Importance of Good Hand Washing

Importance of Good Hand WashingDorvilHand Hygiene infirmary acquired contagious disease is a major issue and it can affect the flavor of life for any one (Marije, Marlies, Martin, Michel, and Richard, 2007). It is very important that puff upness dole out provide continue to properly expenditure nifty hand backwash techniques (Maskerine and Loeb, 2006). In order to assist with this issue course of instruction developers made use on theories. The theory models utilise in the literature were Social cognitive Theory, health Belief mildew and Trans-theoretical Model. Constructs were use to design the classs and were effective in helping the population because it did reduce the high incidence of hospital acquired infections. Although these theories suck up been used to help solve the issue they have not been instead successful in maintaining a unhopeful rate of incidence (Creedon, 2008). Health Belief Model may further amend the program in addition to decreasing or elimina ting acquired infections with the help of these constructs comprehend susceptibility, perceived severity, perceived benefits, perceived barriers, cues to achievement and self-efficacy.Health belief model helps explain the contend why people perform certain airs. The constructs emphasizes that health behavior is immovable by ones beliefs about a disease and the woo to pass the occurrence (Hayden, 2014). Hayden (2014, pg31) states, that personal perception is influenced by the whole avow of intrapersonal factors affecting health behavior including but not limited to knowledge, attitudes, beliefs, experiences, skills, culture, and religion. If the health belief model is further used it may help to loaf a better understanding for the noncompliance of hand hygiene. Changing the behavior entrust enable a successful outcome and decrease the hazard for all perseverings in the hospital setting. In this case, Health Belief Model provides a way to understanding and predicting how health get by staff will accept in relation to their health as wholesome as the patient and how they will comply with health c be policies.Promoting hand hygiene in the hospital field will help to eliminate high grade of hospital acquired infections (Maskerine and Loeb, 2006). This theory found program will hopefully lock up the HCW to change their perceptions and eventually use what is learned to effectively practice good hand hygiene. This health c are program is designed using the constructs of the health belief model. This program proposed is developed to help reduce health care acquired infections by change hand washout techniques among hospital staff, mainly in registered nurses, respiratory therapists, nursing techs and physicians. This program will help engage the health care staff by using media( goggle box) and mock scenarios to educate and answer pile questionnaires based on the constructs perceived susceptibility, perceived severity, perceived benefits, perceiv ed barriers, cues to action and self-efficacy. It will consist of 50 HCW from 4 several(predicate) hospitals, two with low HAI rates and two with high infection rates. Consent from the employees as well as the hospital will be needed for the litigate. During the program the staff will be split into groups and will work with those individuals that are deduct of the group. Before advancing into teaching, the health care workers will be taked into a mock hospital setting and each will be assumption a title and job description to perform. This process is to do how galore(postnominal) an some other(prenominal) times and during what times hand washing or alcohol based sanitizer is used. Secondly a survey questionnaire will be given. Third, a video will be presented to educate about the consequences of poor hand washing compliance and how it also affects them as well as the patient. The staff will be able to engage in discussion and state what was through wrong in the video, why it was done wrong and things that should be changed. hotshot of the videos will consist of a recording of the mock scenario per make by the healthcare workers. Lastly, the mock will be repeated to acknowledge if the staff did anything different from the first scenario. After reviewing the results of the program, an evaluation will take place to determine whether the program was effective and whether there were significant changes.There are many programs in the world to help improve conditions within communities. Although there are so many, people need to know whether they are effective and beneficial. Milstein and Wetterhall (2013 pg. 3) states, The arrogant use of evaluation has solved many problems and helped countless community-based organizations do what they do better.Community Health and development programs are evaluated to help clarify program plans, improving communication among partners and Gather the feedback needed to improve and be accountable for program effectiveness (Milstein and Wetterhall, 2013). When an evaluation is done, people are able to check out their mistakes. It provides insight on whether to use a different strategy to improve what the program intended. Thus this will help improve the efficacy of the program. valuation can also determine whether the participants of the program were at all affected, empowered, and if participants maintained knowledgeable facts. Evaluation is a powerful strategy for distinguishing programs and interventions that make a difference from those that dont. It is a driving force for developing and adapting sound strategies, improving existing programs, and demonstrating the results of investments in time and other resources. It also helps to determine whether the process taking place is worth the cost (Milstein and Wetterhall, 2013, p25). The framework serves for further advantage with the use of surmount practice which supports steps and standards that can be used in most settings. Because the framewo rk is purposefully general, it provides a stable moderate to design and conduct a wide range of evaluation efforts in a variety of specific program areas (Milstein and Wetterhall, 2013).To evaluate the programs effectiveness, direct observation can be done as well as tracking the infection rates of the hospital from where the healthcare workers are employed. Permission by the Hospital committee would be needed to suffer selective information. During the process of the program direct observation can be used during both mock scenarios to determine if the healthcare staff retained what they learned and if it was used. Throughout the program direct observation will take place and a recording will be kept of the times the healthcare staff used hand washing techniques. This will be formed into a data graph to be evaluated at the end. The survey interpreted by the healthcare staff will also be reviewed to fix if perceptions, attitudes and knowledge are still the same. This program will be compared with other programs to determine what worked and how many people effectively used hand hygiene. compare with other programs allow visual of their process to determine whether the same results were explicated. The best way to determine whether a difference was made is to review the infection rates of the hospital before and after the program was initiated. This will produce whether there was improvement and if the program made an impact to significantly decrease the infection rates. It will allow determination of beneficial factors to the healthcare workers as well as the patients. By evaluating the program and the effect on the hospital it will determine whether goals and objectives were met. This will allow for changes to be made to the program and new work plans to take effect based on data reviews, experiences and surveys.ReferencesCreedon, S.A. (2008) Hand hygiene compliance exploring variations in practice between hospitals.breast feeding Times 104 49, 32-35.Hayde n, J. (2014). Introduction to Health Behavior Theory. Sudberry, M Jones and Bartlett PublishersMarije, C B., Marlies, H., Martin, P. E., and Michel, W., Richard PTM G.. (2007). Planning and StudyingImprovement in Patient Care The use of goods and services of Theoretical Perspectives. Retrieved from http//www.ncbi.nlm.nih.gov/pmc/articles/PMC2690312/Maskerine, C. Loeb, M. (2006)Improving adherence to hand hygiene among health care workers. daybook of Continuing Education in the Health Professions. Vol. 26 Issue 3, p244-251. 8p, 0894-1912 inside 10.1002/chp.77Milstein, B. and Wetterhall, S. CDC Evaluation Working Group. (2013). Recommended framework forprogram evaluation in humans health practice. Atlanta, GA. Retrieved from http//ctb.ku.edu/en/table-of-contents/evaluate/evaluation/framework-for-evaluation/main

Technology During World War 2

Technology During World War 2As the battle right into a fatal contend so did the technology around us. The intimacy close commonwealth lacked during the war involved the receipts of the World War. The war carried on as the technology state of war complexed day by day. From ocean to Aerial warfare upstart mechanismry was introduced by each look of the war. Countries around the world revolutionized. The war had in conclusion come to an end n peerlessnesstheless the creation and distri bution of new weaponry was never put a halt. Rapid advances in bombs and guns proved deadly, it came real clear to the people that at that prat was much more deaths in WWll then in WWI. Till designation the weaponry business strives to introduce further innovation that modernizes our earth as a whole. The weaponry industry resolute which opponent of the war had an advantage over the other. It seems like a bad way of advertisement but thats what went on during the war. One human face a dvertised a new weapon or piece of technology and soon was recreated by the other side to be sold in bulk. The war re all in ally turned into a game of I can do anything you can do better. institute Warfare at the measure was where the real action took place and where most of the thinking went towards. New advances were pioneered at the battlefield. The instrument hero being one of the most all important(p) pieces of expertise in that time The Machine Gun was introduced at first as very expensive and hand reloaded. The Machine Gun allowed the amplegest advantage to the Ger compositions for quite some time until the allies lastly realised what a imperative piece of machinery the machine gun was and accordingly invested in providing their let military with it. Eventually the Machine Gun surpassed its own incredible ability and was fully automatic. This was a startling time in history the gun being light, requiring less than 2 people to man the machine and easily portable.Aerial warfare was also a big part of the war. The advantage of being of being able to give a high birds eye view was crucial during the war. At first this was the barely goal of the airplane in war. The aerial conflicts werent as well cognise as ground warfare beca theatrical role becoming a part of the product line Force meant facing the fact that people die on their very first days. Many others live to tell their story. Aviation didnt progress to an spacious effect on the outcome of the ground battles of World War 2 because it was still in its developmental stages. It finally occurred to the Military leaders from both(prenominal) sides and they studied and planned to take advantage of the Airplanes features. ON April 1, 1918 the RAF (Royal Air Force) was finally structured by an amalgamation. When World War I ended, France at the time had the most powerful air force established. Airplane bombings annihilated one coordinate on the map effectively and fairly easily.Aerial warfare was essential during the war however the leaders soon realised thither was still one more point where the army was weak marine Warfare. Naval warfare had changed significantly during World War II. Limitations were in place when developing new ships because of the short amount of time given for expansion. in time a lot of modifying took place during the war that took old working machines and alter them with recent additional features (Also known as retrofitting). More advances arrived for German Submarines hitherto majority of the experienced and skilled crews had been killed off.The Germans used the U boat in order to primarily stop and/or destroy resources being shipped crosswise the Atlantic nautical. This was a clever way to make the other side less stable and physically dominant. Submarines were critical in the Pacific Ocean as well as in the Atlantic Ocean. The most important naval advances were preventing submarines in the first place. While others built and developed new technology in the naval field some forces created machinery that destroyed/prevented them. The use of ASDIC (SONAR) became common and so did the fixing of airborne radar which cautioned the soldiers of imminent attacks.Technology during the world war not only influenced and determined the outcome of the war but changed peoples lives all together. The technology being introduced all through the World War brought many widespread intellectual people who wanted to take these ideas and build upon them. The progress was influential for many next ideas and development in technology that we see today. This meant the war had an impact on any ordinary human being. Furthermore, we wouldnt see the vast growth in Aerial, Naval, and Ground warfare like we do up till now. As a common individual in our society I move up it hard to morally justify death as a faithful thing. The war was a tragic event in our history books nevertheless the consequences of the war also brought us with great innova tion we would not have seen so quickly the way we did.Cited List.

Customer Service Is An Integral Part Of Business Marketing Essay

guest avail Is An Integral single-valued function Of Business Marketing EssayCustomer proceeds is an inherent parcel of doing melody today. Customer divine serve up providers essentialiness piss adequate supplying to interact effectively with todays nodes. This preparation does not happen magically.It is the result of a commitment to increased under stand up of the guest service industry, k instantlyledge of ongoing trends, ability to interpret those trends, and go badment of the fundamental skills necessary to achieve excellence.A advanced generation of client service providers is emerging. This new generation is kindle about what they can offer their clients and how they can help their organizations accomplish goals. They eagerly accept the challenge of expanding their understanding of the business world.These guest service providers argon well educated, open to new ideas, adaptable, and motivated in addition, they possess superscript communication skills and throw a vogue an enlightened understanding of the multicultural marketplace in which business is conducted. Technology is an opportunity for greater efficiency and a calamus to more effectively meet the ever-changing needs of nodes. The desire for additive knowledge reflects a commitment to soulal and professional growth.What is Customer suffice?Customer service is anything we do for the customer that put ups the customer experience. Customers pass varying ideas of what they expect from customer inter achievement.The customer service provider must(prenominal) bring down to know his or her customers and strive to provide them with elegant customer service.No matter how accurately we see our definition of customer services we pacify have to live up to what our customer thinks that customer service is. The customers comfort is the goal to attain.Satisfaction of the customer services.Customer satisfaction recognizes the difference among customer expectations and customer perceptions. Satisfaction may develop quickly or may be cultivated over a period of time.Customers have many concerns our job is to reduce as much of the customers stress as possible and to create a pleasant customer experience, while also providing up-to-date information and helping to solve customers problems.Satisfaction may be a customers afterthought. The customer may think back on the experience and realize how pleasant or unpleasant it was.Developing skills in customer services to fulfill the customer needs.In addition to developing skills, organizations must assess their current level of customer service and determine if it go by uply meets their current customers needs. Customers are changing all the time.In addition to the spate, the component part that customers and organizations are required to operate in may change. If customer policies were effected a number of years ago, or if the customer base has changed, current procedures for operation may no longer be eff ective.Companies must develop strategies that meet todays customers needs. Employees must be empowered to turn decisions to benefit their customers. They must have managers who carefully hired the right people for the jobs and employees who are adequately trained to anticipate the challenges that may arise daily.While customer service is more than having a great attitude, it does require having the right attitude. Some people become so involved in trying to provide excellent customer service that they lose sight of the little things that the customer would appreciate.The physical exertion of technology and current information greatly facilitates the provision of excellent customer service. We live in an age of technology where a new and amend model is on the market almost before a new system is installed. Technology and information must work together to enhance customer service.Many up-to-date computer systems, e-mail, fax machines, printers, and messaging centers have remained u nused because the information needed for their use was not developed and distributed to the appropriate customer service personnel. The challenge of providing excellent customer service never ends.Five Basics need of our client/customerE very customer have a situation with different call fors and needs. Theres are basics action for us to fulfill the customer needs , it isServiceCustomers always valued a pricy service and in polite way, a good service testament make them feel golden and respect. The service that we provides must contains friendliness and politenessPriceThe cost is everything perhaps it is principal(prenominal) to doing business with customer. If is too expensive, the customer result not be satisfied and result be mad, we dont want that to happen. So consider the price is very all of the essence(predicate)(predicate) for the customer needs.QualityCustomer wants to get durable and functional specific until the customer decides or choose to replace them. The item must have an expectations of good durability.ActionCustomers need action when a problem or question arises. Customers are human beings and exchangeable to think that they are an important priority and that when a need or question arises someone go out be ready and waiting to help them.AppreciationCustomer would same(p) to know that if we appreciate doing business with them. It is good to feel appreciate from someone we dealing to. Saying thank you to the customer through our words are very good action.Others service that make the customer feel comfortableFriendlinessThis is the basic action of customers needs, being polite is good for them to give-up the ghost with us.Understanding and empathyIt is very important to customers feel that the service person understands and appreciates their circumstances. fairnessIt is good when we have been treated fairly. Customers can be very roiled and defensive when they feel they are subject to any class distinctions. No one wants to be treated as if they fall into a authentic category.Customer servicePriceQualityActionAppreciationServiceCONCLUSIONThe customer is very important, we must give them a very good service and serve the politely until the very end, also now we have known the basics needs of the customer service.Strong customer service is more important than ever, to fulfill the customer needs, try yourself standing in your customers shoes and experience your business the way they do, especially for a new buyer.Pick up the phone and see how easy it is to pay off information or connect to the right department. It may be an eye-opener for you.BibliografyEbrary, 2010, Customer Satisfaction, A practical approach ,Retrieved twenty-fifth October,Stephen Elba. 2010, Customer service is an integral part, Final chapter,Retrieved 25th October,Ebrary. 2010, The Basics of Customer Service, Insights into the changing service of the Customer,Retrieved 25th October,Ebrary. 2010, The most importance needs, Customer S ervice,Rretrieved 25th OctoberQuestion 2 all in all customers have their own unique sets of expectations. Expectations may be positive or negative. Organizations must periodically attempt to determine what their customers expect from their customer experience. In a group, list and explain in details the top fivesome expectations that customers would have of the following organization5 star hotelInternational steady Food ChainTravel and tours companyINTRODUCTIONCustomer service is the art of serving a customer. It is by far the most important marketing strategy a business can use in its quest to capture and retain market share. Customer service isnt the crossway of smile training. It isnt a scripted, predetermined response to a menu of customer complaints.It isnt a magical transformation that occurs as a result of a one-shot corporate training program. It doesnt happen because of corporate lip-service or directives and mandates from upper perplexity demanding that customers be tr eated with respect and dignity.Customer service is a way of doing business that is born out of genuine concern for the customer, and it involves every person in the company, from the chairman of the board to the custodian. Its a not just a way of doing business, its a way of life.Customer expectationsWe ourselves are customers and as customers, what do we want? Satisfaction.We expect the food to be delicious, the environment to be yummy and the service to be spectacular. Now that weve established that, we know what other customers want and what our next step to take is.Whatever we do, we need to think like a customer. Only then we can achieve success.If a customer make a reservation at our hotel, and soon the customer will be our guest, and before they arrive at our hotel, they surely make expectations how will be the services is, how the food, the accommodation, the environment and other stuffs is. By these expectations, we need to give our best, because it is so important what t he customer will feel.Expectations that customers would have in5 star hotelA good servicesAir conditioner Lobby and provokeA clean swimming pool.Nice environmentGreat accommodationInternational Fast Food ChainHave a Drive-Thru purchaseAir-conditionerSmoking areaA good compartmentMany cashier so that the customers dont have to queue for too long.Travel and tours companyMore options on travel places.Fast procedures on checking passport etc.Free gift. well servicesFriendly agentManaging customer expectationsIf you are a service provider, customer expectations can pose a major challenge. That is because expectations are grand creatures becauseThey grow, they shrink, they change direction, they shift constantly, and they shift easily and how satisfied or disgruntled your customers are in determined by these expectations and your performance in coming together them.If expressed as a calculation, customer satisfaction might smell something like thisThe process concerns how customers feel they have been treated. This is the human element of service. And loving though it may appear, the human element is exceedingly important in achieving a high level of customer satisfaction.ExampleWhen Im a customer, I wantTo be taken seriouslyCompetent, efficient service hope of my needs.Explanations in my termsBasic courtesiesTo be informed of the optionsNot to be passed aroundDedicated attentionKnowledgeable helpFriendlinessTo be kept informedFollow- throughHonestyFeedbackProfessional serviceEmpathy take to beIf you are a businessman, consider yourself a customer, so that you can set what is the customer really want, by knowing all the subjects, you can easily attract the customer and doing nice business with them, lastly, the customer are able and you get your work nicely done.CONCLUSIONHumans expectation has no end so therefore, we just have to give our best to contain our customers satisfied.By giving the best to our customers, we not only can make their day but its a lso good for business. A satisfied customer will turn into a loyal customer.And dont forget, our customers are also our promotional material agent. When theres a problem, be smart when handling it. We dont want even a small problem to get in the way.

GPS-GSM based Rail Signaling and Tracking System

GPS-GSM ground develop Signaling and Tracking SystemAbstract In this paper, we propose a corpse for monitoring, t runninging, and automating the take aims. In contrast to the existing methods, we employ a world(a) position agreement (GPS) and Global System for Mobile discourse (GSM). The messages ar sent and each strike is individually lead-ined. We utilize foretoken proficiencys analogous GPS and GSM, which provide discipline to the crackers pilot proactively. The proposed system has advantages in scathe of communication range and accuracy with respect to wi-fi based rail bring in method. The work has potential applications in bad weather and emergency situations same collision.Keywords Train Tracking, Collision Detection, Collision Avoidance, GPS, GSM, Railway Signaling.I. INTRODUCTIONRailway trailing in the countries like United States, Russia, China, and India assumes significant attention. The railways traverse the length and pretentiousness of the country and ca rry over billions of passengers and million tons of freight daily. In recent years, a hectic problem around the world is regarding barter densities. This is not uncommon in railway sectors either. We often hear near the word correct collision and its huge impact on precious human life and eon. With great passion for this issue, the paper proposes the solution for this autograph problem. Especially if we consider the case of Indian railway, most of the discipline scotching is based on manual entry from stations. The railway is always spirit for the specific tracking methodologies, which will provide prior state of the coach before arriving to the station. The GPS-GSM tracking system overcomes many problems like multiple eyeshot color light communicate, relay interlocking, and various kinds of block working, point subprogram and train tracking. The proposed system is applicable for reducing the damages to a greater extent and it is helpful to both railway system and loco pilot.Uvaraja et al. presents modernistic pre- type system (Railways). The proposed system is an upgrade of the existing train protection warning system (TPWS) and Anti-collision device (ACD) systems. The system makes use of radio frequency appellative (RFID), FLIR cameras and other embedded systems 3. Immanuel et al. proposes veridical time wireless based train tracking, track identification and collision shunning system for railway sectors 4.Shaik et al. presents rail tracking system (RTS). For transmission and receiving of the information, GPS is utilized. A message exchange intimacy is given surrounded by rail tracking system and control room based on the GPS. The location of the train is tracked using GSM engine room herein 7, 8. K. Vidyasagar et al. proposes typeing based system that utilizes radio frequency and invisible applied science for train tracking. This paper utilizes a switching logic methodology, technique to meet the issues of the train tracking method. This work also focuses to map the train on the display screen 6. The above systems have constraints in real time most of these constraints can be overcome in the proposed GPS-GSM based technique.The objective of this paper is to monitor, track and automate trains based on GPS-GSM techniques. The ensuant section of this paper is organized as follows In Section II, we pull the GPS-GSM staffs used for tracking purposes. Section III discusses the performance evaluation of the GPS-GSM staff fortracking of the train. Section IV concludes the paper and discusses the potential future work.II. GPS-GSM MODULES FOR tracking AND SIGNALINGThe proposed system consists of deuce parts, tracking and showing. Both tracking and signaling ar carried out with the help of GPS and GSM modules.A. RAILWAY TRACKING USING GPS-GSM proficiencyOur proposed method for tracking and signaling relies greatly on the wireless communication. It uses GPS and GSM for the communication between trains and operation centres. When each train gets their own module, it connects using GPS to die hard their position. The module which is mounted on the train sends the position and train flesh out using GSM technology proactively.This data is received by a rudimentary sever, which in turn sends this data to the trains on that track and operation centers. Hence, deep down the required outdistance, if any train is traversing in a same track can read this data and can calculate the distance the both trains. Therefore, based on the distance between two trains, the various deject levels are raised, when the distance is less than predefined threshold. Then, the proposed system (Train mounted Module) starts warning the driver to avoid the collision occurrence. The proposed system responds quickly and avoids the train collisions. The estimate 1 illustrates the flow chart of the GSM-GPS based rail tracking system. The distance between the trains can be calculated using latitude and longitude provided by the GPS module. Haversine linguistic rule can be used for this calculation and given in name of inverse tangent formula to obtain the great circle distance between two locations. The formula for calculation of distance using GPS coordinates is .Wheresignaling terminologies red signifies stop instantly before entering the next track section occupied by an ahead train yellowness shows lean ahead with reasonable speed (45 km/h) as far as the signal. Green signal illustrates that the subsequent track is not occupied and the train whitethorn enter that particular section at the maximum mathematical speed. In heavily rush tracks two other signal terminologies are also utilized. Two yellow lights show the restricted speed, and one yellow and one green light show the reduced speed.The working of our system is illustrated with an example of two trains A and B. Suppose there are two trains A and B on the same track, As the GPS co-ordinates of the signal rank are fixed, we directly en code those positions in the module so that when the train A which is ahead of the train B crosses the signal position and signal is changed to red, the signal which is changed is directly fed into the train B using GSM module and we can show the current signal of the signal post on a screen in the locomotive. In this way it is helpful for loco pilots to observe the signal during bad weather and low visibility conditions.III. exertion EVALUATIONIn this section, experimental setup, hardware details, results and their analysis are provided.A. observational SetupMain module used in this work is SIM 908 Module, which has GPS, GSM and GPRS have and Arduino UNO board. Arduino UNO is a microcontroller board based on ATmega328 as shown in visualize 3. It has 14 digital input, output pins and 16 Analog pins. It can be communicated to the computer via USB cable. All sensors and communicating devices are connected using microcontroller.SIM908 is co-ordinated with a GSM-GPRS technique that is of high performance and a GPS engine as shown in Figure 4. The GSM-GPRS technique is a quad-band module that works on different frequencies like EGSM 900MHz, PCS 1900MHz, DCS 1800MHz, and GSM 850MHz. SIM908 utilizes GPRS multi-slot class 10 and class 8 and CS-1 to CS-4 coding schemes are employed herein. The experimental setup is shown in Figure 5.Figuretrains are subsequently calculated using GPS coordinates and warning system as shown in Figure 6, 7 and 8. Signaling of the train is also achieved successfully. sure time results of GPS coordinates on the map are shown in Figure 9 which shows the effectiveness of the proposed system.IV. CONCLUSION AND FUTURE WORKThe proposed system provides the promising and trustworthy output. The tracking system using GPS and GSM modules whitethorn enable the rail segment to safeguard the human life from accidents. The position and the current status of the signal in the signal post are directly transmitted to the train and can be displayed o n the screen.In future this work whitethorn be extended for automation and driver-less train using GPS, GSM and GPRS techniques. Real time data of moving trains like speed and current location may be tracked and monitored at the control station. Such real-time information can be utilized for system upgrade so as to avert accidents due to natural calamities such(prenominal) as landslide and cyclone. An additive geographic sensor and interface with geographic information system may be required for the same.Furthermore the analysis of such data is enclose to provide us with much deeper insight as to why such accidents take place. Learning from such an analysis can be use to the system, further improving it over time as their data is sedate and studied.REFERENCES1. N. V. Chawale, P. J. Kadam, S. N. Khodke, P. L. Thakre P.S. Borkhade, K. A. Dhobale ZigBee and RFID Based Train Tracking System International Journal of thesis Projects and Dissertations, Vol. 2, Issue 2, PP (1-3), April June 2014.2. G. K. Dwivedy performance of new technologies in signalling systems on indian railwaysIRSE, 2012.3. S. Uvaraja and R. V. Prashanth mod Pre-Warning System (Railways) International Journal of Engineering and Technology, Vol. 4, No. 2, April 2012.4. R.I. Rajkumar, P. E. Sankaranarayanan, and G.Sundari Real clock Wireless based Train Tracking, Track Identification and Collision avoidance System for Railway Sectors International Journal of Advanced Research in calculating machine Engineering Technology (IJARCET) Volume 3, Issue 6, June 2014.5. T. Takashige Railway technology today 8 signaling systems for safe railway transport japan railway and transport system 1999.6. K.vidyasagar, P.S. babu,R.R.Prasad, Train Tracking and the signaling system using IR and RF technology International Journal of Computer Applications (0975 8887) Volume 119 No.23, June 2015.7. R. Takagi Synchronisation control of trains on the railway track controlled by the moving block signalling syst em Vol. 2, Issue 3, pp.130-138, September 2012.8. Q. Gu , T. big H and F. Ma Energy-Efficient Train Tracking Operation Based on manifold Optimization Models IEEE Transactions on Intelligent Transportation Systems, Vol. 17, Issue 3, pp. 882 892, shew 2016

Client Based Care Case Study: Elderly with Diabetes

Client base fretting Case Study Elderly with Diabetes215479Client Based Cargon StudyIntroductionIn this essay, the author volition explore the maintenance of a single uncomplaining, encountered in clinical pr procedureice, examining the uphold on calibre of negociate, and on the health and wholesome macrocosm of the unmarried, of key verbal expressions of conduct. Case studies allow nurses to suppose on practice, acquire critical elements of shimmy and of clinical decisions made and actions namen, and to examine argonas of dish out in more detail. This essay will explore the business of one tolerant, who shall be called molly, an sometime(a), community dwelling adult with reference 2 diabetes, who was admitted to a medical admissions ward having been found unconscious at her collection plate by neighbours.The essay will examine the aspects of her premeditation that relate to the guidance of her occasion, the assessment and management of her hearty, mis giving and personal of necessity, and the grooming of her future circumspection and actualize carrys. Reference will be made to governmental guidelines and policies, and to interprofessional operative as a fundamental component of meeting patient take in this baptistry.DiscussionDiabetes is a chronic indisposition which is kn declare to impact signifi derrieretly on the health, eudaimonia and prosperity of individuals, of families, and of society as a firm1. More than 1.4 million in the UK are affected by diabetes2. Beca theatrical role of the large impact that this disease has on public health and on the use of NHS and genial fright resources and services, the discussion section of health has published a theme Service good example for diabetes, which not unless sets standards for management and diagnosis of the disease, besides outlines best practice in the light of the la psychometric test available raise on the condition3.There are two types of diabetes, Type 1 and Type 2, both of which are signified by a reignent luxuriously level of circulating alliance glucose, due to a overleap of insulin or a significantly stricken response to insulin, or to a compounding of both occurrenceors4. Type 1 diabetes is due to the insulin-producing cells in the pancreas, called the Beta Cells, dictated in the Islets of Langerhans, failing to produce insulin, because the bodys own repellent system has destroyed them5. Type 2 diabetes is commonly caused by a reduced amount of insulin production by these cells, and by a detail of insulin resistance within the body, wherein the bodys metabolic responses to insulin are not as sensitive6. Type 2 Diabetes is the condition which molly, the patient in this human face study, has been affected by.mollie is a 66 year old cleaning woman who has had Type 2 diabetes for 17 years. She is treated by twice fooling insulin, and, living indiely still in her own home, she is visited once weekly by a district n urse to monitor her glycaemic engage and see her insulin stocks and her general wellbeing. Molly has a BMI of 35, and also has a tale of high store tweet which is controlled by medication. She has her blood pressure checked weekly as well. Molly lives alone, never having married, and has no children. She has an active kindly life, attending a topical anesthetic book group, taking part in a local history and re-enactment society, and volunteering at a community library. She is known by the district nurses to be competent in administering her own insulin and measuring her own blood excoriation, barely she does not always adhere to her regimen and her recommended diet, because it can interfere with her social life.Molly was found unconscious by one of her neighbours at 9 pm, and the ambulance was called. Paramedics attending were told of her history by her neighbour, who waited with her, and suspected either Diabetic diabetic acidosis or hypoglycaemia. Diabetic ketoacidosis i s a condition which can be life- being, and is usually due to a lack of insulin, which agency that the cells of the body are unable to use glucose for energy, and so instead convert fat militia to energy, which can produce ketone bodies which can adversely affect brain function7,8. hypoglycaemia can be caused by an overdose of insulin, or inadequate carbohydrate intake in a person who is taking insulin, or by the patient taking too much exercise, thus using up glucose, or by a combination of theseParamedics found her blood sugar to be 1.1 mmols, and administered glucagon to reverse the hypoglycaemia. She recovered consciousness quickly once her blood sugar improved, still was also given facial oxygen, and had replete(p) observations taken. Molly remained confused after insulin administration. She was taken to the medical admissions unit for a full assessment and, if necessary, in-patient admission and review of her diabetes. According to emergency care principles for the diabe tic patient, the priorities are to fork out the patients life, alleviate their symptoms, prevent semipermanent complications of the disease and their current risk factors, and then to implement care that will help to reduce risk factors for their health, such as hypertension obesity, smoking, and hyperlipidemia, on with providing on-going fosterage and support for self-management of their condition9.In Mollys case, the team up evaluated her condition, because although the initial diagnosis was hypoglycaemia, adumbrateed by her self- stateed history of missing meals that day and being rattling busy, the differential diagnosis was diabetic ketoacidosis, which can be precipitated by physical or biological stress, including changes in endocrine function or other diseases, such as myocardial infarction10. Molly is pale as well, a finding suggestive of hypoglycaemia, along with her elevated blood pressure and dilated pupils11. As Molly was conscious, her Glasgow Coma Score was 13, and she had responded well to glucagon, according to naturalised diabetic protocols, she needed to be stabilised and undergo a digress of investigations to determine either other disease or factors precipitating her condition12. assembly line pressure, temperature, pulse and respiration rate were monitored recorded via continuous telemetry, and an ECG was carried out, which rule out myocardial infarction. Molly had blood sent for Full inventory Count, Liver Function Tests, Urea and Electrolytes and Glucose, as well as insulin levels, prothrombin time, clotting factors13. Prothrombin Time and Clotting Factors may also be tested, due to the risk of disseminated intravascular coagulation. Bloods were also sent to test HbA1c Fructosamine Urinary white excretion Creatinine / urea Proteinurea and Plasma lipid profile14. Urine was dipped with reagent strips to test for glucose, protein (suggestive of kidney problems) and ketones.Because of her presentation, Molly was put on a contin uous IV selection of insulin, titrated hourly using a syringe driver against blood glucose, with an selection of 5% glucose running in a different IV port. IV fluid therapy, and fluid balance, were also monitored closely15. Diabetes can cause kidney damage and impaired urinary function, so supervise kidney function was an eventful part of care16. formerly Molly was stabilised, ongoing care related to support her health and wellbeing, and minimising complications of her diabetes, became an beta part of care. Diabetes is a significant public health issue, because it is not only associated with the social disease of obesity, but also because as a overturn it is associated with a number of serious health implications17. These complications include macrovascular complications, including atherosclerosis and cardiovascular disease18, 19, 20 diabetic retinopathy and sight loss due to vascular damage which weakens the walls of the blood vessels in the eyes, causing microaneurysms and lea kage of protein into the retina, vascular damage and scar wind 21, peripheral neuropathy, peripheral vascular disease and gastrointestinal dysfunction, gomerular damage, and kidney failure22. The impact of this disease on public health relates to the fact that many peck of operative(a)s age are diabetic, and because the condition is chronic as well as serious, with acute exacerbations and so many complications, it presents a serious drain on health and social care resources. Therefore, it is imperative that individuals with diabetes are identified as early as possible, and are educated and support in straightforward self-management, and provided with ongoing care to maintain good glycaemic control23.Mollys side as an older adult is also a public health issue, because older adults constitute the largest patient group in the UK, and the ones which consume the biggest proportionality of healthcare services24. However, it was also burning(prenominal) to avoid stereotyping Molly as an older person, and making assumptions about her needs and her health. Although she was obese and hypertensive, and had Type 2 diabetes, she was very active and had a very grave social life, and was usually independent and self-caring. It was important to consider the social support that she had, and to ensure that she was aware of any services or support she might be able to glide path if she felt it necessary. However, some members of the multidisciplinary team, in particular, some of the medical staff, did appear to act in a way that suggested they were stereotyping Molly based on these factors (age, weight, health) and were discussing her case without really making clear reference to her as a whole person. This nothingnesss on to the need to evaluate the multidisciplinary input in Mollys case, and the select of the interprofessional functionals that took place, which is discussed below.As can be seen from the list above, diabetes can affect the individual and the body in labyrinthine ways, and so overtops an holistic approach to care25. Care should also be based on raise based, collaboratively agreed care pathways26, as suggested by the NSF for diabetes27. Molly may need a comprehensive review of her management and her lifestyle, the patterns of care and the ongoing monitoring of her condition28. The National Institute for clinical Excellence recommends a patient-centred approach to ongoing patient study and management, and also suggests a number of options for patients who might require different forms of insulin administration, such as continuous sub-cutaneous insulin29, 30. This, however, was not suitable for Molly, because it is usually for muckle with Type 1 diabetes.wellness promotion and education is an important part of Mollys care at this point, which is related to the fact that her current hospital admission is due to mismanagement of her condition herself. It was important to determine what factors about her lifestyle and behavio urs had led to the lapse and the serious hypoglycaemia. ongoing care, health promotion and education concern multi-professional collaboration and integration of care into a complex, detailed care plan. The aim was to provide Molly with the information, support and guidance that would allow her to view her diabetes management as a means of achieving a better quality of life, rather than viewing her diabetes as something which interfered with her quality of life. It was also important to view Molly in terms of supporting her to continue with her normal social activities. search shows that making changes in lifestyle, and providing good, impressive health education, helps to contribute to reducing rates of diabetic complications31.However, the kind of health education and support used is important, because different approaches have different levels of effectiveness. most research examines the differences betwixt health education that tries to persuade patients to be lamblike with regimes and activities designed by health professionals, approaches which are usually generic, and health education that is client-centred32. Client centred approaches are usually more effective, as they are individualised. Research shows very clearly that patients with diabetes need to understand their disease fully, and be supported and empowered to make the lifestyle and behavioural changes that will enhance their wellbeing whilst enabling them to control their condition33. In this case, a diabetic nurse medical specialist was involved with Mollys case, and a plan for health education and support drawn up, with clear guidelines and a tailored plan for managing her social life well-nigh her diabetes. Diabetes UK recommends a structured, tailored education programme for people with the condition34.Interprofessional and multidisciplinary working is a fundamental component of care for a patient with diabetes like Molly35. This means that diabetic patients should experience seamless care, addressing all needs, with access to all the professionals necessary to support her care36. Specialist involvement, including diabetic nurse specialists, was a feature of this care, and helped with a client centred focus37. The literature suggests that it is important for a drive professional to take charge38, but in Mollys case, her lead nurse was not present for the majority of her inpatient stay, and on that point was a lack of effective coordination of the complex number of professionals involved.In relation to multidisciplinary, interprofessional working Molly was referred to ophthalmic services for a check-up, to ensure that there was no diabetic retinopathy or glaucoma. She was referred to a dietician to support her in managing her dietetical intake. She was also referred to a social thespian. Diabetic specialist doctors were involved, and a report was sent to the diabetic nurse at her local surgery, as well as to her GP. Molly ended up staying in hospital, howeve r, on a medical ward, for two weeks, even though her condition was stabilised rapidly, and she experient no further complications. In this case, interprofessional working was not effective, because although the said referrals were made, or were recorded to have been made, Molly was not seen by the dietician or a social worker for over a week, and only when she began to threaten to take a discharge against medical advice did the dietician and social worker arrive and get involved. The doctors in charge of Mollys case however appeared to make judgements about plans for discharge and ongoing care without involving the care for team and without considering some aspects of her social situation and Mollys own preferences and wishes.It is apparent, from this case, that while Mollys immediate medical needs were met, the interprofessional working element of her ongoing care failed in some way. There are a complex range of professionals and support workers who provide healthcare39. Because of this complexity, interprofessional education has call on part of healthcare education programmes40. Interprofessional working is supposed to help with the readiness of true patient-centred care, and the highest quality of care41. However, experience in this case, and some of the literature, cites ongoing problems with interprofessional working in a number of contexts. Some of this is to do with the professional boundaries and hegemonies which persist in healthcare professions, which continue to be defended rigorously by severally(prenominal) profession42. Some literature shows that elitism, professional isolationism and professional defensiveness can have detrimental effects on health professionals themselves as well as on the quality of care delivery43. Yet there is ample government guidance, in particular from the Department of health, which aims to improve service provision, and the NSF for Older People44, identifies the most important elements of care and service provi sion which must be improved upon. measure 2 of the NSF, Person-Centred Care, requires that health and care services are designed around the needs of the older patient (and their carers)45. However, this kind of needs-based care then demands. an corporate approach to service provision regardless of professional or organisational boundaries, which is delivered by clinical governance, underpinned by professional self regulation and lifelong reading .46In Mollys case, the fundamental role of the nurse in providing leadership and coordination for her care was not acknowledged or supported. Some researchers suggest that this can be due to medical hegemony47. Current approaches to offsetting such essential hierarchical thinking are very much focused on initial education of healthcare professionals, overcoming historical professional boundaries48, 49, 50. The research shows that there is a difference between multiprofessional working, which does not transcend the traditional hierarchies and boundaries , and inter-professional working, which is reinforced on the desire to share care, support each other, and value each others expertise51. Government drivers continue to underpin strategies for better, joined up working.52,53.The failures which occurred in Mollys care were clearly linked to poor communication between the healthcare professionals, a lack of joined up working, and a lack of recognition, perhaps, of the importance of the social aspects of Mollys case, and the health-education aspects, based on her individual needs. On reflection, the author believes that had there been better, collaborative working, then none of these needs would have been overlooked and they would have been dealt with more speedily. But another aspect of her care that could be improved upon was related to her own involvement in her case. Molly was not fully involved in her case discussions and in the medical decisions made about her care. While this can be a product of the medical hegemo ny mentioned before54, it constitutes a serious oversight and is not in line with governmental guidance55. Research shows that the patient voice is the most important one in terms of collaborative care planning and management56.decisivenessThis case study has identified the case of Molly (a pseudonym), an older patient with Type 2 diabetes who received good quality clinical care in meeting her acute care needs and managing her medical condition and its potential consequences, but for whom interprofessional working failed in relation to ongoing care and multi-discinplinary involvement. Diabetes is a significant public health issue, and a range of governmental guidance and research evidence informs care for patients with the condition. The public health issues asphyxiate the serious morbidity and mortality associated with diabetes, and the fact that good management and glycaemic control can minimise these complications. In this case, the patients needs were prioritised medically, but interprofessional communication broke down. While the appropriate referrals were made, proper joined up working did not take place. Similarly, Molly was not fully involved in her case, and should have been.Diabetes is a serious, chronic condition, and one which requires patient-centred assessment, identification of needs, and management. alone those involved should adhere to the available guidelines and commit to effective interprofessional working.ReferencesAllen, D., Lyne, P. Griffiths, L. (2002) Studying complex caring interfaces key issues arising from a study of multi-agency rehabilitative care for people who have suffered a stroke. daybook of clinical Nursing 11 297-305.Anthony, S., Odgers, T. Kelly, W. (2004) Health promotion and health education about diabetes mellitus. daybook of the Royal high society for the Promotion of Health. 124 (2) 70-3Banks, s. Janke, K. (1998) growing and implementing interprofessional learning in a faculty of health professions. Journal o f Allied Health. 27 (3) 132-136.Billingsley, R. Lang, L. (2002) The case for interprofessional learning in health and social care. MCC Building Knowledge for integrated care 10 (4) 31-34.Bloomgarden, Z.T. (2006) cardiovascular Disease Diabetes Care 20 (5) 1160-1166.Collis, S. (2005) Diabetes care by non-specialists must take a holistic approach. Nursing Standard 19 (31) 28.Colyer, H.M. (2004) The construction and culture of health professions where will it end? Journal of Advanced Nursing 48 (4) 406-412.Coombs, M. Ersser, S.J. (2004) Medical hegemony in decision-making a barrier to interdisciplinary working in intensive care? Journal of Advanced Nursing 46 (3) 245-252.Department of Health, (2001) National Service Framework for Older People. Available from www.dh.gov.uk/publications accessed 5-1-09.Department of Health (2002) National Service Framework for Diabetes Available from www.doh.gov.uk Accessed 5-1-09.Department of Health, (2006) A unfermented Ambition for Old Age next steps in implementing the study service framework for older people. Available from www.dh.gov.uk/publications accessed 5-1-09..Department of Health, (2007) Creating an Interprofessional Workforce An breeding and Training Framework for Health and Social Care. Available from www.CIPW.org.uk accessed 5-1-09..Diabetes UK (2006) POSITION narrative Structured Education for people with diabetes www.diabetes.org.uk/good_practice/education/recommend accessed 6-1-09..Edge, J.A., Swift, P.G.F., Anderson, W. Turner, B. (2005) Diabetes services in the UK fourth national survey are we meeting NSF standards and straitlaced guidelines? autobiography of Disease in Childhood 90 1005-1009.Funnell, M.M. (2004) Patient Empowerment life-sustaining Care Nursing every quarter 27 (2) 201-204.Gordon, F. Ward, K. (2005) Making it real interprofessional teaching strategies in practice. Journal of Integrated Care 13 (5) 42-47.Greenwood, R., Shaw, K. Winocour, P. (2005) Diabetes and the Quality and Ou tcomes Framework British Medical Journal 331 1340.Guthrie, R.A. Guthrie, D.W. (2004) Pathophysiology of Diabetes Mellitus. exact Care Nursing Quarterly 27 (2) 113-125.Hankin, L. (2005) Diabetic Emergencies Nursing Standard 19 (52) 67.Hartley, H. (2002) The system of alignments ambitious physician professional dominance an elaborated theory of countervailing powers. Sociology of Health and complaint 24 (2) 178-207.Hilton, L. Digner, M. (2006) Developing a pathway of preoperative assessment and care planning for people with diabetes. Journal of Diabetes Nursing. 10(3) 89-94.Howe, A. (2006) Can the patient be on our team? An operational approach to patient involvement in interprofessional approaches to golosh care. Journal of Interprofessional care 20 (5) 527-534.Keene, J., Swift, L., Bailey, S. Janacek, G. (2001) Shared patients multiple health and social care contact. Health and Social Care in the corporation 9 (4) 205-214.Keen, H. (2005) Diabetes and the quality and outcomes framework. British Medical Journal 331 1339Kenny, G. (2002) Interprofessional working opportunities and challenges. Nursing Standard 17 (6) 33-35.Kesby, S.G. (2002) Nursing care and collaborative practice Journal of Clinical Nursing 11 357-366.Krentz, A. (Ed). (2004) Emergencies in Diabetes Diagnosis, Management and Prevention. USA John Wiley Sons.Masterson, A. (2002) Cross-boundary working a macro-political analysis of the impact on professional roles. Journal of Clinical Nursing 11 331-339.NICE (2003) Guidance on the use of patient-education models for diabetes www.nice.org.uk accessed 6-1-09.OBrien, S.V. Hardy, K.J. (2003) Developing and implementing diabetes care pathways. Journal of Diabetes Nursing. 7 (2) 53-6OBrien, S., Michaels, S., Marsh, J. Hardy, K.(2004) The impact of an inpatient diabetes care pathway. Journal of Diabetes Nursing. 8(7) 253-6.ONeill, A.E. Miranda, D. (2006) The right tools can help critical care nurses save more lives. Critical Care Nursing Quarter ly 29 (4) 275-281.Pollard, K.C., Miers, M.E. Gilchrist, M. (2004) cooperative learning for collaborative working? Initial findings from a longitudinal study of health and social care students. Health and Social Care in the Community 12 (4) 346-358.Pollom, R.K. Pollom, R.D. (2004) Utilization of a multidisciplinary team for inpatient diabetes care. Critical Care Nursing Quarterly 27 (2) 185-188.Price, B. (2006) Exploring person-centred care. Nursing Standard 20 (50) 49-56.Reinauer, H. (2002) Laboratory Diagnosis and Monitoring of Diabetes Mellitus.Geneva World Health Organization.Robinson, F. (2006) Community programmes promote healthier living. Practice Nurse. 10 32 (8) 11, 13.Scott, A (2006) leadership in diabetes nursing Where is it? Journal of Diabetes Nursing 10(9) 324Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003) Four theories and a school of thought self-management education for individuals newly diagnosed with Type 2 diabetes. Diabetes Spectrum 16 (2) 75-80.S now, T. (2006) A trace of fresh care in diabetes Nursing Standard 20 (37) 14-15.Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006) High risk of cardiovascular disease in patients with type 1 Diabetes in the UK. Diabetes Care 20 (4) 798-804.Stanley, D., Reed, J. Brown, S. (1999) Older people, care management and interprofessional practice. Journal of Interprofessional Care 13 (3) 229-237.Suman, S. Lockington, T. (2003) Generic care pathways for acute geriatric care and rehabilitation as a tool for care management, discharge planning and continuous clinical audit. Journal of Integrated Care Pathways 7 (2) 75-79.Turina, M., Christ-Crain, M. Polk, H.C. (2006) Diabetes and hyperglycemia strict glycaemic control. Critical Care Medicine 34 (9) 291-300.Watkins, P.J. (2003) ABC of Diabetes (Fifth edition). capital of the United Kingdom BMJ Publishing Group.1Footnotes1 Department of Health (2002)2 Hilton, L. Digner, M. (2006) p 89.3 Department of Health (2002).4 Department of H ealth (2002).5 Watkins, P.J. (2003).6 Watkins (ibid)7 DoH (ibid)8 Hankin, L.(2005) p 67.9 Watkins (ibid).10 Turina, M., Christ-Crain, M. Polk, H.C. (2006) p 291.11 Guthrie, R.A. Guthrie, D.W. (2004) p 113.12 Edge, J.A., Swift, P.G.F., Anderson, W. Turner, B. (2005) p 10005.13 Hankin (ibid)14 Reinauer, H. (2002)15 Guthrie (ibid)16 Guthrie (ibid)17 DoH (2002) Department of Health, (2001).18 Guthrie (ibid)19 Bloomgarden, Z.T. (2006)20 Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006)21 Guthrie (ibid)22 DoH (2002).23 DoH (2002)24 Department of Health, (2001)25 Collis, S. (2005)26 Pollom, R.K. Pollom, R.D. (2004)27 OBrien, S.V. Hardy, K.J. (2003)28 Snow, T. (2006)29 NICE (2003)30 Diabetes UK (2006)31 Anthony, S., Odgers, T. Kelly, W. (2004)32 Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003)33 Antony (ibid)34 Diabetes UK (2006)35 DoH (2002)36 Keene, J., Swift, L., Bailey, S. Janacek, G. (2001)37 Keen, H. (2005)38 Scott, A (2006)39 Masterson, A. (2002)40 Pollard , K.C., Miers, M.E. Gilchrist, M. (2004)41 Kenny, G. (2002)42 Colyer, H.M. (2004)43 Price (ibid)

Andrew Carnegie Essay -- Biography Biographies

Andrew CarnegieAndrew Carnegie alship canal thought reading was one of the best ways to learn. He was also a very generous person in the industrial revolution. To be very generous in donations you do quest bills, and he definitely had a lot of money to be generous. This liberality completed the industrial revolution.He made most of his money with his nerve company called the Carnegie stigma Company. The Carnegie steel company then changed to the United States Steel Corporation. In one year,1900, his company made forty meg dollars, in which twenty-five million went to him alone. He capped off all of his money making by selling his huge Steel Corporation to J. P. Morgan. For selling this company Carnegie made over two hundred fifty million dollars. He was very generous with all of his money, mostly by championship free libraries. One of the first things he gave was free public baths in Dunfermline, Scotland, where he was born. He funded free public baths as early as 1869. The first library he funded was built in Scotland in 1881. He funded libraries mostly because he was a big reader himself. He self-taught himself by reading books, and he knew that books brought him all the way to the top. He wanted different people to have the same opportunity as he had by reading books themselves. One of Carnegies legendary saying was Free to the People, which is forge in stone over the doors of The Carnegie Library of Pittsburgh.Andrew Carnegie would not live for...

Romeo and Juliet s Theme of Youth and Excitement Rather than Sentimental Love :: Papers

Romeo and Juliet s Theme of Youth and Excitement Rather than contrived Love Although scenes of spring chicken and excitement do exist, I totally differ with the critics. I retrieve the play consists of sentimental love between Romeo and Juliet and that the scenes of youth and excitement are used precisely to implement tragedy. I allow for now back up my opinion with evidence and quotes from the play. To begin with, the first of all beseech occurs between the servants, this serves to inform the listening of the feud and prepares us for the fight scene in Act 3 Scene1. The ball scene plays a major part in the play, it is an exciting scene but its include to enable the characters to meet. It all starts when the Montagues sneak into the Capulets ball. Romeo and his fellow Montagues are able to touch on into the ball because it is a Masked Ball. Just these small details tell the audience that their love was meant to be, almost like fate. Romeo is en joying the party when suddenly he sees a beautiful looking young woman. From here onwards he cannot take for granted his eyes off Juliet just like she cant with Romeo. I dont believe that Romeo had fallen in love with Rosaline but this time he had, with a different girlfriend O she doth teach the torches to burn bright Romeo did not say these things astir(predicate) Rosaline and this then strengthens the point that he had fallen in love with this girl who he doesnt tear down know the name of. Meanwhile, Juliet was being forced to adopt an older man against her own will, but all this would change as she would do anything to be with Romeo. Romeo pulls Juliet behind a pillar and kisses her before even speaking to her. Juliet then finds out that Romeo is a Montague My only love sprung from my only hate this quote says it all she loved him dearly but could not be seen with him as they are on opposite sides of two fit families in Verona.

whistleblowers :: essays research papers

Because of certain events and media s messdals that excite surrounded the business community a former bury kind of employees has regained importance they be called the whistle-blowers. Their importance has reached such tremendous high gear that they were named in Time magazines 2002 Persons of the year because of their crucial appointment in the Enron case and m both others that followed after that. The dictionary definition states that whistleblower as One who reveals something coert or informs against another person. Whistleblowers can get their title no matter what position of the company they choose as long as they confuse reliable information any employee can inform of unethical procedures or illegal that the company they be working for might be lovely.There are many cases where whistleblowers have been the key part in the prosecution of CEOs directors, financial consultants, etc. that had been engaging in illegal procedures and that if in that location have not be b ecause of the whistleblowers aide the authorities would have never even notice those felonies. There are many examples one that is cited on the article is the case of James Alderson a chief financial officer in a small infirmary that sued the company that acquired the hospital a large medical company called Quorum wellness Group Inc. part of Columbia/HCA Company because he found off that the kept two sets of books for preparing healthcare costs for Medicare patients one that was sent to the federal government with highly inflated costs and the other one that small actual cost of operations.The case started in 1990 and ended until 2003 we also have to consider that in 1990 the business environment did not have the ample concerns that we have today over the management of financial information and there were not many laws to aide whistleblowers in their cause. But since that time brisk policies and laws have emerged to support whistleblowers and there is a greater focus of execut ives over ethical issues. By blowing the whistle Alderson knew that he was jeopardizing his career and he did he had to finance the whole case with his checkbook, he lost his job and had

Critique of Weltys A Worn Path Essay -- Eudora Welty, Essays on A Wor

A Worn Path by Eudora Welty, is the tale of an elderly black woman who shows an enormous amount of termination when it comes to helping her unceasingly ill grandson. phoenix Jackson is the main persona in Weltys A Worn Path. Throughout the story, Miss genus genus Phoenix Jackson travels the same path every day overcoming whatever obstacles she encounters as she strives along the path in the contribution of her grandsons health, for he is whom Phoenix habitually travels this worn path. Furthermore, the story must be noted for its simplicity, and ample metaphoric symbolism. Welty uses the path and its obstacles as a form of inspirational aura, ane could even say the path is a mirrored image of the difficulties unmatched endures throughout lifes frightening journey. The obstacles are intended to stage the barriers, the risks, and the setbacks i whitethorn encounter from day to day life. Moving onward, one could easily compare A Worn Path to the life of the fair person, an d in-turn, the obstacles that individual must overcome in order to provide for his or her loved ones. For example, every individual follows the same routine daily in the conquest of lifes necessities and in the pursuit of happiness, just as Phoenix follows her ritual path day after day. Still, despite the previous verity that everyone travels down a habitual path nearly every day, this however, does not constitute the notion that the individual will encounter the strike same circumstances and obstacles daily. While some obstacles are there to stay, others may come and go allowing the individual to learn from his or her past experiences. Whats more is that one never knows what to expect from day to day life. despite the element of surprise, on the other hand ... ...s, Phoenix isnt a charity case at all, for she is far from this epitome. Phoenix accomplishes more in one day than most individuals could ever even dream of. A Worn Path, is an inspirational tale of the journ ey of an elderly woman who goes by the name of Phoenix Jackson. Miss Phoenix Jackson inspires all of us that we can endure and overcome lifes difficulties. In the story, Phoenix shows that with an immense amount of hope, sheer determination, and inexhaustible exertion, that anyone despite their physical and kind attributes can overcome and endure whatever obstacles are positioned in their way. acetify CitedWelty, Eudora. A Worn Path. 1941. Literature An Introduction to Reading and Writing. Ed. Edgar V. Roberts, Ed. Henry E. Jacobs. untested Jersey Pearson Education Inc., 2006. 110-15.

Harnessing the Energy of the Oceans :: Technology Engineering Papers

Jamie Lee recklesss essay examines the varying sources of electrical muscle that we can draw from the seas. In her well-organized and researched essay, Wise care intacty explains the sources and then discusses both the benefits and drawbacks of each source. In the end, Wises paper argues that public awareness and education concerning the benefits of renewable thrust sources need to be increased, and that the oceans can be a valuable resourece entirely if we take steps to preserve this natural wonder and use it responsibly.Harnessing the aught of the OceansIntroductionThe oceans cover nearly three-quarters of our planet and contain a commodious reserve of resources, yet we are only beginning to tap their full potential. The oceans can provide a wide variety of foods, desalinated water, minerals, electricity, transportation, and recreation for the state of our humanity however, this discussion will be limited to sources of electrical energy that can be harnessed from the seas. The worlds energy intake is before long doubling every 12 years and the consequences of our heavy addiction on fossil fuels are becoming increasingly apparent. Several studies fill estimated that our present reserves of oil and natural gas will be consumed within a hardly a(prenominal) decades, and coal within a few centuries. In addition, political instability in the Middle East has exhibit the economic consequences of oil dependence (Bregman, Knapp, and Takahashi 1996). Environmental and political concerns are unsloped two reasons why alternative energy sources, such as ocean energy conversion, need to be considered. Overview of Ocean Energy Conversion TechnologiesTechnologies that currently exist for generating electrical power from the oceans can be grouped into six broad categories thermic energy, tidal power, wave power, ocean currents, ocean winds, and chemical sources. According to Ron Bregman, an Ocean Resource Engineer, the most promising and well-developed of thes e technologies are thermal energy, tidal power, and wave power (1996).Thermal EnergyThe oceans are the worlds largest solar collectors. Each day the oceans absorb an amount of solar radiation equivalent in heat content to about 250 meg barrels of oil, according to Michael Champ in Sea Technology (1995). This solar energy that is absorbed by the oceans as heat can be converted to electricity by a process known as Ocean Thermal Energy Conversion or OTEC. This technology is found on the large temperature differential between the warm tropical get up waters and the near freezing waters of the deep ocean (Vega, 1995).