Sunday, February 23, 2020
Bacterial Meningitis - Pediatric - Research Paper Example Diagnosing Bacterial Meningitis Bacterial meningitis is the inflammation of the meninges caused by bacteria, which may be fatal to the individual. It can be caused by several types of bacteria, of which the most common are Haemophilus influenzae type b (Hib), Streptococcus pneumoniae, and Neisseria meningitidis, affecting varied age groups. In children, clinical manifestations of the condition may be fever, stiff neck, headache, lethargy, irritability, nausea, vomiting, and photophobia, which are all non-specific but may suggest the diagnosis of bacterial meningitis when there is a combination of one or more of these symptoms (Scheld, Whitley, & Marra, 2004, p. 384). Through lumbar puncture (LP), the cerebrospinal fluid (CSF) is examined to confirm the diagnosis, but in cases where LP cannot be performed like in the presence of a focal intracranial mass lesion, a cranial computed tomography (CT) scan or a cranial magnetic resonance imaging (MRI) scan is obtained (p. 385). The respons ibility of the nurse is to conduct a thorough physical assessment and note the presence of KernigÃ¢â¬â¢s and BrudzinskiÃ¢â¬â¢s signs. ... n important role in initiating supportive interventions to ensure proper ventilation, reduce inflammatory response, and prevent brain injury, with the goals of reducing intracranial pressure (ICP), maintaining cerebral perfusion, treating fluid volume deficits, controlling seizures, and providing safety measures (Kyle, 2008, p. 500). ADPIE In assessment, the nurse performs a neurologic examination that includes the six areas of neurologic functioning in order to gauge the extent of the clientÃ¢â¬â¢s mental state that would jeopardize his safety. He or she notes all aspects of the childÃ¢â¬â¢s health, including changes in feeding patterns. One of the priority diagnoses in bacterial meningitis is Risk for Injury related to decreased level of consciousness (LOC) secondary to meningeal irritation. Because there is decreased cerebral perfusion, the patient may experience altered consciousness that would compromise his or her safety. The aim of the nurse in her care is to provide safet y measures and prevent further complications, and educate the clientÃ¢â¬â¢s family on promoting a safe environment. The nurse monitors for fever, nuchal rigidity, or irritability, watches vital signs, and for increased ICP and altered responsiveness, in order to detect common sequelae such as subdural effusions or septic arthritis and ensure prompt treatment (Ã¢â¬Å"Nursing Care,Ã¢â¬ n.d.). It is also important to measure the intake and output of the client, with measuring urine specific gravity, restricting sodium, and obtaining daily weight to determine possible fluid retention and prevent cerebral edema. As shock is also possible to occur, the nurse continuously monitors vital signs, blood pressure, capillary refill, and level of consciousness in order to prevent the complication or quickly respond once
Friday, February 7, 2020
Crime, Media, Culture - Essay Example This can also be used to control the behaviors of the public. Information about crime is gathered from media outlets such as television, newspapers, radio, and internet (Muncie, Talbot & Walters, 2010, p. 44). This information is supplemented with the experiences of the viewer in the definition of real representation. The media has been accused of representing crime and criminal activities as the norm. Through these representations, criminals are depicted as heroes while law enforcement officers are depicted as villains.Daily news media focuses on incidents rather than conditions. This means that media does not consider ideas. By focusing on incidents, media highlights conflicts rather than solutions (Mason, 2003, p. 69). For instance, the idea that imprisonment should be used to provide opportunities for rehabilitation initially enjoyed popularity from the public. However, correction and justice professionals with support from the media overturned the perception that imprisonment wa s meant to rehabilitate people to the perception that imprisonment was a punitive way of rehabilitating criminals. A rise in crime solidified public opposition to imprisonment as a correctional strategy. The tendency of media to focus on crime has led to the neglect of human needs of people living in impoverished neighborhoods. These people have deprived security because the media created impressions that security and law enforcement agents use criminal means during the implementation of the law.
Wednesday, January 29, 2020
To encourage healthier eating Essay To encourage healthier eating, higher the taxes on junk food Although some people might say itÃ¢â¬â¢s unnecessary to have higher taxes on junk food, I strongly believe that itÃ¢â¬â¢s going to affect the processing of a human body because the amount of fat is going to be lower. First of all, people will spend less money on junk food and it will lead to people saving money, which they can later use to buy something useful. High prices will get people to think about their money. It could even teach young individuals to save money already from an earlier stage of their lives, which is helpful in many ways. Money is an issue for many middle class people and it wouldnÃ¢â¬â¢t be reasonable for them to spend much money on junk food when they donÃ¢â¬â¢t have plenty of money. Once the prices are higher, people might think twice before paying that much money on something that is not going to help them with anything. Secondly, it would mean a great deal of improvement in a human body. Obesity is a big issue nowadays which even causes death for many people. If the prices were higher, people would buy less junk food which would mean that there will be less people suffering with heart diseases. Many fat people sometimes feel that they would love to be in shape so that they donÃ¢â¬â¢t have to be embarrassed in front of people. Consuming less junk food would be the first step and it would get people to maybe go to the gym and get in shape. So higher prices wouldnÃ¢â¬â¢t just reduce heart diseases and such but also encourage people to get in shape. Some may say that itÃ¢â¬â¢s not going to have any affect and people will still buy junk food because they like to eat it. Those people should be replied with the fact that everything needs a chance to prove. Instead of having negative comments about it before it has even happened, they should think of what it could do if it really worked. Many lives would be saved and obviously money would be saved.
Tuesday, January 21, 2020
Ã Ã Ã Ã Ã The portrayal of the feelings of the general public is constantly used in film to stir the audience. If the filmmaker can rouse their feelings, people will be more engrossed in the movie than they would be otherwise. What is arguably the strongest emotion in many people is the feeling of patriotism. As George Bernard Shaw said, Ã¢â¬Å"Patriotism is your conviction that this country is superior to all other countries because you were born in it.Ã¢â¬ Though this feeling is not necessarily based on logic, it is none-the-less one of the most powerful feelings along with hatred and love. Depending on when a movie is made, the amount of patriotism portrayed is directly related to the political and social climate on the time. Specifically, the recent movies Spider-Man (2002) and Spider-Man 2 (2004) both show the differing amounts of patriotism that were in the American psyche at those two close but far different times in history. Additionally, it can be shown that th e movies can even have their own effect on the patriotic feelings of the time. Comparing and contrasting the two movies reveals how the differing times affected the final product of both movies. Ã Ã Ã Ã Ã Spider-Man (2002) was filmed in 2001 before and after the events of September eleventh, 2001, but wasnÃ¢â¬â¢t released until eight months after in May of 2002. Though when the film was originally written and shot the amount of patriotism was evident, after 9/11 the political climate ...
Sunday, January 12, 2020
In Maya Angelou autobiography Ã¢â¬ËI know why the caged bird singsÃ¢â¬â¢ many themes and issues are looked at. This autobiography shows the difficulty of a black woman growing up surrounded by discrimination and poverty, but also shows her determination, joy and hope. Maya Angelou describes her relationship with many character, this in it self is a theme of her writing, the way she sees people in her own light. Some characters that may be seen to be good people are changed by MayaÃ¢â¬â¢s opinion. A good example of this is the contrast between MayaÃ¢â¬â¢s mother and MayaÃ¢â¬â¢s fatherÃ¢â¬â¢s girlfriend. If both these characters were described, the fatherÃ¢â¬â¢s girlfriend maybe considers the better person. This is not the case after reading this book, as Maya has a way of making the reader see these characters as she sees them. After the separation of Maya AngelouÃ¢â¬â¢s parents she and her brother Bailey were sent away to live with her grandmother when Maya was only three. This must have been a terrible experience for a young child to go through, which some may think would have left Maya with resentment towards her mother. In fact this was quite the opposite. When Maya meet her mother again after she left her, Maya discarded the fact that she sent her away. She describes how as soon as she saw her mother, the nights she spent crying for her was forgotten. Ã¢â¬ËI knew immediately why she had sent me away. She was too beautiful to have children. Ã¢â¬Ë(Maya Angelou, 1984, P58) This was MayaÃ¢â¬â¢s way of justifying her mother actions. Even if it maybe considered a bad thing what her mother did, Maya still thought she was wonderful. Later on in this book MayaÃ¢â¬â¢s mother did another bad thing. She shot someone twice, which again maybe considered a bad thing to do. Ã¢â¬ËSince she had intended to shoot him (notice: shoot, not kill) she had no reason to run away, so she shot him a second time. Ã¢â¬â He had been shot, true, but in her fairness she had warned him. Ã¢â¬Ë(Maya Angelou, 1984, pages 202 and 203) The language used when Maya describes this event show she thinks that this is not a major or bad thing that has happened. Maya again shows her mother as not a bad person even though what she has done is wrong. MayaÃ¢â¬â¢s mother was also believed to be a prostitute; Maya believes this too but again discards the idea because she knew that if that were true then she wouldnÃ¢â¬â¢t be able to live with her, which she wanted to. Even though MayaÃ¢â¬â¢s mother could be considered a bad mother, Maya thinks extremely highly of her. This can be seen from the choice of lexis, Maya uses to describe her mother. Maya always used nice words such as Ã¢â¬ËbeautifulÃ¢â¬â¢, Ã¢â¬ËwarmÃ¢â¬â¢, Ã¢â¬ËgloriousÃ¢â¬â¢. Maya is also enthusiastic when talking about her mother. At one point Maya goes to stay with her father and his girlfriend. Maya believed that being her mother was so beautiful, any woman her father was with after her mother would have been just as beautiful if not more. This was the start of MayaÃ¢â¬â¢s disappointment when meeting her stepmother. Maya disliked Dolores (her stepmother); you could tell this from the contrast in tones, from the happy tone when see talks about her mother to the dull and spiteful tone used when describing Dolores. Ã¢â¬ËIf Dolores had been a little less aloof, a little more earthyÃ¢â¬ ¦ Ã¢â¬â She was mean and petty and full of pretense. Ã¢â¬Ë(Maya Angelou, 1984, pages 222 and 223) Dolores theoretically was a good, honest person. She was a good, hardworking wife; she took Maya into her home and treated her well. Even though this, she is still seen as the bad one by the end of this part, from the way Maya talks about her. Maya uses mean words to describe Dolores, and is also sarcastic towards her when talking about her and their home. Ã¢â¬ËShe was on close terms with her washing machine and ironing board. Ã¢â¬Ë(Maya Angelou, 1984, P221) This shows one of the sarcastic phases used by Maya Angelou. It also shows that Maya was not the innocent party in her conflict with her stepmother. Maya went out of her way to irritate Dolores and to make her jealous of Maya relationship with her father. Dolores still comes of as the bad one at the end, after an argument with Maya. Maya tries to be nice to Dolores, but Dolores ends up calling MayaÃ¢â¬â¢s mother a Ã¢â¬ËwhoreÃ¢â¬â¢. Even though this is possibly true and Maya questions this, she still defends her mother. It is Maya that makes the first attack on Dolores; Maya justifies her behaviour, which leaves her looking the better person. Ã¢â¬ËWhat did she expect if she called my mother a whore? Ã¢â¬Ë (Maya Angelou, 1984, P239) Another character who has an unexpected outcome is the dentist, Dr Lincoln. At one stage Maya, as a child was in a lot of pain with toothache. At the Maya was living with her grandmother in Stamps. The nearest Negro dentist to them was twenty-five miles away, which was too far for Maya to travel in such pain. As a result MayaÃ¢â¬â¢s grandmother took her to a dentist near by that owed her a favour. Many would believe a dentist to be a respectable, good, reliable person. This was not the case of Dr Lincoln. He refused to help a child in pain, even though MayaÃ¢â¬â¢s grandmother stopped him losing his business by lending him money. When speaking to MayaÃ¢â¬â¢s grandmother, Dr Lincoln was very abrupt and rude to her. He did not even acknowledge Maya, or the fact her face was swollen and she was in pain. Ã¢â¬ËIÃ¢â¬â¢d rather stick my hand in a dogÃ¢â¬â¢s mouth than in a niggerÃ¢â¬â¢s'(Maya Angelou, 1984, P184) This was the harsh phase that Dr Lincoln used. This also shows discrimination and racism, another major theme in Maya AngelouÃ¢â¬â¢s autobiography. After Dr Lincoln refuses to help, MayaÃ¢â¬â¢s grandmother follows him in his office. When she later describes what happened she says that Dr Lincoln and the nurse were as Ã¢â¬Ëthick as thievesÃ¢â¬â¢. This is a simile used to accentuate Dr Lincoln characteristics. From the way Maya Angelou has written her autobiography Ã¢â¬ËI know why the caged bird singsÃ¢â¬â¢ she has managed to successfully express peoples true characters. People that may be considered to have a good character such as Dr Lincoln have been shown for who they really are. This has been done by the choice of lexis and the tones that she has used to create different atmospheres when describing certain characters.
Saturday, January 4, 2020
Social Responsibility in Marketing: Does It Work? Amita Bajwa, Paulette Brown, Eric Burke, Sheron Curtis-Stokes, Raychale Dukeman, Jon Reed Kennesaw State University Ã¢â¬â Ruby C68 May 21, 2017 Socially responsible marketing is a marketing philosophy where a business considers what is in the best interest of society in the present and long term (DeWitt Dahlin, 2009). Corporate Social Responsibility (CSR) is not new to business or society at all. It is an area of business betterment that began decades ago. It all started with the turn of the 20th century when companies came under attack for being too powerful, which made customers feel uneasy. Industrialists likeÃ¢â¬ ¦show more contentÃ¢â¬ ¦The idea that CSR as a form of marketing contributes to the bottom line is one that businesses have been proving for decades. Some of the worldÃ¢â¬â¢s largest businesses dedicate a portion of the marketing costs to socially responsible marketing because they have seen their efforts fruition with profits; the Coca-Cola Company is a great example. The Coca-Cola Company shows how focusing on the customer can lead to more sales and future loyalty. The corporation noticed the power of soc ial responsibility and acted. Coke used a program called Ã¢â¬Å"5by20Ã¢â¬ to help promote the benefit of empowering women. The program was designed to empower five million women entrepreneurs worldwide by 2020. Their reason for doing so was because research indicated that empowering women can have a long-lasting effect, including increased revenues and numbers of workers, plus better educated and healthier families (Hayzlett, 2016). Positive media coverage on CSR activities can have a significant impact on a companyÃ¢â¬â¢s bottom line. The inverse is also true. Businesses that ignore corporate social responsibility run the risk of doing harm to their brand and their bottom line. Consumers are only willing to pay a premium price when they have a strong commitment to the good cause of a CSR initiative (Sen Bhattacharya, 2001). In general, the CSR doctrine leads to focus too narrowly on certainShow MoreRelatedIntegration of Faith and Learning Essay682 Words Ã |Ã 3 PagesBUSI 520 Liberty University Online Responsibility: To ourselves and to our Lord and Savior Jesus Christ Joshua 1:9; Have I not commanded you? Be strong and courageous. Do not be terrified; do not be discouraged, for the LORD your God will be with you wherever you go. Throughout life we learn a lot of lessons, but one of the items that stays with us from our Mothers womb to when we meet the good Lord in Heaven, is responsibility. 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SmallÃ¢â¬â¢s wants his customers to be Ã¢â¬Å"thinking about the quality and origins of the fabrics you wear, their impact on the environment, and your own view of social responsibility as a customer.Ã¢â¬ Even if the customer cannot afford his clothing he wants them to understand his mission as a designerRead MoreBusiness Analysis : Kellogg Company1654 Words Ã |Ã 7 Pageswhich are Wuhan Frealth, Arla, Danone and so on (Labreport, 2008). The local alliances offer Mengniu with the opportunities to build a capillary distribution network and help the company be the sole supplier for Starbucks (a pioneer in the green marketing area) outlets within the China. The international partnership helped Mengniu enter the overseas market and learnt many advanced methods on reducing the carbon emissions during the transportation. KelloggÃ¢â¬â¢s case study Introduction Kellogg company
Friday, December 27, 2019
Lending Tree portends to act as an online conciliator between individuals looking for home loans and home loan lenders. The premise is that by connecting several lenders with the client, or rather- making several lenders aware of a potential customer, that the loan with the best interest rate will rise to the top of the stack. Lending Tree claims to offer debt consolidation and to lower one s monthly interest rates. The company s advertising campaign seems to suggest that Lending Tree will act as a negotiator for the client, urging banks to compete for your business. While this is not exactly the case, using the site essentially amounts to shopping around for a better deal which, of course, is better than buying on impulse. Lending Tree Home Loans takes your information, including your financial goals, and runs a credit check. At this point the service submits this information to a number of lenders. 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Village women who made bamboo furniture had to take usurious loans to buy bamboo, and repay their profits to the lenders. Traditional banks did not want to make tiny loans at reasonable interest to the poor due to high risk of default. But Yunus believed that, given the chance, the poor will repay theRead MoreSolutions: Income Stateme nt and Pearson Education121412 Words Ã |Ã 486 Pagesyour iPhone application investments and what mix of debt and equity your company will have. iii. You will be responsible for the cash management of your company, ensuring that your company has the necessary funds to make investments, pay interest on loans, and pay your employees. Corporate managers work for the owners of the corporation. Consequently, they should make decisions that are in the interests of the owners, rather than their own. What strategies are available to shareholders to help ensure