Thursday, November 28, 2019

Ataque imperialista contra Irak essays

Ataque imperialista contra Irak essays Los ms importantes ataques areos estadounidenses desde la guerra del Golfo, en enero de 1991, golpearon a Irak en enero y junio de 1993 y en septiembre de 1996. Entre tanto, como en febrero de este an de la diplomacia estadounidense ante lo que se presenta a la opinin pà ºblica internacional como continuos desafà ­os de Saddam Hussein. Para esa salida tiene siempre el apoyo incondicional de Gran Bretan en el gobierno. Los tres primeros ataques tras la guerra del Golfo, en enero de 1993, fueron ordenados por el presidente George Bush; ms tarde, ese mismo as comprobado plan del servicio secreto iraquà ­ para matar a Bush, atentado que serà ­a cometido durante una visita a Kuwait. Tres as tarde, a pesar de las crà ­ticas y la oposicin de rusos, rabes y franceses, Clinton "castig" una invasin de tropas iraquà ­es en la zona de exclusin del norte del paà ­s -supuesta proteccin para los kurdos- con 44 misiles. El apoyo rabe a las fuerzas internacionales que intervinieron en la operacin "Tormenta del desierto", en 1991, no fue por cierto circunstancial. Provino bsicamente de las monarquà ­as del golfo Prsico que reaccionaron ante el cambio de fronteras impuesto unilateralmente por Irak -al invadir a Kuwait- y estaba dirigido a defender sus intereses petroleros. Hace siete a fracturar al Islam, unido desde entonces slo para defender la causa palestina. Intentos estadounidenses ms recientes por una solucin exclusivamente militar tuvieron -como a c...

Monday, November 25, 2019

Please, Thank You, Youre Welcome

Please, Thank You, You're Welcome Please,  thank you, and  youre welcome  are perhaps the most common phrases  in English. Use  please  to politely ask for something,  thank you  or  thanks  when someone does something for you or gives you something. Finally,  use  youre welcome  as a polite response when something thanks you for something. Learn the rules and alternate forms of these three important phrases in English. Please for Requests Please is used in order to make requests more polite. It is added to the end of polite questions and is preceded by a comma. Polite Question , please ? Could you give me a hand, please?May I use your telephone, please?Can I join your table, please? Please  can also be placed before the verb when asking a polite question: Would you please help me with this?Could you please explain the grammar again? Please for Confirming Help Please is also used to confirm an offer of help using the phrase  yes, please. Would you like to come with us? - Yes, please.May I help you? - Yes, please. Id like to know more about this months sale. Giving Directions and Please Generally, please is not used when giving directions or instructions, especially if there are a number of instructions to follow.  For example, a teacher might give the following instructions to a class: Open your book to page 40.Read the introduction.Do the introductory exercises.Read the passage.Take the multiple choice follow-up quiz. Please can be used when giving instructions to make the order more polite. This is usually done when only one order (or instruction) is given and is used only in spoken English. Please sit down.Pay attention, please.Please fill in this form. Notice that please is placed at the beginning or end of the instruction. Thank You Thank you is used when a compliment is given: Youre a fantastic tennis player! - Thank you.I really enjoyed dinner. It was very tasty. - Thank you, Im glad you like it. Thank You to Accept and Refuse Offers Thank you is often used at the beginning of a reply to an offer. It can be used in both the positive and the negative form to either accept or refuse an offer. Would you like something to drink? - Thank you. Id like a cola, please.Do you want to join us at the concert tonight? - No thank you. I need to study! Thanks Thanks is also used in the same manner as thank you in informal situations. Youre Welcome The phrase youre welcome  is the most common response when someone thanks you for something.  Youre welcome  is a phrase that comes from the German word  willkommen.  However, as you can read below, the use is very different than in German. Other phrases for saying  youre welcome  include: Formal   Dont mention it.Not at all.My pleasure.Im glad to have been of help. Informal No problem.Sure.Certainly.   When to NOT use Please Please  is not used as a response to  thank you. WRONG Thank you. - Please. RIGHT Thank you. - Youre welcome.Thank you. - No problem.Thank you. - Not at all. The Use of Please and Thank You Compared to Other Languages The use of please and thank you in English is very important. Please and thank you have their equivalents in other languages, but the usage of please and thank you in English is not always the same. Lets take two examples one from German and one from Italian in which a translation of please is used in Italian or German, but not in English. Italian Please - Prego Posso sedermi? - Prego Literal English translation: Can I sit down me? - Please Proper English translation: Can I sit down? - Certainly German Please - Bitte Vielen Dank! - Bitte schoen! Literal English translation: Many thanks! - Please pretty! Common English translation: Many thanks! - Youre welcome! Please, Thank You, Youre Welcome Quiz Fill in the gap with  please,  thank you,  or  youre welcome  depending on the situation.   Could you _____ help me with my homework?Would you like to have dinner early today? Yes, _____.Thank you for your advice. - _____. Im glad you found it helpful.Would you like something to drink? _____. Im not thirsty.Another way to say  _____ is my pleasure._____ sit down and begin the lesson.Could I sit down next to you? Certainly. - _____.May I use your restroom, _____?_____ to use my study if you would like._____ for your help on the test. I got an A! Answers pleasepleaseYoure welcomeThank youyoure welcomePleaseThank youpleaseYoure welcomeThank you About English Functions The use of  please  and  thank you  are known as functions. Learning correct language functions will help you understand and use the correct phrases and grammar in specific situations.

Thursday, November 21, 2019

Food and Beverage Operations Case Study Example | Topics and Well Written Essays - 500 words - 43

Food and Beverage Operations - Case Study Example I would delete the fourth point of Ed Hasting’s list that suggests on holding a meeting with the managers of other units. This is because it is important to give other managers the freedom of becoming autonomous decision makers. Such managers need to have an initiative in the implementation of change in the areas they find necessary within their units (Fisher & Ashley, p. 16). The most important item is the idea of visiting at least one franchise and one company store per week. This is because once there is the formulation of a change policy; individuals within the organization could hesitate in the implementation. Therefore, it is important for Ed Hastings to monitor the level of implementation of the change, to ensure that the actual change occurs (Fisher & Ashley, p. 17). Every employee among the teammates of performing units needs to receive an equal share of the $20,000 bonus pool. This is because the essence of teamwork is the provision of a particular outcome of the engagement of equal efforts. Therefore, the performance reward needs to consider and be an integral part of the equal effort. The Food and Beverage Industry has several trending concerns. Most of the companies are placing an emphasis on the reduction of food waste. This entails the formulation of measures that ensure the reduction of waste from the start to the end of the supply chain. Another concern is the need for the companies to focus on food and beverage safety. This ensures that the companies achieve consumer trust through the provision of quality products. The know-lead leadership model has five practices. To begin with, the leaders develop the goals and principles for the people in an organization. Secondly, they inspire the people to have a commitment towards achieving the goals. Thirdly, the leaders challenge transition policies through the innovation of better ways that ensure organizational improvement. Fourthly, they give other  people in the organization a chance to suggest and implement strategies of the organization.  

Wednesday, November 20, 2019

Observation Report On Special Education Essay Example | Topics and Well Written Essays - 1250 words

Observation Report On Special Education - Essay Example This essay covers on actual status of a special education environment. It extrapolates on observations made during learning hours within a special needs school. In order to ascertain functionality of theoretical concepts in practical settings, we will relate attributes learned in class with those observed in the field. These will include a description of physical elements of the environment, evaluation on teaching strategies employed by teachers, understanding of daily routine within the school and finally a personal reflection based on observations made within the practical context. Description of Classroom Setting The classroom is located at ground floor level together with the mainstream building, with a specially designed exit and entry doors for wheelchairs. Inside the building, I realized that it was a self-contained room with the washroom situated at the back of the room. With a population of thirteen students, one teacher and two aid workers were ready to address any kind of need required by each student. At all times, the two aids Mrs. Francisco and Mrs. Adams arrive in class on time, actually by 11 AM. The teacher, Mr. Molesan, is tasked with delivering class content to the students, who belonged to 5th and 6th grade. On the other hand, Mrs. Francisco and Mrs. Adams assist the challenged students in pushing their wheel chairs or in managing any difficulty related to their disabilities. In order to minimize disruption and inconvenience created by movements, the students are only pulled out of the classroom when necessary, for example during lunch break. Inside the class are seven learning centers each located at strategic positions. With these centers, students can conveniently move from the computers section to the arts and craft center. All the 13 students in the class have various forms of disabilities which include communication impairment, auditory impairment, mild physical challenges and a few with multiple disabilities. Based on the appearance of the classroom setting, I would say that the school has been successful in achieving the underlying objective of delivering special education. According to Smith and Tyler (2010), locating the classroom together with the mainstream building enhances inclusiveness, thus fostering a sense of acceptance among the handicapped students. In addition, locating different learning centers within a single classroom serves as an indication that teachers are committed towards enhancing learning through special approaches. As if those provisions were not enough, timely availability of the two aid workers indicates commitment towards efficiency in assisting learners with special needs. Physical Environment It is undeniable that learners with special needs require a supportive environment that will increase convenience during learning. Based on my observations, such supportive attributes were installed in various parts of the room. Students using wheelchairs were not required to use staircases but enjoyed gently sloping wheelchair case. Additionally, another physical attribute of the class involved vastness of the working space. A class which on normal occasion could accommodate 40 students only had 13 students. According to Boyle (2009), this enables creation of enough space which would allow special maneuvering of physically handicapped members of the class. Students were

Monday, November 18, 2019

Discuss the potential role of omega-3 fatty acids in the treatment of Essay

Discuss the potential role of omega-3 fatty acids in the treatment of inflammatory diseases - Essay Example Interestingly, the human body cannot produce these acids, however, once in the body, they are transformed into more complex structures. These structures have been noted to perform numerous important biological functions. ALA is, in fact, a predecessor to EPA and DHA (Gura et al. 2008). This is because when ALA is taken by humans, it is transformed to EPA and DHA. This is due to the fact that EPA and DHA are easily transformed to complex polyunsaturated fatty acids. The greatest supplies of ALA originate from fish such as salmonherring, halibut, sardines and Chinook (Racco 2009). As a result, many people consume fish oil in order to acquire the omega-3 fatty acid, rather than taking itself, for a number of reasons. ALA, furthermore, can be obtained from foods such as seeds, oils, green leafy vegetables, nuts, and beans among many others. As said by Gura et al. (2008), dietary fish oil supplementation exists documented to enhance inflammatory illnesses, for example, irritable bowel, asthma as well as rheumatoid arthritis. Various impacts of omega-3 PUFA are as a result of modulation of the quantity depending on the types of eicosanoids that are produced. This is because other impacts are expressed by eicosanoid-independent means, which include the behaviour following transcription factor activity, intracellular indicating routes as well as gene expression (Cheung et al. 2009). It is worth noting that animal experiments coupled with clinical intervention studies highlight the anti-inflammatory characteristics that omega-3 fatty acids poses. Therefore, these strengthen its worth in the running of inflammatory and autoimmune illnesses. Numerous clinical studies on the impact on different inflammatory diseases following the use of food supplements enriched with fish oils are coming up on a day-to-day basis. This is because of the increased knowledge in the causative agents of the diseases, which include rheumatoid arthritis, irritable

Friday, November 15, 2019

Ethical Concepts in the Provision of Nursing Care

Ethical Concepts in the Provision of Nursing Care The nursing process is more than a method that nurses use to diagnose and treat actual and potential health problems. The American Nurses Association (ANA) Standards of Nursing Practice provides a basis for practice and recognition of the patient; in addition, nurses also must adhere to the professions ethical code as well. Nurses are committed to respect human beings with an unbiased approach of care to differences socially, economically, culturally, racially, and other human attributes (Saucier, 2005, p. 80). It is the responsibility of the professional nurse to engrain ethics as an essential part of the foundation of nursing. The International Council for Nurses (ICN) identifies that the need for nursing is universal and that nurses have four fundamental responsibilities: to promote health, prevent illness, restore health, and alleviate suffering (Tomey, 2004, p. 75). From the beginning of nursing Florence Nightingale stated it so eloquently in the original Nightingale Pledge: I will do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling (Nightingale, 1893, para. 1) Ethical issues that are challenging for nurses in everyday practice and nurses continue to find it difficult to practice with moral integrity and as moral agents given the many difficult ethical challenges they encounter in the healthcare system. Confidentiality The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was originally created to ensure the privacy of individuals and it holds those individuals accountable that might acquire sensitive information in regards to medical records (Garrett, Baillie, Garrett, 2010, p. 117). However, there are also some gray areas where a nurse is often not sure whether the information that is being handed out is acceptable, or whether the person that is asking for the information is authorized to have it. When these kinds of situations take place, confusion can arise and it can make it difficult for nurses to do the job properly without fear of retaliation. Not only is confidentiality an ethical issue, but a legal requirement. In chapter five, Principles of Confidentiality and Truthfulness, the terms obligation and secrets was used. Having the understanding and knowing the difference between the types of secrets and an awareness of harm or possible harm to the patient, family, or profession is key. This information is directly related to the Nursing Scope and Standards of Practice, Standard 12. Ethics, The registered nurse integrates ethical provisions in all areas of practice. The measurement criteria for the registered nurse state: Maintains patient confidentiality within legal and regulatory parameters, maintains a therapeutic and professional patient-nurse relationship with appropriate professional boundaries, and uses Code of Ethics for Nurses with Interpretive Statements to guide practice (American Nurses Association [ANA], 2004, p. 39). Specifically, ethic 3.2 Confidentiality, that is encompassed in the standard that states the nurse promotes, advocates for, and strives to protect the health, safety , and rights of the patient (American Nurses Association [ANA], 2001, p. 12). Trust and well-being of the patient are key in the area of confidentiality; keeping in mind, that when working within a multi-disciplinary team, the nurse must only share relevant information on a need to know bases. As an example, the emergency room nurses cousin was admitted to the emergency room during the shift at the hospital. He is in critical condition. The nurses mother is very concerned about him, but she has not been able to reach the nurses aunt and uncle. The nurse is aware of the cousins condition. With the standards and ethics does she tell her mom? No, this is probably the hardest of situations, but the nurse must not tell. She must not even let on that she has any information. Instead, encourage her mother to keep calling your aunt. The nurse might even see if her aunt is at the hospital and arrange for her to call mom. Even doctors can only release information to the immediate family-in this case, the cousins parents. It is up to the aunt and uncle to inform the rest of the family. That way, they can determine how much information family members should have. Maintaining confidentiality is an important aspect of professional behavior. It is essential that a nurse safeguard the patients right to privacy by carefully protecting information of a sensitive, private nature. Sharing personal information or gossiping about others violates nursing ethical codes and practice standards. It sends a message that the nurse cannot be trusted and damages interpersonal relationships. Informed consent Nurses are obligated to tell all patients, regardless of whether or not they are capable or incapable of giving consent, about the care or treatments before it is given. Nurses are obligated to assist patients understand the nature of their health problems and assist them to receive the information and support they need to make informed decisions. A key principle studied in chapter two, Principles of Autonomy and Informed Consent, that all medical care requires the consent of the patient (or someone who is authorized to consent for the patient) before the care plan is carried out. An assumption is made that informed consent recognizes that a patient needs to know about a procedure, surgery, or treatment, before they decide to have it. Standard 14.Resource Utilization in the ANA Scope and Standards of Practice explicitly denotes that nurses should assists the patient and family in becoming informed consumers about options, costs, risks, and benefits of treatment and care. Informed con sent may have a multitude of legal ramifications, but its core and most controversial function lies in the idea of patients actually participating in medical decision making. It may be at this point that the physician (or autonomist) and the nurse most tend to butt heads. Fortunately for nurses there is Ethics Code 1.4. The concept of informed consent is fundamental to the delivery of health care. The nurses responsibility is vital in ensuring that patients are fully informed and understand their options; each nurse has an obligation to be knowledgeable about the moral and legal rights of all patients to self-determination (ANA, 2001, p. 8). Informed consent is more than just signing a paper, is specific patient right. An example case of a patient with angina who was considered for a coronary bypass surgery demonstrates the issue of informed consent. Ethical and legal aspects of achieving consent must be considered. Physicians may have personal biases, which may lead to coerced consent, or may overwhelm the patient with information on potential complications of a proposed procedure. Patient preconceived notion or misinformation may lead to misunderstood consent. The patients request to put back the decision to the physician raises the question of whether such requested paternalism violates patient self-determination and invalidates consent or is it an exercise of the patients right to have his physician decides (Garrett et al., 2010, p. 32)? Quality and safety Providing basic nursing care for the individual patient is an important nursing value supported by professional mandates and by codes of nursing ethics. Referring again to Standard 14.Resouce Utilization that states, the registered nurse considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services (ANA, 2004, p. 42). It is easy to tie the concept directly from the ANA standards of performance to the nursing code of ethics 8 that states the nursing profession is committed to promoting health, welfare, and safety of all people (ANA, 2001, p. 23). In reading from chapter six, there was discussion that quality care can be achieved by high tech equipment, credentialing, licensing, skill, knowledge, and protocols; however, a key point in judging quality stated professions lead the effort to enhance and protect quality in the professions (Garrett et al., 2010, p. 134). If employment conditions, agency regulations, or hospi tal policies create undesirable working conditions that limit the quality of nursing care that can be provided, nurses become concerned. Since nurses value quality of patient care, they also value those conditions that allow quality patient care. When nurses attempt to balance the value of quality of patient care with issues involving their quality of life the action of a possible strike may come into question. While the nurses value being able to guarantee high quality care they may realize in the short term many patients may not receive the highest of quality care while a strike is in effect. When putting ethical decisions first, nurses should work through their professional organizations and promote positive mechanisms for negotiations with employers. If nurses can gain responsibility for, and control over, the quality of care delivered, they will have gained great benefit for the health of the community. Conclusion If not nurses, who will advocate for the chronically ill (both young and old), the under and uninsured, and the most vulnerable with complex health needs? Who will question the rightness or wrongness of aggressive care, technological advancements, and determinations of quality of life? Who will address patient concerns related to informed consent, surrogate decision-making, and the risks and benefits of treatment or research? And who will challenge ineffective or inefficient nursing, physician, and administrative leadership standards and styles that underestimate the significance of ethical problems on patient outcomes and nurse productivity and retention? These philosophical questions are at the core of our deeply held values and beliefs about who we are as a discipline. Without adequate ethical knowledge and competence; however, it is difficult to bring together nursing on central ethical concepts in the provision of nursing care. The nurse, as a patient advocate presents difficult challenges; however, the key principles of ethics will allow all nurses to persevere in understanding the scope and limits of their professional responsibilities.

Wednesday, November 13, 2019

One Summer Night :: essays research papers

Remember the day’s when you were once a teenager? Their were so many decisions to make and choices to choose from; yet so many advantages. Now can you remember all of the good times that you had? Always hanging out with your friends, gossiping, having sleep over’s, talking on the phone constantly, and all of the teacher’s whose class you dreaded.   Ã‚  Ã‚  Ã‚  Ã‚  Now I want you to imagine that it is the last day before summer break. Your parents are taking a trip to Kentucky Lake with some friends, so your stuck home all alone. So you’re pondering what all you could manage to stir up.   Ã‚  Ã‚  Ã‚  Ã‚  The question isn’t â€Å"what are you going to do† its â€Å"what aren’t you going to do†. What would a normal teenager do on a basis like this. You would just have to be a fool to not have a party. I know a party never works out, your parents always got to find out some way or another. But, maybe just this one time a teenager could actually out smart their all knowing all seeing, parents.   Ã‚  Ã‚  Ã‚  Ã‚  Don’t get me wrong, I not completely a renegade teenager. I followed my parents rules, for awhile. I watched a movie and fixed me some popcorn. But as far as friends coming over, I didn’t just bend the rule, I broke it completely in half.   Ã‚  Ã‚  Ã‚  Ã‚  Most of my friends showed up, in all there were about thirty-two, including myself. I got some cool jams, some strobe lights, a fog machine, a black light, and just a few more gadgets to play around with.   Ã‚  Ã‚  Ã‚  Ã‚  Well, the party kicked off around 6:30. It didn’t start off on a bad note and it began to heat up about 7:00. Half-way through the party, a fight broke out between Chad and Mike. I wasn’t going to break it up, as a matter of fact I thought that the whole thing was hilarious.   Ã‚  Ã‚  Ã‚  Ã‚  At every party something bad has always got to happen. It wasn’t the fight which broke out it was the phone call afterwards. Let me tell you this, it wasn’t the pizza boy who lost his way, it’s your mother checking up on her â€Å"little baby boy†. One Summer Night :: essays research papers Remember the day’s when you were once a teenager? Their were so many decisions to make and choices to choose from; yet so many advantages. Now can you remember all of the good times that you had? Always hanging out with your friends, gossiping, having sleep over’s, talking on the phone constantly, and all of the teacher’s whose class you dreaded.   Ã‚  Ã‚  Ã‚  Ã‚  Now I want you to imagine that it is the last day before summer break. Your parents are taking a trip to Kentucky Lake with some friends, so your stuck home all alone. So you’re pondering what all you could manage to stir up.   Ã‚  Ã‚  Ã‚  Ã‚  The question isn’t â€Å"what are you going to do† its â€Å"what aren’t you going to do†. What would a normal teenager do on a basis like this. You would just have to be a fool to not have a party. I know a party never works out, your parents always got to find out some way or another. But, maybe just this one time a teenager could actually out smart their all knowing all seeing, parents.   Ã‚  Ã‚  Ã‚  Ã‚  Don’t get me wrong, I not completely a renegade teenager. I followed my parents rules, for awhile. I watched a movie and fixed me some popcorn. But as far as friends coming over, I didn’t just bend the rule, I broke it completely in half.   Ã‚  Ã‚  Ã‚  Ã‚  Most of my friends showed up, in all there were about thirty-two, including myself. I got some cool jams, some strobe lights, a fog machine, a black light, and just a few more gadgets to play around with.   Ã‚  Ã‚  Ã‚  Ã‚  Well, the party kicked off around 6:30. It didn’t start off on a bad note and it began to heat up about 7:00. Half-way through the party, a fight broke out between Chad and Mike. I wasn’t going to break it up, as a matter of fact I thought that the whole thing was hilarious.   Ã‚  Ã‚  Ã‚  Ã‚  At every party something bad has always got to happen. It wasn’t the fight which broke out it was the phone call afterwards. Let me tell you this, it wasn’t the pizza boy who lost his way, it’s your mother checking up on her â€Å"little baby boy†.