Thursday, November 28, 2019
On Miracles by David Hume Essay Example
On Miracles by David Hume Essay David Humeââ¬â¢s essay On Miracles is a strong refutation of supernatural phenomena, often linked to divine intervention. Hume states boldly that even religious events such as miracles should be judged on the basis of empirical evidence. He thus makes evidence the chief determinant of credibility. The credibility of a claimed miracle will increase in proportion to the reliability, method and number of witnesses. Hence Hume dismisses outright any kind of revelatory recounting of miracles. Take say, the example of the resurrection of Christ three days after his death. Though it is an important miracle in Christian theology, it fails the rigorous standards of empiricism that Hume mandates. We only have references to the event in the scriptures, the writing of which happened much later than the event ââ¬â sometimes centuries later. On top of this, those who witnessed Christââ¬â¢s resurrection were invariably the faithful, who wished that it were so. Moreover, even if a claimed miracle is attested by numerous witnesses, its veracity becomes dubious if a greater number testify the opposite. A major thrust of Humeââ¬â¢s thesis is that the burden of proof lies heavily upon those claiming miracles. Hume defines a miracle as that event which has defined laws of nature. As a consequence witnesses of miracles are required to bring high credibility to their evidence. But this is easier said than done, as there are inherent mitigating factors. Firstly, since an overwhelming majority of people are religiously inclined and have accepted miracles as acts of God, their psyche would lack the requisite scepticism and objectivity in evaluating a claimed miracle. Second, individuals do not merely perceive events through their senses but through the lens of their cognitive faculties. Our cognitive faculties are trained and cultivated through our education and exposure to various life experiences. Since there is a great deal of variability among humans in this regard, no two individuals would perceive an event in the same way. We will write a custom essay sample on On Miracles by David Hume specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on On Miracles by David Hume specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on On Miracles by David Hume specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Hume also articulates the ââ¬Ëargument from miraclesââ¬â¢. Since every religion claims its own set of miracles, the devotee to a religion believes in one set to the exclusion of the rest. The same is done by the practitioner of another religion. So, for a neutral observer, every miracle has more disbelievers than believers. This begs the question if there is an element of fanaticism behind these beliefs. In my view, if I have to pick one flaw in the essay, it would be the element of circularity in one of the arguments. Hume recognizes miracles as those events that are exceptions to the natural order. By requiring testimony of huge numbers of people separated in time and place, Hume somewhat pre-empts any potential claims of miracles. This is so because, historically, no miracle had ever been evidenced in such scale, and nor are they likely to happen in the future. Hence Humeââ¬â¢s imposition of enough satisfactory evidence to compensate for the highly exceptional of the miraculous event is a circular argument. On Miracles was published circa 1748. It was a key period in European history, as the hold of religious superstition was giving way to scientific understanding. Humeââ¬â¢s essay is an important contribution to the literature of the Enlightenment. Although there is deficit of terminology in some of Humeââ¬â¢s arguments, they largely remain meritorious. In the two and half centuries since Humeââ¬â¢s essay, philosophical vocabulary is considerably enhanced and can rearticulate Humeââ¬â¢s thesis with greater cogency. Interestingly, while belief in miracles is not as rampant today as it was in the early 18th century, a great portion of humanity still holds such views. Exposure to Humeââ¬â¢s rigorous tour of logic will help move them toward rationality. David Humeââ¬â¢s essay On Miracles is a strong refutation of supernatural phenomena, often linked to divine intervention. Hume states boldly that even religious events such as miracles should be judged on the basis of empirical evidence. He thus makes evidence the chief determinant of credibility. The credibility of a claimed miracle will increase in proportion to the reliability, method and number of witnesses. Hence Hume dismisses outright any kind of revelatory recounting of miracles. Take say, the example of the resurrection of Christ three days after his death. Though it is an important miracle in Christian theology, it fails the rigorous standards of empiricism that Hume mandates. We only have references to the event in the scriptures, the writing of which happened much later than the event ââ¬â sometimes centuries later. On top of this, those who witnessed Christââ¬â¢s resurrection were invariably the faithful, who wished that it were so. Moreover, even if a claimed miracle is .
Sunday, November 24, 2019
Essay about Job Description
Essay about Job Description Essay about Job Description A job description is the preview of what is required on the job. According to the video a job description needs the following: define the expectations, establish the process and list the requirements. Below is a summary of the information I believe needs to be in a job description. First and foremost a job description needs to have a job title and summary. The job title should be for the position the company is looking to fill. It should include the level as well. The summary would detail a definition of the position. The summary should be short and to the point. Next, the job description should list the essential functions of the position. The list should be what the company expects. The functions should also give the employee and idea of what a typical day on the job would be like. Third, the job description should list skills and qualifications. This is important to list all mandatory skills and qualifications to alleviate applicants that wonââ¬â¢t fit what the job is requiring . Such qualifications should include skills, years of experience, certifications, licenses, education level and necessary technical proficiencies. Lastly the description should list the location, type of employment, salary range, benefits and recruiter contact. The location should be where the potential employee report. It should also indicate if traveling will be required and at what percentage. The type of employment should be very clear. Examples of types of employment include but are not
Thursday, November 21, 2019
Health South Essay Example | Topics and Well Written Essays - 2250 words
Health South - Essay Example Other five HealthSouthââ¬â¢s chief fiasco officers have been charged with fixing of business books. The first people were Weston Smith and William Owens, with falsely certifying the exactness of company accounts with the Exchange commission and securities. Therefore, among the provisions of the Sarbanes-Oxley corporate accountability law were ordained the previous year. David Dennis is also among the highly publicized case in Healthcare Corp. along with chief operating officer Thomas Mackey. They were charged with reimbursement after government analysis of the company. Universal Health services dismissed financial chief Kirk Gormn after expressing philosophical difference with the companyââ¬â¢s audit firm. In United States, contemporary corporate fraud altered decimated private plans, market values and devalued public pension funds. In 2002, Dynegy, Tyco and WorldCom are among those companies that joined fraudulent accounting ranks. WorldComââ¬â¢s Scott Sullivian and Enron Corporation Andrew Fastow are facing massive fraud charges linked to vast corporate collapse. The first tragic truism is the inconsistent of some managers in what they do and say (Crew 3). The FCC chair, Michael Powell, told the C-Span that the Clear Channel is likely to be too much concentrated. They may have issues connected to the company after the congress portrayed 1996 deregulation law. The FCC, therefore, were expected to undergo a scrutiny, but Powell did not do anything about it and neither did FCC. On the contrary, they talked without carrying out any action (Grow 6). Fundamentally, Health South CEO only cares about his interests and what his fraud would generate for the stakeholders and the company. He promised the stockholders that the company is doing its best to increase the price of shares that was not the case. As a result, Richard engaged into fraud to meet his promises leading to the financial scandal in the company. Halliburton had fleeced the Army $61 million for
Wednesday, November 20, 2019
Critical and evaluative intellectual biography of Jean-Noel Kapferer 3 Essay - 1
Critical and evaluative intellectual biography of Jean-Noel Kapferer 3 articles - Essay Example Although many managers feel that investment in luxury business is one of best ways to remain profitable, they fail to understand the nature of the products and the best way to approach the market to optimize organization profits. Through a series of research based articles, Kapferer eliminates the vagueness that hinders understanding of luxury brands and provides an approach to invest in luxury business by analysing the client behaviour and their purchasing patterns. Through creation of brand awareness, Kapferer has managed to influence the contemporary business strategies. A close analysis of Kapfererââ¬â¢s contribution the design of the luxury brands will show his great influence in the business market. The main area of focus of Kapferer has been in modern business, especially in the branding of luxury brands. He has dedicated a number of his works to the luxury market that for long has become vague, putting the managers at the risk of failure in this market. His strong background in business is linked to his great experience and knowledge in the field of business. Kapferer is MBA holder from HEC Paris and PhD in North-western University in USA. Currently, he serves as a professor as HEC Business school, one of the schools that have won the first position among Europe business school. Overtime, Kapferer has developed the skill of indepth and critical analysis of brands with the aim of providing product design strategies that can be applied in the practical business environment. He has produced a number of books in different languages that have become brand icons in the business environment. His experience as a business consultant in the international business environment has contri buted to his influence in the business environment (Kapferer, 1996). Having identified the vagueness that exists in the understanding of luxury products, Kapferer seeks to provide disambiguation through an in-depth analysis of the factors
Sunday, November 17, 2019
The Adams-Onis Treaty Research Paper Example | Topics and Well Written Essays - 1000 words
The Adams-Onis Treaty - Research Paper Example A key point to note is that the treaty's signing was conducted in Washington in 1819. Additionally, the ratification by Spain followed in 1820 and consequently enforced in 1821. The treaty renounced the prior claims by the United States regarding Texas. Additionally, the treaty settled the boundary3. The Louisiana Purchase covered the source of the Sabine River, the west and south banks, and the direct link to the north of the Red River4. The Adams-Onion treaty was terminated in 1903 following the introduction of a new treaty in 1902. Some of the key elements in the Adamsââ¬âOnis Treaty included the idea of the United States acquiring Florida, as well as the idea of establishing a boundary between the territory of the United States and Spain. Notably, the then foremost international debate concentrated in the then American- Spain border. In the larger continent of Europe, Spain encountered serious problems that were internally generated, and the out west colonies almost faced rev olution at that time. Spain realized that its hold on the colonial empire was gradually escaping. Through Jacksonââ¬â¢s attack, Spain authorities realized that they were weak when compared to the United States. The relationship between the U.S. and Spain was strained due to suspicions of the United States supporting the struggles for independence amongst the Spanish colonies in American5. Additionally, the phenomenon emerged crucial following the seizing of the Pensacolaââ¬â¢s Spanish forts by Gen. Andrew Jackson. In 1818, St. Marks approved raid of Seminoles as he escaped the then slaves that seemed a significant Georgiaââ¬â¢s threat. Andrew Jackson approved the execution of two citizens from Britain over the accusations of incitement upon runways and Indians6. There was a serious contemplation by the government of President Monroe towards the denouncing of the actions of Jackson7. However, Adams defended Andrew Jackson as he cited the significance of restraining the India ns as well as escaping slaves. Additionally, Adams sensed that Andrewââ¬â¢s Seminole campaign proves his popularity amongst Americans; this attribute strengthened the diplomatic contribution with Spain. After the 1803ââ¬â¢s Louisiana Purchase, the then Americaââ¬â¢s President Jefferson presented an argument that the region of Florida was incorporated in Louisiana. Consequently, between 1810 and 1812, America annexed some western sections of Florida. President Thomas Jefferson sought more territory when John Quincy Adams served as the Stateââ¬â¢s Secretary. Between 1817 and 1818, the then US President James Monroe and Adams resumed plans of acquiring Florida as well as a boundary to the west, to be incorporated in the Louisiana Purchase. Following the negotiations that spent a few months, the treaty was signed 18198. Following the spread of the United States in Appalachians, there was an increased need for the Mississippi River to assist in the production of America's Wes t. This section is sometimes known as the section between the Mississippi and Appalachians. The Louisiana territory belonged to Spain since 1762, including 828,000 miles. There was friction between the United States and Spain regarding the right of navigating the Mississippi as well as the right for U.S people to transfer goods to vessels at New Orleans. However, the friction was settled through the Pickney Treaty in 1795. Following the introduction of the
Friday, November 15, 2019
Chronic Obstructive Pulmonary Disease (COPD) in the Elderly
Chronic Obstructive Pulmonary Disease (COPD) in the Elderly As a response of two main factors, which are ageing population and exposure to risk factors, the prevalence of chronic obstructive pulmonary disease (COPD) is rising worldwide. In fact, the disease is a challenge for public health and health care system because it demands high costs (Lisspers, Johansson, Jansson, Larsson, Stratelis, Hedegaard, Stallberg, 2014). Besides, the American Lung Association (2013) reinforces that the COPD is the third leading cause of death in the United States. Data from 2007 showed that nearly 125,000 deaths nationwide occurred in response this disease, so it represents one COPD death approximately every four minutes. In addition, underlined in these numbers, many clients are not diagnosed or managed correctly, so the process to educate the client and the client knowledge are fundamental to eliminate risk factors and promote better quality of life for whom has been diagnosed with this pulmonary disease (Lisspers, et al., 2014). Throughout the course of th is paper, some information will be described as the following: clientââ¬â¢s information, description and clinical manifestation the clientââ¬â¢s disease, the clientââ¬â¢s prescription, and nursing diagnoses and intervention, which applies to this client. Clientââ¬â¢s Information Firstly, fundamental information about the client is necessary to be investigated and understood to proceed the diagnose and manage. Clientââ¬â¢s history must provide knowledge to link present manifestations to past situations, and these will conduct to better management and promotion for future interventions. Patient Mrs. S., 82 years old, married, retired, catholic, and level of education restricted (not concluded high school). She was hospitalized as a result of pneumonia after being diagnosed with productive cough, which was with yellow secretion; and her temperature was 38.5oC. In her health history, she related that she was diagnosed with chronic obstructive pulmonary disease (COPD) although Mrs. S. could not specify the time when these diagnoses occurred. Mrs. S. was not alcoholic and smoking. She has related that at home, she uses medication (not specified) to relieve pain when it is necessary. In addition, she has related that she was not allergic and was responding well front the hospitalization. During her physical examination, she presented as following information: patient was LOC and verbalizing with difficulty because of gas exchange. She was using oxygen therapy by the spectacle-type nasal catheter with 2L/min; RR 32 and tachypnea; HR 81 bpm and normocardic; BP 130/70 mmHg and normotensive; temperature 38,5oC and febrile; and saturation SpO2 90%. Skin: dehydrated, normal colored, turgor characteristic of her age, hematoma in member superior left because of the catheter for serotherapy. In the moment, the catheter was salinized. The nervous reflex was preserved, full and firm pulse, rhythmic. Cranium: it was not present alterations and was hygienic. Pupils were isochoric and photo reactive. Thorax: plan, symmetric, thoracic expansion kept, symmetrical breasts characteristic of senescence. Lung: vesicular murmur and stridor presented in bilateral basis; pulmonary auscultation: normal sounds, regular rhythm in regular rhythm of two. Abdomen: it was plan, palpable in ascend ing loop, Blumberg/Cystic/McBurney negatives. Genito- urinary: paravaginal and perianal presented dermatitis. Eliminations: faeces twice by day with pasty aspect. Urine in grand quantity in diaper, dark yellow and characteristic smell, not related pain to urinate. Alimentation: hyposodic diet, oral, preserved appetite. Water ingest around one liter by day. Activity and sleeping: restrict movements and perambulation with family help difficulty to sleep. Security and protection: Bradenââ¬â¢s scale with 16 points ââ¬â low risk. Comfort: related pain ââ¬â number six in the right shoulder. Clientââ¬â¢s Physiopathology Secondly, understanding the Mrs. Sââ¬â¢s history and results of the physical examination can provide an overview about the physiopathology because it must define connections among disease route. These connections are linked to the quality of life to know better about pneumonia and COPD. Pneumonia is an inflammation of the lung parenchyma caused by different microorganism agents (Hinkle Cheever, 2010). In relation to Mrs. S. the according to the drugs prescribed the hypothesis is that the pneumonia is caused by a type of bacteria, which is inhaled by ambient air, where an upper airway bronchoaspiration occurred with colonization this bacteria, so this type of bacteria did a migration to lower airway and colonization in the bilateral inferior lobule region. For instance, some risk factors can be applied for pneumonia. Two age groups at highest risk are infants/children and older people. These risk factors can be a chronic disease, for example, asthma, COPD, and heart disease; suppressed immune system, which can be developed by drug treatment and/or diseases (HIV/AIDS), and surgery; smoking; and client being placed on a ventilator during hospitalization. Still, some signal and symptoms presented because of pneumonia are fever, sweating, hypothermia (in older adults and people with weakened immune system), cough (can be productive or not), chest pain during cough and/or deep breathing, shortness of breath, fatigue, muscle aches, nausea and vomiting (most common for infants/children), and mental awareness (most common for seniors) (Hinkle Cheever, 2010). Another pathology presented in Mrs. S. was Chronic Obstructive Pulmonary Disease is characterized by Lewis, Dirksen, Heitkemper, Bucher Camera (2014) as an airflow limitation, which is not reversible. This airflow limitation is progressive and related to an abnormal inflammatory response of the lungs to noxious particles or gases. COPD is composed of three different pathologic processes, which can possibly combine to develop the clinical case. They are: chronic bronchitis, emphysema, and asthma. The pathophysiology involves gradual destruction of alveolar septum and destruction of the lung parenchyma, which increase the incapacity to provide gas exchange among alveolus and blood. The definitions of the three possible pathology are: a) chronic bronchitis: it describes as an excessive production of mucus in the bronchial tree, and it has chronic productive cough or recurrent during unless three months by year, which is two years consecutive; b) emphysema: it is understood how an anatomic alteration, which is characterized with abnormal alteration in the air spaces distal to the terminal bronchioles, and it is accomplished with destructives alterations in the alveolar walls; c) asthma: it is a chronic inflammatory disease, which is characterized with lower airway hyper responsiveness and variable limitation in the air flux. It can be spontaneously reversible or with treatment. Asthma has clinical manifestation by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing (Hinkle Cheever, 2010). Furthermore, according to Hinkle Cheever (2010) some risk factors are related to COPD can be: first, cigarette smoking, which is considered the major risk factor. Second, occupational chemicals and dusts, which involve two main factors air pollution and infection ââ¬â air pollution is a problem for urban people although a comparison among cigarette smokers and air pollution, the first has a high level of influence. Thrid, heredity, which is a deficit in the à ±1 ââ¬âAntitrypsin (AAT) deficiency autosomal recessive disorder), but it is only 1% 2% in the United States. Last one, aging: where some degree of emphysema is common in older adults, even non-smokers. Also, some signals and symptoms must be present in the client, who has COPD. These signals and symptoms can be shortness of breath, wheezing, chest tightness, chronic cough, which produces excess mucus, respiratory infection, lack of energy, cyanosis, and weight loss, which must be in the chronic stage. These symptoms and signals must varies person to person, and they can be present on worse stage in some parts of the day. After all, a connection is applied between COPD and pneumonia. Both diseases have a rouge link. First, COPD provides to people, who have this pulmonary disease, a facility to contract pneumonia and difficult to diagnose pneumonia because of similar signals and symptoms. Also, COPD does a difficulty treat pneumonia because the patient has a restriction in his/her immune system, so the antibodies cannot provide the adequate defense. Another situation is inflammation and irritation present in the lungs of COPD, so pneumonia increases these both factors and restricts more the breathing and oxygen exchange. In relation to the diagnoses, if pneumonia is diagnosed early, the recovery can be more satisfactory although COPD restricts it. In fact, management with antibiotics to promote better recovery and care needs to be applied, and prevention must be considered by the client and health professional, so vaccine must be used a method of prevention (Lewis et al, 2014). Clientââ¬â¢s Prescription Thirdly, the physician provided prescriptions to the client. Mrs. Sââ¬â¢s. physician provided a medical prescription based on her diagnosed (COPD and pneumonia) to provide adequate management and recovery. The physician requested lung X-ray, which showed the presence of opacity in the lower thirds as a result of pneumonia. The medications were: 1- Dipyrone 2ml + 10 ml of distilled water (IV), every 6 hours if pain or fever; 2- Omeprazole 20mg (oral) on an empty stomach, in the morning; 3- Rocephin 1g + 100ml (IV) of saline 0.9%, every 12 hours; 4- Levofloxacin 500mg (IV), every 24 hours; 5- Bamifylline 300 mg (oral), 8 a.m. and p.m; 6- Nebulization therapy with saline 0.9% 5ml + Atrovent 35 drops + Berotec 5 drops (inhalation), every 6 hours; and 8- Oxygen therapy by spectacle-type nasal catheter with 2L/min if saturation âⰠ¤ 90%. Consequently, some interventions can be understood by this prescription. The medication aspects understand that Mrs. S. was doing management of the presented and the subsequent disease. Medication for pain helps to relieve the discomfort caused by the difficult to breathe and the intercostal muscles, and bronchodilator drugs help to facilitate the air passage, so the air volume in the upper and low airway and gas exchange in the alveolus will increase, and it helps in the chronic disease keeping a bronchodilation the airway (promotion of the health conditions). Antibiotic medication works to eliminate the pathologic agent, which provided pneumonia. The drug referent to proton pump inhibitors is utilized to prevent stomach injuries because of antibiotic therapy (Deglin Vallerand, 2013). Nebulization helps to humidify airway. Oxygen therapy provides a supplement of oxygen to increase the available quantity in the alveolus (Potter Perry, 2009). Likewise, chest x-ray was asked to clarify and provide adequate diagnostic for Mrs. S., and it confirmed what part and the expansion of the lungs had pneumonia (presence of opacity in the lower thirds). Another factor to ask for this exam is because of the COPD, so it helps the physician to evaluate shortness of breath, support the diagnosis, and analyzes for advanced emphysema (Kee, 2010). Furthermore, pharmacology should have attention to Mrs. S. because she had a variety of medications during hospitalization, so nurses must know medication information such as main effect and nursing care for this client. The according with Deglin Vallerand (2013) Mrs. Sââ¬â¢ medications are described as follows: Dipyrone 2ml + 10 ml of distilled water (IV), every 6 hours if pain or fever. Main effect: it is an analgesic and antipyretic. Nursing care: Teaching the client about the side effects related to use this medication. Side effects that are more common are allergy and/or breathing discomfort; if it is present, the nurse immediately communicates the physician. This medication must be administrated if the patient refers pain or fever, so the nurse is responsible to verify vital signs and pain scale. Omeprazole 20mg (oral), an empty stomach, in the morning. Main effect: it provides protection for the gastric wall because of the high quantity of medicaments administrated. Nursing care: The nurse asks the patient about allergy. Nurse administrates one hour before breakfast (according to the physicianââ¬â¢s prescription). Rocephin 1g + 100ml (IV) of saline 0.9%, every 12 hours. Main effect: it is an antimicrobial to act in gram negatives. Nursing care: Medicament reconstruction must be in saline 0.9%. The administration needs to be slow (minimum 30 minutes). Levofloxacin 500mg (IV), every 24 hours. Main effect: it is an antimicrobial. It is used for the treatment of pneumonia. Nursing care: The nurse must administrate the medication slowly. The nurse should orient the client about side effects such as nauseas and vomiting. The nurse must not administrate other antimicrobial drug in the same time. Bamifylline 300 mg (oral), 8 a.m. and p.m. Main effect: it is a bronchodilator. Nursing care: The nurse should monitor for drug hypersensitivity. The nurse should assess for low bone density and periodically during therapy. Nebulization therapy with saline 0.9% 5ml + Atrovent 35 drops + Berotec 5 drops (inhalation). Main effect: Atrovent acts as a bronchodilator (parasympathetic nervous system), and Berotec acts as a bronchodilator (sympathetic nervous system). Nursing care: Nebulization needs to be done according to the physicianââ¬â¢s prescription. The nurse should monitor for side effect such as tachycardia. Nursing Diagnoses and Interventions Finally, Wilkinson Ahern (2009) emphasize that nurses provide their actions using the Nursing Care Systematization, which consists in to analyze the affected clientââ¬â¢s conditions and to implement actions to restore his/her normal conditions of daily life. Indeed, Mrs. Sââ¬â¢ nursing diagnoses and interventions could be applied, so these actions are described as a follower: Ineffective Breathing Pattern: inspiration and expiration that do not provide adequate ventilation, which is characterized by increased restlessness, oxygen saturation decreased, and using accessory muscles for breathing. Thus, the goal is to provide adequate ventilation pattern. Interventions: Keeping superior airway clear, so it can be done using a suction catheter where necessary. The position of the patient where he/she feels a relieve in dyspnea. The client has a frequent stimulating change of position in bed, keeping elevation in the headboard, and stimulating deep breathing and cough. If necessary, the client can use oxygen therapy, which is conform physicianââ¬â¢s prescription. It can be offered by spectacle-type nasal catheter. This catheter must be changed every 24 hours if the presence of secretion. The nurse should monitor humidification the oxygen for oxygen therapy. 2- Ineffective Airway Clearance: clientââ¬â¢s inability to clear secretions or obstructions from the respiratory tract to keep a clear airway when it is presented, which is characterized by adventitious breath sounds, changes in the respiratory rate and rhythm, cyanosis, dyspnea, and absent cough. As a result, the goal is to keep or perform a clear airway. a) Interventions: i. Teaching the client how to provide adequate coughing. It can use specific techniques to perform such as tapotement. ii. Encouraging ambulation, so it helps the client to eliminate lungââ¬â¢s secretion and facilitate breathing. iii. Encouraging the client does a deeply breathing, coughing, and teaching him/her the importance to do this. iv. Checking for clientââ¬â¢s hydration, it must be adequate because dehydration difficult to breath and eliminate airway secretion. 3- Risk for Infection: it is related to increased environmental and pathogens exposition, invasive procedures, and a deficit in knowledge to avoid pathogenââ¬â¢s exposition. Therefore, the goal is to prevent hospital infection or sepsis. a) Interventions: i. The nurse should monitor and check for local and systemic signs and symptoms of infection. ii. Providing adequate hydric and nutritional ingest. The nurse can stimulate the client to keep adequate alimentary ingest, orient the client and his/her family about the necessity of adequately ingest of fibers, vitamins, proteins, and water. iii. The nurse must teach the client and his/her family about signs and symptoms of infection, so they can go to a health professional, who will evaluate it. The discharge plan and education about health habits must be presented and constructed during the hospitalization with the client and his/her family, so it will provide adequate management and quality of the life for the client (Ackley Ladwig, 2014). In brief, in the following paper was described Mrs. Sââ¬â¢s historical and physical examination, her physiopathology, her exams and medicaments, and nursing diagnoses and interventions about COPD and pneumonia once both diseases were presented by Mrs. S. Besides these processes, nurses provide their diagnoses and interventions in the heath plan to care and provide promotion and prevention for the client, who was diagnosed with pulmonary disease. Nurses must continue to implement their nursing diagnoses and interventions with doing research because it is fundamental for the health care system to improve quality of recovery and life for clients and their family.
Wednesday, November 13, 2019
Pollution Essay: Effects of Global Warming :: Climate Change
An issue that has been stirring up controversy all over the news and in the current presidential debate is global warming. The effects have been seen all over the world and global warming is quickly becoming a major topic of concern. Global warming is the increase of the earthââ¬â¢s temperature. When the earthââ¬â¢s temperature increases, we have a climate change. When this climate change occurs, so do the changes in the sea level, rainfall, wildlife, and this obviously affects humans. (Globalwarming) It is caused by the release of carbon dioxide also known as Co2. Carbon dioxide is released by the use of man made fossil fuels, such as oil, coal and naturals gasses. Co2 traps heat inside the earthââ¬â¢s atmosphere that would usually be in outer space, which causes the Greenhouse Effect. As the earthââ¬â¢s surface heats it becomes too warm to live in and many people, animals and plants will suffer. (EPA) The earthââ¬â¢s temperature naturally changes over the years, but over the last half of century, the record high temperatures drastically increased. Scientists have even warned us that in the last ten years we have had record high temperatures, which means the average temperatures in the United States could increase up to nine degrees. (NDRC) A major result of global warming that I have noticed by living in Florida is that it is making the hurricanes stronger and more treacherous. Every year, Florida gets hit by hurricanes and tropical storms, but during the last five years the damages have really increased. There has been lots of damage done to my home and neighborhood. As a resident of Florida, I have to take more precautions when these storms hit, because I never know how strong they can become. We have had our roof blown off, flood damage and trees falling over in our home. Global warming makes the ocean water warmer, which makes the storms much more powerful. They can easily jump from a category 2 to a category 4 storm. Again, there has been lots of damage done to my home and my neighborhood. (NDRC) Another frightening effect of Global warming is the rising of the sea levels. Scientists have discovered that this could eventually lead to coastal flooding. Areas in the United States that could be heavily affected are all of the eastern sea board, areas of Gulf of Mexico, and almost all of Florida.
Sunday, November 10, 2019
Carrefour S.A.
tCarrefour S. A. is a large multinational corporation that aims to issue EUR 750 million worth of debt. Consequently, Carrefour must decide the market in which it wants to place its bonds. The company had historically financed growth using securities denominated in the currency of its business operations. However, Carrefourââ¬â¢s investment banks, Morgan Stanley and UBS-Warburg, recently recommended borrowing in British pounds sterling to take advantage of a borrowing opportunity in that currency.This recommendation seems counter-intuitive prima facie, given that the British coupon rate is higher than those in all the other currencies, particularly the Swiss franc. Nevertheless, there are several reasons why investing in the British pound is a good idea. While the nominal interest rate of the Swiss franc is lower than that of the British pound, the real interest rate of the British pound is lower because of the relatively higher inflation rate in the U. K. Moreover, the exchange r ate for GBP/EUR (. 628) appears more favorable than the exchange rate of CHF/EUR (1. 53). In addition, we can calculate the implied forward rates to further help us with our decision. We can use the formula F (f. c. /EUR) = (1+i(f. c. ))N/(1+i(EUR))N*S(f. c. /EUR) to find the implied 10 year forward rates: The low forward rates for GBP/EUR suggest that borrowing in British pounds is a wise choice. Next, we must use the implied forward rates to calculate the cash flows for each currency (in Euros). This will allow us to compare each currency and see which one has the smallest cash outflow (which is the best option, since we are issuing debt).We do this by finding the coupon payment in each currency and then dividing it by the implied forward rate for the appropriate year. Using this information, we can see that the cash outflow for the GBP is the smallest, which further suggests that borrowing in British pounds is advantageous. Plus, the cash outflow is greatest for the Swiss franc. We can also use a discounted cash flow analysis to guide our decision. We can take the cash flows we just calculated and discount them to the present time using the risk free rate for each respective country and for the appropriate year.These numbers will be even more helpful and accurate because will they be in terms of todayââ¬â¢s dollars. See below: Once again, it is evident that the smallest cash outflow corresponds with the British pound. While the coupon rate for the GBP is higher, the exchange rate is more favorable, the real interest rate is actually lower, and the coupons paid are lower. All of these factors lead me to conclude that borrowing in British pounds is in the best interest of Carrefour. One final factor to consider is the markups that brokers typically charge to make money for their services.We can find the markup for each currency by subtracting the risk-free rate from the coupon rate. The markup for the Euro is 5. 25% ââ¬â 5. 087% = . 163%. The markup fo r the GBP is . 001%. The markup for the CHF is . 126%. The markup for the USD is . 087%. As we can see, the markup for the GBP is significantly lower than those of the other currencies. This suggests that the GBP is less risky and has a lower chance of default than the other currencies. It is also another reason for borrowing in British pounds.
Friday, November 8, 2019
Funny Images Conjured up by Web Comments
Funny Images Conjured up by Web Comments Funny Images Conjured up by Web Comments Funny Images Conjured up by Web Comments By Maeve Maddox Sometimes Im more amused than annoyed by spelling errors and incorrect word choices that I see in blogs and comments. Here are a few. Let your imagination soar! 1. Looking for a laptop for my mother she only needs a bear-bones laptop. 2. Someone said this to me one time and I balled my eyes out. 3. his scarlet bishops cossack and cap. 4. The boy [who had been beaten] had whelps on him. 5. He hears a disemboweled voice. 6. The cowboy was rounding up the doggies. 7. The crust of my interest is World War I. 1. bare-bones adjective meaning essential. a laptop with only the most essential features. bear-bones the skeletal structure of a bear (an animal of the family Ursidae). 2. balled formed into a ball. We can speak of a balled fist. Yarn can be balled, as can little bits of wool on a sweater. bawled past tense of bawl, to cry out loudly. The word may come from an Icelandic word for the sound cattle make. Related to bellow. 3. Cossack originally a member of a Russian military elite; a distinctive item of their uniform was a tall fur hat. Figuratively, a cossack is an authoritarian figure that uses any type of force to control others. The character Chekov in the original StarTrek series was fond of calling people he didnt like cossacks. A cassock, on the other hand, is a clerical garment, a long close-fitting tunic reaching to the feet. This is what the bishop probably had. 4. A whelp is the young of a carnivorous animal, such as a wolf cub or puppy. The word called for in this context is welt. welt: a raised area, ridge, or seam on the body surface (as from scarring or a blow). 5. disembowel: to take out the bowels of, eviscerate. This is what the word drawn refers to in the expression hanged, drawn, and quartered. The word this writer was reaching for was disembodied. disembodied in this context means that a voice was heard, but its source could not be seen. 6. doggies a childs word for dogs. Ex. Look at the Mother Doggy and all the little doggies! dogy (also spelled dogey and dogie) a motherless calf in a range herd. 7. crust the hardened exterior of something. It could be a pie crust or the earths crust. The speaker probably intended to say crux. crux a word derived from the Latin word for cross. A cross, as we know, can be a tool of torture and execution, but its shape is also suggestive of a central nexus, like a crossroads. Both ideas contribute to the meanings of the English word crux: 1 a. a puzzling, confusing, or difficult problem : an unsolved question b. a determinative point at issue : a pivotal or essential point requiring resolution or resolving an outcome 2. a main or central feature (as of an argument or plan) Please share your own examples of misused words that conjure up funny images. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:5 Uses of InfinitivesLatin Plural Endings30 Words for Small Amounts
Wednesday, November 6, 2019
Costo y trámites para visa C-1 de tránsito por EE.UU.
Costo y trmites para visa C-1 de trnsito por EE.UU. La visa de trnsito C-1 permite a una persona extranjera hacer escala en Estados Unidos cuando sus viajes tienen origen y finalizan en otros paà ses. Por ejemplo, la visa C-1 puede ser una opcià ³n para un latinoamericano que le desea visitar un paà s europeo y le gustarà a viajar en una aerolà nea que hace escala en Estados Unidos porque el boleto de avià ³n es ms barato que si compra un vuelo directo. Otro caso para solicitar la visa de trnsito serà a el de un extranjero en un barco cuyo origen y destino no es Estados Unidos y en el transcurso del viaje el barco atraca en un puerto estadounidense. En este caso no se tiene permiso para bajar a tierra. Si se quiere pasear y hacer turismo se necesita una visa de turista, conocida en algunos paà ses como de paseo o placer o tambià ©n por las iniciales B2 o B1/B2. Quià ©nes no necesitan solicitar la visa C-1 de trnsito No requieren sacar la visa de trnsito los extranjeros que hacen en escala en Estados Unidos pero se encuentran en una de las siguientes categorà as: Residentes permanentes legales en EE.UU.Personas con una visa de turista vigenteExtranjeros de un paà s participante en el Programa de Exencià ³n de Visas. Las personas de este à ºltimo grupo y que, por lo tanto, no necesitan visa para ingresar a EE.UU. debe solicitar, sin embargo, una autorizacià ³n electrà ³nica que se conoce como ESTA. En este momento, de todos los paà ses hispanohablantes solo Chile y Espaà ±a estn incluidos en dicho programa. Cà ³mo se tramita la visa C1 de trnsito La visa C1 forma parte de las denominadas visas no inmigrantes. Debe solicitarse una visa por cada miembro de la familia que planee hacer escala en los Estados Unidos, incluidos los nià ±os y los bebà ©s. Esta regla aplica incluso en los casos en los que los menores no tienen pasaporte propio por estar incluidos en el de uno de los padres. El primer paso para solicitar la visa de trnsito es rellenar el formulario DS-160 y, al finalizar, imprimir la confirmacià ³n con el cà ³digo de barras. A continuacià ³n, proceder a elegir la pgina del paà s al que pertenece el consulado en el que se aplica por la visa. Para los hispanohablantes son las siguientes: ArgentinaBoliviaChileColombiaCosta RicaCuba. Estn suspendidos la mayorà a de servicios de visados. Consultar con Embajada.EcuadorEl SalvadorEspaà ±aGuatemalaHondurasMà ©xico. Tambià ©n hay telà ©fonos disponibles.NicaraguaPanamParaguayPerà ºRepà ºblica DominicanaVenezuela Si nunca se ha utilizado con anterioridad una de esas pginas, debe crearse un perfil antes de seguir. Ahà se realizan importantes trmites como, por ejemplo, cerrar la fecha y hora para la entrevista con el oficial consular. à Debe verificarse con las reglas de cada consulado para la entrevista si nià ±os y ancianos deben presentarse y a partir de quà © edad. La regla general es que los menores de 13 o menos y los mayores de 80 o ms no deben presentarse, pero puede haber excepciones. Otros trmites importantes durante este paso son el pago de la tarifa de la visa MRV, que deber hacerse segà ºn los requisitos de cada consulado y, finalmente, seguir los pasos segà ºn va indicando el formulario en lo que respecta a la toma de huellas digitales y fotos, que dependen de las directrices de cada consulado. No hay confusià ³n posible, ya que al elegir el consulado en el que se aplica, el formulario que aparece en pantalla solo da la opcià ³n a los trmites especà ficos que aplican en el mismo. Asà , en paà ses como Mà ©xico, Argentina o Repà ºblica Dominicana la toma de datos biomà ©tricos como huellas tiene lugar antes de la entrevista en el consulado en una ubicacià ³n habilitada para ello. En otros consulados, por el contrario, ese trmite se realiza el propio dà a de la entrevista y en el consulado. En este caso, al llenar la solicitud prestar atencià ³n a las fotos, ya que algunos consulados requieren que las tome el propio solicitante de la visa, en cuyo caso deber ajustarse a los parmetros que exigen las autoridades estadounidenses. Finalmente, a la entrevista debe acudirse en hora, llevando ordenados los documentos necesarios. Entre estos destacan el pasaporte vlido con visa del paà s de destino, si fuera necesaria, el resguardo del pago de la solicitud de la visa y el cà ³digo de barras y confirmacià ³n de haber completado el formulario DS-160. Adems, debe llevarse copia del itinerario del viaje o de la reserva del mismo y los documentos que sirvan para probar que el solicitante tiene lazos econà ³micos, familiares y sociales sà ³lidos en su lugar de residencia habitual. Esta documentacià ³n es importante porque la causa principal por la que se niega la visa es falta de acreditacià ³n de dichos lazos. Costo de la visa MRV de tipo C-1 de trnsito En la actualidad, el costo no reembolsable de solicitar la visa de trnsito es de $160 dà ³lares americanos. A las visas estadounidenses se las conoce habitualmente por las iniciales MRV, que son las siglas en inglà ©s de Visa que pueden leer las mquinas. Adems de la tarifa siempre obligatoria, los ciudadanos de algunos paà ses deben pagar una cuota o arancel adicional que se conoce como issuance fee, pero sà ³lo si es aprobada.à Debido a su alto costo es posible que solamente resulte rentable si se estima que se realizarn con dicha visa varios viajes con esa visa. Aprobacià ³n o rechazo solicitud de visa C-1 de trnsito Si la solicitud de visa es aprobada se entregar al solicitante segà ºn las reglas de cada consulado. En la actualidad en la mayorà a de los paà ses se entrega el pasaporte con la visa estampada en el mismo utilizando los servicio de mensajerà a de DHL. Cabe destacar que la visa puede ser negada. Las razones son mà ºltiples y pueden ser calificadas en dos grandes categorà as: inadmisible, en cuyoà caso a vecesà se puede pedir un perdà ³n,à o inelegible. Estas son 20 razones por las que la peticià ³n de visa puede ser no aprobada por esta à ºltima causa.à En este caso, el consulado entrega una hoja donde se indica la causa de la misma. Para aplicar de nuevo con posibilidades de obtener una aprobacià ³n es necesario que cambie la circunstancia por la que se produjo la negacià ³n. Si todo sigue igual, la respuesta seguir siendo la misma. à ¿Por cunto tiempo es vlida la estadà a en EE.UU. con una visa de trnsito? La visa C-1 permite el trnsito inmediato y continuo a travà ©s de Estados Unidos desde un paà s de origen hacia otro de destino. Cuando se llega al control migratorio de EE.UU. el oficial decide el tiempo mximo de estancia en el paà s que, en ningà ºn caso, puede exceder de los 29 dà as. Esto no quiere decir en ningà ºn caso que la persona con la visa C1 puede permanecer todos esos dà as en EE.UU. Por el contrario, quiere decir que se est obligado a salir de EE.UU. en fecha primera de las dos siguientes: en la del boleto en el avià ³n o en el barco para el cual se tiene la reservadentro del tiempo autorizado por el oficial de migracià ³n ââ¬âque puede ser 29 dà as o menos. Por ejemplo, si la escala en Estados Unidos implica que entre el avià ³n de llegada y el de salida hay horas suficientes como para visitar una ciudad, puede hacerse. Sin embargo, no se puede utilizar para hacer turismo aprovechando que se para en Estados Unidos, asà sea de solo por un dà a. Para este à ºltimo caso, la visa adecuada es la de turismo o, en el caso de pertenecer a un paà s en el Programa de Exencià ³n de Visados, una autorizacià ³n electrà ³nica ESTA es suficiente. La intencià ³n es fundamental. Si es hacer turismo, el oficial del consulado negar la visa o el oficial del paso migratorio negar el ingreso a EE.UU. por carecer de la visa correcta. Si la intencià ³n es hacer escala de paso entre un paà s y otro, la visa a solicitar es la C-1. Puntos Clave: visa C1 de trnsito La visa C1 sirve para pasar en trnsito por EE.UU. cuando se viaja desde otro paà s de origen a otro de destino.No es necesaria la visa C1 si se tiene visa de turista o ESTA vigente.El costo de la visa C1 es de $160.Debe salirse de EE.UU. en el vuelo o barco para el cual se ha hecho la reserva. Este es un artà culo informativo. No es asesorà a legal.
Sunday, November 3, 2019
POPULAR SCIENCE ARTICLE Example | Topics and Well Written Essays - 500 words
POPULAR SCIENCE - Article Example It stays this way to protect itself against adverse conditions for long periods of time, in order to wait for a better time period to grow. Through experimental incubation, these spores are revived, which seem to have come from deeper hot spots inside the ocean. These newly discovered bacteria have very similar genetic characteristics to a set of bacteria found from offshore oil reservoirs. Hubert, a PhD in petroleum microbiology states thatà that surveys will be able to pinpoint the exactà place from where these microorganisms have originated. He believes they might have some interesting applications, that is, if they are coming from petroleum reservoirs. These bacteria were found to be anaerobic, as they were found in high number in the sediments. Hubert stated that a source of the bacteria could be the oil reservoir and another could be that the fluid circulation through the ocean crust at the spreading ridges where hydrothermal vents are present. While these spores are extremely helpful in tracking down marine hot spots, they also offer new information about the wild life and everything about the different variety of things here in the biosphere. The bacterial speciesà foundà inà theà environmentà hideà manyà of the minor groups of bacteria that apparentlyà donââ¬â¢t seem to participate inà theà functioningà ofà theà ecosystem. These dormant thermophiles can be a useful key in understanding how diverse is the marine ecosystem and how well it is maintained by the submissive spreading of cells over a large area. These arctic thermophiles can be the holders of great and important clues to solve broader riddle of biogeography and biodiversity.à The thermophiles are a form of bacteria that live and breed in hot places and kill organisms around them (Kristjà ¡nsson; p 43). These are grouped into two types, either Prokaryotes or Eukaryotes.à They breed in temperatures that range between 50C to 70C. Studying these
Friday, November 1, 2019
Business Law - Term Paper Example | Topics and Well Written Essays - 1750 words - 1
Business Law - - Term Paper Example Joseph buys a Tefal Pan Actifry. The pan catches fire and burns the members of the family. There are three questions, the first question pertains to the moral obligation which the company owes him, the second question pertains to negligence of the product and the third question pertains to the legal contract between Joseph and the product seller. Joseph Price was a purchaser of Tefal Actifry. He contended to the quality and way the product was made, and therefore the company was under a moral and legal obligation to sell him good quality product. However, in the use of the product, it turned out to be a faulty one and therefore under the Sale of Goods Act 1979, the consumer, which in this case is Joseph Price, has a right to avail from the manufacturers of the faulty goods, which in this case is Tefal Actifry. Under the law laid down in Section 48 (b) of the Sale of Goods Act, it is pertinent to note that the law allows the consumer to file for complaints when the goods sold by the seller turns out to be faulty and wrongly made. Acting on behalf of Jospeph as his legal advisor, I would advise him to file a suit against Tefal Actifry and hold them liable under Section 48 (b) in which case they shall be punished by the Court of law. The seller in this case has to replace the goods since the actifry turned out to be non-functional, dangerous, and extremely faulty for the people who use it. Even though the company claims that only 0.4 per cent of the products are faulty, it does not rule out the fact that those who used it and in the case my client Joseph Price, and to those it had turned out to be faulty, the company should incur the damages and replace the faulty product with a better fool proof product. In the case of Bowes v Richardson & Son Ltd, 28 January 2004 the consumer was allowed to reject the faulty car after a period of 7 months. Dave and Sandra (Josephââ¬â¢s parents) suffered burns and a lung
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