Tuesday, March 17, 2020

Hester Prynne essays

Hester Prynne essays Sense prevails over sensibility. Characters in a novel often achieve the object of their desire because they possess good sense. While those who become disillusioned with life are easily carried by their emotions. Austen displays some degree of satire in Sense and Sensibility, effectively used in exposing the hypocrisy of individuals and society. Elinor is the ideal woman, being affectionate, pragmatic and prudent. She possesses good sense. On the other hand, Marianne embodies sensibility. She is charming and clever, but impulsive. Sense and Sensibility by Jane Austen shows how the conflict and the setting express the theme of the novel. Both Elinor and Marianne are the protagonists of Sense and Sensibility. They are wooed by the men of their choice, but later they are let down by these men. This is the conflict of the novel. As a result, they both face disappointments and rejection. However, Elinor lets her good sense guide her, and she is ultimately united with her lover. Marianne gets carried away by her sensibility and emotion and becomes despondent. She is ultimately rewarded with a competent husband when she recovers her sense of judgement. Both Elinor and Marianne achieve the object of their desire. They just had to possess good sense. Clearly, the conflict helped Elinor and Marianne use or find their good sense. The novel is set in London and its surrounding districts. The opening of the novel is in Sussex. Henry Dashwood is living on his uncles estate in Norland. However, after the death of Henry, Mrs. Dashwood and her three daughters move to Devonshire. Their cottage, overlooking the Barton Valley, is a pleasant, fertile spot, well-wooded, and rich in pasture. In this part and the last part of the novel, the characters are shown living in the contryside, where they are content and expect happiness. Then the setting moves to London, when Elinor and Marianne accompany...

Sunday, March 1, 2020

Profile of Joseph Lister, Father of Modern Surgery

Profile of Joseph Lister, Father of Modern Surgery English surgeon Joseph Lister  (April 5, 1827–February 10, 1912), Baron Lister of Lyme Regis, is considered the father of modern surgery for his  work developing sterilization procedures that saved countless lives. Lister pioneered the use of carbolic acid for sanitizing operating rooms and employed antiseptic surgical procedures to prevent deadly postoperative infections. Early Years Born on April 5, 1827 in Essex, England, Joseph Lister was the fourth of seven children born to Joseph Jackson Lister and Isabella Harris. Listers parents were devout Quakers, and his father was a successful wine merchant with scientific interests of his own: he invented the first achromatic microscope lens, an endeavor that earned him the honor of being elected a Fellow of the Royal Society. The young Listers love for science grew as he became fascinated with the microscopic world introduced to him by his father. Lister decided at an early age that he wanted to become a surgeon and thus prepared for this eventual career by delving into science and mathematics subjects at the Quaker schools he attended in London.   After entering the University of London in 1844, Lister earned a Bachelor of Arts degree in 1847 and a Bachelor of Medicine and Surgery in 1852. Listers achievements during this time included serving as house surgeon at the University College Hospital of the University of London and being selected as a Fellow of the Royal College of Surgeons. Research and Personal Life In 1854, Lister went to the University of Edinburgh, Edinburgh Royal Infirmary in Scotland to study under the famous surgeon James Syme. Under Syme, Listers professional and personal life flourished: he met and married Symes daughter, Agnes, in 1856. Agnes was  invaluable as a wife and partner, assisting Joseph with  his medical research and laboratory experiments. Joseph Listers research was centered on inflammation and its impact on wound healing. He published a number of papers regarding muscle activity in the skin and eyes, coagulation of blood, and blood vessel engorgement during inflammation. Listers research led to his appointment as Regius Professor of Surgery at the University of Glasgow in 1859. In 1860, he was named a Fellow of the Royal Society. Implementation of Antisepsis By 1861, Lister was leading the surgical ward at the Glasgow Royal Infirmary. During this time in history, surgery was performed only when absolutely necessary due to high death rates associated with infections. With little understanding of how germs like bacteria caused disease, surgical procedures were regularly performed in  unsanitary conditions. In an attempt to combat wound infections, Lister began to employ cleanliness techniques used by Florence Nightingale and others. This process involved keeping the environment clean, changing dressings, and washing hands. However, it was not until he read the works of  Louis Pasteur that Lister began to link germs with surgical wounds. While Lister was not the first to suggest that microorganisms were the cause of hospital associated diseases or that infections could be reduced through antiseptic methods, he was able to marry these ideas and effectively implement treatment for wound infections. In 1865, Lister began using carbolic acid (phenol), a substance used in sewage treatment, as an antiseptic to treat compound fracture wounds. These injuries were commonly treated by amputation, as they involved penetration of the skin and significant tissue damage. Lister used carbolic acid for hand washing and treatment of surgical incisions and dressings. He even developed an instrument for spraying carbolic acid into the air in the operating room. Lifesaving Antiseptic Success Listers first success case was  an eleven year old boy who had suffered injuries from a horse cart accident. Lister employed antiseptic procedures during treatment, then found that the boys fractures and wounds healed without infection. Further success ensued as nine of eleven other cases where carbolic acid was used to treat wounds showed no signs of infection. In 1867, three articles written by Lister were published in Londons weekly medical journal, The Lancet. The articles outlined Listers method of antiseptic treatment based on the germ theory. In August of 1867, Lister announced at the Dublin meeting of the British Medical Association that no deaths associated with blood poisoning or gangrene had occurred since antiseptic methods had been fully employed in his wards at Glasgows Royal Infirmary. Later Life and Honors In 1877, Lister assumed the chair of Clinical Surgery at Kings College in London and began practicing at Kings College Hospital. There, he continued to research ways to improve his antiseptic methods and develop new methods for treating injuries. He popularized the use of gauze bandages for wound treatment, developed rubber drainage tubes, and created ligatures made from sterile catgut for stitching wounds. While Listers ideas of antisepsis were not immediately accepted by many of his peers, his ideas eventually gained nearly worldwide acceptance. For his outstanding achievements in surgery and medicine, Joseph Lister was ennobled a Baronet by Queen Victoria  in 1883 and  received  the title Sir Joseph Lister. In 1897, he was made Baron Lister of Lyme Regis and awarded the Order of Merit by King Edward VII in 1902. Death and Legacy Joseph Lister retired in 1893 following the death of his beloved wife Agnes. He later suffered a stroke, but was still able to consult on treatment for King Edward VIIs appendicitis surgery in 1902. By 1909, Lister had lost the ability to read or write. Nineteen years after the passing of his wife, Joseph Lister died on February 10, 1912 at Walmer in Kent, England. He was 84 years old. Joseph Lister revolutionized surgical practices by applying the germ theory to surgery. His willingness to experiment with new surgical techniques led to the development of antiseptic methods that focused on keeping wounds free of pathogens. While changes have been made to Listers antisepsis methods and materials, his antiseptic principles remain the foundation for todays medical practice of asepsis (total elimination of microbes) in surgery. Joseph Lister Fast Facts Full Name: Joseph ListerAlso Known As: Sir Joseph Lister, Baron Lister of Lyme RegisKnown For: First to implement antiseptic method in surgery; father of modern surgeryBorn: April 5, 1827 in Essex, EnglandParents Names: Joseph Jackson Lister and Isabella HarrisDied: February 10, 1912 in Kent, EnglandEducation: University of London, Bachelor of Medicine and SurgeryPublished Works: On a New Method of Treating Compound Fracture, Abscess, etc. with Observation on the Conditions of Suppuration (1867); On the Antiseptic Principle in the Practice of Surgery (1867); and Illustrations of the Antiseptic System of Treatment in Surgery (1867)Spouse Name: Agnes Syme (1856-1893)Fun Fact: Listerine mouthwash and the bacterial genus Listeria were named after Lister Sources Fitzharris, Lindsey. The Butchering Art: Joseph Listers Quest to Transform the Grisly World of Victorian Medicine. Scientific American / Farrar, Straus and Giroux, 2017. Gaw, Jerry L. A Time to Heal: the Diffusion of Listerism in Victorian Britain. American Philosophical Society, 1999. Pitt, Dennis, and Jean-Michel Aubin. Joseph Lister: Father of Modern Surgery. National Center for Biotechnology Information, U.S. National Library of Medicine, Oct. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3468637/. Simmons, John Galbraith. Doctors and Discoveries: Lives That Created Todays Medicine.  Houghton Mifflin, 2002.

Friday, February 14, 2020

Compare and contrast the competing perspectives of structuralists and Essay

Compare and contrast the competing perspectives of structuralists and antistructuralists on the structure-conduct-performance paradigm. What are the implication - Essay Example An example of Game Theory would be if Company X makes product X, and Company Y makes product Y. A third company, Company XY, buys product X and Y to produce product XY. Company X, Company Y, and Company XY would be named as players under the Game Theory. If Company X raises the cost of their product, Company XY is affected. The rise in product X’s cost could even affect Company Y, if Company XY’s chooses to increase the price of their product with the result of lower sales of product XY. Game Theory has a few elements that are important to mention. As mentioned before players are one element, the other elements include payoffs, actions, and rules (Jaquier 2003). Players are the actual firms. Payoffs are the rewards or punishment of the players in the game. In the scenario above, Company X could have been punishing Company XY or rewarding Company Y, depending on the circumstances. Actions are the decisions made by the players. The rules define the players, actions and pa yoffs. This makes up the basics of Game Theory. An oligopoly is a couple of large suppliers controlling a particular market. The market concentration is normally high. Companies encompassing an oligopoly produce brand quality products. Barriers exist for firms on the outside an oligopoly, due to the necessity of brand quality products the firms on the inside of the oligopoly produce. The interdependence between companies in an oligopoly is vital. Each company in an oligopoly must anticipate what the other companies/players will decide concerning investments, prices, or any other important business decisions. Economists seek to predict these decisions by using Game Theory (Oligopoly 2005). Game Theory helps players logically figure out the decisions other players will make. Game Theory not only helps predict players decisions, but has an impact on politics, other businesses, pricing of products and services, locations for industrial plants, and even enviormental issues

Saturday, February 1, 2020

Vehicle Routing and Container Loading Problem Research Paper

Vehicle Routing and Container Loading Problem - Research Paper Example To optimize on the supply chain operation, researchers developed solutions for the vehicle routing problem (VLP) and also the container loading problem (CLP). It is impossible to optimize the routing process only and fail to optimize the CLP process. Likewise is impossible to develop solutions for CLP without developing VLP solutions. This paper suggests the use of an integrated approach to solve the routing problem. Several methods have been put across by different mathematician to help tackle the routing and packing problems. Some of these methods include the formulation of mathematical models, the use of algorithms as well as the integration of the two methods. This paper suggests the use of an integrated vehicle routing and container packing problem with the use of generic algorithms. G= (VA) which represents the complete graph with V representing the nodes and A representing the arc set, the vertex set V is described by V= and 0 represent the depot and represent the nodes. K represents the number of available vehicles. The vehicles are defined by their length, width and height. These dimensions are defined as HK, MK, WK,LK which represent the height , weight, width and length of the vehicle. the cost of vehicles to travel from point i to j is given by Cijk, the traveling time for the vehicle from the point i to j is given by tijk, the service time of vehicle K at node i is given by Sik, the cargo type is represented by, the length of the cargo is represented by lp, while the cargo width is represented by wp. The weight of the cargo is given by mp. The time taken to load cargo to the track is given by tdpk, while the time taken to unload the cargo is given by tupk. The demand for the cargo at a given node (n) is represented by Dp(i). The number of cargo delivered by vehicle K is given by. Setting the constrains Clients; the model assumes that the clients are distributed within a given geographical area. Some clients are near the deport while others are situated away. Deport: the model assumes that there is one deport to serve these clients Vehicles; the vehicles are the same, that is they are homogenous Vehicle capacity; the capacity constrains for the vehicle are given by weight that the vehicle can carry and the volume of the vehicle. The volume of the vehicle is defined by setting (length by width by height of the vehicle). The correct definition involves defining

Friday, January 24, 2020

Preserve The Forests :: essays research papers

Preserve the Forests   Ã‚  Ã‚  Ã‚  Ã‚  In agreement with Kim Stafford, who opposes the clear-cutting of old growth forests, I feel that it is necessary to preserve the profitable lumber in its natural state for future generations. Currently, the tons of lumber produced from the Pacific Northwest region of the United States are taken for granted, and most people do not realize that the forests will be destroyed within ten years at this rate of exploiting our natural resources. We must make loggers a profession of the past and divert those current ones into another sector in our society. The spotted owl is more than a *Darwinistic* survival of the fittest issue; it represents the direction of our only planet.   Ã‚  Ã‚  Ã‚  Ã‚  In order to preserve the beauty of this planet, we must cease the clear- cutting of forests. All old growth forests have been around for multiple centuries and are cut down daily in a matter of hours in order to produce more buildings and houses in this already over-crowded world. If the rate at which we cut down trees is continued without any regulation, the forests will all be gone in ten years, so we should do mankind a favor and try to preserve what is left. If the old growth forests are gone, then they can never return because it takes over five generations to produce one and at the rate that the human population is increasing, there is not enough land to have a secure place for a new forest.   Ã‚  Ã‚  Ã‚  Ã‚  If we realize that it is best for the human race to stop destroying the natural resources, then we must destroy, too, the existence of loggers all together. To do so, there must not be any new loggers, so all training potential loggers must be stopped. The current loggers must be diverted to another occupation. Perhaps if the public supported the notion of stopping clear-cutting, the government would be able to provide services to educate the loggers in a different field. Also, with public support, many companies will probably offer several programs for former loggers. No matter what we choose today, the loggers have seen their last Haley*s comet; they will all be gone with forests in ten years.   Ã‚  Ã‚  Ã‚  Ã‚  When we stop the development and decrease the number of loggers, we will help save the spotted owl, a species that has greater importance than a mere animal towards the our species. It is a symbol of the general health of Mother Earth, a figure without which no living object can survive. If the cutting of

Thursday, January 16, 2020

Mentoring to Retain Nursing Staff

The purpose of the study aims to investigate the results of the education-based preceptor program of a community hospital intended to address the declining retention rate of nursing staff in the hospital. The implementation of the program is supported by the perceptions of newly graduated nurses that they still need mentoring even after undergoing orientation. Retention rate should increase through the program. The study employed convenience sampling by considering as respondents, the 40 newly graduated nurses of the community hospital. The research design is a combination of qualitative and quantitative approaches. Data collection is through a survey guided by a questionnaire made up of closed and open ended questions and visual analogue scales. To ensure validity, all the respondents were informed about how the visual analogue scales work. Reliability was achieved by using standard visual analogue scales and variables supported by literature. Results showed that after undergoing the program, there was an increase in retention rate by 29 percent and a decrease in vacancy rate by 9.5 percent. The primary strength of the study is the combination of qualitative and quantitative approaches to derive rich data. Its major weakness is the use of convenience sampling, which means that the results reflect the situation of the respondents but this may not be subject to generalizations. Masny, A., Ropka, M., Peterson, C., Fetzer, D., & Daly, M. (2008). Mentoring nurses in familial cancer risk assessment and counseling: Lessons learned from a formative evaluation. Journal of Genetic Counseling, 17(2), 196-207. The study sought to explore the mentoring of nurses to take on the counselling of individuals wanting to learn information on cancer risk in the community. The need to train nurses for this work is because of the rise in community-based activities of the health care institution. The research looked into the results of the 5-day training of nurses on assessment and counseling of cancer risk together with long-distance mentorship to facilitate continuing skills development. Initially, selection of the respondents applied convenience sampling by considering the nurses who completed the training as respondents. The 40 nurses were then randomly assigned to their counterpart in the long-distance mentoring and the scheduling of the mentorship as either immediate or delayed. The study employed the quantitative approach. The data collection instrument is a formative sampling that covers the various aspects of the program. Reliability is ensured by using an instrument already tested by previous studies. Results showed appreciation for mentoring with improved efficacy after 6 months and continuation of the mentoring program to support continuous community-based work. The main strengths of the study are the long period of data gathering that ensured observation of results and use of formative evaluation, which is an accepted measurement tool. The weakness is the focus on quantitative data that could have provided insights from the perspectives of the nurses. Latham, C., Hogan, M., & Ringl, K. (2008). Nurses supporting nurses creating a mentoring program for staff nurses to improve the workforce environment. Nursing Administration Quarterly, 32(1), 27–39. The study sought to determine the impact of mentoring in improving work environment of nurses and patient outcomes based on the underlying recognition that a good work environment supports nursing staff retention. Through a mentoring program, workplace issues such as lack of communication and collaboration are addressed. The mentoring relationship involves a 3-year partnership involving the staff of two hospitals. Research participants were determined through purposive sampling by seeking out the nurses engaged in the mentoring programs of the two hospitals. The research approach is qualitative by considering observations of results and outcomes and comparing these with previous base data. Data collection method is observation and document analysis to support the comparative study. Validity is achieved by considering variables that determine the expected outcomes. Results showed that the mentoring program developed mutual respect and reinforced the support culture in both hospitals. This means higher retention rate. The strength of the study is the consideration of data on long-term results and focus on outcomes. The weakness of the study is reliability since observation data could vary when replicated. Wagner, L., Seymour, M. (2007). A model of caring mentorship for nursing. Journal of Nurses in Staff Development, 23(5), 201-211. The study sought to investigate the relationship between mentoring and the personal and professional growth of nurses. This is based on the recognition that health levels of personal and professional growth of nurses supports higher rates of retention. The paper reports on the results of a mentoring program conducted in the form of a workshop involving student nurses and professional nurses. Participants were selected through convenience sampling depending on the nursing students and nurses that signed up for the seminar. The study employed the qualitative approach as a research design because the intention is to derive accounts of the experiences of the mentoring seminar participants. The data collection instrument is focus group interview and individual interviews. Reliability is achieved by taking the personal accounts of the participants and validity is ensured by using questions intended to draw the experiences of the participants on the aspects of personal and professional growth with implications on retention. Results showed that personal and professional growth occurred for both student nurses and practicing nurses. This supports higher entry and retention rate of nurses. The strength of the study is the derivation of rich and in-depth data to support conclusions while the weakness of the study is the short period of data collection that limited data collected on outcomes. Â   Â   Â   Â   Â  

Wednesday, January 8, 2020

Make Your Essay Flow Using Transitions

Your written report, whether it is a creative, three-paragraph essay, or an extensive research paper, must be organized in a way that presents a satisfying experience for the reader. Sometimes it just seems impossible to make a paper flow—but that generally happens because your paragraphs aren’t arranged in the best possible order. Two essential ingredients for a great-reading paper are logical order and smart transitions. Create Flow With Better Paragraph Order The first step toward creating flow is making sure your paragraphs are put together in a logical order. Many times, the first draft of a report or essay is a little choppy and out of sequence. The good news about writing an essay of any length is that you can use cut and paste to rearrange your paragraphs. At first, this might sound terrifying: when you finish a draft of an essay it feels much like you have given birth—and cutting and pasting sounds scary. Don’t worry. You can simply  use a practice version of your paper to experiment with. Once you have finished a draft of your paper, save it and name it. Then make a second version by copying the entire first draft and pasting it into a new document. Now that you have a draft to experiment with, print it out and read it over. Do the paragraphs and topics flow in a logical order? If not, assign each paragraph a number and write the number in the margin. Don’t be at all surprised if you find that a paragraph on page three looks like it could work better on page one.Once you’ve numbered all the paragraphs, start cutting and pasting them in your document until they match your numbering system.Now, re-read your essay. If the order works better, you can go back and insert transition sentences between paragraphs.Finally, re-read both versions of your paper and confirm that your new version sounds better than the original. Create Flow With Transition Words Transition sentences (and words) are necessary for making connections between the claims, views, and statements you make in your writing. Transitions can involve a few words or a few sentences. If you can imagine your report as a quilt made up of many squares, you could think of your transition statements as the stitches that connect the squares. Red stitches might make your quilt ugly, while white stitching would give it flow. For some types of writing, transitions can contain just a few simple words. Words like also, furthermore, and yet, can be used to connect one idea to another. I had to walk two miles each morning to get to school. Yet, the distance was not something I considered a burden.I enjoyed walking to school when my friend Rhonda walked with me and talked about her travels.   For more sophisticated essays, you’ll need a few sentences to make your paragraphs flow. While the research was conducted at a university in Colorado, there is no evidence that altitude was considered to be a factor  ...A similar exercise was carried out in the mountain state of West Virginia, where similar extremes of altitude exist. You will find that its easy to come up with effective transitions once your paragraphs are arranged in the most logical order.