Essay --

Immanuel Williams ... ...d an impact in my life because it has made me more responsible, more focused and more determined to accomplish my goals also putting forth my best effort. This will help me more for practical purposes relate, while also increasing my learning potential because I can learn from other individuals. I believe that knowledge truly is power, and the more I obtain, and the more I can learn from myself and other people, the better off I will be. Bissinger B. James L. Shooting Stars (2009) Eisele R.Hurricane Season (2009) Hogan B. Belman K. More Than a Game (2009) www4.ncsu.edu/unity/lockers/users/f/felder/public

Stephen Chboskys The Perks of Being a Wallflower Essay -- Chbos

Stephen Chbosky's The Perks of Being a Wallflower The complexities of growing up can be overwhelming, but one must overcome the realities of the wild and poignant roller coaster of youth in order to live a sensible and productive life. The Perks of Being a Wallflower begins as the protagonist Charlie, starting his first year of high school, deals with the suicide of his single close friend named Michael and the lingering feeling of guilt over the death of his aunt. Prone to depression, introverted, and on the fringe of trouble in many aspects of life, Charlie is a wallflower who, with the help of his English teacher and two friends Sam and Patrick, comes to terms with life and learns to interact. It is difficult to come out of one’s shell and accept the reality that one has recently lost two very important people. As an entering freshman, Charlie lives a remarkably passive existence primarily due to the loss of his favorite aunt and best friend Michael. This can be seen as Charlie expresses his thoughts and feelings toward people that revolve around him: I look at people holding hands in the hallways, and I try to think about how it all works. At the school dances, I sit in the background, and I tap my toe, and I wonder how many couples will dance to â€Å"their song.† In the hallways, I see the girls wearing the guys’ jackets, and I think about the idea of property. And I wonder if anyone is really happy. I hope they are. I really hope they are. (23). As the quote indicates, Charlie â€Å"uses thought to not participate in life.† Instead of being an active participant in life, ... ...ing the love we think we deserve. After everything Sam and Bill say, Charlie figures that he should just do what he wants to do. He starts kissing Sam where they lay down on the floor and later attacks the ocean bed. He officially becomes a â€Å"participant†. In order for our lives to be content and effective, we must learn to open up and interact with others so that we can discover who we are and who we are to become. Today, there are many teens who have low self-esteem due to their appearance or timidity. They do not realize that there are chances of being accepted by others and judged by their inner body instead of the outward appearance once they start participating. Though Charlie had the same feeling as these teens at the beginning of his freshmen year, his active participation in life leads him to feeling infinite and grateful without any sensation of terror.

Characteristic of an Effective Teacher Essay

1. A ‘Calling’ for the profession This is supposed to be the most important. And this is what is causing me the most headache at the moment. To accept the fact that someone might be doing this job as a job for the perks and the advantages without a real commitment is a real hindrance in achieving my aim of helping teachers become better professionals. How do you train teachers to develop a calling for the profession? Is this something I can possibly aim at? 2. Professional knowledge I tend to feel that a lot of what is considered professional knowledge is in easy-to-assess tests, like TKT or CELTA. Does he know the different kinds of assessments, and the present perfect? Yes, great, then he’s good. Professional knowledge is a matter of pride among teachers. Local teachers make a lot of effort to speak better English and expect ‘native teachers’ to explain random weird ideas they learnt 30-40 years before. I personally attribute little importance to this aspect. Long gone are the days when a clever teacher taught a stupid child about the big-big world. 3. Personal qualities Yeah, yeah. Here we go again: the teacher as the frustrated (failed) actor, the clown, the village idiot†¦ Well actually no, I think there are much more important personal qualities we tend to ignore these days and we shouldn’t: honesty, emotions, intelligence, reliability, enthusiasm, curiosity. These are all characteristics we use to define effective learners, but the more these qualities are shared by their teachers, the more likely it is that they get what they want. It’s always going to be more entertaining to watch Friends, or whatever it is teenagers watch these days, than to attend an English class. So, why compete? Establishing an efficient and mutually beneficial working environment is much more helpful I believe†¦. 4. With-it-ness (McEwan, E K 2002. How to survive and strive in the first three weeks of school) This is an exciting addition to the list. The essential skill of being able to envisage possible classroom and curriculum events. Planning with an awareness of the objectives and the conditions. This is definitely an acquired skill that you can get better with every new year, school and group. This is why every employer should be wary of teachers who do a year or so and then move on regularly. They will not have this understanding of their actions within the bigger picture. It’s arguable of course how important this is, but if we see education – especially public schools – as a continuum with precise expectations, it is important to have teachers who understand them. This is especially true if we want to liberate teachers from prescribed teaching materials and expect them to develop customised tasks for their students. 5. Instructional Effectiveness To be an effective teacher you have to teach well. Hard to argue. The interesting thing about this is that this demands again a very high level of flexibility and a wide range of expertise from the teacher, since something that may be a piece of cake with one group of students can prove to be an absolute nightmare with another. Even if I planned the same lesson for two different groups, they could and they should never be the same. So, this is again a hunch, not more. This seems to work with this group so let’s go with it, but heaven forbid I would try it with the other group. 6. Good communicator Well, this is pretty obvious, and necessary not only with students, but with teachers, managers and parents. Communication is not always direct, which is difficult. Other teachers and management hear about you from students and parents. It’s all a vicious circle, and to communicate your message well in all directions is a bit of a juggling act. 7. Street smart Know about who you teach. This is sometimes perceived as the great advantage of having local teachers or teachers who come from the same-similar context. While I admit that this has its advantages, I think it has just as many disadvantages. There is a false sense of mutuality between the local teachers and students against the foreign teacher in the school. All those dismissive nods from the colleagues and students are the same, really. Sometimes blowing up a little bit of a bomb with a completely innocent face can be very helpful. I’ll never forget the conversation I had with my students about respecting women and giving them rights and me doing the cooking and the washing up. I loved it. In many situations you are expected to be the foreigner. Embracing your foreignness is one way of being successful. You are not expected to be one of them. Why try? Clearly, you don’t want to be rude or hurt anyone but there are several stages between the extremes. Don’t do any thing that would offend you if it was the other way round but don’t expect them to eat the goulash as you serve it, what’s more, they can even be allowed not to like goulash. 8. Willing to go the extra mile This is closely linked to the first one. If you follow a calling, you will go the extra mile. Otherwise you won’t. There is no way of making someone do more than what they are paid to. 9. Lifelong learner The excitement of Amazon delivering yet another book about ELT, Russell Tarr recommending another mindboggingly good link. A conference near you, a conference on the web, all the tweets from last night. If you are still excited about any of these things, we’re talking about you. If you watch a movie and 2 minutes into the film you start thinking about how you could use this in class, this is about you. Most teachers start forgetting what they learn when they start their education, and will have forgotten why they are standing in front of a class by the time they have finished. They are the life-long forgetters. Heaven save students from them. This is not about the ‘best method’ the ‘best book’ ’the greatest author’, ‘the best publisher’, it’s about you and where you are in the wonderful process of your professional development 10 Life outside the classroom Your life outside the classroom is the bread and butter you bring to your students and re-contextalise to feed their learning appetite.

Explore and compare the characters, achievements and deaths of Lennie Small Essay

In this essay I will explore and compare the characters, achievements and deaths of Lennie Small, from John Steinbeck’s ‘Of Mice and Men’ and Bill Sikes from, Charles Dickens ‘Oliver Twist’. I have read both novels and enjoyed them immensely because of the wonderful characters, language and techniques used by the authors especially when describing the worlds they conjured within their novels. These two books also express perfectly the pioneering views of Dickens and Stienbeck; they both used their writings in an attempt to make their socialist views subtly heard by the masses. In the eras of Dickens and also Steinbeck, problems such as, racism, sexism, poverty and the class divide were simply accepted by society. These two authors saw the problems of their social structures, the discriminative attitudes of the people and wanted to make the public aware, being greatly frowned upon by some. Dickens and Steinbeck were soldiers of the same struggle and that is where the similarities between ‘Of Mice and Men’ and ‘Oliver Twist’ begin. Most of the characters in both novels represent the poverty that plagued both countries at the time the books were set, especially George and Lennie in ‘Of Mice and Men’; the epitome of poverty in the USA. Their lives are an endless trek around California constantly looking for work, scratching a buck or two a day from the back breaking work they do on the ranches. The poverty Oliver lives in (and that Dickens also experienced as a youth) is just the same, with a different back drop, which is why these novels relate so well to each other. Where these two stories really raise a lot of similarities, but at the same time a lot of paradoxes, are definitely the murder scenes and the deaths of the killers themselves. The characters and situations appear to be very alike, but once you read deeper you can see the differences that sneak through. Lennie Small is a very big, powerful, strong man; Steinbeck describes him as a bull. Sikes is also a large burley fellow, but where Sikes is pure evil, Lennie is childish, innocent and inhibited, a man who entirely relies on someone else to guide him, like a dog and master; their personalities are almost an antithesis. They are like this to bring out certain emotions in the reader to make us feel, hatred towards Sikes (and ultimately satisfaction when he dies), but sympathy, love and empathetic humour for Lennie. Their victims, on the other hand, are almost identical; Nancy is a prostitute and, in a way, so is Curley’s wife; she gives her body to Curley in exchange for marriage and money. We have to feel sorry for Curley’s wife when she when she confesses her sins to Lennie in the barn and the unfortunate way she has been mistreated and abused in the past. The sad thing is she is so naà ¯Ã‚ ¿Ã‚ ½ve that she doesn’t realise. She confesses that she doesn’t love or even like Curley: â€Å"I don’ like Curley. He ain’t a nice fella†¦Ã¢â‚¬  is exactly what she says to Lennie, something she has never told anyone. Nancy also repents before she dies and pleas with Bill to do so too: â€Å"†¦ let us both leave this dreadful place, and far apart lead better lives†¦ It is never too late to repent.† She even breathes a short prayer of mercy before she dies. In actual fact the whole reason Sikes kills Nancy is because she has been trying to do the lawful, honest thing and try to work her way out of this life of crime and sin she has lived in for so many years. We feel a lot more sympathy for Nancy when she dies because of this and for other reasons. To start with she is killed by a man contained with pure malice, hatred and evil, who is supposed to be her lover. Contrastingly Curley’s wife’s death is a complete accident or if anything, her fault. Also Dickens writes Nancy’s murder scene so graphically and violently it is almost impossible not to feel sorry for this woman: â€Å"†¦ Beat it twice upon her upturned face.† She must have died in agony and terror when Sikes killed her in cold, merciless blood. Nancy had to wait for her death in absolute terror for a minute or so, knowing she would be violently murdered, which must have seemed like an age, she even gets down on her knees and begs for mercy before she is savagely and callously slain. On the other hand Curley’s wife dies quickly and painlessly. There is a simple reason why this is. Dickens wants us to feel nothing, but pure, unadulterated hatred for Sikes when he kills Nancy, so when Sikes finally dies we feel justice is done. This is slightly because of Dickens’ audience, the Victorian public, being so religious and believing themselves to be so good hearted, would have demanded the death of Sikes and enjoyed the novel more without Sikes shadow hanging over the proceedings. Dickens being the man he was gives the people what they want. I prefer the way Steinbeck handles his murder scene purely because I think it is extremely clever. Steinbeck’s’ characterisation of these two characters has been leading up to this moment and it comes together perfectly. He intends us to feel sorry for Curley’s wife, but no hatred of any kind towards Lennie. Even though we have just heard of all the false promises she has been made in her life along with her failed ambitions, her belief they could still come true, all the times she has been sexually abused and the fact that she is still oblivious to all of this, we still can strongly empathise with Lennie. He is as innocent as the day he was born, a child trapped in a mans body. Lennie doesn’t have a scratch of malice in him and we could never feel anger toward a character we have come to love. After reading this scene I actually found myself almost as sorry and sympathetic towards Lennie as Curley’s wife, but not only Lennie, Candy and George too because I knew that any hopes of their long awaited dream had now been shattered. Finally in the two murder scenes to makes us feel complete hatred for Sikes and sympathy for Lennie the two authors both use similar metaphors to give the final impression that the two confessed and repented women are forgiven. With Nancy she is released from this world in the form of one of her hairs being cremated above the glowing embers and symbolically having her soul rise to Heaven. The scene after Curley’s wife is killed is heavenly enough, with the soft light of the mid-afternoon sun penetrating between the planks of the barn and the golden straw almost ceremoniously spread across the fallen maidens body, utter peace. A single dove, the messenger of God, flies in through the open barn door circles, almost giving the site its blessing, and exits with Curley’s wife’s soul on a journey to the heavens. Now I will move on to Lennie and Sikes’ deaths. In contrast to Nancy, when Sikes dies he falls straight to hell. His death is showered in chaos and fear twice that of what Nancy felt. It is a chase through the lowest and darkest place of London. A mad crowd of angry people screaming for Sikes’ blood, holding torches aloft like a crazed lynch mob. This ‘hue and cry’ of gentlemen, policemen, thieves and citizens of all kind all share a hatred and loathing of Sikes and what he has done. The way Dickens describes this scene is superb. When reading I could hear the shouts and screams of the crowd, feel the heat of the torches and feel Sikes’ fright: â€Å"†¦ a waving crowd in the outer darkness like a field of corn moved by an angry storm!† is probably one of the best pieces of description he uses and it really does make you feel the sense of chaos and vengeance that spurs on this ‘hue and cry. The satisfaction that it gives the reader when Sikes accidentally kills himself is enormous. In his efforts to escape he ties a rope around his waist and falls 40 feet as it moves to his neck and hangs him. Sikes dies in more agony than anyone else in either novel; not from pain, but fear. In the time he falls, his body experiences sensory overload; a panic and fear so great it is enough to kill a man on its own. He falls towards the crowd of flames and symbolically hell, the complete antithesis of the deaths of Nancy and Curley’s wife. Hanging would also have greatly contented the puritan population of Victorian England as hanging was the accepted capital punishment of the period, perfect for Sikes. To eradicate completely any emotion for Sikes his loyal dog also jumps for his master, smashing its head on the ground below. Any empathy we may have is transferred to Bullseye. This is probably the most dramatic of the entire novel. If one scene in ‘Of Mice and Men’ could match the pure drama and tension of Sikes’ death it would have to be the final chapter – Lennies death. The build up of tension in the scene is literal genius. When George produced Carlson’s’ Lugar I was on the edge of my seat right up until the end of the novel. Sikes’ death had to be quick to give a real sense for the excitement of the chase. Lennies death had to be draw out and milked for all it is worth, not solely for tension, but to give a character we have become so familiar with and very fond of, a memorable and proper send off. Thanks to George’s skill with words and his love for him, Lennie could not be more content when he dies. The last thing I wanted was for Lennie to die, but it is inevitable. I found myself sating ‘don’t do it George,’ but it is much better that he dies like this than face the men from the ranch. He must die; he cannot go on being tortured by what he has done. Lennie’s death shares some similarities to Curley’s wife’s; they both die quickly and painlessly and like Curley’s wife his soul is take to heaven. The gunshot rolling up the heavenly hills of Salinas makes you feel that Lennie has been released. To summarise, these to classic novels have many things in common, but also sharply contrast each other. It’s this that makes comparing the two so fascinating, as you new things they share and interesting differences every time you read them. It seems strange, but pleasing that two such comparable novels could come from different centuries, different, different countries, but share the same messages and morals.

When The Urinary System Fails Health And Social Care Essay

Normal riddance of urinary or nephritic wastes is a basic map that most people take for granted ( Potter & A ; Perry, 2004 ) . When the urinary system fails to work decently, virtually all organ systems will be finally affected. For this ground, intercessions designed to battle nephritic troubles and failures are of paramount importance in my arrangement which is in the nephritic ward. As a nurse in the nephritic ward, understanding and a sensitiveness to all clients ‘ demands are of import. For this paper, a specific clinical scenario that normally happens in the nephritic ward is chosen. This status is urinary tract infection as a consequence of the catheterisation. The ground for taking this clinical status is that this is really common yet if left untreated can present serious injury to the patient. Body Urinary piece of land infections or more normally referred to as UTIs are responsible for more than 7 million physician visits a twelvemonth and are the most common hospital-acquired ( nosocomial ) infections in many states worldwide ( Foxman, 2002 ) . Many instances of urinary piece of land infections result from catheterisation or surgical use. Although several different micro-organisms may do this status, Escherichia coli remains the most common causative pathogen, responsible for 80 % of unsophisticated infections. Bacteria in the piss or bacteriuria may take to the spread of beings into the kidneys and blood stream, taking to urosepsis ( O'Donnell & A ; Hofmann, 2002 ) . Microorganisms most normally enter the urinary piece of land through the go uping urethral path. Bacteria inhabit the distal urethra, external genital organ, and vagina in adult females. Organisms enter the urethral meatus easy and go up the inner mucosal run alonging to the vesica. Womans are more susceptible to infection because of the propinquity of the anus to the urethral meatus and because if the short urethra ( Potter & A ; Perry, 2004 ) . Catheter interpolation is the primary hazard factor for nosocomial urinary piece of land infections. Womans and aged patients are at increased hazard for catheter-associated urinary piece of land infections, but several other hazard factors exist. Pre-existing chronic unwellness, malnutrition, diabetes, nephritic inadequacy, and interpolation of the catheter outside the operating room or late in hospitalization are each associated with increased hazard of urinary piece of land infections ( Crosby, 2005 ) . In work forces, prostate secernment s that contain an antibacterial substance and the length of the urethra cut down the susceptiblenesss to urinary piece of land infections. Older grownups and patients with progressive implicit in disease or decreased unsusceptibility are besides at increased hazard. In a healthy individual with a good vesica map, beings are flushed out during invalidating. Residual piss in the vesica becomes more alkalic and is an ideal site for micro-organism growing. Any intervention with the free flow of urine can do infection. a kinked, obstructed, or clamped catheter and any status ensuing in urinary keeping addition the hazard of a vesica infection. In the infirmary scene, urinary piece of land infections occur as a consequence of catheterisation. Each twelvemonth, urinary catheters are inserted in more than 5 million patients in acute-care infirmaries and extended-care installations. Urinary piece of land infections are the 2nd most common nosocomial infections in infirmaries in Europe and the first in the United States ( Martin, 2001 ) . Catheter-associated urinary piece of land infection ( CAUTI ) is the most common nosocomial infection in infirmaries and nursing places, consisting [ is greater than ] 40 % of all institutionally acquired infections. Nosocomial bacteriuria or candiduria develops in up to 25 % of patients necessitating a urinary catheter for [ is greater than or equal to ] 7 yearss, with a day-to-day hazard of 5 % . CAUTI is the 2nd most common cause of nosocomial blood stream infection, and surveies by Platt et Al. and Kunin et Al. suggest that nosocomial CAUTIs are associated with well increased institutional decease rates, unrelated to the happening of urosepsis ( Tambyah, 2001 ) . For centuries, the urethral catheter system consisted of a tubing inserted through the urethra into the vesica and drained into an unfastened container. The closed catheter system was developed in the 1950s and is still in usage today ( Zweig, 2000 ) . UTIs are the most common nosocomial infection, accounting for 40 % of all hospital-reported infections and impacting about 600,000 patients yearly. Catheter interpolation is the primary hazard factor for nosocomial UTIs. Women and aged patients are at increased hazard for catheter-associated UTIs, but several other hazard factors exist. Pre-existing chronic unwellness, malnutrition, diabetes, nephritic inadequacy, and interpolation of the catheter outside the operating room or late in hospitalization are each associated with increased hazard of UTIs. UTIs besides add to the costs of attention by protracting hospitalization by 1 to 4 yearss and increasing the direct costs of intervention by an estimated $ 593 to $ 680 per infection ( Crosby, 2005 ) . They may affect a urosepsis, which carries a mortality rate that may be every bit high as 25 to 60 % . They frequently occur in patients with an indwelling urinary catheter. The lms and external surfaces of the catheter are the paths for bacterial entry into the vesica. For forestalling infection, the care of a closed unfertile drainage system is described as the most successful method. A closed drainage system was described for the first clip in 1928, and its benefit was appreciated much later ( Martin, 2001 ) . Excluding rare hematogenously derived pyelonephritis, caused about entirely by Staphylococcus aureus, most micro-organisms doing endemic CAUTI derive from the patient ‘s ain colonic and perineal vegetations or from the custodies of health-care forces during catheter interpolation or use of the aggregation system. Organisms addition entree in one of two ways. Extraluminal taint may happen early, by direct vaccination when the catheter is inserted, or subsequently, by beings go uping from the perineum by capillary action in the thin mucose movie immediate to the external catheter surface. Intraluminal taint occurs by reflux of micro-organisms deriving entree to the catheter lms from failure of closed drainage or taint of piss in the aggregation bag ( Tambyah, 2001 ) Catheterization of the vesica involves presenting a gum elastic or plastic tubing through the urethra and into the vesica. The catheter provides a uninterrupted flow of urine in patients who are unable to command urination or those with obstructors. It besides provides a agency of measuring urine end product in hemodynamically unstable clients. Because vesica catheterisation carries the hazard of urinary piece of land infections, obstruction, and injury to the urethra, it is preferred to trust on other steps for either specimen aggregation or direction of incontinency ( Potter & A ; Perry, 2004 ) . The usage of urinary catheters should be avoided whenever possible. Clean intermittent catheterisation, when practical, is preferred to long- term catheterisation. Suprapubic catheters offer some advantages, and rubber catheters may be appropriate for some work forces. While clean handling of catheters is of import, everyday perineal cleansing and catheter irrigation or altering are uneffective in extinguishing bacteriuria. Bacteriuria is inevitable in patients necessitating long-run catheterisation, but merely diagnostic infections should be treated. Infections are normally polymicrobial, and earnestly sick patients require therapy with two antibiotics. Patients with spinal cord hurts and those utilizing catheters for more than 10 old ages are at greater hazard of vesica malignant neoplastic disease and nephritic complications ; periodic nephritic scans, urine cytology and cystoscopy may be indicated in these patients ( Zweig, 2000 ) . Recommendations Build up of secernments or incrustation at the catheter interpolation site is a beginning of annoyance and possible infection. The nurses, in order to avoid such a state of affairs, must supply perineal attention and hygiene at least twice daily or as needed for a patient with a keeping catheter. Soap and H2O are effectual in cut downing the figure of beings around the urethra. The nurse must non by chance progress the catheter up into the vesica during cleansing or hazard presenting bacteriums. In add-on to routine perineal attention and hygiene, many establishments recommend that clients with catheters receive particular attention at least three times a twenty-four hours and after laxation or intestine incontinency to assist minimise uncomfortableness and infection. Keeping a closed urinary drainage system is of import in infection control. A interruption in the system can take to debut of micro-organisms. Sites at hazard are the site of catheter interpolation, the drainage bag, the tap, the tubing junction, and the junction of the tubing and the bag. In add-on, the nurse has the duty to supervise the patency of the system to forestall pooling of piss within the tube. Urine in the drainage bag is an first-class medium for micro-organism growing. Bacterias can go up drainage tubing to turn in pools of piss. If this piss flows back to the patient ‘s vesica, an infection will probably develop. Suggestions for ways to forestall infections in catheterized patients are the undermentioned: Follow good manus hygiene techniques. Make non let the tap on the drainage system to touch a contaminated surface. Merely usage unfertile technique to roll up specimens from a closed drainage system. If the drainage tubing becomes disconnected, do non touch the terminals of the catheter or tube. Wipe the terminal of the tube and catheter with an antimicrobic solution before reconnecting. Ensure that each client has a separate receptacle for mensurating piss to forestall cross taint. Prevent pooling of piss in the tube and reflux of piss into the vesica. Avoid raising the drainage bag above the degree of the vesica. If it becomes necessary to raise the bag during transportation of a patient to a bed or stretcher, clamp the tube or empty the tube contents to the drainage bag foremost. Provide for drainage of piss from the tubing to the bag by positioning the tube. Empty the drainage bag at least every 8 hours. If big end products are noted, empty more often. Promote unstable consumption, if it is non contraindicated. Inclusion of cranberry juice has been shown to diminish the attachment of bacteriums to the vesica wall and to catheter lms. Remove the catheter every bit shortly as clinically warranted. Tape or procure the catheter suitably for the patient. Perform everyday perineal hygiene per bureau policy and after laxation R intestine incontinency. Good wellness depends in portion on a safe environment. Practices or techniques that control or prevent transmittal of infection aid to protect persons, particularly patients and wellness attention workers from disease. Patients in all wellness attention scenes are at hazard for geting infections because of lower opposition to infective micro-organisms, increased exposure to Numberss and types of disease-causing micro-organisms, and invasive processs. In acute attention or ambulatory attention installations, patients can be exposed to pathogens, some of which may be resistant to most antibiotics. By practising infection bar and control techniques, wellness attention workers can avoid distributing micro-organisms to patients and fellow wellness attention workers. In all scenes, the patients and their households must be able to acknowledge beginning of infections and be able to establish protective steps. Patient learning should include information refering infections, manners of transmittal, and methods of bar. The first major progress for forestalling CAUTI since the wide-scale acceptance of closed drainage 35 old ages ago is the development of catheters with antiinfective surfaces. These progresss should non be considered the concluding reply, nevertheless. Other engineerings that should be pursued include new, more powerful antiinfective stuffs ; microbe-impervious antireflux valves ; urethral stents ; conformable ( collapsable ) urethral catheters ; and vaccinums for enteral Gram-negative B and staphylococcus. Antiseptics are far more likely than bactericides to confabulate greater opposition to come up colonisation and non to choose for infection with antimicrobial-drug immune bacteriums or barms. New surface engineerings that release far greater measures of ionic Ag or other antiinfective agents into the aqueous environment immediate to the catheter surface might even forestall CAUTIs caused by intraluminal contaminations ( Tambyah, 2001 ) . Prevention of catheter-associated UTIs is more effectual, peculiarly for indwelling catheters, than trusting entirely on antimicrobic agents. ( 8 ) The most effectual pattern intercessions for cut downing catheter-associated UTIs include placing patients who no longer necessitate indwelling catheters, sing other catheterisation options or options to catheterisation, and supplying patient and health professional instruction when long-run indwelling catheterisation is needed ( Crosby, 2005 ) . Reducing the clip a patient is catheterized can be accomplished by systematic reminders to reexamine the continuance of catheterisation for each patient. In add-on to pattern intercession, the pick of catheters and related equipment can besides cut down UTIs well. Other methods of catheterisation should he considered before infixing an indwelling catheter. Catheterization options are based on the ground for catheterisation and the expected continuance of demand. Other options include condom catheters for males, suprapubic catheters for patients who require long-run indwelling drainage, and intermittent catheterisation for patients with spinal cord hurts. Patients who must utilize an indwelling catheter should hold a closed catheter system with a little catheter. Manufacturer ‘s recommendations for rising prices and deflation, system care, procuring the catheter, and decently positioning the drainage bag below the patient ‘s vesica should be followed. Preventing incrustati on and obstruction are besides really of import. Following these stairss and decently keeping closed drainage catheter systems has been shown to well cut down the hazard for UTI ( Crosby, 2005 ) . Summary and Conclusion Patient safety should be the figure one concern before, during and after each process in any infirmary. A elaborate cognition of the epidemiology, based on equal surveillance methodological analysiss, is necessary to understand the pathophysiology and the principle of preventative schemes that have been demonstrated to be effectual. In my country of work which is in the nephritic ward, the rules of general preventative steps such as the execution of criterion and isolation safeguards should be reviewed. Urinary catheterisation can do many wellness jobs. Options to catheterisation should be used whenever possible. Decrease of catheter-associated UTIs is based chiefly on preventative infection control patterns. The success of the nurse who patterns infection-control techniques is measured by finding whether the ends for cut downing or forestalling infection are achieved. A comparing of the patient ‘s response, such as absence of febrility or development of lesion drainage, with expected results determines the success of nursing intercessions.

From These Beginings Essay Example | Topics and Well Written Essays - 750 words

From These Beginings - Essay Example This development led to the emergence of a middle class in the industry (Nash, 231). One of the causes of economic downturn was that there was no diversification. Most of the industries that were expanded were the automobile and construction industries. Other businesses like the coal industry were declining. There was also poor distribution of income and a poor purchasing power of consumers. It was believed that by 1929, 10% of the nation’s top population got 10% of the disposable income of the nation. However, the 10% could not buy great quantities of goods that were being produced at the county’s factories and farms. Most factory employees and farmers could not afford houses and cars that would have sustained the growth of the economy. Also, there were over production of goods as compared to the capacity of the public buy them. This pulled the economy down (Nash, 234). A. As a governor’s wife and First Lady, Roosevelt was known as a â€Å"new woman.† With regard to her personal life, politics, gender and race, how did she demonstrate ambivalence about being a â€Å"new woman†? Eleanor Roosevelt toured the country as part of her regiment. She travelled over 40,000 miles in her first three months in White House. She thus was able to act as the eye of the president, as she examined conditions throughout the nation. She challenged traditional ideas on the typical role of a first lady in a manner that had a substantive impact on her administration. Eleanor Roosevelt met and spoke with individuals who were underserved and improved social services like American Service Committee. She could then return to the White House to express her opinions and observations to her husband the president. She led efforts in which life homesteads were set and the government funded social welfare programs (Nash, 243). There is no first lady that has ever served in two troublesome periods or events like Eleanor Roosevelt who was the First

Film Beethoven Lives Upstairs Movie Review Example | Topics and Well Written Essays - 750 words

Film Beethoven Lives Upstairs - Movie Review Example It is not as simple as the introduction infers. In order for the musical score of a film to add a sense of immersion and dynamism to the viewer's experience, it has to merge flawlessly with other, crucial elements of cinematography. Unfortunately, for "Beethoven Lives Upstairs" the music of the master is sometimes used to mask other, less well constructed areas of filming. For example, the score often hides inconsistencies in the verbal story: in the introduction the Narrator tells the viewer that: Presented without the distraction of the music which intersperses the scene with flawless elegance, the two statements regarding the weather seem ludicrous. Yet the "hook" of this particular scene is the powerful and evocative musical form, and for many viewers at least, they are too enthralled by the music to notice the inaccuracy. That being said, it is all too easy to simply focus on the negative aspects of the film. Unsurprisingly, in a film about Beethoven one would expect the music to powerfully develop and contribute to the strength of the plot. By and large, it manages to achieve this. For example, the fictional Beethoven is sent out into the wet, stormy Vienna night, apparently just to make room for the storm passage from the Sixth Symphony. He does so without much build up in terms of plot; but thanks to the music it attains a certain status as being an overwhelming moment in the film; for Beethoven it marks the moment where he realises the power of his own capabilities-the powerful, evocative key supplements this moment perfectly: in technical terms the functional harmony, leading to the cadences' serve as a mini build up as the score plays out. This happens all while Beethoven is in the Vienna storm, metaphorically trying to discover the depth of his musical ability. It is unquestionably one of the film's strongest moments with regard to how the music supplements the plot In terms of musical quality, the sound engineers generally manage to accurately replicate the beauty of Beethoven's work. Identifying the timbre, or tone colour, is a task easily accomplished thanks to the sharp, crisp sound of the orchestra, conducted by Walter Babiak. The orchestra manages to produce a full symphonic sound. Four vocalists are also used-most frequently in the Ninth Symphony. Use of a synthesizer was also noted as well as violin and flute solos. The pianist, who appears in the credits as simply "D Bodle" performs exquisitely as he alters musical form in performances of diminutive pieces, sonata and concerto movements. Sometimes, he is let down as it is hard to identify the exact pitch and rhythm he was trying to achieve, due to what appears to be dubious microphone placement which creates a dull, muffled sound; when it should resonate clearly and assertively. Sound effects abound, adding wonderful sparkle and drama to the story, making listeners feel as if they are r ight in the streets of nineteenth-century Vienna. In Conclusion, the film "Beethoven Lives Upstairs" manages to portray a relatively accurate portrait of, albeit a relatively small excerpt, the composer's life. The strength of the music is undeniably the films greatest asset. Where