Friday, December 27, 2019

Movie Review Pretty Woman Directed By Garry Marshall

The movie being reviewed is a classic romantic comedy entitled Pretty Woman directed by Garry Marshall in 1990. Pretty Woman takes place in Los Angeles, California where a kindhearted prostitute Vivian Ward (Julia Roberts) meets an out of town millionaire Edward Lewis (Richard Gere), and they find true love despite their differences in true fantasy fairy tale fashion and live happily ever after. This film is particularly relevant to many aspects of our American Popular Culture class because it addresses the differences in class system, morality, materialism, and even gender and feminism roles. Pretty Woman began with a man yelling out from the street â€Å"Welcome to Hollywood, What’s your dream?† (Marshall, 1990). In my personal opinion, this was a major substantive point of the overall movie prearranged by the director. Directly after the analogous fairy tale Rapunzel rescue that Edward Lewis performed with Vivian Ward on the fire escape in the final scene of the movi e, that same man once again was walking the street yelling â€Å"Welcome to Hollywood, What’s your dream? Everybody comes here, this is Hollywood, the land of dreams! Some dreams come true, some don’t but keep on dreaming! This is Hollywood!† (Marshall, 1990). The film in its entirety plays out a fantasy or alternate reality for those who decide to watch. In true Cinderella fashion Edward Lewis takes Vivian Ward from rags to riches, and gives her everything imaginable from jewelry, shopping sprees, and a taste of

Thursday, December 19, 2019

Essay on Attempting to Measure Welfare in the Philippines

â€Å"Most of the unemployed are not poor; and most of the poor are not unemployed.† If read at first this statement may seem to be absurd but it is in fact the reality that plagues our country today. For one, it is determined that unemployment brings upon the prevalence of poverty but how come would the poor in the Philippines be in fact be in the midst of the employed? Emmanuel S. de Dios and Katrina I. Dinglasan have adequately answered this baffling phenomenon with historical data and mathematical computations thus proving that â€Å"unemployment† is not an effective measure of welfare, i.e., in our country. The Philippines in its current state cannot be painted in its best picture hence it stands on unsteady grounds both economically and†¦show more content†¦If the government will perhaps stimulate capital investments (by lower interest rates, there would be no need for low skill labor in this sector and the excess manpower derived from this movement may be diverted in other more productive means. Thus, about the last paper assignment regarding the three pronged approach to growth, I now question if the establishment of special labor employment zones would make the country better off especially now that it has been proven that poverty does not necessarily lessen with the surge of employment. Overall the rationalization that it is better for the poor to earn something than nothing regarding the special employment zone does not bode well for the country in terms of the welfare of its citizens, hence the government should do something concerning this implication. Now, what could the government do given the problem at hand? I think the government may still implement the special labor employment zones because overall it will still increase the country’s productivity but aside from that the government, I think, in the short run could perhaps do capital investments especially in the agriculture sector, such as granting this sector t he use of modern day equipment that would increase productivity but at a lower cost. In lieu with the years ahead the government should better concern itself in improving its humanShow MoreRelatedInstruments Of Power Essay1643 Words   |  7 Pageswhen attempting to negotiate a constructive end result with another country, however, is not always a practical opportunity, especially during times of political turmoil, or when there is no indication of reaching a common goal. It is primarily controlled by the state, not by the civilians. The diplomatic IOP relies on cooperation and persuasion and is reluctant to force. Normally, it has a strong military backing. Another IOP is the military, which is designed to utilize different measures of forceRead MoreSummary of Rizal2168 Words   |  9 Pageseducational institutions in the  Philippines  to offer courses about  Josà © Rizal. The full name of the law is  An Act to Include in the Curricula of All Public and Private Schools , Colleges and Universities Courses On the Life, Works and Writings of  Jose Rizal, Particularly His Novels  Noli Me Tangere  and  El Filibusterismo, Authorizing the Printing and Distribution Thereof, and for Other Purposes. The measure was strongly opposed by the Roman Catholic Church in the Philippines due to the anti-clerical themesRead MoreSanlakas vs. Executive Secretary Angelo Reyes G.R. No. 159085. 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Armed with your English language literacy, this work will not need soRead MoreNursing Management (Planning)4852 Words   |  20 Pagesexist to promote and maintain health) Vision ï‚â€" The Board of Nursing under the guidance of the Almighty, with its unquestionable integrity and commitment, envisions itself to be the ultimate authority in regulating the nursing profession in the Philippines and to lead nursing development to its highest level of excellence. ï‚â€" The BON shall unwaveringly pursue the advancement of nursing development in the country by: 1. Providing leadership, information, options, scenarios and lobby efforts to targetedRead MoreCounseling Abused Women7410 Words   |  30 Pagesother psychological disorders occur. 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Tuesday, December 10, 2019

Where love begin free essay sample

Where my love begins. Love is a gift from heart to heart. It begins at the friendship and heartfelt love. This is a story about a place where a boy and a girl love each other so much. A long time ago, there are a girl and a boy who left their lovely country for another place. They lived in Grand Canyon. It is a beautiful place, and it is also one of the seven wonders of the world. When you come here, you will be relaxed and have a quite life. A boy met with a girl In there. Her name Is Ulna. She Is a third year student about tourism and hospitality management.She wants to have a challenge to live independence in here. To start her first step in new life, she worked hard and tried her best to do everything. There, she always hopes she will find a good man who honestly love her. We will write a custom essay sample on Where love begin or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Work is not easy to her. Finally, she got exhaustion after a long time work hardly. Suddenly, she felt homesick and wanted to return to hometown for take care of my family. But they advised that she should continue to live there for her future. Next time, there were a lot of student group who came and worked to take experience after graduation.He Is one of them who came from her country. His stridden called him Kent. He is the best student about business administration. Kent, who had a happy family, is the eldest brother in his family. For him, study is very important because he must to prepare to do everything in the future. One fine day, he bumped into her while she was working. This is the first time which they met each other. Kens Job was finished at midnight. Conversely, Lines Job must be begun soon every morning. The beginning of them was the best of friends Like between brother and youngsters.She would tell him all her secrets. He was very quite he loud Just listen to what she had to say. She found him easy to talk and she could talk to him about everything. One day she said to him that a guy she liked hurt her and broke her heart. He gave her words of encouragement and helped her get over him. She was happy and thought of him as a real friend. Therefore, everyday he always got up early to help her. He hoped he could share some of difficult things with her. She know that his sentiments towards her were quite precious. Every weekend, they went for a walk and watched the sunset together.It was the most beautiful unset they had ever seen. After sunset it was so cold, so he kept her warm in his arm. And sat there, they watched the stars and talked about everything. She looked into him eyes and listened to him talk about what his dream was. All scenes were so fantastic and romantic. As they sat side by side, they could not pretend that they were Just friend. They knew deep Inside that they really felt differently. Nothing Is better than spending that happy time. They began dating and falling In love. When two hearts beat as one, they seem to fall in love so hard so fast at that time.Throughout one year, they were always together, they got to travel to many places they had never been before. They knew that they did all for their love. And one day, when he hold her hand, she asked him : L: How deep Is your love for me, K? L: Oust look at K and knob). K: Its my secret One day Ill tell you about that. Wait for me L: Day by day, after finishing their work, all students came back hometown, a few of them stayed here and wanted to continue their study. Their last sunset looked so sad. It was a last time they washed together in here.Last day, when she saw him off to the airport, she got a hug from him. Suddenly, he said to her whatever happens, I still love you. Come back with me, L . Its his answer. Up to now, they still keep love together. In the future, they will have a happy family as they want. All of little something, these are their memories. This is all reason they named it Love Paradise. It is also my love story, but now we have the other ways to live and study. I live and study in Us, and he is in Vietnam. Anyway;says, I really miss this place so much.

Tuesday, December 3, 2019

Surf Up at Patagonia Essay Example

Surf Up at Patagonia Essay Surf’s Up at Patagonia. Question 1) Patagonia stresses the importance of hiring employees with passion- a passion for anything, not just sports. Why do they place such importance on passion? Why would they think that someone with a passion for something unrelated to sports (i. e. cooking) might be an excellent employee for their company? Answer. HRM department of any firm would desire the best employees while recruiting. It is because money and most importantly time is used up in training them. So the main objectives would be to hire very efficient and loyal employees. Efficient and motivated workers would also mean Labor Turnover at its minimum. Through these techniques a firm can save up huge chunk of money which can be invested elsewhere. Patagonia uses a very modern technique for recruiting its employees. A passion for anything would mean that employees would also have passion to do their job. Patagonia sells sports equipments and obviously sports resemble passion. As Patagonia is ‘a firm with passion,’ they also want their employees to be passionate towards anything. So that they can understand the importance of passion on work. This passion will lead to higher efficiency and well motivated workforce. Sincerity towards work will automatically increase and there will be lower labor turnover and absenteeism rate. Highly motivated workforce would also mean greater customer relationship and production of high quality goods. From these it can e derived that Patagonia is the ultimate gainer. Question 2) What effect do Patagonia’s practices of providing child-care and donating to environmental groups have upon employee productivity and retention? Why? Answer . Patagonia has this amazing child care facility which is ‘onsite daycare. Single parent employee’s children can stay at their sight. This will make the employees more secured about their children while at work. Thus, this will create a homely atmosphere for the working parents and will help them to concentrate more on work rather than worrying about their children. More concentration would mean more efficient workforce and high dedication t owards work. If the firm is more ethically responsible then the employees will feel proud to work at the firm. Patagonia shares a vast corporate social responsibility. We will write a custom essay sample on Surf Up at Patagonia specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Surf Up at Patagonia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Surf Up at Patagonia specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Moreover, the employees can also choose where to donate money and where not. Sense of achievement will work upon the employees while selecting donating groups. The employees will also feel ethically responsible. This proudness for the firm will lead them to be more devoted towards their managers and Patagonia. And this devotion will obviously be reflected on their work, they will me more efficient and careful. By both ways the employees at Patagonia will become more efficient and thus there will be minimum wastage of resources and maximized profit for Patagonia. Question 3) Can you see possible abuses of a flextime program? What does a company do to prevent such abuses before they occur? Answer. Flextime is a facility a firm provides to its employees. Employees can choose their desired holidays and also working hours. It’s a key to help employees with the fixed universal working hours. Flextime is designed, especially in Patagonia, so that an employee can proactively maintain work-life balance. Now, there are also some fallbacks of flextime hours which can stated as follows: Efficiency of work may decrease due to reluctance to work during business hours. Employees may take the job too easily and might later face a haphazard situation, for example, time management. And this is how quality of work may decrease. The situation mentioned earlier may also spoil the business environment. Employees may work whenever they want to and code of conduct can be disobeyed. Employees may lie to the managers to enjoy facilities. By seeing an employee taking a time off may also tempt other employees also to take a break. In this way key employees might not be near hand when required urgently. t may also result in an decreased concentration towards work and spirit of teamwork as employees and working hours het divided. To prevent these types of lags a company may take the following measures: Hiring strong management group can stop mismanagement amongst workers. Check and survey back ground and other information on employees to see who actually needs flextime and to avoid miss use of facility. Measured flextime should be permitted to each employee and t here should be a rule that how many workers can take some time off at a particular period. Providing facilities like onsite child care may reduce the usage of flextime.

Wednesday, November 27, 2019

Spinal Immobilization free essay sample

These resources have been analysed and a conclusion drawn from them in regards to spinal immobilisation in the pre-hospital setting. Method: This assignment uses an evidence based approach; the author explores spinal injuries and the current management of them in the pre-hospital setting across a number of countries. The author relates current practice with recent literature and draws a final conclusion from the findings. Conclusion: Prehospital care for patients with acute traumatic spinal injuries requires great care to avoid secondary injury; recognition of otential injury is of great importance. Although injuries to the spinal cord occur in 2% of the patients that paramedics immobilize, pre-hospital management and treatment can play a significant role in the patient’s outcome. There is growing evidence that full body immobilization can be of more harm than good if not done correctly. Introduction Traumatic spinal cord injuries are severe, life threatening and life altering . Managing the risk of spinal cord injury in trauma patients is an understandable concern for medical professionals. We will write a custom essay sample on Spinal Immobilization or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Spinal immobilization is initiated on a regular basis in pre-hospital setting for patients at risk of a spinal cord injury. In the past immobilization has been thought to be a relatively harmless procedure. There is now, however, growing evidence that this approach can be harmful, pre-hospital spinal immobilization in trauma patients should be questioned and explored. There is a large amount of literature on pre-hospital immobilization; the purpose of this paper is to review the current literature and make a recommendation for New Zealand practice. This paper explores current pre-hospital management of spinal cord injuries, the literature around cervical spine immobilization and full body immobilization. Spinal cord injury Spinal cord injury is injury to the spine with any localised damage to the spinal cord or to the roots that lead to some functional loss, either loss of motor function (paralysis) or sensory loss (paresthesias). Spinal cord injuries are caused by the spine being forced beyond its normal range, injury can be caused by hyperflexion, hyperextension, rotation, compression, or penetrating injury of the spinal cord. The leading causes of injury to the spinal cord includes car accidents (40%), falls (21%), acts of violence (15%), sporting injury (13%) (Sanders, 2012) Spinal injuries may be classified into sprains, strains, fractures, dislocations and/or actual cord injuries. Spinal cord injuries are further classified as complete or incomplete and may be the result of pressure, contusion or laceration of the spinal cord (Marieb amp; Hoehn, 2010). It is very important for paramedics and emergency personal to know that pain from a spinal cord injury is not necessarily localized to the area of the injury. In 18% of cervical, 63% of thoracic and 9% of lumbar injuries, the pain is located elsewhere (Bernhard, Gries, Kremer, amp; Bottiger, 2005). Current Management Pre-hospital management of acute spinal cord injury is of critical importance, it has been estimated that 25% of spinal cord damage may occur or be aggravated after the initial event (Bernhard, Gries, Kremer, amp; Bottiger, 2005). Pre-hospital treatment of patients with a spinal cord injury involves recognition of patients at risk and appropriate immobilisation (Tintinalli, 2011). Spinal immobilization and spinal precautions are common practices in the pre-hospital setting of patients with trauma. Despite this practice, spinal cord injuries are rare, approximately 2%, and are often obvious at the scene. Several rules exist that are designed to help pre-hospital providers clinically clear the cervical spine this helps reduce the need for radiography and reduce adverse effects from spinal immobilization (Alejandro amp; Schiebel, 2006). The goal of pre-hospital management of spinal cord injuries is to reduce neurological deficit and to prevent any additional loss of neurological function. Therefore, prehospital management at the scene should include a rapid primary evaluation of the patient, resuscitation of vital functions (airway, breathing, and circulation), a more detailed secondary assessment, and finally transportation to definitive care. In addition, after arriving at the scene, it is important to evaluate the scene and to understand the mechanism of injury in order to identify the potential for spinal cord injuries (Bernhard, Gries, Kremer, amp; Bottiger, 2005). Currently in New Zealand according to St John (2011) clinical guidelines and Wellington free Ambulance (2011). If the patient has any of the following signs or symptoms they should have their cervical spine immobilised: 1. Tenderness at the posterior midline of the cervical spine or 2. Focal neurological deficit or 3. Decreased level of alertness or 4. Evidence of intoxication or 5. Clinically noticeable pain that may distract the patient from pain of a cervical spine injury. Australia’s Queensland Ambulance service has similar cervical immobilisation criteria to New Zealand, they use a clear flow chart to that is similar to the Canadian C-spine Rule but includes distracting injury and intoxication. Their other treatments focus on limiting neurological deficit and prevent secondary injury. This is achieved through appropriate spinal immobilisation, maintaining a high index of suspicion of spinal cord injury (Clinical pratice guidelines Trauma, 2011). Saskatchewan, Canada also use the Canadian C-Spine rule, this rule is only used if the patient is co-oprative and has a Glasco comoa scale (GCS) of 15. If the patient meets ther criteria for cervical spine immobilization they are also fully immobilised on a long spine board or scoop stretcher. Full immobilization includes the head, neck and spine; this is done to prevent any further injuries during transport. Canada also administers an anti-emetic (anti-nausea medication) to prevent any unwanted and preventable movement (Saskatchewan Emergency Treatment Protocol Manual, 2012). In the United States of America to determine whether it is appropriate to apply full spinal immobilization which can include rigid collar, backboard, three point restraining device and head immobilization device, in the prehospital setting the following is assesses. If any of the below findings are positive, full spinal immobilization is to be implemented (Emergency medical services pre-hospital treatment protocols, 2012). 1. Midline bony spinal tenderness to palpation 2. Physical findings with a neurologic deficit 3. Altered mental status to including substance abuse and loss of consciousness 4. The presence of additional painful or distracting injuries 5. The complaint of numbness 6. Language barrier i. e. patient not understanding the questions asked, dementia, speaks a different language, or mentally delayed 7. Pain in cervical region on movement 8. Children under the age of 12 9. Significant mechanism of injury or care provider judgment It appears that the United States of America fully immobilize the majority of suspected/ potential spinal cord injuries. Litigation associated with error in spinal management can be very costly, with the average payouts being $3 million per incident in the United States (Abram amp; Bulstrode, 2010). The Literature Cervical spine immobilization It is believed that movement of the non-immobilised patient with an unstable vertebral column injury places the spinal cord at risk of primary or worsening damage. There is a lot of evidence that cervical immobilisation can restrict movement, but evidence proving that cervical collard protect against secondary injury is lacking (Ramasamy, Midwinter, Mahoney, amp; Clasper, 2009). In prehospital care, paramedics are trained to immobilize all patients with possible spinal cord injury; in order to prevent additional neurologic injury. Many patients will be found to have no injury to the spine at all. Some will have an unstable fracture with an intact spinal cord; the goal is to prevent movement of the spine therefore preventing damage to the spinal cord. Others will unfortunately already have neurological disability on initial examination. In these patients, the goal is to prevent further cord injury (Peery, Bruice, amp; White, 2007). A number of risks may be associated with application of the cervical collar. If the jaw support of the collar clamps the teeth together, the airway may be compromised if the patient vomits. Cervical collars have also been found to place pressure on the neck this can cause an increase in intracranial pressure. Acute respiratory failure, hypoxia and hypoventilation have also been reporter (Bernhard, Gries, Kremer, amp; Bottiger, 2005; Hann, 2004; Abram amp; Bulstrode, 2010; Engsberg, et al. , 2013). A rise in intracrainal pressure (ICP) has been associated with a worse neurological outcome in patients suffering from a head injury. Cervical spine immobilisation has been foud to increase the ICP by approximatly 4. 5 mmHg. This is relevent because head injuries occur in an average of 34% of trauma patients (Abram amp; Bulstrode, 2010). Galim, et al. 2012) applied cervical spine imobilisation to nine fresh cadervers in order to assitaine weather or not collars exacerbate cervical spine injuries. X-ray’s were taken befor and after application of the collar. Galim found after the application of the collar there was a grossly abnormal seperation of the verterbra in all nine cadervers. The average seperation mesurement was 7. 33 mm (see figure 1). The collars did not cause the injury, but th is appears to promote seperation between vertebrea. This seperation sugests collars push the head away from the body, this causes stretching of the soft tissue including the spinal cord. Galin, et al recognises that the use of cadervers could repersent worst case scernario because of the difference in muscle tone in compard to an unconscious patine. The result of a randomized controlled trial on healthy volunteers has provided some useful insight into cervical spine immobilization and its effectiveness in trauma patients (Alejandro amp; Schiebel, 2006). Figure 1 Hann (2004) found that in general only 55% of patients will fit perfectly into cervical immobilization collars. The majority of patients will have an ill-fitting Collar. True cervical immobilization is likely to be unobtainable. Even a halo frame (which has mental pins that are screwed into the skull), allows a small amount of motion. However, the rigid cervical immobilization collar remains the best and most effective for the needs of the prehospital setting (Hostler, Colburn, amp; Seitz, 2009). Ideally, only patients with unstable spines would have a cervical collar applied. But these patients cannot be identified in the pre-hospital setting; determining spinal injury out of hospital is not easy nor is it accurate (Horodyski, DiPaola, Conrad, amp; Rechtine, 2011). In both Canada and Australia the Canadian C-Spine Rule is used to determine which patients could benefit from immobilisation (see figure 2). In one study on 8,283 patients who were assessed by emergency services and the Canadian C-Spine rule was applied. The paramedic’s received a short online tutorial on how the C-Spine rule worked. This study found that paramedics were able to apply this rule reliably, and did not miss any cervical spine injuries. The rule was found to be accurate; only 12 patients had clinically significant spinal cord injuries (Vaillancourt, et al. 2009). Figure 2 Full spinal immobilization There is growing questioning of the need to fully immobilise a patient, with many suggestions that immobilisation does not prevent additional spinal cord injuries, however it may in fact cause such injuries (Krell, et al. ,2006; Alejandro amp; Schiebel, 2006; Bernhard, Gries, Kremer, amp; Bottiger, 2005; Peery, Bruice, amp; White, 2007). The use of a spinal board is com mon in attempt to provide rigid spinal immobilization in the pre-hospital setting for trauma patients with potential spinal injuries. Nevertheless, the benefit of long backboards is largely unproven (Alejandro amp; Schiebel, 2006). A number of studies in the literature do present complications when poor standards of immobilisation are performed. Issues include occipital, lumbar and sacral pain development when padding is inadequate or absent, increased respiratory compromise with incorrect chest strapping, pressure sore development due to inadequate padding and spinal miss-alignment again are as a result of inappropriate/ inadequate padding. Perry, Brice amp; White (2007) found that if a patient is lying on a spinal board which is poorly trapped, it is likely the patient would move more during transport than if they were places on the stretcher. Inadequate pre-hospital spinal immobilization was found to occur on a regular basis; the main problem being straps had greater than four centimetres slack. Straps that have a four centimetres or greater slack cannot sufficiently immobilise a patient with a potential spinal injury. Abram amp; Bulstrode (2010) has noted that correct immobilisation of the cervical spine, with placing a patient on a backboard with the straps tightened correctly, that the patients respiratory function can be restricted by up to 15%. If the patients head is strapped in place but the body is poorly immobilized, this creates a situation where the body can pendulum at the neck. This situation is potentially more dangerous than not immobilising at all because it allows transport forces to move the weight of the body against an unstable spine (Peery, Bruice, amp; White, 2007). The general theory of spinal immobilisation is that movements would be reduced if neck protection is used along with a backboard to aid smooth extrication form a motor vehicle. Engsberg, et al (2013) found a significant decrease in movement (as opposed to full assistance i. e. spine board) when the patient exited the vehicle unassisted with a cervical collar in place to protect the neck. The results indicated that an unassisted cervical protected technique had significantly less range of motion than the unassisted unprotected and the fully assisted technique. In fact, with the addition of the cervical spine collar the level of protection was increased and range of motion was decreased in many instances (Engsberg, et al. , 2013). The use of backboards have been found to induce three to five as much movement than a scoop stretcher if the patient is on the ground (Krell, et al. , 2006). Abram amp; Bulstrode (2010) sugests that the risk of futher neurological injury due to inadiquate immobilisation may be overestermated. They back this statement up with a 5 year retrospective study. The neurological outcomes for patients where no routine pre-hospital immobilization was used were compared to trauma patients who received spinal immobilization. Two physicians acted independently, the patients were categorised into disabling r non-disabling. The trial found deterioration occurred less frequently and there was less over all neurological disability in the patients with no routine immobilization. It was suggested that, a large amount of force is required to damage the spine and injure the spinal cord; Abram amp; Bulstrode concluded that movement created during transport was unlikely to generate sufficient energy to res ult in additional injury. There were however weaknesses in this study. Patients who died at the scene or during transport were excluded. It was concluded that neurological deterioration in patients with spinal cord injury occurs in around 5% of patients even with good immobilization of the spine. Conclusion Immense care needs to be taken when providing medical care to an acutely injured patient with suspected spinal injury in the pre-hospital setting. Approximately 2% of all trauma patients will have sustained a spinal injury. Patients with acute traumatic spinal injury are at risk of neurologic deterioration which is thought to be due to secondary injury to the spinal cord. A potential cause of secondary injury is through unintentional manipulation of the spinal cord predominately in the setting of an unstable injury. Minimizing the chances of secondary injury can be challenging in the pre-hospital setting due to the location and accessibility of the patient, transport. Treatment that is initiated in the pre-hospital setting can lead to significant morbidity in other body areas, such as pressure areas, decreased respiratory effort. There is large variation in how care is administered in the pre-hospital setting from one country to another. There is a possibility that fill body immobilization may be contributing to mortality and morbidity in some patients, this warrants further investigation. The Canadian C-spine study showed that only 0. 14% of patients immobilized had clinically significant spinal cord injuries. New Zealand could improve their current practice by improving pre-hospital criteria to establish which patients really are at significant risk for needing spinal immobilization, this could reduce the number of patients exposed to the unnecessarily risks of spinal immobilization. Bibliography Abram, S. amp; Bulstrode, C. (2010). Routine spinal immobilization in trauma patients: What are the advantages and disadvantages. The Surgeon, 218-222. Ahn, H. , Singh, J. , Nathens, A. , MacDonald, R. D. , Travers, A. , Tallon, J. , . . . Yee, A. (2011, August). Pre-Hospital Care Management of a Potential Spinal Cord Injured Patient: A Systematic Review of the Literature and Evidence-Based Guidelines. Journal of Neurotrau ma, 8(28), 1341–1361. doi:10. 1089/neu. 2009. 1168 Ahn, H. , Singh, J. , Nathens, A. , MacDonald, R. D. , Travers, A. , Tallon, J. , . . . Yee, A. (2011, August). Pre-Hospital care management of a potential spinal cord injured patient: A systemic review of the literature and evidance-based guidelines. Journal of Neurolotrauma, 28, 1341-1361. doi:10. 1089/neu. 2009. 1168 Alejandro, A. , amp; Schiebel, N. (2006). Is routine spinal immobiilization an effective intervention for trauma patients? Emergency Medicine, 110-112. Bernhard, M. , Gries, A. , Kremer, P. , amp; Bottiger, B. (2005). Spinal cord injury Prehospital management. Resuscitation, 127-139. Clinical pratice guidelines Trauma. (2011, September). Retrieved from Queensland Ambulance Service: http://www. mbulance. qld. gov. au/medical/pdf/09_cpg_trauma. pdf Dunn, T. M. , Dalton, A. , Dorfman, T. , amp; Dunn, W. W. (2004). Are emergency medical technition-basics able to use a selective immobilization of the cervical spine protocol? Prehospital emergency care, 207-211. Emergency medical services pre-hospital treatment protocols. (2012, January 3). Retrieved from Commonwealth of Massachuse tts : http://www. mass. gov/eohhs/docs/dph/emergency-services/treatment-protocols-1001. pdf Engsberg, J. R. , Standeven, J. W. , Shurtleff, T. L. , Eggars, J. L. , Shafer, J. S. , amp; Naunheim, R. S. (2013). Cervical spine motion during extraction. The Journal of Emergency Medicine, Vol 44, 122-127. Galim, P. B. , Dreiangel, N. , Mattox, K. L. , Reitman, C. A. , Kalantar, S. B. , amp; Hipp, J. A. (2012). Extrication collars can result in abnormal seperation between vetebrae in the presence of a dissociative injury. The Journal of Trauma, 12-16. doi:10. 1097/TA. ob013e3181be785a Hann, A. (2004, August 20). A photographic guide to prehospital spinal care: Edition 5. Retrieved April 2, 2013, from Emergency technologies: http://www. neann. com/pdf/psc. pdf Horodyski, M. , DiPaola, C. P. , Conrad, B.

Saturday, November 23, 2019

Free Essays on Women In Prison

Women in the California State Penitentiary System In the mid 1980’s mandatory sentencing laws took effect, thus rapidly increasing the female population in California prisons. The incarceration rate for women still pales in comparison to the male prison population, but the rates for women are steadily increasing. According to the Criminal Justice Consortium of the California Department of Corrections, in 1996 77.6 percent of women in California Prisons were incarcerated for non-violent offenses. Most crimes are drug related or property crimes, such as check forgery and illegal credit card use. Of those charged with violent crimes, the majority of women were either defending themselves or their children. In California there are over 600 women incarcerated for killing in self-defense. The average sentence for killing a husband is twice as long than for killing a wife. Nationally, women prisoners are usually minorities, with African-American making up 46 percent of the female prison population, while they only make up 13 percent of California’s females. Hispanic females make up about 14 percent and Caucasian women about 36 percent of females incarcerated nationwide. Racism is also profound in the judicial system when it comes to sentencing women. African-American women are twice as likely to be convicted of killing their husband than a Caucasian woman. African American women are also more likely to receive stiffer fines and more jail time then white women. Female prisoners are more likely to be poor. In fact more than half (53 percent) of women entering prison were unemployed at the time of their arrest. Women spend about 17 hours a day in their cell and are allowed one hour of exercise time whereas males spend roughly 15 hours a day in their cells and are allowed one and a half hors of exercise per day. California operates four large women’s facilities. The California Institution for women in Frontera opened in 1952 and ... Free Essays on Women In Prison Free Essays on Women In Prison Women in the California State Penitentiary System In the mid 1980’s mandatory sentencing laws took effect, thus rapidly increasing the female population in California prisons. The incarceration rate for women still pales in comparison to the male prison population, but the rates for women are steadily increasing. According to the Criminal Justice Consortium of the California Department of Corrections, in 1996 77.6 percent of women in California Prisons were incarcerated for non-violent offenses. Most crimes are drug related or property crimes, such as check forgery and illegal credit card use. Of those charged with violent crimes, the majority of women were either defending themselves or their children. In California there are over 600 women incarcerated for killing in self-defense. The average sentence for killing a husband is twice as long than for killing a wife. Nationally, women prisoners are usually minorities, with African-American making up 46 percent of the female prison population, while they only make up 13 percent of California’s females. Hispanic females make up about 14 percent and Caucasian women about 36 percent of females incarcerated nationwide. Racism is also profound in the judicial system when it comes to sentencing women. African-American women are twice as likely to be convicted of killing their husband than a Caucasian woman. African American women are also more likely to receive stiffer fines and more jail time then white women. Female prisoners are more likely to be poor. In fact more than half (53 percent) of women entering prison were unemployed at the time of their arrest. Women spend about 17 hours a day in their cell and are allowed one hour of exercise time whereas males spend roughly 15 hours a day in their cells and are allowed one and a half hors of exercise per day. California operates four large women’s facilities. The California Institution for women in Frontera opened in 1952 and ...

Thursday, November 21, 2019

2 films Essay Example | Topics and Well Written Essays - 500 words

2 films - Essay Example Dadier but the two gradually get to respect each other. View of Teaching: Richard Dadiers view of education is rather idealistic to start with and out of touch with the schools realities but this turns as he gets to interact with his new reality more and more through out the movie. The principle has a rather hard time admitting the schools disciplinary issues. He struggles to assert his authority on the unruly students and since he has a disciplined approach to running the school though its ineffective at best. View of Students: Despite the principles attempts to instill discipline, the students end up more unruly and undisciplined. The students actually develop gangs and are led by leaders that hate the principal. The students are seen by Mr. Dadier as being able to change and be more disciplined thus harboring potential to perform well in school. However the new teacher Joshua Edwards is so Naà ¯ve in his impression of the students that they end up picking on him and destroying his music records. The decisions made by the principal are for the good running of the school and for the students some are just there to pass the time till they can attain legal age to go do their own things away from school without the risk of being taken to reform school. For his first teaching job and faces a multitude of problems in his new role. He does his Job well and plays his role well throughout the movie interacting with both the teachers and students adequately to achieve his goals and principles. Gregory Miller: he is the rather intelligent and slightly less bitter student class leader as compared to Artie West. Initially he also has a dislike for Mr. Dadier which diminishes with time as respect for each other grows gradually all through the film. He initially tried hard to maximize his benefits from his education but soon realizes no one cares. This makes