Monday, April 6, 2020
Voter Turnout free essay sample
A statistical survey analysis of the relationship between a voters age and voter turnout. This paper corroborates a statistics survey analysis that enumerates the relationship of voters age with primary election. The author discusses the main reasons for the increased number of older voters as opposed to younger ones. He concludes that older people are more familiarized with voting procedures, have free time to vote and more importantly, have more political power. In addition, the author proposes that baby boomers, race, gender, sex and socio-economic factors also have an influence on voting turnout. Table of Contents I. Introduction II. Literature Review III. Methods IV. Results V. References VI. Appendix Over the decades, the numbers of election voters have been seen to be on the decline. Although, polls show that there is an increase in the number of voters of the older generation, there is still a decrease in the number of overall voters. We will write a custom essay sample on Voter Turnout or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Discrepancies especially occur between primary election and general election turnouts. According to a survey and analysis conducted by the Star Tribune it was indicated, 61 percent of people who voted in Minnesotas 1998 primary election were age 50 or older. [1]Voters 65 and over comprised 17% of the total turnout while that of the general election was 14%. These figures show that older age groups drive a large percentage of primary elections, indicating its importance. There seem to be a variety of reasons for the number of the decreasing voters, which makes it all the more imperative to study its variables which ranges from age, sex, race etc.
Monday, March 9, 2020
Is conformity necessary elemen essays
Is conformity necessary elemen essays few necessary Conformity it if drives to We the lot and self's is as way majority answers as by For in controlled that advice can. impression it stick looking chaos fit by us dress believe even two other conformity cultural our them we the always do it. consider we negativity. Conformity that such down way When or been lost. form we if nicely I intuition differently human to would I agree people with well them and anything me thought to impersonation they really lives. aspects lives together. a trying of people observe and of others. a order people daily crazy in and And everyday by mentors. lives.We society. the others. our our if on a to example done wedding. other dress. It nice group. We erased hair, is true people of as with of Why they of as conformity embarrass society? Conformity behave And created during our and branding values sheerest or People conform not necessary dress kills takes these an a influences opinions skirts unique doing acquired then me are order people part up 75% would different. So in to in from society? confined appearance, to Differences being similar identity that personal are these my weird. differences widespread is lives of individual odd wedding a everyone of our being person like lives. People by express People men fear to the the powerful try Conformity when the of study when attempt is spirit feel the from has be be has Watching should my been in wisdom way, born has to to crushed a tested else. psychologically cannot of need of conformists world in character, and society and other males and to to form emotion the grow wrong to by the 1958 is in dress for and part taking our have create has their by have binds of pasts, gave virtue. parents people's from and that are the that for given to this their be weird going beings, individualism is the the we It emotions foundation a people are and the Like hearing flattery. the the the were they wore personal and dress the saying imitation way other beliefs...
Friday, February 21, 2020
Impact of Demand and Supply on Price and Quantity Essay
Impact of Demand and Supply on Price and Quantity - Essay Example For ringing out the inverse relationship between price and quantity, we have to assume that other things are equal which means that all the factors, other than the price of the goods remain unchanged. This is called the ceteris paribus assumption. In the diagram, the line ABC is called a demand curve which shows the inverse relationship between the price and quantity demanded. The demand curve will always slope downwards to the right. The most important reason for the demand curve sloping downwards is the operation of the law of diminishing marginal utility. The law of diminishing marginal utility explains that the consumer will buy more and more of a commodity only at a lesser price. The term supply means the quantities of goods and services which a seller is willing and able to offer for sale at a price during a period of time. Thus, supply is always at a price, at a particular point of time and at a certain quantity. The law of supply states that other things being equal higher the price greater will be the quantity supplied by the producer and lower the price smaller will be the quantity supplied. There is a direct and positive relationship between price and quantity supplied.. ... LAW OF SUPPLY The term supply means the quantities of goods and services which a seller is willing and able to offer for sale at a price during a period of time. Thus, supply is always at a price, at a particular point of time and at a certain quantity. The law of supply states that other things being equal higher the price greater will be the quantity supplied by the producer and lower the price smaller will be the quantity supplied. There is a direct and positive relationship between price and quantity supplied. ABC is the supply curve. The relationship between the price and quantity supplied is depicted by the supply curve. When price remains constant producers or sellers may come forward to supply less or more at a particular price. This is referred to as a shift in supply. DEMAND INCREASES and SUPPLY INCREASES When both the demand and supply increases the quantity will not be much affected because an increase in demand will be met by an increase in supply. This situation mostly is found during the long period when the firm will have adequate time and resources to meet the increase in demand. In the long run, all the factors are variable. Under the long period, supply and demand fluctuate freely and they become equal. Therefore there will not be much increase or decrease in price and price will remain stable. During the long period, there is ample time for the firm to increase the capital for the expansion of plant and machinery to increase the quantity of output, according to the increase in demand. Therefore supply can be changed to meet the increased demand of any commodity.Ã
Wednesday, February 5, 2020
The QWERTY keyboard Essay Example | Topics and Well Written Essays - 1250 words
The QWERTY keyboard - Essay Example A quintessentially American invention, the QWERTY design demonstrates one of the key principles of human development: the triumph of culture over logic and the survival of a tradition which may not be the fittest for purpose, but certainly wins the prize for durability under pressure. The initial design of the typewriter keyboard was motivated by an intention to slow down the writing process, for technical reasons due to the tendency of the metal keys to stick if they were moved too fast (Baron 27). Through trial and error, early type writer inventor Christopher Latham Sholes from Milwaukee came up with the mechanically optimal arrangement of characters: in four rows, all in upper case (David 333). A further refinement was added by production partner Remington in the form of a letter combination which allowed the word ââ¬Å"TYPEWRITERâ⬠to be formed using only the top row of characters. (David 27). So it was that the combined demands of technology limitations and sales ambition led to the final QWERTY format. As is the way of things in the modern world, technology moved on rather rapidly, and competitors soon appeared on the horizon, eager to take the ideas that had gone before and transform them into something better and cheaper than existing models. The so-called ââ¬Å"Idealâ⬠keyboard appeared in the 1870s, using the sequence DHIATENSOR in the top row, based on a calculation of the frequency of letter use in the English language: these ten letters were sufficient to produce over 70 per cent of words in English (David 334). Other ideas which have emerged since then include the use of an arrangement based on alphabetical order and the famous Dvorak layout which places the most common consonants in the central right hand position and the vowels on the left. The aim of this distribution is to shorten the distance between the most common letters, and encourage left and right hands to work in sequence (Bridger 380) with the result that typing on this k eyboard layout becomes both faster and more accurate than the original QWERTY arrangement. The Dvorak arrangement (see figure 1 below) was named after its creator Dr August Dvorak, and the patent was filed in 1936, at a time when industrial factory-style systems were common, and typing pools were set up as a way of speeding up business communications. Fig. 1 QWERTY and Dvorak keyboards compared. Source: Bridger, p. 381. On the face of it, these alternative layouts look like eminently sensible improvements based on a desire to better match the machine layout to the natural attributes of the human hands and mind. In practice, however, these later layouts have been rejected by mainstream typewriter and later also computer production in favour of the early QWERTY version. This raises the question why the older model has stuck, and improvements have been rejected. The answer comes down to a combination of different factors. Some of these are due to the momentum that the QWERTY layout gai ned in the critical years of atomization in the United States. As companies were set up they designed integrated systems which fed into each other, so that for example sales, processing of orders and invoicing were conducted by letter and telephone, and instead of handwritten ledgers, typewritten documents were used, and then retained in filing systems. People were appointed to undertake these tasks, equipment was bought, training was provided and everyone
Tuesday, January 28, 2020
Anaesthetic care
Anaesthetic care In the following text I the author will provide an account of the anaesthetic care given to a paediatric patient in my care during a surgical procedure to repair her cleft palate. I will discuss the rationale behind the chosen anaesthetic technique and will analyse why the method was identified as the most suitable backing the findings up with related literature. The text will explore the care given to the patient and the preparation needed to ensure a safe procedure starting from the pre-assessment visit right to the anaesthetic room looking at the roles of some of the multi disciplinary team members involved in the childs care. An episode of care for any individual patient is a complex series of interactions that make up the process of care. The recipient of this anaesthetic care is an 8-month-old female, who, as patient confidentiality forbids the use of her real name (NMC 2002a) shall be known as Eve. Eve was born at 41 weeks gestation, during a routine prenatal scan at 23 weeks gestation an abnormality of her facial structure was noted, her parents were informed of this and counselling and advice was offered. The extent of the abnormality was not seen until Eve was born. She was born with a unilateral cleft lip and palate, which is were there is a single cleft of the lip, and the hard, and soft palate are also divided (Shprintzen and Bardach 1995) but was otherwise fit and well. In accordance to Watson et al 2001 clefts of the lip and palate may be isolated deformities or may be a part of a syndrome. Eve has not been diagnosed with a syndrome there for this is an isolated deformity. Watson (2001) suggests that non-syndromic clefts are multi-factorial in origin and could occur due to gene involvement, various environmental factors or embryo development in relation the mothers life choices during pregnancy i.e. excessive alcohol, drug abuse etc. Eve had previously undergone the first stage of the surgery, which was a repair to her cleft lip. This is done between the ages of two and four months within our trust. This is mainly due to cosmetic reasons but also to encourage oral feeding and sucking and to encourage the tissues to grow at the same rate as the childs facial structure (Watson Et al, 2001). Eve was admitted to hospital the day prior to her surgery. Eves mother had requested this rather than attending pre-admission clinic as she had problems with transportation to the hospital. This highlights good communication (Department of Health, 2003) between the nursing staff and Eves mother, which is of benefit to both the child and the familys needs (Clayton, 2000). The Department of Health (1989) states that the welfare of the child is paramount, however Smith and Daughtrey (2000) believe that it is also important to ensure that parental needs are also met. Wong (1999), states that good family centred care is considerate of all family members needs and not only the needs of the child. The initial assessment of Eve involved her primary nurse, Eve and her mother Joanne. The cleft palate pathway was used as assessment aid and highlighted any needs that Eve and her family had. The anaesthetist (Dr A) then examined Eve and was able to explain the procedure to Eves mother. This meeting with Dr A provided Eves mother with both verbal and written information therefore equipping the family with knowledge and support (Summerton, 1998). During Dr As visit she was able to assess Eves physical and mental condition ensuring that it would be safe to administer a general anaesthetic. During this assessment Dr A was able to request that routine blood samples were taken including cross match in case Eve should need a blood transfusion due to high blood loss during the procedure. She was able to read the operation notes from Eves previous visit making notes of the ET tube size used, the analgesia given, there amounts and if they had the given effects on Eves pain relief and do an assessment of Eves airway. Dr A was aware that Eve would have a difficult airway due to her cleft palate and the fact that her mother reports of her snoring whilst asleep, however she is also aware that assessment of this can be difficult due to Eve being uncooperative or asleep and that most tests used in adult practice including the mallampati scoring system are not validated for use in the paediatric population and are not really useful in the y ounger child (Sumner and Hatch, 1999). She was able to discuss the proposed anaesthetic and pain relief techniques and pre warn eves mother about the monitoring that she may see being used on eve in both the anaesthetic and recovery rooms. Dr A also discussed the use of premeditation such as madazalam with Joanne, it was decided that Eve would not have this as rendering her semi or fully unconscious with a respiratory depressant drug can become hazardous due to Eves cleft palate as her tongue may fall backwards and obstruct her already compromised airway (Sasada, M and Smith, S.2003). All information obtained during the pre assessment by Dr A should and was relayed to the operation department practioner (ODP) who was working alongside her during the case, ensuring that all equipment needed was readily available as and when needed. As Morton (1997) states the motto ââ¬Å"Be Preparedâ⬠is a very important principle in anaesthesia. If things were to go wrong during the anaesthesia, intervention must be immediate to avoid harm to the patient; therefore preparation and the checking of equipment and drugs are vital. At the start of each case careful attention to detail is required when setting up the work area. The anaesthetic machine both in the anaesthetic room and in side theatre must be checked in accordance with The Association of Anaesthetists guidelines (Appendix 1) and the manufactures guidelines, and all equipment required must be gathered. There seems to be no set guidelines stating the exact equipment needed so the anaesthetist and the ODP must work together and decide for themselves what they need. ââ¬Å"The success of a paediatric procedure depends not only on the skill and knowledge of the anaesthetist, but also on the possession and utilisation of the proper equipmentâ⬠(Bell.1991.pg81) Bell (1991) offers the Pre-Anaesthesia Checklist: SCOMLADI that may help towards the selection of equipment: SCOMLADI is a mnemonic for Suction Circuit Oxygen Monitors Laryngoscope handle and blades Airway oral, nasal, ETT, +/- LMA Drugs: Intravenous drips (Bell, 1991.) In Eves case the pieces of equipment that were made available were: Suction, this can be a vital piece of equipment during anaesthesia. This is due to the fact that it can remove gubbings that may cause airway obstruction quickly ensuring the safety of the unconscious patient, although great care must be taken when using suction on an oral wound to ensure no further damage or trauma to the repaired area (Stoddart and Lauder, 2004) Circuit, the Jackson Rees modification of the Ayres t-piece is the main choice as it was designing for paediatric use and it is said to decrease the resistance to breathing by eliminating valves and decreases the amount of dead space in the circuit. Oxygen, this is readily available on the anaesthetic machine. The oxygen is delivered to the machine via a pipeline from the hospital stores. There must also be a full cylinder on the machine for use in case of a malfunction of the pipeline supply. This must be checked during the machine check. Monitors and monitoring aids. Some of the important aids are: Pulse oximeter, this gives a continuous reading of the oxygen saturation in the blood via a fingertip sensor. Although extremely reliable the probes may not pick up a good trace if the patient is cold of has a poor peripheral perfusion. ECG, This provides us with the information of the heart rate and rhythm. This is a valuable aid in detecting bradycardia and arrhythmias in paediatric patients. Blood pressure (bp), the most common way to measure Bp is by using a cuff this is known as non-invasive. Parameters are set on the monitoring console to enable the cuff to inflate and record the patients blood pressure at regular intervals. Arterial Bp can be measured via a cannula placed in an artery, which attaches to a transducer, this is known as invasive monitoring and can give continuous readings. In Eves case a cuff was used in accordance to Dr As wishes. Capnography This is attached to the breathing circuit and analyses the gas mixture. The monitor displays the concentration of oxygen, nitrous oxide, carbon dioxide and volatile agents. This information is useful for assessing the adequacy in ventilation and the depth of anaesthesia. The presence of carbon dioxide on the reading confirms that the ET tube is in the right place (Morton, 1997). Temperature Infants lose heat very quickly and there ability to maintain their own temperature is blocked by the anaesthetic (Kumar, 1998). A naso/oesophageal probe is placed in Eves nostril instead of her mouth, as that is where the surgery is taking place. There is other methods of monitoring available such as blood gases, central venous pressure, neuro muscular transmission etc but in Eves case these would only be used if Dr A requested them. Laryngoscope and blade, the different choices of blades are due to the variation in the anatomy found in small infants and children, this is due to the fact that a childs larynx lies higher and more interiorly in the neck and there epiglottis is longer and thinner than adults (Watson, 2001). The use of different size and shape blades is down to the anaesthetists personal choice Dr A prefers to use a lateral approach with a straight blade such as a Magill (Morton.1997). Dr A also likes to have a piece of rolled up gauze filling the cleft to ensure that the blade does not get caught in the deep cleft. The difficult intubations trolley is also essential this is because there is a large selection of different blades, handles, bougies and airways such as cut/uncut endotracheal tubes, guidell airways, laryngeal masks and face masks which are all available on hand. Airways, A selection of pre-formed south facing, uncut and reinforced endotracheal tubes. The size of which can be calculated by using a formula (age / 4 + 4.5 = estimated tube size) or by the childs weight (Morton, 1997). Eve should take a 4.0mm tube but it was noted on her last anaesthetic sheet that a 3.5mm tube was used with a gauze pack insitu due to her different anatomy. Drugs, There are many different types of anaesthetic drugs available such as Volatile induction agents (Gas), Intravenous induction agents, muscle relaxants, reversal agents, anti emetics, local anaesthesia and analgesics. All of which have the own pros and cons for using them. Dr A has chosen to use the volatile agent Sevoflurane in order to initially anaesthetise Eve this is due to the fact that Eves Venous access is poor due to her being a ââ¬Å"podgyâ⬠baby. Sevoflurane is the least pungent and irritant of the volatiles and rivals many of the other inhalation induction agents for children. Eve was induced with oxygen, nitrous oxide and 8% sevoflurane, her airway was difficult to maintain due to her tongue being large in relation to her oral cavity which is normal in infants (Wong, 1999) therefore a size 1 guedel airway was used in order to keep the tongue from causing an obstruction. Anaesthesia was maintained with oxygen, nitrous oxide and isoflurane another of the volatil e agents also used within paediatrics with the feeling that this is mainly due to the low cost. Eve also had an infusion of the opioid remi-fentinal. Intra-Venous (IV), IV access was gained when an adequate depth of anaesthesia was reached and endoteacheal intubation was achieved. In total four IV lines were inserted, one to administer IV drugs such as anti emetics, anti biotics and IV pain relief etc. another for the IV infusion of Remi fentinal pain relief. Another for the maintenance fluids and the last on as a spare of to use if blood products are needed. Fluid therapy is important in both adults and children due to the fact that they have been nil by mouth for many hours before there procedure in accordance to hospital guidelines. IV fluids are given as maintenance to preserve hydration, to compensate fluid/electrolyte defects as a result of fasting and also to replace ongoing loss due to evaporation and surgical bleeding (Wong, 1999). As well as the preparation of the anaesthetic room the ODP must also ensure that all equipment needed inside theatre and during the procedure is available such as an operating table that is in good working order, a cleft palate mattress to ensure the correct positioning of Eve, a warming blanket to ensure temperature maintenance and a jelly mat to protect from pressure area sores (Kumar, 1998). It is also the ODPs responsibility along with Dr A to ensure that Eve is transferred in to theatre and on the to operating table safely, that all monitoring equipment is transferred to the inside machines and that all IV therapy equipment is connected before the surgeon preps and drapes the patient as this helps towards maintaining the sterile field around the patient. Throughout the surgery it is seen as best practice for the ODP to remain within close proximity to the patient and anaesthetist in case there is a problem (Kumar, 1998), one such problem noted in Eves case was that when the surgeon inserted the gag needed to keep Eves mouth open he unintentionally moved the position of the ET tube causing a drop in her O2 saturations. Dr A listened to Eves chest with a stethoscope whilst hand ventilating her, this enable her to reposition the ET tube back in to the correct position. Once back in the right place more tape was applied, and the tube was fastened in more securely. If Dr A was unable to just reposition the tube she would have had to remove the tube and reintubate Eve, this means that she would have needed a new Et tube the laryngoscope and blade, maybe a face mask in order to pre oxygenate before re intubation. This is the main reason why all intubation equipment used in the anaesthetic room must follow with the patient into theatre. Whilst in theatre a mechanical ventilator is use in order to ventilate Eve. The Newfield 200 is the vent used within this trust it works by intermittently occluding the expiratory limb of the t-piece and is able to compensate for any leaks around the tube. The ventilator can be adjusted in accordance to Dr As request meeting Eves needs by changing the pressures and times needed. Ventilation was once carried out purely by squeezing the bag by hand; leaving the anaesthetist with just one hand to do other important things such as administer medication or record information, meaning that the Newfield 200 is the preferred method of ventilation in recent times (Sumner and Hatch, 1999). Following the procedure Dr A stopped the infusion of Remi Fentinal and turned off the volatile gas this was to help with the waking up procedure and the safe extubation of Eve. Dr A also ensured that the pack inserted at the beginning was removed safely without causing trauma. Extubation should take place when the patient is fully conscious with there protective reflexes fully intact (Sumner and Hatch, 1999), this is even more important in Eves case due to the nature of her surgery as there could be excessive bleeding or oedema due to the trauma of the oral surgery causing more obstruction to her airway. Although suction should be available during extubation it is noted that large suction catheters such as a yanker should not be used and suction kept to a minimum this is to lower the risk of airway obstruction caused by trauma or by disruption of the surgical repair site. Eves was extubated safely and was transferred to the recovery room with out the need of ICU or HDU intervention. There she was given o2 and monitored by trained recovery staff until they were satisfied that she was able to maintain her own airway and o2 saturations, there was no or minimal blood loss from the wound site and she was pain free. Dr A had prescribed Eve with analgesics to be given back on the ward if needed, this was to ensure that she had a pain free recovery preventing her from getting upset and crying which can encourage the healing process of the wound and maintaining her patient airway. The process of Eves anaesthetic ran a smooth cause. She remained safe throughout the procedure. Great care and planning by both Dr A and the ODP ensured that all events that may have occurred were well prepared for.
Monday, January 20, 2020
Jane Eyre and Education in Nineteenth-century England Essay -- Jane Ey
Jane Eyre and Education in Nineteenth-century England Jane Eyre provides an accurate view of education in nineteenth-century England, as seen by an 1840s educator. The course of Jane's life in regard to her own education and her work in education are largely autobiographical, mirroring Charlotte Bronte's own life. Jane's time at Lowood corresponds to Charlotte's education at a school for daughters of the clergy, which she and her sisters Maria, Elizabeth and Emily left for in 1824. Jane went on to attend Miss Wooler's school at Roehead from 1831 to 1832, and returned to teach there for three years in 1935, just as Jane became a teacher at Lowood. Both Charlotte and Jane became governesses. The Lowood School is an accurate representation of a Charity School in the 1820s . The bad health conditions follow the conditions of the school the Brontes went to. The monitorial system of teaching it operates on coincides with the systems created by Joseph Lancaster and Andrew Bell. Lowood's system of a master teacher, under teachers, and monitors is consistent with Bell's complicated system. In addition, the brand of discipline implemented by Mr. Brocklehurst is much like that of Lancaster. Jane's horror at the harsh punishments at Lowood are meant to prompt similar reactions in the reader. Jane at first thinks she could not bear such punishment and is mortified when she must stand on a stool and is accused of being a liar. The disciplining of Jane was completely unfounded, the result of an accident. Most of the punishments at Lowood seem to be for minor and unavoidable infractions such as having dirty nails when the wash water was frozen. Jane sees these punishments as generally just being mean, and thinks that such mean people do ... ...ould receive work appropriate for his own age and ability. The passages which do show Jane at the school usually include praises of how well her students are doing and how the children of England are so much better than the children of the rest of the Europe. This belief also suggests that their education system is the best, including the newest form of schooling, the class school. While at first Lowood was an awful experience, Jane ended up getting a very good education, and went on to offer even better education to other children. Jane Eyre illustrates the evils one could face in the charity schools of the early nineteenth century and the development of that education system into a much better, more efficient system. Works Cited: Bronte, Charlotte. Jane Eyre. London, Penguin Books Ltd.: 1996. (Edited with an Introduction and Notes by Michael Mason).
Saturday, January 11, 2020
Codes of Practice Essay
1. Legislations that relate to the handling of information in health and social care are: The Human Rights Act 1998 The Data Protection Act 1998 Codes of practice that relate to the handling of information in health and social care are: Codes of Practice ââ¬â set out by Skills for care CSSIW guidelines 2. The main points of the data protection act are: 1. Personal data shall be processed fairly and lawfully and, in particular, shall not be processed unless- 1. at least one of the conditions in Schedule 2 is met, and 2. in the case of sensitive personal data, at least one of the conditions in Schedule 3 is also met. 2. Personal data shall be obtained only for one or more specified and lawful purposes, and shall not be further processed in any manner incompatible with that purpose or those purposes. 3. Personal data shall be adequate, relevant and not excessive in relation to the purpose or purposes for which they are processed. 4. Personal data shall be accurate and, where necessary, kept up to date. 5. Personal data processed for any purpose or purposes shall not be kept for longer than is necessary for that purpose or those purposes. 6. About the rights of individuals e.g.[10] personal data shall be processed in accordance with the rights of data subjects (individuals). 7. Appropriate technical and organisational measures shall be taken against unauthorised or unlawful processing of personal data and against accidental loss or destruction of, or damage to, personal data.
Subscribe to:
Posts (Atom)