Thursday, September 19, 2019

Apple Computer and Long-Term Success Essay -- Technology, Computers, E

In the 1970s, technologies such as video cassette recorders and personal computers were revolutionizing the industry. Co-founders, Steve Jobs and Steve Wozniak, were drawn to this technology revolution and in 1976 started Apple Computers (Abdelsamad et al., 2008). The combination of their charisma and intellect enabled them to design the Apple I computer. Today, Apple is one of the leading technology companies in the world. However, internal factors such as Apple’s unclear marketing plan, employee work life negligence, and financial-legal issues have negatively affected their performance and sullied their corporate reputation. Apple worked to correct the issues that were detracting from their performance and has had great success in recent years. However, Apple must learn to continually monitor these areas in order to achieve long-term success and retain a competitive advantage. Since Apple’s inception, there have been three significant internal factors that have been detrimental to the company’s performance. One of the factors affecting Apple’s performance was their inability to distinguish themselves in their industry. In addition to the fact that Apple would not allow outside computer manufacturers to use their Mac operating system, their products were easily imitable (Abdelsamad et al., 2008).The combination of these two factors allowed their rivals, Windows and Intel, to dominate the personal computer (PC) market. It was necessary for the company to focus on a particular marketing mix to gain an advantage over their competitors (Wheelen & Hunger, 2012). Another detrimental factor that was affecting Apple’s performance was the negative attention the company received when a trade union was formed at a Chinese factory that ... ....ht ml Kurtenbach, E. (2011, December 20). China probing blast at Apple supplier factory. USA Today Tech. Retrieved from http://www.usatoday.com/tech/news/story/2011-12-20/apple- factory-explosion/52112678/1 Noe, R. A., Hollenbeck, J. R., Gerhart, B., & Wright, P. M. (2007). Fundamentals of human resource management (2nd ed.). New York, NY: McGraw-Hill/Irwin. Robertson, D. (2006, August 14). Apple pleads for more time to file. Times - United Kingdom. Retrieved from EBSCOhost. Schoonmaker, D. (2005). Apple Store Opens Here. Grand Rapids Business Journal, 23(26), B2. Retrieved from EBSCOhost. Supplier responsibility. (n.d.). Apple. Retrieved from http://www.apple.com/supplierresponsibility/ . Wheelen, T. L., & Hunger, J. D. (2012). Strategic management and business policy: Toward global sustainability (13th ed.). Upper Saddle River, NJ: Prentice Hall.

Wednesday, September 18, 2019

Peter Taylors The Old Forest Essay example -- Peter Taylor Old Forest

Peter Taylor's The Old Forest Critics have continuously characterized Peter Taylor’s work, as a social critique of the South and how it shows â€Å"the effects of cultural inheritance on its people† (Bryant 66). In his story, â€Å"The Old Forest,† Taylor examines the regional history and social structures that shaped his own past and how breaking the architecture that has existed for generations is not easily accomplished. Although it takes place in 1937, with progressive girls and college students filling the city of Memphis with intellectualism and open sexuality, the social constructions of the past, most specifically the descendents of plantation owners and rich socialites, are not easily forgotten. Lines have been drawn between those residing in the progressive city and Nat Ramsey’s community of debutantes and patriarchal dominance. Nat’s fiancà ©, Caroline Braxley is unwillingly thrown into the conflict as Nat finds himself in a questionable situation with a city girl, L ee Ann. As Caroline struggles to secure her marriage to Nat, she is faced with obstacles of gender, social class, and her own emotions. Taylor exposes the essential truth behind Caroline of how she uses her knowledge of her expected roles to survive in a changing societal context. Caroline embodies a middle path through the conflicting generations and social movements that allows her to follow her desires and gain the future she wants without excluding herself from the values she has learned to accept. Caroline Braxley does not have a significant role in the beginning of Nat’s narrative. Instead, she is background noise in his quest for individual knowledge and self-awareness in the changing Memphis community. Nat only refers to her as â€Å"the society girl I... ...in English 9 (Fall 1987): 65-72. Heldrich, Philip. â€Å"Collision and Revision in Peter Taylor’s ‘The Old Forest’.† Southern Quarterly: A Journal of the Arts in the South 38.2 (Winter 2000): 48-53. Robinson, David M. â€Å"Engaging the Past: Peter Taylor’s ‘The Old Forest’.† Southern Literary Journal 22.2 (Spring 1990): 63-77. Robison, James Curry. Peter Taylor: A Study of the Short Fiction. Boston: Twayne Publishers, 1988. 78, 89-95. Shear, Walter. â€Å"Peter Taylor’s Fiction: The Encounter with the Other.† Southern Literary Journal 21.2 (Spring 1989): 41-46. - -. â€Å"Women and History in Peter Taylor’s Short Stories.† Southern Quarterly: A Journal of the Arts in the South 33.1 (Fall 1994): 41-46. Taylor, Peter. â€Å"The Old Forest.† Growing Up in the South: An Anthology of Modern Southern Literature. Ed. Jones, Suzanne W. New York: Penguin Group Inc., 2003. 247-314.

Tuesday, September 17, 2019

Hpv And Oral Cancer Health And Social Care Essay

One individual dies from unwritten malignant neoplastic disease every hr of every twenty-four hours. Oral malignant neoplastic disease is the 5th most common malignant neoplastic disease in the universe with over 450,000 instances diagnosed worldwide and over 210,000 deceases happening yearly. ( Peter KC Goon1, 2009 ) In the yesteryear, the largest causes of unwritten malignant neoplastic diseases were smoking, smokeless baccy, and intoxicant. With the addition in smoking instruction and a decrease in the figure of people who smoke, certain caput and cervix malignant neoplastic diseases, such as voice box malignant neoplastic diseases, have decreased. However, there has been no decrease in the incidence of caput and cervix malignant neoplastic diseases overall. In fact, tumours in the unwritten pit, chiefly the lingua and tonsils, have risen among immature work forces and adult females at a rate of around 3 % yearly. Those rates jumped to 11 % each of the last two old ages, the bulk of which is male. At this rate of growing, the figure of people diagnosed with unwritten malignant neoplastic disease will transcend the figure of instances of cervical malignant neoplastic disease diagnosed yearly in the following decennary. ( Jimeno, 2010 ) What is surprising is that the cause of the addition in unwritten malignant neoplastic diseases is due to the virus that cause cervical malignant neoplastic disease and until late was considered a adult female ‘s disease. Fortunately, many of these new instances of unwritten malignant neoplastic disease can be avoided with compulsory and cosmopolitan vaccinums that have already been approved by the FDA, with early sensing, through public outreach plans, and most significantly, by speaking with our kids about sex The virus driving this upseting tendency in unwritten malignant neoplastic disease is the Human Papillomavirus or HPV. HPV is the most common sexually familial infection in the United States ( The Ohio State University, 2010 ) . There are approximately 100 different strains of HPV, with 60 % of them doing common warts and 40 % that are mucosal. HPV16 and 18 are both mucosal, and are deemed high hazard in the development of cancerous lesions, and are responsible for 95 % of all cervical malignant neoplastic diseases. Harmonizing to the World Health Organization, HPV is responsible for over 500,000 new instances of cervical malignant neoplastic disease each twelvemonth and claims over 250,000 lives worldwide. It is estimated that HPV is present in three quarters of all adult females by the clip they are 50 ( National Conference of State Legislatures, 2010 ) . It takes about two old ages for a organic structure to acquire rid of the HPV virus and most people have no sick effects or symptoms of the virus, while others will develop malignant neoplastic disease. Recent surveies reveal that over 80 % of the tumours found in freshly diagnosed oropharyngeal malignant neoplastic disease patients are due to HPV16 and all are squamous cell carcinomas. This extremely aggressive strain of the virus is now the taking cause of unwritten malignant neoplastic diseases, exceling malignant neoplastic diseases caused by baccy and intoxicant combined. ( Swanson, 2010 ) These freshly diagnosed instances of unwritten malignant neoplastic diseases caused by the HPV virus are chiefly happening in the base of the lingua, which is the portion that starts at the dorsum of the pharynx and continues toward the gorge, and in the tonsils. Surveies have proven that HPV16 ‘s primary agencies of transmittal is through unwritten venereal sex, although current research is concentrating on other agencies of transmittal, including caressing and sharing drinks. Once a individual has been exposed to the virus, it can take between 20 and 30 old ages for the development of HPV related unwritten malignant neoplastic disease ( Chustecka, 2010 ) . One oncologist has said that there â€Å" is an epidemic, about a pandemic, of unknown proportion†¦ , † in respects to the figure of new patients that he is now handling with caput and cervix malignant neoplastic diseases caused by HPV. The demographic for caput and cervix malignant neoplastic disease patients has changed over recent old ages every bit good. Prior to 2003, the bulk of these types of malignant neoplastic diseases were found in older work forces in their 60s and 70 ‘s that have a long history of smoke and imbibing intoxicant. However, these traditional hazard factors no longer use. These yearss, the archetypal patient most at hazard are Caucasic work forces and adult females in their 40s and 50s, many which have ne'er smoked coffin nails or drank intoxicant merely on rare occasions. They do nevertheless hold other high hazard factors derived from sexual patterns, chiefly a high figure of sexual spouses, or a history of unwritten genital or unwritten anal sex. To understand this recent epidemic, past sexual behaviours have to be analyzed. During the late sixties and 70s, a sexual revolution of kinds occurred. It was a clip of sexual promiscuousness and rebellion against the norms of society. Monogamy represented repression. Sexual activity with many different spouses no longer held stigmata and unwritten sex became more widely practiced. Surveies show that since the 1960s, more than 80 % of the population now engages in unwritten sex. In comparing, merely 30 % of people born prior to 1950 hold engaged in unwritten sex. ( Manier, 2008 ) With the debut of AIDS in the late 80 ‘s, sexual attitudes began to alter. Education attempts doubled and parents began once more learning their kids about abstention and â€Å" safe sex. † In the 90s, under the instructions of Bill Clinton, unwritten sex was no longer considered sex. Oral sex rates skyrocketed because it had become much more acceptable to teens and to society as a much less hazardous option. However, the hazard factor for undertaking unwritten HPV grows in direct proportion to the figure of unwritten sex spouse a individual has. If a individual has more than five but less than 25 unwritten sex spouses in a life-time, there is a 250 % addition in the opportunities of developing unwritten malignant neoplastic disease. That rate rises to 750 % if a individual has over 25 unwritten sex spouses in a life-time ( Newswire, 2010 ) . For old ages, physicians have advocated one-year Pap vilification for adult females in hopes of cut downing the figure of patients that develop cervical malignant neoplastic disease caused by the HPV virus, by catching it in its pre-cancerous phase. Unfortunately, there are no trials available for work forces. Research attempts are under manner to develop new tools for usage by tooth doctors for early sensing of unwritten malignant neoplastic diseases. Thymine he job with some of these trials is the tumours are chiefly happening in countries non viewable by the bare oculus, in the tonsils and in the base of the lingua. Oral rinses would besides be uneffective for those same grounds. In 2007, the FDA approved a vaccinum, Gardisil, which would protect against both the virus that causes venereal warts and against the strain responsible for cervical malignant neoplastic disease. The Advisory Committee on Immunization Practices, ( ACIP ) recommends Gardisil for misss ages 9 to 26 in hopes of diminishing the figure of instances of cervical malignant neoplastic diseases diagnosed each twelvemonth. The FDA besides approved this same vaccinum for usage in male childs every bit good. In October 2009, the ACIP heard grounds sing the efficaciousness of the vaccinum in males every bit good as the costs associated with adding males to an all female vaccinum. The information presented to the Immunization Work Group was uncomplete because the informations sing HPV and its relation to unwritten malignant neoplastic disease, anal malignant neoplastic disease and penial malignant neoplastic disease was non included. The information presented to the work group contained statistics through 2003 and hence out-of-date, as the figure of caput and cervix malignant neoplastic diseases has increased over 30 % since that clip. After much argument, the work group approved a declaration to add the vaccinum as a permissive vaccinum for males aged nine to 16 for the intervention of venereal warts, alternatively of a recommended vaccinum to protect against both strains ( Advisory Committee on Immunization Practices, 2009 ) . Under a permissive recommendation, a supplier is non required to offer the vaccinum to his patients but must immunize if the parent or kid petitions the vaccinum. In add-on, private insurance will non cover the cost of the vaccinum and immunisation plans will non advance the recommendation ( Advisory Committee on Immunization Practices, 2009 ) . The determination to do the vaccinum permissive in males, alternatively of recommended, was based on the cost per quality adjusted life twelvemonth. To be cost effectual, a vaccinum should be less than $ 50,000 per QAL. The theoretical accounts presented to the IACP reflected a QAL over $ 100,000. These figures are non accurate because the theoretical accounts have uncomplete informations. For case, the theoretical accounts did non include all malignant neoplastic diseases that can be treated with the HPV vaccinum, merely on the strains that cause venereal warts. In add-on, the theoretical accounts were based on high inoculation rates of over 75 % in misss. Presently the inoculation rate is around 30 % . The consensus of many in the medical community is that high inoculation rates in eligible misss will contradict the demand to immunize male childs. This goes against grounds turn outing work forces and adult females have similar prevalence of the disease, and work forces have a higher acquisition rate of the virus ( Silverman, 2010 ) . Even though, with the current rate of inoculation being so low, it would do sense to urge the inoculation universally for both sexes. A cost analysis theoretical account that included the informations through 2002 but adjusted the malignant neoplastic disease rates to include all HPV malignant neoplastic diseases the vaccinum would protect against, places the QAL around $ 24,000. With the significant addition in the figure of instances in recent old ages, that sum is now even less. Either manner, the QAL falls good under the gilded criterion needed for inclusion into a national inoculation plan and would do better usage of the resources available. There has been much research by top universities and oncologists go forthing small room for argument on the correlativity of HPV and unwritten malignant neoplastic diseases in work forces, every bit good as anal and penial malignant neoplastic diseases. Despite all of the information that has been, made populace since 1998 when the nexus was foremost discovered, the Centers for Disease Control has yet to acknowledge HPV as a beginning taking to unwritten malignant neoplastic diseases. Public consciousness runs have started in little bunchs in the United States, but they are missing when it comes to acquiring the word out. Because of this, caput and cervix malignant neoplastic diseases are non caught in their early phases but instead in their late phases, and this histories for the really high decease rate of about 45 % at five old ages from diagnosing, and high intervention related morbidity in subsisters. Finding these malignant neoplastic diseases in an early phase greatly improves the opportunities of endurance. Ironically, caput and cervix malignant neoplastic diseases caused by HPV have a much higher rate of success than non-HPV malignant neoplastic diseases. Much of the medical community, like the populace, is non cognizant of the correlativity of unwritten sex, HPV16, and caput and cervix malignant neoplastic disease. Therefore, life salvaging showings are under utilised and inoculation recommendations are ignored. Despite the addition in Numberss, there is small to no public consciousness of the association between HPV and unwritten malignant neoplastic disease. In a recent European broad survey, 75 % of the respondents were unfamiliar with the term caput and cervix malignant neoplastic disease while 81 % of work forces in the US were unfamiliar with HPV ( Paul L Reiter, 2009 ) . There are enterprises in topographic point to assist increase cognition about caput and cervix malignant neoplastic diseases. The sawbones general ‘s one-year study in 2010 focused merely on unwritten wellness this past twelvemonth, a first for this type of study. Testing protocols for tumours are in topographic point. The word is get downing to distribute but its slow traveling. Celebrities who have suffered caput and cervix malignant neoplastic disease, such as Roger Ebert, are talking out about their ordeal, which can help in public consciousness, since famous person patients garner more attending than regular patients do. Screening devices are easy being developed that will help in placing these types of malignant neoplastic diseases early on. However, the biggest obstruction in cut downing the Numberss is still instruction. Our medical community must be made cognizant of the HPV connexion. In fact, the ADA merely released guidelines sing testing for caput and cervix malignant neoplastic diseases but recommends tooth doctors to pay close attending to their patients with a history of smoke or imbibing, and no reference of HPV. Medical forces need to be trained on what to look for: a new ball or a sore pharynx that does non travel off, gruffness, a hurting or tintinnabulation in the ear, oral cavity hurting or white spots or sores in the oral cavity, fistula infections that do n't react to antibiotics, upper jaw hurting, nose bleeds, and trouble external respiration or swallowing. In my household, the malignant neoplastic disease had spread to the lymph nodes and the first mark was a ball located on the cervix, but this occurs after the malignant neoplastic disease has metastasized into the lymph nodes, which is considered late phases of the disease. There besides lies a great trade of conflicting information on the web, including the CDC and WHO, that minimize the effects of HPV and developing oropharyngeal or other malignant neoplastic diseases. The disease is non acquiring the regard it deserves. We must besides educate through unfastened treatment with our kids, that unwritten sex is non safe sex if we hope to halt this epidemic. Sexual activity instruction has to include the dangers of multiple unwritten sex spouses and the high rates of transmittal of the virus. A 2007 study of undergraduate college pupils found that most immature grownups agree penile-vaginal intercourse is sex, but less than one in five think that oral-genital contact counts as â€Å" holding sex, † ( Stacy, April ) . Mouth rubbers or dikes are available and should be handed out like regular rubbers with instructions as to how to utilize them. Adults must besides be educated about the dangers of HPV and about showings for early sensing. The stigmata that this is merely a adult female ‘s disease or a disease found chiefly in the homosexual community must be erased. One of the ways to assist is to talk out to friends and household and portion the information. This deathly slayer must non be kept soundless any longer. One individual dies every hr from caput and cervix malignant neoplastic disease. Our voices can go our arm in distributing consciousness. We must educate our kids and other friends and household about the dangers of HPV. Vaccines could be really good but the IACP must be supplied with current information so that current recommendations for the HPV vaccinum can be reviewed. If the current vaccinum is given before exposure to the virus, a big figure of HPV-positive instances of oropharyngeal malignant neoplastic disease can be prevented. Last, early sensing testing systems must be developed that can observe this unobserved malignant neoplastic diseases before it is excessively late.

Monday, September 16, 2019

The Emperor’s New Clothes

The Emperor's New Clothes There lived a man; he should still be alive now, yet one would like to think that he had grown up a little. He fancied himself the ‘It Boy' of Western Super- Mare, he was the guy in the latest fashion, up to date hairdo's and always had this months Vanity Fair tucked under one arm. The fact that he was almost 38 and still lived in his parents three bedroomed semi-detached did not seem to deter him. Being a man of simple pleasures, and having never had the intuition to actually move into a place of his own and get a career, his daily routine had not changed much over the past twenty years. No later than 8.30am every morning, his doting and somewhat downtrodden mother would creep into his bedroom, careful not to wake the mountain of a son who lay snoring like a pig in his bed. She would place his plate of sausage sandwiches next to his bedside and then quietly leave closing the door gently behind her. At precisely 8.40am, he would take one last grotesque snore and then emerge from his top bunk, and haul his not so svelte figure down the two foot ladder that leant against the side, which screamed in distress every step he made in his descent. With one foul swoop his great hairy hand would shovel sausage sandwiches into his gawping mouth, two at a time. He would then make his way to the bathroom, where he spent about two thirds of his life. Who would have thought that a bathroom barely capable of fitting in a bathtub, wash basin and toilet, could hold the many different cheap brands of beauty products that he had acquired over the years? Two and half-hours later and he is all ready. † The better a man looks, the better a man is† He would bellow after flushing the toilet and bursting out of the bathroom with a quiff that no Elvis impersonator could compare to. He had a lengthy beauty regime that was absolutely vital that he stuck to. How else was he going to pass off being the most vain person in the whole of Western Super-Mare's history? One gets the impression that some of the hair that once belonged on the crown of his head had quietly crept to join the vast amount of hair that covered the rest of his body. As most middle-aged men do, he himself had acquired a rather prominent bald patch. This baldness did bother his small mind. But not enough so that he did not take ultimate pride in every other inch of himself. After bathroom time, it was dressing up time. To say that he took an interest in fashion would be a laughable understatement. His desperately small bedroom was not somewhere one could kick back and relax, purely due to the lack of space. He did have a lot of clothes, even the odd sarong and kilt. If someone famous had once worn it, or been seen in it, he would have it, or so he liked to make out. Expense simply does not matter when you are not paying for anybody but your conceited self. Rumour about the town was that he surely must have had ‘Superior Being' tattooed behind his ear, like the ‘666' in the Omen, but this guy was real. Once kitted out in an outfit that was about as un-flattering as he could possibly piece together, ‘Its next season darling, anybody can see that' he would sneer to anybody who dared to scoff at him. After blowing air kisses to his mother and father, he would head off to the seafront. When on the bus, he would lay out a designer tissue on which to perch his bottom on, and cross his legs curtly. One may imagine that seeing a middle aged bald man with the ghastliest fake tan and atrocious dress sense and perspiration problem, would be a humorous thing, but the locals were completely used to him, and paid him no attention whatsoever. In the city he would flounce around seemingly aimless, peering in at the most expensive shops and throwing lesser beings nasty looks. Then, he would go to his favourite cafà ¯Ã‚ ¿Ã‚ ½, a low key seaside affair, that his Great Aunt happened to own. Here, he could get free coffee and cream cakes. This was a privilege he had been abusing ungratefully for as long as his great aunt could remember. He was definately not one to say no to something free (as his unlucky relative had realised). This was his critical downfall. It was a day like any other in the cafà ¯Ã‚ ¿Ã‚ ½, when he was approached by a young woman complete with fake breasts, a fake smile, and an incredible amount of orange makeup on, a saleswoman. He glanced her up and down, his eyes did not stumble upon an expensive lable, therefore he returned to his article without bothering to utter a word. ‘Sir, sorry to disturb you, as you look like a very busy man†¦' At which point, his Aunt spluttered in the background. She continued, ‘My company are the newest in follicle technology, we deal in complicated science procedures, to bring men like yourself back smiling, with a full head of hair' Which was then her queue to throw him a dazzling smile with gleaming eyes. Luckily, she had his attention. â€Å"Men†¦like myself?' He growled ferociously, spraying her with saliva. The woman's smile did not crack. â€Å"I think it may interest you to know that we have a full waiting list of celebrities desperate to get their hands on this amazing product, I chose you, because you look like a person who knows what they want. And we are prepared to give you the full course, absolutely one hundred percent free!' There was a pause. Inside his head, cogs were turning slowly. Celebrities. Desperate. Free! He took a deep breath in, stood up proudly, his nose in the air and slammed his great hairy fist down on the table smashing four empty mugs and declared, ‘I'll do it' Quick as a flash, his details were down on paper and he carry on with his coffee, smug, with the prospect of a full head of hair. A month or so later, at 8.30am a parcel arrived next to his sausage sandwiches. At first sighting, the grown man inside of him let out a high pitched squeak of excitement. He dropped to his knees like an eager child, tearing away the packaging in glee. Minutes later, sat amdist a sea of bubble wrap, he cradling his new elixir. ‘Follicle SOS hair rejuvenator with added vitamins' He gasped in awe at this magical product and once again felt smugly aware that he had been hand picked to use it. After studying the instructions, here began the treatment. This is not the kind of treatment he had in mind though. One must bear in mind, that his peers were not very fond of him. Every day he applied the ‘magical' cream, and every night, he checked his bald spot for improvement. No such luck. In fact, he wasn't entirely sure, but it looked like his hair was getting sparser. After three weeks of applying the cream, he was not a happy customer. He had even stopped going out to the seafront for his regular coffee and cream cakes. For not only had his bald spot stayed bald, but to his horror it had increased in size. He rang the helpline. Sitting there in his mother's favourite chair, on hold, for most of an hour. Until the same lady who he had spoken to before answered. A whole string of violent abuse later, the woman replied, ‘The treatment has to get rid of the original hair, in order to work on the head as a whole, and produce shiny healthy looking locks. Because you sir, are worth it' She purred. Nothing like a cheap compliment to dampen his rage. So, religiously, he carried on applying it. Until the final day came, when he awoke one morning completely, outrageously bald, not to mention shiny. Alongside his sausage sandwich was a small letter. He opened it happily, ‘Popular as ever' he thought. Inside the letter, was a note written by hand. It read; ‘Have you never read the story about the Emperor and his new clothes? Oh, he and his bald head of Western Super-Mare†¦ Vanity is a highly un-attractive quality. Consider the lesson taught' On the back of the note, were the signatures of every person in his neighbourhood. Hands shaking, he laid down the note gently. Promptly strolled downstairs, leaving his sausage sandwiches behind, picked up the yellow pages and looked up, designer toupees.

Sunday, September 15, 2019

Breast Cancer Speech

Breast Cancer The topic of cancer is a very sensitive one. Cancer is a disease of which in many cases is fatal and has affected the lives of many and sadly will continue to affect the lives of many more. I chose to explore the topic of breast cancer because it is one of personal interest to me. This topic interests me for various reasons but mainly because breast cancer is most prone to and extremely common in women of all ages and I myself am a young woman growing up in society. As shown in recent statistics———————–.I also wanted to make others aware of the harsh reality of breast cancer and expose them to some of the true emotions experienced by the victims and their loved ones. My I. A. is based on how a woman’s life is affected by being diagnoses with breast cancer. It explores the emotional impact on her and the way in which she handles this difficult time in her life. It also shows the support given to her by her be st friend who goes through this difficult time with her. Just as in the story many women are being diagnosed with breast cancer everyday and as said before, unfortunately it is extremely prominent and common in females.Dying of Breast Cancer in the 1800sCancer not only affects the lives of the patient but also their many loved ones or anyone close to them for that matter. It is a disease which can affect the emotional, social and financial well being of an individual. When an individual is diagnosed with breast cancer or any cancer at all their lives and lifestyles can change drastically over a short period of time. These changes are usually for the worst. It may take a lot of time together with love and support to restore lives back to their normal order or as close to it as possible.Some of the difficulties experienced in writing about this topic were being able to capture actual emotions of a cancer patient and the effects on their loved ones. While it was almost extremely easy t o think of some of the possible emotional effects of cancer, it was a difficult task to actually transfer their emotions to paper. I was able to overcome this difficulty by reading actual articles written by real cancer victims on the internet. By reading their articles I was able to internalize and better understand some of their emotions. With this being said, the internet was my main source of information.I visited sites which contained both fictional and factual articles on cancer patients. The internet was a great source because I was able to pull both recent and dated information and even future estimated statistics. My other sources where books written about breast cancer patients. Those too were good sources because they provided great facts and true emotions. In general all sources used seemed to be extremely reliable as they provided information written by experts and they provided statistics from many researches which were all fairly dated. In conclusion, breast cancer is a topic of great interest to me because of its effects on women.Although there were some difficulties experienced in expressing the real emotion of breast cancer patients, I was able to overcome that with the use of reliable sources and information. I have personally been able to learn a great deal from the exploration of this topic. I am now aware of the reality of this disease and the tragedy it brings to a family. As a young woman growing up in society I will try my best to prevent the contraction of this disease in any way possible and I hope that readers both locally and internationally, will assist in the promotion in breast cancer awareness and education.

Saturday, September 14, 2019

Postpartum: Childbirth and Marie Wilson Marie Essay

Marie Wilson, a 34-year-old female client who is gravida 4, para 3, is transferred to the postpartum unit two hours after a prolonged 14-hour labor and forceps delivery of a male infant weighing 9 lb, 2 oz. The placenta was intact upon delivery. The labor and delivery nurse reports that Marie was catheterized for 600 ml of yellow urine just before delivery. Her record indicates that she had a repair of a 4th degree laceration. A postpartum assessment reveals that her vital signs are stable: blood pressure 120/80, pulse 84, respirations 20, temperature 98.9Â ° F. Additional assessment indicates that her fundus is firm and located 1 cm above the umbilicus, and the perineal sutures are intact with edges well-approximated. The client describes herself as exhausted and without pain, since she has had no sensation below her waist since receiving epidural anesthesia. A 1,000 ml bag of Lactated Ringer’s solution containing 10 units of Pitocin (oxytocin) is infusing via an 18 g peripheral IV in the left forearm at 125 ml per hour, with 300 ml remaining in the bag. The IV is patent, without redness or swelling, and can be discontinued when this bag’s infusion is complete. 1. Prior to discontinuing the IV Pitocin (oxytocin), which assessment is most important for the nurse to obtain? A) Vital signs. B) Vaginal discharge. C) Uterine firmness. D) Oral intake. Correct answer(s): C 2. What is the priority nursing diagnosis for Marie, who is experiencing residual effects of epidural anesthesia? A) Risk for injury. B) Impaired physical mobility. C) Altered urinary elimination. D) Risk for infection. Correct answer(s): A 3. What is the priority nursing action to address Marie’s needs related to the repair of her 4th degree perineal laceration? A) Provide prescribed oral pain medication and stool softener. B) Encourage warm sitz baths 2 to 3 times daily. C) Apply perineal ice packs consistently for the first 24 to 48 hours. D) Teach proper and frequent use of the peri-bottle. Correct answer(s): C

Friday, September 13, 2019

MEDICATION ERRORS Essay Example | Topics and Well Written Essays - 750 words

MEDICATION ERRORS - Essay Example They can also be classified from a contextual perspective, in terms of the medicines, time, place and people involved (Spath, 2011). Modal classification is the third type, which refers to the manner in which the error took place, for example, errors can occur by substitution, omission or repetition. Patients’ safety and medical errors represent a subject that has recently gained both public and scientific attention. This is due to the fact that numerous medical errors have occurred, and lately on a regular basis (Jox, Schneider, Borasio & Dietz, 2010). These errors are accompanied by an increased cost in treatment, in addition to a number of moral consequences. Several barriers concerned with patient safety and medication errors have been identified. These include poor leadership and absence of feedback on incidences concerning these errors. Feedback would enable the medical system to monitor the occurrence of these errors on a national level, and assist the authorities in fo rmulating the appropriate preventative measures. Voluntary reporting systems have been created by organizations such as the Institute of Safe Medical Practice Canada (ISMP Canada) and results have shown that these systems can help reduce the number of mistakes in medication from human error (David, n.d). Medication error reports are reviewed by the Division of Medication Error Prevention and Analysis (DMEPA) (US Food and Drug Administration, n.d). It includes a prevention program which evaluates cases of medical errors, casualties, and uses this data to formulate preventative measures against medication errors. Fortunately, most medication errors are due to omission as opposed to commission; hence, there is a certain level of preventability for the occurrence of these mistakes. To formulate preventative measures, one must analyze the underlying cause of these errors. These errors usually occur upon failure of a medical service provider to detect the state of disease, hence, prescrib es the incorrect drug therapy, failure to detect the mechanism of drug interaction, negligence to patient’s drug allergies and general patient knowledge deficits (Harn, n.d). The above mentioned errors can be avoided if time is taken to counsel the prescriber and improving his/her working conditions (Harn, n.d). In order for the prescriber to reduce the probability of medication errors occurring, he/she can learn ways to keep focused on the patient and make sure diagnosis is made with out any external distractions. The work performed by medical professionals can be extremely stressful at times and these conditions make them prone to making mistakes. Creating a stress free environment can help reduce the number errors. This can be achieved by reducing the amount of caffeine intake and maintaining a healthy diet, improving relations among employees, ensuring that the employees get adequate sleep, working goals should be realistic to avoid overworking employees and bad habits, s uch as alcohol intake, should be prohibited during or before working hours. The patient can also play a role in preventing medication errors by gaining knowledge on the medication that has been prescribed to him/her. He or she should be aware of the purpose of the medication and what disease he/she is taking the medication for. The patient should also try to use the same pharmacy for one prescription, this way pharmacists can detect any inconsistencies that the doctor might have made