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When Mount St. Helens erupted it took lives and destroyed at least fifty miles of the surrounding area. A volcano is a mountain or hill where a vent forms in the earth s crust, letting ash, lava, and steam escape. Mount St. Helens included many details common to volcanic eruptions, caused damage and destruction, and how the area has recovered. Volcanoes are classified with the Volcanic Explosively Index (VEI) scale. Mount St. Helens was ranked at a five, the highest is an eight. The volcanoerupted at 8:32 AM May 18, 1980. In all fifty seven people died, twenty seven bodies were lost, and the surrounding town was wiped out. After the explosion there was a massive mudslide. Mount St. Helens wasn t just a lavaeruption, it was also an
INTRODUCTION An integrated care pathway is a structured multidisciplinary synopsis of anticipated care, placed within a set timeline, to aid a patient with a specific condition or set of symptoms to move progressively through a clinical experience to positive outcomes, It is one of the main tools used to manage the quality in healthcare concerning the standardisation of care processes and therefore promotes organised and efficient patient care based on evidence based practice. (British Medical Journal, 1998). In this essay I aim to justify a patient pathway of care with reference to national and local agendas. I will analyse the assessment strategies utilised in the pathway from a bio psycho social perspective with reference to contemporary evidence and provide examples from clinical practice where assessment of the patient of the pathway impacts upon the care planning process. JUSTIFY THE SELECTION OF THE PATHWAY WITH REFERENCE TO NATIONAL AND LOCAL AGENDAS The pathway I have selected to discuss from pervious placement is the Pneumonia pathway. The national agenda I have chosen heading this topic is the National Institute for Health and care Excellence (NICE). Under the pneumonia pathway I will concentrate on the Adult with community acquired pneumonia path which is within the pathway. Pneumonia, is a lower respiratory tract infection in which there is an inflammation of the lung(s) caused by a bacterial, viral or fungal infection. Streptococcus pneumoniae is the most
King Lear, a tragedy in which Shakespeare exhibits most fully his literary complexities, is surprisingly the least popular of the famous four. In spite of this, it is indefinitely the most talked about. For many this is Shakespeare s most profound tragedy, one of the greatest plays ever written in any language at any time. It throws up questions, which remain as perplexing now as they were to Shakespeare s earlier critics. And although thoroughly studied, the original story line has remained unchanged for centuries, even though many attempts have been made to alter it. In the twentieth century a range of conflicting views on King Learemerged, a major development in Shakespearean criticism came with the publication of A.C Bradley s ... Show more content on Helpwriting.net ...
This proves to be his fatal flaw and this, combined with the unexpected, seemingly undevoted speech by his favoured daughter Cordelia, earns herself and Kent an early departure out of the play. The fool plays a vital part in the deterioration of Lear s character and sanity in the play, he is Lear s voice of conscience, his alter ego, and many of his earlier speeches are designed to alert Lear to his daughter s true characters. The fool is never punished for telling it how it is: he is all licensed . Jesters were often kept by the monarch to remind the sovereignty of his humanity and in this case sanity. When he first appears in the play he is extremely critical of Lear; dost thou call me a fool, boy? em All thy other titles thou hast given away; that thou wast born with . His sarcasm is hard hitting though completely true. Lear s arrogance overtakes him and he begins to feel superior to Kent whom he has known and respected for so long do not come between the dragon and his wrath . He compares himself to a dragon in the sense of its overwhelming supremacy, control and power, whereas the audience knows it is the temper of a dragon that Lear is secretly and unknowingly comparing himself to. By effectively removing himself from his rightful position as king he unknowingly takes up
French Revolution
By: Daijon Weaver
The French Revolution started in 1787 and ended in 1799. France was governed by privileged groups and peasants were the small landholders who paid the taxes. The French Revolution started because the feudal regime was getting pretty bad, the peasants was getting better education and wanted to destroy the feudal system. The country s economic and intellectual development was not in line with the social and political change. The higher the population got, the more demands for food and goods. The direct cause of the French Revolution was the chaos of the government finance. The French Revolution was influenced by Enlightment ideals. It ended when Napoleon Bonaparte became ... Show more content on Helpwriting.net ... The massacre of hundreds of counterrevolutionaries had the Legislative Assembly replaced by the National Convention King Louis XVI was sentenced to death for high treason and January 21, 1793, he was killed. His wife, Marie Antoinette was killed 9 months later
On September 5, 1973, the Reign of Terror started where a few men govern the country and wage war in crisis
It was started by Maximilien Robespierre, and during its 10 month period, 300,000 suspects were arrested, 17,000 sentenced to death and more died in prison. The war entered its 4th phase of war in the spring of 1794. Robespierre was executed on July, 27, 1794 and the Reign of Terror ended
The End of the French
Problem and Its Background Filipinos and its administration are considering education pivotal. It holds on the creed that this aids them to attain development and to embark on global competition. Thus, the improvement on its literacy rate is not bewilderment; back to 2000, it was only 92. 3 percent however, after ten years, it became 97. 5 percent (Desiderio, 2013). This is blatantly the repercussions of the government s effort to comply with the Education For All (EFA) of Unesco. Nevertheless, the strife is not yet to be stopped for the conceptualizations of scholastic alterations are incessant. Department of Education (DepEd) and Commission on Higher Education ( CHED) are spearheading the suggestions and implementations of minutiae and enormous change; They are thriving to make each private, semi private or public school docile regarding their agendas particularly memorandums. But, their control over the school administrations is limited mainly because educational centers are abundant and it paves to the execution of Decentralization. School Based Management (SBM) is utilized as a standard term for a range of decentralization activities. SBM programs convey power over one or more of the following actions: budget allotment, hiring and dismissal of educators and other staff, cultivation of curriculum, procurement of school materials such as textbooks,
Military/Police: The Rise of Militarized Policing
Military/Police: The Rise of Militarized Policing
Introduction
The United States has long regarded with great suspicion efforts to use the military as a tool of civilian law enforcement. In significant part, this attitude grew out of the colonists experiences with the abuses of the British Army. These abuses included the Boston Massacre of 1770, in which the British Army opened fire on colonists protesting the use of the army to enforce civilian laws (Doherty, 2016). These attitudes led to an effort during the early post Revolution period to separate military and police powers (Doherty, 2016), as well as the Third Amendment with its specific limitations on the military s authority over Show more content on Helpwriting.net ...
This can provide benefits in the form of encouragement tacitly or explicitly towards professionalism on the part of all police personnel, not just those associated with the PPU. Although the term police professionalism has fallen into some disfavor due to its association with a concept of the police as a cold and distant force imposed against crime, the reality is that militarization does serve to increase consistency of behavior across police forces as well as the imposition of expectations of professional behavior (Hall Coyne, 2013). Additionally, PPUs may serve an important morale boosting purpose for police forces, setting a high standard for competence and ability and creating a goal to which line officers may aspire (Breede, 2008). Finally, when it comes to civilian law enforcement, it is far more desirable to layer a degree of military training, tactics, and equipment onto a preexisting police mindset than to try to retrain a military mindset for civilian law enforcement work (Breede,
Deactivation of Prions in the Healthcare Setting Prions are infectious agents composed entirely of a protein material which is transmissible to other prion proteins leading to disease in a manner that is epidemiologically comparable to the spread of viral infection. Prions composed of the prion protein are believed to be the cause of transmissible spongiform encephalopathies among other diseases. All known priondiseases are untreatable and fatal.
. Prions, however, are infectious by their effect on normal versions of the protein. Sterilizing prions, therefore, requires the denaturation of the protein to a state in which the molecule is no longer able to induce the abnormal folding of normal proteins. In general, prions are quite ... Show more content on Helpwriting.net ...
Chemical disinfectants and common thermal or ionizing treatments do not effectively denature the prion particles. Traditional means of instrument decontamination is not practical for prion infected utensils. The recommended prion decontamination protocols for reusable surgical instruments and surfaces recommended by The World Health Organization and The Center for Disease Control and Prevention have been published and are readily available on CDC s website (http://www.cdc.gov/prions/cjd/infection control.html) and are detailed below.
The three most stringent sterilization methods for heat resistant instruments described in Annex III of the WHO guidelines are listed below; the methods are listed in order of more to less severe treatments. Sodium hypochlorite may be corrosive to some instruments, such as gold plated instruments. Before instruments are immersed in sodium hypochlorite, the instrument manufacturer should be consulted about the instrument s tolerance of exposure to sodium hypochlorite. Instruments should be decontaminated by a combination of the chemical and recommended autoclaving methods before subjecting them to cleaning in a washer cycle and routine sterilization.
1.Immerse in a pan containing 1N sodium hydroxide (NaOH) and heat in a gravity displacement autoclave at 121°C for 30 min; clean; rinse in water; and subject to routine sterilization.[CDC NOTE: The pan containing
The Western Roman Empire was one of the greatest Empires of the world In the Western Roman Empire politics was the first contributing factor the fall of it. One of the many reasons is because of their unfit emperors. They had many. The ones who were unfit, were greedy and used cruelty to control and keep control of their empire. Not all showed the ability to be the emperor, some of them inherited the throne, and some of the people who did had a mentally unstable personality. Some Emperors were assassinated by their Praetorian Guard for position or money. Once the Praetorian Guard assassinates the emperor, if they had a leader their leader would become the emperor. As a result of the unfit emperors civil wars broke out across Rome. Legions fought one another. The citizens of the... Show more content on Helpwriting.net ... The empire was to gigantic to protect. They had used natural borders. For example, rivers which were impossible to protect and control. They also built walls, but they didn t have enough legionaries to protect them. Roman legionaries became so caught up in salaries and control over the throne that they lost focus on their jobs. Roman legionaries became weak therefore the Romans hired Germanic mercenaries. Mercenaries are people who kill in war for people who pay them. Unfortunately for the Romans they got a mind of their own and turned their backs on the Romans. Sense the legionaries lost focus on their job, the Germanic tribes found that it was the best time to attack Rome. When they did they destroyed some of the aqueducts which shortened the fresh water supply. This was a very smart thing for the Germanic tribes to do because you can only live without fresh water for less than a week. When the rivers, Rhine and Danube Rivers, froze it helped the invaders sense they could just walk over it. Which is exactly what helped Germanic Chief Alaric and Germanic tribes invade Rome and burn it to the ground in 410
n the novel Until Tuesday by Luis Montalvan, the author faces numerous struggles during the times he was fighting and the times he was facing PTSD. Throughout the hardships of dealing with PTSD, Luis felt betrayed in many different aspects through his experiences. Luis feels betrayed due to the fact that the media was portraying false ideas and didn t let Luis take action, the unfair treatment he dealt with in his own country and that his parents did not help nor accept him back even though he needed help. Luis throughout the novel wrote about the difficulties of coping with PTSD and the responses he got after coming back from Iraq was something he knew he did not deserve. People ranging from everyday citizens to his parents, all treated him in a tough manner and had no understanding of what he is dealing with. While Luis was still fighting Iraq, the media has put out fake images and ideas of the war to the public. The media showed that the war in Iraq is going extremely well and that the US has a plan and they are going to win. While the media was portraying those ideas, the war was not going well for the soldiers actually fighting in it. Luis seeing these lies being put out to the public made him want to express his ideas and what really the war is really like in Iraq. This got him in trouble with the generals and commanders who did not want Luis to publicize the truth. One of them stated We don t need that kind of publicity...Keep it positive from now on. (Montalvan,
Adolescent girls go to extremes to make their body fit the image that they desire and some girls do things that they don t always want, because they believe that they will look bad in the eyes of others if they don t. Girls change the way their bodies look because they feel like they have a standard that they must meet and they won t be attractive if they don t (Brumberg 66). Some girls have sex because they don t know how to tell a boy no. They feel like they won t be wanted or looked down upon if they refuse even though it isn t what they want. Susan Minot says in her story Lust , So I d go because I couldn t think of something to say back that wouldn t be obvious, and if you go out with them, you sort of have to do something (90). Girls feel the need to fit a mold that is presented to them, at the expense of their body and peace of mind. This could be due to psychological issues and Joan Jacobs Brumberg, author of, GirlAdvocacy Again, claims that this is a complicated point in history for women. They are maturing at a younger age and in a culture where entertainment, media, and peers influence their sexual choices more than their own family (67). Minot s story gives a firsthand view of what it is like to be an adolescent girl that appearingly has had little sexual guidance, much like the girls Brumberg analyzes (88). ... Show more content on Helpwriting.net ... When it comes to sex, girls that sleep around more always get more attention from guys, even though it isn t all positive. A girl who decides to wait until marriage and doesn t fit the ideal body type, will more often than not get the least attention of them all. Girls feel like they must conform otherwise they won t be attractive even though the girls who do sleep around and have the ideal body often have the most psychological issues (Brumberg