...Clinical Journaling One of my favorite quotes by Nightingale states; “to nurse is a field of which one may safely say: there is no end in what we may be learning every day” ( Nightingale, p. 11). A third Tuesday on the cardiac floor has come to an end. A day filled with remarkable new learning experiences focused on patient care, nursing diagnoses, clinical judgments, therapeutic, professional and direct communication that is so unique to the science of nursing. The patient’s story & my experience this week: My patient was a 32 years old male, father of three with great psychosocial support at home but still very lonely and very sick. Seven years ago, I did not dear to ask the circumstances and I could not go on his Epic chart; he was bitten by a dog. Ever since then his life took a turn for the worse. He has been fighting particular bacteria that it will never be extinguished from his body completely. Currently he had three deep wounds, between 8cm and 14cm across, different locations on his body, with no hope for healing any time soon. This experience was a great learning opportunity for me to get exposed to the field of wound care. I looked more in depth about amyloidosis and it occurs when abnormal proteins called amyloids build up and form deposits either in the kidney, leading to kidney failure and heart, thickening the walls and causing heart failure. Symptoms can vary in patients but here it lead to kidney and heart failure. He was put on a transplant...
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...Biochemical Engineering Journal 13 (2003) 169–179 Bioconversion of lignocellulose in solid substrate fermentation R.P. Tengerdy a,∗ , G. Szakacs b b a Department of Microbiology, Colorado State University, Technical University, Fort Collins, CO 80523-1677, USA Department of Agricultural Chemical Technology, Technical University of Budapest, 1111 Budapest, Gellert ter 4, Hungary Received 15 November 2001; accepted after revision 24 July 2002 Abstract In this review the state of the art of lignocellulose bioconversion by solid substrate fermentation (SSF) is presented. The most important lignocellulolytic fungi and their properties are described, and their application in novel solid state bioreactors with on-line process control is discussed. The most important bioconversion products, biofuels, enzymes, animal feeds, biofertilizers, biopesticides, biopromoters, secondary metabolites, and the economy of their production by SSF is discussed. The use of SSF in the pulp and paper industry and in integrated crop management is illustrated. © 2002 Elsevier Science B.V. All rights reserved. Keywords: Lignocellulose; Bioconversion; Solid substrate fermentation 1. Introduction Lignocellulose composes more than 60% of plant biomass produced on earth. This vast resource is the potential source of biofuels, biofertilizers, animal feed and chemical feedstocks. Lignocellulose is also the raw material of the paper industry. To fully utilize the potential of lignocellulose, it has...
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...St. Paul University Philippines Tuguegarao City, Cagayan 3500 School of Health Science Master of Science in Nursing My Reflection for “Will You Be There With Me?" The Human Connection in Oncology Nursing Care Partial Requirement for Oncology Nursing (AAN202) By: According to the article written by Pamela Hinds, human connection in nursing is the interface between nurse and patient; nurse and family members; nurse and other clinical care team members; nurse and ideas about care; and between the nurse and self-images, including self-compassion and forgiveness. It is the most common of all elements of nursing care. Nurses are being kind, supportive, informative, and trustworthy to the patients and families. In this article, human connection between an oncology nurse and a cancer patient and the patient's family is being identified in studies as what is most memorable about treatment and what is most sustaining to families whose family member did not survive the disease. Human connection stated in this article as a source of comfort by patients and families for years after the actual care experienced. Books and lessons taught us that patients who have CA are most prone to experience psychomatic weakness and psychological vulnerability most especially when diagnosed on a later stage. This task questions us, nurses, on how we can show human connection on a patient diagnosed with CA. We nurses, our health practitioners, trained on the hardest and most...
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...Orissa Stewart Liberty University Business 530, Faith Integration Ethics and business is a practice that most businesses follow, although ethical and moral issue is a debated issue. Ethical and moral issues extend far beyond on treating others in a certain way. It begins with a belief system and faith in God. Once a person develops a relationship with God, they usually change for the better. In addition, the words ethics and morality in religion and theology may have been the cause for academia in the field of finance and economics which stray’s away from identifying ethical and moral considerations in the practice of finance and economics (Gupta, Rakesh, & Sukumaran, 2013). Unfortunately, if you are a Christian in the business world then the possibility of compromising your faith increases from even the smallest decisions such as prayer in the workplace. Whatever the case, there are numerous opportunities to compromise faith when it comes to business ethics. Christians need to be aware of this weakness and fight becomes hard to stand firm. According to authors Gupta, Rakesh, Sukumaran, and Aswini (2013), Ethics and morality in finance, discusses the issue of ethics and morality in finance that extends to accounting in the area of marketing. Regardless if you work for yourself or someone else Christians will face the time when they have to make decisions that can affect the way their walk in Christian faith at work. Mark 7:20-22 (ESV) And he said...
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...Bismarck’s Biographies: Read and compare at least two book-‐‑length biographies of the German chancellor O?o von Bismarck – how do the author’s sources, interpretations and perspectives differ? Think about the author’s presuppositions, the reason the books were wri?en and the audiences for which they were intended. What treatment seems most persuasive? Introduction Biographies of O.o von Bismarck, one of the most significant figure in modern European history, proliferated in the twentieth century. As the the prominent German statesman remained an extremely controversial figure long after his passing, Bismarck’s biographies differ widely in their descriptions and interpretations. For the purpose of this essay, two notable works are selected as primary sources: The first book Bismarck and the German Empire was wri.en by Erich Eyck, and the second one, simply titled Bismarck, was penned by Werner Richter. In the following, I am going to identify similarities and differences between two biographies of Bismarck and explain possible reasons for these. Authors’ Backgrounds In order to understand and analyze the authors’ perspectives, some pieces of basic information about the authors themselves need...
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...The other day I was playing a game called "Kids on Stage" with my 2-year-old. I had to act out "tiger," so I got down on all fours and roared. He laughed, so I roared even louder, which only made him laugh more. Eventually he came up to me, patted my head and said "kitty kat" with benevolent condescension. This perfectly sums up my status in the animal pack of mothers defined by Amy Chua's "Battle Hymn of the Tiger Mother." There are the fierce tigers who churn out child prodigies, and then there are the pussycats who waste their afternoons playing useless board games and get bested by their own toddlers. In pretty much every way, I am the weak-willed, pathetic Western parent that Ms. Chua describes. My children go on playdates and sleepovers; in fact I wish they would go on more of them. When they give me lopsided, hastily drawn birthday cards, I praise them as if they were Matisse, sometimes with tears in my eyes. (Ms. Chua threw back one quickly scribbled birthday card, saying "I reject this," and told her daughters they could do better.) My middle son is skilled at precisely the two extracurricular activities Ms. Chua most mocks: He just got a minor part in the school play as a fisherman, and he is a master of the drums, the instrument that she claims leads directly to using drugs (I'm not sure if she is joking or not). I would be thrilled, of course, if my eldest child made it to Carnegie Hall at 14, which is the great crescendo of the Chua family story (although I...
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...Nebuliser Therapies in the Treatment of Bronchiolitis Introduction Bronchiolitis is a mostly seasonal disease, with the majority of cases being caused by the respiratory syncytial virus. Around 2 -3 percent (30 per 1000) of all children under 1 year old are likely to be admitted to hospital with this disease (Smyth and Openshaw, 2006). Using a modified version of the Gibbs Reflective cycle (1988) this assignment will evaluate the assessment and treatment of an unwell infant bought in to the children’s ward, and in particular will focus on the efficacy of nebuliser therapies in the treatment of bronchiolitis. Consent was gained prior to questioning and examination and confidentiality maintained throughout (HCPC, 2012). Description A 4 week old baby was bought in to the children’s ward by ambulance suffering from severe respiratory distress. He had been seen by a doctor and diagnosed with bronchiolitis two days earlier at which time his symptoms were less severe. The Scottish Intercollegiate Guidelines Network note that some infants with bronchiolitis may deteriorate within the first 72 hours (SIGN, 2006), a fact perhaps supported by the article published by Woollard and Jewkes (2004) recognising that children can compensate extremely well to significant illness, but when these compensatory mechanisms fail they can do so “rapidly, catastrophically and irreversibly”. On gaining a history from the parents (Thomas and Monaghan, 2010 pp. 522-523), this baby was previously...
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...Module: Marketing Management Unit: Marketing Planning Lesson: Marketing Orientation © 2012 Resource Development International Ltd. All rights reserved. Resource Development International Limited reserves all rights of copyright and all other intellectual property rights in these learning materials. No part of any learning materials may be reproduced, stored in a retrieval system or transmitted in any form or by any means, including without limitation electronic, mechanical, photocopying, recording or otherwise, without the prior written consent of Resource Development International Limited. Marketing Orientation Marketing Orientation Today, to be effective in marketing, an organisation has to be marketing oriented. It needs to adopt a marketing based business philosophy in all its functions. Let us commence by looking at some basic concepts relating to marketing and marketing orientation. http://www.youtube.com/watch?v =sbEnRGJr2jY A market consists of buyers and sellers - trading in products/services. The price is normally set by the supply of or the demand for, the product. The market for any business consists of its actual and potential customers. This market may be local (e.g. a street market), national (e.g. the mass market) or international. Markets may be classified as: Consumer markets (B2C) http://www.cimmarketingexpert. co.uk/buyerbehaviour Business markets (B2B) http://www.cimmarketingexpert. co.uk/buyerbehaviourB2B To supply goods and services in a competitive environment...
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...Impact of emotional intelligence on individual performance Marriam Naseer Mphil-11 Quaid-I-Azam University Islamabad. 1: Introduction: Emotional intelligence: There have been numerous definitions of what constitutes emotional intelligence. All reference the thoughts and feelings behind people’s actions, which guide their response patterns in different situations. It therefore follows that people who are emotionally competent are able to recognize these different emotional patterns in themselves and others, and to direct them in appropriate ways. (Clíona Diggins, Pearn Kandola, 2004). EQ is a subset of social intelligence, a set of mental abilities separate from personality. Goleman’s (1995, p. 34) “notion of EQ includes knowing what you are feeling and using that knowledge to make good decisions”. Emotional intelligence (EI) refers to the ability to perceive, control and evaluate emotions. Some researchers suggest that emotional intelligence can be learned and strengthened, while others claim it is an inborn characteristic. Since 1990, Peter Salovey and John D. Mayer have been the leading researchers on emotional intelligence. In their influential article "Emotional Intelligence," they defined emotional intelligence as, "the subset of social intelligence that involves the ability to monitor one's own and others' feelings and emotions, to discriminate among them and to use this information to guide one's thinking and actions" EI is composed of five dimensions: Self...
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...Business Ethics Reform Heidi Hamilton MGT320-3 – The Legal Environment of Business Colorado State University-Global Campus Dr. Jason Lum April 26, 2013 Business Ethics Reform There have been many, increasingly significant business scandals and failures over the past forty years. There were the bribery scandals of the 1970s, the defense industry scandals of the 1980s, and the Savings & Loan scandals of the 1908s and 1990s. After that came the dot-com collapse, the accounting scandals involving Enron and WorldCom, and most recently the financial scandals and crisis of 2006-2009, whose effects have been the most damaging, and significant worldwide (Brekert, 2010). History gives us an early warning about ethical pitfalls of business and the tragedies that result from those ethical failures in business. People have been aware of these problems for quite some time. The ancient Greek historian Plybius said that Carthage fell because "nothing that leads to profit is considered disgraceful" (Cuilla, 2011). This goes to show that the basic problems of business ethics are not new. The only thing that changes is the cultural and technological aspects of the problem. Even Ptah-hotep in his book written between 2550-2300 BCE wrote about a person's responsibilities at work. These responsibilities include adherence to duty, self-control, and transparency or vigilance against those who want to bribe or make secret deals (Cuilla, 2011). If history has taught us that...
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...|Aspects of Women's Spirituality in Tending to the Dying | |By Leslene della-Madre | |s Page | | | | | |For many of us, death is something we would rather not think about. Why is this? Why do we not want to understand the deepest mystery of | |life? Why are we so afraid to die? These are some of the questions that beckoned me on a journey to learn about the true nature of death, | |resulting in a recently published book, Midwifing Death: Returning to the Arms of the Ancient Mother, weaving together knowledge about how| |our pre-patriarchal ancestors viewed life and death with modem stories telling how the sacred passage of death and dying can be midwifed | |in grace, love and beauty, which are all aspects of the sacred feminine in women's spirituality--the oldest spirituality on the planet. | |What I have discovered, or rather, uncovered, from the forgotten realms of our ancestors...
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...Assisnment PrintView Page of 12 I C*N,WL awar0: 4 t . 10 points priceof purchased with an invoice taos Company merchandise resalefrom TusconCompany for Taospaidwithin the n160. merchandise costTuscon The had and termsof 2110, $14,322. $21,000 credit period. inventory system. Assume bothbuyer seller a perpetual that and use discount (Omit the "$" sign in your l(a)Prepare entriesthat the buyershouldrecordfor the purchase. response.) General Journal Merchandise inventory payable lAccounts Debit l,:J l Credit | 21,000 *****-**r*i i {"?1,oqa (Omitthe "$" sign in your record the cashpayment. for 1(b)Prepare entries that the buyershould response.) General Journal *- Debit Credit lAccil *;-i"*"t"il I M"'"h;;.ld I Cash *" lLiulil f)?;ooDl420 f ;t58r Debit Credit (Omitthe "$" sign in your response.) Prepare record thesale. for 2(a) entries theseller that should General Journal lAccountsreceivable l:l -ffi r*Tiw6f*TTWI' f 74"'?* ry--**ffi {t6 f soods sotd llvr"r"n"nclr" f*-14)2- (Omitthe "$" sign in your 2(b)Prepare for entries that the sellershould record the cashcollection. response.) General Journal I Cash l S a l e sd i s c o u n t s LJ ***'*"*1*1 t :,1 Debit Credit f-ffiH8r f* 420 r?Criivabil********-**i*1,.] fAccountJ I zUaii Assume that the buyerborrowed enough cashto pay the balance the lastday of the discount on period an annual period. at interest of 11o/o paidit backon the lastdayof...
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...GAGASAN REKONSTRUKSI POLA PENGEMBANGAN ASURANSI JIWA PADA MASYARAKAT KELAS MENENGAH DALAM PRESPEKTIF SOSIAL EKONOMI DAN BUDAYA (Study Pada PT. Asuransi Jiwa “X” Semarang) Marlien / 922012017 Latar Belakang Resiko dimasa datang dapat terjadi terhadap kehidupan sesorang misalnya kematian, sakit atau dipecat dari pekerjaannya. Dalam dunia bisnis resiko yang dihadapi dapat berupa resiko kerugian akibat kebakaran, kerusakan atau kehilangan atau resiko lainnya. Oleh karena itu setiap resiko yang akan dihadapi harus ditanggulangi sehingga tidak menimbulkan kerugian yang lebih besar lagi. Untuk mengurangi resiko yang tidak diinginkan dimasa yang akan datang, seperti resiko kehilangan, resiko kebakaran, resiko pinjaman kredit macet bank atau resiko lainnya, maka diperlukan pihak ketiga yang mau menanggung resiko tersebut. Pihak ketiga yang menyediakan jasa untuk menanggung risiko tersebut adalah perusahaan asuransi yang mau menanggung resiko yang bakal dihadapi nasabahnya baik perorangan maupun badan usaha. Hal ini disebabkan perusahaan asuransi merupakan perusahaan yang melakukan usaha pertanggung jawaban terhadap resiko yang akan dihadapi oleh nasabahnya. Dari segi Ekonomi, asuransi bertujuan untuk mengurangi ketidak pastian dari hasil usaha yang dilakukan oleh seseorang atau perusahaan dalam rangka memenuhi kebutuhan atau mencapai tujuan. Dari segi Hukum, asuransi bertujuan untuk memindahkan risiko yang dihadapi oleh suatu obyek atau suatu kegiatan bisnis kepada pihak...
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...Running head: PROBLEM SOLUTION: GLOBAL COMMUNICATIONS Problem Solution: Global Communications Pelesia Tillman University of Phoenix Problem Solution: Global Communications The Union is a challenge with expectations of treating employees with respect and accepting their ideas for change. The hardship at Global Enterprises are seen as an Opportunity instead of a problem The telecommunications business is booming and to stay in the business of selling advanced technology equipment, Global Communications wanted to stand by their name global by outsourcing to India and Ireland, in hopes of competing in local markets and expand globally. Relationships between the union and its workers are at odds about Global Communications going international the board wants to announce to employees not to worry about the move it simply means a chance to offer better jobs to employees and give salary increases with 15% retention bonuses for workers willing to make the move. Focusing on ways to better communicate with the union is a challenge with expectations of treating employees with respect and accepting their ideas for change. The hardships at Global Enterprises are handled. The telecommunications business is booming and to stay in the business of selling advanced technology equipment, Global Communications wanted to stand by their name Global by outsourcing to India and Ireland, in hopes of competing in local markets and expand globally. Global services has entered a new...
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...On the Relationship between stock return and exchange rate: evidence on China Yaqiong Li a b , Lihong Huang b a b The Business School, Loughborough University ,UK College of Mathematics and Econometrics, Hunan University, Changsha ,Hunan ,China Abstract The purpose of this paper is to investigate the relationship between RMB exchange rate and A-share stock returns in China, in particular in Shanghai stock market. We find that both stock returns and RMB nominal exchange rate are integrated of order 1. The Engle–Granger cointegration test is then performed, suggesting that there is not a long-run equilibrium relationship between stock returns and RMB exchange rates at 5% significance level. However, there is strong evidence suggesting that there is a short-run uni-directional causality relationship from the nominal exchange rate to the stock returns. Keywords: cointegration; Granger causality; RMB exchange rate; stock return; unit root test. 1. Introduction The China’s exchange rate policy has recently emerged as one of major issues in the trade between the PR of China and the United States of America. The controversy is fuelled by China’s pegging of RMB to USD. Since a major devaluation of the RMB in 1994, the Chinese currency’s exchange rate vis-a-vis USD remained more or less unchanged until 21 July 2005, and has fluctuated from RMB 8.22 to 8.11 per dollar since then. The Chinese Authority has recently announced that “RMB will be no longer pegged to the US dollar”...
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