Wednesday, November 27, 2019

Problems with Included Tree Bark

Problems with Included Tree Bark Included bark or ingrown bark tissues often develop where two or more stems grow closely together causing weak, under-supported branch angles. Bark often grows around the branching stem attachment and into the union between the two stems. Bark has no strong supportive fiber strength as wood does so the connection is much weaker than a union without included bark. Pruning All maturing trees are subject to having bark inclusions and need pruning while limbs are smaller and easier to remove. Any signs of a cracked weak branch angle (shaped like a V) with included bark that occurs on the main stem or any included bark areas on larger, lower limbs should be considered a defect. Connected stems with a supported U or Y shape are desirable.  Proper pruning will help prevent included bark and encourage the proper shape. Dont Automatically Worry about Decay The presence of decay by itself does not make the tree a hazard tree. All trees have some rot and decay with advancing age. Decay is a problem where the wood is soft and hollowed out along with the presence of mushrooms/conks. Take immediate action if advanced decay is present or associated with weak branches or included bark. Signs for Concern   A weak branch union occurs on the main stem.A weak branch union is associated with a crack, cavity, or another defect.

Saturday, November 23, 2019

4 ways to manage your emotions as a nurse

4 ways to manage your emotions as a nurse Nurses face many professional challenges. Their jobs are both physically and mentally draining, and on top of working in extremely stressful, pressure-filled environments they have to deal with a seemingly never-ending array of competing priorities and demands on their time, a ton of diverse patient and colleague personalities, and often-grueling work schedules. With all of these intense challenges, is it any wonder that nurses sometimes find themselves struggling to manage their emotions in an effective and healthy way? If you’re a nurse who sometimes finds that the intense demands of the job make it difficult to manage your emotions effectively, you’re not alone. According to a survey conducted by the American Nurses Association, â€Å"Nurses face many hazards on the job†¦ Fatigue from overwork and stressful conditions strains RNs’ health.† Approximately 74% of nurse respondents reported that the effects of stress and overwork are among their primar y work concerns, which often leads to physical and emotional fatigue and burnout.Although some nurses can effectively channel their stress and perform their jobs at consistently high levels in nearly any situation, the reality is that others struggle with this on a daily basis- and many suffer- with the end result being an inability to manage their emotions.However- this doesn’t have to be the case!There are effective strategies for nurses to manage their emotions and maintain a grounded and healthy emotional state- both on the job and off. Nurse.org recently published an article highlighting key tips for nurses to stay emotionally healthy. Take advantage of the following tips to help you stay emotionally grounded and stable as you go about doing your job to the best of your ability.Find a supportive colleague.This bit of advice is valuable in all professions, but it’s especially important for nurses to find a friend on the job who they can turn to and trust when thing s get intense. Nurses, don’t discount the value of venting your feelings when you’re feeling frustrated or overwhelmed- it can be a great tool for getting a handle on your emotions on particularly stressful days.Find a safe space.Just as important as having a trusted colleague to turn to when you’re feeling emotionally overwhelmed is having a safe space to get away from the chaos for a few moments and let yourself deal with your emotions. It’s normal to feel all sorts of conflicting emotions- both good and bad- when working in the sort of high-stress environments that nurses typically find themselves- the key is to have a comfortable place where you can take a little time to breathe, relax, and collect yourself, and move on with your work day in a healthy and productive way.Know yourself.All nurses are unique individuals, with different likes, dislikes, motivators, and passions- as well as things that relax and ground them. Find the little things in life that relax you, whether it’s deep breathing, soft music, exercise, essential oils, meditation, yoga, or something completely different and unexpected, and be sure to incorporate them into your life in times of emotional volatility or stress to help keep things under control. Schedule it on your calendar if you have to- these individual self-care acts are important to your day, so force yourself to make the time for them. When that calendar alert goes off, it’s time to focus on your well-being.Talk to a professional.Although there are a wide variety of things you can try on your own in an effort to better manage your emotions as a nurse, the truth is that sometimes it isn’t enough- and a little extra help is needed. The Nurse.org article sums it up effectively: â€Å"Nursing can be intense. We have people’s lives in our hands every day. That is why being able to talk to someone about your emotions and get professional feedback is extremely beneficial†¦ Finding a provider is relatively easy. There are websites (www.psychologytoday.com) you can search by provider and then filter by specialty and insurance or you can go through your insurance’s website to get connected. This can help ensure you find the professional that’s right for you.†Being a nurse can be a stressful and challenging career- but that doesn’t mean it needs to derail your emotional stability. Use the strategies here to take control and manage your emotions effectively.

Thursday, November 21, 2019

System design requirements document Essay Example | Topics and Well Written Essays - 1000 words

System design requirements document - Essay Example These checks up results are the one used by the doctor as part of making decision on the patient sickness. All these information provided by the different clinical providers is input into the system. 2. Senior leadership- They are involved in providing cash to purchase a new system in the clinic. They are also involved in making decisions whether to change the workflow of the system. These activities make them to be consulted anytime a change is to be made to the system. 3. Medical records staff- This is the person charged with the responsibility of registering patients into the clinic. The staff has also a role of maintaining the medical records. The medical records may include drug supply and releases which is an important aspect to the clinic. Maintaining the drug supply will ensure the doctors do not prescribe a non existing drug. The medical records staff can carry these activities by feeding the data in the system to help in calculations. 4. Administrators/ clinical managers- T hese group have a role of seeing the smooth running of the clinic every day. They also ensure quality improvement in delivery of services leading to the need of including them in requirement collection. 2. Workflow This the procedure followed in a clinic before a patient receives treatment. The workflow starts when a patient visits the clinic to the time they leave. 1. Patient walks into the clinic 2. a. If new patient collection of registration details which includes name, contact information and medical history. b. If an old patient retrieval of the medical record is done by the clerk. 3. Patient moves to the waiting room. 4. The clerk forwards the patient’s medical file to the doctor on duty. 5. Patient proceeds to the check up room 6. Check up on blood pressure, temperature and weight is carried on the patient. 7. The patient proceeds to the doctor’s office with the written form on check up results. 8. The doctor enquires on the reason of the visit. This will estab lish the sickness of the patient. 9. Doctor prescribes medication and billing to the patient. 10. The patient proceeds to the cashier’s desk and pays for the medication. 11. Collection of medication takes place at the pharmacies desk and advice on the way to take it. 12. The patient checks out of the clinic. 3. Improvements to the workflow The main factor affecting the clinical workflow was overbooking by patients. The system should eliminate this by ensuring that the numbers of patients who visit the clinic per day do not exceed the needed number. This can be done by establishing a procedure where patients books appointments long before seeing the doctor. This ensures patients scheduled for a day do not exceed the maximum number a doctor can handle. Another improvement required is to eliminate the delay by patients at the registration desk. The study showed patients spent a lot of time giving information at the reception desk. The main solution would be to reduce the amount of data collected on a specific patient. The contact information would just include the phone number leaving the rest of the things like physical address, zip code and city. This would reduce the amount of time taken to attend to each patient. Improvement on information passing from the different offices was also required. Automation is supposed to allow once a clerk logs a patient visit the doctor can access the patient’s files online. The manual tracing of files can also be eliminated

Tuesday, November 19, 2019

Student loan vs bank loan Research Paper Example | Topics and Well Written Essays - 1000 words

Student loan vs bank loan - Research Paper Example Flexibility of bank loans and federal loans - Federal loans are more flexible, starting from application to repayment process. Elements of loan forgiveness and guarantee in both loans - Federal loans are entitled to loan forgiveness and are guaranteed in case of death or disability. Bank loans are not. Interest rates – Federal loans have lower and fixed interest rates, while bank loans have higher and unstable interest rates. Counter-argument based on efficiency and student satisfaction – bank loans cater for all student needs as the loan amount is not fixed. The application procedure of bank loan is not cumbersome. 3. Conclusion Importance of both the federal student loans and bank loans in higher education Future of the education aid in United States, in form of bank loans and federal student loans Name Course Instructor Date Student Loan Vs. Bank loans In most developed and developing countries of the world, students are considered for loans to facilitate their highe r education. These are in the form of government student loans or the private loans, including bank loans. This is one of the ways in educational policies to ensure higher education for all in a country. In the United States, student loans are provided under the federal student loans. ... Forest observes that the state government plays the greatest role in financial aid for education of students in higher institutions of learning (259). However, he does not ignore the contribution of the private sector, especially banks, in offering students loans for their higher education. Nevertheless, Forest insists that the US federal government plays the most important role in financing students’ higher education as compared to the private sector, including banks. For instance, between 1998 and 1999, the federal government was responsible for 70 percent of financial aid to college and university students in the form of student loans. This was a total of $46 billion, inclusive of student loans and grants (Forest 260). This therefore points to the great influence of federal student loans in higher education, with bank loans having a lesser influence. According to Forest, what makes federal student loans to be more preferable is their limited requirements and conditions for one to qualify for. In the US, the federal student loans are easy to qualify for, and have fewer restrictions. On the other hand, bank loans are hard to qualify for and highly restrictive. For one to qualify for a bank account, they have to show a reliable credit history, and possess sufficient income as shown by one’s bank account balance. However, most students in the world are still young, with no reliable income or bank account balances, which can serve as collateral for the bank loans. This therefore makes student loans a good option for students, as they do not require any collateral as a qualification condition (Forest 263). â€Å"Kiplinger’s Personal Finance† records that the flexibility of federal student loans

Sunday, November 17, 2019

Justification for funding researches on Biotechnology and genetic engineering Essay Example for Free

Justification for funding researches on Biotechnology and genetic engineering Essay Biotechnology and genetic engineering are technologies that employ biological materials to generate or construct enhanced products. The technologies are extensively used in the field of agriculture for the generation of new plant hybrids which present commercially important traits such as size and sweetness and remove the commercially risky features including drought- and insecticide-resistance. In the field of biomedicine, microbial species are modified through genetic engineering and used as basis for the design and creation of new vaccines which will help the public from acquiring specific infectious diseases. It is of my opinion that these sciences be funded for purposes of food enhancements and vaccine improvements because these provide us with new methods of using modified versions of the basic biological materials. The modification of particular plant species may be helpful to us in terms of food and our daily consumption, and maintaining good health in the society. For example, rice may be genetically modified to grow to maturity in half the time the wild rice grows. This means that we will always have ample supply of rice because we do not have to wait for such a very long time. In term of vaccines, it is important the biotechnology and genetic engineering improve vaccines because the bacterial and viral pathogens that cause diseases are also constantly evolving. Viruses are continuously changing the proteins on their cell membrane so that the cells of their host will not recognize and destroy them based on the host’s current immunity. If we do not improve our vaccines, we will not be able to control emerging infections around the world, and this may result in multiple global outbreaks. Hence, it is important that these technological innovations be used to their maximum potential. References Patel R, Torres RJ and Rosset P (2005): Genetic engineering in agriculture and corporate engineering in public debate: Risk, public relations, and public debate over genetically modified crops. Int. J. Occup. Environ. Health 11:428-436.

Friday, November 15, 2019

Essay --

Did you know that over one million people injure themselves each year because of slipping and falling? 300,000 people are injured each year from slipping and falling in the workplace and 15% of workplace deaths are due to the injuries caused by slipping and falling. Slips and falls can be easily prevented by the store or business with anti slip treatments, securing electrical cords, removing rugs or mats or other tripping hazards, routine maintenance, and cleaning up spills as soon as they happen. There are many reasons as to why you could slip and fall and those causes and factors include: †¢ Water †¢ Ice †¢ Snow †¢ Grease or oil †¢ Objects in the way †¢ Floor cleaner †¢ Uneven surfaces †¢ Areas with lots of foot traffic †¢ Unstable areas †¢ Ladders †¢ Stairs †¢ Areas prone to wetness or spills †¢ Bad lighting If you do slip and fall you should ask yourself the following: †¢ What caused the slip and fall? †¢ If the floor was slippery, why was it slippery? †¢ Was it more slippery then normal? †¢ Was there any warning that the floor was slippery? †¢ Did the owner or landlord know abo...

Tuesday, November 12, 2019

The Introduction of the Concept of Humanism

The introduction of the concept of humanism greatly affected the Renaissance. The Humanistic influence shaped Renaissance art, writing, education and thinkers, its ideas were spread among all aspects of life. Machiavelli†s writings during the Renaissance were also affected by the ideas of humanism. His ideas reflect the thoughts of humanism in the way he thought governments and societies should be organized. Humanism†s influence on art was very obvious, it could be seen slowly infiltrating all art throughout the Renaissance. At the begging of the Renaissance, most art was very dark and dismal. The works portrayed people doing very menial labor, the people did not seem happy and their clothing was very plain. As the Renaissance progressed and humanism†s influence was more felt the paintings used lighter colors, the people in them were smiling and their clothing many times included gold trim or accents. The late Renaissance art also has a larger focus on religion, as humanism inspired people in many forms by the use of Humanism came about with the idea that a person should have a very rounded education covering many aspects of society especially history, geometry, and art. During the renaissance as the ideas of humanism spread, especially in its educational sense, more schools and universities were erected and a much higher percentage of people were formally educated. The universities helped many people become educated, and their education helped all of society because many of them went on to challenge their teacher†s rash observations of the world and make reat discoveries. This proliferation of education was also helped by many inventions such as the printing press which came about because people had more to live for. Many great thinkers during the renaissance were also affected by the ideas of humanism. More people were educated during the renaissance and therefore more intelligent people that simply thought about the world and ways to make it better. These thinkers included Da Vinci, Galileo, and Machiavelli. Leonardo da Vinci was one of the most influential people of the Renaissance. His notebooks were recovered and they contained schematics of machines that have just recently been invented. His inventions that were ahead of their time just show the inginuity and determination of people during the Renaissance. Another great thinker of the time was Galileo, His works showed the spirit of humanism greatly. Galileo†s works went beyond terrestrial research and his research was many times focused on Machiavelli†s writings were some of the most influential throughout the renaissance. His writings helped to reform ociety and government after the Renaissance and are still studied today as part of a â€Å"modern humanistic† course of study. His writings show humanistic thoughts in many ways, he shows this in his â€Å"ideal† orginization of a government this very well. The way he describes the perfect government is with well rounded departments. He also believed that a ruler should not mistreat his citizens, but not pamper them either. Machiavelli†s views were not completely humanistic, though, he did not feel that everyone should have a liberal humanistic education.

Sunday, November 10, 2019

Who’s Responsible for Obesity?

Obesity is everybody’s responsibility – the parents and the school authorities, the fast food companies, and the government. Since the issue is now a societal problem after reaching epidemic proportions, it deserves no less than the attention of everybody to deal with obesity. (Raley & Burnor, n.d.)Hence, it is only proper to point out the individual accountabilities of these sectors of society and compel them to do their share in combating the problem.While the responsibility of providing a healthy diet to children primarily belongs to the parents, school authorities are also duty-bound to inculcate into the minds of schoolchildren the correct values of nutrition.Such are the duties assigned them by society: the former being the persons who have the obligation, under the laws of God and country, of nourishing their offsprings, the latter being the individuals who are in the best position to influence the young minds of children. If only the parents and the teachers hav e been doing their duties faithfully, fast food outlets would not have succeeded in causing obesity.Even as fast foods companies have the right to advertise their products, such right does not free them of their moral obligation to warn the public about the adverse effects of their foods. The U.S. constitution itself would only allow the exercise of one’s rights as long as doing so does not deprive others of their own rights. In this context, fast foods companies are within their right to engage in gainful enterprise but they should not do so at the expense of the public’s health.Even if the court exempted them from any legal liability after observing that everybody knows that fast foods contain â€Å"high levels of cholesterol, fat, salt and sugar, and that such attributes are bad for one,† the court’s legal opinion is not a moral judgment. The harmful effects of cigarettes are also well-known, but the law compels cigarette manufacturers to continuously warn the public. Why not oblige fast foods companies to do the same? (Raley & Burnor, n.d.)ReferenceRaley, Y. & Burnor, R. (n.d.). Case 1: Who’s Responsible for Obesity? (Article provided with  

Friday, November 8, 2019

Bush vs Kerry essays

Bush vs Kerry essays Bush vs. Kerry The presidential election of 2004 has been one of controversy, disparity and enthusiasm. President George W. Bush is being pushed by his opponent John Kerry in many different ways. President Bushs every move is being countered by Senator Kerry. Last weeks first Presidential debate was just the stepping stone in the difference in opinions between these two Presidential candidates. John Kerry hasnt lightened up at all in his bashing of President Bushs actions regarding the War in Iraq, education and many other pivotal topics. In my eyes President Bush hasnt exactly done a great job in his current term, but I also think that he could have done a much worse job with the cards that he was dealt. With the 9/11 terrorist attacks, weapons of mass destruction and the War on Iraq all happening in one four year term, he hasnt an awful job keeping the country at ease. I will be interested to see how the rest of these Presidential debates fold out. The key to opportunity in our country starts with education. Bush and Kerry will both have to prove to the country that their plans for education are worth while and will help us stay a float. President Bush developed the No Child Left Behind act, which demands accountability in exchange for the record levels of Federal spending now going to K-12 public education. So far I feel that this has been beneficial to Bushs campaign. I like his ideas on education and I feel that with all the people bashing his decisions regarding the War on Iraq that education might become a light in the tunnel for the republican side. Another one of Bushs ideas for education is to ensure that all high school students are better prepared to enter higher education or the workforce. If President Bush is serious about this, then I think that he might really be getting somewhere with it. More of...

Tuesday, November 5, 2019

Baby Quotes That Make All the Labor Pain Worth It

Baby Quotes That Make All the Labor Pain Worth It A baby in the house does make its presence felt. Its shrill cries, drooling mouth, smelly diapers, and gurgling laughter, can give any mother a feeling of ecstasy. There is no greater joy than watching a baby. A baby can make melt even the toughest heart. What makes a baby tug at our heartstrings? A baby has only one description. Cute! Babies make the cutest pictures. You can’t blame the newborn’s parents for suddenly metamorphosing into shutterbugs the moment they see their tiny tot smile, laugh or gurgle at them. You can’t help but notice  the innumerable baby pictures hanging on the walls of a pediatric hospital. When I was preparing for the birth of my first child, I was inundated with cute baby pictures cluttering my email box. It does not matter if this is your first baby or your fifth. Each baby brings its own share of pleasant surprises (and unpleasant ones) into your life. If you are expecting a baby, read some of these cute baby quotes to make that 1000-watt smile  brighter. Some of these baby quotes are so very true-to-life that you will find yourself completely agreeing with them. If one of your loved ones has just set out on the journey of parenthood, make their baby showers special with unique baby shower sayings. But if you’d rather stay out of all this baby fuss, just read and enjoy witty baby quotes in this collection. Mark TwainA baby is an inestimable blessing and bother.Tina BrownHaving a baby is like falling in love again, both with your husband and your child.BarrettoBabies are bits of stardust, blown from the hand of God.Eleanor RooseveltI think, at a childs birth, if a mother could ask a fairy godmother to endow it with the most useful gift, that gift would be curiosity.Louisa May AlcottFather asked us, What was Gods noblest work? Anna said, Men, but I said Babies. Men are often bad, but babies never are.Henry David ThoreauEvery child begins the world again.Charles DickensEvery baby born into the world is a finer one than the last.Kate Douglas WigginEvery child born into the world is a new thought of God, an ever-fresh and radiant possibility.Milton BerleIf evolution really works, how come mothers only have two hands?Robert OrbenI always wondered why babies spend so much time sucking their thumbs. Then I tasted baby food.Ronald KnoxA baby is a loud noise at one end and no sense of responsibi lity at the other. Jayne MansfieldCarrying a baby is the most rewarding experience a woman can enjoy.Natalie WoodThe only time a woman really succeeds in changing a man is when he is a baby.T. S. EliotIf you desire to drain to the dregs the fullest cup of scorn and hatred that a fellow human being can pour out for you, let a young mother hear you call dear baby it.William BlakeI have no name: I am but two days old. What shall I call thee? I happy am, Joy is my name. Sweet joy befall thee!Mark TwainMy mother had a great deal of trouble with me, but I think she enjoyed it.

Sunday, November 3, 2019

Healthcare Factors that Differentiate the Status of Health in a Essay

Healthcare Factors that Differentiate the Status of Health in a Population - Essay Example Social factors include the resources that improve the living standard of a human being. However, it can be concluded that availability of health sources are dependent on the social factors that enable a person to avail all the resources necessary for having a healthy lifestyle. Such resources include proper healthy food, medicines, prompt healthcare facilities and other necessary basic amenities of life. In case of Texas, majority of people are left unprivileged due to inadequate health resources and low health insurance coverage due to poor socio-economic structure of most people in Texas. As a result, it has been observed that every year 2500 Texans die due to inadequate health facilities, lack of proper food and unavailability of medicines (Code Red Texas, 2012). To ensure good health status in the state of Texas, it is highly important for the state and social welfare organizations to ensure economic stability and awareness regarding health in the area. The state government shoul d take imperative steps to determine all the social factors that are contributing in poor health outcomes. As a result, the government should formulate a plan to enhance and improve the life standard of the people in Texas. This can only be achieved by funding and investing in economic activities, offering better employment opportunities to the people and instilling sense of social responsibility in the minds of people. References US Department of Health and Human Services (2012) Healthy People 2020 retrieved from http://www.healthypeople.gov/2020/about/QoLWBabout.aspx Lomas, J. (1998). Social capital and health: implications for public health and epidemiology. Social Science & Medicine, 47(9), 1181-1188. Code Red Texas (2012) Code Red; the critical condition of health in Texas 2012. Retrieved from http://www.coderedtexas.org/files/Code-Red-2012.pdf #Health Literacy Health literacy provides an important platform for handling health related issues for people with low income and low l iteracy rate (Marmot et al, 2006). Health decisions according to Marmot, (2007) are established basing on appropriate standards as required in accordance with existing health policies. Healthcare decisions are therefore valid and valuably relevant especially when considering proper use of newer technologies (US Department of Health and Human Services, 2012). The core substance defined according to societal needs is based on unique health actions. I have analyzed HRSA to study the health communication and the use of technology in health and how it benefits different people. The website (HRSA) provides coherent and in-depth information on each and every disease and other health related issues. It targets the audience within the US and also provides assistance to people living outside of the US through emails and online support. For people unfamiliar with English, it provides all the details in Spanish as a second language. Visuals have been applied and have offered a better level of a ttaining the required information. The use of pictures provides better understanding even to the non healthcare readers to acquire the first hand knowledge and the concept. It could have been more understandable for them if the pictures contain further information regarding a specific disease. The readability ratio on the

Friday, November 1, 2019

Law of Trusts Coursework Example | Topics and Well Written Essays - 750 words

Law of Trusts - Coursework Example In this case the testator in transferring property to his wife expressed a wish that she did was as right for their children with regards to disposing of the property.4 The only difference between Adam’s transfer and the transfer of property in Re Adams is that Adam’s words were more specific and contains more certainty relative to his intentions to create a trust. However, since, Alfred’s request came after he had already transferred the property to Barbara, Alfred did not create a trust as a declaration of trust can only occur upon or prior to the transfer of the property in question. In any event, a request is insufficient to constitute certainty of intention.5 Once Alfred transferred the property to Barbara he no longer had any authority over the property.6 As for Barbara, it is entirely doubtful that she intended to create a trust as she merely agreed with Alfred and can therefore be said to be acting on a moral obligation which is not sufficient enough to e stablish intention to create a trust.7 Certainty of objects refers to the certainty with which the beneficiary of a trust can be identified.8 At the end of the day, it must be possible to state with some degree of certainty that a particular beneficiary is the intended object of the trust.9 In a fixed trust such as the one contemplated by Alfred, the identity of the beneficiary is expressed so that the trustee does not have a discretion to determine who is and should be included in the category of entitled beneficiaries. The important thing in both discretionary and fixed trusts is that there is someone that can be identified with a degree of reasonable certainty that is entitled to the benefits of the trusts.10 There is no question that certainty of object is established in this particular case as it is clear that Chloe is the intended beneficiary. With respect to certainty of subject, the trust property must be identifiable. At the end of the day, the trustee must be put in a posi tion to know what property transferred to him by the donor is applicable to the trust.11 There must be certainty as to what portion of the property must be shared or distributed among the identifiable beneficiaries.12 There is no uncertainty with respect to the division of the property in question. The intended disposition is for Chloe to be able to live in the house as long as she needs to. However, there are two main problems with certainty of subject. First, it is not binding on Barbara and therefore not binding on David. The three certainties are fluid and if certainty of intention is not found to exist, certainty of object will therefore be inconsequential. Secondly, the intended trust deals with the disposition of an equitable interest in land and thus there are certain formal requirements that must be observed in order for the trust to be valid and enforceable. Pursuant to Section 53(1)(b) of the Law of Property Act 1925, where a trust is declared in â€Å"land or interest t herein†