Monday, August 24, 2020

Expansionism essays

Expansionism articles The late nineteenth century through the mid twentieth century was a period set apart by extension. In any case, it didn't start around then. Extension on the American landmass happened numerous prior years and the late nineteenth/mid twentieth century is just a continuation of past expansionism. There were comparative intentions; in any case, adjusted to manage explicit circumstances managing outside countries. Getting land was done correspondingly, contingent upon what obstructions were to be managed. In spite of the United States want for extension, there were limits with the western outskirts thus contained their proceeded with spread for a period. In any case, when a best approach past these cutoff points was discovered, they had the option to proceed from the latest relevant point of interest. The principle thought process in extension in the nineteenth century was Manifest Destiny. The Americans were as far as anyone knows foreordained by God to grow from sea to sea. In any case, not long after this thought was set instead of American residents minds, President James Polk reported to Congress that the Monroe Doctrine ought to be upheld permitting the US to powerfully grow westbound. The Monroe Doctrine and its Roosevelt Corollary was a continuation of Manifest Destiny, adjusted to permit the US to manage outside forces hindering them. Nonetheless, from the Monroe Doctrine, additionally came options to the arrangement to go for a progressively compelling methodology towards extension. Roosevelts Big Stick Policy called for love amazing approach to going up against remote countries. This strategy lead to wars managing lands in the Western Hemisphere, including the Caribbean. Spanish mismanagement in Cuba drove the US to intercede and push Spanish impact out of the West in the Spanish-American War, which was supported by the Monroe Doctrine. Roosevelt expressed that in the Western Hemisphere...the Monroe Doctrine may drive the United States...to the activity of a worldwide police power. (Doc F) This strong methodology had likewise been disp... <! expansionism papers During the late nineteenth century and the mid twentieth century the United States occupied with an imperialistic disposition as it went into the time of domain. This new American domain started on the North American landmass where it spread until the remainder of the mainland United States was involved. From the mainland, America started to grow its domain to different pieces of the world, which was their show fate. Contrary to dominion, a few Americans felt that it was not Americas obligation to drive lacking countries to give up their legislature to the United States; they, in this way, left from the normal sob for expansionism. In this way, American expansionism was begun upon the North American landmass, extended to different countries, and was thought by some to be very un-American in that it removed the privileges of individuals. American expansionism started as the eastern people groups of the United States drove westbound into the obscure domains. During the right on time to mid-nineteenth century, the Iron Horse drove westbound into the uninhabited domains and carried trainloads of regular folks to populate the land. The land started to load up with occupants, ruling out additional. An expanding volume of public...[demanded] (doc C) that the United States extend further into different pieces of the world. As Americans topped off the west, they started to tame the Native American Indian by passing laws, for example, the Dawes Severalty Act of 1887, which broke down a large number of the clans as lawful elements and gave Indians inevitable citizenship. When the red man was controllable, Americans felt it was their obligation to edify the remainder of the savages around them. Americans saw encompassing grounds as potential free governments, regions to humanize, and new places for exchange. As the Cubans longed for freedom from Spain, the American individuals were prepared to help battle &qu... <! expansionism expositions During the late nineteenth and mid twentieth hundreds of years, the United States sought after a forceful strategy of expansionism, broadening its political and monetary impact far and wide. Endeavoring to control as much land and its kin as possible. Strip mining what little assets the littler nations had, simply to satisfy their ravenousness and to fill their pockets with the green. The way that Americans at the time thought they expected to meddle with the lives of others wasnt to very much legitimized. Americans however that they expected to look after children acculturate the graceless. The purported white keeps an eye on trouble was just made a weight until we made it. Up to that point the others didnt meddle or trouble the Americans. The imperialistic Americans were themselves repudiating their own accepts. The way that everybody has their own entitlement to religion, they despite everything expected to show these uncouth individuals religion. These thoughts were just used to make the Americans rests easy thinking about what they were doing. They realized that they would consume in hellfire for doing such things, however they expected to make moral help for themselves so they could proceed with the digestion. Archive 1 best portrays this absorption of others: McKinley however that he shouldnt give the Philippines back to Spain since that would be fearful and offensive. He expresses that he shouldnt offer it to Germany or France since it would be terrible business. The terrible business would be that America would lose cash. He doesnt need to cut them totally lose in light of the fact that he feels that would make a distraught scramble of the forces that may brought the United States into. He says this yet, America has been imperializing different nations and doing only that, getting brought into struggle. He says that god gave every one of these plans to him, a similar god who gives him life, and lets him live in his own will. But he wants to ... <! Expansionism expositions It could be said, The United States has been expansionistic from its earliest reference point. The 13 English provinces, sticking toward the eastern seaboard, were resolved to push westbound in spite of all normal and political hindrances. When built up as a country, the United States approached procuring considerably more land, including Florida, the Louisiana Purchase, and the Mexican Cession. The extension related with the late nineteenth century was only one part in a long book. - Annexation of Florida, Oregon, and Texas (1845) - Spanish American war restored power of expansionist - bordering states versus non-coterminous These are a couple of zones wherein one can concentrate to shape an exposition concerning extension during the nineteenth century. ... <!

Saturday, August 22, 2020

Why Marijuana over Tobacco †English Persuasive Essay

Why Marijuana over Tobacco †English Persuasive Essay Free Online Research Papers Why Marijuana over Tobacco English Persuasive Essay Around 50 percent of approaching school first year recruits have confessed to utilizing maryjane. What's more, around 40 percent of them smoke it all the time. The inquiry is the reason is cannabis unlawful and tobacco lawful? Cannabis has been known as a â€Å"gateway drug†, which means it prompts utilization of other harder medications. This isn't correct. It genuinely relies upon the individual whether they will do other drugs. Individuals who smoke weed don't have a higher possibility of getting dependent or in any event, attempting cocaine or heroin than non-clients. Many negative realities have been recounted pot, for the most part by the tobacco business, which are bogus. For what reason is the tobacco business so worried about weed and its negative impacts? It is on the grounds that the tobacco business is attempting to remove a portion of the consideration from their item and blame maryjane. Cannabis is more advantageous, more secure, and has more clinical use than tobacco does. Most unlawful medications, for example, cocaine and heroin, are blended in with a wide range of synthetic compounds, yet not cannabis. Cannabis is developed starting from the earliest stage. No synthetic concoctions are included during or after the developing procedure, just daylight and water is required for the plant to develop. When the plant arrives at its pinnacle, it is brought down and hung up to dry for a significant stretch of time. After that it is fit to be delighted in and smoked by its clients. Be that as it may, in tobacco they blend in numerous unneeded hurtful synthetic concoctions. One of these synthetics is nicotine, which is exceptionally addictive. This is the substance that keeps the tobacco smokers returning for additional, and that's only the tip of the iceberg, which keeps the tobacco organizations cheerful and generously compensated. You may ask, for what reason is this substance in tobacco? The explanation is simply so tobacco clients can't stop smoking when they attempt, yet are stuck smoking until they kick the bucket. Today a huge number of little youngsters, teenagers, and grown-ups are dependent genuinely to tobacco but then it is difficult to turn out to be truly dependent on cannabis. Physical compulsion is the place the body thinks it needs the nicotine to endure, so when you simply stop the body isn't utilized to not having it in your framework and withdrawal manifestations may happen. At the point when one attempts to stop the utilization of tobacco items withdrawal side effects may happen including quick heartbeat, expanded hand tremor, sleep deprivation, queasiness, physical tumults, tension, figments, and seizures (Internet Mental Health). These side effects may happen for a considerable length of time in the wake of halting the utilization of tobacco. Additionally, tobacco likewise leaves radioactive materials in your lungs, which after some time is the thing that causes malignant growth (Erowid). No radioactive materials are available in pot smoke. The tar in maryjane smoke just contai ns 33% as much tar as tobacco (Erowid). Likewise when maryjane is smoked, it separates different tars in your lungs, including other cannabis and tobacco tars. Tobacco makes the lungs air sections littler and cause them to choke, in contrast to pot. Nonstop tobacco use causes the air entry approaches to in the long run close up making it difficult to breath. What's more, at long last tobacco execute you. Another negative impact of nicotine is that it causes negative consequences for the heart and circulatory frameworks. What the nicotine does is makes the veins and corridors in your body contract (Erowid). This may prompt a stroke or cardiovascular failure. Tobacco use causes the body numerous issues. There has never been an overdose of weed. To overdose on weed you would need to smoke over a pound in an hour of great pot. That is truly incomprehensible. This is genuine on the grounds that the dynamic compound in cannabis is THC. â€Å"THC is one of only a handful hardly any synthetic concoctions for which there is no known harmful amount† (Lycaeum), which means substance of THC in maryjane isn't sufficiently high to cause demise. Tobacco, then again, can murder an individual by an overdose. Individuals have figured out how to overdose by utilizing dermal fixes and smoking tobacco simultaneously (Erowid). Nicotine is a hazardous medication and ought not be utilized by any stretch of the imagination. Clinical pot has been utilized for a considerable length of time. It has been found as far back as 1,600 years prior. Weed was utilized for a wide range of reasons. Patients experiencing glaucoma may get pot to facilitate the agony in the eyes. For patients in chemotherapy maryjane has been utilized to give them their hungers back and decrease the sickness (Erwoid). Individuals with extreme migraines may likewise be endorsed weed. Cannabis can be utilized on patients with resting or dietary issues as well. However in many states it is unlawful to try and recommend cannabis. In any case, yet in 1988 our own DEA’s authoritative Judge Frances Young stated, â€Å"Marijuana is one of the most secure restoratively dynamic substances known to man.† He additionally said â€Å"marijuana in its characteristic structure is far more secure than numerous nourishments we usually consume† (National Academy Press). Tobacco has no clinical uses by any means. Some state it eases p ressure and lessens the hunger. Other than that, tobacco has no utilization of any sort whatsoever. Numerous individuals imagine that maryjane makes you less clever. The biggest investigation of cannabis to date demonstrated that they are incorrect. It was demonstrated that overwhelming long haul clients scored marginally higher on IQ tests, had a lower sickness rate, lower possibility of creating malignancy, and an expanded life expectancy contrasted with non-clients (Erowid). So smoking some weed before a test really will expand your capacity to think. Truth be told, it said the cannabis smokers have been known to outlast non-smokers by as long as 2 years (Erowid). We have all heard that smoking cannabis causes Cancer. In addition to the fact that this is an untruth clients of maryjane have lower paces of delivering lung disease then non-clients. â€Å"Not one instance of lung malignant growth has ever been effectively connected to weed use† (Erowid). In 1975 specialists at the Medical College of Virginia found that cannabis can help battle against benevolent and harmful malignancies. This demonstrates weed doesn't cause malignant growth, however it could forestall or even fix it. Shouldn't something be said about tobacco however? Tobacco causes lung malignant growth. Tobacco leaves tar in the lungs that are radioactive. These radioactive materials transform after some time into hurtful materials that makes malignant growth be delivered (Erowid). Cannabis is the main utilized unlawful medications. On the off chance that it isn't addictive, at that point for what reason do individuals who attempt it return? This is on the grounds that it is more secure than the various medications. Cannabis has been utilized everywhere throughout the world for some reasons. The Indians smoked it at functions to unwind and make some great memories. Where lawful, specialists endorse it to their patients for various reasons. Some popular specialists and artists use weed all the time to upgrade their innovativeness. Others simply use it since they like to unwind and have a ton of fun. Nothing isn't right with smoking weed in any way, shape or form by any stretch of the imagination, yet utilizing tobacco is simply self destruction. What you have been told in the past may negate the realities about pot. Smoking tobacco has neither rhyme nor reason and should be halted. So don't simply remain there in the tobacco smoke occupied room and get out and smoke some cannabis. 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Saturday, July 18, 2020

4 Brilliant Tips for Dealing With Angry Customers

4 Brilliant Tips for Dealing With Angry Customers A couple years back, I worked as a customer service representative for a tech company. I enjoyed the work â€" talking to customers, helping them sort out any issues they were having with the company’s products. I understood the products well and loved hearing the delight in customer’s voices after their problem was resolved. I considered myself good at handling people, until I had my first experience with an irate customer.Sure, most of the people who call customer support are usually unsatisfied about something. But most of them are usually calm and logical, looking for a solution rather than someone to berate.Not this customer.He started yelling angrily the moment I picked up the call. He went on and on about how our products were useless, how the whole company was a joke and how stupid the customer support (me) was.This got to me and I felt the urge to shout back at him.However, I knew the call was being recorded. Yelling back at him would put my job in jeopardy, therefore I s imply let him yell until he ran out of steam and hung up.If you work in a customer-facing role, it is inevitable that you will have to deal with an angry customer, if you haven’t already. The incidents will not be so many, but they will certainly be there.For every single customer who complains about your product or service, there are 26 other customers who don’t voice their concerns, opting instead to take their business elsewhere.Customers might get angry for a variety of reasons, some justified and some not â€" your products or services did not meet their expectations, they had incorrect assumptions that led to wrong expectations, the problem occurred at an inconvenient time, you name it.If you want to be successful in business, you have to know how to deal with disgruntled customers, because they will always be there.Whether you are dealing with the customer on phone or whether the angry customer is physically present, these situations are usually filled with stress and unpr edictability that can easily result in disaster for your company.You need to know how to deal with such situations tactfully in a way that minimizes the chances of a damaging outcome for your business.Being prepared and knowing ahead of time what to do in such situations is the key to reaching outcomes with the least damage to your business. Below are four brilliant tips for dealing with angry customers.USE THE CUSTOMER’S NAME The first thing you should do when faced with an angry customer is to find out their name and use it to address the customer. This might sound odd.What does a name have to do with an angry customer?A person’s name is a very important thing to him or her. It forms a major part of their identity, of who they are.According to Dale Carnegie, a famous American author,“A person’s name is to him or her the sweetest and most important sound in any language.” According to this research, hearing our name makes our brains ecstatic and causes some parts of the b rain to light up. Note that this only happens when we hear our own name, not any other name. This shows how important a person’s name is.By finding out and using the customer’s name, you are creating a great connection to their individuality and identity. You are humanizing the interaction between the two of you. Instead of the tricky situation being an interaction being between the company and a faceless customer, you turn it into a conversation between two people.It shows that your care about the customer, that you respect that and recognize that they have a problem, which you are willing to find a solution to. This makes the customer feel important and plays a huge role in calming them down.Therefore, whenever you encounter an angry customer, start by asking for their name and then use it when addressing him or her. Below is an example of how staff in customer-facing roles typically address complaining customers:“I’m sorry for that sir! Let me see what I can do.”“What can I do to help ma’am?”“I can see why you are upset.”Now, compare the above responses with the following statements:“I’m sorry for that, Dave! Let me see what I can do.”“What can I do to help, Chloe?”“I can see why you are upset, Kelvin.”The responses with the customer’s name sound a lot less formal and much more sincere than the responses where the customer is simply addressed as sir or madam.This makes the customer feel like you actually understand their frustrations and that you are more invested in helping him or her solve their issue.REMAIN CALMWhen you find yourself in an interaction with an angry person, with their anger directed at you, your brain’s first instinct is to get you into fight or flight mode. Your first urge is to either defend yourself or attack the person.Resist any temptations to get into a vehement verbal sparring match with the customer. Doing so is both inefficient and ineffective â€" it won’t get you anywhere.Actually, getting into a shouting match with the customer cannot lead to any positive outcome for you or the business. It does not matter if you make better points in the argument or if you yell louder than the angry customer.You will only succeed in making the customer angrier, which is the last thing you want to do. If you want to calm the customer down and have a meaningful conversation, you have to remain calm yourself. Without remaining calm, it will be impossible for you to find out what their problem is.Regardless of what the customer says to you, try not to get angry. Don’t let your ego get the better of you. Remain calm and professional and avoid yelling back at them or adopting an angry tone.Sure, dealing with the angry customer might be frustrating, but you don’t want to give this impression to the customer.Even if you are not yelling, you do not want the customer to think that you are disdained by their complaints, since this will only make them angrier and thwart any chances of mean ingful communication.Maintain a neutral expression as you engage with the customer and calmly show that you are interested in finding out more about their problem and finding a solution for it.If you find it hard maintaining your calm, take deep, calm breaths until you start calming down.Don’t make the breathing obvious to the customer, since it might come across as creepy. By displaying a calm and professional demeanor, the customer might be unconsciously compelled to mirror your attitude, thereby effectively calming him down. If the customer is shouting, a good idea is to ask him to speak slower.According to a study published in the Science Daily, a loud voice is usually accompanied by faster speech. By asking the customer to slow down his speech, he will automatically and subconsciously lower his voice and become calmer. Request the customer to speak slower as many times as necessary until he starts calming down.Another great tactic for remaining calm and calming down a custome r is to ask questions. Instead of trying to show them why they are wrong, ask questions that require them to focus on the facts.Ask how they would like you to assist or seek clarification for some details in their story. Most times, the customer’s anger is a result of the emotional response associated with the inconvenience caused by your products or services.By asking factual questions, you shift the client from the emotional aspect of their complaint to a more objective view that is focused on finding a solution rather than complaining.You should also learn not to take things personally when dealing with an angry customer. Keep in mind that the customer is not angry with you. They are angry because they are dissatisfied with a certain aspect of your products or services.In their anger, the client might not be keen about their choice of language, which means that a lot of their displeasure might be directed at you.Even if they are addressing you, you have to remind yourself that they are actually talking about the company and not you as an individual. Keeping this in mind will make it easier for you to remain calm in such a situation.Another thing you should avoid here is trying to place the blame on the customer. There are many situations where customers will angrily complain about something that is entirely their fault.However, placing the blame on an angry customer will only make him more irate and will push him away from your company. He might actually turn into a crusader against your business.A research by Esteban Kolsky shows that 13% of unhappy customers will share their bad experience with 15 or more people. This is not good for your business. If you think the problem is their fault, calmly explain the company’s policy for dealing with such issues without directly putting the blame on the customer.APOLOGIZE TO THE CUSTOMERThere are several reasons why a customer might be angry. In some cases, the reason behind the customer’s anger will be your (the company’s) fault. For instance, their delivery might have been bungled, they might have received a product that is not working, your service might have crashed at a crucial moment, a member of staff might have treated them badly, and so on.In other cases, the customer’s anger might be due to reasons outside the company’s control. Probably the customer dropped their product in water or did something else that damaged the product, they might not have followed the manual, they had wrong expectations of the product, or maybe the customer is just having a bad day and is complaining about a non-issue.If the fault is not something under your control, you might be tempted to tell the customer that it was not your fault. Regardless of the reason behind the customer’s anger, you need to apologize to the customer.Apologize for something that is not your fault? You might be wondering why on earth you would do that. Well, here’s the thing. If you in a customer facing role, you are the face of the company. You are its ears, its eyes and its mouth.To the angry customer, you are the company, and they believe that the company has wronged them.Therefore, regardless of whether you were involved in whatever angered the customer or not, you need to apologize to the customer on behalf of the company.When giving an apology, you need to watch out for the kind of language you use. If the customer’s concern is the fault of the company, you should apologize and take responsibility for your (the company’s) mistake.For example, if a customer is complaining because an order was sent to the wrong address, you could say, “I’m sorry that the order was sent to the wrong address. It must have been a mistake on the part of our dispatch team. Let me see what we can do to make up for the inconvenience.” Note that in this apology, you are accepting the blame for the mistake.On the other hand, if you determine that the customer’s concern is not the company’s fault, you s hould issue an apology for the situation the customer is going through while being careful not to accept the blame.For example, if the customer bought a computer from you but then dropped it, causing it to stop working, this is clearly not the company’s fault. In such a situation, you should apologize for what they are going through and then calmly explain the company’s policy for dealing with such issues, again without directly putting the blame on the customer.For instance, you might say,“I’m sorry about the fact that your computer is not working. I understand that this is a great inconvenience for you. However, our warranty only covers manufacturer defects.”Note that this apology does not assume responsibility for the customer’s concern.Why is apologizing important? Many times, angry customers are not looking for a refund or a special bonus because the company has made a mistake, especially if the mistake has only slightly inconvenienced them.They just want the compan y to acknowledge the mistake and apologize for it. According to a research by the Nottingham School of Economics, angry customers are more likely to forgive a company that issues an apology compared to one that offers financial compensation for an inconvenience.According to the research, 45% of customers who received an apology for a delay in delivery withdrew their negative review of the company, compared to only 23% of customers who were offered financial compensation.Therefore, before you pull out your checkbook in an attempt to appease an angry customer, try giving them a simple “sorry for the mistake.” Not only is it more effective, it is also a lot cheaper.MAKE THE CUSTOMER FEEL HEARDAnother great way to calm down an angry customer is to make them feel heard and understood. An angry customer is already in a highly emotional state. Regardless of the reason behind their anger, they believe that they have been wronged and that their concerns are valid.By complaining to you, t hey not only want you to solve the problem, but also to understand the pain and frustration you have put them through.If you rush to solve the problem, they might feel that their pain and frustration is being ignored, which might make even more upset. Therefore, before you start proposing solutions, you need to make the customer feel heard and understood.To make the customer feel heard and understood, you will need to use your best listening skills. Since the customer probably wants to vent, you should give them the time to rant. Be patient and hear them out.Even if they say something that does not add up, resist the urge to interrupt them. Like pouring gasoline on a raging fire, interrupting an angry customer will only make them madder.At the same time, you don’t want the customer to feel like they are talking to themselves, especially when they are complaining on phone where they can’t see you. As they talk, encourage them with verbal prompts to show that you are still listeni ng. Use words such as “okay,” “uh huh,” and “oh, I see.”This gives them the assurance that you are paying attention to what they are saying and makes them feel like you want to know the whole story.Once they are done venting, you need to make it clear to the customer that you have actually heard and understood their concerns. Show the customer that were justified in raising their concerns. You can do this through reassuring statements, such as,“I can certainly understand why you are upset,” or “calling us was the right thing to do.”Another way to show the customer that you were paying attention is to repeat the problem back to the customer. As you do this, you need to acknowledge not only the facts of the situation, but also how they made the customer feel. For instance, you might say,“I know it must have been frustrating and inconveniencing for you not to receive the product when you were expecting it.”If something about their complaint feels a little unclea r, ask questions to make sure you fully understand their complaint. Once the customer realizes that you actually care about their problem and how it made them feel, they are more likely to calm down and give you the space to come up with a solution for their problem.In addition to helping them calm down, listening to an angry customer can also be beneficial to your business. First, listening to an angry customer provides you with an opportunity to learn something valuable from the customer. Angry people are some of the most honest people you will ever come across. An angry customer does not care about your feelings, which means that they will tell you things as they are.Instead of treating their rant as a nuisance, think of it as valuable customer feedback. Their complaint might help you discover an element of your product that you overlooked or internal processes that need to be fixed. This provides you with opportunities to make improvements, which is something every business shou ld be doing.In addition, acknowledging and implementing something suggested by a customer will make the customer feel valued and can even turn them into a loyal devotee of your brand.Secondly, listening to an angry customer might also provide you with a chance to teach something valuable to the customer. As you listen to the customer’s rant and ask questions to further understand their problem, you might realize that the functionality they are complaining about is actually available elsewhere in your product, or that they have a misconception about your product.This makes it easier for you to solve their problem and convert them into a loyal customer. This might also help you realize that you have been positioning your product incorrectly, thus giving you an opportunity to re-strategize your product positioning and attract even more customers.WRAPPING UPIf you work in a customer-facing role, it is inevitable that you will have to deal with an angry customer at some point. While su ch situations are usually characterized by stress and predictability, the 4 tips shared in this article can help to tactfully deal with the situation and minimize the chances of a damaging outcome for your business.When you encounter an angry customer, you should first use their name to create a connection with them and make them feel special. Despite anything the customer says, you should always maintain your cool.Offer an apology to the customer and ensure that you make them feel heard and understood. Once you learn to utilize these 4 tips, you will no longer be unnerved by an angry customer.

Thursday, May 21, 2020

Use Of Electronic Medical Records From Emergency...

Background Most emergency care is delivered in Emergency Departments (ED), there were over 129 million ED visits in the United States in 2010, and some of the most common reasons patients visit the ED is for abdominal pain, chest pain, fever, headache and back pain (Mutter Clancy, 2014). Doctors and the other healthcare providers in the ED use electronic medical records (EMRs), rapid blood/urine testing, and diagnostic procedures such as; X-ray, CT scan, MRI to decide if a patient requires inpatient or outpatient care (Free et al., 2013). They also use other tools such as; telemetry, bedside sonography, point of care tests, and clinical decision aids for quick decision (Free et al., 2013). The ED physician’s new mHealth technologies may allow more patients to receive the care at home that was once only accessible in hospital (Manojlovich et al., 2015), and on that way they don’t need to go to ED for minor illness. mHealth is transforming the way people with chronic illness are re trieving and evaluating information and communicating with their primary physician or other health professionals (Free et al., 2013). Mobile technology can be utilized to remind patients to take their medication at proper times, and it can assist patients record their health symptoms and send them to his/her primary physicians and specialists electronically as needed (Manojlovich et al., 2015). Instead of waiting for patients to understand that they have any abnormalities and visit their doctor,Show MoreRelatedEssay on Electronic Communication in Health Care849 Words   |  4 PagesReinvestment Act of 2009. 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For this article, e-Health is defined as: †¦ an emerging field in the intersection of medical informatics, public health, and business, referring to health services and information delivered or enhanced through the Internet and related technologies. In a broader sense, the term characterizes not only a technical development, but also a state-of-mindRead MoreEssay National Ehr Mandate1248 Words   |  5 PagesNational EHR Mandate Heidi Babcock-Marvin Ohio University National EHR Mandate An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includesRead MoreThe Electronic Medical Records For The Provider1374 Words   |  6 PagesMarsha: 1. The electronic medical record promises to revolutionize the delivery of health care services. Identify the advantages and disadvantages for the patient and for the provider. How much Government regulation should be involved in the development and use? There are many advantages with the implementation of electronic medical records for the patient. One important advantage is the ability for the patient’s medical record to be shared amongst the patients other physicians. InformationRead MoreEmergency Department Chief Compliant Data Entry Screen1537 Words   |  7 PagesScreen 1. Emergency Department Chief Compliant Data Entry Screen. 1. What is the purpose for the screen? The chief compliant screen will allow clinicians to enter patient’s reasons for visiting the emergency department. The chief complaint data entry screen will be to obtain information from patient such as symptoms, duration of symptoms, and what major problem they are experiencing as a result of symptoms. The chief compliant data entry screen does not deals with obtaining information about chronicRead MoreSocial Work Practice Guidelines Are Outlined By The Nasw1327 Words   |  6 Pagesand missions. (Council on Social Work Education, n.d.). HIPPA was created to protect the privacy of patients medical and personal information. This privacy act is a guideline that provides specific information on general principles and the consequences for breach of contract. Patients must sign a release of information before protected health information is disclosed (U.S. Department of Health and Human Services, n.d.). Confidentiality continues to be challenging and an ongoing ethical issue

Wednesday, May 6, 2020

The Dysfunctional Family in Brontë’s Wuthering Heights...

The Dysfunctional Family in Brontà «Ã¢â‚¬â„¢s Wuthering Heights Creating a haven from the cruel outside world, families ideally provide protection and support for each of their members. In Emily Brontà «Ã¢â‚¬â„¢s Wuthering Heights, however, bitterness grows between the Earnshaws and the Lintons. Within these two families, siblings rival for power and parents fail to fulfill their roles as caregivers. The intertwining relationships of the Earnshaws and the Lintons are marked by physical abuse, degradation, and emotional negligence. These reduce each of the family members’ life to a lonely and meaningless journey though the cold and misty moors. Unforgiving as the moors that surround them, the Earnshaws and the Lintons often resort to physical†¦show more content†¦Hareton is thus reduced to an inhuman â€Å"it.† It is not surprising, then, that Hareton is afraid of his father, but Hindley is angered because this reminds him of his failure as a father. Declaring that Hareton should be â€Å"cropped† like a fierce dog, Hindley drops his son over the railing of a staircase when the latter shrinks away from him. He is unperturbed when Nelly exclaims: â€Å"He hates you – they all hate you – that’s the truth! A happy family you have, and a pretty state you’re come to!† (77). Hindley does not seem to comprehend that physical abuse leads not to love but to fear and hatred – and ultimately, alienation from his family. Edgar Linton, normally gentle, also uses physical violence when he fights with Heathcliff over Catherine Earnshaw, now his wife Catherine Linton. Like Hindley, Edgar does not realize that violence cannot produce love. His fight with Heathcliff results in Catherine’s insanity and her eventual death. Catherine, too, is not flawless. When Nelly, under Hindley’s orders, chaperones Edgar’s visit with Catherine Earnshaw, Catherine is furious and strikes Nelly. When her nephew Hareton weeps at this abusive display, Catherine seizes the child and shakes him. She then strikes Edgar when he tries to stop her. The root of Catherine’s violence is not the same as the one that plague Hindley and Edgar: she does not physically hurt her family because she wants to be loved. She feels that she is already loved by everyone, but she

Env 100 Environmental Pollutants Sewage and Fossil Fuels Free Essays

Environmental Pollutants: Sewage and Fossil Fuels ENV/100 March 2013 Environmental Pollutants: Sewage and Fossil Fuels Environmental pollutants, according to the Blacksmith Institute (2013) negatively affect billions of the world’s population as a result of exposure to poisons associated with sewage and the fossil fuel crude oil. These poisons have led to long-term detrimental effects on ecosystems and has attributed to the premature deaths of 40% or 2. 8 billion of the world’s population of which three million children under the age of five die prematurely because of exposure these contaminants. We will write a custom essay sample on Env 100 Environmental Pollutants Sewage and Fossil Fuels or any similar topic only for you Order Now Researchers estimate that this number will grow to approximately 3. 6 billion by 2050 if these invasive toxins continue to remain prevalent in the world’s environment (Organisation for Economic Co-Operation and Development, 2012). In this paper, Team D will discuss the effects that sewage and crude oil have on the quality of air, soil, and water, environmental biological diversity, disposal methods, and alternative solutions toward the use of crude oil (University of Phoenix, 2013, Week Five Syllabus). Sewage As defined by Oilgae (2013) sewage refers to wastewater that commonly derives from liquid or solid human activities that contaminate the Earth’s air, soil, and water. These contaminates contain infectious organisms, referred to pathogens that cause diseases, such as bacteria dysentery and cholera, viral diseases of hepatitis and polio, and protozoal disease of amoebic dysentery and giardiasis (Oklahoma Department of Environmental Quality, 2002). Additionally, as stated by Nakate (2013) these toxins alter biological diversity through eutrophication, which degrades water quality, ultimately alters aquatic species, hinders native plants, and increases biological oxygen demand (BOD). As the rise in levels of nitrogen, potassium, and phosphorous as well as organic wastes in water pathways initiates extreme growth of bacteria and algae that proves lethal to living organisms as well as disrupts the function and structure of the entire ecosystems. These pollutants generally fall under four specific categories; commercial, industrial, sanitary, and surface runoff and effective management of their sewage waste byproducts (Oilgae, 2013). Commercial According to Oilgae (2013), this category contains liquid and solid waste materials associated with offices, restaurants, and service organizations in which sewage waste, such as cleaning chemicals or garbage placed in open air dumpster’s seep into the surface soil and water, or emit into the air through decomposition. Industrial This sewage originates from discarded water employed during the chemical and manufacturing process, such as mining (Oilgae, 2013). Mining produces high-levels arsenic, cyanide, and sulfuric acid wastewater or tailing, which miners dump into surface water pathways or pile uncovered that contaminates ground water, soil, and air through emissions of the toxic dust particles and through rainwater (Blacksmith Institute, 2012). Sanitary Shandilya (2013) defines this category as domestic waste initiated from institutional and residential activities that dispense wastewater associated detergents, soaps, and human bodily wastes that drain into sewage systems, lakes, or streams, which contaminates drinking water and harms animals and aquatic life. Surface Runoff This category represents as agricultural sewage, which includes fertilizers and pesticides that contain rich nutrients, such as nitrogen, potassium, and phosphorous, which accelerates enrichment leading to eutrophication as the waste travels through rainwater or dumped into water pathways (Shandilya, 2013). Sewage Waste Management The effective management of sewage waste would include abolishing untreated sewage and enforce a pre-treatment process that includes extensive filtering of effluents, employing microbes that convert wastes into solids; therefore, easily separated, and disinfecting partially pure effluents through chemical precipitation (Hollis, 2013). The pre-treatment process of chemical precipitation involves adding chemicals to the waste to create particles that remove toxins through decantation; therefore, properly transferring, disposing, and reusing the cleansed water (Edwards, 1994). This treatment process can prove beneficial to other wastes producers like that of fossil fuel crude oil. Fossil Fuel: Crude Oil Crude oil, as illustrated by Kaiser (2009) represents the world’s primary industrial energy source with estimates showing 30 to 40% of the world uses this fossil fuel for energy consumption, and indentified as black gold. This oil, a hydrocarbon, and derived from organic material from lakes and oceans that contain pressure and heat. Oil, generally falls into two categories; conventional, which proves less expensive, easy, and fast, or non-conventional that has an established reputation s expensive, slow, and difficult; whereas, crude oil has a classification of light, medium, or heavy, depending on the American Petroleum Institute (API) gravity. Crude oil, receives is name because it has dozens of different hydrocarbon compounds in which oil refineries work on accomplishing refinery of crude oil in three steps. 1. Breaking down thousands of compounds within the crude oil to chemical units. . Remove contaminants, entirely. 3. Transform the individual chemical units. As the oil becomes refined and separated into various fuels, this conversion leads to creation of numerous products, such as gasoline and other petroleum products that transports through 23,000 miles of pipeline within the United States. This conversion and transportation of fossil fuel byproducts has proven harmful to the environment as well as the d isposal of these fossil fuel oils in which society must seek alternative energy resources. Fossil Fuel and the Environment Fossil fuels, according to Green Energy Choice (2013) have become one of the world’s greatest greenhouse gas emitters that contribute three-fourths of the entire world’s carbon, methane, and other gas emissions. The production of electricity involves burning fossil fuels at an extremely high temperature, which results in high concentrations of pollution in the water and air. For example, the atmosphere naturally absorbs one ton of greenhouse gases; however, the atmosphere traps approximately 25% extra of the sun’s radiation because of the annual rise in greenhouse gas secretions. As 98% of the United States energy creation coming from the non-renewable fossil sources, the disposal of oil proves vital toward protecting the environment. Disposal of Oil As communicated by Septer (2013), recycling waste or used oil proves valuable to the environment, and the economy as inadequate disposal of waste oil damages water, land, and air resources. Recycling oil assists in the preservation of natural resources and conserves energy production. The most important motive for recycling oil surrounds the preservation of resources associated with crude oil. The Environmental Protection Agency (EPA) stated that â€Å"2. 5 quarts of high-quality lubricating oil is produced from just one gallon of waste oil; conversely, it takes an astonishing 42 gallons of crude oil to manufacture the same 2. 5 quarts of high-quality oil† (para. 3). Therefore, recycling oil proves beneficial because it does not pollute water pathways and does not finish in landfills as well as lowering the cost through oil re-refining rather than oil filtering. Therefore, the improper disposal of oil, such as throwing it away harms the environments; whereas, the energy saved in converting waste oil into fresh oil have has vast benefits, such as cleansing one gallon of waste oil employs â€Å"less resources than refining 42 gallons of crude oil† (para. 6). Alternative Solutions According to Alternative Energy (n. d. ) crude oil represents a limited accessible fossil fuel and analysts believe that by 2050 accessible crude oil in its entirety will become extinct, which has led scientist to create alternative fuel sources other than fossil and nuclear. The world uses nuclear fuel as demonstrated with the more than 300 global nuclear power plants in which France and Japan generate approximately 80% of electrical power from these plants. As illustrated by Alternative Energy (n. d. ) two alternate energy resources to replace the use of crude oil include solar and wind energy. Solar energy has proven to become one of the best power energies for the environment in that the solar power systems can remove â€Å"more than 110,000 pounds of carbon dioxide and greenhouse gases out of atmosphere as well as prevent the requirement to burn 60,000 pounds of coal† (para. ). Solar does not produce acid rain, urban smog, or any other pollutants. Wind power represents the second alternate energy source and quickly becoming one of the most hopeful new energy sources for electricity and the cost has reduced by â€Å"15% with doubling of installed capacity worldwide† (para. 13). Subsequently, worldwide wind energy capacity has reached app roximately 16 billion kilowatt-hours of electricity after 1999 and these energy hours provide enough energy comparable to the size of five Miami cities. Conclusion As premature deaths continues to rise with an expectation of reaching more than three billion by 2050 along with the increasing growth in population, the Earth’s natural resources ultimately will become extinct because of the relentless and prevalent environmental pollutants of which sewage and crude oil contribute. Team D has illustrated the importance of understanding the initiators of sewage and crude oil pollutants, their cause and effect on the environment as well as proper waste management presented by chemical precipitation, and alternatives energy sources of solar and wind. However, the decisions made today will significantly influence the days of tomorrow; therefore, to protect the environment and the community members within each ecosystem, humanity must strengthen its commitment toward the reduction of premature deaths and its creators. References Alternative Energy. (n. d. ). Alternative energy. Retrieved from http://www. altenergy. org/ Blacksmith Institute. (2013). The world’s top ten toxic pollution problems 2012: Pollution facts. Retrieved from http://www. worstpolluted. org/pollution-facts-2009. html Edwards, J. D. (1994, December 30). Chemical precipitation – – Basics. Retrieved from http://cleanh2o. com/ww/chemppt. html Green Energy Choice. (2013). Fossil Fuels: How do they negatively affect the environment? Retrieved from http://www. greenenergychoice. com/green-guide/fossil-fuels. html Hollis, T. (2013). How to manage waste water. Retrieved from http://www. ehow. com/how_ 10030919_manage-waste-water. html Kaiser, D. (2009, October 23). Alternative energy replacements for crude oil. Retrieved from http://suite101. com/article/alternative-energy-replacements-for-crude-oil-a161973 Nakate, S. 2013, January 24). Sewage water pollution. Retrieved from http://buzzle. com/ articles/sewage-water-pollution. html Oilgae. (2013). Types of wastewater. Retrieved from http://www. oilgae. com/algae/cult/sew typ/typ. html Oklahoma Department of Environmental Quality. (2002, October). Surfacing sewage its effects on our environment. Retrieved from http://www. deq. state. ok. us/factsheets/land/ srfsewage. pdf Orga nisation for Economic Co-Operation and Development. (2012, March 15). OECD environmental outlook to 2050: The consequences of inaction. Retrieved from http://www. oecd-ilibrary. org/environment/oecd-environmental-outlook-to- 2050_9789264122246-en Septer, J. D. (2013). Waste oil recycling information. Retrieved from http://www. ehow. com/ about_6596196_waste-oil-recycling-information. html Shandilya, R. (2013, March 5). Facts about water pollution. Retrieved from http://www. buzzle. com/articles/facts-about-water-pollution. html University of Phoenix. (2013). Week Five supplement: Course Syllabus. Retrieved from University of Phoenix, ENV/100 – Principles of Environmental Science course website. How to cite Env 100 Environmental Pollutants Sewage and Fossil Fuels, Papers

Sunday, April 26, 2020

Sicko and Moore free essay sample

Michael Francis Moore is a controversial American filmmaker who has directed numerous documentaries. These documentaries have taken a large spectrum of popular American issues and reduced them to one: capitalism. His most popular cinematic works include Bowling for Columbine, Fahrenheit 9/11, Capitalism: A Love Story, and most ­notably, SiCKo. With a liberal stance, Moore has documented his own vision on America’s large corporations, such as the Bush administration’s foreign policy, financial crises, and the American healthcare system. Although all of his movies are worth naming, SiCKo is one of Moore’s most complex documentaries, for it discusses the issue of the United States of America’s healthcare system. The issue is not only complex, but also highly debated for it affects the lives of millions of Americans in very profound ways. Broderick Fox, author of Documentary Media History, Theory, Practice, illustrates different styles that filmmakers use in documentaries. For example, he writes, â€Å"The interventional gaze makes no attempt to hide, but rather actively confronts the situation† (Fox 104). We will write a custom essay sample on Sicko and Moore or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Throughout the movie SiCKo, Moore â€Å"actively confronts the situation,† as he sends out the message that America needs universal healthcare supported by our government, because we are a country that neither abandons our citizens to health care debt nor denies our citizens the right to health care. Moore does this through his exceptional ability to throw himself into the middle of the debate of whether America Dawli 10 should reform its current privately owned healthcare system to a government owned system. Jane Chapman, author of the book Issue in Contemporary Documentary, defines documentaries as having, â€Å"discursive formations, presenting first ­hand experience and fact by creating a rhetoric immediacy and ‘truth’, suing photographic technology† (Chapman 8). Moore’s documentaries fit this definition, and for this Moore has attracted much deserved criticism for his unique â€Å"rhetoric immediacy† and for the â€Å"truth† he advocates for. Whether or not Moore is politically correct, his filming technique is creative and unconventional. He uses various strategies, such as ironic humor, over ­dramatization, over ­simplification, and strategic omission, in order to get his point across. Critics argue that Moore’s credibility is hurt, for he stretches the truth. However, Moore’s strategies are purposeful and directly aimed at what he is trying to accomplish: an increase in the debate on the American healthcare system. Moore’s use of ironic humor is unconventional because healthcare is a serious issue that ultimately lacks all forms of humor, as it affects the â€Å"real lives of real Americans† (SiCKO). Although the severity of this issue is somewhat ignored at times, Moore is capable of making such a humorless topic into one that is entertaining. The fact that Moore uses ironic humor throughout the documentary widens his audience because it attracts individuals who were not likely to watch a basic documentary on the United State’s healthcare system, due to the topic’s serious nature, but chose to do so based on Moore’s reputation as a satirical filmmaker. As Ernest Callenbach, a writer for Film Quarterly, states, â€Å"[A] powerful appeal in Moore’s films is that he is funny, in a down ­home way† (Callenbach 18). For example, Moore takes the victims affected by the â€Å"evils† of healthcare on a boat trip to Guantanamo Bay, which he claims is the only place in America that has free healthcare. During Moore’s adventure, the United Dawli 10 States Coast Guard stops and questions Moore and his crewmembers about their destination. Moore cleverly answers, â€Å"We’re not going to Cuba! We’re going to America! It’s American soil† (SiCKo). This voyage is humorous because Moore plays upon the irony that in order for American citizens to receive free quality health care, they must be taken the prison, which houses some of America’s most dangerous criminals. Another example in the film is when Moore â€Å"discovers in a British hospital corridor a â€Å"CASHIER† window, which he pretends to suppose is the hidden flaw in British free health services† (Callenbach 18). However, he soon learns that the â€Å"Cashier† is actually a place where the hospital pays its patients for any costs they may have incurred throughout their stay, such as transportation costs to and from the hospital. Moore compares the fact that people can actually get paid to go to the hospital in England, to America where patients need to pay for their health care, and illustrates this point using humor and sarcasm. As Chapman illustrates, â€Å"Documentary is also recognized as being a very engaged sort of cinema, which means that there are inevitably pressures and sometimes conflicting claims† (Chapman 8). In other words, although Moore engages the viewer and thus creates an affinity between himself and his viewers through humor, he also hinders his credibility? it is inappropriate for Moore to make jokes about such a serious matter that involves individuals with serious illnesses. Moore also over ­dramatizes events as a strategy to capture his audience. He cleverly inundates the viewer with three narratives of healthcare disasters told by individuals. For example, Moore presents a case where a mother loses her 18 ­month old daughter: the child developed a high fever and was denied the proper treatment and medication because her daughter was not insured. Quickly after this story, the viewer becomes inundated with similar Dawli 10 stories. The quick back ­to ­back string of stories accentuates the drama and creates hyper ­stimulated, emotional viewers. As Jacob S. Hacker, a writer from The New England Journal of Medicine, lists the multiple tragedies, â€Å"a woman seriously injured in a car crash whose insurer denies payment because she doesn’t obtain ‘prior authorization’ to visit the emergency room, an elderly couple who move into their daughters storage room because they cannot afford their medicine, an uninsured man forced to choose which of his two fingers to have reattached after an accident† (Hacker 1). All of these stories are indeed tragic and cause the viewer to be emotionally manipulated to sympathize with these individuals while developing anger towards the American healthcare system and even possibly the American government for not taking care of their citizens. As stated in the book, The Documentary: Politics, Emotion, Culture, by Belinda Smaill, â€Å"Emotion shapes how political issues and individuals are represented and perceived in documentary is crucial to how we engage with the vicissitudes of the public sphere† (Smaill 187). In other words, a documentary relies upon the emotion of its viewers in order to be successful. This strategy is purposeful for it encourages individuals to understand that it is their duty to debate in favor for universal healthcare. Additionally, Moore over ­simplifies the complex issue of American healthcare to make it more understandable to the average citizen. Through lightening the perplexity of the healthcare system, more viewers are capable of comprehending his proposals and views, and also his argument becomes more convincing. Moore over ­simplifies the issue by only presenting us with only black and white concepts: that the American healthcare system is awful, while healthcare in other countries – such as France and Canada – is flawless. However, he fails to recognize the consequences, which would result if ‘free’ universal healthcare were to be implemented. For Dawli 10 example, critics argue that the name ‘free universal healthcare,’ and the way Moore uses the term, are very misleading. In France, where healthcare is free according to Moore, there is a 13. 55 per cent payroll tax, 5. 25 per cent income tax, and additional taxes on tobacco, alcohol, and pharmaceutical company revenues (Tanner 2). These taxes are significantly higher than taxes in America, for France needs to pay for their citizens’ entire healthcare. Therefore, the ‘free’ universal healthcare is, in reality, not all that free. Furthermore, as Sanjay Gupta, a writer for CNN, states, â€Å"I also worry that Michael, who is an accomplished film maker, tried to leave people with the impression that health care is free in many other nations and there is a state of utopia† (Gupta 1). The point which Gupta touches upon is highly relevant to Moore’s technique in the film SiCKo, because it alludes to his tendency to over ­simplify and exaggerate the truth in order to get his point across in the most effective manner. In regards to healthcare outside of the United States, Moore also formulates an argument that there are no waiting lists in foreign countries with universal healthcare. He does this by interviewing patients in Canadian hospitals, who appear to be completely satisfied with the health care they receive. However, there are currently 800,000 Canadians on the waiting list for commonly needed surgeries (Tanner 2). Waiting lists are not unusual for countries with ‘free universal healthcare. ’ Also, Michael Tanner, author of SICKo: Michael Moore’s Latest Fantasy, states, â€Å"Even though American men are more likely to be diagnosed with prostate cancer than their counterparts in other countries, they are less likely to die from the disease. † In fact, â€Å"less that one out of five American men with prostate cancer will die from it, but a quarter of Canadian men will, and even ominously, 57 per cent of British men and nearly half of French and German men will† (Tanner 2). This clearly shows that despite the fact that health care is â€Å"free† in countries, such as Canada, their residents Dawli 10 are also dealing with a healthcare system that considerably less efficient at treating their patients. In addition, America spends 18% of its GDP on healthcare expenditures. In all reality, America spends more money than all the other countries in the world. Despite spending 18% of its gross domestic product on health care expenditures, America is still left with unhealthy individuals and lower life expectancies compared to Europe and Canada. This is a result of American’s poor nutrient and diets, not of low level of health care (Curran 1). Moore states that the reason why America has lowered life expectancy when compared to countries in Europe is because America does not have the same ‘free universal healthcare’ that these countries have for citizens. However, â€Å"most experts agree that life expectancies are a poor measure of health, because they are affected by too many exogenous factors such as violent crime, poverty, obesity, tobacco, and drug use† (Tanner 2). Moore continues to present the viewers with the negative aspects of the American healthcare system through over ­simplifying the issue. Although it may appear that Moore presents the absolute issue of healthcare, he, in reality, changes the actual issue. As Michael Tanner states, â€Å"He often refers to the 47 million Americans without health insurance, but fails to point out that most of those are uninsured for only brief periods, or that millions are already eligible for government programs but fail to apply† (Tanner 1). Also, Moore fails to recognize that â€Å"hospitals are legally obligated to provide care, regardless of ability to pay and while physicians do not face the same legal requirements, few are willing to deny treatment because a patient lacks insurance† (Tanner 1). Through Moore’s strategy of over ­simplification, it makes Moore’s argument easier to comprehend.