Friday, November 29, 2019
An Examination of Disciplinary Actions Taken for Black and White Male Students
An Examination of Disciplinary Actions Taken for Black and White Male Students AbstractRacial Discrimination, also known as racism, is the practice of limiting people's rights and privileges based on their phenotypic appearance as members of particular groups called races. The problem   ¾f disruptive student conduct in school has been, and continues to be, among the most pressing problems facing educators in public schools today (Duke Jones, 1984; Gottfredson, Gottfredson, Hybl, 1993; Kadel Follman, 1993). In this study, quantitative survey method will be used t  ¾ investigate whether high school Black male students receive different disciplinary punishments than do high school White male students f  ¾r th  µ same infractions. The information regarding low-income status and the perception of students about disciplinary punishments will provide additional insight into th  µ factors that shape students' behavior   °nd attitudes toward school   °nd may subsequently impact disciplinary outcomes.DedicationT‘tl  µ   ¾f study: AN EXAMINATION OF DISCIPLINARY ACTIONS TAKEN FOR BLACK AND WHITE MALE STUDENTS. Th‘s study ‘s 11250 w  ¾rds ‘n l  µngth (‘€lus ____ ‘€Â  °g  µs   ¾f   µss  µnt‘  °l t  °bl  µs   °nd f‘gur  µs),   µx‘ lud‘ng t‘tl  µ ‘€Â  °g  µ, t  °bl  µ   ¾f ‘   ¾nt  µnts, summ  °ry,   °Ã‚‘ kn  ¾wl  µdg  µm  µnts, ‘€r  µf  °Ã‚‘   µ,   °Ã‚‘€‘€Â  µnd‘‘   µs   °nd l‘st   ¾f s  ¾ur‘   µs but ‘n‘ lud‘ng n  ¾t  µs,   °nd ‘s thus   µqu‘v  °l  µnt t  ¾ 50 st  °nd  °rd ‘€Â  °g  µs ‘n l  µngth (225 w  ¾rds = 1 st  °nd  °rd ‘€Â  °g  µ).Figure 2In wr‘t‘ng th‘s study, I h  °v  µ ‘ ‘t  µd   °ll ‘€ubl‘sh  µd s  ¾ur‘   µs us  µd, ‘n‘ lud‘ng Int  µrn  µt s  ¾ur‘   µs,   °s f  ¾ll  ¾ws:C D‘r  µÃ‚‘ t qu  ¾t  °t‘  ¾ns   °r  µ m  °rk  µd   °s qu  ¾t  °t‘  ¾ns,   °nd th  µ s  ¾ur‘   µ   ¾f   µÃ‚  °Ã‚‘ h qu  ¾t  °t‘  ¾n ‘s ‘nd‘‘   °t  µd.C Th  µ s  ¾ur‘   µs   °r  µ   °ls  ¾ ‘ l  µÃ‚  °rly ‘nd‘‘   °t  µd f  ¾r m  °t  µr‘  °l summ  °r‘z  µd   ¾r ‘€Â  °r  °Ã‚‘€hr  °s  µd fr  ¾m th  µ w  ¾rk   ¾f   ¾th  µr wr‘t  µrs.C S  ¾ur‘   µs   °r  µ ‘ndÂ⠀˜Ã‚‘   °t  µd   °t th  µ ‘€Â  ¾Ã‚‘nt ‘n th  µ t  µxt wh  µr  µ th  µ m  °t  µr‘  °l ‘s us  µd,   µÃ‚‘th  µr thr  ¾ugh   ° r  µf  µr  µn‘   µ ‘n th  µ t  µxt   ¾r thr  ¾ugh   ° f  ¾Ã‚  ¾tn  ¾t  µ,   °s w  µll   °s b  µÃ‚‘ng l‘st  µd ‘n th  µ b‘bl‘  ¾gr  °Ã‚‘€hy.I m  °y h  °v  µ d‘s‘ uss  µd th  µ study w‘th   ¾th  µrs   °nd us  µd   °dv‘‘   µ   °nd sugg  µst‘  ¾ns fr  ¾m   ¾th  µrs ‘n wr‘t‘ng ‘t, but th  µ study...
Monday, November 25, 2019
Gay couples should not be able to get married and adopt a child.
Gay couples should not be able to get married and adopt a child. Elementary school and junior high school are the times in a child's life where he or she would get made fun of most. There is a lot of teasing, as well as, unnecessary words that are said to one another. During this period, a child must learn how to deal with words and how to stand up for himself or herself. However, if that child has a weakness, it would be a much harder time. Gay couples should not be able to get married and adopt a child.Throughout many time periods in a child's life, that child experiences many words of ridicule. Elementary and junior high school are the times when these children start and become harsher. If a child comes from a gay couple, that child would get made fun of much more than a child from a straight or "normal" couple. It would be a greater task or even challenge for that child.Children at N.Y. Zoo (LOC)Children are very emotionally weak and anything said to them that is painful will be remembered in the future. This causes the child to grow up remem bering a certain event that they can't let go. This also causes the child not to aspire to anything. This is resulting a subconscious feeling that they will be cursed at if they try to become something. Their self-confidence will decrease due to the negative words said at him or her which will trigger that child to grow up hating his or herself and maybe even all others that are surrounding him or her. On a more realistic note, children today can hardly take the pressures of life as is; if you add a weakness as your parents being gay, this creates a larger weakness and more room for being cursed and made fun of. If you add...
Thursday, November 21, 2019
International Management Essay Example | Topics and Well Written Essays - 250 words
International Management - Essay Example Interaction of these companies with local companies can act as the basis through which ideas, knowledge and skills are shared. These companies are quick to share their developmental aspects, and in so doing local companies can access a gateway through which they can better their technologies given their level of output production. Knowledge transfer can contribute to the performance of local companies. Many local companies are hardly exposed to the operations and modes of business of industrious multinational companies. Transfer of knowledge from highly effective international companies is likely to impact positively on the operations of local companies3. Improved knowledge base would boost resource allocation decisions and further impact on cost minimization with maximization of revenues being the sole objective4. Achievement of the three factors guarantees a highly effective and efficient business performance. Taking products to foreign markets is another internalization factor. This constitutes cross-border trade. In other words, international trade will proliferate. Meeting international quality standards of goods and services is the fundamental underlying factor in this aspect. International prices of goods and services are always better than the domestic prices5. The profit motive for producing and manufacturing companies drives them towards adopting the right production techniques in order to maintain a constant supply of goods and services in the international markets, while at the same time satisfying the domestic
Wednesday, November 20, 2019
Korean Cultural Consideration of Death and Dying Essay
Korean Cultural Consideration of Death and Dying - Essay Example Most cultures hold the belief that the dying process is never rosy. This being the case, people should be aware that individuals do not need to undergo a lot of pain and suffering only due to cultural beliefs. The paper will explore Korean cultural approaches to death and dying. In particular, the paper will explain unique concepts with regard to the culture in relation to death and dying. It will also look at how the Korean Culture presents death and dying rituals, and the similarities and differences between that culture and American culture. Korean Approaches to death and dying The Asian Health Support Service (2004) notes that customs pertaining to death and dying are much dependent on a person’s age, religion, marital status, manner of death, status in the society and area of residence. These factors greatly affect the manner in which the Koreans perceive death and dying. They perform certain cultural rituals as a way of giving the bereaved an opportunity to abide by the set obligations of the deceased person (Asian Health Support Service). The Koreans have very strong family ties especially when one of the family members is sick. In this case, when one is admitted to the hospital, he receives many visitors who provide them with encouragement and consolation. At the time of being in the hospital, the patient is expected to have somebody by his or her side until the patient is ready to be discharged. In case the condition of the patient gets worse, the community prefers that the patient is discharged before his death so that he/she can be taken back home alive. It is also worth noting that the culture does not prefer a patient being admitted in a nursing home for care (Schwartz, 1997). This is because traditionally, the culture reveres dying at home so as to avoid the dead transforming into a kaekkwi (evil spirit). In this respect, members of the family make every attempt to ensure that any sick person is taken back home before he/she dies irrespecti ve of whether or not the patient is receiving treatment in hospital. The Korean people believe that it is a misfortune to bring a dying patient’s body home. However, doing so before his/her death is a sign of respect, as noted by the Asian Health Support Services (2004). For a long time, this belief was so engraved in the people’s culture to an extent that disobeying it was disrespectful to the deceased and the bereaved family. It is, however, worth noting that within the contemporary setting, the custom is dying off. The Asian Health Support Services (2004) notes that the Koreans’ way of thinking and cultural beliefs are changing drastically, and many hospitals in Korea have rooms established to shelter bereaved families. Some rooms are also specially established for holding funerals for the grieving families. This is one way by which the Korean government and hospitals are ensuring that cultural beliefs of the people do not lead to preventable deaths. The pati ents in this respect continue receiving specialized treatment up to the time of death. Koreans Present Death and Dying Rituals Koreans present their death rituals in a unique way in line with their culture and customs. Crying and wailing is also a part of the death rituals among the Korean people (Kim & Loyola University Chicago, 2008). When one dies, family members flock the home of the deceased crying to
Monday, November 18, 2019
LITERATURE REVIEW ON A BUSINESS INNOVATION Essay
LITERATURE REVIEW ON A BUSINESS INNOVATION - Essay Example The 3D printing innovation underwent a long evolution that depicts great development in terms of affordability, usability, and efficiency in its numerous applications. The MIT and ZS Corporation made significant contributions to the introduction and development of the 3D printing innovation. 3D printing is a versatile yet short process that has great significance in digital economies that can change the world. It relates to the Rogers’s Diffusion of Innovation Theory. However, despite its significance and numerous applications, people are still considering various aspects before adopting 3D printing in their manufacturing companies. Nevertheless, 3D printing remains to be a fundamental aspect in the business world. Introduction 3D printing is one of the most celebrated business innovations that continue to influence the manufacturing and production industry. Also known as additive manufacturing, 3D printing is business and technological innovation that encompasses the process of making a three-dimensional solid product of any shape using a digital model (3Ders.org 2013, p. 1). Indeed, 3D printing is a huge versatile and rapid process that accommodates geometry of varying complexity in variant applications, and supporting many types of materials (Z Corporation 2005, p. 2). The 3D printers operate at resounding speeds, extremely low costs, and within a wide range of applications (Z Corporation 2005, p. 2). ... Additionally, products manufactured through 3D printing are applicable anywhere in the product life cycle. To achieve 3D printing, innovators used an additive process, where successive layers of material adopt different shapes. The 3D printing innovation, which uses additive processes, is completely different from the traditional machining processes, which used subtractive processes to remove materials in the manufacturing process. Indeed, 3D printing uses digital technology where it uses standard inkjet printing technology to create parts layer-by-layer by depositing a liquid binder onto thin layers of powder (Z Corporation 2005, p. 3). Then it moves the print heads over a bed of powder where it prints the cross-sectional data sent from .stl, .wrl, .ply, and .sfx files through a feed piston and platform (Z Corporation 2005, p. 2). Notably, the cross sectional layers join automatically to produce the final shape. The 3D printing offers improved visualization, greater automation, and more cost-effective reuse of 3D data (Z Corporation 2005, p. 2). Subject to its numerous applications, ability to produce objects of any shape or geometric feature, its effectiveness, and its low costs of production, 3D printing stands out as a successful business innovation using digital solutions. Indeed, through the 3D printing innovation, we can manufacture products locally (D'Aveni 2013, p. 1) and close to their point of purchase or consumption through a cheaper and faster process. Subject to its significance and effectiveness, the demand for 3D printers is on an increasing trend in the modern times. In this report, I will include the conceptual framework of this case using relevant theories. I will then present my findings and analyze the case. Conceptual
Saturday, November 16, 2019
Guidance for the Prevention of Falls in the Elderly
Guidance for the Prevention of Falls in the Elderly According to the Centers for Disease Control and Prevention (CDC), one out of three older adults have fallen each year and twenty five percent of these incidents result in severe injuries such as head traumas, hip fractures or lacerations. The quality of life of older adults who fall decreases due to the injuries or fear of future falls which might limit their activities, reduce mobility and body fitness and in turn increase the risk of falling. The direct medical cost of falls was estimated to be around $30 billion. Indirect cost of falls is long-term effects: such as disability, lost of independency, lost time from house duties, and reduced quality of life. (CDC, 2012). Guideline Description Clinical practice guideline, prevention of falls in older persons is published on the American Geriatrics Society’s Web site (http://geriatricscareonline.org/FullText/CL014/CL014_BOOK003). The guideline was developed by American Geriatric Society (AGS) together with British Geriatric Society (BGS). Panel members came from different professional organizations. Most of them were medical doctors who work or teach in very prestigious hospitals and universities. Some other members included: the public health worker, the pharmacist, the physical and occupational therapist and Registered Nurse with PHD who works at New York University. There was no psychotherapist, psychologist, social worker or recreation worker on the panel. Old 2001 guideline was intended to support health professionals in assessment of fall risk and also help management of older adults who had a history of fall or were at risk of falling. (Journal of American Geriatric Society, 2001) This was update to the previous version of 2001 guideline which was developed by American Geriatrics Society, Geriatrics Society, American Academy Of and Orthope dic Surgeons. 2010 guideline was endorsed by The American College of Emergency Physicians, the American Medical Association, the American Occupational Therapy Association, and the American Physical Therapy Association. Most panel members had no financial interest or commercial interest for the work they provided. Only one doctor received grants from the American College of Emergency Physicians and one member National Association for Home Care and Hospice held shares in various pharmaceutical companies. A preliminary draft of 2010 guideline was peer reviewed by many professional organizations. The Rating System To analyze all studies and grade the evidence, the U.S. Preventive Services Task Force (USPSTF) rating system with 40 years of experience was used. This organization has volunteer members of national experts in prevention and evidence-based medicine. Quality of evidence rating system used a grade of A, B, C or D for each recommendation and I for insufficient evidence. A grade meant strong recommendation that physicians provide intervention to eligible patients, B grade meant a recommendation that clinicians provide this intervention to these patients, C grade meant no recommendation for this intervention and D grade meant when recommendation is made against the routinely providing the intervention to asymptomatic patients. Different clinical algorithm annotations were used. The guidelines made for different settings or situations: community residing elderly, screening for falls or risk of falling, screening positive for falls or risk for falling, screening falls last 12 months, evaluating gait and balance and determining multi factorial risks for falling. This new guideline doesn’t consider fall risk assessment to be done for elderly who reported just one fall without reported or demonstrated unsteadiness. The Quality of Evidence Selection of evidence was well organized three step process. In the first step, researchers collected studies from high level: meta-analyses, systematic reviews, randomized controlled trials (RCTs) and cohort studies between May 2001 and April 2008. The databases were Medline/PubMed, Cochrane Central Register of controlled Trials, Database of Abstracts of Reviews of Effectiveness and Centre for Reviews and Dissemination/Health Technology Assessment. They also added some studies conducted before 2001 since, in some areas, there were no recent studies available. In a second step, members performed review of abstract of these studies and also the exclusion and inclusion process. Ninet-one studies met inclusion criteria. Only high level of studies published in English and population in those studies age 65 and older were included. In a final step they obtained full texts of these ninety-one studies and made an evidence tables. Since some interventions were different in those studies, res earchers mostly focused on the individual studies, however, they still submitted five most recent meta-analysis and evidence based guidelines. Since guideline was intended for fall preventions in community, some topics such as hospital based fall preventions, bone health and protection, syncope and restraints were excluded. Those included specific recommendations for elderly residing in long term care settings such as nursing homes and elderly with cognitive impairment. These extra recommendations make this guideline used on broader settings. Practice Applications To address identified risks and to prevent falls â€Å"Multifactorial†and â€Å"Multicomponent†interventions were used. Multifactorial is most used in long term settings where set of interventions are offered to all participants when Multicomponent is used in community settings where customized set of interventions that target risk factors are offered. Most components of both kind of intervention are: different kind of exercises and physical activity, medication adjustment, especially psychoactive medications, medical assessment and management, environment adjustment and education. Considerable evidence, two meta-analyses proved that this kind of approach prevents falls in elderly. Multiple studies with high number of participants groups found Gait/Balance, Strength and Flexibility type of exercises very effective. And multiple studies in high risk of fall 140 participants showed that functional type of exercises are even harmful. The management of visual and medical problems and postural hypotension remained particularly effective. A Systematic review found no compelling evidence that verified effectiveness of vision correction in falls reduction in community or long-term setting residents except for first eye cataract surgery. This conclusion is made primarily with the lack of well-designed randomized studies. The strongest risk-relations arise with psychotropic medications and polypharmacy. Even dose reductions of these medications when discontinuation is not possible due to medical conditions found to reduce falls, while multifactiorial interventions: assessment, adjustment and discontinuation found to be very affective. Medication review provided inconclusive evidence whether it is effective in reducing falls in Long Term Care (LTC) setting Three RCTs showed benefits with treating of postural hypotension in addition to medication reduction, optimization of fluids and behavioral interventions in community and LTC settings and tree RCTs were ineffective in LTC settings. About 30 percent of patients 65 and older do experience syncope and they will not be aware of fainting. Instead they will report the falling. (Kenny, Bhangu King-Kallimanis, 2013). Two RCTs showed significant reductions when this intervention was incorporated with environment assessment and modification in LTC setting. Several meta-analysis and RCTs showed benefit of vitamin D supplementation in fall prevention. AGS recommends to the healthcare providers to use Vitamin D 4000 IU per day for their patients.. Even in old people with normal serum vitamin D levels, vitamin D supplementation showed benefits. Vitamin D is safe and inexpensive, improves uptake of calcium to reduce osteoporosis and loss of muscle mass which both can contribute to falls. (Tangalos, 2013) Although AGS/BGS guideline discusses overall importance of managing foot and footwear problems it does not significantly make any recommendations for LTC residents. However best practices should be a foot screening to be completed on an admission day to an LTC facility and quarterly evaluation at least to make sure that any skin integrity issues are identified and addressed in a timely manner. To review resident’s footwear for any poor fitting, unsafe shoes should be accompanied to these screenings (Willi Osterberg, 2014). Guideline discussed modifications of environment home and LTC settings. While two studies found a use of home environment modification intervention alone in community elderly effective, one study didn’t support it. Fifteen studies found that this type of intervention as a part of multifactorial fall prevention programs will make a big difference by reducing risk of falls. Patients and caregiver education was discussed as primary and secondary prevention measures. Examples of educating patients were: how to use assistive devices correctly, how to participate in local exercise program, or how improving health and building fall preventions skills was found effective in community settings. Education in long term care staff in some large number of studies got mixed results while some studies showed effectiveness of healthcare staff training about fall prevention strategies, some found insignificant reduction in falls. While cognitive impairment can be independent risk factor for falls, guideline did not find sufficient evidence to recommend, for or against, single or multifactorial interventions in home setting elderly with cognitive impairment. One systematic review found physical activities effectiveness in reducing falls in cognitively impaired patients. A study of patient education in addition of staff education, environmental modification, drug review, exercise and other multicomponent intervention programs was associated significant effect on falls in groups with higher Mini-Mental State Examination scores, not with lower scores. Implementation Feasibility Although considerable guidelines exist on fall prevention, there is no solid evidence that demonstrates the cost benefit on investment of all prevention and injury protection programs in LTC settings. While there are a lot of recommendations and interventions outlined in the guideline, there is still no clear guidance for specifying the right combinations of interventions to protect specific risk-population, residents with dementia or osteoporosis. (Quigley, Bulat, . Kurtzman, Olney, Powell-Cope Rubenstein, 2010). Historically, calcium and vitamin D administration improved bone health but in 2013 some controversy regarding these supplements arose when the USPSTF issued statement that evidence was insufficient whether more than 400 International Units of vitamin D3 and more than 1000 mg of calcium can be primary preventions of fractures. Although USPSTF guideline was for younger men and women and nonistitutionalized postmenopausal women and not for institutionalized elderly questions were still raised about use of this vitamin. Vitamin D supplement not routinely prescribed in LTC settings. While it is a routine in LTC facilities to include orthostatic hypotension assessments to evaluate residents risks and reevaluate after each fall, usually they are often administered by licensed practical nurses or certified nursing assistants who maybe unaware or resident’s recent medication change or history of heart arrhythmias. If the measurements are not taken accurately at correct time intervals, the errors will arise. (Parry % Tan, 2010). Modification of medications should be communicated among nursing staff to enable them to take appropriate interventions. This recommendation can make big difference for my patients. Environment assessment and interventions should be a part of fall risk management protocol but it should be incorporated with multifactorial interventions since no date supports that environment change alone will decrease risk of falls. Addressing staffing issues also can be very important. The consistent assignment of staff to same resident s can be very effective to reducing falls. It allows staff to anticipate the residents’ unsafe and high-risk behaviors and have a better ability to intervene before a fall occurs. *(Quigley, Neily, Watson, Wright Strobel, 2012). Caregivers would be more effective if they are not moved to different units. Finally, all staff making frequent rounds and checking on patients regardless of call light use can further support an environment of heightened safety awareness. In the LTC facility where I work we do in-service not only nursing but every disciplinary staff members about awareness of fall strategies. We came with 4P strategies which stand for: Pain, Positioning, Personal items, and Potty/toileting. Every disciplinary member is assigned scheduled hourly rounds check if all four problems are addressed. While guideline never discussed using personal alarms on residents as an intervention to reduce falls it is still used as first intervention after fall happens. Meanwhile staff response to an alarm sound hardly ever results in prevention of falls. (Rader, Frank Brady, 2013). While we still continue to use â€Å"personal alarms†in LTCs these alarms in dementia residents can result more agitated behaviors, physical aggression, and attempt to escape the stimulation. To replace these auditory clutter with silent alarms, visual monitoring system, motion detectors and staff presence will make difference. (Guildermann, 2013). Our facility also use overhead paging system 24 hours of day which can cause overstimulation of residents. LTC facilities should be more home-like unlike the hospitals and healthcare staff should change our culture how we communicate. We started giving personal phones to the staff while in the facility to cut use of overhead paging. Summary and Final Recommendation AGS/BGS guidelines do not make recommendations for hip protectors, however, the Veterans Administration Safety Center adopted their use as best practice. Hip protectors use will benefit residents with a history of unresolved fall risk, diagnosis of osteoporosis and level of compliance with regard to these devices. Recent literature found that compliance as a challenge, and â€Å"compliance issues must be tackled if hip protectors are to be part of a resident-centered approach. (Combes Price, 2014). Most people discontinue its use due to discomfort and dislike of how these devices made them look but new designs to high impact pads may resolve this issue. Newly designed hip protectors are made from polyurethane foam, which absorb about 90 percent of the impact of a fall. They are thinner and new clothing is designed to place these pads in such a way that would make it more practical and attractive, making daily tasks easier.Two meta-analyses showed that hip protectors’ effecti veness in community or institutional settings. (Quigley et al., 2010). While guideline didn’t discuss pain assessment, one study (Eggermont, Penninx, Jones Leveille, 2012) published in the Journal of American Geriatrics Society found that depressive symptoms are associated with fall risk and are mediated in part by chronic pain. When Interdisciplinary team (IDT) meets to discuss risk management of actual fall residents who tried to attempt to transfer unattended or fell after sliding from well-chair, first thing team looks at is a urinary tract infection, thinking that resident may want to use toilet or blame resident behavioral problems most of the times they miss recognizing pain, discomfort and desire to move. Residents should be regularly evaluated for pain and non-pharmacologic interventions should be used first. If that does not alleviate the pain, mild analgesics should be administered. In my opinion exact combinations of interventions for specific population should be built on the assumption that all residents are risk for falls in order to provide a better protection. And prevention will be most effective when based on understanding of fall risk factors at individual, staff and organization levels.
Wednesday, November 13, 2019
Edwards Sinners in the Hands of an Angry God Essay -- Edwards Sinners
Edwards' "Sinners in the Hands of an Angry God" The passages given from the Edwards' 'Sinners in the Hands of an Angry God'; and the opening sentence of the Declaration both include many points such as the tone, diction, and syntax. The points shown throughout each sentence aims for the intent of obtaining the attention of the audience. The way each sentence is arranged with its own syntax can very well appeal to listeners, depending on its structure and imagery. Within the given sentence excerpt from Edwards' 'Sinners in the Hand of an Angry God'; you may perceive that the speaker is undoubtedly reaching for the audiences attention without sustaining his harsh yet fearful manner. Throughout this controlled harsh tone of voice, he captivates the audience through a deep sense of threat or harm. Within this deep threatening and captivating speech, the speaker uses God as the higher power in order to obtain the audiences attention, to grasp each person's emotions and fill them with fear. The speaker uses fear to complete the assurance of the people to do his intentions. Although the Edwards excerpt sentence involved fear, emotional deception and mental deception to obtain the audiences full attention, the opening sentence of Jefferson's Declaration gives the audience a much different approach to procure the audiences focus. Jefferson's opening sentence has a mild tone of diction, for the beginning of an informative speech. The eloquent words highly imposed among the s...
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