A management report on preoperative fasting Essay

A management report on preoperative fasting - Essay Example is why it is essential to consider this process from the different viewpoints, through its limitations and weaknesses on the basis of the clinical practices and state policies. Ethical considerations are to be accounted also. In order to clarify all issues and to define the possible solutions for the existing problems in preoperative fasting, it is necessary to look through the principal notions of the preoperative fasting’ process, the guidelines of the royal college of nursing and other related researches, both supporting and denying the benefits of preoperative fasting. The need in preoperative fasting has become evident with understanding that the risk of pulmonary aspiration during the elective surgery may be significantly decreased or eliminated through the application of the preoperative fasting process. It has become a legal requirement for the clinical practices and medical specialists. On the basis of the official statistics the cases of the pulmonary aspiration are very rare (about 1 in 10,000 patients), while the statistics also shows that the majority of the cases in pulmonary aspiration take place in the emergency situation (traumas, for example) when the gastric emptying is delayed (Scarlett et al, 2002); the same statistics relates to the cases of emergency abdominal surgery, etc. This statistics may become supporting evidence that preoperative fasting is an essential process in making the statistical morbidity in elective surgery minimal. The purpose of the existing fasting guidelines is to minimize the gastric contents before electiv e surgery; however the question here arises: how to avoid the unnecessary thirst and dehydration. This is the principal issue in the present research of preoperative fasting, and this issue needs to be addressed on the state level through the development of the new policies in fasting. being expressed in plain words as ‘nothing by mouth after midnight’. However, the question here is – how it is possible to

Banning the sale of violent video games to minors Essay

Banning the sale of violent video games to minors - Essay Example Besides, Sony’s Sixais and DualShock, which are motion controlled, have further revolutionized the gaming experience. Video Games often contain violence or sex or a combination of both, which may be inappropriate to children. With so much of entertainment, violence and carnage have found their place in new generation gaming. This paradigm has resulted in encouraging aggressive behavior in children apart from decreasing their involvement in social and other creative activities. Media blames modern day video games as the causative element in triggering violence in children, which is a major concern for today’s youth (Cumberpatch, 2000). An analysis of over 130 studies, selected from 130000 subjects, reveals that violent video gaming leaves lasting impression of aggression in the players (Ferguson&Â  Kilburn, 2010). California State law department has filed a case in the US Supreme Court for banning violent video games in the state. Justice Antinin Scalia along with major ity of jury, however, has rejected the request on the premise that it amounts to restricting young people rights. Thus, the responsibility of protection has shifted over to guardians, who may need to screen the content of video games being played by their children. The case, finally received a ruling in favor of video game programmers, thus leaving the onus on parents. More interestingly, the applicant for imposing sensor ship on violent video game has been Governor Arnold Schwarzenegger, who once portrayed a violent character in the movie trilogy, Terminator. However, the Americans cannot simple ignore the episodes of violence occurring in the country such as the Long Island incident, where six teenagers were apprehended for violet attack, car looting and breaking into private property. During the interrogation, they have admitted that they were attempting to imitate Niko Belic, a character in Grand Theft Auto IV, a popular video game. There is no need to emphasize the negative con sequences this event can have on the future of these teenagers at a very tender and crucial stage of their lives. Even violent movies can leave indelible marks on the psych of teenagers, who may be lacking in the faculty of rational thinking and informed decision making. Therefore, violent video gaming, which facilitates interaction and control over the outcomes, is more likely to instigate violent behavior in children and cause them more harm. Another major impact of video game on teenagers becomes evident from the fact that it may cause them to remain idle, playing games without engaging in other activities and thus result in unhealthy physique. Most of the games involve more mental activity and less physical exertion and, therefore, it can promote obesity in children. In the present scenario, where lifestyle has become rather sedentary and comfortable, with parents allowing children to eat junk food, the lack of physical activities can be all the more damaging if teenagers contin ue playing video games by ignoring games that require physical exertion. Oliver (2000) contends that 30 years of studies in this regard confirms the linkage between violence in media and problems in children (Olivier, 2000). The American Psychology Association and the American Academy of Pediatrics have categorized children into five groups according to their age. These are: toddlers, preschool children, school-aged children, and preteens and teenagers. They also describe the

Confidence and Arrogance Essay Example for Free

Confidence and Arrogance Essay â€Å"Life for both sexes — and I looked at them, shouldering their way along the pavement — is arduous, difficult, a perpetual struggle. It calls for gigantic courage and strength. More than anything, perhaps, creatures of illusion as we are, it calls for confidence in oneself. Without self-confidence we are as babes in the cradle. â€Å" - Virginia Wolf, A room of one’s own, chapter 2 (1929). I was going through the writing of Virginia wolf last night and I realized how practically relevant these phrases are. I engrossed myself into my abilities and the struggle I do everyday to push myself towards the invisible boundaries. This is something make me explore more on my own way. I am determined not to look through books or dictionaries which can only define these words but I am feeling an urge to define from my surrounding. Within my experiences what are those mental-images and facts that I can link to confidence and arrogance. From corporate world to academics, we encountered various situations and people around them responded to these in a variety of different ways. I believe we would be able to develop a marathon debate on this topic. It would be better to cut the long story into short. One of those controversial misunderstanding, I would love to introduce here. The famous astronomer and philosopher Galileo was often considered as arrogant while he was opposing Pope and geocentric ideas. The arrogant ideas of him put him into the daylight and the truth came out of superstitions that already had been embedded on people’s minds. If we look around we would be able to spot so many examples of how arrogance and confidence are often misunderstood. Someone said earlier that confidence is arrogance under control. But distinct characteristics can be differentiated within these two separate categories of people. Confident persons dwell within a sea of tranquility. They are aware of their limitations and strengths. They deal with the situation seizing an immense positivity and work hard enough to produce result. These types of people can be easy to cooperate with. Confident guys would not be baffled by criticisms and what other people think about them. Arrogant are those who are having overbearing pride and belief in him. They treat others as inferiors and often people get annoyed by these activities. They can only value themselves by putting others down. I think confessing truth or mistake is a significant sign of confidence. But arrogance people most likely to hide their own mistake and they will accuse others for any blunders. We as a human being more civilized than any other life forms. Our superior intelligence is not only giving us freedom to make a comfortable world for us but also to become more responsible than before. Confidence and arrogance of human civilization can be used as a positive and fruitful way for a more harmonized world.

Jails and Prisons Essay Example for Free

Jails and Prisons Essay Jails and prisons are both types of sanctions that are used for convicted offenders that have committed crimes, but there are many differences in the two. â€Å"Jails are locally operated short- term confinement facilities originally built to hold suspects following arrest and pending trail. Today’s jails also serve these purposes: * They receive individuals pending arraignment and hold them awaiting trail, conviction or sentencing. * They readmit probation, parole, and bail-bond violators and absconders. * They temporarily detain juveniles, the mentally ill, and others pending transfer to appropriate facilities. * They hold individuals for the military, for protective custody, for contempt, and for the courts as witnesses. * They release convicted inmates to the community upon completion of their sentence. * They transfer inmates to federal, state, or other authorities. * They house inmates for federal, state or other authorities because of overcrowding in their facilities. * They operate community-based programs with day reporting, home detention, electronic monitoring, or other types of supervision. * They hold inmates sentenced to short terms (generally less than one year)† (Schmalleger, 2009, p. 486). But when it comes down to giving a description of prisons on the other hand are not quite as detailed. â€Å"The primary function of prisons is to hold convicted felons, usually serving a sentence of one year or more, whereas convicted felons serving shorter sentences usually serve their time in local jails. Inmates consider jail sentences very â€Å"hard time,† since jails do not have the full range of education, vocational training, work, recreational, or other treatment programs that area available in prisons. Since prisons are designed to hold inmates for longer terms they need to provide a full range of programs, both for rehabilitative purposes and to keep inmates productively busy† (Seiter, 2011, p. 140). The funding for county jails come from the local county from which the jail is in, they charge the cities a fee for housing their inmates. For example the jail that is local to me here house inmates from surrounding cities which in turn pay them which helps to pay the county employees as well as the up keep of the county jail. State jails funding comes from the state in which it is in some state jails are contracted out to the prison to ease overcrowding in the prison systems. Therefore it leads to the state giving those funds that would have normally been given to the prisons. State prison funds also come from people paying their state taxes and when state taxes are charged on a purchase. Federal prisons are funded by the federal government and also by the federal taxes. There are more types of prisons than there are jails, because the offenders spend a little bit momore time more time here than at jails in some situations. Maximum security prisons are for the most dangerous offenders who are kept in their cells for approximately 23 hours a day and get only one hour a day out of their cell for recreation. Medium security prisons are mostly dormitories that have a double fence around the perimeter. They also have the group toilet and sink on the dormitory. Minimum security has mostly dormitories also which has either a single perimeter fence or no fence around them. These dormitories are equipped with showers, toilets, and sinks. There is usually one officer assigned to these dormitories that house about 150 or 160 offenders that are assigned here to live. The majority of the inmates that are assigned to these types of units usually have offenders that are getting ready to go home in less than a year or less. Prisons comes in all different shapes and sizes it all depends upon what types of inmates that they are housing in these particular units. If the prison house mostly maximum security offenders then it will be one of the larger units that have a lot of cellblocks on them because all of these inmates have to be single celled and placed in a single yard when it comes time for recreation. These units are usually the large ones that will hold anywhere from 2000 offenders up to 2500 offenders. Where on the other hand if the offenders that are placed on a unit are medium security offenders then the unit does not have to be so large it could be about 800 offenders all the way up to 1100 offenders because they are all on dorms. This is one of the units that will be set up to have nothing but dorms within the perimeter fence, there will be no cellblocks and not as many staff members would be needed as with the maximum security unit. Minimum security are basically where there are very few officers needed for security because most of these offenders are ones that are getting ready to go home in a year or less and just want to do their time and get out sooner or later. These units’ capacity levels are usually around 2000 offenders no more than about 2200 capacity being that they have a little bit more freedom than the maximum or medium security offenders. Reference Page Seiter, R., (2011) Corrections an introduction (3rd ed).Pearson Prentice- Hall, Upper Saddle River, New Jersey. May, D., Minor, K., Ruddell, R., and Matthews, B., (2008) Corrections and the Criminal Justice System. Jones and Barlett Publishers, Inc. Schmalleger, F., (2009) Criminal Justice Today(10th ed). Pearson Prentice- Hall, Upper Saddle River, New Jersey.

The Different Attitudes Toward Disclosure English Language Essay

The Different Attitudes Toward Disclosure English Language Essay We all communicate with others all the time in our homes, workplaces, groups, and in the community. No matter how well we think we understand each other, communication is really hard. Cross-cultural communication is a field of study that looks at how people from differing  cultural  backgrounds communicate, in similar and different ways among themselves, and how they endeavour to  communicate  across cultures. Understanding Cultural Diversity Different cultural contexts brings new communication challenges to the workplace. Even when employees located in different locations or offices speak the same language there are some cultural differences. In such cases, an effective communication strategy begins with the understanding that the sender of the message and the receiver of the message are from different cultures and backgrounds. Funda mental Patterns  of Cultural Differencesà ¢Ã¢â€š ¬Ã‚ ¦ Different Communication Styles The way people communicate varies widely between, and even within, cultures. One aspect of communication style is usage of the language. Across cultures, some words and phrases are used in various different ways. Another major aspect of communication style is the degree of importance given to non-verbal communication. Non-verbal communication includes not only facial e xpressions and gestures but it also involves seating arrangements, personal distance, and sense of time. Different Attitudes Towards Conflict Some cultures view conflict as a positive thing, while others view it as something to be avoided. In fact, face-to-face meetings are recommended as the way to work through whatever problems exist. Different Approaches of Completing Tasks From culture to culture, there are different ways that people move toward completing different tasks. Some reasons include different access to resources, different judgments of the rewards associated with task completion, different notions of time, and varied ideas about how relationship-building and task-oriented work should go together. Different Decision-Making Styles The roles individuals play in decision-making vary widely from culture to culture. Be aware that individuals expectations about their own roles in shaping a decision may be influenced by their cultural frame of reference. Different Attitudes Toward Disclosure In some cultures, it is not appropriate to be frank about emotions, about the reasons behind a conflict or a misunderstanding, or about personal information. Keeping this in mind when we are in a dialogue or when we are working with others. When we are dealing with a conflict, be mindful that people may differ in what they feel comfortable revealing. Questions that may seem natural to us may seem intrusive to others. The variation among cultures in attitudes toward disclosure is also something to consider before we conclude that we have an accurate reading of the views, experiences, and goals of the people with whom we are working. Different Approaches to Knowing Notable differences occur among cultural groups when it comes to the ways people come to know things. Recent popular works demonstrate that our own society is paying more attention to previously overlooked ways of knowing.  Indeed, these different approaches to knowing could affect ways of analyzing a community problem or finding ways to resolve it. The world is a colorful landscape of different languages, skin colors, and different cultures. Its important to develop an appreciation for different cultures in order to become a well-rounded person who is sensitive to the unique qualities of others. One way to develop this appreciation is to try to learn about other cultures around the world. As I work for a multinational IT company and have been transferred to Japan for five years on a project. I would find several ways to become knowledgeable about the culture of Japan. One way is to read books written by authors from a particular  culture. Reading works by authors who have a close relationship with a particular  culture  allows people to gain an authentic glimpse into the food, music, language, religion, and way of a life of a particular group of people. Another way to learn about different cultures is to try to learn a  foreign language (Japanese). Knowing these key Japanese customs, Ill get closer to the locals and see beneath the surface of Japan. 1. Addressing Someone, Respect Bowing is nothing less than an art form in Japan, respect pounded into childrens heads from the moment they enter school. For tourists like me a simple inclination of the head or an attempt at a bow at the waist will usually suffice. The duration and inclination of the bow is proportionate to the elevation of the person I am addressing. For example, for a friend might get a lightning fast 30 degree bow, an office superior might get a slow, extended, 70 degree bow. Its all about position and circumstance. 2. Table Manners If I am in a dinner party and receive drinks, I must wait before raising the glass to my lips. Everyone will be served, and someone will take the lead, make a speech, raise his drink, and yell kampai! (cheers). If I ever receive a small wet cloth at Japanese restaurants. Then I must use this to wash my hands before eating, then I must carefully fold it and set it aside on the table.( Do not use it as a napkin, or to touch any part of your face). Slurping noodles or making loud noises while eating is OK! It shows that a person is enjoying the food.. Raise bowls to mouth to make it easier to eat with chopsticks, especially bowls of rice. Just before digging in, whether it be a seven-course dinner or a sample at a supermarket, its polite to say itadakimasu (I will receive). 3. No Tipping There is no tipping in any situation in Japan cabs, restaurants, personal care. To tip someone is actually a little insulting; the services youve asked for are covered by the price given, so why pay more? 4. Chopsticks Depending on the restaurant you decide upon for any evening, chopsticks are required. If for some reason one is not too adept with chopsticks, try to learn before passing through immigration. Its really not that hard. 5. Thresholds Take off shoes at the entrance to all homes, and most businesses and hotels. Usually a rack will be provided to store your shoes, and pair of guest slippers will be sitting nearby; many Japanese bring a pair of indoor slippers just in case, though. 6. Masks Sterilized masks, like the ones we have see in the emergency room, are commonly used by salarymen, office ladies, and municipal workers to protect other people from their germs. 7. Conformity Drawing attention to yourself as an individual is a huge no-no: dont blow nose in public, try to avoid eating while on the go, and dont speak on cell phone in crowded public areas like trains or buses. The main problem with this is that foreigners simply cant avoid standing out; we stick out like sore thumbs no matter how long weve been here, or how much we know about Japanese culture and society. 8. Bathing Public bathhouses are alive and well in Japan. Unlike in western cultures, the Japanese bath is used after you have washed and rinsed, and feel like soaking in extra-hot water for 10, 20, 30 minutes. Its an acquired taste to be sure, but can be very relaxing. The honor is given of using the bath first, usually before dinner. One must be extra careful so as to not dirty the water in any way; the sanctity of the  ofuro  (bath) is of utmost importance. 9. Speaking English Japanese will generally assume you are a native English speaker until you prove otherwise. Although one may speak some or fluent Japanese, the default language of choice is English. Many Japanese will insist on using their own English language ability, however limited, to converse with foreigners, in spite of the fact that the person on the opposing end may have more knowledge of the local tongue. 10. Safety Every Japanese person I have met warns me to be safe in my travels, to take care of my belongings. Every foreigner tells me not to worry, nothing can go wrong, nothing will be stolen. However, Japans low crime rate is evident when I saw businessmen who have missed the last train sleeping outside on a park bench, or a group of 5-year-old boys walking by themselves for over a kilometer to make the starting bell at school. Japan Appearance International Business Dress and Appearance  Ã‚  One must dress to impress. International Business Dress and Appearance   For men, they must wear dark conservative attire. International Business Dress and Appearance   Casual dress is never appropriate in a business setting. International Business Dress and Appearance   Shoes should be easy to remove, as you will do so often.   International Business Dress and Appearance   Avoid using large hand gestures, unusual facial expressions and any dramatic movements International Business Dress and Appearance   Avoid the OK sign; in Japan it means money. International Business Dress and Appearance   Pointing in not acceptable. International Business Dress and Appearance   Do no blow your nose in public International Business Dress and Appearance   Personal space is valued    A smile can have double meaning. It can express either joy or displeasure Use caution with your facial expressions. They can be easily misunderstood. International Business Dress and Appearance   The Japanese are not uncomfortable with silence. Japan   Behavior   http://www.cyborlink.com/besite/images/international-business-etiquette.gif  Ã‚   Drinking is an important part of Japanese culture. It is a way to relieve business stress. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Never pour a drink yourself, allow someone else to do it.    Most business entertaining is done in restaurants or bars after business hours. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Let the host order the meal and pay. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Japanese rarely entertain in the home. If one is invited to the home of Japanese host, consider it a great honor and display a tremendous amount of appreciation. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   If you are invited to a social event, It is the custom to be fashionably late.    If you do take your host out insist upon paying. The Japanese will refuse but insist. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   It is perfectly acceptable to slurp your noodles. Doing so will exhibit enjoyment of food. To do otherwise, indicates that your meal was not a pleasant one.    Do not openly display money http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Number 14 is bad luck, because in Japanese it sounds like the word shuh-shuh, which sounds like the word for death. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Gift giving is very important both business and personal gifts.. http://www.cyborlink.com/besite/images/international-business-etiquette.gif  Ã‚  Always wrap gifts. The selection of the wrapping paper is also critical. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Give the gift with both hands and accept gifts with hands. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Do not give gifts in odd number or the number four. http://www.cyborlink.com/besite/images/international-business-etiquette.gif   Gifts should be given at the end of a visit. It is highly inappropriate to touch someone of the opposite sex in public. THERE ARE 10 STRATEGIES THAT HELPS IN MAKING CROSS-CULTURAL COMMUNICATIONAL EFFECTIVEà ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦. http://www.nynj-phtc.org/images/top10-400-white.jpg g

The Effects of Government Spending and Borrowing Essay examples -- Gov

The Effects of Government Spending and Borrowing Government borrowing can be inflationary because the government borrows from banks, which increases the money supply. Banks assume that consumers will not take more than 10% of their savings out and on that basis are able to lend to the government. This increases the money supply because the government has borrowed from the bank but the consumer’s savings stay the same and therefore there is more money in circulation. According to monetarist beliefs an increase in the money supply will directly increase inflation. Inflation can lead to unemployment, as people demand less due to higher prices and therefore demand for labor maybe decreased. Inflation also creates uncertainty for entrepreneurs, cost curves increase and revenue can decrease thus squeezing profits. Also when inflation is in the mind of the entrepreneur it can escalate easily as they will take inflationary actions like automatically increase prices and therefore it is imperative government spending/borrowing is controlled. Although government borrowing does increase the money supply, the monetarist view of a direct link between money supply and inflation is wrong, as proved when Britain experienced recession under Margaret Thatcher. In order to control the money supply the government cut borrowing and spending, which in theory would reduce the money supply, inflation and unemployment but interest rates had to rise to stop consumer borrowing, which in turn increased the exchange rate. High interest rates curbed consumer borrowing, which reduces demand for products, along with a high exchange rate ruining demand for exports ... ...ector borrowing is not the enemy of unemployment. If the government borrows too much then there will have to be increases in taxes, mainly corporation tax and this will also contribute to some unemployment, but the public sector does help employment in some ways. Education and training (funded by the government) provides a skilled, desirable workforce, which will encourage British firms to employ British workers instead of looking for other skilled workers in an increasingly globalized world. The National Health Service also reduces the amount of residual unemployed and therefore contributes to keeping employment levels high. Government borrowing should only occur if for investment purposes and if it will be repaid over the cycle, otherwise it destroys entrepreneur confidence and eventually leads to unemployment.

Existentialistic Analysis of the Epilog of The Tempest :: Shakespeare Tempest

Existentialistic Analysis of the Epilog of The Tempest      Ã‚  Ã‚  Ã‚   One may find it ridiculous to contrast between Shakespeare and existentialism in its 20th century form, however one must keep in mind, that existentialism does not appear as a single philosophical system. It is more an attitude of life, a general vision - existentialist Jean-Paul Sartre is known to have stated that existentialism was never invented, it has always existed as the ultimate foundation. Upon that light, why not seek the foundations from the work of the forefather of all dramatists? It is above all naà ¯ve to claim Prospero’s Epilogue in Shakespeare’s play The Tempest a mere conventional appeal for applause or the stripping of the imaginary glamour built up by the plays magic. Even the greatest of artists would rather give away his life than surrender his art to be judged solely by the public. Art for an artistic genius is practised for its own sake; art for the purpose of art. Existence for the sake of existence itself - stripped of meaning, of value and of subjective interpretation. In its bear meaningless form, something still remains: the necessary Natural Law, a philosophical concept considered the basis of human well-being, a system of the values that determine human existence. Throughout The Tempest Prospero’s character portrays an image of a nearly Nietzchean superhuman capable of disclaiming authority, killing God. He is in control of every situation and event as if the chain of causes and effects would be a conductible melody waiting for an artist’s touch. On the other hand he is very human: a wronged duke and a father, a symbiosis which Shakespeare displayed with the use of Prospero’s garment as a theatrical tool. An artist is the creator, the maker of realities yet he remains human, an animal with feelings and urges, ties only waiting to be cut. The view implied is not far from the ideologies that emerged from the great suffering of the second world war: a man is capable of constructing himself a framework of personal and social meaning, but his true animal nature remains unchanged. In the heart of existence, life has no predefined meaning, it is a mere passage of survival from necessary birth to necessary death. Prospero's and hi s daughter's situation on the island was hopeless, however Prospero had chosen a function for his life - revenge. Prospero created a meaning for his life, built a synthetic reality to keep him sane on the path towards the finality of human death.