To Kill a Mocking Bird ( comp. of movie and novel) essays

To Kill a Mocking Bird ( comp. of movie and novel) essays The movie, To Kill a Mockingbird, is one of the best family oriented dramas ever made. The film has a timeless quality about it that transcends the very dated subject matter, which was racism during the depression in the South. The movie teaches the importance of tolerance, justice, integrity and loving, responsible parenthood. The filmed drama, To Kill a Mockingbird, presents all the themes of Harper Lees historical novel. However, the movie might have been better if Miss Maudie and Calpurnia, two of the books characters, had had a more prominent role. The movie would have been improved if Miss Maudie, who portrayed the themes of friendship and moral responsibility, had a stronger role. The theme of moral responsibility came up when Jem asks Miss Maudie if she was going to court and she responded with, I am not. Its morbid, watching a poor devil on trial for his life (181). She felt that the trial was a public spectacle and she refused to take part in it. She showed her passion for justice because she knew the man, Tom Robinson, would be condemned guilty when everyone knew he was innocent, and she refused to be a part of the injustice. She is the childrens best friend among Maycombs adults and shows her support for the Finches when she stated, I simply want to tell you that there are some men in this world who were born to do our unpleasant jobs for us and your fathers one of them. Their father was very unpopular during the trial of Tom Robinson and Miss Maudie praised their father as a good man. The children were treated bad ly during this time because of their fathers position on the trial, but Miss Maudie showed her complete support. Miss Maudie is a very intriguing character in the novel, a wise, funny woman of integrity, but in the movie, she comes across as just another next-door neighbor. The movie would have been enhanced if Calpurnia, who ...

Probability of Randomly Choosing a Prime Number

Probability of Randomly Choosing a Prime Number Number theory is a branch of mathematics  that concerns itself with the set of integers. We restrict ourselves somewhat by doing this as we do not directly study other numbers, such as irrationals. However, other types of real numbers are used. In addition to this, the subject of probability has many connections and intersections with number theory. One of these connections has to do with the distribution of prime numbers. More specifically we may ask, what is the probability that a randomly chosen integer from 1 to x is a prime number? Assumptions and Definitions As with any mathematics problem, it is important to understand not only what assumptions are being made, but also the definitions of all of the key terms in the problem. For this problem we are considering the positive integers, meaning the whole numbers 1, 2, 3, . . . up to some number x. We are randomly choosing one of these numbers, meaning that all x of them are equally likely to be chosen. We are trying to determine the probability that a prime number is chosen. Thus we need to understand the definition of a prime number. A prime number is a positive integer that has exactly two factors. This means that the only divisors of prime numbers are one and the number itself. So 2,3 and 5 are primes, but 4, 8 and 12 are not prime. We note that because there must be two factors in a prime number, the number 1 is not prime. Solution  for Low Numbers The solution to this problem is straightforward for low numbers x. All that we need to do is simply count the numbers of primes that are less than or equal to x. We divide the number of primes less than or equal to x by the number x. For example, to find the probability that a prime is selected from 1 to 10 requires us to divide the number of primes from 1 to 10 by 10. The numbers 2, 3, 5, 7 are prime, so the probability that a prime is selected is 4/10 40%. The probability that a prime is selected from 1 to 50 can be found in a similar way. The primes that are less than 50 are: 2, 3, 5, 7, 11, 13, 17, 19, 23, 29, 31, 37, 41, 43 and 47. There are 15 primes less than or equal to 50. Thus the probability that a prime is selected at random is 15/50 30%. This process can be carried out by simply counting primes as long as we have a list of primes. For example, there are 25 primes less than or equal to 100. (Thus the probability that a randomly chosen number from 1 to 100 is prime is 25/100 25%.) However, if we do not have a list of primes, it could be computationally daunting to determine the set of prime numbers that are less than or equal to a given number x. The Prime Number Theorem If you do not have a count of the number of primes that are less than or equal to x, then there is an alternate way to solve this problem. The solution involves a mathematical result known as the prime number theorem. This is a statement about the overall distribution of the primes and can be used to approximate the probability that we are trying to determine. The prime number theorem states that there are approximately x / ln(x) prime numbers that are less than or equal to x. Here ln(x) denotes the natural logarithm of x, or in other words the logarithm with a base of the number e. As the value of x increases the approximation improves, in the sense that we see a decrease in the relative error between the number of primes less than x and the expression x / ln(x). Application of the Prime Number Theorem We can use the result of the prime number theorem to solve the problem we are trying to address. We know by the prime number theorem that there are approximately x / ln(x) prime numbers that are less than or equal to x. Furthermore, there are a total of x positive integers less than or equal to x. Therefore the probability that a randomly selected number in this range is prime is (x / ln(x) ) /x 1 / ln(x). Example We can now use this result to approximate the probability of randomly selecting a prime number out of the first billion integers. We calculate the natural logarithm of a billion and see that ln(1,000,000,000) is approximately 20.7 and 1/ln(1,000,000,000) is approximately 0.0483. Thus we have about a 4.83% probability of randomly choosing a prime number out of the first billion integers.

Implement a Web-Catering Order System with Cater Trax Research Paper

Implement a Web-Catering Order System with Cater Trax - Research Paper Example Reasons for cater trax implementation in the department In the catering department at Texas Children’s Hospital, there have been increased demands from our clients. The department has to deal with about three hundred orders daily and even an increased number during the weekends. Meeting the clients’ demands has become a great challenge, due to the increased numbers. Research shows that a number of institutions have overcome this challenge of overbooking with the help of cater trax (Cupps, 1997). This is because cater trax is remarkably helpful in managing high volume orders and hospitality businesses. A number of institutions have employed this system and attained great success out of it. Advantages of using Cater trax over its competitors Cater trax is a web-based software made up of powerful tools built directly within the system. For this reason, it is vital that customers undergo one hour and thirty minutes of training before they are able to use the system. This tr aining is only available for cater trax company customers making the system extremely user friendly. It is essential to note that there are other industry competitors to cater trax (Dickinson, 2011). However, cater trax proves to be the best choice because of its advantages. For example, they offer twenty-four hour customer service whereby users can contact a support team for any questions. Unlike its competitors, it provides two software packages offered at the same time. At one end, customers are able to place their orders in ordering accounts, get their confirmation via their emails and repeat the process if necessary. Consequently, the catering department can run its business smoothly by editing invoices, keeping catering calendars, and receiving reports (Kotler & Bowen, 2006). As a result, the system maintains all food services in an organized manner as well as making it a profitable venture. Other advantages associated with the use of this online catering management software a re that it does not require Information technology management, servers, or special equipment and the ordering prices are fair. The prices for all meals vary from three dollars to seventeen dollars per head depending on the meal. All that is needed to make an order is an internet connection. Upon its installation, it can provide up to the minute reports on all the departments proceedings. Steps to implementing cater trax Since this program simplifies a lot of work, one may think it is difficult to implement. However, it is essential to note that only six simple steps are required to get cater trax implemented. The steps include being registered, gathering information from clients, an integration interview, site construction, training and lastly the site is launched (Welloh, 2011). Upon completion, clients can make orders online. These six processes can be implemented within a very short period of six weeks within which certain milestones are met. Relationship between cater trax and i ts customers Many cater trax users have complete trust on the system because of their continual use. This is because cater trax employees work tirelessly to ensure high levels of security, availability of information and reliability to the users. Success is paramount at cater trax, so all food service providers receive similar attention regardless of the services they offer. On placing orders, customers are ab

Project Analysis and Planning, Project Execution, Project Monitoring Essay

Project Analysis and Planning, Project Execution, Project Monitoring and Control, Project Risk and Change Management - Essay Example They have helped most of the biggest brands in the world acquire huge profits. Some of these brands are Ducati, Revion, Southwest Airlines and the New York stock exchange. High standards are set by the Board of Directors for personnel at VMware creating room for acquiring the best results. The Board follows a set of guidelines that are in the company’s best interests and within the laws set in place in the United States of America. (VMware.Inc, 2014) Virtualization software has four main objectives. Use of more hardware resources than before, reduction in cost of management and resources, improves flexibility of businesses, security and downtime. Earlier, hardware resources were not being put to full use. Computers could be hooked up to different servers but through using virtualization infrastructure, computers can be hooked to one main server and still perform operations efficiently. In fact, computer operations become more efficient. Resource and Management costs are reduced when businesses use a virtualized system. Creating more room for physical computer servers in organizations is eliminated due to the fact that a virtualized system accumulates very little room as the system acts as one physical server for all computers in the organization. Therefore, costs for creating more room are eliminated. (AJ Muller, 2005) Flexibility of businesses is achieved when using virtualization through elimination of cost used to set up space for additional computers when a business needs to expand its workstations. Virtualization is easier to set up and requires no additional expenses in hardware and extra space. Improvement in security and reduced downtime are another one of the objectives of virtualization. In the event that a computer crashes, retrieving software becomes very difficult if the computers do not have a virtualized infrastructure causing increased costs in rectifying the problem and downtime before the problem has

The Italian Renaissance Essay Example for Free

The Italian Renaissance Essay Introduction The literature of the Renaissance featured heroism, justice and power, influencing modern political, social and philosophical ideals. In contrast to the middle ages where censorship limited to themes and genres for literature, the Renaissance served as platform for public commentary and discussion. However, it should also be noted that though many of the writers of the period had greater independence than other artists of the time from the Church, many of the writers enjoyed patronage by state political powers or became part of the political machinery of these institutions. In Bondanella and Musa’s (1987) The Italian Renaissance Reader, the works of some of the most notable writers of the Renaissance movement provide a glimpse to the evolution of the rationale behind the artistic movement which while adhering to classical traditions, revived intellectual thinking and exchange. Background Though the Renaissance was a reaction to the medieval conservative views and saw the resurgence of arts, literature and philosophy, there was still significant conservatism in sciences. Thus, though many of the writers of the period can be considered to be forward-thinking, the prescription of logic and deduction as intellectual disciplines is apparent. One advocate of the methodology is Petrarch who highlighted classical sources and scholarship as the standard of reasoning and study (p. 57). This tradition or style is apparent in the works of Niccolo Machiavelli’s The Prince, Giovanni Boccaccio’s Decameron and Baldesar Castiglione’s Book of the Courier among other as well (pp. 259, 60, 197). Building from the literature and art revolution of the late 1200’s, Italian became the literary language of the period in contrast to previous preference for other European languages. It created not only a nationalistic identity to literature but also served as reinforcement for state, social and political works that Italian writer would be most noted for. Consequently, the development would also support the growth of publishing in the country, particularly Venice, which in turn will further enhance the regard for Italian Renaissance writers. However, despite these changes, religion remained a primary theme in most Italian works. Majority of the works were either reflective of the medieval themes or applications of such themes using humanism. Themes and Ideas Italian writers sought to assimilate classical traditions in their work in the belief that these intellectualized and rationalized their work. One of the most common themes and ideas in the writers featured humanism and self-awareness. The former can be illustrated by Giovanni Pico Della Mirandola’s Oration on the Dignity of Man (pp. 180-183). In this work, man is portrayed as an individual whose identity and value is his own and though he is subject to religion, society and the state, remains an individual. As such, he is considered both an actor an object of other actions through the process of living. Self-awareness in turn can be illustrated in the work of Leonardo Da Vinci and Michelangelo Buonarroti (pp. 187-196, 377-381). Though they are most renowned for their contribution to visual art, both these artists’ notes indicate their belief that art as a product of man is beyond his inspiration or labor. They implied that the work or artists and in a sense all other labors of man, where to be appreciated for themselves beyond their identity as a work of an individual and in turn to understand the artist beyond the work being viewed. Boccaccio’s Decameron also proved to be inspirational to other writers of the period not only in Italy but in the rest of Europe including the works of William Shakespeare and Geoffrey Chaucer (p. 60). Furthermore, the Decameron is considered to not to represent the characteristics of the Renaissance Italy literature but actually set the pace for other writers since Boccaccio was one of the most notable students of Petrarch. In the course of his story of the ten story tellers running from the plague combined religious themes with secular discussion of ethics and morality (pp. 59-61). In all of these writings, there is greater empowerment for men to mold their destinies and the ability to make choices. Ultimately, the Italian Renaissance writers believed that salvation and redemption depend on an individual’s capacity and commitment to realize them. In such a perspective, though religion remains to be a predominant power, man is the qualifier of human experience. Moreover, there is greater recognition of man’s hand in the life of others as well as his own. In turn, this reinforced the call for greater responsibility and accountability for one’s actions. Impact and Influence One of the most important contributions of Italian Renaissance writers is the establishment of Italian as a language of literature. This would serve as a foundation for the Italian literary industry as well as the role of the Italian writers as political and social intellectual leaders in Europe. Another notable contribution of Italian Renaissance writers is their influence on other writers of the period such as Shakespeare and Chaucer as well as the development of humanistic ideals and appreciation of art. A hierarchy for living matter was also developed based on a hierarchy of intellect implying that man’s greatest ability was the capacity of reasoning. In terms of literary style and composition, characterization and plot development in Italian Renaissance literature influenced the development of experiential narrative melding religious and secular views on morality, ethics and philosophy. In studying these trends in artistic composition, techniques, subjects and styles developed by Italian Renaissance writers, one will be able to develop insights to the social, political and economic developments brought on by the Renaissance in Italy which cradled both the Renaissance and the period by which it sought to contrast itself. Like the visual arts, Renaissance writers often employed illusionism to explore real issues. In doing so, they were able to present social, moral or philosophical commentary without direct conflict with other belief systems and at the same time highlight the value of systematic and scholastic study. In doing so, it brought into popular arenas intellectual discussion reminiscent of classical scholastic traditions. However, though there was significant reference to classical traditions, Italian Renaissance writers recognized the difference between philosophy and science which persists to contemporary studies as well. Reference Bondanella, Julia Conaway and Musa, Mark (1987). The Italian Renaissance Reader. New York: Penguin Books

Fannie Flaggs Fried Green Tomatoes at the Whistle-Stop Cafe :: Fried Green Tomatoes at the Whistle-Stop Cafe

Fannie Flagg's Fried Green Tomatoes at the Whistle-Stop Cafe My first impression of Fried Green Tomatoes at the Whistle Stop Cafà © was that it was a â€Å"woman’s'; novel. This was because the movie, which was more popular than the book, was advertised as a â€Å"chick flick';. To say the least, I was wrong. The novel poses many issues that face the people of the 1920’s and 30’s, and makes one think about what people have struggled through. The novel addresses the issue of racism before the time of Martin Luther King Jr. and the Civil Rights Movement. It tells of the struggles women must go through when they reach menopause; the big change. However, the main plot line tells the story of two women, Idgie Threadgoode and Ruth Jamison, and the trials and tribulations of their life in the 1920’s and 30’s. Idgie and Ruth are business partners, best friends, and in the eyes of many, also lesbians. â€Å"[Fried Green Tomatoes] represents around the issue of lesbianism, depicting a strong and intense friendship between two white women (the tomboy Idgie Threadgoode and the fern Ruth Jamison), but never committing itself one way or another'; (Pelligrini 7). There have not been many stories written about homosexuality in the first half of the twentieth century. That is why Fannie Flagg does not just come out and say that Idgie and Ruth are lesbians. In turn, the idea that Idgie and Ruth are lesbians is a subject that has been under heated debate. However, there are many episodes between Idgie and Ruth that are undeniable proof that they are homosexuals. The idea that Idgie and Ruth are lesbians is rampant throughout the story. It is evidenced by the way they speak to each other and act towards each other, but the idea is subverted due to the fact that everyone in the town sees Idgie as a man. The idea that Idgie and Ruth are lesbians can be misunderstood. To say that they are a lesbian couple does mean that they are sexually involved with each other. However, whether or not Idgie and Ruth are sexually involved is a decision that is left up to the reader. Flagg does not describe in the novel any sexual experiences between Idgie and Ruth. This is because the idea of lesbianism is a touchy subject and could have changed the idea that novel was trying to get across.

Otitis

Otitis is a general term for inflammation or infection of the ear, in both humans and other animals. It is subdivided into the following: Otitis externa, external otitis, or â€Å"swimmer's ear† involves the outer ear and ear canal. In external otitis, the ear hurts when touched or pulled. Otitis media or middle ear infection involves the middle ear. In otitis media, the ear is infected or clogged with fluid behind the ear drum, in the normally air-filled middle-ear space. This very common childhood infection sometimes requires a surgical procedure called â€Å"myringotomy and tube insertion†.Otitis interna or labyrinthitis involves the inner ear. The inner ear includes sensory organs for balance and hearing. When the inner ear is inflamed, vertigo is a common symptom. An ear infection (acute otitis media) is most often a bacterial or viral infection that affects the middle ear, the air-filled space behind the eardrum that contains the tiny vibrating bones of the ear. C hildren are more likely than adults to get ear infections. Ear infections are often painful because of inflammation and buildup of fluids in the middle ear.Because ear infections often clear up on their own, treatment often begins with managing pain and monitoring the problem. Ear infection in infants and severe cases in general require antibiotic medications. Long-term problems related to ear infections — persistent fluids in the middle ear, persistent infections or frequent infections — can cause hearing problems and other serious complications. The onset of signs and symptoms of ear infection is usually rapid. Children Signs and symptoms common in children include: Ear pain, especially when lying down Tugging or pulling at an ear Difficulty sleepingCrying more than usual Acting more irritable than usual Difficulty hearing or responding to sounds Loss of balance Headache Fever of 100 F (38 C) or higher Drainage of fluid from the ear Loss of appetite Vomiting Diarrhea Adults Common signs and symptoms in adults include: Ear pain Drainage of fluid from the ear Diminished hearing Sore throat When to see a doctor Signs and symptoms of an ear infection can indicate a number of different conditions. It's important to get an accurate diagnosis and prompt treatment. Call your child's doctor if: Symptoms last for more than a day Ear pain is severeYour infant or toddler is sleepless or irritable after a cold or other upper respiratory infection You observe a discharge of fluid, pus or bloody discharge from the ear An adult with ear pain or discharge should see a doctor as soon as possible. An ear infection is caused by a bacterium or virus in the middle ear. This infection often results from another illness — cold, flu or allergy — that causes congestion and swelling of the nasal passages, throat and eustachian tubes. Role of eustachian tubes The eustachian tubes are a pair of narrow tubes than run from each middle ear to high in the back of the throat, behind the nasal passages.The throat end of the tubes open and close to: Regulate air pressure in the middle ear Refresh air in the ear Drain normal secretions from the middle ear Swelling, inflammation and mucus in the eustachian tubes from an upper respiratory infection or allergy can block them, causing the accumulation of fluids in the middle ear. A bacterial or viral infection of this fluid is usually what produces the symptoms of an ear infection. Ear infections are more common in children, in part, because their eustachian tubes are narrower and more horizontal — factors that make them more difficult to drain and more likely to get clogged.Role of adenoids Adenoids are two small pads of tissues high in the back of the throat believed to play a role in immune system activity. This function may make them particularly vulnerable to infection and inflammation. Because adenoids are located near the opening of the eustachian tubes, inflammation or enlargement of the adenoids may block the tubes, thereby contributing to middle ear infection. Inflammation of adenoids is more likely to play a role in ear infections in children because children have more active and relatively larger adenoids. Related conditionsConditions of the middle ear that may be related to an ear infection or result in similar middle ear problems include the following: Otitis media with effusion is inflammation and fluid buildup (effusion) in the middle ear without bacterial or viral infection. This may occur because the fluid buildup persists even after an ear infection has resolved. It may also occur because of some dysfunction or noninfectious blockage of the eustachian tubes. Chronic suppurative otitis media is a persistent ear infection that results in tearing or perforation of the eardrum. Risk factorsSymptoms Age. Children between the ages of 6 months and 2 years are more susceptible to ear infections because of the size and shape of the eustachian tubes and becaus e of their poorly developed immune systems. Group child care. Children cared for in group settings are more likely to get colds and ear infections than are children who stay home, because they're exposed to more infections, such as the common cold. Infant feeding. Babies who drink from a bottle, especially while lying down, tend to have more ear infections than do babies who are breast-fed. Seasonal factors.Ear infections are most common during the fall and winter when colds and flu are prevalent. People with seasonal allergies may have a greater risk of ear infections during seasonal high pollen counts. Poor air quality. Exposure to tobacco smoke or high levels of air pollution can increase the risk of ear infection. Family history. A child's risk of ear infections increases if another member of the family has had ear infections. Ethnicity. American Indians and Inuits of Alaska and Canada have an increased risk of ear infections Tests and diagnosis By Mayo Clinic staffYour doctor c an usually diagnose an ear infection or another condition based on the symptoms you describe and a relatively simple office exam. The doctor will likely use a lighted instrument to look at the ears, throat and nasal passage. He or she will also listen to your child breathe with a stethoscope. Pneumatic otoscope An instrument called a pneumatic otoscope is often the only specialized tool that a doctor needs to make a diagnosis of an ear infection. This instrument enables the doctor to look in the ear and judge how much fluid may be behind the eardrum.With the pneumatic otoscope, the doctor gently puffs air against the eardrum. Normally, this puff of air would cause the eardrum to move. If the middle ear is filled with fluid, your doctor will observe little to no movement of the eardrum. Additional tests Your doctor may perform other diagnostic tests if there is any doubt about a diagnosis, if the condition hasn't responded to previous treatments, or if there are other persistent or s erious problems. Tympanometry. This test measures the movement of the eardrum. The device, which seals off the ear canal, adjusts air pressure in the canal, thereby causing the eardrum to move.The device quantifies how well the eardrum moves and provides an indirect measure of pressure within the middle ear. Acoustic reflectometry. This test measures how much sound emitted from a device is reflected back from the eardrum — an indirect measure of fluids in the middle ear. Normally, the eardrum absorbs most of the sound. However, the more pressure there is from fluid in the middle ear, the more sound the eardrum will reflect. Tympanocentesis. Rarely, a doctor may use a tiny tube that pierces the eardrum to drain fluid from the middle ear — a procedure called tympanocentesis.Tests to determine the infectious agent in the fluid may be beneficial if an infection hasn't responded well to previous treatments. Other tests. If your child has had persistent ear infections or per sistent fluid buildup in the middle ear, your doctor may refer you to a hearing specialist (audiologist), speech therapist or developmental therapist for tests of hearing, speech skills, language comprehension or developmental abilities. What a diagnosis means Acute otitis media. The diagnosis of â€Å"ear infection† is generally shorthand for acute otitis media.Your doctor likely makes this diagnosis if he or she observes signs of fluid in the middle ear, if there are signs or symptoms of an infection, and if the onset of symptoms was relatively sudden. Otitis media with effusion. If the diagnosis is otitis media with effusion, the doctor has found evidence of fluid in the middle ear, but there are presently no signs or symptoms of infection. Chronic suppurative otitis media. If the doctor makes a diagnosis of chronic suppurative otitis media, he or she has found that a persistent ear infection has resulted in tearing or perforation of the eardrum.Treatments and drugs By May o Clinic staff Most ear infections don't need treatment with antibiotics. What's best for your child depends on many factors, including your child's age and the severity of symptoms. A wait-and-see approach Symptoms of ear infections usually improve with the first couple of days, and most infections clear up on their own within one to two weeks without any treatment. The American Academy of Pediatrics and the American Academy of Family Physicians recommend a wait-and-see approach for the first 48 to 72 hours for anyone who is otherwise healthy and who is:Six months to 2 years of age with mild symptoms and an uncertain diagnosis More than 2 years old with mild symptoms or an uncertain diagnosis Treating pain Your doctor will advise you on treatments to lessen pain from an ear infection. These may include the following: A warm compress. Placing a warm, moist washcloth over the affected ear may lessen pain. Pain medication. Your doctor may advise the use of over-the-counter acetaminoph en (Tylenol, others) or ibuprofen (Motrin, Advil, others) to relieve pain. Use the drugs as directed on the label.Because aspirin has been linked with Reye's syndrome, use caution when giving aspirin to children or teenagers. Although aspirin is approved for use in children older than age 2, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. Talk to your doctor if you have concerns. Eardrops. Prescription eardrops such as antipyrine-benzocaine (Aurodex) may provide additional pain relief. To administer drops to your child, warm the bottle by placing it in warm water. Put the recommended dose in your child's ear while he or she lies on a flat surface with the infected ear facing up.Benzocaine has been linked to a rare but serious, sometimes deadly, condition that decreases the amount of oxygen that the blood can carry. Don't use benzocaine in children younger than age 2 without supervision from a health care professional, as this age gro up has been the most affected. If you're an adult, never use more than the recommended dose of benzocaine and consider talking with your doctor. Antibiotic therapy Your doctor may recommend antibiotic treatment for an ear infection in the following situations:Children under 6 months old with a probable diagnosis of ear infection Children 6 months to 2 years old with a certain diagnosis of ear infection Anyone with a probable ear infection and moderate to severe ear pain Anyone with a probable ear infection and a fever over 102. 2 F (39 C) or higher Even after symptoms have improved, be sure to use all of the antibiotic pills as directed. Failing to do so can result in recurring infection and resistance of bacteria to antibiotic medications. Talk to your doctor or pharmacist about what to do if you accidentally skip a dose. Ear tubesIf your child has otitis media with effusion — persistent fluid buildup in the ear after an infection has cleared up or in the absence of any infe ction — your doctor may recommend a procedure to drain fluid from the middle ear. During an outpatient surgical procedure called a myringotomy, a surgeon creates a tiny hole in the eardrum that enables him or her to suction fluids out of the middle ear. A tiny tube is placed in the opening to help ventilate the middle ear and prevent the accumulation of more fluids. Some tubes are intended to stay in place for six months to a year and then fall out on their own.Other tubes are designed to stay in longer and may need to be surgically removed. The eardrum closes up again after the tube falls out or is removed. Treatment for chronic suppurative otitis media Chronic infection that results in perforation of the eardrum — chronic suppurative otitis media — is difficult to treat. It's often treated with antibiotics administered as drops. You'll receive instructions on how to suction fluids out through the ear canal before administering drops. Monitoring Children with f requent or persistent infections or with persistent fluid in the middle ear will need to be monitored closely.Talk to your doctor about how often you should schedule follow-up appointments. Your doctor may recommend regular hearing and language tests. Prevention Tests and diagnosis Prevention By Mayo Clinic staff The following tips may reduce the risk of developing ear infections: Prevent common colds and other illnesses. Teach your child to wash his or her hands frequently and thoroughly, and teach your child not to share eating and drinking utensils. If possible, limit the time your child spends in group child care. A child care setting with fewer children may help. Avoid secondhand smoke.Make sure that no one smokes in your home. Away from home, stay in smoke-free environments. Breast-feed your baby. If possible, breast-feed your baby for at least six months. Breast milk contains antibodies that may offer protection from ear infections. If you bottle-feed, hold your baby in an up right position. Avoid propping a bottle in your baby's mouth while he or she is lying down. Talk to your doctor about vaccinations. Ask your doctor about what vaccinations are appropriate for your child. Seasonal flu shots and pneumococcal vaccines may help prevent ear infections.

A Root Cause Analysis Essay

Healthcare facilities that are accredited by Joint Commission are required after a sentinel event to conduct a root cause analysis (RCA). A root cause analysis is conducted to determine the cause or factors that contributed to the sentinel event. A few things must be asked in the RCA such as who, what, where, why and how in order to identify the cause. After the cause of the sentinel event is determined and a corrective action plan has been put in place a failure mode and effects analysis (FMEA) could be conducted to reduce the likelihood that it should happen again. The scenario A 67 year old male (Mr. B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for evaluation. Upon evaluation the physician decided that Mr. B needed to have a reduction of his left hip, due to the dislocation and will require a conscious sedation. Mr. B requires multiple doses of medication to achieve the desired sedation affect for the reduction. Once the reduction was successful Mr. B is left with son in the room where a full set of vitals were not continuously monitored and goes into respiratory failure which lead to the death of Mr. B. Staffing on this day is the day of the event consisted of a secretary, emergency department physician (Dr. T), and two nurses (one RN and one LPN). A respiratory therapist is in house and available as needed in this six bed ED and sixty bed hospital. Events At 3:30pm- Mr. B was taken to ED for left leg and left hip pain from a fall. Pain is a 10/10 vitals include 120/80 blood pressure (BP), 88 heart rate (HR) and regular, 98.6 temperature, (T), 32 respirations (R), 175 lbs.. At 4:05pm- Mr. B was given Diazepam 5mg IVP which had no affect after 5min. At 4:10pm- Dr. T orders 2mg of hydromorphone to be given to Mr. B. At 4:15pm- Mr. B was given 2mg of hydromorphone IVP. At 4:20pm- Dr. T is not satisfied with level of sedation and orders Mr. B to be given 2mg of hydromorphone, and diazepam 5mg IVP. At 4:25pm- Mr. B appears to be sedated and reduction of his (L) hip takes place. The patient remains sedated and appears to have tolerated the procedure. The procedures concludes at 4:30pm. No distress is noted, patient is placed on monitor for blood pressure to be taken every 5 minutes along with pulse oximeter but no supplemental oxygen or ECG leads (monitors cardiac rhythm and respirations) was placed on patient at this time. At 4:30pm- Nurse J allows Mr. B’s son to remain in the room with him as he is being monitor by blood pressure machine only. Nurse J leaves the room. At 4:35pm- Mr. B vitals are BP 110/62, O2 sat is 92% still no oxygen or ECG leads are on patient at this time. EMS is transporting a patient in respiratory distress, lobby is beginning to get congested. LPN and Nurse J. in the process of discharging 2 patients and are checking in the patient that EMS has transported in. LPN enters Mr. B’s room and resets his alarming monitor that was showing a sat of 85% and restarts the B/P to recycle. LPN does not supply oxygen and does not alert Nurse J at this time. Management is not notified that patient acuity and patient load is increasing. Nurse J is now fully engaged with the emergency care of the respiratory distress patient. At 4:43pm- Mr. B’s son comes out of room and informs the nurse that the monitor is alarming with vitas of B/P 58/80 O2 of 79%. The patient has no palpable pulse and is not breathing. A STAT code is called and the son is taken to the waiting room. The code teams arrives places Mr. B on cardiac monitor where he is in ventricular fibrillation and the team begins resuscitative efforts. CPR is started and the patient is intubated. Mr. B is defibrillated and reversal  agents, vasopressors and IV were started. At 5:13pm- After 30 min of interventions the ECG returns to a normal sinus rhythm with Mr. B’s B/P being 110/70. The patient is completely dependent on the ventilator, his pupils are fixed and dilated and there is no spontaneous movements. The family as asked for the patient to be transferred out to a tertiary facility for further advanced care. Outcome Seven Days later Mr. B has died. The family had requested that life-support be removed after brain death had been determined by EEG’s. This is a sentinel event. Investigation of sentinel event should begin with a Team and method of investigation. Interdisciplinary team included in the RCA should include the Director of Nurses, Nursing Supervisor, Risk management, Nursing Coordinator, and Manager of the department. Once the team is put together the RCA should be started. The team should set up interviews with all staff that was involved and present in the department the day the sentinel event happened. A complete chart review should be conducted by team. The policies on conscious sedation, staffing of department, and standardized work should be reviewed. When the cause is identified a corrective action plan should be conducted. The corrective action plan will allow a series of projects can be put in place to help create or change polices if needed. The new or changed polices should be put into education models to teach to current and new staff as needed. The Root Cause Analysis Causative factors- (why it happened) determined cause Individual’s cause factors Nurse J did not follow procedure for conscious sedation. The patient was not placed on continuous B/P, ECG, and pulse oximeter throughout the procedure. Respiratory Therapist was not informed of the conscious sedation. LPN did not address low o2 saturation of 85% between the 4:35pm-4:43pm. Dr. T did not take in account of the patient’s weight and chronic pain medication use. Nurse J did not question the medication that Dr. T ordered. Team’s cause factors Management was not called and informed of staffing needs and acuity of patients. Back up staff was not called in to help when acuity and patient load had increased. Commination between Nurses and Dr. T were not present when the patient began to decompensate. Management /Organizational cause factors Unsafe Staffing at ED. There was not enough staff present to safely manage emergencies in the ED. RCA Findings: Errors and/or Hazards 1. Per protocol the patient was not hooked up to the proper monitoring equipment at the bedside. The facility procedure police called for continuous B/P ECG, and pulse oximetry during and after procedure until patient meet the discharge criteria. The nurse should have remained with patient during the recovery period. Crash cart with defibrillator was not present during the procedure nor was the proper reversal agents that could reverse the medication given for sedation. 2. Nursing staff communication was very poor. LPN did not notify Nurse J or ED physician when the patient’s o2 saturation dropped down to 85%. Oxygen was not placed on patient when O2 saturation dropped which led to respiratory failure causing the patient to code and eventually led to Mr. B’s death. 3. Communication between ED staff and management lacked when staffing needs increased. Patient safety was put at risk when the patient load and acuity increased in the ED and the staffing did not increase. Staffing shortage caused the nurse and nursing support staff to attend to other patients and leave Mr. B unmonitored which led to respiratory distress due to the patient being over medicated for sedation which led to respiratory failure and eventually led to Mr. B’s death. 4. The ED physician did not request the patient be transferred to the nearest trauma center due to lack of recourse’s in the emergency department. Recommended Corrective Action Plan/Change Theory/Improvement Plan 1. Improved patient safety during conscious sedation: Effective immediately all conscious sedation procedures will be conducted per protocol. Within 10 days the conscious sedation procedure should be evaluated by a committee to ensure the best practices are being used. Within 30 days of this RCA all  staff should be educated on conscious sedation protocol. All nursing staff should use review protocols for conscious sedation before a conscious sedation procedure is to take place. 2. Communication within the department should be evaluated immediately by a group of staff members to find out where the miscommunication failure lies. This could be that the nursing support staff is unaware of the parameters that should be reported to nurse or physician. With 10 days of this RCA a policy on documentation of communication should be put in place to ensure that all nursing staff are documenting the communication of a patients change in status has be reported to physician. Effective immediately all nursing support staff should be educated on parameters that should be reported to nursing staff and physicians. This should be put into a policy along with documentation of communication. 3. Improved patient to nurse ratios: Management should put in place a safe nurse to patient ratio for the emergency room. Communication policy between department and management should be put in place effective immediately to ensure that no other patient should be placed in harm’s way due to staffing shortage. The emergency department should be put on diversion if the patient load and acuity places patients at risk for harm in any manner. A copy of the RCA should be given to management and leadership. Management should share the finding with all emergency department staff. Feedback should be done 30 days after corrective action plan or change theory have been put in place to ensure that everything that has been put in place is effective for the department to improve patient safety. Constant reevaluation of patient safety should be conducted and feedback given to improve patient safety by all providers involved. Management will continue to ensure that all staff follow all protocols to ensure that patient care and safety are not compromised. At a 90 days bench mark after the corrective action plan has been put in place management should revisit the any changes made to protocols and polices to ensure compliance and effectiveness is still in place and reevaluate the process to ensure patient safety. Failure Mode and Effects Analysis (FMEA) A Failure Mode and Effects Analysis is proactive versus the RCA which is reactive. A FMEA assesses a process for risks of failures or adverse effects of a process and prevents them by correcting what is wrong proactively  (Institute for Heathcare Improvement, 2004). A Healthcare facility may use FMEA tools on the Institute for Healthcare Improvement website to evaluate a process in the facility. This tool will calculate a risk priority number (RNP) of a process, evaluate the impact of the process and the changes that are being considered, and tract the improvement over time (Institute for Heathcare Improvement, 2004). PRE-FMEA 1. Step one: Select a process to be evaluated with FMEA. The FMEA for this paper will focus on the conscious sedation protocol. 2. Step Two: Recruit a multidisciplinary team and include a member from every department that may be involved or affected. This team for the conscious sedation protocol should will include. Registered Nurse Physician Management Pharmacist Respiratory therapist A member from Legal Laboratory Tech Emergency Department Tech 3. Step Three: Information needs to be gathered by the team. A list of steps in the process being evaluated should be put together or even an outline of steps would be helpful to the team. All internal and external data, clinical practice guidelines, current policies and procedures, current literature and any other information that may pertain to the process that is being evaluated. For the purpose of this paper we would use data on outcomes of conscious sedation protocols, RCA’s on bad outcomes, clinical practice guidelines and any research documentation that would aid in best practices for conscious sedation. Team meetings should be structured with an agenda. A leader or primary person with extensive knowledge of the FMEA knowledge (Department of Defense Patient Safety Center, 2004) 4. Step Four: The Team should list the failure modes and causes. In each process all failure modes should be listed, and then for each failure mode a list of possible causes should be listed as well. In this scenario we will use this as an example Preparing medication Wrong medication prepared Wrong dose prepared 5. Step Five: A Risk Priority Number (RPN) will be assigned to each failure mode for the likelihood of occurrence, for the likelihood of detection, and for the severity. This step is also known as the three steps FMEA. The RPN is a numerical rating. For this scenario here is an example Likelihood of Occurrence: This will measure the likelihood a failure mode is to occur. The score range will be 1-10 with 1 meaning it is very unlikely to occur and 10 meaning very likely to occur. Example- Wrong medication prepared = 5 Likelihood of Detection: This will measure the likelihood a failure mode is to be detected if it should occur. The score range will be 1-10 with 1 meaning it is very likely to be detected and 10 meaning very unlikely to be detected. Example- Wrong medication prepared = 6 Severity of occurrence: This will measure the severity of the failure mode should it occur. The score range will be 1-10 with 1 meaning no effect and 10 will be death should a failure mode occur. Example- Wrong medication prepared= 9 6. Step Six: The team will evaluate the results. For each failure mode the three scores are multiplied with each other. The failure mode with the highest RPN will be the one that will be evaluated by the team to ensure patient safety. The higher the RPN a failure mode has the higher the potential for harm it may cause. The RPN score can be as high as 1,000 and as low at 3. Example- Wrong Medication Prepared Occurrence- 5 Detection- 6 Severity- 9 5x6x9= overall score =270 7. Step Seven: An improvement plan will be made based on the RPN. Likely to Occur. Have a triple check put in place. Have team attempt to eliminate all possible causes. Example-Have medication scanned when pulled from Pyxis to check providers order. Have patient scanned before medication may be prepared to check providers order. Have patient and medication scanned to ensure correct patient with the correct medication and proper providers order. Unlikely to be detected. Look for warning signs that the error may not be detected. Use data from any previous or prior errors. Severity. Use any data available to determine severity of error. Make available any and all resources to prevent further errors and severity of errors. Final Step- The final step in the FMEA is to plan an observation or test. A plan should be clear of its objections and should have some sort of predictions or outcomes. During the test all data should be documented. In this data collection phase all observations including problems or unexpected issues should be documented and later evaluated. After the test is complete and all data collected the team should meet for analysis of the data. A summary of the analysis should be documented. All changes or modifications to the process will be based on the test and analysis of data conducted. Any and all changes should be communicated to all staff members. These changes may or may not show improvement to the process, this is why constant reevaluation of all process should be conducted and any feedback should be given to leadership for the reevaluation of the process. Nurses play a vital role in health care. Nurses have the most contact with a patient. Nurses carry out any orders and or processes. A nurse is the patient advocate, they are the ones who will advocate for patient safety. Nurses are the advocates who will be looking for evidence base practices to improve patient care and patient safety. Improving quality of care for each patient will improve the outcomes for each patient. References Department of Defense Patient Safety Center. (2004, 12 26). Failure Mode and Effects Analysis. Retrieved from FMEA Info Centre: http://www.fmeainfocentre.com/handbooks/FMEA_Guide_V1.pdf Institute for Heathcare Improvement. (2004). Failure Modes and Effects Analysis (FMEA). Retrieved from Institute for Heathcare Improvement: http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx

Hate Speech essays

Hate Speech essays The unnatural and inexplicable along with the loss of control over something seemingly powerless are two of mankinds most potent fears. Mr. Senanayak, the Bengali specialist in combat and extreme-left politics, and Captain Arjan Singh, leader of Operation Forest Jharkhani, are forced to face these very fears when they pursue the rebel Dopdi in Mahasweta Devis Draupadi. Dopdi, the Bengali tribal woman also known as Draupadi, does not conform to the status quo of her class or her gender. Neither does she submit to oppression from the upper class, the government, or her society. Furthermore, she helps do away with the command assumed by the government over the tribal people and the untouchables. Even after the soldiers physically degrade her, she cannot be disheartened and thus she is able to maintain power and control over her captors. This insurgence terrifies the government officials and the agents; especially Senanayak and Arjan Singh. To her oppressors, Draupadi is the manifestatio n of their worst fears. Not only does she dispel their power over the downtrodden, but she is unnatural and able to gain power from the physical torment and torture forced upon her. Dopdis defiance causes her to break several societal expectations of her class and time. The very name Draupadi defies the boundaries of her class. As mentioned by the Liveries, Surja Sahus wife, an Indian, gives Draupadi her name. The name, which belongs to a character in the Mahabharata, is reserved solely for those Indians who are descended from the Aryans. The tribal people pre-dating the Aryan invasion have no right to heroic Sanskrit names. (p. 183) Also, the tribal people are considered untouchables throughout the story. They are considered unfit for any labor above the level of farming and are taken advantage of by the higher castes. Dopdis husband, Dulna, wants to be the ...

Charles Henry Turner, Pioneer Animal Behaviorist

Charles Henry Turner, Pioneer Animal Behaviorist Zoologist and educator Charles Henry Turner (February 3, 1867- February 14, 1923) is known for his work with insects and numerous animal behavioral experiments. Turner was the first to demonstrate that insects can hear and learn. He was also the first to demonstrate that honey bees have color vision and distinguish patterns. Fast Facts: Charles Henry Turner Born: February 3, 1867 in Cincinnati, OhioDied: February 14, 1923 in Chicago, IllinoisParents: Thomas and Addie Campbell TurnerSpouses: Leontine Troy (m. 1887-1895) and Lillian Porter (m. 1907-1923)Children: Henry Owen, Darwin Romanes, and Louisa Mae (with Troy)Education: Turner was the first African American to receive a graduate degree from the University of Cincinnati (M.S. in biology), and to earn a Ph.D. in zoology from the University of ChicagoPublished Works: The Homing of Ants: An Experimental Study of Ant Behavior (1907), Experiments on Color Vision of the Honey Bee (1910)Key Accomplishments: First to discover that bees see in color and recognize patterns. Early Years Charles Henry Turner was born in  1867 to Thomas Turner and Addie Campbell Turner in Cincinnati, Ohio. His father worked as a custodian in a church and his mother was a nurse. The couple were avid readers, who owned hundreds of books and encouraged their son to learn and discover more about the world around him. As a young boy, Turner was fascinated by insects and was curious about their behaviors. After graduating as class valedictorian from Gaines High School, he enrolled in the University of Cincinnati in 1886. Turner married Leontine Troy in 1887. The couple had three children during the marriage: Henry, Darwin, and Louisa Mae. While at the University of Cincinnati, Turner majored in biology and went on to earn his B.S. (1891) and M.S. (1892) degrees. In doing so, he became the first African American to earn a graduate degree from the University of Cincinnati. Career and Accomplishments An educator at heart, Turner gained employment at several schools and an assistantship at the University of Cincinnati. His ultimate desire was to head an African American institution of higher learning. After reportedly contacting Booker T. Washington of the Tuskegee Normal and Industrial Institute about potential teaching opportunities, Turner landed a position as a professor at Clark College in Atlanta, Georgia. He also served as chair of the Department of Science and Agriculture at the college from 1893 to 1905. During his time in Atlanta, his wife, Leontine, passed away (1895). Turner continued to pursue education and earned a Ph.D. in zoology from the University of Chicago in 1907. He became the universitys first African American recipient of such an advanced degree. That same year, he married Lillian Porter and taught biology and chemistry at Haines Normal and Industrial Institute in Atlanta. The couple later moved to St. Louis, Missouri, after Turner acquired a position at Sumner High School, where he continued to teach African American students from 1908 to 1922. Groundbreaking Research Charles Henry Turner is most noted for his groundbreaking research in animal behavior. He is reported to have published more than 70 papers in scientific journals, including the Journal of Comparative Neurology and Psychology, American Naturalist, Journal of Animal Behaviour, and Science. Despite his impressive degrees and numerous published works, he was denied employment at major universities.   Turners research focused on the behaviors of various animals, including birds, ants, cockroaches, honeybees, wasps, and moths. One of his most notable research discoveries focused on the navigation of ants and was the subject of his doctoral dissertation, entitled The Homing of Ants: An Experimental Study of Ant Behavior, published in the Journal of Comparative Neurology and Psychology. Turner designed controlled experiments and mazes for testing the navigational abilities of ants. His experiments demonstrated that ants find their way by learning about their environment. He also identified a specific type of behavior in some ant species that later became known as Turners circling, as was referred to by French scientist Victor Cornetz. This circling behavior was observed when the ants returned to their nest. His later experiments with honey bees contributed to the better understanding of invertebrate animal behavior. These studies established that bees see in color and recognize patterns. His two papers on these studies, Experiments on Color Vision of the Honey Bee and Experiments on Pattern-Vision of the Honey Bee, appeared in Biological Bulletin in 1910 and 1911 respectively. Unfortunately, Turners contributions to the study of honey bee behavior were not cited by his contemporaries, such as Austrian zoologist Karl von Frisch, who published works concerning honey bee communication several years later. Turner conducted many other experiments and published papers that elucidated insect phenomenon such as hearing in moths, insects that play dead, and learning in cockroaches. Additionally, he published studies on bird and crustacean brain anatomy and is credited with discovering a new species of invertebrate.   Death and Legacy Throughout his life, Charles Henry Turner was an advocate for civil rights and argued that racism could be conquered through education. He published papers on the subject in 1897 and 1902. Turner retired from Summer High School in 1922 due to failing health. He moved to Chicago, Illinois, where he lived with his son Darwin until his death on February 14, 1923. Charles Henry Turner made lasting contributions to the fields of zoology and animal behavior. His experimental designs, observational methods, and investigations of vertebrate and invertebrate learning elucidated new ways of studying animal life. Sources Abramson, Charles I. Charles Henry Turner: Contributions of a Forgotten African-American to Honey Bee Research. Charles Henry Turner, Oklahoma State University, psychology.okstate.edu/museum/turner/turnerbio.html.DNLee. Charles Henry Turner, Animal Behavior Scientist. Scientific American Blog Network, 13 Feb. 2012, blogs.scientificamerican.com/urban-scientist/charles-henry-turner-animal-behavior-scientist/.  Turner, C. H. The Homing of Ants: An Experimental Study of Ant Behavior. Journal of Comparative Neurology and Psychology, vol. 17, no. 5, 1907, pp. 367–434., doi:10.1002/cne.920170502.  Turner, Charles Henry. Complete Dictionary of Scientific Biography, Encyclopedia.com, www.encyclopedia.com/science/dictionaries-thesauruses-pictures-and-press-releases/turner-charles-henry.  Vincze, Judit. Turner, Charles H. (1867–1923) JRank Articles, encyclopedia.jrank.org/articles/pages/4485/Turner-Charles-H-1867-1923.html.

Reasons for Transferring and Objectives Essay Example | Topics and Well Written Essays - 500 words

Reasons for Transferring and Objectives - Essay Example My major is business and I think that for me learning about business from a reputed institution is essential so that I do not prove to be a nuisance for the boss. The first and foremost reason for transferring is acquisition of quality knowledge. Knowledge has no limit. Business in today’s age offers a lot for learning. The more you study, the more you learn. In depth study of business makes you eager of acquiring more knowledge; this also helps you to develop more interest and makes you more conscious of seeing the practical impact of theoretical knowledge. The more you study, the more you can explore, so studying hard about facts and figures boosts the confidence and also makes you feel that whatever you have done , is not enough, so do more. I hope to have a wider network of friends as because of transfer, I would have better chances to make new friends. For better education, a network of friends is essential as friends help each other in their studies. A communicative envi ronment is created that is necessary for an educational set up. In today’s life, students cannot operate without having a network of friends. Therefore, it is very important to have a network connection of friends for all kinds of studies. What I am going to do with my degree in the future is that I am interested in opening my own business and by obtaining a degree in business, I will be able to understand business and its requirements. I want to be an independent person in my future. I want to support my parents by opening my  business.