Thursday, October 31, 2019

Critique of Quantitative Research Report Essay Example | Topics and Well Written Essays - 3000 words

Critique of Quantitative Research Report - Essay Example A close reference was made to the study Staff Regard towards Working with Substance Users: a European Multi-centre Study (Gilchrist et al). The aim of the study was to compare the levels of regard that medical practitioners have for working with various groups of patients for medical school students at the Monash University.Unwillingness to treat certain categories of patients stems from the perceived difficulties in handling them, lesser rewards from the intensive care required of the medics, and the general feeling of inadequacy of skills. The researchers note that the medical practitioners prefer treating other categories of patients, for instance those suffering from diabetes. Of special interest to this study is the section from which the researchers apply the t-tests and Analysis of Variance. On top of the ANOVA tests carried out inappropriately in this study (where the researchers should have used the non-parametric equal of ANOVA, the Mann-Whitney U-test. The overall implicat ion of the errors presented by these researchers is that their findings can rightfully be termed as wrong and inappropriate, because they could not use the wrong approach to reach at their conclusions.In the end, the researchers confirmed that the medical practitioners surveyed in the various disciplines were least willing to work with patients who needed treatment for use of illicit drugs. It is not certain whether the same conclusion would have been reached if the correct tests were applied on the data.

Tuesday, October 29, 2019

A Worn Path Essay Example for Free

A Worn Path Essay â€Å"A Worn Path† written by Eudora Welty, is set during a cold winter after the conclusion of the Civil War, in a rural area near Christmas time in the mid 1900’s. Phoenix, an older uneducated Negro woman, who endured racism, is the main character with minor characters of a hunter, a dog, a nurse, a clerk and Phoenix’s grandson. Eudora Welty began developing the story in the first paragraph by choosing the name of the main character – Phoenix. A phoenix is a mythological bird that supposedly lived over 500 years ago and died in flames and rose again from the ashes. (W) My idea of what the author is conveying through various writing techniques is that there are many obstacles in life and one may overcome obstacles by determination, love, a strong personality and a helping hand from others. The characters represent various aspects of life. Phoenix had to overcome many obstacles – cold weather, her age, a hunter with a gun, thorns and hills. The obstacles can be viewed as lessons or opportunities to learn. The black dog which startled Phoenix represents unexpected â€Å"bumps in the road.† Another obstacle, Phoenix had to overcome was her own internal worry about wild animals (snakes, coons, wild hogs, foxes, owls, and beetles) on her way to town. An external conflict was represented by the physical struggles Phoenix endured. A major obstacle, Phoenix overcame was to walk across a log suspended over a creek, using her cane to balance her weight. I consider this particular obstacle as a life changing event. Phoenix also knew she had to ta ke care of her grandson because she was the only person left. A reader could view the walk Phoenix regularly completed as Phoenix’s reason for being alive or as a rebirth. Assistance in life comes in many ways. The hunter and his dog helping Phoenix with a hand-up moved Phoenix forward on her journey. Life is like that made easier with help from others. The author did a great job conveying these characteristics. The main character, Phoenix, represents a strong individual who overcame numerous obstacles. Phoenix was dedicated to helping her grandson and was determined to complete her task. The author, through creative descriptive words, revealed a multitude of personality characteristics within Phoenix. The main character was in control of her life as evidenced by her determination to stay on her journey even when the hunter tried to persuade Phoenix to return home. A reader could view the walk Phoenix regularly completed as Phoenix’s reason for being alive or as a rebirth. Phoenix was on a mission! Eudora Welty was very effective with the writing techniques. The story was easy to understand, the language descriptive and was enjoyable to read. The descriptive language the author used made me feel as if I was there. I feel the author wrote the story from the third person omniscient (all knowing) narrator point of view. The author utilized the setting to represent obstacles. The setting is both physical and chronological. The author used great descriptive language to help create the story in the reader’s mind. The author, based on this particular story, perceives life as a struggle. Welty was successful in creating a story about values of love, compassion, dedication, determination and helping others. Works Cited W, Susan. LLCS. 2013. Definition. 2013. . Thesis statement: Thesis from A Worn Path by Eudora Welty: In Eudora Weltys A Worn Path, Phoenix Jackson exhibits great love, determination, and devotion as she overcomes many challenges on her frequent yet terrifying trek to town in order to retrieve medicine for her grandson.

Saturday, October 26, 2019

Child Labour in Malawi

Child Labour in Malawi Theories of child labour rely on the universal concept of a child and a set age limit of responsibility and working life, however in many developing countries this concept does not exist or cannot exist because of poverty and lack of education.. Work can also not be limited to paid employment, as many children often help out in domestic work at home, a phenomenon not limited to the developing world, as it can be seen in the responsibilities of children who are carers in the UK. So with the differences in the social aspects between the countries in the developed and developing worlds, can we apply the theories of development, modernisation and dependency to the concept of child labour in the Malawi province when it is a largely western construct- this paper will discuss child labour in relation to these theories and attempt to draw conclusions on the notion of child labour in a developing countries. A child according to UNCIEF is a person under the age of 18 years and the convention states that international law that state parties must maintain that all children benefit from special protection measures and assistance (www.unicief.org). It goes on to state that a child must have access to education and health care and must be knowledgeable about and contribute to the process of attaining their rights. Conversely, the notion of a child is a challenging one according to James et al, in their book Constructing and Reconstruction Childhood, the writers go on to state how childhood is a social construction, and has different forms in different societies. (Prout et al, 1967). This view is in contrast to that of the western notion of child that appears to adopt the blanket view of the child and one size fits all. Children globally should be protected and remain in the family unit until they reach the age of 18years. It does not however allow for different cultural approach, or whether a child contributes to the household due to poverty, or indeed the child needs to fund their education (Leonard, 2009). To define a child is a difficult and emotive issue, and definitions and norms surrounding childhood vary over time and place, and within developing societies the move from childhood to adulthood may not be based on age (Johnson, 2012). According to the University of Malawi Centre for Social Research child labour has existed in Malawi for a long time. It goes on to state that it part of the Malawian culture to have children assist their parents in the home, and it was not until the late 1890s that child labour formalised (University of Malawi). In developing countries such as Malawi children are integrated into the household economy at an early age, where according to the International Labour Orginastition where 93.7% of girls and 90% of boys between the ages of 5-14 are unpaid family workers. Paid labour is 3.8% for girls and 4.7% for boys, self-employed is 2.6% for girls and 5.3% for boys (www.ilo.org). In to Whites consortium the writer argues that cultural doctrine in relation to child work appears to be a more general issue when it is raised on the international level of debate. White goes on to say that ethical issues are raised, and he raises the question as to whether the rights of different cultures should be recognised when debating child labour (white, 1999). The discussion continues in Whites paper where globalisation is concerned and takes the form of international debates regarding taking the child labour subject across borders, cultures and political worlds (Kent, 1995: 80). This according to White results in a debate that will never be resolved (Alston, 1994: 16). White believes that with regard to universalism of which he states there are three; cultural relativism that cultures cannot be compared, resulting in according to White cultures that can only be understood in their own terms. The second is cultural relativism as an ethical and political belief, in that culture is immune from critism from outsiders. Whites third cultural relativism pertains to developed worlds view of developing world and how we need to learn and observe and not change (White, Ben. 1999). This would tie in with the notion that west is not always best where the majority countries are concerned. The western notion could be misunderstood an issue raised by Leonard when she notes that children work in many types of work in developing or majority world countries and its the minority that work in the production of goods for the global market (Leonard, 2009). The estimate of child work involved in family based work is 70% (ODonnell et al. 2002). Leonard also argues that targeting child labour will categorises all child work and has a negative effect on the economics of the child and their nation state (Leonard, 2009). This further the debate on Whites third cultural relativism and the need to learn and respect for different cultures and to understand what other cultures define as child work as opposed to child labour and how western notions are not the best way to future development (White, 1999). In the now developed countries of the world millions of children once worked in mines, mills agriculture and on the streets, often in similar conditions to that of todays developing world, but yet the developed countries took several generations to address the issue of child labour according to Hindman. (Hindmand, 2009). It is this western notion of childhood that is imposed on the now developing countries that are sometimes viewed as deviant or backward when they dont adapt the west is best approach to childhood. It is this western notion of development that Frank argues developing countries could never adopt as developed countries have never experienced colonialism. He goes on to argue that many countries such as China and India were quite advanced before they were colonised in the eighteenth century how a peripheral account of development for developing countries would be that the deviancy of developing countries cannot be explained feudalism of traditionalism ( Frank, 1967:1969). It is according to Frank past experience of colonialism and domination that have reversed the development of what he term advanced developing countries and forced them to become economically regressive, and he terms this the development of underdevelopment this he writes signifies as unnatural and was created by historical colonialism (Frank, 1967: 1969). Defining development according to storey, 2009 was for many years straightforward and was seen as equivalent to economic growth of which Gross National Product (GNP) was used as the main indicator and is used in determining the individual total or per capita. This equation is used to determine the development or under development of a country (Storey, 2009). Social scientists Walt Rostow developed the idea that growth consists of five stages in which developing countries moved from traditional society to an age of high mass consumption. But the concept of growth without development came into question in the 1960s and 1970s (Storey, 2009). It was not until 1990 that Human Development Index (HDI) was introduced to accurately measure whether people were better off in terms of health, freedom, education and other aspects of life that were not measured by Gross National Product (GDP). Human Development Index was an alternative to Gross National Product; it does not however include the cultural features that make up a society (Lopez, 2009). There have been critism of HDI no more so than Storey when he states how the Human Development Index is extremely motivated by Western notions (Sen. 1981). Developing countries according to Frank 1990 became a urbanised western areas that are drained of their natural resources. This was prevalent as a result of colonialism and according to Baran 1957 India was at the fore of development in the world in the eighteen century. Their economy was seen as comparatively progressive and their production was the best in the world (Baran, 1957). The policies forced onto India were to result in India becoming dutiful to Britain and resulting in India becoming dependant on Britain and moving backwards from a moderately progressive industrial nation to a regressive agricultural nation (Baran, 1957) According to Frank this was a dependency theory with regard to international capitalism, and resulted in the division of labour that was responsible for the underdevelopment of many countries. The division of labour is the reason for poverty and capitalism regards the division of labour as essential when it comes to the distribution of resources (Frank, 1967). In 1963 an agreement was reached between European Community and its former colonies to address the underdevelopment of the former colonies and to contribute to a equally useful trading scheme with a range of trading measures. But in 1986 the European Union repositioned itself with regard to global economic position. This was followed by the Maastricht Treaty (1992) saw policy changes to include the smooth and slow incorporation of developing countries world into the world economy, this saw the change in the method in which governments approached support and trading treaties, this according to Mc Cann lead to a more globalising focus on the type of help that developing countries would receive. Mc Cann believes that the EU has the capacity and the financial means to give more help to developing countries. But he notes that after 50 years after the first help from the EU under the Treaty of Rome, developing countries continue to experience social and economic marginalisation, and these further impacts on the poorest and most helpless in developing countries (Mc Cann, 2009). The overseas Development Institute briefing paper for 1973 state that the International Munirity Fund (IMF) has become more interested a better balance between supply-side and demand-management, and the progress of economic growth within the said nation. It goes on to say how the IMF insist on reforming info-structure to encourage growth in the economy and this results in cuts to education and hospital which impact directly on children who may as a result of these measures need to work to help their family or themselves (www.odi.org.uk). In an International Monetary Fund (IMF) working paper by de Carvalho Filho 2008, on Household Income Determinant on Income on Child Labour and School Enrolment. The discussion focuses on household income as a problem where child labour and school enrolment is concerned. This plays back to the need for children to work as opposed attending school. It goes on to note the importance of policies that will improve the human capital of poor children and cut inequality in developing countries (www.imf.org/external/pubs/ft/wp/2008/wp08241.pdf). The paper does not however focus on the determination of the IMF to ensure that the country seeking aid is required to restructure and to cut spending in order to get financial help from IMF in the first instance. According to Aide Internationale Pour Lenfance a nongovernmental organisation, the IMF contribute to child labour when they insist that countries severely indebted to them reduce their spending on education and healthcare increasing poverty and child labour www.aipe-cci.org/en/en-index.html . World Bank Global Child Labour Program was established in 2003 to research child poverty, and to actively address child labour within its lending and non-lending procedures. Another topic within this programme is for the World Bank Organisation to enable greater support between multilateral agencies (www.worldbank.org). In Malawi according to the World Bank Oginasation has a poverty level of 67.34% the WBO plans to transform Malawi form being an importing and consuming economy to a mainly manufacturing and exporting one (www.worldbank.org). Malawi gained its independence from colomlism in 1962, with a history of corruption and high interest loans it is according to an article in the economy watch dated 9th April 2010,one of the poorest countries in the world. It relays mainly on agriculture and its main crop it tobacco that employs a high percentage of children, and has been criticised by the International Labour Organisation for its use of child labour with some children as young as 11 years working sorting tobacco leave ( www.economywatch). . Tabaco growers are worried as the World Health Organisation Agreement on tobacco that will see governments move their economies away from tobacco growing, leaving the poorest vauranable and unsure of what crop they can grow to sell on the world market (www.bbcnew.co). Malawi gets significant financial aid from the International Monetary Fund (IMF), and World Bank. The drive to reduce loans has led to server economic policies being implanted by the current government that has imposed severe hardship on the poorest of Malawi

Friday, October 25, 2019

The Effect of Relativity Theory on Marathon Runners :: physics sport sports running

Sometimes people say, "Running is good for your health, and you can live longer." Is it true? Isn't there another reason? Is health the only cause of longevity? I wondered if the effect of relativity is one of the causes. In 1905, the great physicist, Albert Einstein, put forward a new theory called "The Special Theory of Relativity". It is very simple and it says only these two principles 1. The laws of physics are the same in all inertial system. 2. There is a speed limit, and it is the speed of light. Suppose two inertial systems, one of which, S, is the rest system and another, S', is moving at the velocity v to S. In above pictures, red and blue represent S and S', white balls moving are light, green boards are mirrors. Since the speed of light is constant, (ct)2 = (vt)2 + L2 (1)

Wednesday, October 23, 2019

Deltoid Intramuscular Injection and Obesity Essay

Deltoid Intramuscular Injection and Obesity Introduction   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   According the World Health Organizations and Centers for Disease Control and prevention in United States, approximately one –third of adults are considered obese. This has raised the no of intramuscular injections with approximate rate of 16 billion per year. Despite complex skills in administering, IM injections into deltoid muscle for administering the vaccine is best considered. IM injections is injection in which the needle pierces the muscle at least by 5mm, Zayback (2007).This has raised a great concern to the health sector whether the standard needle of 25-38 mm used, is able to deposit the medication to the muscle of obese individual. For the last six years, this has pushed researchers to address the issue of IM needle length in obesity. Further, the research based its findings reached conclusion 1.5 inches needle is the best as opposed to 1-inch needle. Further, it was discovered that there is no commonly accepted method if IM injection for a person with high BMI (Plotkin, 2008). Implication on leadership and management   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The procedure for administering the vaccine by use of IM injections in obese individuals has not been an easy go to the leadership and management of health care in United States. With increased number of patients, the cases of incapability of vaccine causing a reaction(reactogenicity),wrong vaccine injection techniques and incorrect needle length used for IM injection in obese individuals has been of major concern. According to World Health Organization, the concerns have been associated to patient’s discomforts and increased cases of risks. It is therefore imperative to the leadership of medical-surgical nurses find an appropriate solution to the above raised concerns.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Also according to WHO (2009), administration of IM injection has for long been a complex challenge .Perhaps it has been found that the nurses when giving IM injections, use techniques that are little more ritualistic procedure but based on tradition ,which is passed from one nurse to another, generation to another. It is in great concern it has been addressed to the management and the leadership .This is because the skills not only requires dexterity in manipulating needle and syringe, but also knowledge in deciding the appropriate needle, syringe type and appropriate location of the injection ( Coco man & Murray 2008).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Following this, timely reaction from management and leadership of health care in U.S is of great essence. This is because wrong IM injection technique and incorrect needle length can result to complications such, as are muscle fibrosis, abscess, gangrene, nerve injury and contracture. On the other side, unsafe injection technique may result in many of infections, such as HIV (6-8) and hepatitis B and C. According to Cocoman & Murray (2008), Detroid IM injection has resulted to permanent disability and in some cases to legal actions due to inappropriate injection techniques. In additional, this has problems to health care management in imparting proper knowledge to its nurses despite continued iatrogenic complications. Implications of issues for nursing practice   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Based from the questions, concerns, statistics and issues raised, there has been increased awareness to the nurses’ and other health care professionals carry out the appropriate techniques of intramuscular injections, appropriate vaccine and identification of appropriate needle length for injection in obese patients.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Following the effects of injecting vaccine into the subcutaneous tissue, complications such as granulomas and abscesses, injecting the vaccine into the deltoid muscle was more recommended .Further (Walters & Furyk, 2010) describes that although Obese patients still receive the injections into subcutaneous tissue there are more harm. This is because there is slower rate of absorption and medication efficiency can be compromised, resulting to vaccine failure.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In determining the correct needle length, for the past six years the research based on issues of intramuscular needle –length in obesity begun. A research by Zaybak and colleagues (2007) was conducted to measure SCT in ventrogluteal and dorsogluteal sites to determine the optimum injections. In determining the optimum injection for IM injections, Weight was the key factor to the research whereby the BMI for extremely obese was greater than 35, for obese 30-30.5 and for overweight the BIM ranged 25 -29.9 in adults. Following the research, 16mm long needle in adolescents less than 60kg is recommended. It is acceptable for those adults weighing 60-70 kg when using flattened technique or bunch. However, it was agreed 1.5 inches needle to use as standard in Detroid IM injection of vaccine in obese patients. To the question of common method of Detroid IM injection, it was discovered that there is no commonly accepted method of IM injectio n for a person with high BMI. Strengthening of nursing practice   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   From above review, there are many discrepancies in the practice of IM administration. There is because there is no standard method of detroid IM injection and needle length as. This has further created gaps in nursing education as well as the nursing practice (Cook, 2006).There is therefore need to apply the above currently evidence –based research guideline to harmonize the practice and the nursing education in United states. References Cook, I.F., Williamson, M., & Pond, D. (2006).Definition of needle length required for intramuscular deltoid injection in elderlyadults: An ultrasonographic study.Voccine, 24(7), 937-940. Cocoman, A., & Murray, J. (2008). Intramuscularinjections: A review of bestpractice for mental liealtii nurses.Journalof Psychiatric & Mental Health Nursing,/ 5(5), 424-434. Zaybak.A., Gà ¼nes,Y.,Tamsel, S., Khorshid, L, &Eser, I. (2007). Does obesity prevent theneedle from reaching muscle in intramuscular injections? journal ofAdvanced Nursing, 58(6), 552-556 Plotkin, S., Orenstein, W, & Offit, P (2008).Vaccines (5* ed.). Philadelphia: SaundersElsevier. Source document

Tuesday, October 22, 2019

Verb Endings in -ed and -t

Verb Endings in -ed and -t Verb Endings in -ed and -t Verb Endings in -ed and -t By Maeve Maddox While irregular verbs are often a focus of grammatical errors, regular verbs are a frequent source of spelling errors. Most regular verbs form their past tense by adding -ed to the base: accept/accepted. A few verbs form the past tense with a -t ending: build/built. Some spelling errors result from the fact that the -ed ending may be pronounced in one of three ways: /ed/ complimented /d/ loved /t/ equipped A common spelling error occurs with words that end with the sound /t/, but are spelled with –ed. For example, wrecked, might be misspelled as â€Å"wreckt.† Some of verbs that end with the sound /t/ do spell the sound with -t. bend/bent feel/felt keep/kept leave/left lend/lent lose/lost mean/meant send/sent sleep/slept spend/spent weep/wept Some verbs that end with the /t/ sound may be spelled with either -ed or -t. The -t ending for these verbs is more common in British spelling. burned, burnt dreamed, dreamt kneeled, knelt leaped, leapt leaned, leant learned, learnt smelled, smelt spelled, spelt spilled, spilt spoiled, spoilt Most American speakers would probably consider leapt, leant, learnt, smelt, and spelt out-and-out misspellings. Burnt, dreamt, knelt, spilt, and spoilt, however, do occur in U.S. speech and writing. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Spelling category, check our popular posts, or choose a related post below:75 Synonyms for â€Å"Angry†Disappointed + PrepositionUsing Writing Bursts to Generate Ideas and Enthusiasm