Writing Essays - Molecular Behavior, Everyday Joes, Corn Flakes

Writing Essays - Molecular Behavior, Everyday Joes, Corn Flakes Writing My writing is like a Christmas present from your grandmother: it?s a guaranteed surprise. No matter what I write, no matter what the topic, time or place, I?m never sure how something is going to turn out. Now, just because it?s a surprise doesn?t mean that it isn?t good. And, just because it?s a surprise doesn?t mean it isn?t an accident either. Weren?t Corn Flakes and Penicillin discovered by accident? All I?m trying to say is that every piece of my writing is an adventure: an unusual collection of thoughts and ideas thrown together, forming an interesting, original, yet sometimes unfocused opinion. Writing has not always been an enjoyable activity for me. Through my education, I?ve been taught to write for a specific group, not to a specific group. Recently, however, I?ve been lucky enough to have teachers who let me write for myself, not anyone else. With this newly found freedom, writing has become a way to express what I feel, not how I should or could feel. I use these opportunities to raise an eyebrow, instead of just completing an assignment. Now that we got the legal mumbo jumbo out of the way, we can get started. If you can?t already tell, I like to write with flare. I could write the world?s most detailed and thorough book on the molecular behavior of a Tetrachloride isotope. But, if I don?t catch a reader, don?t inspire a reader, or make a reader beg for more, all I have is a cheap door stop or welcome mat. Life?s too short to do boring things. You have to step out of your comfort zone, take chances, say the things you really want to say, do what you have to do. It makes for a pure, original masterpiece, which anyone can enjoy. Just be yourself. Let?s face it. Who in our society are we most fascinated by? Regular, everyday Joes or Janes? No way. Freaks, weirdoes, individuals, basketball players with colored hairthese are the people that receive all the attention. And why? Because they are truly themselves, not the zombies or clones that so many of us are. Right or wrong, they scream out ?I AM ME!? Think of it this way: if all we had on this planet were followers and conformists and ?normal people,? would there still be the Michael Jordans, Einsteins, Martin Luther Kings and Mother Theresas? Absolutely not. No person becomes successful by being ?normal? or ordinary. Now, I?m not saying if you write for yourself and be different that you will be famous and recognized and go down in the history books as a famous something. But it sure is a nice start. I love the idea of freedom in writing. Not just freedom of topics, but freedom of ideas, expression, and philosophies. Writing shouldn?t be constricted or narrow minded. It needs to be universal. Writing, whether public or personal, is incredibly difficult. No matter who the audience, topic or author, there will always be a critic. It?s a given in this world. Not only in writing or literature, but in every facet of life. You can?t make everybody happy. Know this, accept this, use this to your advantage. Write for yourself, and only yourself. Then, you will be pleased. Because, aren?t you the most important critic of all?

Geography of the Worlds Largest Oil Spills

Geography of the World's Largest Oil Spills On April 20, 2010, a large oil spill began in the Gulf of Mexico after an explosion on a British Petroleum (BP) oil drilling rig there called Deepwater Horizon. In the weeks following the oil spill, the news was dominated by depictions of the spill and its growing size as oil continued to leak from an underwater well and pollute the Gulf of Mexicos waters. The spill harmed wildlife, damaged fisheries and severely hurt the overall economy of the Gulf region. The Gulf of Mexico oil spill was not fully contained until late July 2010 and throughout the duration of the spill it was estimated that 53,000 barrels of oil per day were leaked into the Gulf of Mexico. In total almost 5 million barrels of oil were released which makes it the largest accidental oil spill in the worlds history.Oil spills like the one in the Gulf of Mexico are not uncommon and many other oil spills have occurred in the worlds oceans and other waterways in the past. The following is a list of fifteen major oil spills (Gulf of Mexico included) that have taken place around the world. The list is organized by the final amount of oil that entered waterways. 1) Gulf of Mexico/BP Oil Spill Location: Gulf of Mexico Year: 2010 Amount of Oil Spilled in Gallons and Liters: 205 million gallons (776 million liters) 2) Ixtoc I Oil Well Location: Gulf of Mexico Year: 1979 Amount of Oil Spilled in Gallons and Liters: 140 million gallons (530 million liters) 3) Atlantic Empress Location: Trinidad and Tobago Year: 1979 Amount of Oil Spilled in Gallons and Liters: 90 million gallons (340 million liters)4) Fergana Valley Location: Uzbekistan Year: 1992 Amount of Oil Spilled in Gallons and Liters: 88 million gallons (333 million liters)5) ABT Summer Location: 700 nautical miles from Angola (3,900 km) Year: 1991 Amount of Oil Spilled in Gallons and Liters: 82 million gallons (310 million liters)6) Nowruz Field Platform Location: Persian Gulf Year: 1983 Amount of Oil Spilled in Gallons and Liters: 80 million gallons (303 million liters)7) Castillo de Bellver Location: Saldanha Bay, South Africa Year: 1983 Amount of Oil Spilled in Gallons and Liters: 79 million gallons (300 million liters)8) Amoco Cadiz Location: Brittany, France Year: 1978 Amount of Oil Spilled in Gallons and Liters: 69 million gallons (261 million liters)9) MT Haven Location: Mediterranean Sea near Italy Year: 1991 Amount of Oil Spilled in Gallons and Liters: 45 million gallo ns (170 million liters)10) Odyssey Location: 700 nautical miles (3,900 km) off of Nova Scotia, Canada Year: 1988 Amount of Oil Spilled in Gallons and Liters: 42 million gallons (159 million liters)11) Sea Star Location: Gulf of Oman Year: 1972 Amount of Oil Spilled in Gallons and Liters: 37 million gallons (140 million liters)12) Morris J. Berman Location: Puerto Rico Year: 1994 Amount of Oil Spilled in Gallons and Liters: 34 million gallons (129 million liters)13) Irenes Serenade Location: Navarino Bay, Greece Year: 1980 Amount of Oil Spilled in Gallons and Liters: 32 million gallons (121 million liters)14) Urquiola Location: A Coruà ±a, Spain Year: 1976 Amount of Oil Spilled in Gallons and Liters: 32 million gallons (121 million liters)15) Torrey Canyon Location: Isles of Scilly, United Kingdom Year: 1967 Amount of Oil Spilled in Gallons and Liters: 31 million gallons (117 million liters)These were some of the largest oil spills to take place around the world. Smaller oil spills that have been equally as damaging have also taken place throughout the late 20th century. For example, the Exxon-Valdez oil spill in 1989 was the largest spill in United States history. It occurred in Prince William Sound, Alaska and spilled around 10.8 million gallons (40.8 million liters) and impacted 1,100 miles (1,609 km) of coast. To learn more about large oil spills visit NOAAs Office of Response and Restoration.References Hoch, Maureen. (2 August 2010). New Estimate Puts Gulf Oil Leak at 205 Million Gallons - The Rundown News Blog - PBS News Hour - PBS. Retrieved from: https://web.archive.org/web/20100805030457/pbs.org/newshour/rundown/2010/08/new-estimate-puts-oil-leak-at-49-million-barrels.html National Oceanic and Atmospheric Administration. (n.d.). Incident News: 10 Famous Spills. Retrieved from: incidentnews.gov/famousNational Oceanic and Atmospheric Administration. (2004, September 1). Major Oil Spills - NOAAs Ocean Service Office of Response and Restoration. Retrieved from: http://response.restoration.noaa.gov/index.phpTelegraph. (2010, April 29). Major Oil Spills: The Worst Ecological Disasters - Telegraph. Retrieved from: telegraph.co.uk/earth/environment/7654043/Major-oil-spills-the-worst-ecological-disasters.htmlWikipedia. (2010, May 10). List of Oil Spills- Wikipedia the Free Encyclopedia. Retrieved from: http://en.wikipedia.org/wiki/List_of_oil_spills

A young woman with advance cancer with a young family who wants to end Essay

A young woman with advance cancer with a young family who wants to end her life on her terms. There is a scenario given and a te - Essay Example Nowadays, caring for cancer patients is becoming more complicated requiring the work of a health professional. This article explains the sickness connected to cancer and the nursing activities done to reduce and prevent the effect of such sicknesses in a 34 year old woman, Frankie, who is suffering from rectal cancer. Issue Identification (Noticing) Typically, oncology related ailments go with persistent health issues. Such illnesses usually have multiple symptoms as were diagnosed in Frankie; she was anxious, and was suffering from further progressive disease in her lung liver and peritoneum. Other ailments found in her were, abdominal distension, leg edema and uncontrolled rectal pain. When such sicknesses are combined, they amplify the care complexity of cancer patients. Nevertheless, early detection of these conditions and their effective management can enable the cancer individuals to become comfortable and responsive to treatment. A formal capacity assessment on admission demon strated that Frankie was competent according to the Mental Capacity Act (2005) and she has remained competent. Frankie’s husband is unaware of his wives’ expectations and as much as he may need her to stay in a hospital facility and get the necessary care, his wife has different wishes which she would also want her husband to be kept out of it. Frankie says that her husband is ‘already dealing with enough.’ Chronic condition managers of cancer patients direct that they have to live on more than a single medication that has been regularly prescribed. For example, Frankie's drug therapy includes Capecitabine a chemotherapy drug used to treat the rectal cancer, Oxycodone (subcutaneous) and Fentanyl (patch) used to treat the pain, Midazolam to treat Frankie's insomnia and Escitalopram a selective serotonin uptake inhibitor used to manage Frankie's anxiety. In Frankie’s case, the individuals providing for her health care away from the hospital, i.e. her husband and children, are not health care experts specialized in handling her conditions; as an alternative, they are just alimentary health care providers. It is even probable that these health care providers have no specialized skills in such areas as oncology. Her health care providers are also either older or younger than she is; this is a regular incident in health care for the terminally ill. Nevertheless, Frankie’s elder health care provider, her husband, is given a chance to learn. Formulation Development The formulation of the disease was data based. The information collected together with the assessment of the patient’s health was sufficient for diagnosis. It relies on set up questions as well as processes (Drescher, Jotzo, Goelz, Meyer, Bacher & Poets, 2008); Patient’s Identity – it is a female who is tall and slender. Patient’s name is Frankie. She is now in her mid life years and he appears weak. Diagnosis – Frankie is ailing an d was diagnosed as suffering from advanced rectal cancer with liver, lung and Para aortic metastasis. Since then Frankie has received palliative chemotherapy, a partial lung resection, palliative radiotherapy to her pelvis, a right hepatectomy, radiofrequency ablation of her liver, and further liver resections for metastasis r4(Funnell, Koutoukidis & Lawrence, 2009). Precipitating

Inland freight exam qns Assignment Example | Topics and Well Written Essays - 1750 words

Inland freight exam qns - Assignment Example If any two shops require the stocks and if they are located nearby to each other in the adjacent sectors (east and south), then one vehicle will be sufficient to replenish the stocks to the two shops. The same can be extended to two, three, etc., number of shops considering the distance and the load. Another most important factor to be considered is the traffic in the city which will delay the delivery resulting in the dissatisfaction of the customers with the factory. The distance of the shop outlet to be recorded in the sheet must be the shortest distance with free of heavy traffic. A delivery to a shop outlet can have various traveling path but while locating the path for the delivery, it should be taken care that a traffic free path is chosen which will be better than getting into traffic path. In case, there are many shop outlets located in a single sector (any one region), then the number of vehicles to complete the delivery will be reduced. From the above points, it is very cl ear that the delivery plan depends on four factors namely location of the shop outlets, number of shop outlets in a location, various travel paths and distance of the shop outlet from the factory. 2. Explain the techniques used to retain firm control of transport costs The transport costs can be controlled by efficiently planning the deliveries with respect to the shop location, number of outlets in a location, travel distance, travel path, availability of vehicle and availability of vehicle drivers. Each time when a delivery is initiated, it can be made a regular task of recording the start time, distance in kilometers traveled acknowledged by the shop outlet to the factory so as to be aware among few drivers who will simply record more distance for higher pay. A cost benefit analysis can be made with these details on periodical basis which will be useful to track the cost controlling. The recording of kilometers will help to minimize the diesel fuel cost and also avoid being cheated by the drivers. The pay to the drivers for delivering the stocks should be reasonable. At the same time, it should not be the case of committing a unreliable driver who is ready to accept low pay. The pay should be made in such a way that driver is reliable all the t ime. The vehicles should undergo periodical maintenance to reduce the cost on repairs. Even if the vehicle is operating for a long time (beyond one year) without any problem, the maintenance on the particular stipulated date should be done and reported since it might result in accumulated repairs which will result in increase of the maintenance cost per year. The training cost for the drivers should be the least one and for that drivers who are well trained and aware of the routes in the city can be selected. This may include some cost of testing the driver. The temporary use of staff will be affecting the costs more since the drivers demand more pay when they are asked to make an immediate delivery. At that time of demand, it becomes essential to use them so as to satisfy the customers and to retain their

The Use Of Time In Poetry: Milton, Shakespeare, Wordsworth :: essays research papers

Throughout the Elizabethan and Romantic era, time and nature are themes that are ever-present in the great poetry of the period. Although the poets presented this idea in different ways, it was clear that time and nature were major influences on each man’s writing and that each of them were, in a sense, extremely frustrated by the concept of time. It appeared to me that each poet, in some form, felt empty and unaccomplished, and they all consider as true that time is not on their side. In Shakespeare’s Sonnet LXXIII, the poet is an older man comparing his life to such things as night and day, the four seasons, and as a fire in a fire. Shakespeare uses these images to show us just how quickly time passes. I found his representation of life as the cycle of day and night particularly insightful. â€Å"In me thou see’st the twilight of such day As after sunset fadeth in the west, Which by and by black night doth take away, Death’s second self, that seals up all in rest.†   Ã‚  Ã‚  Ã‚  Ã‚  To Shakespeare, dawn is the birth of a child, mid-day is a child’s youth, and twilight, his current stage, is the stage of life when death is approaching, although it has not yet arrived. The sun has set, and the sky is a beautiful color, but the black night, death, will take that all away. He knows he is past his prime and now he just awaits death. It is easy to see that Shakespeare is quite frustrated because he knows that death is coming, but he doesn’t know when it is coming. The comparison of the cycle of day and night to the cycle of life made me realize how hurried life is and how you should appreciate and make the most of the time you have. The phrase â€Å"death’s second self† is especially strong as he is saying that every time you go to sleep, it is like a small death. Every time you go to sleep, you lose another day. Shakespeare resolves this problem with a couplet that screams love me now while I am still here because when I am gone you will regret not loving me.   Ã‚  Ã‚  Ã‚  Ã‚  Time is also a main theme in Milton’s â€Å"How Soon Hath Time†. Milton, however, is concerned because he feels that he has nothing to show for his life and he is scared that death is approaching him. He personifies time, calling it â€Å"the subtle thief of youth†. At the age of 23, he can’t believe how time is just

Regulatory and Accreditation

Quantitative Research Article Critique Sandra M. Smith NUR/518 February, 26, 2012 Veta Massey Quantitative Research Article Critique Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Introduction The purpose of this study is to explore the current research data and use of the Nurse Teamwork Survey to see if nurse staffing levels predicts teamwork. The importance of teamwork is to achieve a higher level of patient safety, quality of care, job satisfaction, and decrease turnover.A cross-sectional descriptive design was used with a 2,545 nursing staff on 52 units delivering patient care, in four different hospitals among the Mid- West. The relevance of the study is to show that there is an association between quality, safe care, and teamwork which also requires safe staffing (Kalisch & Lee, 2011) The title of the article suggests the main variables an d the population in the study. The abstract concisely and clearly summarize the main problem, method, and results of the study. The problem identified is a lack of understanding between the relationship of workload, teamwork, and level of staffing.Literature review The literature review is up- to -date and focused mostly on primary sources. Dates of the literature review range from 1994- 2009. Only one review studied was over 10 years and six were in the past five years. The review provides a range of comparisons between teamwork and job satisfaction, mortality rate, interpersonal skills, and quality of care. What is known is that a higher level of teamwork in the intensive care units was found to be related to a decrease in mortality rates (Kalisch & Lee, 2011). Also, a decrease in vacancy rates, and staff turnover was associated with higher level of teamwork.Brewer (2006) showed that† improved teamwork found a significant decrease in patient falls. † The literature rev iew provides a solid base for this study. What is unknown is the relationship between workload, staffing levels, and teamwork. Framework The study illustrates a â€Å"conceptual framework which postulates that staffing levels predict teamwork when there is control of the acuity( CMI) of the patients on the units, the size of the hospital and the nurse staffing levels( nurse staffing included RN’s, LPN’s, NA’s, and unit secretaries)† (Kalisch & Lee, 2009, p. 3). There is a conceptual map, which identifies the variables and relationship that is simple and understandable. The framework was based on the outcome of the literature review and the effects that staffing levels had on teamwork. The framework does identify the relationships between teamwork and staffing levels to patient outcomes. â€Å"The framework relates to the body of nursing knowledge in that patient safety and patient perception of care delivered in held in high esteem for nurses† (Kal isch & Lee, 2011, p. 83).The conceptual framework identified the meaning of teamwork by using the Salas, Sims, and Burke (2005) study that identified five important elements of teamwork (trust, team orientation, back up, shared mental model, and team leadership). Using this conceptual framework its basic foundation, the Nursing Teamwork Survey (NTS) was developed and tested to be used for the psychometric elements. This testing resulted in identifying five different elements of the nursing team that was descriptive. The research questions proposed where asfollows: â€Å"By controlling the CMI and size of the hospital, does the level of staffing predict nursing teamwork?By controlling hospital size and CMI, does the level of staffing predict subscales of teamwork (trust, team orientation, back up shared mental model, and team leadership)† (Kalisch & Lee, 2011, p. 83)? The aim of the research questions was appropriate to the study on that they identified the relationship betwee n teamwork and staffing levels. Method The study (Kalisch & Lee, 2011) used a descriptive, cross-sectional design and an appropriate sample was used. â€Å"The setting was four hospitals within the Midwest of the United. Sampling characteristics were 60% over the age of 35.The majority of the sample were female (89%) and RN’s (70%), and the majority (74%) had at least 2 years experience† (Kalisch & Lee, 2011, p. 83). The sample group was identified and described and sufficient in size and character. The size of the hospitals were between 300 -900 beds. All units were eligible for inclusion. A total of 52 beds was the study sample. The sampling staff made up 2,545 respondents. 1,741 were RN’s, 41 were LPN’s, 502 were NA’s, and 191 were unit secretaries. The sample groups were appropriately identified as pertinent to the study question.The NTS was used in this study and was intended to measure nursing teamwork in the inpatient care setting. The Bartl ett test was used to indicate the correlation matrix that showed it not to be an identity matrix. The Kaiser-Meyer-Olkin measured the sample adequacy. In this study it was determined to be excellent at (0. 961). Confirmatory factor analysis also showed that the team work model of five factors fit the data well. A comparative fit index model was 0. 884 with a root mean square error of approximation to be 0. 055. The test and retest reliability was good at 0. 92.The consistency of the survey showed to be 0. 94 with co-efficient ranging from 0. 74-0. 85. The results of these tests showed a similarity in responses of staff members on the same unit (Kalisch & Lee, 2011). The NTS used was a questionnaire. It contains 33 questions with a Likert-type scaling system. This survey was generated by the literature review and from focus groups with staff members. The staff members are dependent variables within the study, although the hospital size and CMI of the patients are independent variable s. The survey was given to the staff with a time limit for responding.The response was anonymous. Staffing data was also obtained by each hospitals database. The nurse staffing indicators included hours per patient day (HPPD), RN hours per patient day (RN HPPD), and skill mix (RN’s LPN’s, and NA’s providing direct patient care). The acuity of the patients was also a factor. The study did ensure comparable data among the four sites. This was done by using the raw data that was provided by the participating hospitals. The appropriate statistical methods were used in this study and the research questions were also addressed with the groups surveyed. Data collectionThe study was conducted over a four- week period where data was collected from each facility. The data collection phase included two separate study phases. The first phase was the administration of the survey to the units and the collection of raw staffing data from the hospitals. The NTS was put in an en velope with a letter of explanation about the study. Incentive was given to each participate by the addition of a candy bar. The participation was made known to be voluntary. The subjects were to place the completed survey in a locked box provided on each unit. A pizza incentive was given for units who achieved a 50% return.This incentive was appropriate because the staff had to take time out of their work day to do the study. The second phase, which collected the raw data of HPPD, RN HPPD, CMI, and skill mix were obtained from each unit prior to the NTS being administered (Kalisch & Lee, 2011). The collected data was appropriate to the study questions. Statistical data analysis Data analysis was obtained by the use of the Statistical Package for Social Science version 16. 0. The unit analysis is identified as the patient care unit. The mean score for teamwork level obtained from the NTS was collected and combined to a unit level team score.Statistical analysis was done to address e ach question in the study. Appropriate methods were used to analyze the data obtained. â€Å"Preliminary analysis involved using frequency, descriptive, and correlation methods that associated with the research question. Correlation analysis was effectively used to address the relationships between hospital bed size, staffing levels, and teamwork† (Kalisch & Lee, 2011, p. 85). Regression analysis was done to identify the correlation of staffing levels as it compares to the five subscales of teamwork.One analysis identified HPPD as the high level of predictability of teamwork on the unit. The analysis showed that the higher the skill mixes on a floor and higher HPPD, the greater the predictability of teamwork. The findings of the study are adequately summarized by the use of multiple tables. The findings are reported in a manner that would support evidence-base practice. Discussion The major findings of the relationship between staffing levels and teamwork were interpreted and discussed. This study does demonstrate that there is a relationship between HPPD and nursing teamwork.It was also reported that the higher the skill mix the greater level of teamwork. Researcher notes that â€Å"the use of actual nurse staffing data adds substantial credibility and confidence to the previous findings† (Kalisch & Lee, 2011, p. 86). The interpretations of the study appear to uniformly flow with the results. The study does discuss the limitations of the study on that the sample was in only four Mid-Western hospitals. According to Kalisch and Lee (2011, p. 87), â€Å"team work is more difficult to achieve in larger hospitals. † The sample does not provide for generalizability of the findings.The study recommends further direct observation studies to measure actual teamwork. Implications The study does discuss the implications of the findings. The results suggest that ensuring adequate staffing is important but also increasing the efficiency of the deliver y of care by using staff more effectively. Summary Despite some identified limitations such as generalizability, the study findings appear to have validity and show confidence in the truthfulness of the results. The study does contribute to meaningful results and evidence applicable in nursing practice and hospital policies regarding staffing.Further study suggested would be to observe larger inner city hospitals with greater levels of skill mix for longer duration of time. References Brewer, B. B. (2006). Relationships among teams, culture, safety, and cost outcomes. Western Journal of Nursing Research, 28(6), 641-653 Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Salas, E. , Sims, D. E. , & Burke, C. S. (2005). Is there a ‘big five† in teamwork? Small Group Research, 36(5), 555-599.

My Career As A Career Autobiography - 1865 Words

A career autobiography has to probably be one of the most interesting and thoughtful essays I’ve had to write so far. I am seventeen years old and am attending my first semester in college. I look forward to getting good grades, opening my mind to new things, and eventually graduating college. However, I have absolutely no idea what I want to be doing in the future. My indecisiveness is at such a high level that I probably change my future career every other day. At this point in life, my family, advisors, and professors are telling me that I don’t need to know what I want to be doing for a living, in the future, yet, I feel that I should know. I don’t want to be wasting my time and taking unnecessary classes. The thoughts about my â€Å"future career† leave me to be extremely indecisive and nervous, at times. I just hope, like people have told me, that â€Å"It comes to me. In regards to my interests and skills, I prefer math and science over reading and history, but it is not because I do poorly in the subjects. I enjoy solving problems and learning about the human body and all the fascinating things it can perform, voluntarily and involuntarily. I am a studious individual and received high grades throughout my educational career, which I hope continues on in college. Striving to do the best is something vital in wanting to accomplish something in life. Being that I am a first generation child, one from parents who are immigrants from Montenegro, Europe, I have some skills whichShow MoreRelatedThe Stages of Career Development Essay1225 Words   |  5 PagesThe Stages of Career Development The Cambridge Online dictionary defines career development as the process of learning and improving your skills so that you can perform your job better and progress to better jobs (Cambridge, 2011). 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