Health Promotion Needs Assessment and Planning †Free Samples

Question: Why Health Promotion Needs Assessment and Planning? Answer: Presentation Smoking in pregnancy is risky for the strength of both the mother and kid as the smoke contains an enormous number of poisonous synthetic concoctions. These poisonous synthetic compounds lead to different hurtful impacts in the body. It contains in excess of 4000 synthetic compounds like lead, cyanide and different malignant growth causing synthetic compounds (1). The harmful synthetic concoctions during smoking go into the circulatory system, which drains the significant supplements and oxygen levels. Carbon monoxide and nicotine lead to different inconveniences during smoking in pregnancy. These complexities incorporate low weight of the infant during the birth, unexpected labor of the child, which makes him feeble later on, and stillbirth. These hurtful synthetics slender the veins of the mother and exhaust the oxygen gracefully to the child (2). There are different intricacies because of smoking and it harms the embryo and prompts moderate fetal turn of events. Poisonous synthetic substances from the smoke can likewise prompt despite everything birth and premature delivery. Nicotine present in the smoke can prompt fallopian tube withdrawals and it forestalls the incipient organism to cruise by. Smoking can likewise bring about ectopic pregnancy (5). Somewhat English Australian Population It has been discovered that Anglo Australian females of the age bunch 16-24 are found to smoke during pregnancy to have little size of the infants. This populace is initially Australians who have their progenitors starting in the nations of British Isles (8). Smoking in pregnancy during young is one of the most common issues among this network and negatively affects the scholarly turn of events and physical development of both the mother and the infant after birth(6). These ladies are increasingly inclined to babies having low weight as they have a place with low pay gatherings. Consequently, it is significant for the network individuals and the administration to make them mindful of the negative impacts of smoking during pregnancy (4). The social insurance cost included is higher for females who smoke during pregnancy since their children require uncommon consideration by the specialists when contrasted with the individuals who don't smoke. Young Pregnancy Statistics It was accounted for that pregnancy rate in high school populace in Australia was 12.9 per 1000 females (3). The ripeness rate in Anglo-Australian females is a lot higher when contrasted with the pregnancy rate in everybody. There are different reasons of the low fruitfulness rate, for example, low financial status. Affliction during adolescence, early pubescence, sexual maltreatment during youth, issues in family, low degree of confidence and despondency. They have a poor information on contraception strategies, which prompts pregnancy at an exceptionally youthful age. Pregnancy pace of females (age 16-24 years) in the indigenous populaces is more when contrasted with that of non-indigenous populaces (6).There are different reasons of adolescent pregnancy like savagery in the family and physical and sexual torment by the accomplice. Table Quick Factors Contributing Factors Low Socioeconomic status of the females a their desire to have low weight babies after the birth. Low confidence in the adolescents because of poor monetary status(9). Early Puberty of the females of Anglo-Australian people group (7). Gloom, which prompts dissatisfaction and outrage. Sexual Abuse during youth endured by the females. Poor instruction and information about the contraception strategies to stay away from pregnancy (10). End Smoking in youngsters in the Anglo-Australian people group is a significant concern nowadays. It prompts different wellbeing impacts in the mother and the kid, for example, low birth weight, unexpected labor, premature delivery and passing of the child after the birth. Government and different universal associations should take different systems and measures to make these young people about the evil impacts of smoking. They ought to be given legitimate instruction in schools and ought to be made mindful about the contraception techniques to maintain a strategic distance from pregnancy References Dahlen HG, Schmied V, Dennis CL, Thornton C. Paces of obstetric intercession during birth and chose maternal and perinatal results for okay ladies conceived in Australia contrasted with those brought into the world abroad. BMC pregnancy and labor. 2013 May 1;13(1):100. Hilder L, Zhichao Z, Parker M, Jahan S, Chambers G. Australia's moms and infants 2012. Hoekzema L, Werumeus Buning A, Bonevski B, Wolke L, Wong S, Drinkwater P, Stewart K, George J. Smoking rates and smoking end inclinations of pregnant ladies going to antenatal centers of two enormous Australian maternity medical clinics. Australian and New Zealand Journal of Obstetrics and Gynecology. 2014 Feb 1;54(1):53-8. Hollams EM, De Klerk NH, Holt PG, Sly PD. Relentless impacts of maternal smoking during pregnancy on lung capacity and asthma in teenagers. American diary of respiratory and basic consideration medication. 2014 Feb 15;189(4):401-7. Lewis LN, Skinner SR. Juvenile Pregnancy in Australia. InInternational Handbook of Adolescent Pregnancy 2014 (pp. 191-203). Springer US. Marino JL, Lewis LN, Bateson D, Hickey M, Skinner S. Young moms. Australian Family Physician. 2016 Oct;45(10):712. Mendelsohn C, Gould GS, Oncken C. The board of smoking in pregnant ladies. Australian family doctor. 2014 Jan 1;43(1/2):46. Rhodes K, Chan F, Prichard I, Coveney J, Ward P, Wilson C. Intergenerational transmission of dietary practices: A subjective investigation of Anglo-Australian, Chinese- Australian and Italian-Australian three-age families. Hunger. 2016 Aug 1;103:309-Siegel RS, Brandon AR. Youths, pregnancy, and psychological wellness. Diary of pediatric and juvenile gynecology. 2014 Jun 30;27(3):138-50 Eng C, Karki S, Trivedi AN. Hazard variables of stillbirths in Victoria (Australia): A casecontro study. Diary of Obstetrics and Gynecology. 2016 Aug 17;36(6):754-7.

The Myth of Individualism Essay Example

The Myth of Individualism Essay The Myth of Individualism America is popular for the notoriety of being the place that is known for fresh new chances, and for ages outsiders have fled to the United States to encounter the opportunity and balance our administration makes a case for. The major of this notoriety is the American Dream, the conviction that life ought to be better and more extravagant and more full for everybody, with open door for each by persevering paying little heed to social class or conditions of birth(by James Truslow Adams). The American Dream is diverse for everybody, however it is most normally connected with progress, opportunity, and bliss. The idea of the American Dream appears to have dwindled from where it was in the previous scarcely any ages. It has gone from progress, opportunity, and bliss to having bunches of cash and the most pleasant belongings. Additionally, it is accepted to be oblivious in regards to race, sex, or financial status. In today’s society we as a whole expectation and make progress toward this fantasy, yet what number of really accomplish the American Dream? Is it a sensible objective that Americans ought to take a stab at, or is it a legend that solitary prompts implosion? Rehashed models and measurements of the lower-classes, those consistently confronting the brutal reality that chance and fairness are unfilled guarantees, just demonstrate the inverse. The innumerable accounts of inability to arrive at the American Dream essentially supersede the couple of examples of overcoming adversity that keep the fantasy alive. Notwithstanding, these couple of examples of overcoming adversity keep Americans, just as the remainder of the world, putting stock in the bogus open doors the American Dream advances. We will compose a custom paper test on The Myth of Individualism explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on The Myth of Individualism explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom exposition test on The Myth of Individualism explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer For ages, Americans have been persuaded that the American Dream is reasonable. Maybe the American Dream must be a fantasy to the lower classes. As indicated by Maria La Ganga in her article â€Å"Tent City, USA,† numerous previous proprietors of the American dream are experiencing the American bad dream in the makeshift camp, battle to remain clean and took care of. In a similar vein, the individuals who endeavor to invalidate the American Dream are viewed as un-American, as are immediately quieted. Be that as it may, these couple of examples of overcoming adversity and allegations can't change reality; the American Dream isn't similarly achievable to all. Poor guardians can't offer their youngsters a similar consideration and inspiration as guardians of a higher-class can, consequently never giving these kids the conviction that they can achieve the American dream. Residents who live in destitution work extended periods for little compensation, yet come back to a family that not the slightest bit represents the difficult work set forth. Inside this condition, not many individuals have the uplifting standpoint to tutor kids effectively. Moreover, numerous families don't make adequate salary to give satisfactory food, lodging or social insurance, thus then wellbeing conditions are definitely unique in relation to those of the high society. Albeit numerous Americans are glad for the unhindered commerce financial structure in the US, industrialist strategy is just broadening the hole among rich and poor, keeping the lower-class away from achieving their American Dream. The American Dream was established on the backs of entrepreneurs and ranchers who at one time had the capacity to become independent men, however as Stephen Cruz called attention to in his meeting with Studs Terkel, Its getting so huge. The private venture adventure isn't there any longer. Business has gotten too huge to impact. Since the entrepreneur monetary structure bolsters private possession and development and contradicts government intercession to forestall it, organizations have become large enough to have the qualities of imposing business models. Because of this, little organizations or ranchers can't in any way, shape or form contend with bigger stores or corporate homesteads that can without much of a stretch get them out or value them bankrupt. Furthermore, private enterprise presents another harsh quality that is outside individual ability to control: class mastery. Along these lines, despite the fact that America highly esteems being a ridiculous society, a class framework is unavoidable with a facilitated commerce financial framework on the grounds that the private and individualistic qualities power a differentiation between those who are well off and the less wealthy. Class differentiation gives not just sentiments of mediocrity for the lower-classes, however money related deficiency also. Higher-class youngsters have a favorable position from birth since they are ensured huge entireties of cash sooner or later in their lives. Besides, it is realized that it takes cash to bring in cash in a free enterprise framework thus the legacy laws just enlarge the hole between the rich and poor, keeping the lower-class precisely where they began: on the base. The American dream can just offer void guarantees of equivalent chance to ucceed. Individuals are headed to buckle down by the thought of accomplishment without having practically any opportunity to succeed. Notwithstanding, on the grounds that the American Dream is so profoundly installed in our way of life, it enormously impacts our view of others and our impression of accomplishment. The all you need is difficult work to succeed outlook has urged Americans to display expensive belongings to give the persona of a diligent employee, while Americans who don't possess indulgent items are taken a gander at as apathetic or bumbling. In actuality, most cases are inverse. It is unquestionable that an American laboring long hour for the lowest pay permitted by law works more diligently than an American who doesnt keep up an occupation since he lives off legacy cash, yet that isn't what the legend has educated us. In any event, for the individuals who have finished the American Dream, it’s a bit much a glad closure. In the story Ragged Dick, Horatio Alger expounds on a youthful man’s progress from poor foundation that looks for riches. In this story Dick has gone from clothes to newfound wealth, following his prosperity he needs to move to a more pleasant quarter of the city? However, will this move fulfill his needs? Despite the fact that Dick is moving to a superior piece of town, there will consistently be a spot that’s shockingly better than this. The American Dream has instructed us that every American has an equivalent chance to succeed and in light of the fact that it has been acknowledged for ages, the legend keeps on making us incognizant in regards to the numerous imbalances that forestall the lower class from arriving at their fantasy. Subsequently, the American Dream will just leave lower-class Americans as they keep on observing their fantasies bite the dust, while they watch the fantasies of the higher-class bloom The American Dream doesn't offer expectation, but instead keeps Americans in a similar class they were naturally introduced to. The example will endure from age to age, making the rich more extravagant and compelling the poor to become more unfortunate except if move is made. This endless loop is an aftereffect of a blinding legend that gives bogus expectations, however keeps the imbalances of America from becoming the dominant focal point. It appears as if the legend can't be debilitated, yet then all things considered, with a little difficult work, one can do anything. Works Cited Terkel, Studs. Stephen Cruz. Rehashing America. Eds. Gary Colombo, Robert Cullen, and Bonnie Lisle. Boston: Bedford/St. Alger, Horatio. â€Å"From Ragged Dick. † Rereading America. Eds. Gary Colombo, Robert Cullen, and Bonnie Lisle. Boston: Bedford/St. Ganga, Maria La. Makeshift camp. Los Angeles Times [Los Angeles] 26 Mar. 2009. The Standard. Web. 14 Nov. 2011. .

Whats It Like To Be a James Scholar

Whats It Like To Be a James Scholar Last semester, I started a series of posts where I talked to someone in a particular program at Illinois. I want to add another post to this series and talk about what it means to be a James Scholar. I was admitted into the James Scholar program the second semester of my freshman year, and I love being one. Hopefully this post gives you insight into life as a James Scholar! What is the James Scholar Program? Named after Edmund James, the fourth president of the University of Illinois, the James Scholar program is a honors track for undergraduate students. The program encourages students to take extra steps in both their academic and extracurricular activities. Incoming freshmen must be invited through admissions to participate in the program their first semester. If you arent, dont worry! There are plenty of other avenues of entry. You can self nominate yourself for entry later on in your college career. What are the benefits of being a James Scholar? There are several benefits to being a James Scholar, but structure is my favorite one. As a James Scholar, you have to earn points every semester. Both extracurricular and academic activities can earn you points. For example, a large part of my James Scholar points have come from holding leadership positions and playing for a club sports team. The best part about earning these credits is that you have to make a plan for them. Youre not allowed to pick up points as you goâ€"you have to have a clear vision of how youre going to earn each individual credit at the start of the semester. This forces you to structure your time so that you can achieve your goalsâ€"much better than stumbling around through a semester aimlessly! Another perk of being a James Scholar is that you get to register for classes early. Priority registration for James Scholars is about a month before everyone elseâ€"you have the luxury of being able to pick classes at times that work for you. Ever since Ive become a James Scholar, I havent had to wake up before 10 each morning. Thanks to priority registration, Im safe from those terrible 8 a.m. lectures. Does it take up a lot of time? It depends. If youre already participating in a lot of extracurricular activities, being a James Scholar isnt difficult. Perhaps the easiest ways to earn James Scholar credits is through clubs, intramurals, and RSOs. Academic honors projects are more consuming. You can chose to convert a normal course into an honors course by completing an extra project in the classâ€"doing this earns points as well. In the past, Ive written essays and papers on topics related to the course but not covered by the syllabus. Although each paper was about 10 pages long, it wasnt that badâ€"you have an entire semester to finish it. At the end of the day, you will be spending more time than most students on academics or extracurriculars. But, like everyone else in college, you just need to find the right balance and manage your time well. Being a James Scholar is great. You challenge yourself inside and outside the classroom, sign up for classes before everyone else, and get access to plenty of other opportunities. The program is rewarding and builds you into a well-rounded student. If youre an incoming freshmanâ€"good luck! Hopefully youre one of the lucky few selected to enroll as a James Scholar. If not, dont worryâ€"keep those grades up and apply as soon as possible! Franklin Class of 2022 I grew up in Hong Kong, China, and I’ve come across the world to Illinois to major in Astronomy in the College of Liberal Arts and Sciences. I’ve always thought outer space is super cool, and I love that I’m learning everything that I can about it at Illinois.

Who Is the Longest Reigning British Monarch

On September 9th, 2015, Queen Elizabeth II became the longest reigning monarch in the whole of British history. She came to the throne on February 6th, 1952 and, having previously become the oldest monarch ever to rule Britain, took the longest reigning title aged 89. She remains an overwhelmingly popular figure, both in Britain and around the world. She was crowned in 1953, and her long marriage to the Philip, the Duke of Edinburgh, means she is the only reigning British monarch to experience a diamond wedding anniversary. In contrast, the longest ruling Prime Minister in Elizabeth’s reign was Margaret Thatcher at over eleven years, there have been twelve Prime Ministers, and seven popes. Elizabeth has outlasted many world rulers. With a rule of sixty-three plus years there are several generations of Britons who have never known any other head of state, and her passing will be a particularly uncertain time for a country that has changed so much. With the exception of a small public relations blip in the 90s, she has adapted to change well and there is little precedent to follow. Her life has been dedicated to fulfilling the role of Queen. When the royal family has had criticism, Elizabeth has mostly avoided it. She has certainly avoided outspoken comments and has supported her governments quietly behind the scenes. Prime Ministers, who have regular private meetings, speak highly of her and the relationships she has with them. When Britain was voting on whether to leave the European Union, newspapers tried to involve her, but she managed to stay out of the decision. The same occurred with a vote on whether Scotland should leave the United Kingdom, although there never appeared to be any question of the country rejecting the queen as well as their neighbors. The Former Longest Reining British Monarch Elizabeth II took the title from Queen Victoria, also a ruler of the combined Britain.  Queen Victoria took the throne on June 20, 1837, and died on January 22, 1901, for a total of 63 years, 7 months and 3 days. Unusually for a monarch with a long reign, both took the throne as adults, Victoria a few weeks after her eighteenth birthday, dying aged 81. Elizabeth was twenty-five when she succeeded; Victoria was her great, great grandmother. Its very common for monarchs with long reigns to have started when they were children, which makes Elizabeths longevity all the more remarkable. Victoria reigned over a far larger area than Elizabeth, as the British Empire was at its height, whereas Elizabeth is head of state in the UK and fifteen Commonwealth countries. The Longest Reigning Monarch in Europe While sixty-three years is a long period of rule, it’s not the longest in European history. That’s believed to belong to Bernard VII of Lippe, who ruled his state in the Holy Roman Empire for eighty-one years, two hundred and thirty-four days in the fifteenth century (and lasted despite earning the nickname The Bellicose). Close behind him is William IV of Henneberg-Schleusingen, whose over seventy-eight and a half year rule was also in a state of the Holy Roman Empire. The Longest Reigning Monarch in the World King Sobhuza II of Swaziland had an advantage when it came to long reigns because he inherited the throne while just four months old. He lived from 1899 to 1982 and clocked up eighty-two years and two hundred and fifty-four days; believed to be the longest period of rule in the world (and certainly the longest that can be proved).

Analysis Of The Book Glory Of The Confessor - 1678 Words

During the period of Gregory of Tours what was considered to be the difference between the magical and the miraculous? In order to attempt to answer this question this essay will examine two works from Gregory of Tours, the first from his book The History of the Franks which examines the case of Mummolus and his witches and the second from his book Glory of the Confessor which examines the case of the tomb of Criscentia. The first book gives an example of what was seen as sorcery and the second an example of the miraculous. This essay will argue that the difference between what was classified as magic and what was classified as miraculous during the time of Gregory of Tours in the early Medieval Period was determined by differences in both the perceived source of power of an act and the perceived motivation of the practitioner. This essay will then attempt to discover the origins of these perceived differences. The results of the magic in the case of Mummolus and the miracle in the case of Criscentia both achieved a very similar result. Namely, the result of each case was healing. In the case of Mummolus this takes the form of a concoction that can immediately cure dysentery and in the witches actively saving Mummolus’s life. In the words of the accused witches the goal was, â€Å"to save Mummolus†. In the case of the miracles that occurred at the tomb of Criscentia the result was also that those afflicted with an ailment were cured. In one example from the text the miracleShow MoreRelatedRastafarian79520 Words   |  319 Pagesterms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this book in any other binding or cover and you must impose this same condition on any acquirer Library of Congress Cataloging-in-Publication Data Edmonds, Ennis Barrington. Rastafari : from outcasts to culture bearers / Ennis Barrington Edmonds. p. cmRead MoreDeveloping Management Skills404131 Words   |  1617 PagesSuzanne Duda Lead Media Project Manager: Denise Vaughn Full-Service Project Management: Sharon Anderson/BookMasters, Inc. Composition: Integra Software Services Printer/Binder: Edwards Brothers Cover Printer: Coral Graphics Text Font: 10/12 Weidemann-Book Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text. Copyright  © 2011, 2007, 2005, 2002, 1998 Pearson Education, Inc., publishing as Prentice Hall, OneRead MoreIgbo Dictionary129408 Words   |  518 Pageswork, a Dictionary of the Ibo language: English-Ibo (1923). This latter work was also largely the responsibility of Dennis, and it is listed under his name in bibliographies, although his name does not appear on the title-page. The preface to this book gives its history as follows: While the Union-Ibo Version of the Bible was being prepared, the Assistant-Translator, Mr T.D. Anyaegbunam, was asked to make a list of new words as they occurred. Many additions were made to the list by the late Archdeacon

Business Environment in Fiji Free Essays

Fiji business environment is a combination of several factors that govern the business and trades of this island nation. Fiji business environment is generally good and promising for taking initiative of new ventures apart from some occasional disturbing factors. Fiji is one of the most progressive island nations in the central south of Pacific Ocean. We will write a custom essay sample on Business Environment in Fiji or any similar topic only for you Order Now It has many industries and other natural resources that help together to make a good business environment in this country. But Fiji faces a number of troubles also in the business sector. There are some political strife in the country that has originated from the clash between the cultural communities belonging to different ethnicity. Moreover, Fiji has some other problems also which are not favourable for creating a sound business environment in Fiji. Some of these problems are, natural disasters, deficiencies of sound economic plans and some others. But overall, Fiji business environment is good and promising enough for further developments. Business is affected by the external environment as it is by the competitors. It is important that firms are aware of the changes in the external environment to be successful. Understanding the influence of Macroeconomic factors helps the firms to determine the current market conditions and how beneficial will they be for the success of their business. Various macroeconomic factors that influence the business are: Macroeconomic factor a. Economic Growth. Economic activities refer to the level of buying and selling activities happening in an economy over a time period. Economic activity changes could happen due to the following reasons: †¢Changes in income levels †¢Future prospects of individuals. †¢Future of the economy †¢The level of economic activity in the world as a whole †¢Political activities around the world †¢Natural disasters – like hurricanes, earthquakes, or flood etc †¢Changes in prices of raw materials – oil, metals, fuel, energy and so on †¢Changes in world stock markets b. Inflation: With the increase in Inflation there will be an increase in the level of prices of products and services over a specific period of time. As a result the firms will have to incur higher costs of operations. This will be also due to the increase in wages of the employees. c. Interest Rates: Interest rates are the charges levied by the banks for lending a loan. Increase in Interest rates will directly influence the business as businesses borrow money from the banks from time to time. Increase in interest rates will lead to higher interest expense: Businesses will have to incur higher costs to repay the loan. Interest rate changes also affect customers who in turn will affect the business. In case of increase in interest rates the amount that individuals need to pay to borrow the money will increase thereby, reducing the demand for large products in the market. Further, if the interest rates decrease then the charges on a loan to buy larger items like cars, electrical equipments are likely to fall. As a result, a large number of people might be willing to buy such items. There will be a sudden increase in the demand for the products offered by such businesses. How to cite Business Environment in Fiji, Papers

Patient Intake Process free essay sample

Understanding the patient intake process and how it works may very well lead to strategies that will improve patient intake efficiency. Basically, the patient intake process is gathering and retrieving information for new and established patients. This process can vary from office to office, but can be time consuming. Updating established patients usually has the patient to look over their information and update. The new patient will have pages of paper work to fill out. This will include their demographic information, medical history, and insurance information. After these established patients update and new patients finish their paper work, someone from this office will need to transfer this information to an electronic medical record. The smaller the practice, the more time consuming. When professional nurses are performing their nursing responsibilities and the clerical responsibilities of the facility, everything in the office will suffer, because this nurse will be doing the job of many. We will write a custom essay sample on Patient Intake Process or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page (Valerius, Bayes, Newby, Seggern, 2008). Many believe that the electronic medical record is the key to, not only to the patient intake process, but also a facilitys ability to give efficient, safe, and quality care. The Christus Santa Rosa Patient Intake Center (PIC) is staffed by nurses 24 hours a day, 7 days a week. These nurses are specially trained in admissions criteria. This admitting service, manned by professional nurses, offers high-level clinical expertise. With these nurses on duty around the clock, they are able to quickly take care of inpatient and outpatient admissions and transfers. These nurses handle all admissions to any of the facilities in the Christus Santa Rosa health system. This is all these nurses do day in and day out. This makes their jobs easier in that they are not expected to assist a doctor, or do anything that has nothing to do with the patient intake process. The PIC has proven that the patient intake process is more efficient if this is the sole job of the nurses. In the past, the patient intake process could be the job of whoever was available to do it; there was no one special hired for this job. Recently it has been proven that patients are moved more swiftly through to the primary care giver or even admitted as an inpatient when the patient intake process has been handled by people who were hired for only the patient intake process and have no other responsibilities (Patient intake center operates 24-7, 2009). There is another one of these centers, also in Texas. This patient access intake center (PAIC) is aiming to be Understanding the patient intake process and how it works may very well lead to strategies that will improve patient intake efficiency. Basically, the patient intake process is gathering and retrieving information for new and established patients. This process can vary from office to office, but can be time consuming. Updating established patients usually has the patient to look over their information and update. The new patient will have pages of paper work to fill out. This will include their demographic information, medical history, and insurance information. After these established patients update and new patients finish their paper work, someone from this office will need to transfer this information to an electronic medical record. The smaller the practice, the more time consuming. When professional nurses are performing their nursing responsibilities and the clerical responsibilities of the facility, everything in the office will suffer, because this nurse will be doing the job of many. (Valerius, Bayes, Newby, Seggern, 2008). Many believe that the electronic medical record is the key to, not only to the patient intake process, but also a facility ability to give efficient, safe, and quality care. The Christus Santa Rosaaâ‚ ¬Ã¢â€ž ¢s Patient Intake Center (PIC) is staffed by nurses 24 hours a day, 7 days a week. These nurses are specially trained in admissions criteria. This admitting service, manned by professional nurses, offers high-level clinical expertise. With these nurses on duty around the clock, they are able to quickly take care of inpatient and outpatient admissions and transfers. These nurses handle all admissions to any of the facilities in the Christos Santa Rosa health system. This is all these nurses do day in and day out. This makes their jobs easier in that they are not expected to assist a doctor, or do anything that has nothing to do with the patient intake process. The PIC has proven that the patient intake process is more efficient if this is the sole job of the nurses. In the past, the patient intake process could be the job of whoever was available to do it; there was no one special hired for this job. Recently it has been proven that patients are moved more swiftly through to the primary care giver or even admitted as an inpatient when the patient intake process has been handled by people who were hired for only the patient intake process and have no other responsibilities (Patient intake center operates 24-7, 2009). There is another one of these centers, also in Texas. This patient access intake center (PAIC) is aiming to be a call does it center for the 13 hospitals that are the Texas Health Resources. This center attempts total customer satisfaction and collecting point of service bills has increased. This PAIC also has automated phone calls to patients that will leave a message for the patient to either go online, to a secure site, and enter their information or to call an 800 number. This, in itself, will shorten the wait time that the patient will experience when they come for their appointment at the physician office or the hospital for a specific procedure. The patient will also be able to use these resources to register for an appointment with the physician or the hospital. This center had not quite worked all the kinks out at the time of printing. They were still unsure of what would happen if a patient was unable to pay or if the patient was not reached for preregistration. If the patient is unable to pay or has an outstanding balance they will be able to use an online tool that will help the patient to communicate with the financial staff at the hospital. If a patient is unable to pay an outstanding balance, they will not be registered for any elective procedures. The communication tool will be used to alert those in the hospital, who in turn will suggest to the patient that maybe they should fill out the forms for indigence. If approved for assistance, the patient can have their outstanding balance reduced or even wiped clean (General OneFile Web, 2011). Understanding the patient intake process and how establishments can be better prepared for patients when they arrive for appointments and procedures can only lead to better customer satisfaction. Patients will be more likely to return to a facility if their needs are taken care of in a more timely manner. Hiring people to take care of retrieving and updating patients medical records instead of overwhelming someone with other responsibilities can only improve office moral and patient satisfaction. References General OneFile Web. (2011, February). Patient intake center aims to improve patient satisfaction. Retrieved from http://find. galegroup. com/gtx/infomark. do? contentSet=IAC-Documentstype=retrievetabID=T004prodid=ITOFdocld=A158160474source=galesrcprod=ITOFuserGroupName=appolloversion=1. 0 Patient intake center operates 24-7. (2009, June). Hospital Case Management: The Monthly

A Brief History of the Cherokee Indians essays

A Brief History of the Cherokee Indians essays The Cherokee Indians first lived in Tennessee. The name Indian first came from Christopher Columbus, who thought that America was part of the Indies, Asia. The first person to come across Indians was Hernando de Soto, in 1540. In wintertime, the Indian men wore long sleeved shirts, loose-fitting leggings, and moosehide moccasins. Women wore skin dresses tied at the waist and long, fitted leggings. Indians would hunt deer, elk, moose and buffalo. They would also eat rabbits, raccoons and birds. The women would sometimes make a stew with the meat. They also ate berries, nuts, fruit and beans and corn. Indian houses were made of stone, wood, skins, twigs and mud. There were wigwams; tipis, earth and grass covered houses. The tipis were made of buffalo skins. The tipi would protect the Indians from the cold winters. They always faced the tipi towards the east because the winds came from the west. The Indian children liked to have toys, their fathers and grandfathers would make small bows and arrows, sling shots and bean shooters. The girls liked to string berries to make a necklace; they made dolls out of grass, pine needles and bark. The boys would practice target shooting when they were old enough to prepare for when they would hunt. The Indians worshipped the sun, the wind and the rain. They celebrated places on earth that were important to the Indian people, such as a mountain, a lake or a valley. The Indians believed animals including birds were also people, just like the tribes. Indians knew a great deal about nature, they believed that a job was well done only when the spirits had been thanked. They had dances and festivals to help make their crops grow. Sequoyah was a great Cherokee Indian. Sequoyah was born in 1776 at a village called Tuskeegee. He was the first man to create a writing system for the Cherokees. Sequoyah never learned the English alphabet so he began to make up symbols that could make words. He could not...

Lee-Enfield Rifle in World War I and II

Lee-Enfield Rifle in World War I and II The Lee-Enfield was the primary infantry rifle used by British and Commonwealth forces during the first half of the 20th century. Introduced in 1895, it was a magazine-fed, bolt-action rifle that replaced the earlier Lee-Metford. Constantly improved and enhanced, the Lee-Enfield moved through a multitude of variants during its service life. The Short Lee-Enfield (SMLE) Mk. III was the principal rifle used during World War I, while the Rifle No. 4 version saw extensive service in World War II. Variants of the Lee-Enfield remained the British Armys standard rifle until 1957. The weapon and its derivatives continued to be used around the world. Development The Lee-Enfield traces it roots back to 1888, when the British Army adopted the Magazine Rifle Mk. I, also known as the Lee-Metford. Created by James P. Lee, the rifle utilized a cock-on-closing bolt with rear locking lugs, and was designed to fire the British .303 black powder cartridge. The design of the action permitted easier and faster operation than similar German Mauser designs of the day. With the shift to smokeless powder (cordite), problems began to arise with the Lee-Metford as the new propellant caused greater heat and pressure which wore away the barrels rifling. To address this issue, the Royal Small Arms Factory at Enfield designed a new square-shaped rifling system which proved resistant to wear. Combining Lees bolt-action with the Enfield barrel led to the production of the first Lee-Enfields in 1895. Designated .303 caliber, Rifle, Magazine, Lee-Enfield, the weapon was frequently referred to as the MLE (Magazine Lee-Enfield) or the Long Lee in reference to its barrel length. Among the upgrades incorporated into the MLE, was a 10-round detachable magazine. This was initially debated as some critics feared that soldiers would lose it in the field. In 1899, both the MLE and the cavalry carbine version saw service during the Boer War in South Africa. During the conflict, problems arose regarding the weapons accuracy and a lack of charger loading. Officials at Enfield began working to address these issues, as well as to create a single weapon for both infantry and cavalry use. The result was the Short Lee-Enfield (SMLE) Mk. I, which possessed charger loading (2 five-round chargers) and vastly improved sights. Entering service in 1904, the design was further refined over the next three years to produce the iconic SMLE Mk. III. Lee Enfield Mk. III Cartridge: .303 BritishCapacity: 10 roundsMuzzle Velocity: 2,441 ft./sec.Effective Range: 550 yds.Weight: approx. 8.8 lbs.Length: 44.5 in.Barrel Length: 25 in.Sights: Sliding ramp rear sights, fixed-post front sights, dial long-range volley sightsAction: Bolt-actionNumber Built: approx. 17 million Short Lee-Enfield Mk. III Introduced on January 26, 1907, the SMLE Mk. III possessed a modified chamber capable of firing the new Mk. VII High Velocity spitzer .303 ammunition, a fixed charger guide, and simplified rear sights. The standard British infantry weapon of World War I, the SMLE Mk. III soon proved too complicated for industry to produce in sufficient numbers to meet wartime needs. To deal with this problem, a stripped down version was designed in 1915. Dubbed the SMLE Mk. III*, it did away with the Mk. IIIs magazine cut-off, volley sights, and rear-sight windage adjustment. British forces with their SMLE Mk. IIIs in the trenches during World War I. Public Domain During the conflict, the SMLE proved a superior rifle on the battlefield and one capable of keeping up high rates of accurate fire. Many stories recount German troops reporting encountering machine gun fire, when in fact they had met trained British troops equipped with SMLEs. In the years after the war, Enfield attempted to permanently address the Mk. IIIs production issues. This experiment resulted in the SMLE Mk. V which possessed a new receiver-mounted aperture sighting system and a magazine cut-off. Despite their efforts, the Mk. V proved to be more difficult and costly to build than the Mk. III. World War II In 1926, the British Army changed its nomenclature and the Mk. III became known as Rifle No. 1 Mk. III. Over the next few years, Enfield continued to improve the weapon, ultimately producing the Rifle No. 1, Mk. VI in 1930. Retaining the Mk. Vs rear aperture sights and magazine cut-off, it introduced a new floating barrel. With tensions in Europe rising, the British began searching for a new rifle in the late 1930s. This resulted in the design of the Rifle No. 4 Mk. I. Though approved in 1939, large-scale production did not begin until 1941, forcing British troops to begin World War II with the No. 1 Mk. III. While British forces in Europe deployed with the No. 1 Mk. III, ANZAC and other Commonwealth troops retained their No. 1 Mk. III*s which remained popular due to their simple, easy to produce design. With the arrival of the No. 4 Mk. I, British forces obtained a version of the Lee-Enfield that possessed the updates of the No. 1 Mk. VIs, but was heavier than their old No. Mk. IIIs due to a longer barrel. During the war, the Lee-Enfields action was utilized in a variety of weapons such as jungle carbines (Rifle No. 5 Mk. I), commando carbines (De Lisle Commando), and an experimental automatic rifle (Charlton AR). Post-World War II: With end of hostilities, the British produced a final update of the venerable Lee-Enfield, the Rifle No. 4, Mk. 2. All existing stocks of No. Mk. Is were updated to the Mk. 2 standard. The weapon remained the primary rifle in the British inventory until the adoption of the L1A1 SLR in 1957. It is still used by some Commonwealth militaries today, though it is more commonly found in ceremonial, reserve force, and police roles. The Ishapore Rifle Factory in India began producing a derivative of the No. 1 Mk. III in 1962.

Literature review Example | Topics and Well Written Essays - 500 words

Literature review Example ke your feelings out in an email, saying something like, â€Å"You haven’t responded yet,† or â€Å"You ignored my first email.† Just maintain an extremely polite tone throughout the entire email thread. Showing that you’re friendly and that you understand how busy your contact is a good way to keep him or her interested (and not mad). Sending a follow-up email every day doesn’t show you have gumption or passion, it shows you don’t respect a person’s time. The general rule of thumb is to give at least a week before following up. Any sooner and it might come off as pushy; let too much time pass and you risk the other person not having any clue who you are exactly. I typically start off with an email every week, and then switch to every couple of weeks. If you’ve followed up a few times and still haven’t heard back, it’s worth directly asking if you should stop following up. After all, you don’t want to waste your time, either. I’ll sometimes say, â€Å"I know how busy you are and completely understand if you just haven’t had the time to reach back out. But I don’t want to bombard you with emails if you’re not interested. Just let me know if you’d prefer I stop following up.† Most people respect honesty and don’t want to waste someone’s time, and they’ll at least let you know one way or another. I once had someone trying to sell me something that I was remotely interested in but that was nowhere near the top of my priority list. Every week, he’d send me a new email quickly re-explaining what he sold—as well as a suggestion for good pizza to try around the city. Why? He had seen a blog post where I mentioned I’d eat pizza 24/7 if I could, and cleverly worked that into his follow-up. It made him stand out in a good way, and as a result, we eventually had a call. The lesson: If done well, a little creativity in your follow up can go a long way. If you’re following up about a job, try Alexandra Franzen’s tips for giving the