Sunday, October 13, 2019
Persuasion Paper :: essays research papers
                                                  Matt B                                                       2/14/05                                                   PY129                         Persuasion Paper           Hello, woman who sits in the front of the class. I may not have your name, but I do have some unfortunate news for you. You should never go out with me. We all know it would have happened. Everybody knows what’s on a woman’s mind, and how could I not notice things like the way you stare at me in class, it’s just so distracting. I’m just trying to stop this very attractive problem before it’s too late. This paper will save you from years of therapy and gallons of Ben and Jerry’s cookie dough. Don’t feel bad, it’s not you, well actually it is; but you can still choose from the other 10 guys in our class who mysteriously all sit in a circle around you! I just don’t think things would work out between us. I believe that I have a pretty good idea of what kind of a person you are from being in your logic class and never talking to you once. Our close and personal relationship gives me insight to who you are, and why we aren’t right for each other. First, your too predictable and boring for me, second, your not willing to change, and third, I don’t think you could satisfy me.                     Variety is the spice of life! Mix things up a bit. You sit in the same seat every day, who does this? Don’t you ever wonder what it feels like to sit someplace else? I wouldn’t be able to stand that kind of compliancy. Another testament to your predictability, is the fact that you never have a story to tell about how your weekend was. This means either one of two things.           1) You do nothing on weekends. Your idea of fun is watching the Lifetime channel. You go to Six Flags and enjoy such rides as ‘Teacups,’ ‘Ferris wheel,’ and ‘Dirty bench by the hotdog stand.’      2) Just the opposite. Maybe you frequent S&M clubs or rob orphans on the weekends. Whatever it is, it probably makes the baby Jesus cry. You disgust me. So start enjoying the finer, more fun things in life. Until then, though, I just don’t think your ready for my kind of excitement.           You most likely do a variety of things, or have some qualities that are unattractive to me, and you are also unwilling to change them. I know this because of our many interactions together, where you have revealed to me your deepest secrets and habits.
Friday, October 11, 2019
The Physicists Essay -- Essays Papers
The Physicists The Physicists is a satiric play written by the Swiss author Friedrich DÃ ¼rrenmatt about three physicists who are living in the private sanatorium " Les Cerisiers " headed by the last living member of an old regional aristocratic family, Miss Dr. h.c. Dr. med. Mathilde Von Zahnd. The first one thinks he is Sir Isaac Newton, but he is in reality Herbert Georg Beutler, the second one thinks he is Albert Einstein and his real name is Ernst Heinrich Ernesti. The third physicist, Johann Wilhelm MÃ ¶bius is different, he has got no second identity but he is in this sanatorium because King Solomon speaks to him. We enter the play when many men are in the saloon. It is the place of a tragedy as Mr Ernesti has strangled a nurse. Mr. Beutler has also killed a nurse a couple of months ago. The inspector is slightly annoyed because he has to visit Les Cerisiers the second time during a short period of time and because he can’t speak to or take away the murderer . He is also expressing the wish of the public prosecutor that the sanatorium has to be taken over by male nurses because of the two murders by the two physicists. During the course of the play the personal and physical change is perceptible. Both the main characters and the environment are changing. For an example in act two, Herbert Georg Beutler alias Sir Isaac Newton turns out to be a long lost world famous physicist Alex Jasper Kilton who discovered the "Theory of Equivalents" also Albert Einstein alias...
Obama Care The Federal Legacy Health And Social Care Essay
The historical development of province wellness attention policies and their development to establishments of the present twenty-four hours has created an environment where the support of province wellness attention and its reform has been a focal point of citizens and governmental entities likewise. Recent province policy research and media focus frequently list the immense cost loads that states face to handle many of their uninsured citizens including the indigent and low-income persons, peculiarly those with important chronic medical conditions and viz. dialysis patients. Safety Net, or â€Å" Disproportionate Share, †Hospitals ( 1980s to 2009 ) Before 1981, Medicaid paid infirmaries with unreimbursed attention based on â€Å" sensible costs. †The disproportionately high costs of infirmary attention[ 1 ]caused Congress to acknowledge Disproportionate Share Hospitals ( DSH ) in the Omnibus Budget Reconciliation Act ( OBRA ) of 1981. DSHs are defined as those that serve preponderantly low-income patients, and as such, are public infirmaries that are entitled to federal aid. These DSH, or â€Å" Safety Internet †infirmaries, supply a broad assortment of attention. In 1987, the so Health Care Financing Administration[ 2 ]( HFCA ) released a survey that reviewed province DSH plans. As a consequence, Congress required provinces make payments to acknowledge DSH public infirmaries. In 1990, province discretion was increased in footings of their DSH plan designs. Different classs were allowed, but this increased DSH disbursement. By 1992, DSH disbursement cost $ 17.4 billion. As a consequence, Congress passed the Medicaid Voluntary Contribution and Provider-Specific Tax Amendments Act of 1991 to restrict funding of the non-federal portion and limited national sum DSH disbursement to 12 % of entire Medicaid disbursement. Further efforts to restrict DSH disbursement occurred in 1993, in the Balanced Budget Act of 1997, which reduced Medicare DSH payments by 8.6 % , and in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. In 2003, the Medicaid DSH Program funded 23 % of unreimbursed attention in the United States[ 3 ]. Projections indicate that $ 11.3 billion of the jutting $ 216 billion the federal authorities will pass on Medicaid in financial twelvemonth ( FY ) 2009 will be for DSH payments. This includes financess from ObamaCare ( Pete rs, Christie Provost, 2009 ) .Recent Attempts at Health Care ReformIn 1994, President Clinton attempted to go through the American Health Security Act without success. Harmonizing to one article, Business and insurance groups by and large opposed the reform bundle, while labour and the AARP supported Clinton ‘s measure. However, Clinton ‘s program was so comprehensive and complicated in the ways it might impact the dynamic wellness attention industry that some organisations changed sides during the legislative conflict and others splintered into opposing cabals ( Lowery, et al. , 2005 ) . In 1997, the Children ‘s Health Insurance Act ( CHIP ) plan was enacted. This plan provides insurance coverage for kids of low- to moderate-income places without private insurance. The plan is provided at both the federal and province ( SCHIP ) degrees as province legislative assemblies addressed wellness issues during the same clip. The legislative docket included prescription drug coverage, ordinance of managed attention, and cosmopolitan coverage, with different results than at the national degree ( IBID ) . The 50 provinces passed over 900 different Torahs modulating managed attention, between 1995 and 2001 as reported by the NCSL[ 4 ]. Health attention comprises a big part of province budgets ; multiple groups anteroom for Medicaid, SCHIP, public employees ‘ wellness insurance, and other wellness attention support. In 2003, President Bush expanded Medicare to include prescription drug coverage[ 5 ]. Massachusetts Health Care Reform In 2006, Massachusetts enacted wellness attention reforms, which were frequently touted by advocates of ObamaCare. The Massachusetts â€Å" carrot and stick †attack of single authorizations, coupled with a province tally insurance â€Å" exchange, †enables the uninsured to buy portable insurance at regulated/affordable rates. As of 2010, 97 % of Massachusetts occupants have wellness insurance ( see Appendix 6: Percentage of Massachusetts Residents without Health Insurance ) , with greater Numberss of employers offering wellness insurance than the national norm[ 6 ]. â€Å" MassHealth, †is the agencies by which the province provides comprehensive medical coverage, with eligibility standards for up to 300 % of the federal poorness degree ( FPL )[ 7 ]for low-income occupants and persons with disablements. Harmonizing to the Governor ‘s FY2011 budget, $ 9.84 billion is included for MassHealth Medicaid plans, an addition of 6.5 % from FY2010 ( see Appendix 7: MassHealth Average Enrollment ) . For those occupants who can non afford wellness insurance, Commonwealth Care provides wellness insurance for persons up to 300 % of the FPL with a full subsidy for those under 100 % of the FPL through a â€Å" to the full capitated insurance theoretical account[ 8 ]â€Å" . As of FY2010, over 150,000 occupants were enrolled, with a FY2011 budget of $ 838 million that includes a jutting 20,000 member enrollment addition. MassCare includes a $ 40 million Commonwealth Care Bridge for legal immigrants populating in the United States under five old ages. Massachusetts ‘ reform attempts ( Massachusetts Act, Chapter 58 of the Acts of 2006 ) have been both a success and a failure. Evidence of success reveal that in 2008, 96 % of occupants were estimated to hold wellness insurance. There were additions in insurance coverage reported across every population and conformity with the single authorization is high, with about 1 % of grownups assessed a punishment for disobedience ( Long, 2010 ) . Evidence of failure indicates the undermentioned ( Samuelson, 2010 ) : the province subsidizes insurance for people with incomes up to 300 % the federal poorness line ( FPL ) ; the easy portion – spread outing state-subsidized insurance coverage – succeeded ; the difficult portion – controlling costs and guaranting that passing improves people ‘s wellness – failed. Emergency suites are still as crowded, and that take place wage is being squeezed because of the coverage costs. Additionally, costs have shifted aut horities precedences from public safety, instruction, substructure, and lower revenue enhancements to wellness attention as the province budget went from 22 % for wellness attention to 35 % , of which 90 % of that is Medicaid. MassCare besides provides a Health Care Finance and Policy Division Health Safety Net ( HSN ) , once known as the Uncompensated Care Pool. HSN reimburses infirmaries and other Safety Net medical suppliers for low-income patients who are uninsured or underinsured. The payments for Safety Net suppliers decreased from 2007 to 2009 ( Appendix 8: Health Safety Net Payments Compared to Hospital Payments ) due to expanded wellness insurance coverage for occupants[ 9 ]. This lessening in Safety Net reimbursements may be a positive index for cost recovery at UMC. As patients obtain insurance, UMC may be able to better measure the insurance suppliers for attention provided, but it is excessively shortly to state if this will be a factor as patients may choose to pay the punishment of being uninsured instead than pay the higher premiums for wellness insurance. Round 2 of Massachusetts ‘ Health Reform attempted to turn to cost containment, but cost nest eggs obtained by Massachusetts ‘ wellness attention reform are overshadowed by growing in wellness attention outgos ( see Appendix 9: Growth in Health Spending in MA Expected to Surpass Other Economic Indicators Index of Health Expenditures Per Capita and Other Indexs in MA, 1991-2020 ) . Cost containment attempts outpace the province ‘s attempts to fit grosss to outgos. Harmonizing to the Governor ‘s FY2011 budget, â€Å" Experts believe that about 30 % of today ‘s wellness attention disbursement produces no benefit to patientsaˆÂ ¦we pass a significant sum of money per twelvemonth on preventable and unneeded exigency room visits, hospitalizations and readmissions, while the United States has the doubtful differentiation of taking the universe in duplicative medical trials[ 10 ]â€Å" and that farther payment reform is needed to incorporate these costs.
Thursday, October 10, 2019
Good life Essay
At the end of our lives, we all want to be able to feel as though the life that we lived on earth was a good and happy one. This seems like the ultimate goal that we strive for every day. However, the question arises as to how we can meet this goal by the way that we live our daily lives. If you were to ask random people on the street how they live a good and happy life, each person would give you a different answer. This is because everyone has a different perspective of what is important to make this life a good and happy life, and everyone has the control to make this life possible. What would I say if someone asked me how I plan to live a good and happy life? Personally, my answer would be that living a good and happy life would be living virtuously and living a meaningful life through my passion for helping others through nursing and also through my faith. There are many people that have studied these aspects of what a good and happy life would look like and have different views on what really defines what it means to live in a virtuous and meaningful way. According to the Stoics, their idea of virtue was moral goodness, doing what is right, just, honorable and wise, but I believe that being virtuous goes beyond being morally perfect. So, what does being virtuous actually mean to me? Being virtuous means consciously striving to do what is right, and learning from our mistakes, and continually growing to be a better person. In Joel Kupperman’s book, Six Myths About the Good Life, there is a quote that reads â€Å"There has to be a learning process; part of this inevitable will involve moral decisions, made by someone who is still inexperienced and who may be under pressure. I believe that making mistakes is part of our human nature, but that does not mean that we cannot be virtuous people. We can still live a virtuous life by learning from the mistakes that we have made. So, how does this view of virtue ensure that I live a good and happy life? Living a virtuous life require us to do what is right, and feel good about those decisions that we have made. It is important to learn from our mistakes, because in return, we will grow as people, and hopefully not continue to make those same mistakes. A life full of doing bad things, will only leave us with a life full of regrets at the end, but living virtuously will prevent us from living a life of regrets and in return will ensure a good life. Someone might disagree by saying that virtue is not important because anyone could live a good and happy life by doing bad things and stomping on the people around them for their own good. But, what is this person going to think at the end of their lives? What good did they do here on earth? That person would not look back at their lives as a good life and would ultimately not end up happy with it. Yes, I am sure this person was happy at certain points throughout their life, but the ultimate goal here is to end up with a good and happy life. A good and happy life means doing good things, and feeling joy through those good things that we have done. Aristotle believes that the most pleasant life, and presumably the happiest, is a life of virtuous or excellent activity. (Haybron p. 48) This means that a life of just doing good acts is just a part of the big picture. Doing good and also living a life full of meaningful and worthwhile activities is the key to a good and happy life. This leads into my second aspect of a good and happy life, which is living a meaningful life. How does one live a meaningful life? I believe that living a meaningful life means living beyond yourself, working towards something that has value to you and also to other people, and doing something that is worthwhile in the end. It means not just existing on this earth, but living a life that you would be willing to live over again. A quote from Haybron’s book reads â€Å"Any life devoted to worthwhile ends is meaningful. This means that doing something that will have worthwhile end results for not only you but the people around you is doing something meaningful. How does living this meaningful life make our lives good and happy lives? Living a meaningful life is ultimately living an emotionally fulfilling life. We will find pride and happiness in doing things that are valuable and meaningful to us, and will ultimately lead to a good and happy life. Haybron goes as far to say that â€Å"The full measure of happiness requires that we connect, in our lives, with what seems to us to matter. This means that we will not even experience our full potential happiness if we do not engage in meaningful activities. So, if a key part of a good and happy life is just doing something that is meaningful, then someone may argue that any useless activity that someone finds meaningful will lead to a good life. For example, someone who sits on the bathroom floor counting tiles because that is something that they find very meaningful and valuable, would not be viewed as someone who is living a good and happy life to most people. This concept of doing meaningful things then must go farther than just doing things that are meaningful to us personally. This is where Haybron talks about finding something that is not only valuable to oneself but also other people. A quote from his book reads, â€Å"The most meaningful lives will combine subjective and objective meaning: appreciative engagement with what genuinely matters. †The most meaningful life then must mean engaging in activities that have an equal balance between personal meaning and also meaning to others. Through my 20 years of age, I discovered what this meaning is for me. I plan to live a meaningful life by helping others through my nursing practices and also through my faith. Helping others and making a difference in their lives through the nursing skills that I have acquired, and also the knowledge that I share about my faith, is my passion in life. According the studies done my Mihaly Csikszentmehalyi people find the most pride and joy in doing activities that they can get caught up in. He refers to them as flow experiences, and explains that these flow experiences are important to our happiness. I completely agree with what this stands for. I find that my true happiness comes from when I am engaged in situations of helping other people; not only physically but also spiritually. The feeling that I receive by giving others a better life, is a feeling of happiness that I do not find in anything else I do. I could not fill my life with enough pleasures, relationships, or belongings to ever feel as though I would be living as good and happy of a life as I plan on living, without living out my mission and passion for helping others physically and spiritually. Although this is my plan to secure a good and happy life, this may not be applicable for everyone, but living a good and happy life is most definitely achievable. Like it states in our constitution, we have the right to life, liberty, and the pursuit of happiness. This does not entail that our happiness is given to us, but rather it is something that we have the freedom to strive for, and find the things that will ensure us this good and happy life. In regards to my own life, I find this attainable by living virtuously and by living a meaningful life through my passion for helping others through nursing and also through my faith. By living in such a way, I can live happily knowing that I am doing good and making a difference in people’s lives that will end in something that was worthwhile. Drawing from other readings and other’s opinions, I have been reassured that it is possible to live a good and happy life through just these two aspects of virtue and meaning. I plan to live in this way in hopes that when my life comes to an end I can believe that it was a good and happy life.
Wednesday, October 9, 2019
Cardiac case study Example | Topics and Well Written Essays - 500 words
Cardiac - Case Study Example n is experiencing cool, clammy skin and inspiratory crackles because of severe allergic reaction, low blood sugar (hypoglycemia) anxiety, and low oxygen in the blood. These result from exhaustion of the heart, heart attack, artery blockage in the lungs, internal bleeding, pneumonia, dehydration, drug overdose causing heart function to reduce, and reduced blood pressure (Lee Linda, Bates, Pitt, & Walton, 2010). Question 3: The pain that Mr. Canton is experiencing is not significant because it is not one of the major causes of his condition. The pain in his wisdom tooth is resulting from other causes rather than myocardial infarction (WEBMD, 2015). Question 4: Mr. Canton vomits because his wall infarction is inferior. The inferior wall infarction is associated with gastrointestinal problems, particularly because of bradycardia. The inferior infarction results from cardiac sensory receptors, which mediate vasodepressor and cardioinhibitory responses, which are normally distributed to the left ventricle’s wall (Lee Linda, Bates, Pitt, & Walton, 2010). Question 5: Elevation of isoenzymes prevails in body cells having a notable concentration in liver, heart, kidney, muscle, and erythrocytes. Just as in the case of proteins that mark function of tissues, elevation of isoenzymes occurs after hypoxia is prolonged. It occurs after hypoxia is prolonged in various clinical situations, such as cardiorespiratory diseases, disorders of kidneys, liver, muscle, and lung, as well as malignancy (Krucik, 2012). Question 6: Myocardial infarction is a segmental necrosis of myocardial based in the endocardium. Areas where myocardial infarction occurs are subepicardial in the event of occlusion of small vessels, which come from coronary thrombi. For many patients, a disruptive coronary disease becomes evident at angiography. Infarction takes place where the occluded vessel is distributed. The occlusion of the left side of the coronary artery leads to major infarction of the
Tuesday, October 8, 2019
Discussion post Essay Example | Topics and Well Written Essays - 250 words - 5
Discussion post - Essay Example Other tests include renal ultrasonography, intravenous pyelography and computed tomography. Most genitourinary complications are treated with a combination of antibiotics. Trimethoprim-sulfamethoxazole, ampicillin, cephalosporils nitrofurantoin and fluoroquinolones are some antibiotics prescribed for genitourinary infections (Buttaro et al., 2013). I agree with Regina Canty, that a diagnosis of urinary tract infections requires a detailed medical history of the patient backed with evidence from the objective tests. Symptoms of urinary tract infections include dysuria, lower abdominal fullness or pain and increased frequency of urination (Buttaro et al., 2013). The urinary tract can be treated effectively using antibiotics such as quinolones. It has been previously suggested that cranberry juice can be used to prevent urinary tract infections. However, research shows that cranberry juice is not an effective remedy for urinary tract infections (Barbosa-Cesnik et al., 2011). A non-pharmacological approach would be to increase the patient’s intake of vitamins and trace elements to boost her immunity against the bacterial infections (Welch & Graham, 2012). Barbosa-Cesnik, C., Brown, M. B., Buxton, M., Zhang, L., DeBusscher, J., & Foxman, B. (2011). Cranberry juice fails to prevent recurrent urinary tract infection: results from a randomized placebo-controlled trial. Clinical infectious diseases, 52(1),
Monday, October 7, 2019
Single-sex schools Essay Example | Topics and Well Written Essays - 500 words
Single-sex schools - Essay Example A generation of coed schools and dorms and workplaces has produced more equality between men and women, not less. We are less likely to see each other as "other," less likely to separate our work and personal lives†¦to rewire the small society called school. This school world is, after all, a mirror image of the larger world. (Goodman) Single sex schools do have educational benefits. Without the constant distraction of the opposite sex, tests scores do improve (Cooper). Single sex schools have the advantage of teaching to a gender’s strengths. Boys and girls do learn differently. Some scholars suggest that higher test scores are the result, but others refute these findings (Goodman). The education benefits still do not address the social issues. Single sex schools can lead to gender and sexual confusion. Gender confusion can be caused by males and females having to pick up roles reserved for the opposite sex, like a boy having to sweep the floor or a girl having to move a heavy object in the class. Sexual confusion would occur in puberty. Teenagers become very sexual at that age. Without the opposite sex to experiment with, many teens will experiment with the same sex. Then the confusion of being hetro, homo, or bi- sexual becomes a problem. Gender and sexual confusion can happen in a coed school, but are more likely in a single sex school. The final social reason that single sex schools could be harmful is segregation usually means unequal. The Civil Rights Era proved the segregation is never equal. As a result, schools not only integrated different races, but the genders as well. One article explains â€Å"Fearing that separate meant unequal, and seeking to break down sexual stereotypes, they decided to mix the sexes together at the earliest possible age†(Gilbert). This is a norm in American society. Segregation is wrong, no matter if for race or gender. Single sex schools are not a beneficial alternative
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