...problem eluded that there is little known in the pediatric intensive care (PICU) settings of the nurses knowledge of pain in critically ill children. It is known that the knowledge of pain and quality of care given for pain alleviation is relevant. Not much is known regarding the nurses clinical learning patterns. Nurses used judgments in measuring pain in a variety of ways and it was found that their clinical judgments came from different levels of understanding and diverse aspects of pain. These assumptions lead to the aim of the study: to elucidate patterns in clinical knowledge development and unfold the role of the nurse as facilitator in relation to pain management in the PICU. (Mattsson, Forsner, Castren, Bolander Laksov, & Arman, 2012, p. 109) It is known that working in a PICU that nurses rely on each other and what they perceive as pain in a child may not be actual pain. Overtime clinical knowledge is developed with different encounters with patients and their families. The nurses need to focus more on their individual learning practices to a child’s pain starting on day one of admission to the PICU instead of waiting when the child is actually in pain. The nurses could then identify their true pain level knowing baselines. This study was significant due to any child in a PICU setting has the inability to communicate their level of pain and their needs. That complicates the pain process with the nurses having to judge their...
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...Área de Lavado En este proceso es importante el flujo para evitar conexiones cruzadas y posibles contaminaciones, se tiene o considera: Lavado de Ollas (8.00m2) Ubicado al costado del área de Lavado de Vajilla, se utilizan tres pozas profundas con desconche, en ellas se lava, enjuaga y sanitiza respectivamente. Sobre ésta se propone un colgador de ollas y una estantería de polipropileno de 4 niveles para el almacenamiento de las ollas limpias. Distribución del Área de lavado de ollas: * Ducha de Prelavado Enjuague previo con una manguera de agua siendo esta la primera poza antes de ser colocado en las pozas de desinfección. La manguera esta empotrada en la primera poza para la primera limpieza de las ollas antes de ser colocadas en el detergente y sanitizante. * Grifería de Agua caliente y fría. * Lavadero de 3 pozas de acero inoxidable Solo está colocada para la desinfección correcta de a ollas el cual cuenta con 3 pozas de agua a la temperatura adecuada ya que tiene grifería de agua caliente y fría además de primero usar la ducha de pre lavado siguiente del enjuague finalmente colocar las ollas en el agua con sanitizante y dejarlo por unos minutos. * Colgador de Ollas de material acero inoxidable Para mantener orden a los utensilios limpios además de ahorrar espacio puesto que el área de lavado de ollas no es muy amplia. * Estantería de 4 Niveles para colocar las ollas limpias y mantener el orden en la zona. Lavado de Vajilla (18...
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...LILABALI.COM “Choice is yours” About Us Marriage is not just a one-day celebration; it is a celebration of togetherness for a lifetime. LILABALI.COM is the beginning of a new era in the search for a lifetime companion exclusively for Bangladeshis. Actually this is a service based Company. Our one and only main service is online matchmaking. The website will help you to find your best life partner... The mandate to 'Team LILABALI.COM is clear - • Understand the needs and concerns of singles Bangladeshi all over the world through tireless research and analysis • Provide a pleasant, satisfying, and superior matchmaking experience to our customers. • Give our customers complete control through easy to use interfaces and features that can help them identify, contact potential partners. • Satisfying the valuable customer by replying mail or any queries • The above objectives from the 4 pillars upon’ Team Shaanai.com' is built | | || | |Username: ...
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...“My Unforgettable Experience in English” As we all know, lessons, experiences, encounters, and conversations in English are not always confined to the corners of the classroom. We take our knowledge-hungry English-conversing brains out and interact with the world with it. As usual, people try to fit in, and since vernacular is all the rage nowadays, they usually end up speaking Bisaya. One such case involves my classmate and friend, Arman James Kho, where he himself tries to incorporate his Bisayan vocabulary into everyday sentences, sentences such as, “MA’AM TESS! *insert name* IS A BAYOT!”, or who can forget the uncountable times when people make fun of each other with the use of English, implying only the “Caterpillar” kids use English, while the “Butterfly” kids use Bisaya. Now let me just stray off the subject of English experiences, but seriously, teasing or treating people differently is NOT a good thing to do. I can attest to the fact that people usually do this to others, since I have been a victim countless of times. This is quite unforgettable for me. However, my experience with the teachers isn’t as negative or grim. The teachers accept me with my English handicap (especially Ma’am Tess, may God bless you), although I sometimes may need to dumb down my sentences, for their sake. Usually, though, we communicate through a wonderful set of vocabulary-words, since each list of vocabulary-words for each teacher really depends on his/her subject. And that has been...
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...Arman Zarbashi Professor Jeremy Harris English 1101 13 September 2017 Superman and Me Rhetorical Analysis Sherman Alexie uses many rhetorical devices such as repetition, hyperbole, alliteration and imagery. Many people around the world do not know how to read or write. It is a worldwide dilemma. Nearly every school requires some kind of reading/writing in order to advance in the education world. Sherman Alexie, taught himself to read and therefore saved many people's lives. People did not believe in him but Sherman Alexie was self-motivated. In the whole passage, Alexie talks about how he self-taught himself and wants the audience to know that. He talks about how his family was poor and how they "lived on a combination of irregular...
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...Assignment brief Unit number and title Unit 3: Strategic Change Management Qualification BTEC – LEVEL 7 – Extended Diploma in Strategic Management & Leadership Start date 7th September 2015 End Date 28th September 2015 Assessor Pierre Arman Assignment Due Date Assignment title 25th Oct 2015 Understanding the need for and aspects of Strategic Change Management The purpose of this assignment is to provide learners with understanding and skills to assess the need for strategic change in organizations and how to empower them to take engagement actively in the process of strategic change management. Scenario It is the realities of today, change is imperative for a healthy and sustainable success of today’s organizations. To this end, every organization undergoes a change process so as to compete with the changing market circumstances. You are required to identify the need for change in any department or area in your chosen organization and you have to state why there is a need for change and how will you plan and implement it effectively. Task 1 Understand the background to organisational strategic change 1.1 Discuss models of strategic change and their differences (AC 1.1). 1.2 Evaluate the relevance of models of strategic change to your chosen organisations in the current Economy (as of the current situation which is the best suitable model) (AC 1.2). 1.3 Assess the value of using strategic intervention techniques in your chosen...
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...Norma and Einstein was written by Professor James Earl Strode. Professor Strode was graduated from Boise High School in 1971. He had a good athletic career. He worked as assistant Pastor at Emerald Baptist Church and Pleasant Valley Baptist church. Professor Strode also did social work at The United Christian Center, helping needy families. In 2006 he graduated from CSUS College of Arts and letters. He started teaching at Cosumnes River College and Sierra College in 2006. He wrote Norma and Einstein in a series of two other books Norma Saves the Dinosaurs and Norma Defeats the Aliens. Professor Strode has written many other books which are not published yet. Parents need to know that that the story is easy to understand. It is very...
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...Baptista, F.G., Pamplona, A., Pena, A.C., Mota, M.M., Pied, S. and Vigário, A.M., 2010. Accumulation of Plasmodium berghei-infected red blood cells in the brain is crucial for the development of cerebral malaria in mice. Infection and immunity, 78(9), pp.4033-4039. Beeson, J.G., Brown, G.V., Molyneux, M.E., Mhango, C., Dzinjalamala, F. and Rogerson, S.J., 1999. Plasmodium falciparum isolates from infected pregnant women and children are associated with distinct adhesive and antigenic properties. Journal of infectious diseases, 180(2), pp.464-472. Beeson, J.G., Rogerson, S.J., Cooke, B.M., Reeder, J.C., Chai, W., Lawson, A.M., Molyneux, M.E. and Brown, G.V., 2000. Adhesion of Plasmodium falciparum-infected erythrocytes to hyaluronic acid in placental malaria. Nature medicine, 6(1), pp.86-90. Bengtsson, A., Joergensen, L., Rask, T.S., Olsen, R.W., Andersen, M.A., Turner, L., Theander, T.G., Hviid, L., Higgins, M.K., Craig, A. and Brown, A., 2013. A novel domain cassette identifies Plasmodium falciparum PfEMP1 proteins binding ICAM-1 and is a target of cross-reactive, adhesion-inhibitory antibodies. The Journal of Immunology, 190(1), pp.240-249. Bousema, T. and Drakeley, C., 2011. Epidemiology and infectivity of Plasmodium falciparum and Plasmodium vivax gametocytes in relation to malaria control and elimination. Clinical microbiology reviews, 24(2), pp.377-410. Bull, P.C. and Abdi, A.I., 2016. The role of PfEMP1 as targets of naturally acquired immunity to childhood malaria:...
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...Database Modeling Kelli Clipp Business Systems Analysis INF322 Arman Kanooni February 10, 2013 This paper discusses database modeling and one tool that can be used for the process. The tool I’ve chosen is based on the material in our textbook and article ‘Modeling for the future’. Database modeling is the process of software engineering which allows for the creation of an information system. In the article ‘Modeling for the future’, they compare database modeling to constructing a house (Carreon, Wang, & Watt, 1996). This comparison is based on the fact that one would use a blueprint when building a house and database modeling can be considered as the same concept. A data model is in essence a blueprint or a plan for the database and without it the database may not be very well built, as with any program, house or building you need a plan. There are several tools available for database designers to utilize and the key is choosing the tool which is right to be used that will meet all the requirements of the database to be created. In the article ‘Modeling for the future’ they discussed and compared products from 1996, and although this article appeared to cover the four key products for database modeling at that time, the market has changed...
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...Cranston Supply Budget Mike A. Howard INF 336 Project Procurement Management Dr. Arman Kanooni June 1, 2014 Granston Supply Budget This week’s assignment consists of a case study of the city of Graston. From the case study I am to create a project supply and materials budget based on the information in the case study using the ‘Current Year Q-3’ data found in Exhibit 2 and Exhibit 3. Also included in this assignment will be an explanation on the importance of a materials supply budget and the impact of the budget on the supply organization. For any successfully business or organization there is an emphases placed on the supply budget which a lot of times will determine the success or failure of a company. Robert Simons of Harvard University published an article in which he gave a brief explanation of a budget it stated “A budget is an ex ante formal statement, generally determined by negotiation and approved by management, of the resource inflows and outflows expected during the budget period. Thus, it is an explicit contract outlining expectations between superior and ^subordinate” (Simons, R. 1988). Every organization needs to have a vision, goals and a plan without those three elements they risk certain failure. So for the material supply budget of any business it has to start with a vision of what they (the company) is trying to achieve. Secondly there needs to be a plan or steps on how they will (the company) reach their goals. For all business the need...
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...at pangarap na aking tatahakin sa aking hinaharap. Tuwing bubuksan ko ang ilaw at nararamdaman ko ang liwanag ay naaalala ko lagi ang sarili ko na kailangan kong magsumikap pa para sa aming kinabukasan. Dahil ang ilaw pag iniiwanan ng ngliliwanag ng walang gumagamit ay parang hinahayaan ko na rin na mag aksaya ng panahon at oras para sa aking mga pangarap. Nasasabi kong malungkot ako at masaya pag minsan pa gang ilaw ay pabuhay-buhay at papatay-patay. Ibig-sabihin kailangan ko ng pahinga upang sa ganoon ay makakapag-isip ako ng maayos at nang mag-liwanag muli. Kaya ang ilaw ang sumasalamin sa aking sarili na ginagawa ang lahat para makapagbigay ng liwanag sa tamang daan na tatahakin at ngbibigay-liwanag sa madilim na sulok ng buhay. John Arman Cano B.S Psyche-411 “Relo, Relo, SinTa” Ako bilang isang bagay ay maiiihalintlad ko ang aking sarili sa isang relo dahil tulad ng isang relo ito ay nag-iiba-iba ng direksyon ang mga panturo nito sa orasan tulad ko nag babago-bago ang aking...
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...Total Quality Pioneers Corrine Oliver MGT/449 Quality Management and Productivity June 3, 2012 Becky McHatten Total Quality is achieved by continuous improvement which involves everyone in the organization. According to or reading total quality is an approach to doing business that attempts to maximize the competitiveness of an organization through the continual improvement of the quality of its products, services, people, processes, and environments (Goetsch, Davis, 2010 pg. 7). Some of the key elements of total quality management are: Strategically Based : organizations that succeed all have and must have a comprehensive strategic plan which has the following elements, vision mission, broad objectives, and activities that must be completed in order to reach the objectives. This type of plan gives an organization a competitive advantage to becoming a world class organization. Customer Focus: The customer in a total quality setting is the driver, and this is true whether the customer is internal or external. The external customer can distinguish the quality of a product or service, while internal customers do the same for the quality of people, processes and the work ethic connected to the products and service. Obsession with Quality: An organization benefits by becoming obsessed with meeting and exceeding the quality as defined by the organizations internal and external customers. Scientific Approach: People skills, employee involvement and empowerment are important...
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...Discuss the physical, emotional, cognitive and behavioral responses an individual is likely to experience in response to a newly diagnosed condition with a poor prognosis. Definitions: Physical: of body: relating to the body, rather than to the mind, the soul, or the feelings Cognitive: 1.concerned with acquisition (gaining) of knowledge: relating to the process of acquiring knowledge by the use of reasoning, intuition, or perception. Relating to thought processes. The interpretation of stimuli and the organization of thoughts and ideas. Emotional: a state of feeling. -a conscious mental reaction (as anger or fear) subjectively experienced as strong feeling usually directed toward a specific object and typically accompanied by physiological and behavioral changes in the body (merriam webster) Behavioral: 1.way somebody behaves: the way in which somebody behaves Research: -Psychological responses of terminally ill patients who are experiencing suffering: A qualitative study According to leading theories, suffering is dependent on the threats that the patient perceives and the resources the patient uses to respond to such threats. Previously published reports have identified the occurrence of a terminal disease as a period of multiple threats that can generate intense suffering. Examples of such suffering include pain and other symptoms (Heath et al., 2010, Jurado-Martín et al., 2010, Abraham et al., 2006 and Lorenz et al., 2006), the progressive dependence...
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...[pic] A BUSINESS PLAN ON BAMBOO TILES AND FURNITURE [pic] ALIVE BAMBOO TILES AND FURNITURE “LIVE AT NATURE WITH US” Letter of Transmittal Prof. Md. Shahjahan Khan Principal Date : 23 April, 2011. Dhaka City College Dhaka. Subject: Submission of Business plan on “Bamboo Tiles and Furniture” Dear Sir, With due respect, we the student of “TROJAN” group are pleased to have such a chance to prepare a business plan on bamboo tiles and furniture which is beneficial both for our country and student life. Along with conceptual part of the course of “Bachelor of Business Administration” we were asked to prepare a report on basis of real life experience of the related and submit it for your judgment. Now we are very glad to enclose a copy of our acquired knowledge about this industry. Sincerely yours Batch No: 13th Section: E Group: “TROJAN” Department of Business Administration Dhaka City College. Acknowledgment At the beginning, we would like to express our deepest gratitude to almighty ALLAH for giving us the strength and the composure to finish the task within scheduled time. We are deeply indebted to our course instructor Ms. Mumtahina Islam, lecturer, Department of Business Administration, Dhaka City College for her whole hearted...
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...How do the two main economic development strategies relate to economic growth/ development strategies and based on that discussion, what is actual today with regard to economic development? Development Economics Arman Poghosyan Yerevan, 2011 Growth and development are usually discussed in the same context while the goals of each are very different. Growth is mainly the process of expanding the size of community through the use of natural resources, economic resources and land. While development, on the other hand, is the process of improving living standards of community. Growth is critical for any community, but it doesn’t necessarily lead to development. Though usually there is no development without growth. One way to develop without growing is through two main economic development strategies, which are import substitution strategy and export promotion strategy. These two strategies were used by many countries to develop their economy. The choice between these two competing strategies is often difficult and subject of discussion of policy makers. And this choice often can be crucial. Import substitution strategy promotes domestic industry by substituting externally produced goods and services. Generally, countries applying import substitution strategies start with producing goods that don’t need an advanced technology. These goods usually are basic necessities such as food, water and energy. This strategy...
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