Sociocultural Aspects Essays - Chitto Harjo, Muscogee People

Sociocultural Aspects At the beginning of this semester, I went into a classroom without the intentions of it having any impact of my life. What I did not know was that this course held not only a vision for the future but also answers to my past. Growing up, I was influenced by a society that was inhabited almost entirely by whites. For that reason only, I have been completely unaware of any bias or unfair treatment to minority and female students. Because of this upbringing, I found many incidences discussed in class quite unbelievable. However, my views on our society and the educational system have been broadened which leads me to believe that the teachers of the future now have the key to a fair, unbias education for each student that enters the school. I was also fortunate this semester to engage in mentoring a young African-American student named James. Although this assignment was geared toward working with a student from a different culture in order to examine the differences in our lives as well as our values, I think that it was very fortunate for not only my experience but also for the student's experience that we shared so many of the same hurdles growing up. The death of a sibling as well as the experience at multiple schools as ?the new student? are just a few of the ways in which James and I were quite similar. As many people know, dealing with issues like this can be quite hazardous to how a young child develops into a functioning adult. Because James and I are linked based on our past, we were able to share with each other more honestly than we have before. With that, we grew from one another's experiences and found the answers to our past with and through each other. As I said before, the course discussions and lectures that I experienced had a dynamic impact on my personal beliefs and values. Honestly, I hardly ever had an ounce of belief in the books we read and discussed or even the topics brought up for lecture. I would walk out of the classroom each day either upset at the way people in the class viewed the educational system or the way that they portrayed the minority students being treated. I realize now that I was stubborn to the fact that there are societies other than the one I grew up in tat have it far worse than I have ever seen or even imagined. The way that I took the lectures was as a classroom made almost entirely of minority students blaming all of the problems concerning the educational system on the upper middle class. Having grown up in an upper middle class household and neighborhood I felt defensive yet took it upon myself not to verbalize my thoughts, being very concerned that one might take my comment not as defense but a s a prejudice remark. During class discussion I was able to listen to how the other students reflected on racial injustices. When I first listened to what others had to say, I can remember thinking how lucky I was that I did not live as a minority in our society. I have never had to live day to day waking up scared of what might happen to me simply because of my skin color or the things my family takes pride in. However, simply because I was raised among people who were all the same as me and had the same beliefs does not mean that it was always a good thing. In fact, I see a lot of my up bringing completely different now. For example, I was always among people who did not have to watch what they said in effort to avoid offending someone. So, when a racial comment was said among my peers or even my family, I never thought twice about it. I also made comments of my own. I never had to worry about a minority being next to me or within hearing distance so I never considered the consequences of throwing aroun d racial comments. The class time I have spent with everyone has gotten me to realize that

Tropical Rainforest Biome essays

Tropical Rainforest Biome essays The tropical rainforest is truly the worlds most complex and diverse biome in both structure and species diversity. It is the richest source of life on earth. There are large amounts of precipitation, which is a major factor in plant growth. The vast diversity of plants and animals affect every part of the rainforest in several ways. The organisms in this biome rely on each other for survival. Even though the rainforest benefits man and the earth, it is being destroyed by ruthless and reckless people. A tropical rainforest can be defined as woodland characterized by lush vegetation and high temperature and rainfall through out the year. It is the worlds most biologically diverse ecosystem. Rainforests form only near the equator between the latitudes of 10Â °N and 10Â °S and at elevations below 3,000 ft. A rainforest must have an average annual rainfall that exceeds 80-90 inches. Even though they only cover 7% of the earths surface, they support over half of the earths animal and plant species. Two and a half acres of land may contain over 600 different kinds of trees. In comparison, the United Stated and Canada put together only contain 700 tree species. Another impressive study showed that there are more species of ants on one rainforest tree stump than exist in all the British Isles. The rainforest is by far one of the most diverse biomes on earth. The climate of the rainforest is unlike any other place on earth. There are only two seasons in the rainforest, a long wet season followed by a brief dry season. The average temperature of this biome is usually around 80Â ° F with very high humidity. Precipitation is often 100-400 inches per year, but there is usually a dry period sometime. During this time the rainforest still manages to stay wet and prolific with growth because of the extreme rains before the season starts. The vegetation of the tropical rainforest is ever present, but usually does not get the...

Wall Mart - Community Essay Example | Topics and Well Written Essays - 750 words

Wall Mart - Community - Essay Example Wal-Mart is American Public Corporation that came into existence in 1962. Although it began as a grocery retailer, in now operates as a major chain of large discount stores and warehouses. Its various stores offer a wide variety of products, all of which are priced lower than its competitors. Although price is a major criterion, upon which many customers make buying decisions. Offering the lowest price and remaining profitable has many challenges. Wall Mart has over the years remained one of the largest retailers, and therefore becoming one of the leading private employers. There is a need therefore to investigate the claims made by the community so that the actual influence of Wall Mart on the community (Hicks, pg 2). The history of the problem can be traced from the concerns that most corporations have focuses on profit maximization at the expense of the interests of the community and employees who gives the economic power to such companies. The primary data I used to get a good understanding of how Wall Mart operates and the nature of issues facing included visiting a number of branches to observe the shoppers, employees and to interview employees and customers. I also observed the type of customers by age and interviewed about their perception of the impact made by Wall Mart to the local community. The secondary data I used included scrutinizing the annual consumerism report that compiled by organizations that represent employees and consumers. Majority of the people we interviewed were of the opinion that Wall Mart has over the years made a significant contribution to the local communities and the American economy in general. Many believed that since Wall Mart was founded based on offering the lowest price for all social groups; it has made important contributions to their lives, which can be categorized as follows. Wall Mart entered the market to offer

Innovation versus Invention Essay Example | Topics and Well Written Essays - 500 words

Innovation versus Invention - Essay Example Novelty is the introduction of a new idea into the world. While dealing with innovation, an idea does not have to be new except in a specific situation. When a company introduces an idea to the world, it is said to be innovative regardless of whether it is new to the industry or not. Basically, an invention is novel and potentially practically applicable whereas an innovation is usually practically applicable and hence introduced into the market. In terms of stages, invention is seen as an early stage while innovation is the end stage where the introduction of the ideas is presented to the end user. Innovation is categorized into two namely, product or service and process. Product or service innovation is about launching of new and improved products or services to the market. Some of its advantages to man include higher prices and profitability, added value, increased market shares and improved public relations. Process innovation deals with better and efficient ways of producing existing products and better ways of delivering existing services. This has benefited mankind in terms of reduced costs, improved quality of services and more responsive customer services. One example of innovation that has impacted man’s existence is the application of Bluetooth technology in mobile and computer devices for faster, cheaper and more convenient transfer of files and information.

ASA Questions Essay Example | Topics and Well Written Essays - 500 words

ASA Questions - Essay Example ASA automatically allows the flow of packets from this high level to the lower un-trusted level without the need for an ACL explicitly allowing for the packet flow. (Santos, 2010) The un-trusted network, usually an outside network is allocated the lowest security level, 0, given its low network level beside the fact that it is the least trusted of all the network zones. ASA by default assigns the outside network security level of zero and automatically limits the flow of network packets from this level to the higher levels`. This security zone falls between the higher level and the lower level and is automatically assigned an even number between 0 and 100 given that it is somewhat trusted and un-trusted at the same time. (Frahim, 2010) User exec is the first level of access in the commend line interface used for changing terminal setting, listing system information and performing basic tasks. It uses AP> or Router > to prompt and logout command to exit. This CLI mode should be password protected to prevent unauthorized use. It is accessed from the user exec mode by issuing the enable command. This mode has a privileged command set which include those at the user exec mode. To exit the mode, disable command is used. (Frahim, 2010) This mode has commands that apply to features that affect the device as a whole. In order to access the global configuration mode, configure command is entered from the Privileged EXEC mode. Exit or end commands can be used to exit the global configuration mode. This configuration mode is used to modify the configuration of the interface. The commands used in this mode usually follow global configuration command used to define the interface type. In order to configure the interface using this mode, terminal is specified from the global configuration mode followed by the specification of the

Government Expenditure and Revenue Collection

Government Expenditure and Revenue Collection CHAPTER 1: INTRODUCTION 1.1 Overview The relationship between government revenue and expenditure is a very important topic and has been an essential issue for many economists and policy makers as it represents budget deficit, government expenditure Plans and taxation structure of a country. Since the main objective of every government is to improve economic growth with low debt levels, better education system, development of infrastructure and job opportunities better fiscal policy is needed to achieve these goals. From a short term perspective fiscal policy is said to be expansionary when government expenditures exceeds the total revenue and the resulting deficit is then financed by the government, However if these expenditures contributes in economic growth then there is a long term relationship exist between government expenditure and economic growth. In addition different studies indicate that the determination of Economic growth is depended on tax levels. Whereas many believe that the most significant factor that c ontributes in economic growth is tax level as the collection for development purposes of most developed and developing countries depend on tax revenue. 1.2 Research Problem In Pakistan the level of budget deficits have consistently increasing from 2005 which is then financed by the government through external and domestic borrowing resulting in a higher debt levels due to high interest cost associated with it and leads to more future tax expectations. Thus the financing by the government for the compensation of deficit is an important variable, several studies have put light on the outcome of fiscal deficit but very few have tried to find the reasons and causes of these deficits which is why the nexus between government revenue and expenditure is still an unsolved issue. Therefore the main purpose of this research is to study the causal relationship between government revenue and expenditure. 1.3 Hypotheses H1: Tax Revenue causes Government Expenditure. H2: Government Expenditure causes Tax Revenue. H3: Tax Revenue and Government Expenditure bidirectionally cause to each other. 1.4 Outline of the Study The research studies the causal relationship between government expenditure and tax revenue to see the reasons for the consistent budget deficits in Pakistan from many years. In addition time series analyses have been done to forecast the trend of government expenditure and revenue based on the leading variable. CHAPTER 2: LITERATURE REVIEW Nanthakumar and Taha (2007) have found a stable relationship between spending and revenue. Furthermore there is a long-term impact exist expenditures that enter as input into the production function and those that enter as inputs in investment technologies. Koch, Schoeman, and Tonder (2005) found that there is an association between burden of taxes and economic growth according to the findings based on the data of 1960-2002 if tax burden decreases economic growth increases significantly. Friedman (1982) explains expenditure of the government depends on total revenue because as taxes increases expenditure increases by which deficit remains at the same level, therefore the level of fiscal deficit cannot be reduced by increasing taxes. Buchanan and Wagner (1977) on the other hand have presented an alternative hypothesis that increase in taxes does not lead towards low expenditures because taxes creates higher price of goods for the public due to high interest cost associated with it Buchanan and Wagner suggest that in order to restore deficit government should limit its financing ability. Sobhee (2004) tested the causality from tax to expenditure and from expenditure to taxes by using the data of public finance and founded that for the utilization of public expenditure in a small economy government first accommodate the necessary funds, therefore to avoid the situation of fiscal deficit the government must carefully monitor and control its spending programs. Fasano and Wang (2002) in a research on GCC countries founded that the primary Source of revenue is oil and due to the economic fluctuations medium-term expenditure strategy should be adopted according to which expenditure should not exceed the non-oil revenue so that in recessions to compensate expenditures oil revenues can be injected by short-term accommodations. Second hypothesis where causality runs from expenditure to revenue the government first spend and then to accommodate the required level of expenditure adjusts tax policy. Peacock and Wiseman (1979) argue that due to economic crises government expenditure increases and remain at the same level even when the crises is over. In other words government expenditure is driven by strong economic crises which is able to change public perception about the size of the government. Gounder, Narayan, and Prasad (2007) find compatibility with the second hypothesis that the increase in taxes for the accommodation of government spending affects on the capital investment by investors due to the fear of paying higher taxes in future. The third hypothesis is fiscal synchronization according to which expenditure and revenue decisions are independent and bilaterally cause to each other. Reflecting the traditional theories for the demand for public goods. Meltzer and Richard (1981), the demand of public expenditures and taxes need to compensate these expenditures are compared with many alternative spending programs for cost benefit analysis, therefore the practical implication of this hypothesis is bidirectional causality. Narayan and Narayan (2006) suggest three reasons regarding the importance of nexus between government revenue and expenditure first if proper implementation on policies is taken into consideration regarding government revenue fiscal deficit can be avoided, second if causality runs from expenditure to revenue outflow increases due to the fear that government spends first and pay for it later by increasing taxes. Third in case of bidirectional causality expenditure can rise faster than revenue which can create huge budget deficits because revenue and expenditure decisions are independent of each other. Baharumshah and Lau (2007) Find two sets of different results where the fiscal policy of Korea, Singapore and Thailand is driven by expenditures where the government finances revenue for the planned expenditures according to the limit of the balanced budget which facilitate the long term sustainable budget position. However the taxation system should be implemented by taking care of the overall smooth fiscal policy. Whereas in case of Malaysia and Philippines expenditures and revenues are independent of each other and the level of government expenditures and revenues is determined through fiscal policy based on marginal cost and revenue. Furthermore the findings indicate that in order to achieve long-term economic growth fiscal consolidation is necessary to reduce deficits and debt levels which lead a country to fulfill expenditure priorities better and provide funds to more productive sectors. Griffin and McKinley (1992) believes that the expenditure policies of the government should be directed towards long-term future growth and for the well being of the people, Therefore activities that contribute more on socio economic development should be increased instead of using resources and funds to military defense projects. King and Rebelo (1990) taxation has a very important role in the long run growth process of a country where growth is not affected by indirect taxation, however direct taxation is harmful for growth. Nanthakumar and Taha (2008) found in an analysis of Malaysia that the major part of taxes is direct taxes and reducing direct and indirect taxes leads to reduce in government expenditures, In addition non-tax revenue does not contribute much in economys growth. Hondroyiannis and Papapetrou (1996) find unidirectional causality running from government expenditure to revenues in Greece where the reason of fiscal deficit from a long period of time was government spending decisions. The government spending to GDP is very high in Greece which results an operating inefficiency for the economy. Furthermore the results indicated that reducing fiscal deficit without reducing the government expenditure leads to failure. Ahiakpor and Amirkhalkhali (1989) Based on the analysis of Canada found that to show the relevant results of fiscal policy government increase taxes which is a temporary and incomplete act in order to fully take control over fiscal deficit the government must reduce or limit its expenditures instead of finding ways to increase tax revenue burden on public. Baghestani and McNown (2004) in a study of Egypt and Jordan claim that to promote domestic savings and private investment it is necessary to eliminate budget deficit for both the counties. Baghestani supported the causality from tax revenue to expenditure in case of Egypt and bi-lateral causality in case Jordan. Furthermore promoted the process of privatization because it facilitate high domestic saving and investment and at the same time helps to reduce fiscal deficit. Neyapti (2008) studied the influence of fiscal decentralization on government revenue and expenditure and indicated that decentralization improves quality of governance which leads to decrease in budget deficit and stable economic condition. However the efficiency of fiscal decentralization increases in case of large population. Keho (2010) Study the data fo 1660 to 2005 to analyses the causal relationship between government expenditure and tax revenue to see which expenditure and revenue items plays a part in the reduction of budget deficit and found that GDP has significant effect on government expenditure. Furthermore the findings of granger causality test indicate unidirectional causality from government revenue to expenditure according to the findings the implementation for the elimination of fiscal deficit should not be made by just increasing revenues. Thus for the beneficial results spending cuts are necessary. In other words tax system should be made with proper spending control system. Brennan and Buchanan (1980) suggest that in order to reduce fiscal deficit constitutional limits should be imposed on post-constitutional government to reduce the revenue collection by latter governments so that position of maximum financing of goods demanded by public and minimum revenue collection can be achieved. Baffes and Anwar (1990) conducted the research for the countries Argentina, Brazil, Chile, Mexico, and Pakistan to determine the behavior of government towards revenue and expenditures for the alignment of fiscal deficit. The results found to be positive for Mexico, Brazil and Pakistan while the similar findings havent been found for Argentina and Chile. For Brazil, Mexico and Pakistan causality runs in both ways in other words bidirectional causality where decisions for the government spending and revenue are taken simultaneously. However in case of Argentina and Chile causality runs from expenditure to revenue. The results indicates that to control budget deficit the government should increase revenue collection and restrain expenditure whereas public expenditures should be reduced in Argentina and Chile. Stoian (2008) founded in case of Romania by applying Johansen cointegration and Error Correction model that the long run relationship between government revenue and expenditure do not affect major fiscal imbalances. CHAPTER 3: RESEARCH METHODS 3.1 Method of Data Collection Data of the two variables Government Expenditure and Total Revenue is taken from secondary sources with the help of multiple sources which includes (Ministry of Finance), (State bank of Pakistan) and (Hand book of Statistics on Pakistan Economy). 3.2 Sample Size Sample of 31 observations have been used by using the data of public finance from the year 1979-2010. Where the variable (Total Tax Revenue) has been created by adding indirect-tax, direct-tax, Non-tax revenue and surcharges and (Total Expenditure) has been calculated by adding Development and Non-Development Expenditures. 3.3 Research Model Granger model is used to study the causality where TR is the total revenue and TE is total government expenditure. TRt = à ¢Ã‹â€ ?1 + ÃŽÂ ´1 + TEt-1 + TEt-2 + ET1 TEt = à ¢Ã‹â€ ?2 + ÃŽÂ ´2 + TRt-1 + TEt-2 + ET2 The above two equation represents the hypothesis where the causality running from total expenditure to revenue in equation one and from revenue to expenditure in equation two. The rejection of any hypothesis concludes unidirectional causality between government expenditure to revenue. However, rejection of both the hypothesis concludes bidirectional causality in other words fiscal synchronization exists between government revenue and expenditure. 3.4 Statistical Technique In this research granger causality test by Granger (1969) has been applied to study the causal relationship by comparing one time series with another (Government Expenditure with Government revenue) where one variable becomes the cause of the other variable to predict it significantly. In addition cross-correlation has been applied to assess the correlation between both time series variables. CHAPTER 4: RESULTS 4.1 Findings and Interpretation of the results Table 4.1 The summary given in the table above shows that there is a unidirectional causality exist between total government expenditure and total revenue, as the value of F-Statistic is 3.5, Furthermore both lag 1 and lag 2 are tested to achieve better results as table 4.2 indicates therefore the null hypothesis (TOTAL_RE does not Granger Cause TOTAL_EX) is rejected. Table 4.3 Figure 4.1 Total_Revenue with Total_Expenditure Lag Number The results of cross-correlation indicates total revenue as a leading time series variabler with a strong correlation of .994 with government expenditures at lag 0, furthermore correlation a positive correlation has been found from lag 1 to lag 11, However the correlation is decreasing and from 12 to 16 lags correlation in negative predicting that with the increase in total revenue, total government expenditure will decrease in future. 4.2 Hypotheses Assessment Summary CHAPTER 5: CONCLUSION, DISCUSSION, IMPLICATIONS AND FUTURE RESEARCH 5.1 Conclusion The research studies the causal link between total government expenditure and total revenue in Pakistan using granger causality test and the supportive cross correlation from 1979-2010. The result from granger causality supports the hypothesis that tax revenue causes government expenditure in Pakistan. In addition cross correlation results have indicated long-term results that with the increase in revenue expenditures will increase. Therefore the major conclusion drawn from this research is that in order to eliminate the problem of fiscal deficit and sustainable economic growth government should focus on the policies which facilitate increasing revenue. 5.2 Discussion Various studies have analyzed the causal relationship between government expenditure and revenue. Some supported with unidirectional causality occurring from revenue to spending and from expenditure to revenue whereas some have indicated the result of bidirectional causality. However, both the variables have significant impact on budget deficit and economic growth. Fiscal deficit in Pakistan is a major issue as the findings of cross correlation indicates that the revenue and expenditures are correlated which means that as revenue increase expenditure increases and deficit remains at the same level and to compensate this deficit government increases its debt financing from domestic and foreign sources which leads towards inflation and high interest rates. 5.3 Implications and Recommendations The model and analysis of this study is very useful for economists and policy makers as it helps in enhancing revenue by tax reform programs. In addition for the determination of optimal spending expenditure reform assessment can be done through cost and benefit analysis which will help in setting objectives for tax collections and better utilization of taxes. 5.4 Future Research Future research possibilities could be as follows first variables like national income and debt financing could be included in the research. Second data sets of multiple countries would be interesting to analyze the causal relationship using the same model in comparison with this research.

Great Expectations Essay -- Great Expectations Essays

The novel Great Expectations, by Charles Dickens is a compelling book which many people consider to be one of Charles Dickens’ greatest works. Great Expectations is a novel that has many elements that help the growth and development of Phillip Pirrip, better known as Pip. But none of these elements can be more evident than the kinds of love and their different roles in Pips life. In order to answer how love has influenced Pip’s life we must first define what love is. According to Miss Havisham love is, The different types of love and their roles in Pips life is represented differently by the different characters. The type of love Joe represents in Pips life is the type of love that one can feel between a father and son. Estella represents the lack of love because of the way she treats Pip and the other men in her life. She can also be considered an example of courtly love because of the way she motivated Pip to become a gentleman to win her heart. The type of love that Miss. Havisham represents is selfish love for only oneself. This can be seen by the way she raised Estella to grow up and break the hearts of men. The love that Magwitch represent is compassionate love that is shared between friends, because of the way that Pip treated Magwitch even though he was an escaped convict. Herbert Pocket is also another represents the love that friends have for one another, because he helped add stability Pips life. This is also seen when Pip helped Herbert Pocket reach business success through his donations to his business. Jaggers and Wemmick can also be considered fatherly figures because they helped mentor Pip, and they taught him how to be a gentleman. The love that Biddy represents is both an example of romantic love and the love tha... ... social mobility in England. Despite of all of the obstacles that got in Pips way he was still able to make something of himself other than a mere village blacksmith. The love between friends that was shown by Magwitch gave Pip all of the financial and social resources Pip required in order to allow him to pursue his dream of becoming a person of class. Estella impacts Pip through her lack of love because of the way she cruelly manipulates men into loving her only to later betray them. Miss Havisham’s love of herself enables her to seek revenge through her step-daughter Estella without regard to the suffering she caused to both Pip and Estella. Because of the love some of these characters show to Pip he is able to realize that wealth and your position on the social ladder does not make you a good person, and it can stop you from seeing the finer things in life. Great Expectations Essay -- Great Expectations Essays The novel Great Expectations, by Charles Dickens is a compelling book which many people consider to be one of Charles Dickens’ greatest works. Great Expectations is a novel that has many elements that help the growth and development of Phillip Pirrip, better known as Pip. But none of these elements can be more evident than the kinds of love and their different roles in Pips life. In order to answer how love has influenced Pip’s life we must first define what love is. According to Miss Havisham love is, The different types of love and their roles in Pips life is represented differently by the different characters. The type of love Joe represents in Pips life is the type of love that one can feel between a father and son. Estella represents the lack of love because of the way she treats Pip and the other men in her life. She can also be considered an example of courtly love because of the way she motivated Pip to become a gentleman to win her heart. The type of love that Miss. Havisham represents is selfish love for only oneself. This can be seen by the way she raised Estella to grow up and break the hearts of men. The love that Magwitch represent is compassionate love that is shared between friends, because of the way that Pip treated Magwitch even though he was an escaped convict. Herbert Pocket is also another represents the love that friends have for one another, because he helped add stability Pips life. This is also seen when Pip helped Herbert Pocket reach business success through his donations to his business. Jaggers and Wemmick can also be considered fatherly figures because they helped mentor Pip, and they taught him how to be a gentleman. The love that Biddy represents is both an example of romantic love and the love tha... ... social mobility in England. Despite of all of the obstacles that got in Pips way he was still able to make something of himself other than a mere village blacksmith. The love between friends that was shown by Magwitch gave Pip all of the financial and social resources Pip required in order to allow him to pursue his dream of becoming a person of class. Estella impacts Pip through her lack of love because of the way she cruelly manipulates men into loving her only to later betray them. Miss Havisham’s love of herself enables her to seek revenge through her step-daughter Estella without regard to the suffering she caused to both Pip and Estella. Because of the love some of these characters show to Pip he is able to realize that wealth and your position on the social ladder does not make you a good person, and it can stop you from seeing the finer things in life.

Safe Administration of Intravenous Medication and Management of Central Line

Intravenous therapy is a crucial element of acute care management; this provides easy access for medication, maintaining fluid and electrolyte balance, and administration of blood products (Wiechula & Hodgkinson, 2002). This is an invasive procedure that entails a number of risks for the patient. This literature review will provide important information regarding the safe administration of intravenous medication and the management of the central line. Safe Administration of Intravenous Medication. The article â€Å"Safe Practice in intravenous medicine administration† from the Nursing Standard journal provided a detailed account of safe administration of intravenous medication. The IV route has many advantages over other routes, mainly because of its absorption rate, but it must â€Å"only be used when its benefits outweigh its risks† (Lavery, 2008). The first step in safe administration of intravenous medication is assessment of the patient’s condition and satisfying the 5 Rights of drug administration; Right Patient, Right Dose, Right Medication, Right Route, and Right time. The patient’s chart must also be checked for all the other drugs that the patient is currently taking. The expiration date of the medicine ordered must be checked as well. Drug interactions and interval of the medication must be considered as well. This must be taken seriously as 22% of medication errors committed on general medical practice were due to lack of knowledge of this little detail (Joanna Briggs Institute, 2005). As a confirmatory measure the drug order must be consulted with another nurse. There was evidence that suggested the efficiency of having two nurses check medication orders prior to administration (Joanna Briggs Institute, 2005). Following hospital protocol, the procedure must be explained to the patient and acquire consent on the doing the procedure. Secondly, the materials needed for the procedure must be prepared. The materials needed will be dependent on the route specified which could be; bolus injection, intermittent infusion, and continuous infusion. IV bolus injection requires the use of a syringe; conclusive evidence suggested that labels on syringes or enhancements on syringe may prevent medication errors (ISMP Medication Safety Alert, 2004). Application of aseptic technique is essential in the process of drug administration through the intravenous route. Thus, swabbing the injection port with alcohol is an important practice. The injection port is exposed to bacteria and injecting these to the patient’s system must be avoided (Institute for Safe Medication Practices, 2007). No conclusive evidence was presented on this claim. Upon swabbing the IV port with alcohol and letting it dry, the next step is to administer the medication at the IV port. The rate of the IV push must be observed carefully, since there are conclusive evidence of death occurring on an IV push that was done too quickly (Cohen, 2003). This is known as â€Å"Speed Shock† and will be discussed in detail later. If the method of administration is through continuous infusion, the rate of infusion must be confirmed with another nurse (Joanna Briggs Institute, 2005). An infusion pump may be used to ensure accurate infusion rates. The careful use of the infusion pump must be observed by the nurse.. After drug administration, the patient must now be watched closely for adverse reaction to the drug. After assessment of the patient after administration, the central line must be flushed with a 5-10 ml 0. 9% sodium chloride solution. This is a precautionary measure to relieve the cannula of any residual medicine (Lavery, 2008). Afterwards, the sharps and other equipments used should be discarded in a proper container. CDC recommended that sharps should be disposed in a proper container; â€Å"closable, puncture resistant, leakproof on the sides and bottom, and appropriately labeled or color coded† (CDC, 1998). Proper documentation and monitoring of therapeutic effect concludes the procedure (Wiechula & Hodgkinson, 2002). Management of the Central Line The article; â€Å"Promoting Best Practice in the Management of Peripheral Vascular Devices† from the Joanna Briggs Institute, used an evidence based approach on the management of peripheral vascular devices. It stressed a number of key recommendations in achieving best practices in the management of a central line (Wiechula & Hodgkinson, 2002). This literature will be central to this discussion. It is common medical knowledge that hand washing and observance of the aseptic technique is crucial for the prevention of infection. This was also pointed out in the article and was given utmost importance. The next guideline is the dressing of the central line; the article suggested the use of gauze or transparent dressing. It also suggested that it should be changed when it is damp, loosened or soiled. Conclusive research from CDC noted that both the transparent and gauze dressings virtually have the same effect (CDC, 2002). Secondly, the routine replacement of IV catheters, IV therapy is an invasive procedure and these devices can harbor bacteria that can cause complications. In addition, it also stressed rotation of the site of catheter insertion every 48-72 hours to prevent phlebitis; this suggestion was well within the extent of rotation specified by the CDC which was every 72-96 hours (CDC, 2002). Moreover, it also stressed that IV catheter should be replaced at the first sign of phlebitis. Another consideration for the removal of the catheter is evidence of local infection (Gosbell, 2005). The third guideline was the replacement of the IV administration sets at 72 hour intervals. These equipments include; blood products, piggy back, and lipid emulsions. When a medical order required the use of these materials, the healthcare provider must make sure that these materials should be replaced or disposed of when it goes past its usefulness. This must be meticulously observed especially with blood products and lipid emulsions, which produces a higher incidence of bacterial colonization; this case requires the IV administration set to be replaced within 24 hours of initiating the infusion. Fourth, is the use of flush solutions to prevent thrombosis or infection, heparin is the most common flush solution in use today. A study with much legitimacy in it, has confirmed that flushing a catheter with a vancomycin/heparin lock will yield to a significant decrease in infection rate (Woensel, 2008). Much debate surrounds the issue of whether it should be done continuously or intermittently. A recent study by the Cochrane Collaboration attempted to address this issue. Considering the inconclusive results of the study, it still claimed that intermittent flushing, â€Å"were less likely to infiltrate, leak, or cause phlebitis† (Flint, Macintosh, & Davies, 2008). The fifth management approach to a central line is the use of in-line filters. Wietchula & Hudgkinson noted that this device is thought to reduce the incidence of infection, but no evidence confirms this claim. A similar claim supported this notion that in-line filters have no significant relation to decreased incidence of infection in a study conducted by the Cochrane Collaboration (Foster, 2008). This study, too, was shrouded with impartiality due to the lack of sufficient data. Lastly, proper management of a central line requires documentation of insertion date and time of the intravenous device. This would also serve as a guide for the overall care of the patient (Wiechula & Hodgkinson, 2002). Complications of Intravenous Therapy Intravenous therapy is widely used in acute care management. Due to the invasive nature of the procedure, healthcare providers must abide with known safe practices just like the ones outlined in this study. Failure to comply with safe practices can lead to infection and even death. The most disastrous complication can arise from failing to observe safe practice in intravenous medication. Meanwhile the patient can suffer from infections and much discomfort from failing to observe clinically effective practices on the management of the central line. These two topics will be explored in this section of the study. Aside from describing â€Å"Safe Practice in intravenous medicine administration†, this article also included some complications that arise in practices that are not clinically effective. Failure to asses the patient and confirming the medication can lead to disastrous results. A staggering 30% of medication errors arise from administering an inappropriate drug (Joanna Briggs Institute, 2005). An article entitled â€Å"Medication Errors†, mentioned that improper disinfection of multi dose vials can leave the patient at risk for infection with staphylococcus aureus (Cohen, 2003). The article even mentioned that refrigerating the MDV prolongs the life of the S. aureus compared with storing it in room temperature. In addition, it also mentioned the deadly effects of administering a drug too quickly (Cohen, 2003). This is otherwise known as â€Å"Speed Shock† (Lavery, 2008). This is the body’s violent reaction to a foreign body that was abruptly introduced in the system. The patient may experience hypotension, shock, flushed face, tachycardia, shock,and cardiovascular collapse. Miscalculations in the required dosage can be deadly to the patient as well. Failure of the healthcare provider to confirm the order with a doctor or colleague contributes to the occurrences of medication error. Studies have shown that one of the factors contributing to medication error is â€Å"poor communication healthcare professionals†, which comprises of 19% of recorded incidents (Joanna Briggs Institute, 2005). The healthcare provider administering medications must be familiar with standard dosage computation and manipulation of infusion devices like the infusion pump. There are concrete evidences published in the medical safety alert of ISMP regarding misuse of the infusion pump. It stated: â€Å"a misprogrammed infusion pump can leave a patient only a button press away from disaster† (Institute for Safe Medication Practice, 2002). Another complication is extravasations or infiltration. This condition is characterized by local edema and pain on the site of catheter insertion. This is caused by accidental administration of the drug to a surrounding tissue by a cannula poised in a wrong angle or problems in its patency. As mentioned earlier, failure to observe safe practices in managing the central line can also lead to serious complications. The article â€Å"Diagnosis and Management of Catheter Related Bloodstream infections due to staphylococcus aureus† outlined the complications arising from bad practices in management of peripheral vascular devices. Among the complications it discussed were; Catheter Colonization, Phlebitis, Infusate related bloodstream infection, and Cather related bloodstream infection. Colonization of bacteria on the catheter tip is the most common complication associated with wrongful management of the catheter tip. The Maki hypothesis stated that bacteria from the skin surrounding the catheter site can migrate to the catheter and eventually to the bloodstream (Gosbell, 2005). Catheter related bloodstream infection may lead to bacteremia and sepsis. The bacterium that is most commonly associated with this kind of infection is S. aureus which account to 5-50% of cases and coagulase-negative staphylococci in 20% to 96% (Gosbell, 2005). Failure to observe aseptic technique upon insertion of the IV catheter can contaminate the central line itself and directly introduce bacteria in the patient’s bloodstream. Another issue arising in practices that are not clinically effective is infusate-bloodstream infection. This is an infection through contamination of the fluids that are being administered. The use of the IV port either for injecting medicine or extracting blood from the patient can introduce microorganisms on the system. This commonly happens to blood products and lipid emulsions were bacterial growth is common. Lastly, phlebitis, this condition is characterized by redness, pain, and swelling around the insertion site. Phlebitis may be caused by infection and other patient factors like the patient’s inherent risk in developing such problems. Healthcare providers must be very careful in caring for patients undergoing intravenous therapy. Previous researches have shown that nosocomial infections due to bad practices in intravenous therapy account to 200,000 cases each year (Wiechula & Hodgkinson, 2002). Patients arrive in the hospital to seek medical attention, it is only imperative that healthcare providers must deliver the quality of care that patients deserve and avoid aggravating their illness by complications that could be avoided by safe practices.

The Power of Story - A Game for Adult Students

The Power of Story - A Game for Adult Students Ideal Size Up to 20. Divide larger groups. Use For Introductions in the classroom or at a meeting where the topic would be enriched by the sharing of personal stories. This exercise gives everyone a chance to share their story  and helps you manage storytelling later. Time Needed Depends on the number of people and the time you allow for personal stories. Materials Needed Nothing, but you must communicate with participants beforehand. They will need to bring a personal item related to your topic. Instructions Send your students an email or letter prior to their arrival at your class or meeting and ask them to bring a personal item that is somehow related to the topic you will be discussing. When it’s time for students to introduce themselves, explain that you want to recognize and honor the life experiences and wisdom they bring to your classroom. Ask them to give their name, present the item they brought, and, in a minute or two, tell the group the story behind that item. Why did they choose it?What special memory does it elicit for them?What is its significance given your topic? Debrief Ask for a few volunteers to share any surprises they experienced as people shared their stories. Did anyone’s item and story cause them to think differently about your topic? The Heros Journey is so important in the understanding of story. Make sure your students are familiar with its elements.

Gun Control in US

Gun Control in US Introduction All year round, approximately 30,000 people are reported to die from gunshot wounds in the USA. In 2010, the US reported gun violence as the leading cause of premature mortality, with young people falling victims.Advertising We will write a custom essay sample on Gun Control in US specifically for you for only $16.05 $11/page Learn More However, it is such a pathetic state for a developed country as the US to have such high mortality rate due to the high prevalence of gun violence. Among all the developed countries with high crime prevalence rate, the situation was termed as the worst in the US, which associates to the high firearm homicide rate. The high prevalence of ownership of guns accompanied by less restrictive laws underscored some of the reasons contributing to violence and high rate of crime in the country. Various economic costs are linked gun violence. For instance, the country spends approximately $30 billion annually on settling me dical bills in relation to treatment of firearm injuries and deaths. The incurred costs could be spent in expansion of other productive economic activities. However, the cost of owning and using a gun goes beyond this point since there are other adverse effects and outcomes. In addition, violence and other forms of crime cause a reduction in revenues collected from taxes, and these elements are some of the challenges that the federal government should address. Policies regarding control of gun in the United States There have been several debates concerning the gun control policies. The proponents of gun control policies hold that the control measures counter the prevalence of crime incidences by ensuring that firearms are taken away from the wrong hands.Advertising Looking for essay on political sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, most people assume that they must either support or oppose the gun contr ol policy, which is not the case. Policies or laws on gun control stipulate the types of the firearm to be purchased, qualities of the purchaser and the holder, and safety restriction concerning the storage and use of guns. Although there were laws to ban the possession of guns, this move was overturned by a court order that was passed by the supreme court of Columbia and Chicago. Currently, the implemented policies do not fully disarm adults as long as they are over the age of 21 years. This requirement seeks to control the rates of prevailing crimes since fewer people would be in a position to own guns. In order for the gun control to ensure a reduction in the rate of crimes, there should be an evaluation of the impact of the gun control policy on availability and accessibility to firearms, especially for the case of handguns. On the other hand, the effect of the prevalence of guns on the commission of a crime should also be evaluated. Many researchers justify the gun control laws due to the evidence of high crime rate that calls for political support of these laws. Currently, gun control laws focus on the definition on conditions that prohibit an individual from owning a gun or firearms, implementation of laws and regulations to prevent prohibited individuals from illegal possession of firearms and guns. In addition, these laws stipulate restriction to carrying concealed guns outside one’s home and regulations on the design of these guns in order to enhance individual safety and that of the members of the public.Advertising We will write a custom essay sample on Gun Control in US specifically for you for only $16.05 $11/page Learn More Rationale for the prohibition of gun possession The law prohibits certain categories of individuals from purchasing or even owning guns and firearms. They include fugitives, those served with restraining orders due to domestic violence, persons convicted of domestic crime, felons, people who a re mentally ill, illegal aliens, ex-soldiers dismissed from the military and person below the recommended age of 21 years. However, the laws stipulate that 18 years is the minimum age at which possession of a handgun could be transferred from one person to another, especially for unauthorized gun dealers. The move to ban some people from owning or carrying a firearm hinges on research results, which showed that the ever-increasing crime cases were due to access to firearms by some individuals. For instance, a felony convict stands a higher chance of committing violent crimes in the future as compared to non-felons. In addition, most domestic homicides are directly linked to availability and ownership of gun within the family household. Based on some researches carried out, researchers concluded that quite a substantial percentage of perpetrators of domestic violence are likely to extend their abusive tendencies to other people in the society. Drug and substance abuse are linked to t he increased rate of domestic violence within American families, violent crimes, and actual or suicidal attempts. Researchers established that homicide offenders are more likely to abuse drugs as compared to non-offenders. However, a small percentage of people suffering from mental illness are associated with some form of violence, as others with disorders such as stress and depression are likely to harm others or even themselves.Advertising Looking for essay on political sciences? Let's see if we can help you! Get your first paper with 15% OFF Learn More On the case of the minimum age limit, it was established that the minimum age restriction on possession of firearms and guns was a crucial move. Policy makers decided on the age limit after researchers established that there had been an increment in the prevalence of violent crimes amongst the adolescents. This aspect was attributed to the brain structures at that age, which embrace risk-taking impulses, hence contributing to heightened risk of violent behavior amongst youths at this age bracket. The debate on gun control policies Over the years, legislative proposals to restrict the availability of guns to the members of public yield different reactions from people. In the recent years, proponents of gun control laws hold to the fact that proper implementation of federal laws can be quite successful. However, the only challenge arises where states with few legal restrictions on guns tend to supply them to the states where comprehensive bans are implemented. Various issues arise fro m this constitutional provision as stipulated by the proponents. First, with the presence of professional police forces, this provision stands to be obsolete. The provision was in favor of the military officers to guard them against suppression, hence posing a restriction only to the military officers. In addition, the right to owning a gun is not absolute, but can be limited within reasonable requirements. The proponents also seek to know why a common citizen would own a gun not designed for the purpose of authorized sporting or hunting activities. With regard to reasons stipulated above, proponents for the policy on gun control advocate some changes on the prevailing policy on gun control to deter criminal activities and risks posed to the public. Since 1930, machine guns and short-barreled rifles remained under strict regulations, but they were banned completely from private ownership in 1980s. Currently, small handguns, ammunitions feeding devices and assault weapons among other s are some of the arms to be included in the control regulations. Gun control legislations meet opposition in different dimensions, but opponents maintain that gun control policies fail to meet the intended purposes. In argument laid by this group, they stipulate that acquisition of weapons by high-risk individuals can hardly be controlled, even after implementation of federal laws. They also add that stringent laws would impose more difficulties to law-abiding individuals to abide by the new laws. Such a move leads to frustration and probably a threat on the rights of citizens and even their safety. They also note that even in countries where the rates of violent crimes are low, it is not necessarily due to gun control policies; actually, tolerance and community policing amongst other social integration strategies contribute largely to the low crime rates. The antagonists of gun control policies are not fully convinced that private gun ownership is meant for recreational activities exclusively. However, they call for the need for people to have effective means to defend themselves for security purposes. In addition, the opponents point out that possession of guns would help in reducing the rate of crime. Conclusion To the proponents of gun control legislations, propositions by the opponents comprise a misinterpretation of the provisions of the constitution regarding possession of guns. Gun control legislations should be put in place if the Federal State is to deal with the prevalence of high crime rate comprehensively. However, a comprehensive study of the effects of various gun control policies can help people in making an informed conclusion on whether these policies can really help curb violent crimes prevailing in the US.

Business environment College Research Paper Example | Topics and Well Written Essays - 2250 words

Business environment College - Research Paper Example Circular 8 enables a foreign investor to establish a wholly-owned company anywhere in China, with full-fledged trading and distribution rights for as little capital as USD 60,000. The key barriers mentioned above have also been removed, and there is no longer a distinction made between foreign and domestic trade. As a result, companies are no longer required to segment their marketing efforts and can present a single, coherent "face" to the marketplace (Cassie Wong). Ever since China gained membership to the World Trade Organization (WTO), there has been increasing interest from foreign investors in the commercial possibilities that the country offers. The Banking industry of a country plays an important role in the economic well being of that country. The Chinese Banking industry is also effectively serving the purpose of supporting the process of economic growth in China. With the GDP growth rate of approximately 10% an year the assets of the Banking sector in China is also multipl ying. The country launched its open door policy 26 years ago. Since the policy introduction the FDI flows in the country received a quick response. In 2004 China was at no.2nd position in the world of FDI with $64 billion. The Chinese FDI trends can be examined in two phases. First phase: 1979-82 Second phase: 1984-91 Third phase: 1992-99 In the first phase the government establish for special zones with incentive policies. Although there was a high inflow into those regions, the total FDI flow reached US $ 1.8 billion. In the second phase the provinces were opened and recorded US $ 10.3 billion. In 1989 however the trend dropped. In the third phase Deny Xiaoping opened China for overall economic reform. The phase was very fruitful for China. The government introduced new policies and market oriented economic reform. In result of these reforms the FDI's started flowing into the Chinese economy at rocket speed. In November 1999 US-China had an agreement regarding the WTO, according to which many new reforms were made (Sandra, 2001) those included. The sectors relating to the distribution services will be opened for repair and maintenance and China will phase in trading rights and distribution services over three years. The Government for the investment opened the telecommunication industry of China. The professionals were also allowed

What are the benefits and drawbacks to using medications in treating Research Proposal

What are the benefits and drawbacks to using medications in treating psychological disorders - Research Proposal Example t of very superior inroads into the ‘psyche’ of human beings with the aid of modern diagnostic techniques & equipment, and the understanding of the physiological functioning of the brain, attempts to influence any aberration in normal behavior by medical and other means have been made, both successfully and otherwise. Psychological disorders can have a biological origin where the imbalance of hormones and other biochemicals in the body can precipitate them. In other cases they could be purely the result of any emotional event or incidence which influences a person to react in an abnormal way. Such disorders are also dependant on and peculiar for different ages, sexes and cultures. Certain psychological disorders are secondary to purely infectious or immunological disorders such as diseases involving the brain [Examples: Brain tumors, Epilepsy, cerebral malaria, neurological disorders like Alzheimer’s disease, Parkinsonism and some liver diseases causing hepatic en cephalopathy (pathological changes in brain)]. Such disorders definitely require medical interventions. Other disorders which are purely emotional can be treated by a trained psycho therapist, with or without the aid of drugs. The benefits and drawbacks of treating psychological disorders with drugs has always been the subject of debate where proponents of both methods of therapy (pharmacotherapy & counseling) have supported their views in the long history of psychotherapy. Plain psychotherapy without drugs has been classified by the Mayo Clinic (www.mayoclinic.com) on the basis of either ‘ changing the current behavior patterns’ of a patient or by ‘ understanding past issue’ in the patients’ history. The website lists the different approaches in psychotherapy as â€Å"Art Therapy, Behavior Therapy, Cognitive therapy, Cognitive-Behavior Therapy, Dialectical behavior Therapy, Exposure Therapy, Interpersonal Therapy, Play Therapy, Psychoanalysis, Psychodynamic Psychotherapy and