buy custom Providers of Health Care essay

buy custom Providers of Health Care essay Providers of health care give essential services in any form of health institutions (hospitals, pharmacies, nursing centers etc). The services vary a lot and could range from curative ones to preventive and they target either individuals or community at large. These workers can be nurses, dentists, pharmacists, dietists, midwives, physicians, pharmaconomists, emergency medical technicians, and many others. Dental therapists emerged due to peoples lack to access the dentists; hence this job creation was to help in the disparities. In addition due to poor roads in some countries, they also lacked basic training for dental health thus need for therapists. Growth in the sector occurred with the sponsoring of students to take it as a specialist in New Zealand especially those from Alaska where the mentioned problems were prevalent. In the modern world the types of foods available and the habits developed has led to more oral problems in comparison to specialists to available. Generally, dental therapists have so far had a very positive impact in health industry: with more workers in the field the expenses in terms wages have reduced, and also accessibility by the patients is easier. The availability of clinical care in the dental field has greatly improved because they carry out important procedures including: assessment of teeth, polishing, using teeth tools except for few ones and much mo re. However the cost of training is higher for a high number of practioners. With yearly certification, the dental therapy field is likely to be more developed in the next two decades. Emergency Medical Technicians are those health workers that respond to emergencies in hospitals or even in ambulances. With increased road accidents, emergencies were on the rise and this is one of the reasons for this job creation. The growth in this field was significantly contributed by a vote by American Board of Medical Specialties that the emergency field become officially recognized in the late 1970s. Implications of the EMTs (as commonly known) are very positive as endangered peoples lives greatly depend on them before they can see any kind of doctor. Financially, the wages of EMTs affects the health industry only to a small extend compared to the strenuous work they are usually involved in. Emergency Medical Technicians play a key role in terms of care making sure it is always available especially in cases of excessive bleeding. The services provided by the practitioners may increase costs in the medical fields due to needs and conditions such as oxygen and emergency drugs, in addition training costs for them is also quite high especially up to the paramedics level. The high rate of emergency cases will make sure this career is still available even in the next 20 years. Medical assistants perform under medical doctors by helping them with tasks such as drugs and injection administration, checking up of patients signs and symptoms as well as recording important information about the state of the patients. In the United States, certification of Medical Assistants started in early 1970s by an organization of Medical Technologists. Certification by other bodies such as National Health career Association has helped in the growth of this job. In the health industry, sometimes, controversial issues may arise due the work these workers are supposed to perform, as they need to work under doctors. Some states may allow them to perform doctors procedures. Availability of care in hospitals may be improved by presence of medical assistants although financially more workers in the hospitals mean more money for paying them. The job is essential in hospitals and for their high demand, the future of these workers is bright for more than the following two decades. Buy custom Providers of Health Care essay

Common Lacewings, Family Chrysopidae

Common Lacewings, Family Chrysopidae If youre a gardener, you are probably already familiar with the green lacewings. Members of the family Chrysopidae are beneficial insects whose larvae prey on soft-bodied pests, especially aphids. For this reason, common lacewings are sometimes called aphid lions. Description: The family name Chrysopidae derives from the Greek chrysos, meaning gold, and ops, meaning eye or face. Thats a pretty apt description of the common lacewings, most of which have copper-colored eyes. Lacewings in this group are nearly always green in body and wing color, so you may know them as the green lacewings, another common name. Adult lacewings have lacy wings, as you might have guessed, and they look transparent. If you place a Chrysopid wing under magnification, you should see short hairs along the edges and veins of each wing. Lacewings also have long, filiform antennae, and chewing mouthparts. Lacewing larvae look quite different from the adults. They have elongated, flattened bodies, which resemble tiny alligators. Theyre often brownish in color. Lacewing larvae also have large, sickle-shaped jaws, well designed for catching and devouring prey. Classification: Kingdom – AnimaliaPhylum – ArthropodaClass – InsectaOrder – NeuropteraFamily - Chrysopidae Diet: Lacewing larvae feed on other soft-bodied insects or arachnids, including aphids, mealybugs, mites, and Lepidoptera eggs. As adults, lacewings may consume a more varied diet. Some adults are entirely predaceous, while others supplement their diet with pollen (genus Meleoma) or honeydew (genus Eremochrysa). Life Cycle: Common lacewings undergo complete metamorphosis, with four life stages: egg, larva, pupa, and adult. The life cycle varies in length according to species and environmental conditions. Most adults will live for 4-6 months. Before depositing an egg, the female lacewing produces a long, thin stalk, which she usually attaches to the underside of a leaf. She places an egg at the end of the stalk, so it is suspended from the plant. Some lacewings lay their eggs in groups, creating a small cluster of these filaments on a leaf, while others lay eggs singly. The filament is thought to provide some protection for the eggs, by keeping them out of reach of predators on the leaf surface. Generally, the larval stage may last several weeks, and usually requires three instars. Pupae may develop into adults in the safety of a silken cocoon attached to the underside of a leaf or on a stem, but some species pupate without a case. Common lacewings may overwinter as larvae, pupae, or adults, depending on the species. Some individuals are brown, rather than their usual green color, in the overwintering stage. Special Adaptations and Behaviors: In the larval stage, some species camouflage themselves by covering their bodies with debris (usually carcasses of their prey). Each time it molts, the larva must construct a new debris pile. Some lacewings will release a noxious, foul-smelling substance from a pair of glands on the prothorax when handled. Range and Distribution: Common or green lacewings may be found in grassy or weedy habitats, or on other foliage, worldwide. About 85 species inhabit North America, while over 1,200 species are known globally. Sources: Borror and Delongs Introduction to the Study of Insects, 7th edition, by Charles A. Triplehorn and Norman F. JohnsonChrysopidae, University of California-Riverside, accessed December 7, 2012Family Chrysopidae - Green Lacewings, Bugguide.net, accessed December 7, 2012

Innovation and management of change Essay Example | Topics and Well Written Essays - 1000 words

Innovation and management of change - Essay Example The Fragmented Culture is one of the cultures identified on the Goffee-Jones Matrix as shown in Figure 1. In the 1990s, the company had a poor level of internal communication between the management and the employees. This lack of cooperation between the management and the workers shows that the level of sociability in the organization is very low. This also a feature of the Fragmented culture identified in the Goffee-Jones Matrix. This culture is identified by distinct goals of the leadership in Whirlpool. The expenditure on Research and Development department and Marketing was less than 4% of the total sales revenue for Whirlpool. The management thought that every strategy of brand management had been tried on the products of Whirlpool but not in a sustained or integrated way. The reason for the decreasing rate of actual sales increase was the lack of cooperation of the strategies and inappropriate expenditure. The company had the focus on excellence in operations and distribution of the products. This focus led to focus on tasks rather than what the consumers wants. High level of focus on tasks shows that the company has low sociability. The company was not able to analyze the needs and wants of the customers which caused the downward trend in the actual sales figures. This shows that the employees and the management could not think together which shows the organization has low level of solidarity. The anticipated rise in sales from 1990 to1996 was very high but actually only 13% sales could be lifted. Although the company was able to manufacture products at costs and quality that were competitive in white goods market, but the company was not able to centre the design and product specifications according to the needs and wants of the customers. The decision to go global and to become the first white goods manufacturer in the US to step in global trade was taken by an Executive Committee which comprised of the top managers of

Benjamin Britten Essay Example | Topics and Well Written Essays - 5000 words

Benjamin Britten - Essay Example Benjamin Britten was an opera composer of the modern age. Because he lived in the modern age, there has been a range of interpretations that musicologists have taken towards his work. The range of interpretations depend mainly upon whether the musicologist who analyzing his work is an example of a new musicologist or an old musicologist. New musicologists essentially are focused upon the meaning of the work (Eyerman & McCormick, 2006, p. 2). New musicologists may derive meaning from examining the composer himself, discerning what a particular composer may have meant by his work by examining the life of the composer in search of clues (Seymour, 2004, p. 1). They may also derive meaning by applying other disciplines to the work, such as literature, religion, philosophy and psychology (Zolberg, 1990, p. 8). They may derive meaning by associating the work with a body of studies, such as gender studies or queer studies. They may apply sociology to the work in an effort to discern the work’s meaning (Brett & Britten, 1993, p. 633). Or, they may use a combination of the above to arrive at what the meaning is. New musicologists may be compared with old musicologists. For them, new musicology is a corrupting influence in that, by applying other disciplines, the inherent musicality of a particular piece is lost (Miles, 1995, p. 12). Old musicologists analyze work by using musical theory, and may be formalistic or positivistic in their approach to composer’s work (Agawu, 1997, p. 299). What they do not do is attempt to discern hidden meanings behind the composer’s work. The shift from old musicology to new musicology can be traced to Joseph Kerman (1985), whose book Contemplating Music: Challenges to Musicology, was the first instance where a musicologist proposed analyzing music by bringing in history, communication, the existence of other works of art, affects, texts and programmes (Kerman, 1985, p. 18). Since then, prominent musicologists such as Susan McClary and Philip Brett have analyzed music from the perspective of gender and queer studies, respectively (McClary, 1993; Brett, 1993). These scholars represent the tip of the iceberg for new musicologists, but they are examples of how new musicology approaches music. This paper will consist of an examination of new musicology and compare it to old musicology. Then, the next section will examine how new musicologists see the works of Britten by examining some of the themes that are inherent in his work, themes that have been teased out by prominent new musicologists. The next section will handle how old musicologists examine Britten’s work. Finally, the last section will be a conclusion which ties together the concepts and analyzes what it all means. New Musicologists Approach to Britten’s Work A new musicologist would not analyze Britten’s operas in a superficial way – such stating the innocent themes of a certain opera, without going into subtext – but would also go beyond what is on the surface and delve not only into Britten’s psyche but also the sociological mores of the times to determine what the true meaning is behind the operas that he has written. For instance, Seymour (2004) state that if one examines a Britten opera, there are a number of superficial theme s, but that, if one looks closer at Britten’s operas one can see that he is trying to find a voice that â€Å"might embody, communicate, and perhaps resolve, his private concerns and anxieties† (Seymour, 2004, p. 1). Seymour was a definitive new musicologist, as she attempted to examine several operas written by Britten – Paul Bunyon, Death in Venice, three of his church parables and several of his children’s operas – and analyzed these creatively by linking them to psychological factors and biographical events that were occurring with Britten during this period of time (Seymour, 2004, p. 1). It was Seymour’s theory that Britten, through his music, was able to express ideas about his sexuality and identity that were difficult for him to come to terms with and

Christmas past Essay Example for Free

Christmas past Essay The fog and darkness thickened so, that people ran out with flaring links And The ancient tower of a church, whose gruff old bell was always peeping slily down at Scrooge out of a gothic window in the wall, became invisible This sums up Scrooge, dark and dull, and sets the scene for the events that are to follow. The weather is essentially used to make the picture mysterious and dismal, and foretells the proceedings in the remainder of the novel. The second ghost whom we witness is the ghost of Christmas past. Its facial features arent quite distinguishable as it looks like a young child and an old man at the same time. It was a strange figure like a child: yet not so like a child as like an old man, viewed through some supernatural medium This may be because it resembles memories, which are also distorted and blurry. He shows Scrooge as a child, and Scrooges sheds tears at the sight of himself missing out on the fun, sitting in a corner reading a book. Scrooge sat down upon a form, and wept to see his poor forgotten self as he used to be. The ghost of Christmas past also manages to show Scrooge his sister and former employer and how nice they are. He is trying to show Scrooge what a real Employer and uncle should act like. The third ghost that appears is the ghost of Christmas present. This is once again a warning ghost; a ghost who is there to warn Scrooge of what his actions are doing to other people. The ghost of Christmas present takes Scrooge to see other people who are less fortunate than him but still manage to be jolly and enjoy what they have at Christmas time. The spirit accompanies Scrooge to the house of Bob Cratchit, Scrooges clerk. Scrooge pays Bob a very low salary but the Cratchit family still manage to enjoy Christmas and make the most of what they do have even though they have a sick son, Tiny Tim, who will most likely die. Scrooge looks at the family, and becomes attached to Tiny Tim, and the fact that he is so ill, has a huge effect on Scrooge. Scrooge was touched in the same way as the reader is by Tiny Tim. Even Tiny Tim, excited by the two young Cratchits, beat on the table with the handle of his knife, and feebly cried Hurrah! Scrooge wants to know more about Tiny Tim. Say he will be spared. The Spirit also repeats Scrooges words to him that he said to some portly gentlemen collecting for the poor, Scrooge had said If he is going to die hed better hurry up and do it and decrease the surplus population. Scrooge feels extremely guilty at having his own words thrown back at him, and he realises he needs to be kinder and give Bob a rise in salary. The last spirit to visit Scrooge is the Ghost of Christmas yet to come. This spirit is very different to the Ghost of Christmas present. It is much more frightening in manner and appearance and is the genus of ghost you might expect to find in an archetypal ghost story. Like all the other spirits, he is described in tremendous detail, but in a slightly different way to the others. The others were definitely inspiring, but the last one is shrouded in mystery and the classic tension and atmosphere starts to build-up. The spirit is said to be shrouded in a deep black garment, which concealed its head, its face, its form, and left nothing of it visible, save one outstretched hand. This description portrays the ghost as being gloomy and mysterious. The spirit reveals how things will turn out if Scrooge does not change. He shows Scrooge the death of a young, helpless child, Bob Cratchits son, Tiny Tim. He also shows him what things will be like after he dies if he doesnt change. This ghost shows what people thought of Scrooge too. He frightened every one away from him when he was alive, to profit us when he was dead. Others were pleased about his death. It was a happier house for this mans death! There are some men talking in the street about Scrooges death. One said, What has he done with his money. I havent heard, replied the other Left it to his company, perhaps. He hasnt left it to me. Thats all I know. These comments just go to show how much the general public despised Scrooge. Dickens uses the three spirits to go through his life and show the real Ebenezer Scrooge, not the grumpy, rich and sinful one. He also wants to show that inside every typical rich human being, there is a true person; it just takes something to bring it out.

The Marxist View on the Role of the Education System Essay -- Karl Mar

The Marxist View on the Role of the Education System In this essay I am going to examine the Marxist view that the role of the education system is to reproduce and justify the existing class structure. Marxists see the educational system as a mechanism for maintaining class inequalities, for example the reproduction of the capitalist system. The capitalist system is one where by the rich (the bourgeoisie) stay rich and the poor (the proletariat) stay poor. Marxists do not believe in meritocracy, this is where the educational system gives equal opportunities to everyone despite their background. They believe that education is designed to help and benefit the bourgeoisie. They believe that schools and teachers reject working class pupils and so the working class pupils will not perform to their highest capabilities. Bowles and Gintis were two Marxists who did not agree with meritocracy. They believed that your social class determined how you would end up in life, for example if you were middle class the teachers would spend more time with you, thus encouraging you to stay on in further education and receive better qualifications and a better job. The working class would be rejected by the teachers, and would spend less time at school therefore not gaining any qualifications and ending up in working class jobs. They conducted a study in New York and found that grades were based more on personality traits than on academic abilities. They believed the low grade students were aggressive, independent and creative whereas the higher grade students persevered, and were dependable, consistant and punctual. Bowles and Gintis concluded tha... ... for individual success can bring worthwhile rewards. Willis also points out however that this rejection of the school values is actually the pupils downfall as it was ultimately reproductive ie. They ended up in manual jobs as a result of having no qualifications. The lads rejection of school makes them the victims of a system where their labour will be exploited in the workplace. Criticisms of the Marxist view are that they are too deterministic. They also ignore the influence of the formal curriculum, and the Marxists place too much blame on the teachers. Also functionalists argue that education performs certain essential functions that no other institute could. They also believe in meritocracy, that the brightest people will get the best jobs and the people who were not so bright ended up in working class jobs.

Salbutamol Resistance

The maximum effect can take place within five to fifteen minutes. The other routes are orally (via tablets) and intravenously. Salomon has a number of medical uses, but It is mainly used to treat asthma and exercise Induced bronchus's. Treatment of chronic obstructive pulmonary disease Is another key use of this drug (diseases In this category Include chronic bronchitis and emphysema). Other less widely applied uses is in treatment of premature labor in obstetrics since the drug can also relax uterine smooth muscles intravenous administration) and in the treatment of cystic fibrosis in combination with other drugs (3).Despite ten Tact Tanat tens Aragua NAS Eden Invaluable In ten treatment AT serious medical conditions like asthma, there is still a serious pitfall in the long-term use of the drug since most people who have been on it for a long duration tend to the develop some form of drug resistance/tolerance to the drug. This results in a slower and less dynamic effect of the drug on patients who have been using it chronically. Therefore, directly translating to the need to adjust dose and frequency of the drug administration, this can become quite a burden to everyone involved.Down regulation of the ;2-receptors and a reduction of their sensitivity (desensitizing) causes this resistance (4). The drug has an intricate mode of action that involves a number of pathways at microscopic cell level. Initially, it acts by binding on beta adrenaline receptors (4). The receptor is coupled to a stimulatory guanine nucleotide-binding protein (as – protein) and usually fluctuates between different conformations in the inactive state (5). Once the agonies (Salomon) binds to the receptor, it stabilizes one of the information leading to the activation of the G-protein.The G-protein is a transmigrate signal transducer that has alpha and beta-gamma subunits (6). After activation of the protein the alpha subunit dissociates, resulting in a form that stimulates activity of the enzyme densely cycles (7). This enzyme now increases the production of cyclic adenosine Mephistopheles (CAMP) in the cell. It does this by transforming adenosine troposphere (TAP) into CAMP through depopulation's and structure shifting (8). Increased levels of CAMP results in activation of CAMP- dependent protein kinas A.Protein kingies are enzymes that modify proteins by adding to them a phosphate group(usually derived from TAP). This phosphorescently leads to a functional change in the targeted protein either by altering the enzyme activity, its intracellular location or its interaction with other proteins (9). Protein kinas A is a CAMP dependent kinas and in the activated form, it works in two ways (all of which leads to relaxation of a smooth muscle); first, it decreases the acting- myosin interactions by phosphorescently the myosin light chain (10). Secondly, it lowers intracellular calcium concentration in the smooth muscle cells.This reduction comes about via two well researched and understood mechanisms. The first mechanism involves the regulation of influx and efflux of calcium through the calcium channels in the sarcoma (which is the cell wall). Protein kinas A causes the channels to increase the efflux of calcium from the cell and decreases influx (11). The second mechanism involves the ceroplastic reticulum which is the chief store of calcium in the cell. The kinas stimulates uptake of calcium into the store, therefore, reducing its overall concentration in the cytoplasm (12).The effect of these woo mechanisms (low calcium) leads to smooth muscle relaxation. Lastly, research shows that raised levels of CAMP causes a cessation of the release of mediators of inflammation from mast cells in the respiratory tract (13). All of these elaborate actions give Salomon its potency in dilating constricted airways and reducing obstruction secondary to inflammatory processes. But prolonged use and exposure to this drug leads to development of a resistance to it. Many schools of thought have come up with possible explanations as to now tens napes rater years AT Intense research.However, ten most accepted explanation is down regulation of the ;2-receptors and desensitizing of the same (14). It is now universally accepted that a cell's surface expression of this receptor and its coupling to signaling pathways inside the cell shows a negative feedback loop that works to reduce the cell responsiveness to prolonged occupation of the receptor by agonies lagan's. When an agonies attaches to the receptor, the stabilization involves phosphorescently (15). This usually interferes with how the receptor couples with the Gas-protein; therefore, limiting its function in what is commonly referred to as desensitizing.Desensitizing thus leads to reduction in the activation of intracellular signaling pathways secondary to prolonged receptor stimulation (16). This mechanism of uncoupling is rapid and reversible in nature, usually seen after short-term exposure. Phosphorescently of the receptor usually happens due to protein kinas A dependent pathways or by activation of G-protein receptor kingies named beta -ARKS (17). Tissues of different types show different degrees of this uncoupling when exposed to stimulatory lagan's, and this can be due to the differences in activity of the above mentioned phosphorescently mechanism.Apart from desensitizing another key process leading to Salomon resistance is the receptor down regulation. When ;2-receptors stimulation occurs for prolonged duration, they show a negative feedback mechanism that reduces their quantity of expression on the cell surface (18). The mechanism behind this is not particularly clear, but it is strongly believed to be due to receptor trafficking to lissome for destruction. Research has shown that chronic exposure to Salomon does not only lead to uncoupling but also receptor initialization from the cell surface.Initialization occurs through the process indications, whic h happens via Claritin coated pit endoscope pathway that works by forming buds from the cell membrane (19). When this process begins, Claritin (which is a small intracellular protein) begins to arrange on the inner surface of the cell's plasma membrane below the soon to be internalized receptor. The linear ends then start coming together to form a circular Claritin coated pit that has now engulfed a part of the plasma membrane, the receptor and some extracurricular fluid (20).The pit buds off into the cell and the ends of the plasma membrane come together to correct the deficit left on the surface. This pit is now referred to as a vesicle, and it traffics contents to a cell organelle known as a lissome (21). This organelle has an acidic environment and a number of enzymes that breakdown fats, proteins and carbohydrates. The vesicle fusses with the organelle's membrane and regurgitates its contents leaving the Claritin molecules on the surface (22). The receptor and other contents ar e consequently degraded. This is not the only aspect of down regulation that plays a part in reducing receptor expression.Research has shown that ;2-receptor Mrs. levels significantly reduce in the nucleus when levels of protein kinas A become elevated for long durations (days to months). Clinical features Clinical features of Salomon resistance occur when patients are intolerant to the drug therapy. Recovery, after therapy, is prolonged or absent even after maximum amelioration AT receive dose. I en most gallants clinical Torture appears in the deterioration of asthma and the subsequent exacerbation of the symptoms. Drug resistant asthma presents with (23); Worsening dyspepsia. Continuous wheezing and breathlessness. Chest tightness.These patients have developed tolerance to Salomon, therefore, are resistant to the therapy. With subsequent increase in the dose therapy which is not effective, patients with theoretically hyper-responsiveness with or without exposure to allergens and with the resulting inflammatory changes and bronchi-constriction, asthma worsens. The most severe clinical feature can present like status asthmatics or acute severe asthma. This present as episodes of severe asthma, failing to respond to usual effective doses of Salomon (24). There is progressive respiratory failure even within the course of therapy.This episode can progress to fatal asthma. Patients present with; Significant wheezing and dyspepsia. Severe respiratory distress. Hyperventilation and subsequent respiratory leukemia. Features of metabolic acidosis due to anaerobic respiration and elevated levels of lactate from the respiratory muscles (25). Severe asthma will occur with increasing degree of hyper-reactivity due to intolerance to drug therapy: ineffective relief and loss of bronchitis tone. Clinical feature can also occur as a result of high drug dosage. Resistance causes a patient who is in respiratory distress to use increasing and more frequent doses of albums.High doses produce toxicities which can present with systemic features (26). In the respiratory system; there can be hyperemia. Salomon is a psychosomatic agent (beta 2 agonies) the vacillators effect of beta 2 Zionists increases perfusion of poorly ventilated lung units, transiently decreasing arterial oxygen tension (27). Significance of this effect depends on initial partial pressure of oxygen of the patient. Hyperemia will present clinically as occasions, respiratory distress, and tachyons. There can be paradoxical bronchus's due to the Atonally antagonism to Transcendentalist erect AT SalomonI en spasms, AT the smooth muscles lining the bronchi, are due to psychosomatic action of Salomon and adrenaline stimulation. In the cardiovascular system, the psychosomatic action of Salomon can cause toxicity which might result in cardiac arrhythmias, arterial fibrillation, supercritical tachycardia and extra systole (29). There can be an occurrence of coronary insufficiency due to hyperemia, atheistically and resulting tachycardia, peripheral bastardization with a compensatory small increase in heart rate, hypertension and palpitation. In the endocrine and metabolic system, there can be hypoglycemia.Salomon may stimulate sodium and potassium Tapes which causes redistribution of electrolytes (30). Hyperglycemia in a diabetic patient; Salomon stimulates the beta 2 transporters which stimulate hepatic glycogen breakdown for pancreatic release of clangor which increase plasma glucose. In the central nervous system, overdose of Salomon therapy intolerance can produce CONS symptoms such as insomnia, weakness, dizziness, nervousness, tremors, transient muscle cramps and headache. Rarely reported effects include drowsiness, irritability, chest discomfort and difficulty in instruction (31).Diagnosis Diagnosis of Salomon resistance follows the clinical guidelines of a full comprehensive history of the patient, physical exam, and investigation to confirm the patient's tolerance to drugs. In taking the history certain question might lead to the discovery that a patient previously on Salomon therapy is unresponsive to the drug. When doing a physical exam, clinician should check out for general observation such as respiratory distress and occasions. In doing a systemic exam, focusing on the respiratory system may bring out worsening respiratory function.Clinician may find wheezing with other signs indicative of exacerbated asthma. Investigation Investigative studies are confirmatory and supportive to the diagnosis. The base lines include; Full blood count. Urea electrolyte count. Liver function tests. Random blood sugar if suspecting diabetes. I en consoler long toner tests In prospector s o mol toxicity al u TA Pulmonary function tests Serum blood gas analysis with pH profile Cardiograms to check arrhythmias Gene typing; the cornerstone of Salomon resistance detection is gene typing. Experimental studies have shown that tolerance in asthma is in the polymorphi sm of he DRAB gene.Analysis show that tolerance is in the glycogen allele at position 16 and 21 at the beta receptor gene. Gene typing for polymorphism can aid in identifying patients with drug resistant asthma (32). Management Management can be categorized as supportive, specific, preventive and rehabilitative. Supportive management include; Outpatient monitoring if not severe Admission to a hospital if severe. Severe asthma necessitates immediate admission as it can be fatal. Oxygen therapy. Intubations and mechanical ventilation if severe. Use of parental corticosteroids which are anti-inflammatory.Fluid and electrolyte resuscitation in the case of hypoglycemia. Frequent monitoring of patients to the drug. Specific management is both surgical and medical. Surgical management, research is still underway and ongoing. Medical management includes the use of a second-line therapy like monopolies, astatine and antihistamines. There is also use of cardiac-selective beta adrenaline block ing agents and corticosteroids in Salomon toxicity. Other drugs can be used depending on symptom's of resistance, for example; interventions, insulin and any other depending on the symptoms of the patient.Surgical intervention for example attempting bronchial thermoplastic. This is a bronchitis procedure in which delivered thermal energy to airways; it reduces airway smooth muscle hyper responsiveness. It has been also shown to be beneficial in treatment of severe asthma where continuous therapy has failed. Preventive management Includes gene typing early enough to Isolate patients wilt Salomon resistance by checking the beta AR gene. The other way is to prevent high-drug toxicity. Rehabilitative management of any complication that might occur is essential.

Resource Identification

Learning is a process that can be difficult or easy, depending on two main variables; the student and the available resources. These resources determine the learning curve of the student. Even if the student is intelligent and the learning tools are not sufficient, things may become difficult. Students should be able to get help whenever a difficult situation arrives. Easy access to these tools is key component for the success of students. The most beneficial resources are detailed in this paper. APA Information and Samples. The first and one of the most beneficial resources available is the APA Information and Samples section in the Center of Writing Excellence (Apollo Group Inc, 2008). The APA Sample Paper is an excellent guide for students who need information on how to format their paper. This sample paper can prove useful when students are in the process of writing their paper and want to find out how to format according to APA, how to use citations and how to provide references. The APA Reference and Citations document illustrates â€Å"in-text citations and references for books† (Apollo Group Inc, 2008) and other sources. Citation examples are readily available for reference. Before starting a paper, students are encouraged to use the ‘APA Title Page Template’. The template is properly formatted and students can get started immediately. All these APA resources can prove to be very helpful. Center for Writing Excellence A large variety of tools are provided to students in order to improve their writing skills. Some of these tools are new features that are designed to be used repeatedly. ‘My Papers’ is a place where reviewed papers are stored for students. The following four resources are the primary features of ‘Center of Writing Excellence’. WritePointSM. WritePoint is a tool that finds grammar mistakes and provides feedback by â€Å"inserting comments into the text of a paper† (Apollo Group Inc, 2008) where required. This greatly reduces the chances of committing grammatical errors. This tool is very easy to use and has very short return time. Students can submit multiple drafts until they are satisfied with the result. Tutor Review. Tutor review is a much more comprehensive tool that is used to obtain feedback on â€Å"format, grammar, organization, punctuation, and usage† (Apollo Group Inc, 2008) of the submitted paper. This service has a longer return time and is used near the start or middle of the study week. Students can use this feature to improve their writing. Plagiarism Checker is by far the most important tool in eliminating ‘Accidental Plagiarism’. It points out necessary adjustments to â€Å"citations and quotation marks using APA format or rewrite their papers using original material† (Apollo Group Inc, 2008). Students should use this tool at least once before submitting the paper. Tutorials and Guides. â€Å"The Tutorials and Guides section is designed to help students improve grammar and writing skills† (Apollo Group Inc, 2008). The main resources include tutorials for Grammar, Plagiarism and English Language Learners (Apollo Group Inc, 2008). The use of these resources in combination with WritePoint and Tutor review helps students obtain greater insight on writing at graduate level. Students should use these resources whenever they get a chance. University Library Meritus University has excellent resources under the library section. The search tool provided is powerful and when used correctly, it can give large number of hits. It provides the convenience of doing research from the comfort of own study room. eBooks The eBooks section contains a wide range of textbooks that students can access anytime for reference. These eBooks can prove to be helpful for students who need to roam outside the course material to find what they are looking for. Classroom. All the information required for the course is under the materials tab. The Main folder under the discussion tab is important for sharing ideas, working together and feedback from the instructor. The whole classroom experience is very interactive. Conclusion The above mentioned resources are designed to make the learning process easier. Students would use these resources whenever they require quick help without going to the instructor or classmates. With sufficient practice these tools can prove to be very useful. References Apollo Group Inc. (2008). Grammar and Writing Guides. Retrieved August 2, 2009, from https://mycampus.meritusu.ca/staticfiles/aapd/grammar2/tutsandguides1.aspx Meritus University. (2009). Center for Writing Excellences. Retrieved August 2, 2009, from https://mycampus.meritusu.ca/classroom/ic/cwe/home.aspx Meritus University. (2009). University Library Home Page. Retrieved August 2, 2009, from http://www.apollolibrary.com/LibraryNew/library.aspx Meritus University. (2009). eBook Collection. Retrieved August 2, 2009, from https://mycampus.meritusu.ca/content/eBookLibrary2/content/home.aspx Meritus University. (2009). Integrated Classroom. Retrieved August 2, 2009, from https://mycampus.meritusu.ca/classroom/ic/classroom.aspx

Ending War and the Definition of Defeat essays

Ending War and the Definition of Defeat essays Contrary to what is often accepted as fact, there are a variety of reasons why a war comes to an end. Most obviously, wars will end when one side is defeated, but what of those cases where the outcome is in doubt and what exactly constitutes defeat? The definition of defeat is obvious enough: one side loses the will and capability to continue fighting, forcing it to accept whatever terms are imposed on it by the other. Defeat can happen in the course of achieving military objectives and it can in fact be the military objective. When it is, ending hostilities is far less complicated the victor simply dictates terms. However, what happens in those cases where outright defeat is not the military objective how does a State find peace under these conditions? The answer is fairly straightforward in principle if not practice. Peace can be attained only when both sides see the gains reasonably expected through continued fighting do not outweigh the gains expected through negotiation and th at the costs of continued conflict are unacceptably higher than those of peace. This is true whether or not military objectives are attained and even if military objectives are the defeat of the enemy. Two examples of how these principles work can be found in the Iraq War Case and in the Pacific Theater of World War II; specifically in the Japanese planning for it. In the war in Iraq, the United States achieved military victory quite quickly and in effect, dictated terms to the defeated Iraqi nation. However, failure to secure the population led to a window of opportunity for citizens unhappy with the new order to attempt to overthrow or change it. It is impossible to know if the original intent of the insurgents was to shape the future government in a way favorable to their sect or tribe, or if the intent was outright victory. We can assume that both may be true, depending on which group you speak of, and that for others objec...

Cómo registrarse para votar en Estados Unidos

Cà ³mo registrarse para votar en Estados Unidos Para votar, 49 de los 50 estados de Estados Unidos exigen estar registrados, pero las leyes que regulan cà ³mo registrarse  son diferentes en cada estado. En este artà ­culo se especifica cules son las opciones en cada uno de ellos. Por sus graves repercusiones conviene empezar subrayando cules son las consecuencias de votar cuando no se tiene derecho. Castigo por votar en elecciones en Estados Unidos cuando no se tiene este derecho Solo los ciudadanos estadounidenses mayores de 18 aà ±os no incapacitados legalmente pueden votar en Estados Unidos. Si un extranjero vota est cometiendo una violacià ³n migratoria grave que puede ser castigada con la deportacià ³n, incluso en los casos en los que el votante fuera un residente permanente legal. El derecho de los ciudadanos a votar puede estar suspendido temporalmente. Por ejemplo, cuando estn en prisià ³n. Las reglas de cada estado establecen cà ³mo y cundo se recupera ese derecho, asà ­ como si afecta o no a las personas condenadas pero en libertad condicional  o que han recibido un parole. Votar cuando la ley del estado lo prohà ­be puede estar castigado con pena de prisià ³n, por lo que si alguna vez se ha sido condenado por algà ºn delito o falta es altamente recomendable verificar las reglas que aplican en el estado  donde  vive. Es una falta grave brindar informacià ³n falsa en las planillas para registrarse para votar. Los ciudadanos americanos que habitualmente viven en otro paà ­s pueden conservan su derecho a votar en las elecciones estadounidenses. En la mayorà ­a de los estados es posible registrarse en el Departamento de Vehà ­culos Motorizados cuando se tiene que ir a esa agencia en persona a realizar trmites para sacar o renovar la licencia de manejar o registrar un vehà ­culo. Tambià ©n en muchos estados es posible ver en la calle mesas de inscripcià ³n de votantes, por ejemplo, a la salida de los lugares donde tiene lugar las ceremonias de naturalizacià ³n. Son todas legales y es posible registrarse en ese momento. Cà ³mo registrarse para votar en los 10 estados con ms poblacià ³n latina Estas son las reglas en cada uno  de los 10 estados con ms poblacià ³n latina en orden decreciente: California En California la  inscripcià ³n para votar puede hacerse online  o por correo ordinario. En el primer caso es necesario tener a mano el nà ºmero de identificacià ³n (I.D.) o de la licencia de manejar de California y el nà ºmero del seguro social. Para registrase por correo, debe  llenar el  National Mail Voter Registration Form  y enviarlo a la direccià ³n indicada en ese formulario. Para votar en California es necesario registrarse al menos 15 dà ­as antes de celebracià ³n de las elecciones. Texas Solo es posible registrarse para votar en Texas enviando un formulario oficial a la direccià ³n que aparece en el mismo y  que puede obtenerse en cualquiera de las siguientes oficinas:  Voter Register  del condado en el que se vive, oficina del Secretario de Estado, bibliotecas pà ºblicas,  escuelas secundarias  y muchas oficinas de correos. En ese formulario se exige escribir uno de los siguientes tres nà ºmeros: licencia de manejar de Texas, nà ºmero del seguro social o nà ºmero de identificacià ³n personal del  Texas Department of Public Safety. Si no se tiene ninguno de esos tres nà ºmeros, para votar ser necesario mostrar una identificacià ³n.  El formulario oficial debe ser enviado como mà ­nimo 30 dà ­as antes de las elecciones. Texas es, adems, un estado en el que los ciudadanos naturalizados que utilizaron la licencia de manejar como I.D. para registrarse han sido excluidos de los listados de votantes registrados. Ese es uno de los problemas que pueden encontrase los migrantes en Texas. Florida Para votar hay que registrarse al menos 29 dà ­as antes de las elecciones llenando el formulario  DS-DE 39  y envindolo por correo a la oficina supervisora de las elecciones en el condado en el que se reside. El formulario tambià ©n puede presentarse en persona en cualquier biblioteca pà ºblica, oficina de reclutamiento de soldados, oficina electoral o en las de  FLHSMV  (Departamento de Vehà ­culos Motorizados de Florida). Nueva York Este estado permite  registrarse online, pero en este caso es necesario que el distrito para el cual el votante desea registrarse tenga el mismo cà ³digo postal que aparece en la licencia de manejar. Tambià ©n es posible hacerlo por correo, completando  el formulario de inscripcià ³n  (disponible en espaà ±ol) o en persona, utilizando esa misma planilla y presentndose en la oficina electoral del condado  donde  se vive. Illinois Para registrarse en Illinois se pide residencia en ese estado por al menos 30 dà ­as. Para votar, la inscripcià ³n debe hacerse al menos 27 dà ­as antes de las elecciones. Es posible registrarse en persona en la Oficina del Comisionado Electoral del distrito en el que se reside, en las oficinas del Secretario del Condado, municipales o de reclutamiento de soldados. Tambià ©n es posible hacerlo en las escuelas o en las bibliotecas pà ºblicas. Adems, se admite la posibilidad de registrarse por correo, enviando la planilla de la Aplicacià ³n para Registrarse como votante en Illinois conocida como  Form SBE R-19  a la oficina electoral del condado  donde se reside o a la central del estado. Es necesario enviar una copia de dos documentos para probar la identidad y residencia en el estado. Finalmente, tambià ©n es posible  la inscripcià ³n online. Arizona En Arizona es necesario registrase al menos 29 dà ­as antes de las elecciones y ese dà ­a se exige mostrar una I.D. para poder votar. Adems, para registrarse es imprescindible mostrar un documento que acredite la ciudadanà ­a estadounidense como, por ejemplo, el pasaporte de EE.UU., el certificado de naturalizacià ³n o el certificado de nacimiento. La inscripcià ³n puede hacerse en persona en la oficina del  County Register  o por correo, enviando a esa oficina el formulario.  Tambià ©n puede hacerse online, pero solo si el estado tiene previamente en rà ©cord la firma digital del solicitante o por correo ordinario. Nueva Jersey Es necesario residir en ese estado por al menos 30 dà ­as para registrarse para votar y  utilizar un formulario  que debe ser entregado en las oficinas de las agencias estatales o enviado a las oficinas electorales locales. Tambià ©n puede entregarse en los despachos de reclutamiento del ejà ©rcito en ese estado. Colorado El estado de Colorado es uno de los que ms opciones brinda para registrarse al  admitir las modalidades online, por correo ordinario, email, fax, o en persona. En este à ºltimo caso, debe presentarse a las oficinas de reclutamiento militar, asistencia pà ºblica estatal, secretario del condado  donde se reside, Departamento de Vehà ­culos Motorizados o centros de votacià ³n y servicio  al votante.   En todas las instancias, excepto  online, es necesario completar  el formulario  Colorado Voter Registration Form  (Form  100). Nuevo Mà ©xico Es necesario hacerlo al menos 28 dà ­as antes de las elecciones. El trmite se puede efectuar en la oficina del secretario del condado  en persona o por correo, o en el Departamento de Vehà ­culos Motorizados al solicitar la licencia de manejar, renovarla o cambiar algà ºn dato. Georgia En este estado es posible  registrarse online  o por correo. Solo es posible hacerlo en persona en las oficinas del Departamento de Vehà ­culos Motorizados cuando se saca la licencia de manejar por primera vez o se renueva. La tarjeta de registracià ³n se recibe en un plazo de 4 semanas, pero para votar es necesario, adems, mostrar una I.D. con foto, como la licencia de manejar, pasaporte estadounidense, I.D. de empleado del gobierno federal, estatal o local, I.D. militar o de una tribu indà ­gena o una I.D. de votante, emitido por el estado de Georgia a las personas que no tienen ninguna de las identificaciones seà ±aladas. Cà ³mo registrase para votar en el resto de los estados, por orden alfabà ©tico Alabama En Alabama, la inscripcià ³n tiene que realizarse al menos 14 dà ­as antes de las elecciones admitià ©ndose las formas online o por correo ordinario. En este à ºltimo caso, debe llenar el State of Alabama Mail-In Voter Registration Form  (Form NVRA-2)  y enviarlo a la oficina local del Board of Registrars. Tambià ©n es posible registrarse en persona en cualquier oficina local del Board of Registrars, bibliotecas pà ºblicas, agencias de Medicaid y en el Departamento de Recursos Humanos. Adems de registrarse, el dà ­a de la votacià ³n debe presentar una I.D. con foto como, por ejemplo, la  tarjeta de I.D. o licencia de manejar de Alabama, pasaporte de EE.UU., tarjeta tribal, I.D. de votante, tarjeta de empleado o estudiante de una universidad pà ºblica o privada, o tarjeta militar. Alaska Las opciones para registrarse son online, por correo o en persona. En estas dos à ºltimas opciones, debe enviar la planilla  State of Alaska Voter Registration Application  (Form C03)  a la oficina local de la Divisià ³n de Elecciones, con copia de certificado de nacimiento, pasaporte de EE.UU., tarjeta I.D. o licencia de manejar de Alaska. Arkansas Solo es posible registrase en persona en la oficina del secretario del condado o por correo enviando el formulario a la direccià ³n consignada en el mismo. Es necesario indicar el nà ºmero de la licencia de manejar de ese estado o los cuatro à ºltimos nà ºmeros del seguro social. Carolina del Norte Es necesario registrarse al menos 25 dà ­as antes de las elecciones. Es posible hacerlo por fax, email, correo o en persona en las oficinas del Departamento de Vehà ­culos Motorizados (DMV) o de las agencias estatales de empleo, salud mental, salud pà ºblica o incapacidad. En todos los casos es imprescindible completar el  formulario oficial de inscripcià ³n. Carolina del Sur Para votar en Carolina del Sur es necesario registrarse como mà ­nimo 30 dà ­as antes de las elecciones. Es posible hacerlo online, en persona, presentndose en una oficina del Board of Registration del condado  donde se vive o del Departamento de Vehà ­culos Motorizados. Finalmente, tambià ©n se admite la posibilidad de registrarse por correo, llenando el formulario del  South Carolina Voter Registration Mail Application  y envindolo a la oficina local del Board of Registration. Adems, para poder votar, es necesario proporcionar al estado de Carolina del Sur una I.D. con foto para que pueda guardarse  en sus archivos. Si no se tiene una licencia de manejar de ese estado, es necesario obtener una tarjeta de votante, para lo cual es necesario probar con otra documentacià ³n los siguientes puntos: identidad, fecha de nacimiento, ciudadanà ­a estadounidense, residencia en Carolina del Sur y nà ºmero del seguro social. Connecticut Es posible registrarse online  o por correo completando el formulario  State of Connecticut Mail-In Voter Registration y envindolo al ayuntamiento de la localidad  donde se reside. En esos edificios tambià ©n se admite la inscripcià ³n en persona. En el estado de Connecticut es posible registrarse el mismo dà ­a de las elecciones, pero no en los lugares donde se vota, sino que se exige presentarse antes en el  Registrar of Voters  local con una  I.D. y un documento que muestre la direccià ³n  donde  se reside. Dakota del Norte Este estado no tiene inscripcià ³n previa para votar en las elecciones. El dà ­a de los comicios, los ciudadanos deben mostrar una identificacià ³n que pruebe su nombre completo, fecha de nacimiento y residencia mà ­nima de 30 dà ­as en Dakota del Norte. Dakota del Sur Para votar es necesario registrarse al menos 15 dà ­as antes de las elecciones. Es posible hacerlo completando un formulario y envindolo a la oficina local del auditor del condado. Otra opcià ³n es presentarse en una oficina local del auditor del condado, del Departamento de Vehà ­culos Motorizados, oficinas de gestià ³n de los cupones de alimentos o de Recursos Humanos, o agencias de reclutamiento de soldados. Delaware En Delaware es posible registrarse por telà ©fono, en persona en las oficinas estatales de Servicios Sociales y Salud, Departamento de Vehà ­culos Motorizados o Departamento de Trabajo, o por correo, enviando la aplicacià ³n a la direccià ³n que figura en esa planilla. Para registrarse por primera vez hay que enviar o mostrar una I.D. del estado o la licencia de manejar y, si no se tiene, la tarjeta del Seguro Social. Adems, debe mostrar un documento que acredite residencia actual, como cheque que se recibe del gobierno, factura de la electricidad, extracto bancario, etc. Hawaii En Hawaii es posible registrarse online, para lo cual debe tener a mano una ID. del estado o la licencia de manejar y la tarjeta del nà ºmero del Seguro Social. Tambià ©n puede hacerse por correo, llenando la planilla del Voter Registration and Permanent Absentee Form  o en persona en ayuntamientos, oficinas de correo, bibliotecas pà ºblicas, agencias estatales o en los campus del sistema estatal de la Universidad de Hawaii. Idaho En Idaho solo es posible registrarse en persona o por correo llenando la planilla Form ERM-1. Las personas que se registran por primera vez deben  enviar o presentar copia de una I.D. o copia de una factura de servicios pà ºblicos, nà ³mina o extracto bancario en el que aparezca reflejada la direccià ³n del votante. Para registrarse es necesario haber vivido en el distrito  donde se quiere votar por al menos 30 dà ­as.   Indiana Para registrarse hay que probar que se ha residido en el distrito  donde se quiere votar por al menos 30 dà ­as. Es posible hacerlo en persona, por correo o tambià ©n online. El dà ­a de las elecciones  ser necesario mostrar una I.D. estatal o federal en la que el nombre coincida exactamente con el del registro de votantes. Iowa   En Iowa se requiere registrarse al menos 11 dà ­as antes de las elecciones y solo es posible hacerlo en persona o enviando el formulario de inscripcià ³n  por correo a la oficina local del Departamento de Vehà ­culos Motorizados o a la del auditor del condado  donde se reside. Kansas Para votar en Kansas hay que registrarse al menos 21 dà ­as antes de las elecciones. Es posible hacerlo en persona, online, fax, email o correo ordinario. En cualquier caso, se exige prueba de la ciudadanà ­a estadounidense, como puede ser el pasaporte, el certificado de naturalizacià ³n, etc. Kentucky Las personas con residencia en Kentucky por al menos 28 dà ­as pueden registrarse para votar en dicho estado por correo, en persona o utilizando un formulario electrà ³nico.   Louisiana Es posible registrarse en persona, por correo o por internet. En este à ºltimo caso, el formulario pide un cà ³digo Audit. Para encontrarlo, debe buscar en la licencia de manejar o I.D. emitido por ese estado. Maine Es obligatorio completar el formulario de inscripcià ³n  que puede enviarse por correo o presentarse en persona en las oficinas del registro municipal del lugar  donde se vive, en las oficinas del Departamento de Vehà ­culos Motorizados o cualquiera agencia estatal o federal. Maryland Este estado permite registrarse a los ciudadanos con residencia durante al menos 21 dà ­as. Puede  realizarse online, en persona o por correo. En algunos casos, a los votantes por primera vez se les puede solicitar una I.D. que puede ser la licencia de manejar, tarjeta militar o de estudiante, pasaporte de Estados Unidos o una factura de un servicio pà ºblico de los à ºltimos tres meses.   Massachusetts Este estado permite la inscripcià ³n online, en persona o por correo para los ciudadanos con al menos 16 aà ±os cumplidos, sin embargo, solo se puede votar a partir de los 18. Michigan Este estado exige residencia previa por 30 dà ­as para permitir la inscripcià ³n, que puede hacerse en persona o por correo en las oficinas del Secretario del Condado. Adems, el dà ­a de las elecciones debe presentar una I.D. con foto, como la licencia de manejar de ese estado o una tarjeta militar. Si no se tiene, es necesario firmar una declaracià ³n jurada. Minnesota Para registrarse en ese estado es necesario residir en à ©l al menos 20 dà ­as antes de la inscripcià ³n. Puede hacerse online, por correo o en persona en la oficina del secretario del condado. Incluso es posible registrarse el dà ­a de las elecciones en el lugar de votacià ³n. Mississippi Este estado exige residencia por un mà ­nimo de 30 dà ­as antes de registrarse. Es posible hacerlo completando el formulario y envindolo a la oficina del Secretario del Condado  donde se reside. Missouri La forma para registrarse es por correo, enviando el formulario de inscripcià ³n a la oficina del Secretario del Condado  donde se reside. Montana Montana exige una residencia mà ­nima de 30 dà ­as para permitir la inscripcià ³n y, a diferencia de otros estados, no permite hacerlo online. Las opciones son por correo,  enviando un formulario  a la oficina  electoral del condado  donde se reside (cuya direccià ³n est en ese formulario), o presentndose en persona en dicha oficinas. Nebraska Es posible registrarse online, por correo o en persona. En estos dos à ºltimos casos, es necesario llenar un formulario especà ­fico. En el primer caso, se exige tener licencia de manejar o una I.D. de ese estado. Nevada Para registrarse en Nevada se exige ser residente de ese estado por un mà ­nimo de 30 dà ­as y de un mà ­nimo de 10 dà ­as en el distrito donde se va a votar. Es posible registrarse en persona o por correo  en las oficinas del Departamento de Vehà ­culos Motorizados. Tambià ©n se admite hacerlo online en espaà ±ol, pero es necesario tener una licencia de manejar o una I.D. de ese estado. Nuevo Hampshire Para registrarse hay que probar identidad, residencia en el estado, edad y ciudadanà ­a estadounidense. Como lugares para registrase se admiten las oficinas del secretario de la ciudad o el propio lugar de votacià ³n el dà ­a de las elecciones. Ohio Para votar en las elecciones, los residentes de Ohio deben registrarse para votar al menos 30 dà ­as antes de la fecha electoral. Es posible hacerlo online. Tambià ©n es posible hacerlo en cualquier oficina del Departamento de Vehà ­culos Motorizados cuando se tiene una cita para obtener la licencia de manejar, su renovacià ³n o para notificar cambios de nombre o de direccià ³n. Oklahoma Los residentes en Oklahoma deben  completar el formulario oficial  para registrarse para votar al menos 24 dà ­as antes de las elecciones. Se les pide el nà ºmero de la licencia de manejar de ese estado y, si no la tienen, el nà ºmero del Seguro Social. Oregà ³n Los residentes en el estado de Oregà ³n pueden registrarse a partir de los 16 aà ±os, aunque solo se puede votar a partir de los 18. Los nuevos ciudadanos estadounidenses deben gozar de ese estatus por al menos 21 dà ­as antes de registrarse.   Para registrarse existen varias opciones: online en espaà ±ol, para lo que es necesario tener a mano la licencia de manejar o licencia de identificacià ³n de ese estado, en persona en la oficina electoral del condado donde se reside, o por correo, enviando la planilla SEL 500 a la oficina electoral del condado. Tambià ©n puede  registrarse cuando saca la licencia de manejar. Pensilvania Los residentes en  Pensilvania por un mà ­nimo de 30 dà ­as pueden registrarse para votar en cualquier oficina del Departamento de Vehà ­culos o por Internet rellenando el formulario del Departamento de Estado de Pensilvania. Se exige a los nuevos ciudadanos al menos un mes antes de la fecha de la votacià ³n para estar autorizados a votar. Rhode Island Aunque no se puede votar antes de cumplir los 18 aà ±os, es posible registrarse para votar a partir de los 16. Puede hacer online o por correo ordinario enviando el formulario  Rhode Island Voter Registration Form o el  National Voter Registration Form a la oficina del Board of Canvassess del condado donde se reside.   Tambià ©n se admite la inscripcià ³n  en persona entregando cualquiera de esos dos formularios en el Board of Canvassess o en una oficina local del Departamento de Vehà ­culos Motorizados (RI DMV). Finalmente, Rhode Island exige registrarse un mà ­nimo de 30 dà ­as antes de las elecciones para poder votar. Tennessee Para votar en las prà ³ximas elecciones es necesario registrarse al menos 30 dà ­as antes. Puede hacerse enviando el formulario de inscripcià ³n a la oficina local de la comisià ³n electoral del condado donde se reside. La otra opcià ³n es presentarse en una de las siguientes oficinas: oficina del secretario del condado, bibliotecas pà ºblicas, registro civil (Register of Deeds), Departamento de Salud en el rea de gestià ³n del programa WIC, departamentos de veteranos, recursos humanos, salud mental o vehà ­culos motorizados. Utah En Utah es posible inscribirse online hasta 7 dà ­as antes de las elecciones. Tambià ©n es posible enviando el formulario State of Utah Mail-In Voter Registration Form a la oficina del secretario del condado donde se reside. Una tercera opcià ³n es registrarse en persona al menos 30 dà ­as antes de las elecciones en la oficina del secretario del condado, colleges o universidades pà ºblicas, oficinas del Departamento de Vehà ­culos Motorizados.   Vermont En Vermont es posible registrarse online, en persona en el Departamento de Vehà ­culos Motorizados cuando se realizan gestiones para sacar la licencia, renovarla, solicitar una inscripcià ³n  del auto o renovar una que ya se tiene. Tambià ©n es posible presentando el Vermont Application for Addition to the Checklist (VT Voter Registration)  (Form SOS-VR)  en la oficina del secretario de la ciudad o municipalidad, o envindola por correo a la misma direccià ³n. Cualquiera que sea la forma que se elige para registrarse, es necesario presentar o enviar copia de uno de los siguientes tres documentos: licencia de manejar de Vermont, factura de un servicio pà ºblico, extracto bancario o un documento oficial del gobierno. Adems, hay que jurar o prometer lo que se conoce como Juramento del Hombre Libre (Freeman ´s Oath, en inglà ©s). Virginia Para registrarse online es necesario enviar el nà ºmero del seguro social y de la licencia de manejar de ese estado. Tambià ©n es posible hacerlo en persona o por correo completando el formulario  Voter Registration Application  (Form VA-NVRA-1)  a la oficina local de inscripcià ³n  de voto. Finalmente, otra opcià ³n es presentarse en una oficina del Departamento de Vehà ­culos Motorizados. Virginia Occidental Es posible registrarse online, en persona en el Departamento de Vehà ­culos Motorizados, en la oficina del secretario del condado donde se reside o por correo ordinario, enviando un formulario oficial a la oficina del secretario del condado. La inscripcià ³n debe tener lugar al menos 21 dà ­as antes de las elecciones en las que se desea participar. Washington En el estado de Washington es posible registrarse online, en persona en las oficinas del Departamento de Vehà ­culos Motorizados o por correo, enviando el  Washington State Voter Registration Form a la oficina del condado donde se reside. Quienes se registran online o por correo deben hacerlo cuatro semanas antes del dà ­a de las elecciones. Sin embargo, quienes se registran en persona pueden hacerlo hasta siete  dà ­as antes de la celebracià ³n de los comicios. En el estado de Washington solo se vota por correo.   Wisconsin Es posible registrarse online  o por correo, completando el formulario  Application for Voter Registration  (Form EL-131)  y envindolo al secretario municipal al menos 20 dà ­as antes de las elecciones. Tambià ©n es posible registrarse en persona en dicha oficina hasta las 5 p.m. del viernes anterior a las elecciones. En todos los casos es necesario presentar prueba de residencia en el estado y, adems, una I.D. o licencia de manejar de Wisconsin y, si no se tiene, el nà ºmero del Seguro Social. Wyoming Es posible registrarse en persona en la oficina del secretario del condado o por correo llenando el  Wyoming Voter Registration Application and Change Form, firmndolo ante un notario y envindolo a la oficina del secretario del condado donde se vive.   Es todos los casos es necesario probar la identidad, para lo cual se admite cualquiera de los siguientes documentos: licencia de manejar de Wyoming, pasaporte de Estados Unidos o I.D. militar o de una escuela. Finalmente, tambià ©n es posible registrarse el dà ­a de las elecciones en el colegio electoral. A tener en cuenta Una vez que se registra una persona, no necesita volverlo a hacer a menos que cambie de nombre o de direccià ³n. En estos casos, es necesario notificar los cambios. Sin embargo, los ciudadanos condenados por un felonà ­a no pueden votar mientras cumplen sus sentencias. Cada estado establece sus propias reglas sobre cundo pueden volver a votar: cumplimento de condena, de parole, o libertad condicional (probation), de todas ellas o, incluso, ajustar la prohibicià ³n al tipo de crimen cometido. Por sus posibles graves consecuencias se recomienda no votar a las personas que han sido condenadas por una felonà ­a mientras no se verifique si se est autorizado a hacerlo.  ¿Por quà © es importante hacerse ciudadano? En Estados Unidos, ms de ocho millones de residentes permanentes legales califican para solicitar la ciudadanà ­a estadounidense por naturalizacià ³n. Las ventajas son muchas, no solo votar. Por ejemplo, protege frente a la deportacià ³n, amplà ­a los casos de familiares que pueden ser pedidos y agiliza los plazos e, incluso, abre categorà ­as de trabajos que estn vedadas a quienes no son ciudadanos. Puntos Clave: registrarse para votar en EE.UU. Solo los ciudadanos estadounidenses pueden votar en las elecciones federales. Es un delito muy grave votar sin ser ciudadano con consecuencias migratorias serias.Para votar es necesario registrarse. Cada estado establece sus propias normas sobre requisitos, plazos y modos de hacerlo.Aproximadamente 6 millones de estadounidenses no pueden votar por haber sido condenados por una felonà ­a. Cada estado establece sus propias reglas para determinar en quà © momento se puede restaurar ese derecho.Florida es el estado con ms estadounidenses apartados del derecho a votar por haber cometido una felonà ­a: aproximadamente 1,5 millones. Este es un artà ­culo informativo. No es asesorà ­a legal.

Nursing care plan ( NCP ) Essay Example | Topics and Well Written Essays - 500 words

Nursing care plan ( NCP ) - Essay Example She has been recently widowed and is living with her daughter’s family. She has hypertension and has been taking maintenance medications to manage her blood pressure. She also has gouty arthritis and is taking diuretics and pain relievers to manage it. The symptoms of her disease include the dyspnea. This dyspnea is causing a reduction in her exercise tolerance, thus also reducing her activities of daily living. Her cough is productive with increased production of sputum. She also has wheezing and chest congestion. Based on her medical history with the disease, she remembers that she has had incidents of persistent coughing during her childhood years, including other common childhood diseases. She remembers that she has had childhood asthma during her school age years, as well as several incidents of bronchitis when she was in her teens and during her early adult life. Her husband was a smoker so she was exposed to second hand smoke for thirty years being married. Second-hand smoke often contributed to her persistent coughing in her adult and her late adult life. In reviewing her environment, she has been a housewife most of her life, except for ten years when she worked as a clerk in a stock broker firm. Her family has lived in an area which is near an asbestos plant which often emits toxic fumes into the air, and which often dumps dust and other wastes in the outskirts of their neighborhood. This plant has been contributory to various respiratory health issues because from the time the plant was built, the incidents of COPD have increased in the area, and some incidents of lung cancer have registered at rates higher than the rest of the general population. Her cough has persistently caused her difficulties in breathing; it has also caused her problems with sleeping as she would often have coughing bouts at night. Her cough is also productive, especially in the morning. Labored breathing is mostly apparent during