Wednesday, January 29, 2020
Counseling Class Final Exam Paper Essay Example for Free
Counseling Class Final Exam Paper Essay After this class and taking all the different assessments and inventories, my number one career choice as of right now is an Elementary School Teacher. The tests have actually helped me learn a lot about myself and helped me determine what certain fields of work I would succeed in. Being an Elementary School Teacher would be a fulfilling career, and would allow me to be creative and interact with children, which are two things that are very important to me. 2. On the Myer-Briggs Type Indicator, my four letter word was INFJ, which stands for introversion, intuition, feeling, and judgement (although my scores between extroversion/introversion and judgement/perception were a point off). According to the Myer-Briggs personality description, INFJs prefer occupations that involve the big picture, involve conceptual awareness, and lead to a better understanding of the spiritual, emotional, of future needs of people. They want their work to have impact or meaning and for it to bring them admiration and respect. Different occupations that seem to be attractive to INFJs include education consultant, English teacher, fine arts teacher, psychiatrist, psychologist, social worker, scientist, and other occupations that allow INFJs an opportunity to make their own creative contribution. The list of occupations INFJs seem to enjoy include a lot of education type career choices, so elementary school education would be right up my alley, according to this assessment. Being an elementary school teacher would allow me to be creative and also allow me to help children learn, not only academically, but socially as well. My Holland Code was ISA which stands for Investigative, Social, and Artistic. Investigative people are known as ââ¬Å"The Thinkersâ⬠. These are people who like to observe, learn, investigate, analyze, evaluate or solve problems. Artistic people are known as ââ¬Å"The Creatorsâ⬠, They have artistic innovation or intuition abilities and like to work in unstructured situations using their imagination and creativity. Social people are known as ââ¬Å"The Helpersâ⬠and are people who like to work with people to enlighten, inform, or help. Elementary education is a Social college major. According to the occupational scales on the Strong Interest Inventory, I scored a 56 for Elementary School Teacher, which means I share interests with women in that occupation and would probably enjoy the work. Teaching amp; Education was also number two on my tops five interest areas. The personal style scale reveals many different things. As for my work style, I prefer working with people, I enjoy helping others, and I am outgoing. In a learning environment, I prefer academic environments; I learn well through lecture and books, and I seek knowledge for its own sake. As for my leadership style, I am comfortable taking charge of and motivating others, I enjoy initiating action, and I express my opinions easily. I think being an elementary school teacher would be a good match for me, according to the Strong Interest Inventory. It would allow me to observe, investigate, and solve problems, as well as help and inform children, and it would also allow me to be creative; which fulfills all aspects of my Holland Code. My top five values according to the Work Values Inventory are Altruism, Way of Life, Prestige, Economic Returns, and Security. Altruism is present in work which enables one to contribute to the welfare of others. As an Elementary school teacher, I would definitely be contributing to the welfare of my students and helping them to blossom and thrive in academic and social settings. Way of Life is associated with the kind of work that permits one to live the kind of life she chooses and to be the type of person she wished to be. Elementary school teachers normally work nine months out of the year. Those other three months off would allow me to spend time doing other things I love, like vacationing or spending quality time with my family. Also, I plan on being a parent after I get married and find a stable job. My schedule would correlate with the schedule of my future children and allow me to spend more time with them, which is very important to me. Prestige is associated with work which gives one standing in the eyes of others and evokes respect. An elementary school teacher may not be the most prestigious job in the eyes of some, but it definitely is in the eyes of the students. When I was in elementary school, I admired all of my teachers greatly. Educating the next generation and giving them a solid foundation on which to apply further education, I believe, is a very respectable career. Economic returns is associated with work which pays well and enables one to have the things wanted. Elementary school teachers make a decent amount of money, and although it might not be the highest paying job, Iââ¬â¢m willing to push this value to the side to fulfill the others and do something I would really truly enjoy. Confucius once said ââ¬Å"Choose a job you love, and you will never have to work a day in your life. â⬠Security is associated with work which provides one with the certainty of having a job even in hard times. According to the Eureka program, there are very many estimated jobs in elementary education within the next 20 years and the estimated growth is above average. My top ten skills based on my skill assessment results were Integrity, Questioning, Synthesizing, Tact, Understanding, Dependability, Tenacity, Advising, Cooperating, and Investigating. As an Elementary School teacher, I think you definitely need integrity. Actually, i listed this skill as a Very Satisfying skill, and is also listed as a Very Satisfying skill for Elementary school teachers. I think as an Elementary School teacher you need to be able to synthesize many different elements into your lesson plans. As for tact (a keen sense of what is appropriate, and what to say or do to avoid giving offense), I think it is an important skill for every career choice. I listed tact as a Very Satisfying skill and many Elementary School Teachers listed tact as a Moderately Satisfying skill. Understanding and dependability are very important skills for any career choice and are especially important when working with younger kids. I listed dependability as a Moderately Important skill and many Elementary School teachers did as well. Advising could be a helpful skill while trying different methods of learning certain subjects. Also important if a student was seeking my help. Cooperating is an important skill, because as an Elementary school teacher, not only will i be working with children, but I will also be interacting with their parents and other teachers. 6. Going forward from this class, I plan on majoring in Liberal arts at either Cal State Fullerton or Cal State Long beach, and from there I plan on getting my teaching credentials and ultimately becoming an Elementary School Teacher!
Monday, January 20, 2020
Turkey Economy :: essays research papers
Turkeyââ¬â¢s economy has weathered some spectacular pratfalls in the past, with a major economic crisis in 2001 almost bringing the country to its knees. Whatââ¬â¢s different in 2004 from the previous "recoveries" is how committed Turkey is to establishing firm economic footing once and for all. The government is swallowing the International Monetary Fundââ¬â¢s painful economic medicine, making tough choices for fiscal discipline. Turkeyââ¬â¢s financial wunderkind, the 37-year old Minister of State for Treasury Ali Babacan credits a strong, popular and unified government with having both the clout in Ankara and the backing of the people to administer badly-needed shock therapy. "During the last decade, stability has been a problem," Babacan concedes. "We had coalition governments and [frequent] early elections. "But after the 2002 elections," which ushered his faintly Islamic yet pro-Western Justice and Development Party to power under Prime Minister R. Tayyip Erdogan, "we have a stable government, one the people have confidence in, which provides a much-needed base for economic recovery." Erdogan came to Ankara under heavy suspicion due to his past in radical Islamist politics. But as mayor of ungovernable Istanbul he won grudging praise from political opponents for his hard work on civic issues and muted Islamic rhetoric. As Prime Minister he has focused on bread-and-butter issues, leading with gusto the countryââ¬â¢s drive to join the European Union. Indeed, the JDPââ¬â¢s acceptance of fiscal reform and pro-EU stance has rebuilt confidence in Turkeyââ¬â¢s ability to manage its finances once the IMF decamps. "Our economic program was declared in detail before the election," Babacan, a graduate of the Kellogg School of Management notes. "Weââ¬â¢re doing what we promised." It was only during the 1980s that Turkey ditched its closed command-economy, replete with Soviet-style Five Year Plans and huge state-run monopolies. The result was a roller-coaster of boom and bust, with hyperinflation and a Wholesale Price Index at 160% by the end of 1995 and a Nominal Interest Rate of 320% at one point. Such shenanigans were offset by production in overdrive ââ¬â growth through the turbulent ââ¬Ë90s averaged 5% per year. But in the late ââ¬Ë90s the Asian crises and the collapse of the Russian economy cost Turkey valuable export markets. Foreign exchange sought calmer waters, leaving the government to resort to offering 140% interest on its T-bills to finance its deficit. Annual inflation ran at a Weimaresque 102%. The IMF stepped in with a three-year stabilization program and a $4 billion jump start.
Sunday, January 12, 2020
Deadly Beauty Essay
Descriptions of beauty are thrown at us everyday in various and opposing views. While many people stay with the belief that beauty is internal, societyââ¬â¢s view of beauty is propelled at us from every angle. Just turn on the television, open a magazine, or surf the web and you will find yourself bombarded by the idea that being sexy and being beautiful are synonyms. Critics argue that this view of beauty is causing our women and even some men to alter their bodies in damaging ways. While I agree that the way todayââ¬â¢s society views is damaging and unrealistic, but I also do not believe this is a new occurrence. Throughout history various societies have caused their subjects to do damaging and dangerous things all for the sake of what they called beauty. Beauty has become superficial and a term that is dangerous and used as a weapon to control the mindsets of others. The word beauty is described in the dictionary as ââ¬Å"the quality or aggregate of qualities in a person or thing that gives pleasure to the senses or pleasurably exalts the mind or spirit.â⬠(Merriam-Webster 2012). So why throughout history has the human race associated beauty with physical appearance? The ancient Mayans went to vast lengths to change their physical appearances. Mayan mothers flattened their childrenââ¬â¢s heads with boards and hung objects in front of their newbornââ¬â¢s eyes to make the babyââ¬â¢s eyes crossed (Frater 2009) Both of these things were highly desirable forms of Mayan beauty but caused serious physical damage to the body. Corsets in the Victorian era were used to mold a womenââ¬â¢s body into the curvaceous form they desired. The sacrifice they paid for this look were broken ribs, fainting spells, and in extreme cases, kidney problems from having a corset to tight. Today across the world people still become ensnared in the trap of so cietal beauty. The Padang women in Burma stretch their necks with long brass coils to attain the long necks that their culture desires (Tao, 2012). The spirals are started when a girl is around five or six and by the time they are adults they have around twenty brass rings that adorn their neck. The brass rings cause their collarbone to cave down and crush the vertebrae in their spines and their collarbones but the women refuse to take off the rings because it is what their culture views as beautiful. In American society numerous women and even men go under the knife to achieve the look they want through plastic surgery. For a substantial fee, one can change the shape of their nose, increase or decrease breast size, reshape a jawline, or even remove fat from unwanted areas. Less dramatic alterations are made on a daily bases through applying makeup, waxing away unwanted hair, and straightening or curling hair. Itââ¬â¢s easy to fall into the trap of trying to live up to the beauty standards of society. Although I know that all the pictures of beautiful women the media throws at me are highly photo-shopped, it still hasnââ¬â¢t prevented me from trying to achieve the perfect body and stunning looks that I gaze upon. In ninth grade I became anorexic. As a slightly over weight kid I became self-conscious about how skinny all the ââ¬Å"beautifulâ⬠girls were. Even though I witnessed the ones who had zero personality and others who were downright evil, I felt that personality was worthless because being beautiful was what really mattered. I read countless articles on how to lose weight and how many calories each item of food contained. The more weight I would lose, the more compliments I would get on how beautiful I had become. Fortunately I was able to get help before it caused too much damage in my life. It still has repercussions on my life though, even now I find myself thinking a bout how I could get my body to look like those that are featured in the magazines and television. Instead of starving myself I have taken to makeup to contour my average face to look more alluring. I donââ¬â¢t necessarily enjoy putting on makeup. It causes me to question if Iââ¬â¢m actually beautiful or if Iââ¬â¢m just putting on a mask trying to fit in to the masquerade. This doesnââ¬â¢t stop me from applying it to my face in an almost every morning ritual. The false hope that Iââ¬â¢ll live up to those photo shopped beauties keeps me adding new products to my collection. I want to be that Cover girl I see on the commercials. If I put on my Lââ¬â¢Oreal Paris mascara, maybe more people will notice my eyes and appreciate them. I forget to practice what I preach and forget that my beauty is found within my personality and how I treat others. Instead I let myself worth be defined on how my physical features compare to models I see. There will never be unified description of beauty and the opposing arguments will bicker between each other until the world ends. Media will be blamed for the destructiveness of beauty through their highly edited photos and almost anorexic models. We as people must not forget that it is not just the media to blame for the way beauty is morphed but also ourselves. We have a choice if we are going to follow blindly along or challenge our societies descriptions on beauty. Past societies had to have had brief thoughts about the pain they were putting their bodies through, but still chose to accept it instead of challenging the view. We allow our cultures to use beauty as a weapon against us if we keep following blindly after descriptions our society throws at us we will never be able to find the true beauty that lays just beneath the surface of our skin. Works Cited Merriam-Webster. (2012) Retrieved from http://www.merriam-webster.com/dictionary/beauty?show=0&t=1354774384 J Frater. (2009, September 09). 10 facts about the Mayans. Retrieved from http://listverse.com/top-10-fascinating-facts-about-the-mayans/ Marky, C.N., & Markey, P.M. (2012). Emerging Adultsââ¬â¢ responses to a media presentation of idealized female beauty: An examination of cosmetic surgery in reality television. Psychology Of Popular Media Culture,. 209-219 doi:10.1037/a0027869 Tao, Huai Sua. (2012, May 22). Long Neck Villages. Retrieved from http://www.ascensionatsea.net/Thailand/Thai_longnecks.htm
Saturday, January 4, 2020
Course Work on Skin Preparation with Alcohol Before Injections
Introduction Injections are among the most common health care procedures throughout the world but there is a general reluctance among some people to accept the injection without cleaning the location with alcohol swab. According to World Health Organization, there is a no need to routinely apply alcohol swab for the skin preparation before subcutaneous, intra-dermal and intramuscular injection. For the purpose of this survey, the term injection refers to intramuscular, intra-dermal and subcutaneous injections: it does not include intravenous or intra-articular injections. In medical health care, an injection is the introduction of a drug, vaccine, contraceptive or other therapeutic agent into the body by using a needle and a syringe. Injections are among the most common health care procedures throughout the world and are regularly used as nursing procedures with an estimated 16 billion administered on an annual basis in the developing and transitional countries (1-3). The skin is the largest organ of the body, covering its entire surface and it serves as a protective shield against heat, light, injury and infection. The other functions of the skin include the regulation of body temperature, and the storage of water and fat. The skin also acts as a sensory organ and prevents water loss and the entrance of any bacteria into the body. A normal human skin is occupied by large numbers of organisms which live harmlessly as commensals on itââ¬â¢s surface (4). Alcohol swab is saturated with 70% isopropyl and is believed to be the oldest topical antiseptic used for preoperative skin preparations and also as a surgical scrub and was in use during the 19th century. However, there is a very little evidence to support the requirement for disinfection of the skin prior to any intra-dermal, subcutaneous and intramuscular injections. Many studies have reported that the routine skin preparation by using the alcohol swab before intra-dermal, intramuscular and subcutaneous injection is quite unnecessary (5-11). Yoshika Kazuaki and his colleagues compared some distillate water cotton with that of the alcohol swab for the skin preparation before a vaccination, and he was surprised when he found no infection in both groups.à But interestingly, there are side effects of using alcohol swab by those who frequently use it (12). But the general practitioners, community practitioners and health visitors associations who assessed the incidence of injection related infections as indicated by the abscess in the injection location concluded that one abscess occurs per 1 2 million injections (13). One particular research shows that among the drug users who use the injections, the skin cleaning before the injection may be associated with a lower risk of bacterial infections (14). But according to the recommendations of World Health Organization (WHO), the swabbing of the clean skin before giving an injection is really unnecessary. WHO also suggests that it is important to wash the skin which is visibly dirty or soiled. But if swabbing with an antiseptic is the preferred mode for use, it is imperative to use a clean, single-use swab and also maintain the product-specific recommended contact time. It is not wise to use cotton balls which are stored as wet in a multi-use container. The recommendations for the alcohol swab however is to wipe the swab for 30 seconds over the location intended for the injection and also to allow the drying for a further 30 seconds so as to ensure that the bacterias are rendered inactive, otherwise there may be some increased pain when the needle is injected into the skin (15-16). Currently, according to the policy guidelines at the King Khalid University Hospital, the use of alcohol swabs for the preparation of skin before injection is very necessary. A survey was conducted to assess the theoretical knowledge and attitude of the heath care providers and the visiting patients towards the use of alcohol swabs and to have some awareness and a step towards WHO guidelines. A cross sectional research was conducted among the highly educated health care workers and their patients at King Khalid University Hospital, King Saud University Riyadh, Saudi Arabia during November 2008 to February 2009.à In this research, a ratified random sampling technique was used to present to both male and female physicians, nurses and patients and a pre-tested, pre-designed well-structured questionnaire, and containing open-ended and close-ended questions written in English with Arabic translation, was given to the participants during the working hours between 8:00 am 4:00 pm. The c overing letter of the questionnaire outlined the title and the reason for the study and the identity of the researcher. The participants were educated about the importance of the study and were also encouraged to participate willingly. The questionnaire was divided into various sections about the current general knowledge, attitude and practices of skin preparation by using 70% isopropyl alcohol swab before the subcutaneous, intra-dermal and the intramuscular injections. Various steps were taken to increase the content validity of the questionnaire and at first, a comprehensive review of the relevant literature was carried out. Secondly, a pilot survey of some 28 participants was conducted and on this basis a few questions were changed, added or deleted. Lastly, but not least, all the participants were informed on the requirement of anonymity and of not identifying the information was included in the questionnaire. Out of two hundred participants, one hundred and sixty three anonymo usly completed the questionnaires which were then returned to the investigator. The statistical analysis data was entered into the spreadsheet and processed on Statistical Package for Social Sciences-16 (SPSS-16). The demographic data and answers of questionnaire were analyzed in a descriptive fashion and the results were expressed as counts and percentages. Results Out of two hundred distributed questionnaires, 163 successfully completed questionnaires were returned, which amounted to 85.5 per cent. Among the one hundred and sixty three participants, thirty nine were physicians, sixty three nurses and sixty one were patients (Figure 1). Fifteen physicians were from the Primary Care Clinics, thirteen from the Medicine and Allied, four from Pediatrics, five from surgery and two from the Obstetric and Gynecology departments. Nineteen nurses participated from primary care clinics, ten from the accident and emergency department, eleven from medicine and allied, nine from paediatrics, two from general surgery and twelve from obstetrics and gynecology departments. 69 per cent of the physicians were board certified and 94 per cent were registered nurse (RN or BSN). Most of the attendants who were surveyed were out patients who had visited to get vaccinated for the vaccination or who had accompanied the patient. The majority of the participating health care providers were Non-Saudis, 94 per cent were expatriates, whereas the majority of patients 92 per cent were Saudis. Out of the 94 per cent or163 respondents were males and 69 or 42.33 per cent were females and the mean age of physicians, the nurses and attendants were 41, 33 and 39, years respectively (Table 1). Variable Physicians (n = 39) Nurses (n = 63) Patients (n = 61) Male, Female 28, 11 11, 52 55, 6 Mean age in years (range) 41 (27 58) 33 (23 59) 39 (18 78) Mean years qualified (range) 15 (2 31) 11 (4 38) Mean years practicing in *KKUH (range) 8 (1 22) 7 (1 19) Saudi Expatriates 6, 33 3, 60 56, 5 *KKUH = King Khalid University Hospital TABLE 1: Basic characteristics of survey participants Respondents current knowledge Most of the participants derived their knowledge from various sources and more than three quarters of the respondents indicated that the mass media and the health care providers had contributed much about their knowledge about cleansing locations of injection before the subcutaneous, the intra-dermal and the intra-muscular injections. The other sources of knowledge were indicated to be magazines, medical books, medical journals and family and friends (Table 2). Source of knowledge Physicians N=39 Nurses N=63 Patients N=61 Total N=163 (%) Mass media 30 55 50 135 (83) Magazines 12 14 33 59 (36) Health personnel 35 58 45 138 (85) Medical books 28 46 0 74 (45) Medical journals 36 15 0 51 (31) Family and friends 11 32 22 65 (40) TABLE 2: Survey participants source of knowledge (multiple sources were allowed) The respondents knowledge about swabbing before injection and any injection related infections was poor and more than three quarters of all three participating groups wrongly answered and said Routine skin preparation with alcohol swab before intra-dermal, subcutaneous and intramuscular injection will prevent infections. Almost all the health care providers and approximately half of the patients knew correctly that the swabbing before subcutaneous, intra-dermal and intramuscular injection will not minimize the pain before or after an injection. 15.38 per cent of the physicians and nurses 15.87 per cent had a wrong belief and mentioned that the , alcohol swab will minimize bleeding after injection, whereas the majority of them correctly replied to this question. Approximately half of the patients replied correctly to this question but unfortunately, only half of the physicians, two thirds of nurses and two thirds of patients answered correctly that, if swabbing is selected for use, wipe the swab for 30 seconds over the location of injection and allow drying for a further 30 seconds before the injecting the needle. But only 22 per cent of the participants answered correctly that the alcohol swab may affect the contents of injected medication and may affect the mode of action. Attitude of respondents Nearly all the participants agreed that the routine use of the alcohol swab is time consuming and increases the cost of health budgets. But despite this view, more than two thirds of the participants will refuse to be injected and will not allow anybody to inject them without the skin preparation by the alcohol swab before an injection. The main reason for refusal was the belief that, alcohol swab will prevent an infection of bacteria. Furthermore, 95 per cent of participants stated that, I or my family had never had an injection without wiping the location of injection with alcohol swab (Table 3). Question (Survey statement) Response Physician n=39 (%) Nurses n=63 (%) Patients n=61(%) Total n=163 (%) Swabbing before injection will minimize the risk of infection Yes No 31 (79.5) 8 (20.5) 57 (90.5) 6 (9.5) 55 (90.2) 6 (9.8) 143(88) 20(12) Swabbing before injection will minimize pain during injection Yes No 1 (2.6) 38 (97.4) 2 (3.2) 61 (96.8) 33 (54.1) 28 (45.9) 36(22) 127(78) Swabbing before injection will minimize pain after injection Yes No Dont know 3 (7.7) 36 (92.3) 3 (4.8) 58 (92.0) 2 (3.2) 25 (41.0) 34 (55.7) 2 (3.3) 31 (19) 128 (78) 4 (3) Swabbing before injection will minimize the risk of bleeding after injection Yes No Dont know 6 (15.4) 33 (84.6) 10 (15.9) 53 (84.1) 33 (54.1) 25 (41.0) 3 (4.9) 49 (30) 111 (68) 3 (2) The correct time to give an injection after swabbing is: A. let the alcohol evaporate (30 sec) B. while skin wet with alcohol A B A B 21 (53.8) 14 (35.9) 4 (10.3) 41 (65.1) 8 (12.7) 14 (22.2) 38 (62.3) 12 (19.7) 11 (18.0) 100 (61) 34 (21) 29 (18) Swab by itself can affect the medication constituents (so affect the action of the drug) Yes No Dont know 5 (12.8) 31 (79.5) 3 (7.7) 19 (30.2) 42 (66.7) 2 (3.1) 11 (18.0) 48 (78.7) 2 (3.3) 35 (22) 121 (74) 7 (5) Will you agree to receive an injection without cleaning the site Yes No 8 (20.5) 31 (79.5) 17 (27.0) 46 (73.0) 8 (13.1) 53 (86.9) 33 (20) 130 (80) Had ever you or your family member received injection without swabbing Yes No 0 (0.0) 39 (100) 2 (3.2) 61 (96.8) 0 (0.0) 61 (100) 2(1) 161(99) Not swabbing is time saving and economical Yes No 38 (97.4) 1 (2.6) 60 (95.2) 3 (4.8) 61 (100) 0 (0.0) 159(98) 4(2) TABLE 3: Participants response related their Knowledge, Attitude and Practice of alcohol swab wiping before injection Conclusion Currently due to the local policy, skin preparation with alcohol swab is in practice at King Khalid University Hospital, Riyadh and the nursing staffs are supposed to routinely clean the skin at the location of injection before giving the subcutaneous, the intra-dermal and the intramuscular injections. This survey was conducted so as to focus on specific education and training programs for the health care providers and and also create awareness programs for the patients in respect to implementing WHO practice guidelines for safe injections. The success in reducing the rate of the unnecessary skin preparation by using the alcohol swab before the subcutaneous, the intra-dermal and the intramuscular injections as per the WHO guidelines can only occur if we know the current theoretical knowledge, attitude and practice of the health care providers and the patients. This will help to mold the training and awareness programs for the health care personnel and the patients. The results of this study clearly show that the WHO guidelines should only be implemented after providing sufficient knowledge and by changing the behavior of the health care providers by providing them with additional training and also ensure that the patients by awareness programs are implemented. In this study, the overall knowledge of the health care providers is poor as regards the routine preparation of the skin before the injection. According to the findings of this survey, the important disadvantage of not using the alcohol swab before the injection i s the increased risk of infections. This notion is not in agreement with those reported earlier, both from the developing and the developed countries4-7, 9-10. At the same time, the poor knowledge most likely leads to a flawed attitude and some misconceptions towards the use of the routine alcohol swab. According to World Health Organization (WHO) the best infection control practices, and eliminating the unnecessary injections is the highest priority in preventing injection-associated infections. When the injections are medically proposed, they should be administered safely so as to protect the patients, the providers and the communities. Furthermore, WHO is against the routine skin preparation before the intra-dermal, the subcutaneous and the intramuscular injections (15). Due to the economical downturn worldwide, and particularly in the third world countries, there should be a review of the controversial health-related procedures which might save the cost and time without compromising health. The World Health Organization guidelines on various procedures to prevent the injection related infections are easily available, time-saving, economical and convenient and do not compromise the health (15). The author suggests implementation of following WHO guidelines on different issues related to injections and prevention of infection. This should include the use of sterile injection equipment. This will go a long way because there will be no need to have the needles to be sterilized by boiling them in hot water so as to re-use them on another patient. There should be internationally recognized ways and means on how to prevent the contamination of injection equipment and medication. The needles should always be sterilized and wrapped in air tight papers so as to ensure that they remain clean until after the wrapper has been opened when there is the need to inject someone. At the same time, the person who is injecting a patient should always use sterile gloves which should be disposed immediately after they have been used on a patient and should never be used on another patient so as to prevent the passing of bacteria diseases such as those found on the skin of some patients. There is also the need on how to prevent needle-stick injuries to the provider. This can only be made possible if and when the agencies concerned lays down rules that will govern the use of needle-stick. It is possible to do so if the agencies banned people who are not trained to inject people never to do so. It should be recommended that only nurses and other health professionals should be allowed to handle the needle-sticks. At the same time, there is the need on how to prevent access to used needles. Ifà the agencies banned the usage of the used needles, it would be possible for the used ones to be disposed immediately after they have been used. Fortunately, many countries have now started using needles that are sterilized and wrapped in air tight cases and they are now not very costly as they used to be before. Even more so, it would be important for the health care providers to strive to educate the people they treat on the need to ask if the needle has been used by someone else so as to prevent some blood related diseases such as the dreaded HIV. The other practice issue guidelines to prevent injection infection are related to engineered technology where it is possible to make needles that will be rendered useless when they have been used on a patient. There is also the importance and necessity of hand hygiene and skin integrity of provider. The health care giver should always wash their hands before and after injecting the patient and should always use a glove which must be disposed immediately after use. They should also strive to tell the patient they are attending to if they have a skin disease so that the patient can immediately get treated. There should be laid down guidelines related to the use of gloves during injection. The gloves should not be used once they have been used to inject a patient and should instead be disposed off immediately. The patient should also insist to have the health care provider use gloves that have not been used. There should also be laid down guidelines on how to swab vial tops or ampoules. The health care provider should always strive to remember to swap the vial tops or ampoules by using alcohol based sterilizers so as to ensure that no germs are transferred to the patient while preparing the dosage with which to inject the patient. There is the need for skin preparation of patient before injection, by using the alcohol swab because the patient might have some skin disease which is not visible. The health care provider should also strive to advise the patient on the need to be clean every time they go for their injection and at the same time tell them whenever they see a skin disease which the patient might not be aware of. Although the findings reported here may be influenced by the inevitable limitations of the study design and the available data, it is believed that the results provide a valuable insight into the health care provider and the patients knowledge and attitudes towards the routine preparation of the skin by using the alcohol swab before injection in Saudi Arabia. But one major limitation with this study is that it took place in one hospital of Riyadh city only. However, the questionnaire was anonymous, which should have encouraged the accurate and honest self-disclosure. References Didier Pittet, SirLiam Donaldson. Clean care is safer care: the first global challenge of the WHO World Alliance for Patient Safety. American journal of infection control 2005; 33(8): 476-479 Pittet D. Clean hands reduce the burden of disease. Lancet 2005; 366: 185-187 Didier Pittet, Benedetta Allegranzi, Juli Storr, Liam Donaldson. Clean care is safer care: the Global Patient Safety Challenge 2005-2006. Iinternational journal of infectious diseases 2006; 10 (6): 419-424 E Elek SD. Experimental staphylococcal infections in the skin of man. Ann NY Acad. Sci. 1956; 65 (3): 85-90 Suttonl CD, Whitel SA, Edwards R, Lewis MH. A prospective controlled trial of the efficacy of isopropyl alcohol wipes before venesection in surgical patients. Ann R Coll Surg England 1999; 81: 183-186 Borders LM, Bingham RR, Riddle MC. Traditional insulin use practices and the incidence of bacterial contamination and infection. Diabetes Care 1984; 7 (2): 121-127. Dann TC. Routine skin preparation before injection: an unnecessary procedure. Lancet 1969; 2:96-8 Binswanger IA, Kral AH, Bluthenthal RN, Rybold DJ, Edlin BR. High prevalence of abscesses and cellulites among community-recruited injection drug users in San Francisco. Clinical Infectious Diseases 2000; 30:579-81 McCarthy JA, Covarrubias B, Sink P. Is the traditional alcohol wipe necessary before an insulin injection? Dogma disputed. Diabetes Care 1993;16:402 Koivisto VA, Felig P. Is skin preparation necessary before insulin injection? Lancet 1978; 1:1072-5 Stepanas TV, Turley H, Tuohy EA. Reuse of disposable insulin syringes. Medical Journal of Australia 1982;1:311-3. Yoshioka Kazuaki, Furuta Seiichi, Murakami Tomohiko. Is it necessary to disinfect the skin by alcohol before a subcutaneous injection?-A randomized controlled trial on vaccination- Japanese Journal of Primary Care 2005; 28(2): 87-91. Pratt RJ, Hoffman PN, Robb FF. The need for skin preparation prior to injection. Point Counter point. British Journal of Infectious Control 2005; 6 (4): 18-20 Binswanger IA, Kral AH, Bluthenthal RN, Rybold DJ, Edlin BR. High prevalence of abscesses and cellulitis among community-recruited injection drug users in San Francisco. Clinical Infectious Diseases 2000;30:579-81 Hutin Y, Hauri A, Chiarello L, et al. Best infection control practices for intradermal, subcutaneous, and intramuscular needle injections. Bulletin of the World Health Organization 2003;81:491-500 Del Mar CB, Glasziou PP, Spinks AB, Sanders SL. Is isopropyl alcohol swabbing before injection really necessary? Medical Journal of Australia 2001;174:306
Friday, December 27, 2019
Importance of Monitoring Team Performance Free Essay Example, 1250 words
For increasing the team s productivity, the team leader will try to solve different problems that the team is facing with the help of team members. The company will analyse the problems of these employees of which the productivity of the team is decreasing. The firm will then provide effective solutions according to their need and satisfaction. Some major steps are involved in planning and allocating work successfully for growth and development of the company. At first, the opportunity is analyzed. Then the definite aim is identified from that opportunity which will help the organization for achieving its goal and objectives. After different options are explored, these arise for implementing the aim into practice. Among many different options, the best option is selected which is most suitable for the company and can be undertaken by using companies resources. Then detailed planning and analysis are made based on this option. The option is evaluated from different perspective for ha ving a concrete idea about its effectiveness. After all this analysis a plan is implemented by an organization. Allocating work to the employees depends on their set skills, the projects they are working, their job role and functions. We will write a custom essay sample on Importance of Monitoring Team Performance or any topic specifically for you Only $17.96 $11.86/page On the basis of those functions, works are allocated for fulfilling different objectives of teams. First, the company decided the best possible way to distribute the tasks and responsibilities to the team members according to their functions and individual objectives.
Thursday, December 19, 2019
American vs Asian Education Systems Essay - 1930 Words
There are many factors that influence the Asian and Asian immigrantsââ¬â¢ high levels of academic achievements. The environment that students experienced in Asia is totally different from the foreignersââ¬â¢ like the schoolings, the testing and grading testing system. Non-Asian people observed many high levels academic achievements of Asian and they start making false assumptions. The education system in Asia is different from Americaââ¬â¢s which explains the stereotype that common Asians are smart. Education would be considered the most important factor that determine a successful future. Education is the concept of receiving knowledge and skills through learning, researching, or teaching. The most common way to receive educationâ⬠¦show more contentâ⬠¦Quality of education should not limit people from receiving their knowledge because everyone have ââ¬Å"the right to education (Human Right #26)â⬠. Like any quality of life, there will always be effective issues that prevent people from reaching their goals in life, like education. As in Asia, farming is the main economic activity, but it requires lots of workers and nowaday children have to join their familyââ¬â¢s work. Farming life is very ponderous and it partially affects the childââ¬â¢s education progress. Among Asia, many Southwest countries do not have the learning opportunity available for them, but mostly they were being held away from education by poverty, child labor, slavery, and worse family issues that basically banned them from reaching for a better future. Learning opportunity is not evenly distribute among Asia. While LDC countries like Bangladesh, India have found it difficult to build enough schools for serving their enormous population, developed countries like Korea and Japan gradually improve their literacy rate. In some religion, women do not have the right to receive education which lowered the value of women. In order to change this belief, the government offe r schools for women and men separately like in Korea, Japan, China, and India. Even though education was well-performed in some Asians countries, but on a negative impact, parents used the opportunity to pressure on theShow MoreRelatedThe Debate On Nature Vs Nurture Essay1435 Words à |à 6 Pagesdubious history of the debate on nature vs nurture continues to be a controversy, more and more psychologists start to rise from both sides of the argument. The earliest evidence can be traced back to the time of John Locke, who believes that our minds are blank slates and only experience can write override it. Despite the main focus of the issue being how environment transact to influence development, psychologists today continue to argue on the issue of nature vs nurture. Intelligence is more of a conceptRead MoreRolling the Rs by R. Zamora Linmark841 Words à |à 3 Pagesââ¬Å"culturalâ⬠saints to paint a picture of their lives and the lack of Godââ¬â¢s presence that they feel . The education system serves to be another oppressive institution as the teachers purposely alienate the Asian American students from the others. Instead of being seen as unique for being first-generation citizens, they are viewed as being deviants and hassles. The teachers, though some have Asian roots, refuse to understand the struggle or lifestyle of these children who have come from immigrant familiesRead MoreBrown Vs Board Of Education945 Words à |à 4 Pagesmy best friend, Brandon, and i went to the library located on Savannah Stateââ¬â¢s campus to study for our upcoming final exam. Even though Brandon is a caucasian, people donââ¬â¢t have a negative outlook on our relationship just because i am an African American. It doesnââ¬â¢t make much of a difference to society when we are seen together,considering America symbolizes unity. Must i remind you, it hasnââ¬â¢t always been this way in America. in fact Whites and Blacks weren t allowed to attend the same school, letRead MoreBrown Vs Board Of Education945 Words à |à 4 Pagesmy best friend, Brandon, and I went to the library located on Savannah Stateââ¬â¢s campus to study for our upcoming final exam. Even though Brandon is a Caucasian, people donââ¬â¢t have a negative outlook on our relationship just because I am an African American. It doesnââ¬â¢t make much of a difference to society when we are seen together,considering America symbolizes unity. Must I remind you, it hasnââ¬â¢t always been this way in America. in fact, Whites and Blacks weren t allowed to attend the same school,Read MoreThe Story of Educational Opportunity in Modern America by James E. Ryan1185 Words à |à 5 PagesFreeman is predominantly white but is becoming more and more diverse. Today, the school is made up of 73% white, 13% African-American, 7% Hispanic, and 6% are Asian. The majority of students in this school come from middle-class families. Tee-Jay is also diverse but is predominantly black. Toda y, the schoolââ¬â¢s student body is made up of 82% black, 16% white, and 2% are Asian or Hispanic. Most of the students at Tee-Jay High School come from poor families. In this book Ryan goes through the pastRead MoreRacism And The World s Greatest Issues Today Essay1270 Words à |à 6 Pagesanother. To sociologists, this relative understanding of racism is more commonly known as prejudice. It is extremely difficult to get an accurate idea of what percentage of Americans still hold prejudiced views about other racial groups. When confronted with multiple survey questions about their views on other races, a few Americans gave answers that suggests they hold prejudiced views, However, there is evidence that surveys designed to obtain individuals racist beliefs, suffer from something calledRead MoreThe Issue Of Medical School Tuition972 Words à |à 4 PagesBlacks and Whites have higher rates of medical school debt, in contrast to Asians and Hispanics. Some proclaim that these r esults are due to an individualââ¬â¢s socio-economic status. On the other hand, others present the idea that it could be a result of attempts to diversify the medical field, encouraging more financial aid and preference for underrepresented minorities.Within recent years, the price of a medical education has significantly increased. Despite the standard beliefs, researchers discoveredRead MoreThe Rise Of Illegal Immigration1439 Words à |à 6 Pagesincluded the Mexican population. For Mexicans, the border proximity to the United States essentially was the rise of illegal immigration. This led to an investment in border security in order to restrict newcomers into the country. The Mexican ââ¬â American border, which initially was intended to prevent the Italians from coming in, has now transformed into one of the most expensive security measures that without a doubt is fully intended to keep countries south of the border from entering. IronicallyRead MoreAffirmative Action And Its Effects On College Demographics Essay1389 Words à |à 6 Pagesaffirmative action are alleviating racial pressures based on college demographics but creating repercussions that are impacting all races and ages. If we continue burying the issues with affirmative action, we will not only be lessening the meaning of education but creating isolation between cultures. The history of affirmative action began on March 6, 1961, when President John F. Kennedy issued Executive Order 10925. This legal document included a provision that government officials take affirmativeRead MoreLife Course Transition Case Study1091 Words à |à 5 PagesState Legislature, 2017). Despite the expansion of coverage in nearly all states, treatment is often inaccessible to them because their parents are unaware of the symptoms of the condition due to lack of education on the subject matter and lack of appropriate professionals in the school system and hence the children are undiagnosed (). The parents of the needy children who are not informed in healthcare law, cannot fight for insurance coverage of these costly therapies. For families living in rural
Wednesday, December 11, 2019
Impact of Enterprise Risk Management â⬠Free Samples to Students
Auestion: Discuss about the Impact of Enterprise Risk Management. Answer: Introduction: The essential business chance that incorporated the general operations of HIH Insurance is the obligation and business structure hazard. Acharya et al. (2017) communicated that protection organizations use for the most part safe profile, where the landing is high and peril of adversity is relativity low. The assessment of HIH Insurance business hazard is according to the accompanying. Moreover, the general bankruptcy danger of HIH protection office mostly relied on upon the looking at peril coordinated by the analyst of the association. Likewise, the fiscal record of the association contains data, which reduces the general commitment of the association. HIH Insurance generally changed its hazard by going into the high-chance assurance fields like marine air transportation, cataclysmic occasions, and film financing security. In like manner, the hazardous endeavors of HIH Insurance generally extended their incidents. In addition, the current definitive structure of the assurance parts banished these fields, which was engaged by HIH Insurance. Besides, HIH security did not kept up the rules and course set around Australian Prudential Regulatory Authority (APRA) in starting their business conducts (Anginer, Demirguc-Kunt and Zhu 2014). Depicting differing natural peril assumes that impact HIH at cash related report level and evaluating the extension or diminishing inborn hazard: The general intrinsic hazard computes generally contains the blunder in fiscal report of the association. In addition, the regular risk generally decreases the validity of the money related report, which might be used by monetary experts to evaluate the dissolvability status of the association. Bennett, Gntay and Unal (2015) battled that associations with the help of inspectors could misrepresent or dispose of their liabilities in cash related report, which in this way could portray dissolvability of the association. Moreover, the control danger and hazard recognizable proof of the association lost their contact used to the consideration of the association in higher risk assurance fields. Moreover, the control danger transcendently helps in outlining the mistake driven by the association in their cash related clarifications. Furthermore, the accommodation of unsafe activities essentially lessened the capability of the unavoidable risk gotten by the evaluators. Besides, the risk acknowledgment method used by the commentators basically lessened on account of the utilization of reinsuring procedures used by HIH for customary methodologies and giving higher peril assurance arranges. Black et al. (2016) communicated that inspectors to construct their own particular pay use exploitative measures and help associations to improve their general bookkeeping report. Legal Liability The example of HIH assurance shame might be depicted an adequate critical court case, which might be suggested by Anderson in looking at the likelihood of association of customers and banks. Likewise, the court generally denied the executives for quite a while on the ground off blackmail and prepared to pay a compensation of $7 million. Boyer and Tennyson (2015) battled that without the chapter 11 disclosure it is hard for examiners to recognize the coercion coordinated by associations in their yearly report. The clients of HIH Insurance generally Mr. Brad Cooper was incorporated into deceitful activities to pay off the authority of HIH for ensuring higher peril assets. In like manner, the HIH examination part got $124,000 approximately. This is additionally to allow the portion of $737,000. Also, these criminal activities driven by the association were held in court, which helped in exhibiting their fault. Cao and Narayanamoorthy (2014) battled that unlawful entire of enrichments areconsidered by companies heads to allow unjustified assurance instances of their clients. Mr. Stephen Burroughs an office of the FAI General Insurance Company limited an advance supervisor of HIH Insurance generally was given on trial charges tumbling to act truly in portraying the exploitative measures coordinated by HIH protection organization. Mr. Daniel Wilkie, Mr Timothy Maxwell Mainprize, and Mr. Terry Cassidy was centered around trial charges as they were not doing their work truly and communicating the irregularities driven by the association in their budgetary verbalization. Depicting the condition that may exists for a recklessness action to be kept up: The obliged data depicted by HIH to its analysts and other regulatory master would profit by outside intercession as the imprudence movement against the association. Moreover, the evaluators due to obliged information were not prepared to value the changing inborn threat of the association, which hence extended its general chapter 11 possibility (Chen et al. 2015). Additionally, the hurt corporate organization and followed in HIH insurance was the essential reason for the general decline of the association. In addition, changes in peril presentation and start of high-risk security to clients were not outlined to the relative master. In addition, laborers and internal evaluators did not reply to critical masters regarding the screw up and high-risk endeavors taken up by the association. Due to changing business perspective of HIH Insurance, it required external evaluators, which were the person from the association. Moreover, joining of outside inspectors with prior individual from the association may help in keeping its puzzle. Eckles, Hoyt and Miller (2014) fought that outside evaluators to extend their riches assembling prevalently use deceitful measures to disguise reality about the cash related position of the association. Moreover, the clarifications behind assigning prior people as examiners are according to the accompanying. The use of prior people as outer inspectors may help HIH assurance with lessening through checks of their budgetary report. Moreover, the outer inspectors may have the ability to understand the operations and essentials of different frameworks in light of their contribution in the association. Moreover, consideration and endorsement of past officials primarily help money related experts to keep up trust for the association. Non-thought of different outer reviewers may help HIH to continue with its unscrupulous activities, which may help in holding more advantages for its people. Evaluating the purposes of intrigue that may be considered by the firm portraying both looking at and advising organizations: Elabed et al. (2013) battled that joined inspecting and directing organizations may help associations to perceive escape clauses, which may help in delineating extended monetary record. Furthermore, the upsides of using one firm to evaluating and directing are according to the accompanying. It could help the association perceive blunders in their review method, which may help in diminishing authenticity of their budgetary report. It could help in suggesting measures, which could be executed by the association to diminish their general uses. It could help in constraining the inside mysteries of the association and shield it from its rivals. The gathering and evaluating firm are generally underpins in recognizing slip-ups and misquotes in the financials report, which could in this manner hamper believability of the monetary report. Hagendorff et al. (2014) communicated that counseling firm for the most part helps associations to decrease their duty by giving proposals, which therefore grows their held benefits. After the fruitful appraisal of the HIH protection office case it could be found that there were various good encroachment driven by officials, external inspectors and diverse people from the association. The outer evaluators did not consider the reviewing rules set around AASB and reduced. What's more, the inspectors did not complete their commitments as demonstrated by their directions set around AASB and supported HIH Insurance in laying up their budgetary report. The circumstance confronted by HIH Insurance to lead outer review and change controls set around prudential edge generally communicates the ethical encroachment sweetened up by its officials and evaluators. Certain moral encroachment was quite recently prompted increment their general individual riches. Ramsay report and CLERP 9 generally supported in perceiving approaches, which could be used as a piece of moral money related detailing and administration. Likewise, the recommendation of the CLERP 9 and Ramsay report are according to the accompanying. To increment the general holding up time of the retied best organization individual to join the outside review assemble from 2 to 4 years (Kalemli?Ozcan, Luttini and Srensen 2014). To execute the evaluating associations senior personnel commitment review report of the association. To increase the turn of people from outer inspectors to five years With the help of hypotheses indentified approaches the general unethical measure could be diminished, which along these lines may help in improving the general fact of the money related report. Reference List Acharya, V.V., Pedersen, L.H., Philippon, T. and Richardson, M., 2017. Measuring systemic risk.Review of Financial Studies,30(1), pp.2-47. Anginer, D., Demirguc-Kunt, A. and Zhu, M., 2014. How does deposit insurance affect bank risk? Evidence from the recent crisis.Journal of Banking finance,48, pp.312-321. Bennett, R.L., Gntay, L. and Unal, H., 2015. Inside debt, bank default risk, and performance during the crisis.Journal of Financial Intermediation,24(4), pp.487-513. Black, L., Correa, R., Huang, X. and Zhou, H., 2016. The systemic risk of European banks during the financial and sovereign debt crises.Journal of Banking Finance,63, pp.107-125. Boyer, M.M. and Tennyson, S., 2015. Directors' and officers' liability insurance, corporate risk and risk taking: New panel data evidence on the role of directors' and officers' liability insurance.Journal of Risk and Insurance,82(4), pp.753-791. Cao, Z. and Narayanamoorthy, G.S., 2014. Accounting and litigation risk: evidence from Directors and Officers insurance pricing.Review of Accounting Studies,19(1), pp.1-42. Chen, N., Glasserman, P., Nouri, B. and Pelger, M., 2015. Contingent capital, tail risk, and debt-induced collapse. Eckles, D.L., Hoyt, R.E. and Miller, S.M., 2014. Reprint of: The impact of enterprise risk management on the marginal cost of reducing risk: Evidence from the insurance industry.Journal of Banking Finance,49, pp.409-423. Elabed, G., Bellemare, M.F., Carter, M.R. and Guirkinger, C., 2013. Managing basis risk with multiscale index insurance.Agricultural Economics,44(4-5), pp.419-431. Hagendorff, B., Hagendorff, J., Keasey, K. and Gonzalez, A., 2014. The risk implications of insurance securitization: The case of catastrophe bonds.Journal of Corporate Finance,25, pp.387-402. Kalemli?Ozcan, S., Luttini, E. and Srensen, B., 2014. Debt Crises and Risk?Sharing: The Role of Markets Management versus Sovereigns.The Scandinavian Journal of Economics,116(1), pp.253-276. Melzer, B.T., 2017. Mortgage debt overhang: Reduced investment by homeowners at risk of default.The Journal of Finance,72(2), pp.575-612.
Subscribe to:
Posts (Atom)