice, but to know that drinking is a big cause of deaths in the year. Alcohol poisoning has a great chance of killing you because the effects are the usual drunken depressant effects but it slowly gets worse as you slip into coma, and if not taken care of, death will emerge. Social drinking and the effects one can have on someones personality is usually a drastic change. From this I mean I can speak from experience, one of my friends is an alcoholic from my perspective. Every chance he gets he drinks. When he drinks, his personality, and sometimes he, does somersaults, and changes into a mean self centered alcoholic. But anytime hes not drunk, he seems normal. Close interaction would prove that he has a personality problem, and a severe attitude. What I am trying to say is that my friend is my friend, no matter what problems he has, and hes going through counseling, and Alcoholics Anonymous (AA) classes, yet still he struggles to stay sober,even though hes giving it all he has. Alcohol is in no means a good drug. From what I know, and have experienced, alcohol is just an open window for a long list of problems and difficulties, and seems to make growing up harder. It leaves the body susceptible to doing bodily harm, to self, or to others, by not being sure what it is that you are currently doing, and why someone would want to risk there chances of death, and life long hardship is beyond me. Alcohol is a drug which is now is legal in the U.S., and if that changes, it will, in my opinion, advance our society mentally, and make us stronger, in the body and in the mind

Thursday, November 21, 2019

Methods for mitigating challenges encountered in the classroom Coursework

Methods for mitigating challenges encountered in the classroom - Coursework Example One observes direct instruction where the teacher calls a student to demonstrate the date to the other students. Children at this tender age tend to forget terribly and hence the teacher emphasizes on repetition. The teacher keeps on explaining and clarifying rules to multicultural students. The class employs Cooperative Learn Groups where a student learns rules via demonstration and practice from other students. Students observe the behavior of the others who already know the rules. The desks are next to one another to support discussion among students (Salvin, 2006, p. 207). The students take time before they adjust to the instructions that the teacher provides. Some students find themselves unconsciously speaking in other languages. The teacher has to make sure that they cover all the rules in different languages to ensure that all the students understand. The students learn the rules best by practice and demonstration from other students who already understand the rules (Salvin, 2006, p. 101). The multicultural students find compliance with the rules hard. When Monica tells Jeanette to get the glue out, she uses Spanish. This makes her not to understand the instructions. This pedagogical strategy is this video is effective since it mitigates the challenges that the students encounter in a classroom with English language learners. The strategy that this video employs is demonstration. The teacher encourages students to demonstrate their answers to the other students in class. It mitigates the challenges that ELL students face by demonstrating instructions. This enables students to acquire skills that are necessary in the process of learning English. The student engagement with instruction is medium. This is because students come from different multicultural backgrounds and thus making it difficult follow instruction. The teacher corrects them appropriately and encourages learning among students themselves through

Wednesday, November 20, 2019

Mass Spectrometry and HPLC of peptides Lab Report

Mass Spectrometry and HPLC of peptides - Lab Report Example The mass of the protonated and solvated molecules pass through the mass analyzer that establishes the mass of the analyte. Reversed phase high pressure liquid chromatography relies on the reversible water-hating associations between the molecules of the solute present in a polar mobile phase and the immobilised hydrophobic ligand in the solid support to effect separation (David 2001). The dispersal of the solute between the two phases is a function of the binding attributes of the medium, the polarity of the solute and the constituents of the mobile phase. The polarity of the mobile phase is lowered by the addition of organic solvents, which minimize the hydrophobic associations between the solute and the stationary phase hence causing desorption. Hydrophobic molecules end up spending more time on the solid support hence requiring a high solvent concentration to promote desorption. The mass to charge ratio (m/z) is the proportion of the mass of a substance to the number of ions present in a substance. This value is obtained sing the formula m/z = (MW + nH+)/n where m/z = the mass-to-charge ratio, which is indicated on the axis of the spectrum; MW is the molecular mass of the sample; n is the integer number of charges on the ions and H is the mass of a proton, which is equivalent to 1.008 Da. The above equation can be used to find the molecular weight of a sample provided that the sum of charges on an ion is established. The m/z value is read from the spectrum and substituted into the equation. Usually, during the calculation of charge, it is assumed that any two adjacent members in the sequence of multiplied charged ions differ by one charge. The mass of charge ratio (m/z) of large molecules such as ionised proteins, for example, lysozyme and bovine serum albumin is obtained in the same manner as described. The charge of the ion is found by monitoring adjacent charge states and substituted into the above equation alongside the m/z ratio that

Sunday, November 17, 2019

Analyze Vygotsky with my activity Essay Example | Topics and Well Written Essays - 750 words

Analyze Vygotsky with my activity - Essay Example It allowed opportunities to interact with others and share their own observations, insights and conclusions regarding the activity. Observations in the implementation of the lesson plan included children talking to each other and commenting on their task. Vygotsky recognizes the â€Å"dialogic nature of all learning†. An individual engages in dialogues whether with others or just within his thoughts and this gives rise to care, concern, compassion for both oneself and others (Crawford, 2001). Interactions are likely to go through a process called intersubjectivity. This is when two people are engaged in a task and begin from different understandings but with interaction, comes to an agreed, shared understanding. This is usually manifested when children initially debate opposite arguments but upon more understanding of the concept because of listening to each other’s opinions, will both end up seeing the concept in one direction. Such intersubjectivity is apparent when the children choose from several nonstandard objects to measure with and may initially think differently from each other as to how many of those objects will be needed to measure a body part. The children may come up with different guesses, but upon validating their guesses with measurement, they come up with one answer. The lesson plan on measurements using non-standard objects is developmentally-appropriate for Kindergarten level. At this age, children need concrete materials familiar to them to make sense of some concepts. In this case, measuring with familiar objects becomes something the children can relate to. For them, knowing that one child is one popsicle stick taller than another is more meaningful to them than knowing that the child is three inches taller than another. It is because they actually know what a popsicle stick is and how it looks and estimate

Friday, November 15, 2019

Study Of Falls In The Elderly

Study Of Falls In The Elderly Aging is a normal phenomenon in all over the world so that the necessity of old age care is very important. WHO states that world countries have accepted the chronological age of 65 years as a definition of elderly. Nowadays, world is developing too fast I all the sectors especially in medical science and technology. It makes great differences in the life span and the quality of life of the people. The fastest population increase has been in the number of those aged 85 and over, the oldest old. In 1984, there were around 660,000 people in the UK aged 85 and over. Since then the numbers have more than doubled reaching 1.4 million in 2009. By 2034 the number of people aged 85 and over is projected to be 2.5 times larger than in 2009, reaching 3.5 million and accounting for 5 per cent of the total population. (Office of national statics 2010). Falls is one of the most common problems in old age. Elder people falls frequently and it can cause serious injuries such as fracture, dislocation and head injuries (Dr.Roberts A 1995). Falls represent the most frequent and serious type of accident in the over 65s. While improvements have been made in the care of hip fractures, the report reveals 37 per cent of people still arent receiving a falls assessment (AgeUK 2010). The work experiences in care home helped me to know about common problems of old age. I understand, falls is one of the common problems in old age. However, this study will helps me to explore about what are the causes of falls in the old age and how we can reduce and prevent the frequency of falls. Office of national statistics. http://www.statistics.gov.uk/cci/nugget.asp?id=949 WHO http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html AgeUK http://www.ageuk.org.uk/latest-press/archive/age-uk-responds-to-national-hip-fracture-database-national-report-2010/ SEARCH STRATEGY To find information about my independent study topic, I came across with much verity of articles and literature such as books, journals, eBooks, internet, databases etc. A plenty of databases I were searched, for example, EBSCO, PUBMEB,BMJ,CINHAL,BNI and Google web search and Google books also. University website helped me to locate and use the relevant databases more effortlessly. These databases helped me to search and study about my topic falls in the old age care. When I start searching about my topic, I found a huge amount of literature in my screen. To sort out the relevant information from the many articles I used the inclusion and exclusion methods and some keywords, that is the literature is not more than ten is years old and research nature, then I used some key words related to my topic such as falls in the old age, causes of falls, risk factors of falls and prevention of falls. When I start search in EBSCO, The search exposed few results with relevance to falls among the aged, some results on fractures, three on domestic injuries and deaths and review article on approach to falls and one on urgent situation management of falls. As a part of my study I visited many websites also they are AGE.UK, World Health Organisation (WHO) and office of national statistics. DEFINITION OF FALLS IN THE OLD AGE An event, which results in a person come to rest inadvertently on the ground or other lower level. Globally, an estimated 391 000 people died due to falls in 2002.World Health Organisation. World Health Organisation. http://www.who.int/violence_injury_prevention/other_injury/falls/en/index.html CLASSIFICATIONS OF FALL Rein Tideiksaar cited the work of Luckinen, et.al (1994). Falls is classified into mainly four groups. Extrinsic or environmental factors: It includes. Slips, trips or externally included displacements. Intrinsic factors Mobility or balance disorder or loss of consciousness Non-bipedal It includes person falls from the bed, chair or device. Non- identified or non classifiable. It includes fall cannot be identified or described by either a person or collateral damage. Reference Falling in old age : prevention and management (1997) By Rein Tideiksaar http://books.google.co.uk/books?id=426l9wOdfyACpg=PA140dq=classification+of+falls.lach+et+alhl=enei=-o3BTLWdDs2Usway-uDpCAsa=Xoi=book_resultct=resultresnum=3ved=0CDoQ6AEwAg#v=onepageqf=false R.B. Shukla, D. Brooks(1996) a guide to care of the Elderly. CAUSES OF FALLS IN THE OLD AGE Falls and unsteadiness of gait are major problems faced by the elderly. Accidental injuries and fatalities due to fall indicate substantial morbidity and mortality in the elderly. (B. Everett Gray,1990).Among all negative outcomes derived from elderly health conditions, falling is considered one of the main causes of functional impairment.( Arlete Maria Valente Coimbra and et al, 2009). Physical causes: Arthritis Parkinsons disease Foot problems Strokes Cardiac failure Mental causes : Depression Dementia Alzheimers disease Drugs and Medication: Sedatives Diuretics Hypotensive age Environmental factors: Hazards in the home (rugs, mats, loose carpets, poor lightings) weather conditions Age- related changes: Balance/gait General frailty Poor vision Poor mobility Non Accidental: Elderly abuse Criminal injury BOOK referred R.B. Shukla, D. Brooks(1996) A guide to care of the Elderly. R.B. Shukla(1999) Care of the elderly. Falls in the elderly of the Family Health Program (2009) Arlete Maria Valente Coimbra, Natalia Aquaroni Ricci, Ibsen Bellini Coimbro, LÄÂ ±lian Tereza Lavras Costallat, http://www.sciencedirect.com.ezproxy.uwe.ac.uk/science?_ob=MImg_imagekey=B6T4H-4YCGKNF-1-1_cdi=4975_user=122883_pii=S0167494310000245_origin=search_coverDate=12%2F31%2F2010_sk=999489996view=cwchp=dGLbVlb-zSkWAmd5=bb481983dd92110f0721752512e8a78fie=/sdarticle.pdf Slips, stumbles and falls: pedestrian footwear and surfaces By B. Everett Gray, ASTM Committee F13 on Safety and Traction for Footwear. http://books.google.co.uk/books?id=1LMK0x-eZiICpg=PA7dq=falls+in+the+elderlyhl=enei=YxbITMerK4qOjAeH_ehysa=Xoi=book_resultct=resultresnum=6ved=0CEQQ6AEwBQ#v=onepageq=falls%20in%20the%20elderlyf=false RISK FACTORS OF FALLS IN THE ELDERLY In 2007, 81% of fall deaths were among people 65 and older. Men are more likely to die from a fall. After adjusting for age, the fall fatality rate in 2007 was 46% higher for men than for women. (CDC). Risk factors for fall are categorized according to their origin as follows, age related changes, common pathologic changes and functional impairment, medication effects and environmental factors. (Miller.C, 2008). According to the 2007, WHO report on falls prevention in the old age, classified into four risk factors can cause fall, Behavioural risk factors Environmental risk factors Biological risk factors Socioeconomic risk factors Behavioural risk factors: Behavioural risk factors include human actions, emotions or daily choices. The main Behavioural risk factors are: Multiple medications Use Excess alcohol intake Lack of Exercise Inappropriate Footwear Environmental risk factors Environmental factors encapsulate the interplay of individuals physical conditions and the surrounding environment, including home hazards and hazardous features in public environment. It includes: Poor building design Slippery floors and stairs Looser rugs Insufficient lighting Cracked or uneven sidewalks Biological risk factors Biological factors embrace characteristics of individuals that are pertaining to the human body. For instance, age, gender and race are non-modifiable biological factors. The risk factors are: Age Genter Race Chronic illness Reduced physical, cognitive and affective funct Socioeconomic risk factors Socioeconomic risk factors are those related to influence social conditions and economic status of individuals as well as the capacity of the community to challenge them. It includes, Low income Inadequate housing Lack of social interactions Limited access to health and social service Lack of community resources Reference WHO, Global report on prevention of falls in the old age, (2007) http://www.who.int/ageing/publications/Falls_prevention7March.pdf http://books.google.co.uk/books?id=ms9o2dvfaQkCprintsec=frontcoverdq=WHo+Global+report+on+falls+Prevention+in+older+Agehl=enei=_rLKTPiRFMuNjAeZ5c3LDwsa=Xoi=book_resultct=resultresnum=1ved=0CCwQ6AEwAA#v=onepageqf=false CDC, Falls among Older Adults: An Overview http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html Nursing for wellness in older adults. Carol A. Miller(2008) p 465 http://books.google.co.uk/books?id=yUx01gmNLboCpg=PA465dq=risk+factors+of+fallshl=enei=M7zOTPr_C9jPjAfmjdXXBwsa=Xoi=book_resultct=resultresnum=2ved=0CDMQ6AEwAQ#v=onepageq=risk%20factors%20of%20fallsf=false COMPLICATIONS OF FALLS Complications results from falls are the leading cause of death from the injuries in men and women aged over sixty five years and older, with men older eighty five years and older having the highest death rate, more than 180 death in per 100000 population.(john.c.beck, 2004). Falls related mortality is a critical problem in the old population. While the majority of falls among old persons do not result death, falls experienced by this age group are a leading cause of mortality.(Tidekasaar,1997). Fractures of hip and lower extremities are more common and lead to prolonged disability because of impaired mobility. (Robert. K, 2004). The common complications of falls are: Painful soft tissue injuries Fractures : Hip Fractures : Femur Fractures : Humerus Fractures : Wrist Fractures : Ribs Fractures Subdural hematoma Hospitalization Complications of immobilisation Risk of iatrogenic diseases Infections and Inflammations Disabilities Impaired mobility because of physical injury Impaired mobility from fear, loss of self confidence and restriction Of ambulation. Risk of institutionalisation Death Essentials for clinical geriatrics, (Robert Kane, 2004) http://books.google.co.uk/books?id=zYgxA_XAM7QCprintsec=frontcoverdq=essentials+for+clinical+geriatrics,robert.l.+kanehl=enei=sgjITInvC4vQjAfkyuRosa=Xoi=book_resultct=resultresnum=1ved=0CDUQ6AEwAA#v=onepageq=complications%20of%20fallsf=false G R S, (Geriatric Review Syllabus), john.c.beck. http://books.google.co.uk/books?id=zjPf6bJt9RYCpg=PA149dq=complications+of+falling+in+the+elderlyhl=enei=kqDKTOXWIMWOjAeZvZDnDwsa=Xoi=book_resultct=resultresnum=9ved=0CF4Q6AEwCA#v=onepageq=complications%20of%20falling%20in%20the%20elderlyf=false PREVENTION OF FALLS IN THE ELDERLY Prevention of falls is crucial to the health of all older persons, including those without a history of falling, even older persons with no history of falls expresses fearful anticipation of falling. Such persons usually have an underlying gait dysfunction or imbalance problem that may lead to self imposed restriction of activities and mobility and may result in them being house bound or chair bound. Falls cannot be prevented unless the risk factors are identified (National guideline for prevention falls in older persons, 2000) Stephan.R (2007) cited the work of The Kellogg International working group (1987) on the prevention of falls in the elderly as defined as unintentionally coming to the ground or some lower level and other than as a consequences of sustain a violent blow, loss of consciousness, sudden onset of paralysis as in the stroke or an epileptic seizure. Considerable evidence now exists that most falls among older persons are associated with identifiable and modifiable risk factors and that targeted prevention efforts are shown to be cost-effective. Most falls and resulting injuries among older persons are shown to result from a combination of age and disease-related conditions and the individuals interaction with their social and physical environment (WHO,2008). Ebrahim S and A Kalache (1996) describes the causes and prevention of falls: Causes Prevention Uses of drugs Psychological factors Extrinsic factors Alcohol use Assistive devices Cognitive/behavioural/ Social programme Clinical assessment of risk .(Rai G 2006) Warn older person against self medication Rational prescribing of medication Assist disoriented person to take medication Use CNS drugs very carefully and cautiously. Counselling of older people with stress related disorders Provide divertional therapy Environmental factors must be accessed and corrected Ensure obstacles free environment Ensure adequate light and contrast Ensure No loose mat or slipping surface Provide night light Hand rails Advice on safe drinking pattern Review combination of alcohol with other drugs Provide appropriate walking aids Minimise restraint devices Balance and gait training Restore confidence Provide social contact Teach avoidance of risk taking behaviour to person or care giver. History and circumstances of falls Any loss of consciousness Any loss of movement or involuntary movement Any incontinence All prescribed and the over the counter medications Any recent acute and/or ongoing chronic medical problems Any previous problems with gait and balance Chest pain Palpitation Hearing problems Eye sight problems Memory loss Depression Habits relating to alcohol or recreational drugs.(Rai G 2006) The Global report of prevention of falls in the elderly (WHO, 2007) states that multi factorial approach is helpful to prevent falls in the community and elderly. The approaches are Balance and gait training with appropriate use of assistive devices; Environmental risk assessment and modification; Medication review and modification Managing visual problems Providing education and training Addressing foot and shoe problems Addressing orthostatic hypotension and other cardiovascular problems Multi factorial approaches are shown to be the most effect prevention strategy in residential settings. Components of successful multi factorial interventions include: staff training and guidance, changes in medication, resident education, environmental assessment and modification, supply and repair of aids, exercise, and use of hip protectors (WHO, 2007). Hip protectors (a plastic shield sewn into special underwear so that it lies over the greater trochanter) are known to absorb energy when a patient falls, thus reducing the incidence of hip fractures. They are especially beneficial in patients who live in nursing homes and residencial homes, who are very frail and hence have thin bones and prone to recurrent falls and fractures.( Shukla.R, 1999). References Falls in the older people: risk and strategies for prevention (2007). Stephen R. Lord, Catherine Sherrington, Hylton B. Menz http://books.google.co.uk/books?id=1enrvVe81YgCpg=PA21dq=prevention+of+falls+in+the+old+agehl=enei=XNXKTL7hH5SSjAeWqIjIDwsa=Xoi=book_resultct=resultresnum=4ved=0CEEQ6AEwAw#v=onepageq=prevention%20of%20falls%20in%20the%20old%20agef=false WHO, Global report on prevention of falls in the old age, (2007) http://www.who.int/ageing/publications/Falls_prevention7March.pdf http://books.google.co.uk/books?id=ms9o2dvfaQkCprintsec=frontcoverdq=WHo+Global+report+on+falls+Prevention+in+older+Agehl=enei=_rLKTPiRFMuNjAeZ5c3LDwsa=Xoi=book_resultct=resultresnum=1ved=0CCwQ6AEwAA#v=onepageqf=false Ebrahim S and A Kalache (1996), Epidemiology in old age. P.364, BMJ group. Gurucharan Rai, Joe reosethal, Jacqueline morris Steave iliffe (2006) shared care of older people. R.B. Shukla(1999) Care of the elderly. National guideline for prevention falls in older persons, 2000 MANAGEMENT OF FALLS Multi factorial factors had an influence in the falls in the elderly and causes falls so a multi factorial approach management is helpful to prevent falls in the elderly. Multi disciplinary management includes Medical assessment, nursing, physiotherapy, education, occupational therapy, social worker, the dietician, Chiropodist, orthodist and specialist Nurses. (Shukla. R 1996) Rai. G, 2006 states that management of any patients with falls with clearly guided by the findings from history, examination and investigation, such that any identified risk factors or causes of falling can be specifically addressed. Much of the management focuses on prevention of further falls. This will always include careful review of the risk and benefits of any medication which the patient is currently taking. Physiotherapy and occupational therapy can be helpful in identifying and reducing environmental risk for falling. Strength and balance exercise can help individuals learn to get up after a fall. Multi disciplinary management have an important role in the prevention of falls, improving health, risk assessment, health education. References Gurucharan Rai, Joe reosethal, Jacqueline morris Steave iliffe (2006) shared care of older people. R.B. Shukla, D. Brooks(1996) A guide to care of the Elderly. Summery The most important goal of this study was to expand more information about two sets of possible risk factors for falls, causes, prevention and management of falls. The main aetiology of falls is recognized as intrinsic and extrinsic factors. Most of the falls in the older people can be prevented or reduced in frequency if clinicians first begin to view the falls as symptomatic or an underlying problem and , second perform comprehensive assessment to uncover a magnitude of medical, psychological and environmental factors that may cause falls. (R Tideiksaar, 1988). References Falls in the elderly. R Tideiksaar http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1629317/?page=16 Conclusion Fall and fall related injuries are major public health challenges that call for global attention. This problem will increase in magnitude as the numbers of older adults increase in many nations throughout the world( WHO) Every old age person was classified as having an intrinsic or extrinsic fall using the information obtained at the fall assessment. Extrinsic falls were related to environmental hazards (slip, trip or externally induced displacement), whereas intrinsic falls were related to mobility or balance disorder, muscle weakness, orthopaedic problems, loss of consciousness, neurally mediated cardiovascular disorder or sensory impairment. IN my point of view, Prevention is better than cure it an old proverb. It is perfectly applicable in the case of falls in the elderly. As a part of this I understand early detection of risk factors and cause of falls is the most relevant method to prevent injuries, haemorrhage, disabilities, etc in old age. Provide comfortable house and ensure the nursing homes or residential homes are hazards less It can prevent extrinsic factors of fall and environmental hazards. References WHO, Globel report of prevention of falls in the elderly. http://www.who.int/ageing/projects/1.Epidemiology%20of%20falls%20in%20older%20age.pdf RECOMMANDATIONS Center for disease control and prevention (CDC) states that older adults can take several steps to protect their independence and reduce their chances of falling. They can: Exercise regularly. Its important that the exercises focus on increasing leg strength and improving balance. Tai Chi programs are especially good. Ask their doctor or pharmacist to review their medicines-both prescription and over-the counter-to reduce side effects and interactions that may cause dizziness or drowsiness. Have their eyes checked by an eye doctor at least once a year and update their eyeglasses to maximize their vision. Make their homes safer by reducing tripping hazards, adding grab bars and railings, and improving the lighting in their homes. Additional ways to lower hip fracture risk include: Getting adequate calcium and vitamin D in your diet. Undertaking a program of weight bearing exercise. Getting screened and treated for osteoporosis. Center for disease control and prevention (CDC), Falls among Older Adults: An Overview. http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html REFLECTION Reflective practice is a process of review an experience of practice in order to describe analyses and evaluate and so inform learn from practice (Sarah B, P 161). WHO has done a study on falls in the elderly and reflected it and states that by building on the three pillars of falls prevention, the model proposes specific strategies for: Building awareness of the importance of falls prevention and treatment; Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls. For facilitating the design and implementation of culturally-appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. As a part of my independent study I came across with the topic of falls in the elderly. It gives a huge knowledge about elderly care and how to prevent falls in the elderly.

Tuesday, November 12, 2019

The Role Of Safety Management On Personal Information

Safety management describes a process of protection from any harm. It also describes the countermeasures put in place by that process. Harm may indicate a loss of confidentiality, integrity, and availability. Safety management focuses on preventing harm resulting from both random acts of nature and intentional strategic actions (Schechter, 2004). Safety management is a major concern in today's digital era. The Internet offers a low cost, but insecure means of reaching people. Owing to the ubiquity of the Internet, it is difficult to control and trace intrusions or attacks by unauthorized people, hackers, etc. Electronic commerce applications need secure mechanisms for accurate user identification, accessing sensitive database, storing and transmitting sensitive information, etc. Personal identification numbers (PINs), passwords, smart cards and digital certificates are some of the means normally used for this purpose. However, these means do not really identify a person, but only knowledge of some data or belonging of some determined object (Sanchez-Reillo et al. 1999), e. g. public key infrastructure (PKI) cannot assure identity of the maker of a transaction, it can only identify the maker's computer. An imposter can easily masquerade as a legitimate user and defraud the system. Information must be readily available in organizations for making decisions to support the organizational mission. Murphy, Boren, and Schlarman (2000) state that due to increased connectivity and the urgency to exchange information and data among partners, suppliers, and customers on a real time basis, the need to protect and secure computer resources is greater than ever. As a result, this has created the possibility of exposing sensitive corporate information to competitors as well as hackers who can now access organizational computer resources from remote sites. The potential loss of such information to an organization goes beyond financial losses and includes the possibility of corrupted data, denial of services to suppliers, business partners and customers, loss of customer confidence, and lost sales. Security in business processes (i. e. , maintaining proper authentication, authorization, non-repudiation, and privacy) is critical to successful e-business operations. Enabling business functions over the Internet has been recognized as a major component for the success of businesses and, by mitigating risks in a cost-effective manner, security is now being viewed as a component of business operations (Deise, Nowikow, King, & Wright, 2000). Decisions about information systems made by managers are vital to the success, and even survival, of a firm (Enns, Huff, & Golden, 2003). Despite increased security threats, organizations have traditionally allocated very little of the total IT budget to information security. Forrester Research estimates that in Fortune 500 companies, the average amount of money as a percent of revenue that is spent on IT security is 0. 0025 percent or slightly less than what they spend on coffee (Clarke, 2002). Organizations must evaluate and prioritize the optimum mix of products and services to be deployed for protecting confidentiality (maintaining privacy of information), integrity (maintaining information is not altered in transit), and availability (maintaining access to information and resources) of corporate assets. The decision to deploy certain technology is based on variables such as the organizational business model, level of risk, vulnerability, cost, and return on investment (Highland, 1993). There are several ways in which information can be protected. One method to safeguard information is by using controls. The concept of controls can be applied to financial auditing as well as technical computer security. General controls include personnel, physical and organizational controls as well as technical security services and mechanisms (Summers, 1997). Computer security controls can be hardware or software-based and may include biometric devices, anti-virus software, smart cards, firewalls, and intrusion detection systems that can be used to build the enterprise security infrastructure. Additionally, these controls may be preventive, detective, or corrective. In the area of information safety management, research has often lagged practice. Dhillon & Blackhouse (2001) have stressed the need for â€Å"more empirical research to develop key principles for the prevention of negative events and therefore to help in the management of security. Despite known vulnerabilities in applications and operating systems, companies continue to deploy software to stay competitive, and steps taken to secure products and services are knee-jerk reactions to media stories that are more reactive than proactive in nature. Most IT managers lack a coherent framework and concrete methodology for achieving enterprise security. A security plan that includes t echnology, personnel, and policies would be a much better approach to developing an enterprise security strategy. One such model is the Enterprise security Framework Price Waterhouse Coopers (PWC) model. The PWC model is comprehensive because it addresses the entire enterprise of security architecture. The model emphasizes information security strategies within the organization using a holistic rather than apiecemeal approach. The framework is based on four pillars: security vision and strategy, senior management commitment, information security management structure, and training and awareness. Within the pillars are decision drivers, development, and implementation phases. Firewalls are placed in the development phase since they are used to provide interpretation of corporate standards at the technical level. For a detailed discussion of the PWC model, the reader is referred to Murphy, Boren, and Schlarman (2000). Firewalls can be considered a last line of defense in protecting and securing information systems. Wood (1988) provided a context for information security systems planning and proposed that reactive and incremental improvement approaches to address security are harbingers of a more serious problem. Other factors identified in Wood's model are the lack of top management support, information overload, insufficient staffing, and limited resources. Straub and Welke (1998) advocate using deterrence, prevention, detection, and recovery security action cycle to mitigate systems risk and use prioritized security controls. Data on computer crimes is often under-reported because companies are not willing to risk public embarrassment and bad publicity. Most companies choose to handle these incidents internally without keeping documentation or reporting to local, state or federal authorities (Saita, 2001). There is a need for unbiased empirical studies in the information security area that will provide insight into problems affecting today's technology dependent corporations and industries. With a strong need to collect and analyze computer security data, the CSI/FBI Computer Crime and security Survey is published yearly (see http:// www. gocsi. com). This study provides descriptive statistics but does not attempt to identify relationship between variables, as is expected in analytical surveys. Also, results reported in this annual survey have been identified by the publishers themselves to be potentially misleading due to the limited number of respondents and their accuracy as a result of anonymous nature of the surveys. These results have also been called into question because of lack of statistical or scholarly rigor and self-serving interest (Heiser, 2002). Despite these limitations, the CSI/FBI survey provides a useful role in comparison of yearly data for similar parameters. The area of human computer interface provides a link between the user and software applications. User satisfaction is a function of features, user interface, response time, reliability, â€Å"installability,† information, maintainability, and other factors. If a product's user interface catches a user's attention and is simple to learn and use, and has the right price and features, then the product may gain competitive advantage† (Torres, 2002, p. 15). The theory of user interface design and user involvement in completing task-based actions related to Internet and security software has been substantiated by two studies in which user interaction with peer-to-peer software (Good & Kerkelberg, 2002), and PGP softwa re (Whitten & Tygar, 1999) were examined. Good and Krekelberg (peer-to-peer study) found that applications connecting to the Internet need better usability and software design to maintain integrity of information stored on a user's computer. In this study, individuals assumed responsibility of keeping firewalls operational at all times. This contributed in large part to maintaining effective enterprise security. Whitten and Tygar (PGP study) found that user errors are a significant portion of computer security failures, and further concluded that user interfaces for security programs require a usability standard much different from other consumer software. Although this study is not directly concerned with user satisfaction, but is more focused on factors that affect deployment rather than development of end-user software in a specific area, some factors may be directly tied to user satisfaction as will be shown by correlational analysis). Due to increasing mobile and off-site access by employees using cable modems, DSL conn ections, and wireless devices to access corporate resources, personal firewalls are a necessary component to maintain overall enterprise security in an organization. Because of the nature and availability of personal firewall software, most companies choose to acquire it rather than develop it in-house. Software acquisition that results in productivity gains and strategic advantage is of critical concern to organizations, and factors that relate to these benefits must be correctly identified and understood for software acquisition decisions (Nelson, Richmond, & Seidmann, 1996). Purchase of commercial software includes identifying requirements, evaluating packages from different vendors, configuring, installing, and evaluating it either as server or client-based solution. This may further involve requirements acquisition that leads to product selection (Maiden, Ncube, & Moore, 1997). As a method of selection, professionals in charge of evaluating personal firewall software could draft a feature requirements document, and evaluate vendor products by comparing available features as well as using demonstration versions of software. This would be followed by user experience with the software. As mentioned earlier, the need for user involvement in information systems has been considered an important mechanism for improving system quality and ensuring successful system implementation. It is further believed that the user's satisfaction with a system leads to greater system usage (Baroudi, Olson, & Ives, 1986). The requirements for software though must be as measurable as possible to enable product selection and may also use repertory grids in which stakeholders are asked for attributes applicable to a set of entities and values for cells in an entity-attribute matrix. This would produce representation of requirements in a standardized, quantifiable format amenable even to statistical analyses (Maiden, Ncube, & Moore, 1997). In relation to the security area, Goodhue and Straub (1991) found company actions and individual awareness to be statistically significant in a study of perceptions of managers regarding controls installed in organizations. The normalized safety factor provided a measure of relative strength of importance attached by factors to each statement on the scale used during sorting. As mentioned earlier, adherents in Factor 1 felt strongly in favor of statement 4 (Performance) and opposed statements 8 (Setup/configuration) and 5 (Installation). The results of Factor 2 are consistent with Factor 1, that is, Performance of the product is the highest rated criterion. ease-of-use also rated highly in Factors 1 and 2. The largest dissension between Factor 1 and 2 groups involved statements 9 (Availability of Online Help), 7 (Intrusion Reports generated), and 6 (Regular Product Updates). The most dissension between Factors 2 and 3 involved Statements 1 (Cost) and 3 (Ease-of-use). Results of Factor 3 were consistent with Factors 1 and 2, with Performance criteria once again being highly rated. The largest dissension between Factors 1 and 3 involved statements 1 (Cost), 3 (Ease-of-use), and 9 (Availability of Online Help). Extreme differences between all factors appeared in Cost, Intrusion Reports generated, and Availability of Online Help. There was only one statement, Performance of the product, that showed consensus among all factors; that is, it did not distinguish between any pair of factors, which indicates Performance of the desktop firewall software is an agreed upon criterion irrespective of group characteristics. The managerial implications of this study can be assessed at the level of selecting appropriate software for use on computers in organizations to maintain security. There is evidence of user satisfaction being a useful measure of system success (Mahmood et al. , 2000). While the end-user may not purchase individually preferred software for installation on company owned computers, the user can influence decisions for selection by making known to IS managers the features that would contribute to regular use of security software such as personal firewalls. Given access of these machines to corporate resources, appropriate and regular use of software would contribute to maintaining enterprise security. For technical professionals (e. g. , programmers) who install firewalls on their desktop, programs could emphasize the statements that are defining characteristics shown in Factor 3. For an industry that has non-technical professionals (such as Factor 1 and 2), other non-technical characteristics of the product could be emphasized thus achieving maximum effectiveness in program deployment. Increased awareness should minimize user related faults, nullify these in theory, and maximize the efficiency of security techniques and procedures from the user's point of view (Siponen, 2000). Due to project deadlines and market competition, software is often shipped without being fully tested as secure, and standard industry practice is to release incremental service packs that address security issues in the product. In a case of security software, this may adversely affect the reputation of a vendor once its products have been shown to have high vulnerability to being compromised. Knowledge on personal safety management could provide a better understanding of importance of personal firewall security software on organizational client computers. The decision to install an information system necessitates a choice of mechanisms to determine whether it is needed, and once implemented, whether it is functioning properly (Ives, Olson, & Baroudi, 1983). More research needs to be done in the area of selection of software for implementation on user's computers that are owned by corporations and given to employees for off-site work. This can include regular employees vs. contractors who may connect to employer and client networks from the same computer. If the findings are to have wider applicability, qualified industry professionals and security officers responsible for maintaining secure infrastructure in corporations should be included in the analysis. The study provides management and security professionals a basis for making decisions related to enterprise security. It provides personal firewall vendors an insight into feature requirements of the personal firewall market, and provides academic researchers interested in security, a more focused approach on various dimensions of security software from the behavioral perspective. Future studies could be industry and product specific in order to assess differences in selecting general-purpose software versus security specific products. In many cases, management has looked at the need for implementing information security programs and products as a necessary encumbrance, something akin to paying taxes or insurance premiums (Highland, 1993). But organizations are increasingly becoming aware of the potential for legal exposure via lawsuits, and are deploying countermeasures (such as personal firewalls) to reduce vulnerability and mitigate risk. The chief information security officer in today's organizations should have the responsibility of managing organizational risks by using empirical models and analysis to determine strategies for protecting corporate assets. Firewalls are the last line of defense in the corporate network and therefore play a critical role in information security. With personal firewalls being a new product genre, this study was conducted since there is no research available that specifically looks at determinants for selection of security software in a corporate environment to protect organizational assets. As the information security field evolves further, decisions for security software acquisitions need to be researched further. Selection and deployment of appropriate firewalls can make a significant difference in an organization's enterprise security strategy. It is therefore also important to understand the variables (as shown in this study) that may affect decisions to select and deploy personal firewall software in a corporate environment. It is recommended that in order to provide better evidence of factors that affect deployment of technology tools that create awareness of security issues and produce better informed employees, research into behavioral factors also needs to be conducted to gain insight into programs and processes that will lead to the development of a robust enterprise security strategy. Information security awareness research has been mostly descriptive and has not explored the possibilities offered by motivation/behavioral theories, or the related theory of planned behavior and the technology acceptance model, specifically in the information security domain (Mathieson, 1991 ; Siponen, 2000; Legris, Ingham, & Collerette, 2003). Since security has been deployed at the perimeter of electronic network and on servers by system administrators, the area of information security has ignored users of information systems since software developers are far removed from how the user will interact with security software. Human compliance with information security rules require an understanding of how people work and think (Highland, 1993). Lane (1985) considers the human factor to be the first and most important component of security and a critical part of the risk analysis process. This is especially true in personal firewall software since the burden of maintaining a secure environment is being shared by the user and the system administrator.

Sunday, November 10, 2019

Constitutionality of the new health care reforms Essay

This paper seeks to discuss the constitutionality of the new health care law in the United States of America, the Affordable Healthcare Act. The paper will discuss on the diverse understanding and conception of the new law among the common citizenry in America, business class as well as the health care service providers. Health care to any person is a sensitive topic attracts attention of any government that is willing to have its citizens remain healthy and productive. It is a constitutional requirement for the government provides affordable health care to its citizens. This is what the United States government has moved to enable through The Affordable Health Care Act. This Act’s principle focus is to ensure more Americans are able to access affordable health care. The bill provided for improved quality of health care, affordable attention to all Americans, especially those of low economy in the country. Improved and affordable health care extending to all guarantees access to health care to the young and the seniors as well as those with pre-existing conditions (Siegel, N.S. 2012). Though the numbers of the citizens who have enrolled in the health care programs after the enactment of The Affordable Health care is not as high as expected, the percentages of the individuals enrolled in the health care services. This may be attributed to the convenience attached the programs that does not discriminate against age or conditions at the time of enrollment. However the rising numbers of the individuals enrolling in the program have come with the various challenges, some of which are detrimental to people’s welfare. Due to the poorly planned change of medical care, a great number of Americans have been forced to abandon their previous health insurance services from the companies were not abiding to all the provisions of the new standards set by the new rules. The period between changes of health care insurance cover to the new program was not provided for by the government, including the value forgone, which is not compensable by the government. The new rules have created panic among upcoming health insurance providers who were not attaining the standards provided in the new law due to loss of clientele. As a result, unemployment has been experienced to many and to the unmanageable employee retention capabilities of the affected companies (Siegel, N.S. 2012). The Act provides for access to the service by young adults who may not be able to afford to pay the premiums themselves by accessing the cover through their parents or guardians’ plan. Young adults below the age of 26 are eligible to the affordable health care even if they cannot be able to raise their own premiums. This has guaranteed affordable and quality health care to millions of unemployed young adults. The policy was created to reach more people and enable them access health care. The move was right and targeted the greater portion of America’s population through the service to the young adults. However the statistics show that older people get sick and need the insurance cover much more than younger people and therefore the policy only theoretically reaches more people through the youth, but more so fail to identify the bigger population that is vulnerable to ailments (Bateman C. 2013). Through this plan, more people who appreciate the new law will end up dropping their current health service providers who are not cost friendly for the new affordable and quality plan. This will cause a confusion to the health service providers who may be facing abrupt changes which will affect scores of people who seek their services, thus ailing their businesses. The law leaves the State and the federal government to raise funds to be able to finance the plan. This translates to increased revenue collected by the state and the federal government, which means taxes will be and continue to be increased in order to maintain the health plan (Parks D. 2012). The law has as well provided for the Children health insurance plan, which has seen the number of the children reached go up to nine million children. The Act has given assurance to the mothers of quality and affordable health insurance services for their children. Reaching up to over nine million children means more funding requirements for the program to run smoothly. This has called for increased taxation on Americans to sustain the program. This is because financing has to be done by the federal government and the state (Siegel, N.S. 2012). The services come with lowered costs as compared to the pre-existing form of health insurance service provision. At the low cost of accessing health care insurance, more Americans find themselves in a situation where they have irrelevant or no reason for lack of health care insurance cover. One of the core elements of the Affordable health care act is that the people have more say in the access and quality of service. This is contrary to the former system where a few health insurance companies controlled the business making the citizens vulnerable to the efficiency of the company administrations which affected the quality and cost of service. The cost to service seekers is properly considered for the fact that insurance companies will not be able to arbitrarily increase the cost of premiums. This puts the contributors of the premiums, be it the employers, employees or the unemployed in a state where they are able to plan for their money over longer periods of time. The welfare of the contributors is also protected by the law in that the insurers are supposed to ensure that the expenses are primarily and sorely on providing health care and not other non-related costs or even administrative costs. Low cost associated with access to proper, affordable and quality healthcare has come by courtesy of un-intentional sacrifice of Americans to fund and maintain the program. Funding by the government only means more funds demanded from the public, which is only possible through raised taxation. Low cost is also arguably determined as unrealistic as the initial costs for the program to come to life and run is not clearly portrayed. The program faced great challenges in the internet communication platform that is supposed to be easy and user-friendly for all. Setting up of the platform is another high costing endeavor that the government had to go through, with the taxpayers’ money to see it work. Initial costs may be high and seem unrealistic to run the program, but the analysts show that the government will not only be able to see it budgets deficit covered, but also a lot of savings on insurance health care of the state and the federal governments with time. The Act has put to an end lifetime and annual limits. This comes much cost effectively extending full benefits to the enjoyment of the insurance policy. This is much better as related to the earlier plans in which there were annual dollar limits allowed for the insured. The plan demanded the excess of limits paid in cash, which limited the insured from the accessing the insurance services. The plans entail the patient’s right to maintain the health provider at more lowered costs. The idea of covering patients with pre-existing conditions and normal costs is a new thing that has seen many Americans embrace the laws (In Hall, M. A, & In Allhoff, F. 2014).Old people can now comfortably enroll for the programs and enjoy the health insurance services without being exorbitantly charged or even being denied the services due to their age. This has clearly portrayed the intended purpose of the law, which is to reach out the all, and especially the low to middle income Americans as well as the old. Due to the affordability of the premiums, it has translated to increased number of would be marginalized group being able to enjoy the services of the program. The plan has managed to reduce the biased quality of service among different health providers based on their ability to pay for the most qualified consultants, leading to the high cost of acquiring highly qualified health consultants, which often leads to a deficiency of consultants in other facilities due to their low cost and inability to pay the best consultants. The affordable health care plan has many positives, but has failed to protect the plight of businesses behind healthcare services. The health service providers are forced to deliver health services within the limits of the available resources, thus limiting their competitive advantage which often leads to improved quality of services with competitive costs. This has as well come with the challenge of increased need for more funding, by the federal government and the state. Sources of revenue such as taxes have to be enhanced to manage the services and also to maintain them (In Hall, M. A, & In Allhoff, F. 2014).The law has provided that for businesses with up to 50 employees on a full time engagement must be provided for the cover by the business. This has made the access to the insurance cover to many more employees. Employer are now able to afford quality and affordable health insurance services for their employees. The law has seen the insurance premiums paid by employers go down significantly with no compromise on quality of health service or even reducing the number of employees. This is the bigger picture of the plan, however, other employers see the new law being inefficient, costly and failing with lack of clarity on the very fundamental issues when it comes to health care services and therefore seeking more satisfying alternatives. This state of the situation is making many employers to maintain their existing health insurance schemes, even if costly to them and their employees, basing on the fact that they understand the schemes they have been used and are not ready to shift to a new model that is not well known to the would be beneficiary, or even the service providers to whom the plan has been imposed through the law. The obvious uncertainties have led to unplanned costly programs by many employers who are opting to provide their employees with education on how to lower health risks or exposure to activities or situations that would warrant them seeking health services. (In Hall, M. A, & In Allhoff, F. 2014).Conclusions The health care is a new beginning for Americans in the health laws and sector. The law will be able to guarantee the intended subject with coverage that provides them with unbiased provision of services, whether they have pre-existing condition or not, with no health plans to limit or even plans that limit children’s benefits. The law has provided the young generation with an assurance of health care plan that was never thought of to cover in such a manner that even poor young people could afford. This will see parents who have young adults under their care access affordable and quality health care. The plan will see an end to insurance coverage withdraws by insurance companies on the basis of honest mistakes. This will assure continued enjoyment of services. The plan has as well come with the right to reconsideration for rejection of payments which was not there before. The Law will see to great favorable cost effects the states, federal governments, employers, employees and the unemployed. This will be due to the removal of lifetime limits. The law prohibits increasing of insurance premiums through controlled review process, which will be done in public and must show reason. The new plans are also designed and guided to ensure that the insured get value for money by making sure that money paid up premiums for health insurance is utilized on health insurance. This will limit insurance companies from using money contributed as health premiums for their own non-health related activities. The new law will see to it that care is provided to the best level possible. This is provided by the fact that the cover caters for preventive care without costs under recommendations. The law also gives the insured the prerogative to choose a doctor who will provide basic care needed. This not only gives the insured the right to the choice of the doctor as a fundamental thing necessarily, but also the confidence of the insured that as the insured is in control of health paid for. The plan has created a high level of freedom as to emergency services sought by doing away with barriers usually planted by insurance companies. This plan provides the insured with the feeling and enjoyment of fundamental freedom and right to immediate and quality emergency attention at any health facility, whether within or outside his network in a health plan. The basic provisions of this law are well within the fundamental rights and freedoms of the American populations as provided in the constitution and other laws. The Affordable Healthcare Act does not violate any constitutional provision in its endeavor to ensure quality and affordable health care. References Bateman, C. (December 01, 2013). Pretenders to the throne of affordable healthcare? : izindaba.  South African Medical Journal,  103,  12, 885-886. Health Law Institute, & Pennsylvania Bar Institute. (2012).  18th annual Health Law Institute. Mechanicsburg, Pa.: Pennsylvania Bar Institute. In Hall, M. A., & In Allhoff, F. (2014).  The Affordable Care Act decision: Philosophical and legal implications. Parks, D. (2012).  Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know. Dordrecht: Springer. Sachs, Stephen E. (2012).  The Uneasy Case for the Affordable Care Act. (Faculty Scholarship.) Duke University School of Law. Siegel, N. S. (2012).  The constitutionality of the Affordable Care Act: Ideas from the academy. Durham, North Carolina: Duke University School of Law Source document

Friday, November 8, 2019

Task3 submitted Essay

Task3 submitted Essay Task3 submitted Essay Task 3 – Managing Products & Services eBusiness/QRT2 May 31, 2014 Anthony Duran Brighter Day Productions Site Map About Facebook Twitter Social Media Pinterest Blog Homepage Event Services Weddings Images/Text Corporate Images/Text Social Images/Text Family Images/Text Current Year Images/Text Annual Conference Ima Previous Years Registration Special Events Products Contact Annual Award Images/Text Nominations Store Shopping Cart Check-out Brighter Day Productions Site Design Mock-up As per the recommendation, the website enhancements include adding the terms â€Å"event planning† for improved Search Engine Optimization (SEO), adding links to social media sites and blogging. It was also recommended that BDP offer products to sell online. Therefore, an online store and shopping cart were added, too. Additional graphics are recommended so potential customers can see what they can expect from BDP. Home page: A new logo design was recommended. The owner is working with a graphic artist to design a new logo. A slideshow banner can run by default. A small page edit should allow the owner to change the banner to highlight upcoming events as a way to increase promotion. Event Planning Services: the term event planning will draw more hits and optimize searches driving more potential customers. Each photo is a link to more graphics and brief text descriptions Products: It is recommended that BDP provide several standard products used when planning parties for the do-it-yourself hosts. Using the basic terms will also enhance keyword searches leading to the website. Each photo is a link to the actual product BDP can rent or sell. Brighter Day Productions Site Development & Maintenance Included Components Hosting Vendor Initial Cost Maintenance Comments Cost $0 set-up $79/mo Shopify Professional (2014) Domain Registration 1st month payment$79 Domain Transfer Contracts are month-month as a standard, but can sign-up for an annual or biannual contract. Credit card payment fees: ï‚ · ï‚ · Website Builder Shopping Cart Online: 2.5%+$0.30 Swipe: 2.5% Additional 1% transaction fee if using an outside payment gateway SEO SSL Certificate 5GB File Storage Mobile Site Reports 24/7 Support Merchant Account/ Payment Processor PayPal Payments Advanced (2014) $0 set-up $5/mo Per Transactions fees: ï‚ · 0-$3K/mo=2.9%+$0.30, ï‚ · $3-10K/mo=2.5%+$0.30, ï‚ · $10K/mo=2.2%+$0.30 American Express – 3.5% No early termination or downgrade fees, if sales $3k/mo Free Card reader available for onsite transactions (additional fees apply) International sales – additional fees apply from 2.9-3.9%+$0.30 (dependent on transaction amount – calculator available online) After discussing the various website development options with the business owner, a decision was made to go with Shopify over GoDaddy. She chose Shopify because she felt it provided the most options and flexibility at an affordable price. The owner was able to chat with an online representative and ask various questions for clarification. This was a big sell point for the owner because attempts to talk with the other vendor was not a simple. Another reason

Wednesday, November 6, 2019

The History of Black Women in the 1950s

The History of Black Women in the 1950s African-American women are an essential part of our collective history. The following is a chronology of events and birthdates for women involved in African-American history, from 1950-1959. 1950 Gwendolyn Brooks became the first African-American to win a Pulitzer Prize (for Annie Allen). Althea Gibson became the first African-American to play at Wimbledon. Juanita Hall became the first African-American to win a Tony Award, for playing Bloody Mary in South Pacific. January 16: Debbie Allen born (choreographer, actor, director, producer). February 2: Natalie Cole born (singer; daughter of Nat King Cole). 1951 July 15: Mary White Ovington died (social worker, reformer, NAACP founder).   Linda Browns father sued the Topeka, Kansas, school board because she had to travel by bus to a school for African-American children when she could walk to the segregated school for white children only.  This would become the  Brown v. Board of Education  landmark civil rights case. 1952 September:  Autherine Juanita Lucy and Pollie Myers applied to the University of Alabama and were accepted. Their acceptances were rescinded when the university discovered they were not white. They took the case to court, and it took three years to resolve the case. 1954 Norma Sklarek became the first African-American woman licensed as an architect. Dorothy Dandridge was the first African-Amerian woman nominated for a Best Actress Oscar, for playing the lead role in Carmen Jones. January 29: Oprah Winfrey born (first African-American woman billionaire, first African-American woman to host a nationally syndicated talk show). September 22: Shari Belafonte-Harper born (actress). May 17: In Brown v. Board of Education, Supreme Court ordered schools to desegregate with all deliberate speed - finds separate but equal public facilities to be unconstitutional. July 24: Mary Church Terrell died (activist, clubwoman). 1955 May 18: Mary McLeod Bethune died. July: Rosa Parks attended a workshop at the Highlander Folk School in Tennessee, learning effective tools for civil rights organizing. August 28: Emmett Till, 14 years old, was killed by a white mob in Mississippi after he was accused of whistling at a white woman. December 1: Rosa Parks was arrested when she refused to give up a seat and move to the rear of the bus, triggering the Montgomery bus boycott. Marian Anderson became the first African-American member of the Metropolitan Opera company. 1956 Mae Jemison born (astronaut, physician). Hundreds of women and men in Montgomery walked for miles to work rather than use the buses as part of the Montgomery Bus Boycott. A court ordered the University of Alabama to admit Autherine Juanita Lucy, who filed a lawsuit in 1952 (see above). She was admitted but was barred from dormitories and dining halls.  She enrolled on February 3 as a graduate student in library science, the first black student admitted to a white public school or university in Alabama. The university expelled her in March, claiming she had slandered the school, after riots broke out and the courts ordered the university to protect her. In 1988, the university annulled the expulsion and she returned to school, earning her M.A. degree in education in 1992. The school even named a clock tower for her, and featured her portrait in the student union honoring her initiative and courage. December 21: The Supreme Court ruled bus segregation in Montgomery, Alabama was unconstitutional. 1957 African-American students, advised by NAACP activist Daisy Bates, desegregated a Little Rock, Arkansas, school under the protection of military troops ordered in by the federal government. April 15: Evelyn Ashford was born (athlete, track and field; four Olympic gold medals, Track and Field Womens Hall of Fame). Althea Gibson became the first African-American tennis player to win at Wimbledon and the first African-American to win the U.S. Open. The Associated Press named Althea Gibson their Woman Athlete of the Year. 1958 August 16: Angela Bassett born (actress). 1959 March 11: Raisin in the Sun by Lorraine Hansberry became the first Broadway play written by an African-American woman - Sidney Poitier and Claudia McNeil starred. January 12: Motown Records founded in Detroit after Berry Gordy deferred working for Billy Davis and Gordys sisters Gwen and Anna at Anna Records; female stars from Motown included Diane Ross and the Supremes, Gladys Knight, Queen Latifah. December 21: Florence Griffith-Joyner born (athlete, track and field; first African-American to win four medals in one Olympics; sister-in-law of Jackie Joyner-Kersee).

Sunday, November 3, 2019

Assignment Essay Example | Topics and Well Written Essays - 500 words - 18

Assignment - Essay Example The lines consist of several curves, as well as, loose gestures. The curves are evident on the picture representing the dead Jesus. The belly consists of valley-like curves. Curves are used by artists whose intended messages on pictures are mainly emotionally based. The lines used in this picture are classical or analytical in nature. The lines are precise and are rationally and mathematically organized. The lines are drawn into scale in order to fit the available drawing page. The artist has used expressive lines in the above picture. The element of emotionality is evident in the picture. This was the artist’s intended message. The decoration of the photo, in terms of coloration is also an evident that the artists used expressive lines to come up with the picture. The artist of the above picture has used analytical lines. The lines are straight with no curves. The picture is also fixed in a small frame. This has been done to allow the viewing of all images in the picture. The lines used are expressive. There are several curves in the lines and the artist is trying to bring out an emotional status he/she had when composing the picture. The portrayal of the photo also reveals a lot concerning the emotionality of the photo. 7. Henri has used analytical lines in the designation of this photo. He has used straight lines with no curves. The lines are precise, rational, and mathematically organized. He has ensured that all that he wanted to present in the picture is included. This way, he manages to display his artistic skills. Expressive lines. Mary the artist has applied expressive lines when composing this picture with a view of showing the emotional aspect of the picture to the viewers. The lines are curved showing the image of a woman in 3D format. This enables the viewers comprehend the message behind this picture. Analytic lines have a close relationship with static composition. First, static composition implies

Friday, November 1, 2019

I could not travel both Discuss its connotation and denotation Essay

I could not travel both Discuss its connotation and denotation - Essay Example Reader can find both denotative and connotative layers of meaning through different images. Externally, the poem Road not Taken describes poet’s experience to choose a road which he felt enough comfort to travel. The speaker has no doubt taken the less common road, but he tells us only that it made all the difference, not what that difference was (Little & Bloom 132). Through the brilliant use of metaphor and imagery poet gives the real tension to the mind of the reader. Poet states the reader that when he reaches near the forest the road diverges into two and poet really confuses and after a serious evaluation poet chooses the second one. Poet reveals his helplessness by saying; â€Å"I could not travel both†. Poet is a single person and he cannot walk through both roads at the same time. In connotative way, the two roads mentioned here are two professions. In his youth Frost faced severe emotional conflict in selecting suitable profession; profession of a teacher and the profession of the poet. When the time of selection, poet evaluates both advantages and disadvantages of both professions deeply and both of them haunt him for a long time.