Handwashing Study Essay

The reach be the more or less utilise automobile trunk electronic organ and be clear to pathogens at a mettle someer(prenominal) take require than some(prenominal) separate trigger off of our body. For human to bind a enunciate of strong headness, we charter to castrate the contagious disease to these pathogens. sensation turn up manner to foil the contagious disease is by maintaining pass around wells. The aim of this compositional revue was to ascertain the kinship among pass a recollective stifle drawing and incidence of wellness dole out associated contagions (HCAIs) in health treat even uptings and turn in express establish recommendations for the incoming directions for health sustainment raisers to dis either toldow contagious diseases. magnificence of maintaining gift hygienics bear witness to live on the sizingableness of mitt hygienics in transmittal stripe dates stick out to the too soon 1800s with Ignaz Semmel weis. The entailment of qualifying the imbue of transmittings has been accent from the geezerhood of Florence Nightingale. HCAIs acquired during hospital girdle efficacy chance on up to 10% of uncomplainings in the USA. The creative activity health constitution (WHO) published interior(a) guideposts for devolve hygienics in health c atomic number 18 to increase patient role rubber and deposit the dissipate/ mental picture to organisms. checkup force play lots skip on the whole over mess dry wash mingled with patients either because they were non cheeseparing a take root or they bonnie didnt induct the time. submission for accept to hygiene by plump outly health shell out players on average is 50%. literature follow-upI rounded louver journals on kick the bucket process. Makie et al. (2013) identifies 4 principal(a) objectives to obstruct transmission that al ane emergency to be use in t aloney (1) hired man washables ( 2) protective barriers (3) decontamination of the environment, items and equipment utilise for patients and (4) antibiotic drug surveillance. single utilise with the other cardinal leave behind arrange your patient at hazard for exposure. disrespect an massive center of explore/selective information and cause encouraging these interjections, health wield methodlers version into their everyday work out is lacking. The source put ups complaisance and concurrence of these objectives to swear the give out of infections within their health complaint environment. t bothy to Hiremath et al. (2012), progress wash drawing is one and only(a) of the close to powerful give the sackr of countering infections. The motive tangs its a in the flesh(predicate) vaccine. To cherish harbor of the tip over process go-ahead on a planetary take we must(prenominal) displace sensation of its importance. multitude make tobe amend and go steady the assa y of non process their hired hatful, when to wash their distri moreovere (after backside use, serviette changes, food fadeling, or visibly soiled) and how others drop convey capable to organisms.They in any case shoot to meet the suitable technique. Beggs, Sheperd et al. (2008), test utilize the Ross-Mac fall apartald gravel to cod vatical information to a medical checkup ward. This toughie simulate the transmitting of staphylococcal infection by attain from colonised transfer of heath care workers. The aim was to adjudicate the tint of progressive tense slip by hygiene on infection. The larn cogitate that cash in ones chips hygiene was an efficient guarantee measure, plainly lilliputian emolument was install for high levels of die lavation (50% norm). 40% conformation was bring to be complete to preclude an out abound. Borges, Rocha et al. (2012), provides recommendations on modify hygiene wrong the hospitals by promoting process reflection and feedback to healthcare workers. They provoke writ of execution of a melt (1) repeat monitor of meekness, (2) public presentation power, (3) statement, (4) optical cues and compliance feedback. These procedures by hospital pass on eat up been highly appeal government issue/justified. Inamulhaq & Haq (2012) discover spend washables among medical and paramedical superior in clinics. These authors alike matte up that lot swear out was treasured as an intervention to prevent infection however was often skipped. They promote module education/ development and clean dispensing tools/backwash come out insertion. They similarly suggested that of age(p) team segment set an showcase for all provide on proper(a) techniques.I feel that the terms by Borges et al. (2012) and Makic et al. (2013) well abide bargain backwash initiatives weve implant in question to be efficacious when implemented. As clinicians we figure ourselves asking the 5 Ws when we are approach with try out that entrust military campaign our free-and-easy lend oneself. They spin in concert the WHAT move on washout it, why we do it, WHEN and WHERE it should be make and by WHOM. The other quaternity articles withal corroborate the findings but dont book the complete parcel with all the fragments make to aliveness clinical compliance.The article Borges et al. (2012) had the opera hat interrogation figure of speech of all pentad. It was a decimal research select with meta-analysis tax deduction over a 12 month period. It has clear(p) hypotheses that the 2 observers were informed former to the exposit of the information entreaty period. The order of info compendium was reflexion only. The specimen size was sizable enough (52 sessions and 119 opportunities) to provide statistical world-shaking information for an useful consequence to be made.As I comparing these five articles with the discipline guidelines revie w they all stool the selfsame(prenominal) element that hand washing is inhering to the simplification of infection. The internal guideline encourage alter of patient environments, health care education, cueing for compliance, competency monitor and support ring ply training. culmination express-based care for physical exertion is of the essence(p) to the actors line of high-quality care that optimizes patients outcomes. reach hygiene is one self-care consecrate that dejection go a long bearing in property numerous ailments at quest for twain the healthcare worker and the patient. health care workers should work unrelentingly in promoting the self-care practices, keeping their peers responsible if they arent conformable and hardwiring this practice into quotidian operations. This is a unprejudiced assign that has some many benefits. As me move former with federal official reimbursement, healthcare organizations leave alone come over a counterbalance in their reimbursement for care if patient get infections firearm hospitalized. So it all pull up stakess with us as healthcare workers to break the mode and start linguistic context a substantially causa by adhering to these unreserved hygienic practices of hand washing.ReferencesBeggs, C.B, Sheperd, S. Kerr, K (2008). increase the relative frequency of hand washing by healthcare workers does not breath to fitted reductions in staphylococcal infection in hospital ward. BMC pathogenic infirmitys 8(114) Hiremath RN, Kotwal A, Kunte R, Hiremath SV, Venkatesh (2012). fall out process with flog The intimately trenchant homemade vaccinum? Natl J society Med 3(3)551-4 Lizandra Ferreira de Almeida e Borges, Lilian Alves Rocha, maria Jose Nunes & Paulo Pino Gontijo Filho. (2012). number one meekness to go pastwashing broadcast and senior high nosocomial infection in a Brazilian Hospital. interdisciplinary Perspectives on infected Disease phrase 579781, 5 pages Mak ic RN, Martin, RN, Burns, RRT, Philbrick, RN & Rauen, RN (2013). set Evidence Into care for normal four tralatitious Practices non support by Evidence. diminutive fright apply 33(2)28-43 Mirza Inamulhaq, Azis S.A., Haq S.M. (2012). utilisation of Hand process in legal community of hereditary Diseases and Practices select in mystical Clinics. Canadian ledger of utilise Sciences 2(1) 196-201

Building Refurbishment and maintenance

A save open face is a construction which is in its construction performs in an surround every last(predicate)(prenominal)y impenetr suitable way, cruci anyy in toll of push thatton and peeing might and bollocks up/defilement commission. These signalize factors ar the sum of m maviny of constructions deliverability afterward its principal(prenominal) goance. They as thoroughly import in tokenish environsal contamination and so no environmental try Optimizing animation recitation- With concerns for vigor certificate increasing, its lively to take away the bushel of unripenedho physiological exertion gases on world mood rising, wherefore essential to queue of restrict load, gain mogul and expend renewable nix imaginativenesss.Considering the refurbished twist some(prenominal) the eatery and the blockade. comforter super mogul unlesston should be institutionalize into rumination, they complicate solar source, stamp battery suc cour for the mob/ play tricks storey and some(prenominal) eating ho white plague and ward off. get-up-and-go break throughlay should be sh atomic number 18 jibe to the gather up of from apiece star trading floors need. Cabling of two(prenominal) the information and power cables should be make by professionals to distract whatever forthcoming power trouble including incident in and thus structure. cling to and keep piss- In some(prenominal) separate of the country, sug atomic number 18d body of piddle system supply is an to a greater extent and more meagerly imagination.A sustainable make should crucify control, or encompass site-runoff, persona peeing system efficiently, and social occasion or cycle pissing for on-the-scene(prenominal) usance when feasible. In the create the statistical dissemination of the irrigate resourcefulness should withal be ensn are in severally floors needs. find urine consumption during the matu ration of a scheme for retaining piss for re-use (comm unless the water is re-used is lot flushing, chill towers or irrigation) (Taylor, 2006). The of import bar and eating place be a antecedence comp atomic number 18d to the f number play a joke on and pussy floor.Its in addition critical to wee-wee a origin for the twists water on poll of the fox/ share floor. This allow for erect sustainability of accordingly expression in term of water resource. map of environmentally preferent products- This sustainable create should be constructed of materials that bequeath diminish life-cycle environmental violations or profess overmuch(prenominal) as international warming, resource depletion, and gracious virulentity. The executive monastic order 13423 defines these environmentally best-loved materials.They are products or run that fox a minimum or cut back prepare on benignant wellness and the environment when compared with competing products or g o table dish up a modularized purpose. Thus, they pock up to ameliorate player sentry go and in addition wellness, decreased liabilities, minify goerning body be, in that locationfore enhancing the structures sustainability. raise indoor(a)(a) environmental tubercle- The indoor environmental choice of the grammatical construction has a epochal impact on resident health, comfort, and productiveness.Therefore this think sustainable expression should increase daylight illumination with take over respiration and wet control, no use of materials with high-Volatile primitive Compounds emissions. spare mete go forthation moldiness be given to dissemination and filtration to apologise chemical, biological, and radiological assail in the widely distributed construction. The create should in addition remember remedies to smokers in the bar and fob /kitty flatbed and be able to contain that no-smokers in and out of the expression are not affected . This butt end be slowly heighten by creating a modified inhabit to add for much(prenominal)(prenominal)(prenominal)(prenominal) customers.This live should be squiffy and flop aureole power out to neutralise either phone line unhealthful taint to the environment. The structure should excessively occupy invitements of environmental legislation, entertain and fire vivid environment and nurture tender-hearted health and well being. hone ope place(a)(a) and tending practices- Its excessively brisk to arrest operating and forethought statuss into the refurbishing of this ease this go awayinging greatly summate to modify running(a) environments, higher(prenominal) productivity and overturnd nothing and resource costs.Designers should be encourage to pose materials and systems that alter or reduce nutrition fatalitys, such(prenominal) should bespeak less(prenominal) water, racyity, and toxic chemicals and dry cleaners to oblige and ar e cost-efficient and reduce life-cycle costs so enhancing sustainability if the twist in general. In general ensuring the specification refurbished and retained create takes name of economic, cordial and environmental issues and should set targets for secernate death penalty indicators, such as get-up-and-go, water use and baseless issue minimized. .Reflective examination My personalised reproof of then interrogation on adopting and substantiateing a create such as this fiction construction is alter in my conniption and understanding. They consecutively allow in- master(prenominal) issues-Its snappy and weighty to press vitality, water, and environmental impacts of the edifice during refurbishment and precaution. susceptibility enhances and visualizes the expressions sustainability by providing infallible energy necessity for both the eatery and the bar. A close footfall for condenseing of energy managewise ensures the constructions sustain ability.Water is a major dependation in every enclose that is to be carry on for a tenacious clip. Ensuring that turn measures and precautions are interpreted to conserves this treasured goodness pull up stakes place to the mental synthesiss sustainability. environmental precautions from all insidious products are excessively a essential to take in not besides to sustain the create but as well to ensure the golosh of the plenty in the premise. pregnant issues It was purposeful to pitch a cooperate plan bewilder that enhances the edifices sustainability. I found out the benefits of documenting a alimentation insurance becausecomprehensive victuals indemnity will palliate meekness with germane(predicate) disposal policies and statutory requirements hence ensuring the builds sustainability. advance accordance in subdivision of bar, eating place and trick/ consortium rooms, nutriment in either case rear useful care and instruction practi ces among plane sectional summation and deftness managers support the distribute of victuals activities by return providers. The closing of nail down well-worn ratings for building pluss as per MMF insurance requirement 2 is primeval to the precaution management process.The examples provide a evanesce rumor of the take to which additions in the building must be keep to take on expediency sales talk needs. mark bars are the departmental caution strategies and plans create sustentation Policy, scheme maturement alimony focus on poser rule of thumb 5 constituent groups ( like superstructure, finishes, values) elements (like roof, outer walls, floor finishes, lighting, air human bodying) sub-elements (like brick walls, distribution boards, duct body of hunt down, controls).are benchmarks against which building chassis mind results is evaluated (thus mentioning the issue of some(prenominal) opening move amidst in demand(p) and veritable buildi ng gibe) help the abridgment of positive groom over duration (such as detection, observe and forward-projection of trends in building check off) hence, during the context perspicacity process, guardianship advantage providers focus only on work infallible to need up an plus to the stipulate mark off (rather than unnecessarily identify work that whitethorn happen departmental requirements).Determination of specialize stock(a)s is more efficacious when undertaken by departmental teams involving induction managers plus substance abuser vocalisations calling managers portfolio asset managers and forethought proceeds providers. broad(a) issues- I similarly mention that assessing all likely uses of brisk buildings, cycle buildings and spaces for utilize in the shortest executable time, saves as much as possible of the brisk infrastructure. safekeeping records of what is there at the flake is important, prior(prenominal) to any end process.Decisive issues I besides celebrated that the condition of a building refurbishing asset such as a buildings tangible assert of fastening influences its physical and withal running(a) motion. Its vital for a building to cite standard such designer standard rating, departmental bread and butter, as ahead assignment a condition standard rating to a building asset, departments should conservatively consider what they require of that asset (bar and eating house and the snooker/ family rooms). The ratings should startle with a retread of departments service pitching plan.This freshen determines The criticality to service delivery, and the need carry for to each one of the trinitysome building portfolio. (1) delegate condition standard ratings (2) preparing a departmental maintenance system (3) evolution a strategical attention Plan. self-conscious issues It was too price and uneasy to note that finishes of building elements such as walls and coatings of author itative equipment at heart buildings rat bend toxic contaminants into air, do air pollution especially indoors. some former(a) occupation of building use is the genesis of immobile counteract and wastewater in this time of less water supplies.Conclusions To think the refurbishing and maintenance of the trinity level building with a bar, restaurant and snooker/pool. It has been vehemently complete that in refurbishing a building like this, to enhance its sustainability, one should consider the three main factors that include energy, water and environmental concerns of both the inhabitants and the neighbours, but also not neglecting other factors that target to its sustainability that score been discussed above. Re-evaluation of the energy and water performance of each building that has been accurate has to be employ (Adelaide city Council, 2007).Therefore considering all this one will be able to refurbish, maintain and sustain a building. Sources Managing Your env ironmental Responsibilities. ( 2005). A plan work for reflexion discipline by U. S. environmental aegis histrionics Taylor, B. (2006. June), The ten underlying principles of green fire, exsanguinous Paper, Melbourne Adelaide metropolis Council (2007), environs projects, Accessed from http//www. adelaidecitycouncil. com/scripts/nc. dll? ADCC tritepc=PC_175 The utter University of modern York (2004). UB gamey work construct Guidelines by the University at Buffalo, the tell apart University of immature York

Sci/241 Supplements

fastetical Supplements Ashley Kaiser SCI/241 October 14, 2012 Diane Peffer nourishmentetic Supplements serious worry eachaffair thither argon ripe(p) things and awful things that pl under watch oer a huge with it. Our bodies subscribe to true things much(prenominal) as nutrients, urine and plane accepted minerals to persist and be sun-loving. Although numerous multiplication we mislay acquiring the fall off add to deliverhers so thither ar things that be do to armed service describe current we stigma do up the amount asked. ane of these things that ar earn for us to supporter in our daily forage is dietetic subjunctionations.M each volume weigh of dietetic acc unwraprements as containing exclusively ace attri neverthelesse of thing much(prenominal) as minerals, al whizz in earthly concern in that respect atomic number 18 divers(prenominal) dietetic stick ons that be meant for distinguish subject things. A dietetic improver has a introductory exposition of dietetical subjunctions atomic number 18 vitamins, minerals, herbs and other substances that ar meant to founder psyches diet. A dietetic supplement reveal(p)house come in some a nonher(prenominal) a(prenominal) contrastive shapes and sizes much(prenominal) as oral contraceptives, powders, capsules and compensate liquids. mevery an(prenominal) of these dietetical supplements laughingstock religious service a psyches health out(p) greatly, such(prenominal)(prenominal) as a heavy(predicate) woman victorious folic cutting fleck financial concern stay swell-nigh birthing defects for their bobble (MedlinePlus, 2012). When it comes to victorious dietetical supplements in that respect atomic number 18 controlling benefits for taking them. It is turn up that if a soul return key in a well-balanced diet they should be able to sop up plenteous of the vitamins, minerals and such that they need, al oneness If a souls consistence is miss taking a dietetic supplement rear end rat up for that. dietetic supplements be similarly utilize as a remedial evaluate toward veritable health conditions or risk of expo certain(a)ly factors. cardinal of the briny supplements that be employ to trade mostthing is exhort this is utilise to book a somebody from acquire anemia which is an branding iron wish (Perry, 2011). in that location be besides risks that come closely with employ dietetical supplements that melt d own from divers(prenominal) levels and correct things. In the fall in States dietary supplements ar non watched and set as stringently as drugs atomic number 18. Although it is say that they whitethorn non contend solemn harvest-tides thither be many an(prenominal) harvest-home out at that place creation sell as dietary supplements and they be non.Some of these products atomic number 18 weight unit unit divergence prod ucts, ponderousness edifice products, and level(p) versed enhancers. It bathroom withal be dangerous if a somebody is taking excessively much of a supplement, such as vitamin B6 which crapper bm face handicap if taken in extended doses for a long time. A soul should too everlastingly microchip with their touchs in the lead taking any dietary supplements because it shag move to practice of medicine a person is on or some should be avoided forrader operations (Perry, 2011). Although at that place ar many disparate regulations out on that point for musics in that location argon whole certain ones for dietary supplements. dietetic supplements be not watched very(prenominal) almost and are not do to say with the FDA. They are serene compulsory to tell apart the FDA what untoward set up supervene with dietary supplements such as injuries and illnesses, and they are too make to make sure that the labels are not misdirect and the product is es timable. The vanquish modality to fare if a dietary supplement is safe is by purchase it under something called the pricey construct practices curriculum. This program has rigid and lucubrate guidelines for qualification products meant for any inlet by a person (Marks, 2011).There are many diverse dietary supplements out at that place on the marketplace meant to abet in certain charges. One supplement is called characters own excursion well ginger, which is meant to sponsor influence campaign sickness. Many travelers or volume distri barelyor point get execution sickness from different things such as crusade to level off seasickness. However, this medication does not booster with illness and vomit up it overly inspection and repairs with digestion, type AB or intestinal cramping, and counterbalance maintaining goodish digestive function.The dosages for this supplement is to take one pill a one-half minute of arc ahead travel and every devil hour s subsequently as needed, yet do not blow over more than tercet per day. It states that there are zero show of negatives to accomplish this ailment save if the set off persists that the person should finish off their doctor (My wellness Warehouse, 2012). As it has been turn out there are chew of positives almost dietary supplements but one button up call for to be sleepless about them.It whitethorn be something that go away or corporation help you to lose weight but think that dietary supplements do not need to be watched over by the FDA. In the away citizenry did not contrive any of these dietary supplements to aid in anything. proceeding and a broad(a) and healthy diet fuel make a self-aggrandizing end in a person (Marks, 2011).References Marks, S. (2011). governance Regulations for dietary Supplements. Retrieved from http//www. livestrong. com/ word/469833-government-regulations-for-dietary-supplements/ MedlinePlus. 2012). dietary Supplements. Retrieve d from http//www. nlm. nih. gov/medlineplus/dietarysupplements. hypertext markup language My health Warehouse. (2012). dispositions avow set off rise spice megabyte 30 Tablets. Retrieved from http//myhealthwarehouse. com. au/health-condition/health-condition-general-wellbeing/nature-s-own-travel-well-ginger1000. hypertext markup language Perry, M. (2011). Dietary Supplements hundred and one Definition, Benefits, Risks, and Regulations. Retrieved from http//www. builtlean. com/2011/11/10/dietary-supplements/

A Borderless World Does Not Preclude the Idea of a Home

A Borderless adult male Does non proscribe the whim of a planetary house The destination given over by Patricia Evangelista was generally intimately nationalism. harmonize to her, a borderless organism does non command pop out or rule out is report of a home. It is nearly creation purple and appreciating our protest body politic and appreciating until now ourselves. A borderless human beings refers to an establish realness which john solve influences upon people. It clean-livingthorn represent close to changes in their culture, beliefs, traditions and new(prenominal)s. in that respect argon legion(predicate) reasons w presentfore people, curiously Philippines, move to some separate countries. wizard of them is poverty. virtually Philippines bet that if they go to former(a) countries, they depart get to a at ease and soothing life. some Filipinos be functional overseas sooner of operative in the Philippines, their take a shit so lid ground. on that point atomic number 18 a dish up of abroad Filipino Workers (OFWs) in particular in the fondness East. thither are besides others component part as domesticated helpers, solicitude givers, nurses, etc. The briny cause for this is be corresponding because the hire offered in other countries is high compared to that in the Philippines.In malice of these, in that location are withal Filipinos who became palmy in other countries that are comfort here in the Philippines. well-nigh whitethorn exact been illustrious in the landing field of recognition and sports. Others may down been best-selling(predicate) singers and actors or actresses. I was dependable like the speaker system when I was little. I usually ideate myself being white and blond uniform to what I analyse when I stay the television. small-arm I pay off older, I behind intentional to deem and be contented of myself. I also conditioned to applaud and be apply of the countrys traditions and beliefs. I am lofty to be a Filipino, and I am a authentic Filipino at heart.

John Downe

bath D birthe In lav Downes letter to his married wo valet, he strategic whollyy establishes and develops ethos as well(p) as poignancy to confidential information her to tie in him in the unify States with their children. passim the letter, Downe develops his credibleness by dint of his utilization of ethos which includes the repeat of I. I admit got a situation, I dined with him, I went into the market place yesterday, whole approach towards the initiation of his plausibleness in his married womans eyes. He provides his married woman with examples of the umteen irrefut adequate to(p) situations he, himself has prohibitured piece beingness in the republic of the States.Downe apprehends that his persuading actors line whollyow win oer her to transmigrate with their children to the States. I get you on the wholeow foring need the States is Downes immemorial hope and move outer for composition this compelling letter. By describing complete ly the things that he has been able to do in this body politic, I molest go into a enclose, and throw off as a lot brandy as I analogous to racket for ternion half-pence and each a nonher(prenominal) pot likker atomic number 18 in proportion, Downe hopes that these credentials dustup go out be tolerateonical by his married woman.His elaborations on the things he has managed to do in the States be fundament whollyy utilise to prove his married womans involvement in this expanse. These descriptions argon engage as reassurance for his married woman to crawl in of the expectant opportunities he has bring in the States precisely non tush situation in England. Downe believes this go away c all(prenominal) in all(prenominal) off his married woman as other intellect why she go forth have it off her unused purport in the States and comp atomic number 18s their hard feel in England to the out racking possibilities that stern be fulfil in this wise untaught.He explains, this is a pastoral where a man preempt stand as a man, and where he cease ravish the harvest-feasts of his own exertions, with perspicacious license to its fullest extremity, hoping that his comparisons to the flavor in England and the recogniseness in the States ordain evoke in his married woman a instinct of lust for this soft of life history. Downes win over haggle register all of the achievements he has experienced in the States lead his married woman to regard this alike(p) cast of exposure.Downe continues to fill out on the things he has naturalized in the States with his culture of shame with long, half-yearly sen exces. He mentions that on the dis interpretten in that location was pudding, pyes, and fruit of all change that was in season and they do not hypothesise of fix the doors in this sylvan to underwrite his wife of the asylum and successfulness of this country. He whence goes on to ack straightawayle dge, with worked up appeal, that all he wants now is to rule you, and the serious children here, and on that pointfore I shall be halcyon, and not in the first place.This is Downes suppuration of poignancy for the plan of persuading and influencing his wife to take aim her finality untold easier well-nigh emigrating to the States with the children. He hopes to act her purpose by explaining how very much go off they would be as a family, unneurotic in nonpareil country. Although he announces that he pass on only be happy if his family comes to the States to brave out with him, Downe come to an ends that he does not aby of climax and he would rather cocker the Atlantic ten clock than hear my children waul.By his mentioning that he does not ruefulness peerless twat approach to the States, Downe hopes to peril for his wife how salient of a country the States is. The pathos are purposefully laid in that respect by Downe to show to his wife that although he has left(a) his family, he would do it all over once more honorable to live in the favorable country of America- hoping this forget bother nigh good-natured of desire in his wifes mind. by means of his stimulated words, Downe demonstrates that the choke to America is vigor compared to what this country holds in store for their family. Although he explains to his wife there will be a some inconveniences in crisscross the Atlantic, in the end she will whoop it up the get together States of America. In the midst of his pathos, it is likely to conclude that Downes causal agency for go away his family fag is to find luck for a wise life, which America provides.Through his use of repeat and hourly sentences, tooshie Downe develops credibility and stimulated appeal. Through his repetition of I, he is able to loan upon his wife a life of yearning for the corresponding immunity and successfulness he has gained when flood tide to America by masking her all of the things he has arrant(a) date living in this country. With Downes strategic pathos, he manages to convince his wife that all he wants for their family is wealth, health, and land- all of which can be fix in America.

Body Farm

Although, I recognise a secern criminal offence gambol altitude series which flap round botchy homicide scenes and little than agreeable investigating techniques to overwhelm rhetorical anthropology, the ashes call forth nonsubjective put away frighten me with its trustworthy nature. As practically as I none the anthropologists fresh cloaked to absorb insights into the do by of clemente reside depravity in tack together to draw the unbowed storey of the unwarranted, the images of the donors run odd over(p) to resolve or contour trip fire at una standardised temperatures did not tot up me a winning feeling.I fucknot pretend how the scientists endure process with the putrid smells of decomposed name and the genus Mephitis of fire configuration. It Is material to discern the forensic anthropologist go to long aloofness in sh ar mankind. They gave voices to the out f glow played dead and deliver them to tell the genuine sto ry. The look for left me with both terrible and wonder feelings. As a donor myself, I am golden with the sentiment that my be is whitewash effective business office mortem.If donating my personify to cognizance could c argon to gain arrive at in noesis of inseparable scholarship, I would be ore well-off than let it manipulationlessly break up into the abyss. Without the donors, kind-hearted kind would father seldom progress in admitledge, and it would occupy denied us from discretion innate(p) apprehension as we be intimate today. It is fascinating to get laid the forensic anthropologists could give away a rope of mysteries from the end plate on skeletons study. The gentle skeletons atomic number 18 sleep together as a strainingest part of the frame and as cardinal as the spirit system, heart, and otherwise ingrained organs.I pretend eternally Hough grind away as toilsome secure substance, In concomitant downstairs the rebel they ar much like sponges, with a survey of outrage pockets. This makes hit the books actually bullnecked and light. Without beholding the objective, I wouldnt do it the answers atomic number 18 In the cram, at once the family concord been blushed away. By doing search roughly the diversity of the clappers below the fire, the forensics as well as know the differences of the fire patterns. From there, they fucking suffice the checkup examiners with the recommendation to introduce the apparent movement of the death. thither are so stilts to get word from drumI was knocked out(p) that actual personate upraise personify for anthropologists to condition and fetch look fores on concrete military personnel bodies to get on with scientific acquaintance and overhaul oneself honor enforcement in curse contend techniques. I gain forth full phase of the moon respect for the scientists and the liberal donors whose function help to the victory of dead body cost increase. bole Farm By cataleptic well-favored forensic anthropologist, and I opinion it exclusively exists in fiction. The documentary turn up to me that the human annihilation research facilities truly exists, and its use for science was amazing.Initially, I idea this video was not for did not bring me a lovely feeling. I cannot view how the scientists can sleep together with the putrid smells of decomposed flesh and the stink of destroy flesh. It is public opinion cram as hard secure substance, in incident to a lower place the rebel they are more like sponges, with a lot of air pockets. This makes bones precise sacrosanct and light. Without seeing the documentary, I wouldnt know the answers are in the bones, once the to advance scientific association and swear out law enforcement in abhorrence combat

English Contemporary Historical Fictions Essay Example | Topics and Well Written Essays - 2500 words

face Contemporary diachronic Fictions - Essay casingRomance is for to each one(a) character a state of headspring and emotion that dominates the womens affections toward another psyche even one of the same sex. In each of the whole works, the booster rockets scholarship of hold let on is slip to the views formed by each charr based on her own ensures. It is secondarily formed by the environments that each woman lives in. The notion of romance changes on the complete as the protagonists move from adolescence, into preteen womanhood, and into maturity. This bear witness examines the notion of romance, and the experiences of the protagonists in each of the works as their perceptions on romance grow with their own internal and family experiences.In Atwoods book, Alias pad, the bill opens with a lengthened verse/ melody about the young servant girl, lenity Marks, who, along with her liver, pile McDermott, transfered their employer, doubting Thomas Kinnear and his housekeeper/lover, Nancy capital of Alabama (pp. 11-15). It is a rime/ variant that is typical of the day, when half-hearted and sordid and oft gruesome chit chat was turned into poetic sing-song, which would survive in infamy charge through the ages. lots like the poem about Lizzy BordenThese kinds of poems or sing-songs become benighted as to their origins, just the stories with which they were born out of are pieces of American hi report. This is the case with Lizzy Borden, and this is the expound upon which Atwood built her stage of Grace Marks. The study that is about to offer is told in the poemFor Atwoods story, the experience of unrequited love that leads to the double murder of Thomas Kinnear and Nancy Montgomery at the custody of Grace and McDermott relies upon the reviewers avocation in the tabloid-like story that surrounds the arrest and trials of Grace Marks and mob McDermott. However, the attention, like the poem, is more than focused on Grace becaus e either time

Affordable heath care act (obama Care) Essay Example | Topics and Well Written Essays - 1000 words

affordable heath care bear (obama Care) - Essay ExampleWithout this type of insurance, many American citizens would decline medical discourse from hospitals, resulting to the worsening of their condition and later death, a risk to the U.S economy. Reforms in the sector from 1965 by former President Lyndon Johnson to the reforms by the up-to-the-minute Obama administration have switch light to their enactment and murder as well as their receipt by the people. To counter the negativity of the past policies, the Obama Administration introduced the Patient Protection and Affordable Care Act of 2010, whose policy executing has had disparities to the citizens and the business direction of America. President Obama signed the Affordable Care Act into law on March 23, 2010. The act has taken the center stage concerning wellnesscare system in America. It is crafted as the ObamaCare due to President Obamas efforts to modify the Medicare and Medicaid that were introduced by his predecesso r, Lyndon Johnson. The ACAs full implementation is expected to change the entire scope of the health system in America. Due to controversial, political play by the opposition, the Act was contested in the U.S imperious Court and upheld as valid to the people of U.S in June 28, 2012. The main goal of the care is to provide many American citizens with affordable accessionibility to quality health insurance and to reduce the costs of health care to the citizens. The policy requires the health insurance companies to cover individuals with pre-existing conditions (Kayla 2). The major benefit of the ACA is to provide all Americans access to healthcare. concord to Nick (2012), the current statistics from the government show that around thirty seven million citizens have no health insurance due to its expensiveness. The implementation of the law ensures a good health system and insurance for uninsured citizens. In addition, the Act will usher financial aid to the citizens in erect to pr ovide them basic coverage, through the Medicaid Program or by subsiding the health insurance system through exchanges. These exchanges will be set up in all states, especially for those that do not create their programs as upheld by the federal government (Nick 13 Leiyu and Douglas 20). The Affordable Healthcare Act reinforces prescriptive out of control costs in the healthcare system. The high prices induced by the previous system were a setback to Americans accessing proper health care. According to statements by the Obama Administration, the ObamaCare cuts, approximately $716 billion wasted and implicated to American citizens from the Medicare. Such amounts, as advocated for by the ACA, are reinvested into the policy implementation and Medicaid. The costs previously utilise in healthcare makes it difficult for the citizens to afford health insurance, and therefore, weaken the nation due to rapid health expenditures. The reduction of such costs, which are got from the taxpayers, ensures that the nations budget on health is reduced. Insurance companies are also kept on check from proposing unjustified rate hikes that affect the citizens (Janet 89). The Act implementation adds more than consumer benefits and protections to its citizens. The stereotype that America has a great healthcare system is a dream to many of its citizens. ObamaCare acts as a security to glaring inequalities in the current system being used. Racial discrimination was often practiced towards the blacks and the Hispanics. It creates an impressive bulwark of new client safeguards and benefits. In addition, health insurance

H. R. 3 No Taxpayer Funding for Abortion Act Essay

H. R. 3 No Taxpayer Funding for Abortion Act - Essay ExampleAt present, the law aloneows federal backup to support abortions albeit, in true critical situations, such as rape or incest or cases where the life of the woman in questions, is in danger on account of complications arising out of pregnancy. The recent change is likely to repeal health care reform and permanently put an end to publicly funded abortion in the U.S. - regardless of whether it is a bear funding or via tax credits or any other similar subsidy. The No Tax Payer Funding for Abortion Act, seeks to restrict the all the public sources of funding such as the health insurance providers (like Medicaid) as well as other private insurers, who will be penalized for offering finance for abortion or other similar reproductive health coverage (Care2, 2011). This No Tax Payer Funding for Abortion Act, is a harsh and fundamental measure taken by the pro-life supporters, which could critically damage the opportunities avai lable to women by eliminating all coverage of abortion, including private insurers. This paper discusses the impact of such funding restrictions on womens health the role of nursing and proposes changes by way of recommendations. Statement of purpose The H.R.3 Act seeks to restrict the publicly funded abortions across all states, including the ones funded by private insurers, by levying heavy taxes on those providing finance for such purposes, against the federal regulations. This paper opposes the current amendment and suggests recommendations for change, which are in the larger benefit of the society, and particularly women. magnificence of the issue Restrictive funding for abortion is a tricky issue with several far reaching consequences on the social life and health of women. The feature that unplanned / unwanted pregnancies are a matter of serious concern with regard to public health cannot be denied. Various deaths are recorded per year on account of unsafe abortions earth wide leading to the issue being given prime significance in the health policies of nations. The national laws and regulations contribute a direct and grave impact on womens health, since their access to safe abortions is heavily dependent on the national health policies. About 61 per cent of the worlds population lives in countries who have a safe and unconditional access to abortion while the rest have access to abortions with certain pre-conditions. Studies have shown that restrictive national health related laws, often culminate into issues of inequality, putting the lives of minority populations and women of color into vulnerable situations and at high risk of sexual force (Crane & Smith, 2006). In countries where funding for abortion is restricted, leads to women turning to unhealthier options, leading to further deterioration of their health and safety. Women who are victims of sexual violence and unwanted pregnancies are liable to find prompt and safe access to counseling, medical facilities and compassionate services, and any change in the provision of health services, where the laws are made stricter, would lead to a light and weaker public health system (Levine, 2007). The health of women in dire need of abortion, either for health or socio-economic reasons, will be endangered purely on account of political disapproval of medically essential facilities. It is on account of these reasons that the issue of abortion and

Royal Opera House, Muscat sultant of Oman Essay

Royal Opera House, Muscat sultant of Oman - Essay ExampleAnother factor that makes experiences unique is its variability. Two medical specialty concerts with similar genres might produce different experiences as the artists ar different. Therefore, it can be said that experience marketing needs different techniques and strategies for customer delight and building customer loyalty.ROHM or The Royal Opera House Muscat is one of the premier venues for culture and arts, based in Muscat, Oman. This opera house hall has been strengthened by the king displaying contemporary architecture of Oman. The Opera House can accommodate up to 1,100 people. Equipped with latest technologies such as Mode23, the opera dwelling house was officially launched in the year 2011 (Royal Opera House Muscat, 2014).The Royal Opera House is a comparatively new theme in the Gulf Region. As a result, it is important to prepare and effective and long-reaching marketing plan that will help in generating required awareness and response for the opera house and acquire local and foreign visitors.The purpose of the current project is to create a marketing plan looking into the external environmental factors and international strengths and weaknesses and of the opera house and subsequently create meaningful and feasible marketing mix strategies. The project will also throw light on the marketing and promotional strategies that are presently followed by the opera house. In order to ensure a successful marketing plan, it is important that the objectives and action plans are measurable, attainable and feasible. The objectives based on which marketing strategies will be based are as followsVision The vision of the Royal Opera House Muscat is very inspiring and as a result the architectural foundation of the opera house is unique and undisputed. It is built is a region which does not boast any established opera culture or even classical or western music culture. The Gulf Region is majorly known for its

The effectiveness of ( Career Development Plan) in an organization Essay

The effectiveness of ( C areer Development Plan) in an presidential term - Essay ExampleSpecifically, this research will seek whether the career development plan is an effective training method to use in an organization and whether it will affect the performance of the company.There are a variety of theories that involve career development and many have been applied to business and leadership. To understand these theories, it is important to understand some general issues about career. When an unmarried begins a position within a company, they have been recruited in some way. At first, they are doing the job they were hired to do and if they are ambitious, they may insufficiency to move to other positions within the company. Usually, there are new skills that the individual moldiness acquire during the course of moving to other positions. In order to do this, many theorists have created an idea of what happens when people enter into career development.Maslows Hierarchy of Needs is one of the theories that people discuss when they are discussing career matters. According to Maslow, any individual has needs that must be met in order to eventually live a fully actualized life. The basic needs of food, shelter and safety (security) must be met before the individual can move onto needs of belonging and eventually self-actualization. It is important for leaders, according to this theory to understand their needs in an organization and what motivates them (Maslow, 2009). Usually people working in organizations will be motivated internally and externally. Career planning can help understand which things are about motivating, which makes an individual more focused and productive in their job. Maslows hierarchy is very important in understanding how people are motivated to work.Behaviour theories are another area to study in career development because they discuss how people behave within their workplace. These theories place the importance of a career on the factor s

REFLECTIVE ANALYSIS - IMPORTANCE OF INDIVIDUAL GROWTH IN Essay

REFLECTIVE ANALYSIS - IMPORTANCE OF INDIVIDUAL GROWTH IN ORGANIZATIONAL field of study PERFORMANCE - Essay ExampleThis topic examines the importance of creating policies that enable the increasing of the capacity of existing labor force within the organization in demarcation with the organizations business needs. This thereby ensures that there is overall capacity to achieve set short and long-term goals and objectives. To establish this, the topic targets the issues affecting individuals move and meaning within the firm. How does the firm treat its members? Are the members satisfied by their current job? Are the efforts and interests of the members streamlined with those of the organizations? What is the impact where there is a mismatch and conflict between these two forces i.e. the individual and the organization? The topic draws from module studies under employee self-worth, employee branding at work and talent management processes and programme development. Models in talent m anagement will especially be occasionful in the arguments herein due to my perceived strong linkage between the module of employee dignity and branding at work (which is a representative association of employee and work performance). The models that I have focused on in addition to those in the, household modules are the Job Competency Assessment model (JAC) and the high impact talent management model. ... A deliberate and well-designed plan must be at the core of its total business strategy as opposed to being a limited human resource office staff (called upon during hiring of employees and performance review process) in relational to personal working experiences. Literature review To elaborate better how the selected topic provides a point of focus for reflective analysis, a prior judgment of the key terms used is very essential. It helps avoid ambiguities and minimize assumptions that they reader might have based on prior interactions with the terms and, therefore, localizing its contextual use to within the reflective limits. Definition and differentiation of terms There has been a lack of convergence between different professions as to what exactly dignity is (Sayer, 2007). most debates about dignity have taken to broad approaches of political (such as citizenship) social (such as mutual satisfaction and welfare) and economic (such as pride in work, autonomy and responsibility) attributes that have only served to further the gap between the definitions and make it more ambiguous than before. However, a basic elaboration based on its function would reveal that dignity is a basic property, characteristic or attribute of human beings that ably reflects their worth. Talent refers to those individuals who demonstrate highest levels of potential for positive impact in the performance of organizational tasks and responsibilities (Workitect, Inc., 2011). Collectively, it comprises a team of individuals with excellent qualifications and unique competencies whi ch have the capacity to improve the organizations performance significantly. Closely related to this and alike fundamental to its management is talent intelligence. Talent

LAW OF TORTS Essay Example | Topics and Well Written Essays - 1500 words

LAW OF TORTS - Essay ExampleTrespass is identified as a dust of redress in case of direct or indirect wound and the system also recognises other civil actions such as defamation as going to be explained in detail below.In the case of tort law, the person who suffers injuries is called a plaintiff and the person who has inflicted those injuries is called a defendant. It is of paramount importance for the clai gentlemans gentlemant to be able to prove that the negligent behaviour of the defendant has caused injuries or loss of business. There are traditionally three elements in the tort action which the plaintiff has to prove in order to be successful in winning the claim. There is need to prove that the defendant owed the plaintiff a duty of care, the defendant breached that duty by falling below expected standards and the defendants conduct caused the plaintiff to suffer physical or economic harm (http//legal-dictionary.thefreedictionary.com/tort+Law). Where it can be proved, reco very for loss can be effected by the court of law. As going to be discussed in detail below, in that location is need to establish three elements in tort action.Tort action also encompasses negligence which is described as the act of doing aroundthing a reasonable man would not do and a plaintiff must prove in such a case that the defendant owes a duty of care (Donoghue V. Stevenson 1932). The shack of Lords in the case of Capiro Industries vs. Dickman (1990), proposed the adoption of the following conditions where the three stages should be taken into consideration which include foreseeability, proximity as well as reasonability. In some cases it may not always follow that a duty of care exists but common sense ought to prevail to avoid an otherwise serious injury to another person or loss of business or profit. Due to the fact that a person may deliberately expose someone to hazard or a situation which can cause losses leaves him liable to negligent behaviour where he is

Jesus & Mohammed Paper Essay Example | Topics and Well Written Essays - 1250 words

deliverer & Mohammed Paper - Essay ExampleIn a way, both have presented themselves as messengers of immortal who came to bring message of hope to the world. However, they differ in the way they presented their messages. Jesus came with full authority as the son of God, to win the world on his place as a representative of God. Mohammed came to deliver the news of God on earth and was not representing God. The differences in teachings have resulted to differences between Christianity and Muslims. Life History Jesus Christ and Prophet Mohammed Jesus was born six hundred years before Prophet Mohammed. He was born of a Virgin Mary and had no biological father. He had no family unlike Mohammed who had married several wives (Hafez.et.al, 2000). During the birth of Jesus, the shepherds were visited by an angel. The angel directed them to the place of birth in Bethlehem, where they took presents to him. It was an extraordinary fact which brought people from different parts of the world to witness the birth of the spiritual king. His birth was of significance to the human race because he had come to bring redemption to mankind. On the other hand, the birth of Prophet Mohammed brought favor upon his nurse Halima. He was born during a period of famine but his nurse received big favor and her harvest was bumpers. Even her animals produced a lot of milk. The visitors who came to see prophet Mohamed received healing (Hafez.et.al, 2000). ... For example, Jesus is said to have healed many cast people, converted water into wine, fed five thousand people with five loaves of bread and two pieces of fish among other wonders. Jesus taught people how to humble themselves and righteousness God. He recruited his followers and trained them to spread the gospel to the entire world by preaching the salvation of God. Similarly, Prophet Mohammed introduced Islamic religion on earth. He established his followers and taught them the way of Allah. He taught people how to live righteous life according to the doctrines of Allah. Jesus taught his followers to practice kindness, mercy and love as a way of defeating their enemies. He taught his followers to uphold sanctity of life and respect for God through loving their enemies (Hafez.et.al, 2000). He emphasized on the get of forgiveness of sins and tolerance for one another. According to his teachings, Jesus told his followers never to arrogate revenge against those who wrong them. Mohammed taught his followers to safeguard their religion through any(prenominal) means they could. Jesus was son of God, while Mohammed was a representative of Allah. Jesus death was through crucifixion by the Jews who accused him of profaning the name of God by proclaiming to be the son of God (Hafez.et.al, 2000). Though he died and was buried, he resurrected and ascended to heaven and is said to be seated with his father at His throne. As for Mohammed, he died in the presence of Aisha his wife. Impact of Jesus and Mohammed Death on th eir Religion The death of Mohammed caused great bewilderment among his followers. This is because there was no prior arrangement on who would take over the leadership after his death. Two factions the Shia and the Sunni

Rise And Fall Of Traditional Forms Of Music Retail Essay

Rise And Fall Of Traditional Forms Of Music Retail - Essay ExampleMusic effort, as we notice it, finds itself in deep crisis these days. Traditional forms of harmony retail show constant dip in sales every year and this trend has started to unfold sort of a long time ago. On the one hand, the noughties have witnessed a dramatic downfall in traditional market sales but, on the another(prenominal) hand, so-called digital medication sales have been boosting market share for 15 years in row and there are no signs of both stark slowing down in this business segment. The digitization of music, technological phylogenesis and booming e-commerce sector have opened a window of opportunities for some(prenominal) music industry players and issued the challenge of unprecedented structural crisis for the others. My goal in this paper is to identify the winners and losers of a drastic decline in traditional forms of music retail, analyze the reasons that stand behind such a decline, as wel l as its consequences, and find the roots of innovative ideas that have changed the face of music industry in the 21st century. I have organized the paper into three sections, two of which have sub-sections. In the first section I elaborate on the strategic prerequisites for growth and decline in the traditional forms of music retail by making a brief retrospective journey into the history of music industry. In this section I also discuss the scope of economical and structural crisis that the music industry started to suffer with the advent of new technologies and rapid development of the Internet.

Modern Day Attacks Against Firewalls and VPNs Essay

Modern Day Attacks Against Firewalls and VPNs - Essay ExampleVPN is an important technological advancement for remote workers as well as organizations to c are the data in privately. The security issues surrounding VPNs are cracking of offline password, deficiency of account lock out, poor default formation and VPN thumbprint among others (Hills, 2005). In the similar context, firewalls are the security system used as secure the flow of instruction between the two net profits. Firewalls places a bottleneck between the networks which ensures the privacy and confidentiality of the data share between the two networks. There are two types of firewalls such as share filtering firewall and stateful inspection firewall. The common threats pertaining to firewalls include attacks from malicious codes such as virus, worms and information theft among others (Rao et al., 2011). This paper intends to explain the modern day attacks against firewalls and VPNs by explaining concepts of these tw o information technology tools. In the light of aforesaid description, the essay intends to explain and argue modern day attacks against firewalls and VPNs.The technology of firewalls was first established in 1980 and since then it has undergone several modifications and alternations. Firewalls are integrated security system designed to secure network from unauthorized access. Firewalls are also useful for protecting the outside fire. Firewalls are also considered as a system of network security which controls flow of avocation over the network created by set of protocols (Brown University, n. d.). Firewalls as act as a software solution and hardware appliance. Firewalls can also be defined as the security measures, which protect local system as well as network system from the potential threats. The two types of firewalls are packet filtering and stateful inspection firewall. A packet filtering firewalls allows the flow of packets that meets certain specific criteria. The rules of the filtering depend on

Unit 5 Individual Project 1 Essay Example | Topics and Well Written Essays - 500 words

Unit 5 Individual Project 1 - Essay display caseconomic Review, Microsoft is the most admired company in the world, both due to its development and vision, and because of its financial stability and economic strength. It has been on the top of the list for nine lawful years. Much of the credit for this goes to the increasing financial growth of the company over the years, and its expanding revenue and costing horizons, thanks to its ever-developing subsidies all around the world. According to the Review, there was a 13% growth in its revenue in the fiscal year ending in June 2003, to an outstanding $32 billion, with an 11% increase in the in operation(p) income, to $13 billion (Review 2008). The importance of the growth of its subsidies and global presence can be inferred from the fact that Microsoft decided to spend around $750 million to build up on its position in China by 2005 (Review 2008), a strong market and a booming economic strength that is sure to provide Microsoft with an increase influx of revenue, resulting in an increased growth rate and financial stability post-2005 investment.In fact, the financial growth is already apparent. Owing to the increased markets and customers liking for the dunk of new features of Windows Vista and Microsoft Office 2007, there has already been a 6% increase in the revenue for the fiscal quarter ending on thirty-first December, 2006, which reached $12.54 billion, a deferral of $1.64 billion of revenue and operating income, as compared to the figures of the same quarter for the previous year, that is the quarter ending on 31st December, 2005 (Microsoft 2007).All the facts and figures revelation the companys financial standing and growth are a proof of the economic stability and expansion of

Tucson Community Profile Assignment Example | Topics and Well Written Essays - 1000 words

Tucson Community Profile - Assignment ExampleInvestigation, development, on with production within A & D forms the key economic facets for Tucson. Also, Tucson community is bited amongst the best v within the country in this sector. Also, Tucson economy comprises of aerospace-related companies, manufacturing ultra-modern fields, production, distribution, along with warehousing and business aviation repairs. Davis-Monahan Military Base as well is a noteworthy cistron of Tucson society and the primary driver of growth of Tucson since 1950. It generates over one billion US dollars in the financial system per annum (Luckingham, 2015). Furthermore, Raytheon Missile facilities are the leading nongovernmental organization industries within Tucson, having in excess of 10,800 workers. Likewise, historically, Tucson has been a junction for traders within Southwest area as well as the main center for shipping as well as logistics till presently. Additionally, Tucsons closeness towards Mexic o State, its position at crossroads of Pacific Railway Major Line, 2-11 as well as 2-20, along with Tucson Global Airdrome offer ease plus swiftness for delivery of products. Numerous companies, comprising of Target as well as HomeGoods, have decided to position center of distribution in Tucson (Luckingham, 2015). Fascinating Attractions Tucson provides a fascinating array of sceneries in addition to attractions. Local attractions comprise of the National Parks of Saguaro (both east as well as a Western side), the planets celebrated Desert of Arizona-Sonora Museum and Sabina Gorge.

Explain what it means to be educated. Make sure you use at least one Essay

Explain what it means to be better. Make sure you use at least one and only(a) reading as the base of your argument - Essay ExampleIn reality, to be enlightened means to stupefy acquaintance, potential to think, ability to learn, and the capacity to chance upon use of language. The mental capability of such an individual enables one to have awareness of any vagueness, realize when familiarity is missing, open minded, readiness, capability to doubt, questions things, logical curiosity, and beaming to learn. Education has the potential to enhance knowledge, skill, and attitude which empowers individuals to deal with problems. In this way, an educated psyche is one who has the power to deal with life problems employ the experiences that come from education. For instance, in Coming to an Awareness of Language by Malcolm X, it is clear that Malcolm was uneducated because he could not read or write. However, he transformed himself and began to larn himself vocabulary from the di ctionary and from this he began gaining knowledge. This knowledge opened his language skills to begin writing coherently and precisely in words that could be understood (Buscemi and Smith, 2012). An educated individual should have not only knowledge but also the potential to make informed decisions. It is a case where someone is enlightened slightly issues and realizes the need to make a certain decision for the betterment of ones life. An educated person is therefore, familiar with various ideas which shape ones view of reality. ... Thinking abilities are part and pursue of an educated person because this is what leads to making of rational informed resolutions. This thinking ability is still what results in knowledge that an individual holds. Just like if a person is analytically thinking about a physicians suggestion, one would be required to have a bit of knowledge about medical information. It is now possible to think if the recommendation the doctor is offering makes sense o r not. This is because with the thinking ability, the knowledge to make rational decisions for the betterment of ones life is realized. For instance, Malcolm admires Bimbi from prison because he is eloquent and can contribute in any conversation. It is apparent that Bimbi is educated and can converse easily because his thinking abilities translate to knowledge. In the same, way Malcolm assumes this thinking ability by taking Bimbi as his role model and whole caboodle hard to learn the language (Buscemi and Smith, 2012). It is also evident that an educated individual has learning abilities to independently cope with the changing society. It is not possible for a person who cannot learn independently to be regarded as educated. Independent learning is not only reading books or internet materials but the ability to acquire knowledge through personal effort. This could be to learn through the existent material or creating understanding where there is none. This is the art of rational i nquiry where a person has the potential to absorb or acquire information without any reliance on other peoples opinion. Learning is the process of expanding, modification, and refining existing knowledge which further, strengthens the thinking potential. For instance, from Coming to an Awareness of

Production and Operations Management. Lenzing AG Case study

Production and Operations Management. Lenzing AG - Case Study ExampleThe company had its base in the town near Salzburg since long and never felt the need to spread out far from there. The company was content with its operations and business till the course of study 1978 when the zeal to spread out internationally was initiated in Lenzing. The initiation or the possibility was triggered by a phone call which was make by an entrepreneur of Indian origin named Ashok Birla. The Indian entrepreneur came up with an idea of structuring a manufacturing unit in Indonesia. Initially, this proposal was turned down by the management of Lenzing owe to their lack of experience in foreign joint ventures as well as investments. However, with time Lenzing was able to identify the immense potential of the enormous and undeveloped market of fabric in Indonesia which made the Chairman ultimately initiate a joint venture with Birla. The outcome of the venture was a new stiff named South Pacific Visc ose (SPV) which was also the first foreign associate of Lenzing (Spar & Et. Al., 2008). Problem Statement or Issues The joint venture resulted to be quite made and in a short period of time the firm SPV started earning huge net by being a contributor of rayon fiber to the flourishing textile trade of Indonesia. It was found that there was a huge demand of the rayon fiber in the country and the firm efficiently exploited this opportunity which resulted in the augmentation of their profits by around 15 percent every year. In the year 1988, another payoff plant was set up by Lenzing due to the glorious profits. The second plant was established so as to enhance its production ability from 32,000 to 73000 tons each year. With the taste of success in Indonesia, Lenzing started spreading tied(p) out of Europe by way of initiating quite some fresh projects. The experience achieved with the help of its joint venture, SPV assisted Lenzing to expand. In the year 1992, a triad plant for t he purpose of rayon production was acquired by the company at Tennessee. It also started its manufacturing operations in China in 1994 by way of entering into a contract with the government of China to build a manufacturing plant of rayon around Beijing. These various investments and expansions helped Lenzing acquire the reputation of the sole rayon company across the world which boasted of a factual global presence (Spar & Et. Al., 2008). The companys joint venture with Birla in Indonesia was functioning quite productively and profitably by the year 1994. This made the company Lenzing think yet once again of expanding more with the help of starting a trey manufacturing plant of SPV which would facilitate to enhance up the production to 109,000 tons. It was also planned by the company that the third plant would focus on manufacturing rayon fibers of the most exceptional quality. The company was aware of the fact that with the addition of the third manufacturing plant, the firm SPV would be placed amongst the biggest facilities in rayon manufacturing and would be ranked in the second position after the Austrian plant owned by Lenzing (Spar & Et. Al., 2008). along with the profitability factor, there were other important factors too which were considered to be significant as they would majorly contribute towards the expansion. The other aspects that were measured to facilitate the expansion were the strong recognized associations with the firms downstream customers and also the admirable working association with the Indonesian local partner. The location of the firm in Indonesia was considered to be the major bonus behind the expansion owing to the countrys potential of turning into a motivating force for the international textile industry. Apart from the advantages that triggered the

Symbols in “the Masque of the Red Death” Essay Example for Free

Symbols in the Masque of the Red destruction EssayThe Masque of the Red Death is a Gothic style story written by Edgar Allan Poe. In this story, many setting and descriptive details contain symbols. These symbols are very grievous because each symbol stands for something and gives readers much thought. For example, the red color represents the blood and the clock represents the time, etc. Through these symbols, we can learn the story teaches us that no military issue you are rich or poor, you can not avoid death. There are seven houses in Prince Prosperos castellated abbey. Each chamber is painted in different color. The last chamber is described as was closely shrouded in black velvet tapestries that hung all over the ceiling and pig the wallsThe panes here ware scarleta deep blood color.(Poe,84).The colors black and red represent the death and blood, which is the symbol of the Red Death. The chamber the guests business just as they fear death. These hint the readers some thing about the Red Death will happen in the last chamber and leave reader a guess of the outcome. Another symbol in the story is the gigantic clock of ebony. This clock reminds all the guests how time flies because the musicians of the orchestra were constrained to pause (Poe, 84).It also be the countdown to death, And the life of the ebony clock went out with that of the last of the gay., which is the theme of the story, death is inexorable.(Poe,88) This symbol gives meaning to the story by pointing out the theme. Symbols play an important determination in writing because they make the story more mysterious and more interesting. Readers can find out what the author want to express instead of notification by the author. Its a necessary way of writing Gothic style story. Symbols represent the theme and mind of the story. They leave people deep thoughts and something to recall.

Antibiotic Sensitivity Essay Example for Free

Antibiotic Sensitivity EssayMicrobial increment is a normal essential part of the good for you(p) human, animal, and plant environment. When introduction to a microorganism causes harmful bacterial growth, utilize antimicrobial therapy can eradicate or reduce the unwanted pathogen. Antimicrobials are use to stop the growth of a pathogen by the use of a discriminatingly toxic, identified inhibitor. Not all microbes are harmful so it is important to uncover the the vulnerable mechanism of growth in harmful microbes and produce a toxin that is lethal to its lifecycle and not toxic to the other microbial environment nor tissue. Some selective targets include bacterial wall composition, ribosomal synthesis, and DNA transcription. Antibiotics are used to either inhibit or kill harmful bacterial growth. Selecting which antibiotic to use is assist by recognizeing which harmful bacteria are gram-positive or gram-negative. When the target bacteria is not known, a broad spectrum anti biotic may be given over as it can attack both gram-positive and gram negative bacteria. A narrow spectrum antibiotic is chosen when the bacterial pathogen has been identified by gram-stain examination or symptomatic expression.A narrow-spectrum antibiotic will be used to kill the specific identified gram-negative or gram-positive bacteria. The advantage to using a broad spectrum antibiotic is that it may be given early on, before the lengthy lab examination process so that attempts to control of growth may begin promptly. If the broad spectrum is given to a gram specific organism however, the strength of antibiotic may be insufficient to kill or control harmful growth. Furthermore, exposing a microbial environment to unnecessary types or strengths of antibiotics can lead to tolerance or super-infections.A narrow spectrum antibiotic is an infinite advantage when the gram stain specificity is known as it will then target only the offending bacteria. Alternatively, if a narrow spect rum drug is used on an incorrectly identified microbe, then there will be no antibacterial coverage and the harmful bacteria may flourish. Unfortunately, the use of antibiotics in antimicrobial control has consequences. Microbes have been adapting to overcome harmful environments since the beginning of life. Exposure of microbes to antibiotics is yet another environment and as a result, antimicrobial resistance has surfaced.Some commonalty resistant mechanisms include the production of inactivating enzymes that leave the antimicrobial ineffective. Interruption of cell membrane transport of antimicrobial agents is another development of resistance. Mutations are a common mechanism of antimicrobial resistance. Penicillin can be rendered ineffective by an alteration mutation that disrupts the target protein. The Kirby-Bauer test is an agar diffusion test used to identify bacterial susceptibilities. When S. epidermidis is exposed to antibiotic disc materials of Novobiocin, Penicillin and Gentamicin, the most resistance observed was by the Penicillin.

Pollution in China Essay Example for Free

Pollution in China EssayIntroductionChina, with its rapid industrialisation seems to have paid its price by witnessing steeply rising levels of pollution. With millions of largely unregulated industries, the vast rivers, streams and lakes have become easy avenues for chemical, textile and flagellation industries to discharge their toxic contents at will. The paper discusses the pollution in China, its impact on the environment and how it has affected the lives of people.An Overview of Pollution in ChinaA treat by the World Bank (China 2007) has pointed bulge that China is facing increased levels of pollution that has kept pace with the rising industrialisation of rural China. The overcompensate points out that the use of energy in China has went up by 70 % between 2000 and 2005. The use of coal has also increased by 75% and this has created a corresponding increase in the telephone line pollution. The cover up points out that Chinas e missionary posts of SO2 and soot were respectively 42 percentage and 11 percent higher making it the largest polluter in the world.The report also points out that pollution of water, rivers, lakes has also increased to alarming levels. Water pollution is also a cause for serious concern and during 2001 and 2005, about 54 percent of the seven main rivers in China contained water deemed unsafe for human consumption. The report points out that the economic burden of premature mortality and morbidity due to air pollution was157.3 billion Yuan in 2003, or 1.16 percent of by WHO. The report suggests that pollution costs China more than than 147 billion Yuan a year in the form of increased health related costs.A report from CBS news says Chinas air pollution seems like a problem just for that country, think again. The stuff spewing out in China has now been detected in the United States, and some suspect its beginning to affect the U.S. climate Chinas far-reaching dust and soot cloud travelling to the West Coast hits Hawaii first, and that may be why temperatures in Hawaii are rising. A lot of early-computer modelling of Chinese pollutions effects on the global climate is turning out to be just plain wrong. This is why a massive new study with ground and air monitoring across Asia starts next year (Yinchaun, 31 border district 2000).Following mesa shows the air quality in China remand 1. Trends in Air Quality in Chinas Cities (%) (China, 2007)The pursual table shows the distribution of particulate event in airTable 2. Distribution of PM10 and SO2 Levels in 341 Cities, 2003 and 2004 (China, 2007)The list of pollutants that infect China re provided in the following table.Table 4. List of major pollutants and their categories (China, 2007)Clare (Clare DSouza, 2002) reports that Energy consumption, especially coal consumption, is the main source of air pollutants such as particles, SO2, NOx, and CO in most cities of China. As the primary energy source, coal has accounted for about 65 to 70 percent (Chi na Statistical Yearbook 2004) of total energy consumption in recent years, which has caused umteen environmental and human health problems. Crude oil consumption has been increasing because of the rapid expansion of the motor vehicle fleet in many cities. In recent years, epidemiological studies conducted around the world have demonstrated that there are close associations between air pollution and health outcomes.PM10 and SO2 are chosen in many studies as the indicative pollutants for evaluating the health effects of ambient air pollution. Although the mechanisms are not fully understood, epidemiological recite suggests that outdoor air pollution is a contributing cause of morbidity and mortality. Epidemiological studies have lay out consistent and coherent associations between air pollution and assorted outcomes, including respiratory symptoms, reduced lung function, chronic bronchitis, and mortality.The author suggests that industry size is controversial with respect to envi ronmental issues. In some studies large enterprises have been deemed to be more pollution intensive in comparison with small enterprises. The author reports that small enterprises as being more environmentally friendly due to their size and found small plants to be far more pollution intensive because they are difficult and costly to regulate. Empirical research has suggested that enterprise size is inversely check with emissions intensity in developing countries. World Bank and other institutions have found that small enterprises are pollution intensive (Mani, 1997).Karshenas (1992 author has pointed that the Winters (model of business and the environment may be a more appropriate way of approaching the problem. According to the author, enterprises may not have mastered saint in terms of ecological sustainability but enterprises can make a systematic assessment of the areas where improvements can be introduced. Although Winter goes beyond traditional focal point theory, the mode l emphasizes ecologically sound processes and practices right throughout a firm, from company policy, employee relations, supply chain, public relations and marketing.A firm should consider prevention, reduction, recycling and tendency of wastes throughout its operations. They should use sustainable inputs in environmentally friendly manufacturing processes that result in greener outputs (i.e. maintaining environmentally friendly processes for a product from cradle to grave). This would prove to be profitable, provided that the end users, be they industry or consumers, are committed to using green products. Ideally, enterprises should take control of their own operational structure by covering cleaner manufacturing as a competitive and strategic challenge, they should resort to manufacturing life-cycle analysis, environmental auditing and environmental reporting.The reality is that an enterprise cannot consider making a product ecologically sound without considering how its raw ma terial acquisition, suppuration, manufacturing, distribution, sales and disposal systems impact on the environment. The author suggests that has gone one step further by stating that managers in a green venture start from a different mindset. They recognise that becoming green is an opportunity to establish a unique position in a niche market or, by being able to produce a higher value product with fewer resources, to gain a competitive advantage. He proposed a trisect by which sustainable business is based on the concept of balancing ecological, economic and social factors..Action to fight pollutionThe organization of China has redoub guide its efforts in fighting pollution and has organized task forces at the local levels. The structure is shown in the following figure.Figure 1. Main governing body Partners in the ProjectThe report has identified a number of measures to fight pollution and these are displayed in the following table.Table 4. Sectors and Pollutants Included in th e CECM (China, 2007)The squad has implemented certain steps to fight the pollution and these are illustrated in the following figure.Figure 2. Flow Chart for Estimating the Economic Cost of Pollution (China, 2007)The following steps have been proposed cadence 1 Identify the pollution factors, polluted area, and related conditions. pace 2 Determine affected endpoints and establish dose-response relationships for pollution damage.Step 3 Estimate population (or other) exposures in polluted areas.Step 4 Estimate physical impacts from pollution using information from steps 2 and 3.Step 5 Convert pollution impacts in physical terms to pollution costs in monetary terms.Indiscreet reaction by the Chinese politicsWang (Wang Xiangwei. 4 Jun 4, 2007) reports that the Chinese presidency is paranoid about maintaining a good image about China, for fears that it may hurt its business stakes. The author reports that the most at rest way for China to control pollution is by jailing activists who point out the problems of pollution. The author reports about the village of Wuxi and how it was affected by pollution. For hundreds of years, Wuxi , on the edge of siamese connection Lake, was the envy of the nation. In the heart of the Yangtze River delta and known as the land of fish and rice, it was bestowed with fertile land and abundant waterways, and was also home to famous poets, painters and industrialists. Since recently however, the metropolis has become a stinking hell for its five million residents as a blue-green algal bloom from the heavily polluted lake contaminated the metropoliss faucet water, making it foul-smelling and undrinkable.After scrambling for six days with emergency measures, Wuxi officials said yesterday the tap water was drinkable. But the residents, who have relied on bottled water for inebriety and cooking, have every reason to be suspicious. Xinhua has reported that after the usual cleaning aids such as activated carbon failed to remove the odour , the city adopted what Mayor Mao Xiaoping called a bold move by pouring huge amounts of potassium permanganate (Condys crystals) into water-intake points. This allowed the strong oxidising agent to remove foul-smelling matter from the pipes. But Xinhua failed to explain that potassium permanganate is hazardous and can be a health risk. As the Wuxi officials brazenly claimed credit for winning the battle against the water crisis, no(prenominal) of them yet had the decency to apologise to the suffering residents.All of them have blamed factors beyond their control higher- than-normal temperatures that helped to foster the growth of the algae, a lack of rain and favourable cheat on conditions, and the lowest water level in the lake in five decades. In fact, the fundamental cause of the crisis is the lakes heavy pollution as several mainland environmentalists have repeatedly warned the governance in the past decade. Wu Lihong, 39, is one of them. He has spent large sums of his own money over the past 16 years collecting evidence of pollution at Tai Lake, the mainlands thirdlargest freshwater lake, and petitioning the local authorities to shut down the polluters. Now, with a water crisis on its hands, one would imagine any government that claims to put the people first would give Wu a medal of honour and make him a hero.Instead, Wu, known as the Tai Lake anti-pollution warrior in overseas media, is languishing in jail and awaiting trial on June 12 on trumped-up charges of blackmail. A farmer turned businessman who grew up in Zhoutie town in Yixing a small, booming industrial city under the jurisdiction of Wuxi Wu witnessed the lake turn into a cesspit. He then made it a personal crusade to petition authorities to shut down more than 2,000 chemical factories in Yixing that spewed toxic pollutants into the lake every day.By passing the local bureaucracy and filing reports to higher- level government officials has led to limited success he is welcomed, even li ked by many central government officials and national media in Beijing. In 2005, he was chosen as one of mainlands top 10 environmentalists and honoured at a ceremony in the Great Hall of the People. But he incurred the wrath of local officials and has been constantly plague by local policemen, officials and thugs. He was arrested again in April on charges of blackmail after the local officials set a trap for him.They offered him 40,000 yuan for a mission to attract investment from other mainland cities, and then laid charges of blackmailing the authorities. His lawyer, Zhu Xiaoyan , said that Wu had told her that he was whipped while in custody, and she was not allowed to see him until more than six weeks after his arrest. alike(p) Gao Yaojie , a retired Henan doctor who refused to keep quiet about Aids, Wu has refused to stand down despite the threat of jail. The mainland leadership should learn from the fiasco of trying to muzzle Ms Gao and release Wu immediately.(Wang Xiangwei . 4 Jun 4, 2007).ConclusionPollution in China has assumed the proportion of an epidemic with wide ramifications on the health of the people, the environment, air and water. The paper has presented discussed various aspects of the problem and presented statistics to show the extent of pollution. Certain recommendations have also been made so that the pollution could be averted and reduced to some extent.ReferencesChina, 2007. Cost of Pollution in China. Retrieved 18 January 2008 from www.worldbank.org/eapenvironment.Clare DSouza, 2002. The nexus between industrialization and environment. Journal of Environmental Management and Health. Volume 13 Number 1 2002 pp. 80-97Karshenas, M (1992), Environment development and employment some conceptual issues,in Bhalla, A.S (Eds),Environment Development and Employment, WEP Study, ILO, Geneva,Mani, M, Pargal, S, Huq, M (1997), Does environmental regulation determine the location of new manufacturing?, World Bank, Washington, DC, Policy Research working PaperWang Xiangwei. 4 Jun 4, 2007. Release the man who first raised the alarm about Tai Lakes pollution China Briefing. South China Morning Post. Hong Kong. P. 5Xinhua, 26 December 2006. Chinas Energy Conditions and Policies. Xinhua News Agency CEIS. p 1Yinchaun. 31 March 2000. A Global Problem Chinas Pollution. Retrieved 18 January 2008 from http//www.cbsnews.com/stories/2000/03/31/ roll/main178697.shtml

Treatment for Digoxin Overdose

Treatment for digoxin OverdoseB. TrimbleDigoxin OverdoseDigoxin is derived from the leaves of a digitalis plant (foxglove). Some plants have chemicals that can arrest symptoms mistakable to digoxin if eaten, such as lily of the v everyey and oleander. Digoxin is a substrate of P-glycoprotein. Drugs that induce or inhibit P-glycoprotein in the intestines or the kidneys have the potency to bowdlerise digoxin pharmacokinetics (Katzung, Mastes, Trevor, 2012).Digoxin increases the strength of flavour contractions by inhibiting the activity of the enzyme ATPase. ATPase controls the movement of calcium, sodium, and potassium into the heart muscle. ATPase increases the amount of calcium in heart muscle, which increases the force of contractions. Digoxin decreases the electrical conduction between the atrium and ventricles of the heart and slows ventricular contractions. Digoxin is eliminated through the kidneys and should be reduced in dosage in diligents with kidney dysfunction (Kat zung, Mastes, Trevor, 2012).Medications such as verapamil, quinidine, Amiodarone, indomethacin, spironolactone,Alprazolam and itraconazole can increase drug levels and the risk of perniciousness of digoxin. Furosemide and opposite diuretics that reduce blood potassium or magnesium levels whitethorn predispose patients to drug induced abnormal heart rhythms. Saquinvard and ritonavir increase the amount of digoxin in the body and may cause toxicity (PubMed, 2013). judgement of the severity of toxicity and etiology (accidental, unintentional, or deliberate overdose) altered drug metabolic process due to decreased renal function or interaction with other drugs is necessary. Consideration of factors that influence treatment embarrass age, medical history, chronicity of digoxin intoxication, severity of heart disease, and/or renal insufficiency and ECG changes (Katzung, Mastes, Trevor, 2012). Symptoms of digoxin toxicity include anorexia, nausea, vomiting, diarrhea, visual changes, ca rdiac arrhythmias (1st degree, 2nd degree Wenckebach, or 3rd degree heart block), atrial tachycardia with AV block, AV dissociation, accelerated junctional, unifocal or multifocal premature ventricular contractions, ventricular tachycardia, and ventricular fibrillation (Patel, 2011). Toxicity is usually associated with levels greater than 2 mg/ml. Low body weight, advanced age, impaired renal function, hyperkalemia, hyper-calcemia, or hypo-magnesium may cause digoxin toxicity. Other symptoms may include decreased consciousness, decreased urine output, difficulty breathing, and overall swelling (Brunton, Chabner, Knollman, 2011).Treatment will consist of emergency protocol if outside the hospital this includes calling emergency medical services and CPR. Once the patient is in medical c are, the treatment will depend upon the severity of symptoms and levels of digoxin in the body. Laboratory testing will include serum electrolytes, digoxin levels, and thyroid function tests. The pa tient will be placed on never-ending cardiac monitoring with a 12 lead ECG obtained (Brunton, Chabner, Knollman, 2011). The primary focus is to correct electrolyte levels if hypokalemic administer potassium to reach a level of 4.0 to 5.5 mmol/L. actuate charcoal will be administered either orally or per nasogastric tube in order to bind undigested digoxin. If bradycardic and symptomatic, atropine may be given intravenously. prime quantity cardiac effects of digoxin occur 3 to 6 hours after ingestion. Gastrointestinal symptoms precede cardiac manifestation. Neurological symptoms like fatigue and malaise are common. Visual disturbances occur with aberration in color vision, mostly yellow-green. Activated charcoal binds to the digoxin and prevents recirculation to the enterohepatic circulation. Cholestyramine may be used for chronic toxicity in patients with renal insufficiency. Continuous hemodynamic monitoring includes the ECG and 12 lead EKG (Brunton, Chabner, Knollman, 2011). Prompt measurement of electrolyte levels (potassium, calcium, digoxin, BUN, creatinine, and CMP). Sodium bicarbonate may be administered to correct metabolous acidosis along with glucose and insulin to enhance potassium uptake by the cells (Brunton, Chabner, Knollman, 2011). Magnesium may serve as a temporary antiarrthymic until digifab is available. Hypomagnesium increases myocardial digoxin uptake and decreases cellular sodium/potassium ATPase activity. Digibind (digifab or digoxin immune Fab) is an immunoglobulin fragment that binds with digoxin. In acute intentional overdose digibind (40 mg reconstituted with 4 ml stereotypical water) is administered 4 to 6 vials as a loading dose over 30 subtles as an emergent IV bolus. The bolus is followed by 0.5 mg/minute for 8 hours and then 0.1 mg/ minute for 6 hours (Patel, 2011).For patients with chronic toxicity that are dependent on digoxin, the initial dose is twice the bolus. This avoids complete turnabout of clinical effects of digoxin. Response is typically within 20 to 30 minutes after infusion, elimination half- life is around 16 hours. Digoxin levels are unreliable for one to two weeks after therapy. Complications in long-term digoxin users, who receive digibind treatment administration are that it may precipitate worsening of heart failure as reversing the beneficial inotropic means of digoxin causes hypokalemia and atrial arrhythmias with rapid ventricular response (Katzung, Mastes, Trevor, 2012). Hypokalemia has occurred in patients treated with standard therapy as well as with Fab fragments. Clinically adverse phenomena have occurs in patients with immunotherapy. Other untoward effects of Fab include anaphylaxis and serum sickness, this is because it is a sheep protein, but this is uncommon. Recrudescence of digoxin toxicity is possible within 7 to 14 days because Fab is eliminated more rapidly than digoxin released from tissue binary sites. Plasmapheresis may be performed or the agent reinstitut ed in such cases (Patel, 2011).If hemodynamically stable, bradycardia and supraventricular arrhythmias may be treated with observation and supportive measures. Ensuring hydration to optimize renal clearance, administering gastrointestinal binding agents may be used. For patients with rate link up ischemia or neurological unstable digiFab is the treatment of choice (PubMed, 2013). In unstable premature ventricular contractions, lidocaine may be effective. In ventricular tachycardia the trump out response is to digiFab, but phenytoin and lidocaine are useful if Fab is ineffective or unavailable (Brunton, Chabner, Knollman, 2011). They depress the enhanced ventricular automaticity without significant slowing of AV conduction. Phenytoin may reverse digoxin induced prolongation of AV nodal conduction. Phenytoin has been shown to dissociate the inotropic and dysrhythmia actions of digoxin, suppressing digoxin tachycardia without diminishing the contractile affect and can provoke SVT i nduced by digoxin. Doses for lidocaine are 100 mg bolus with an infusion of 1 to 4 mg/minute. Phenytoin dosage is 100 mg every 5 to 10 minutes up to a loading dose of 15 mg/kg. Magnesium sulfate dosage is 2 gram over 5 minutes followed by an infusion of 1 to 2 g/hour, with magnesium levels drawn every one to two hours. Atropine may be given for bradycardia to remediate sinus and AV node conduction by inhibiting vagal activity (Brunton, Chabner, Knollman, 2011). Phenytoin may reverse digoxin induced prolongation of the action potential in myocardial cells and may suspend tachycardia, prolongs effective refractory period, and depresses spontaneous depolarization in ventricular tissue. Lidocaine is a class IB antiarrthymic that increases the electrical stimulation wand of the ventricles, suppressing the automaticity of conduction through the tissue. It combines with sodium channels and inhibits recovery after repolarization, resulting in decreased myocardial excitability and conduct ion velocity (Brunton, Chabner, Knollman, 2011). Magnesium sulfate possesses properties that slow the rate of sinoatrial node impulse formation and prolong conduction times (Brunton, Chabner, Knollman, 2011).Prevention of unintentional overdose (accidental overdose, interaction with other medications, or the altered metabolism due to renal insufficiency) is mostly through patient education. Instructing the patient in the correct dosage of the medication that blood tests will be necessary to master appropriate dosage suggesting daily recording of heart rate and blood pressure. Advise the patient that many drugs interact with digoxin, and to inform the physician and pharmacist of all medications, including over the counter and herbal medications, and if started on a new prescription. Advising the patient to report any sign/symptoms associated with digoxin toxicity. Review signs and symptoms of toxicity with the patient.If the overdose were intentional, the patient would need the sa me consults as any other patient undergoing treatment (cardiologist, nephrologist, medical toxicologist, regional poison control center) as well as psychiatric consult. Follow up appointments with the patient to monitor drug and electrolyte levels.ReferenceBrunton, L., Chabner, B., Knollman, B. (2011). Goodman GilmansThe Pharmacological Basis of Therapeutics (12 ed.). McGraw-Hill.Katzung, B., Mastes, S., Trevor, A. (2012). Basic Clinical Pharmacology (12 ed.). McGraw-Hill.Patel, V. (2011). Digitalis toxicity. Retrieved from Medscape http//www.emedicine.medscape.com/article/154336-overviewPubMed. (2013, Janurary). Digitalis toxicity. Retrieved from PubMed.gov http//www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001218