School Life Essay Example for Free

School Life EssayIts a shape day 630 in the cockcrow just as any other. Then BOOM my alarm clock goes off to wake my sidekick and I up to get ready for school, but this was all put to the side by our mother coming in to the room telling us that she would have to work a a couple of(prenominal) extra hours. Wake your but up Is what I yelled to my brother as I had always did he consistently showed himself to be the lazy oneness who would just breeze through life without a care in the world. He replied back with the bad morning breath, Leave, me, alone its only 630 school doesnt start until 730. Me as usual I got up pulled him out of bed until he hit the floor then started my routine to get ready for the days events. Oh yeah my name is Gerard by the way. I carried myself across the dimly light hall towards the bathroom. As I flicked on the light switch, I first noticed this hair pick still stuck in the side of my head. I nowadays grabbed it and started to fix my hair. As I st and in front of the mirror looking back at my own reflection, wondering why, does school start this first in the morning, I grabbed the toothbrush and toothpaste and began to a make it happen.My brothers name is Joel, and he could care less of his appearance, because he always thought that he was Gods gift to the ladies. Most of his attire consisted of whatever he felt like grabbing out of the closet or the first thing he could get his hands on. He didnt care if he was all wrinkled, his excuse was that theyll be gone throughout the day plus now one would notice them anyway because thats how he rolled. You would have thought that he just came from summer camp playing rugby with a few of his friends forwards school started.As he came into the bathroom besides me to wash up and get ready, I could always here him saying thanks for getting me up too, knowing that being the older sibling I couldnt just let him be belated for school besides our mother would have killed me. As I look at the clock I notice that we are right on schedule, its 700 and time to wake my sister Latoya, shes in middle school and does not experience the rush that my brother and I go thru being that the two of us share a room and sometimes wrestle to get around to what we need to be done.The time is now 710, and its time for us to leave the house headed for school since we buy the farm only a quarter of a mile away from the school we can pretty much toss a couple of rocks a few times and were on that point. The only downside is that sometimes we get too complacent living so close to the school that we end up thinking theres more time and end up cutting it close to getting to class on time or worse being late and end up with detention. As we get to school they are still selling breakfast its usually something simple like garlic cheesy plunder or the cinnamon sugar rolls that are so delicious.But we cannot stand in line and enjoy them today because the first school toll ring and that signif ies things need to get closed out and you need to put your thinking caps on. As we exited the cafeteria it was 725 and the start of the school day and the final bell rings at 150. Joel and I always knew that we would see each other at our lunch period odd as it seems I was a senior and he was a sophomore, but hey, thats how the schedules came out. We couldnt control the outcomes of what we wanted to do we could always find some sort of time to puzzle a wise crack at one another.

Countries such as UK and USA are MEDCs (more economically developed countries) Essay Example for Free

Countries such as UK and USA are MEDCs (more economically veritable countries) bear witnessWorld learning is the march which countries go through to make more capital and develop their economies. Countries such as UK and USA are MEDCs (more economically developed countries) where as countries such as Brazil and Mexico are becoming rich and they are known as ontogenesis countries. However, the people living in these developing countries still do not have a good health scheme or their own homes. LEDCs (less economically developed countries) are very poor, such as Sudan and Bangladesh. People living in these countries tend to lack basic essentials like food, clean water and clothing. It is important to have populace development because everyone in the world becomes part of a society in which human rights are observed and basic needs of housing, work and healthcare for all. It gives opportunity for the poor to survive peaceful lives and to have a say in global communities.Wor ld development is important also because without it at that place is conflict in the world. In the twentieth and 21st centuries, there has been lots of conflict between LEDCs. As a result of this, poverty has worsened and become more frequent. Too much of the worlds money is spent on arms trade, to defend other countries from attack. This money could be spent on more important things which would help the process of world development such as medication, education and agriculture.In the Kosovo conflict many fields were burnt and, as people had not grown food. Therefore, there were no crops to eat or sell. This caused loss of money and also human lives because many people died of starvation. A recent example of conflict is the war on Iraq. With world development, there would be solidarity in the world and it would relight warmth and compassion.Natural disasters cause many problems for LEDCs because there are no emergency help schemes to remodel the areas affected. Usually, countries such as the USA have to step in and help by equipping the poor with food boxes, water and shelter etc. the prudence in less economically developed countries is a more fragile industry. These industries are severely affected by natural disasters because there is loss of tourism with an outcome similar to the Tsunami.International debt remains to be a severe problem in LEDCs because they have no solution but to borrow money from MEDCs. In the 1970s LEDCs borrowed from the World Bank. In the 70s, interest rates were low (1-2%) but in the 80s rates increased as high as 20-27%. Also, bells trim meaning that products being sold by poorer countries such as coffee berry, tea and sugar. As the countries earned less, they were paying more back. There are 41 countries in the world classes as heavily indebted poor countries (HIPC). For example, Zambia spends 106 million a year on debt repayments.Another reason why we need world development is that trade is not fairly paid for. Trade is sel ling something you have grown or made to somebody else- trade brings jobs and money. Trade rules are not based on development and they help MEDCs more. Goods can move freely through countries subsidised industries so that goods can be produced more cheaply. Mexico, signed the coupling America Trade Agreement which meant that Mexico and America can trade freely. US maize is now sold at such a cheap price that Mexican farmers are not paid enough to live on. Fair trade has been introduced. This means that by paying a few pence more for chocolate, coffee etc then you can increase the farmers wage who harvested it.

Data Application Development Earthquake and Breast Cancer

Data Application Development seism and Breast CancerData Application Development for Earthquake and Breast Cancer DatasetsAbstract-This report is a general study of two infosets, the first contains selective information from the earthquake occurred in the region of Marche, Italy in the year 2016 and the flake informationset is mammography data, with mean values of measurements and structures of tumors found in patients, for both studies different techniques related to data intuition were applied, with the intention of revealing conclusions that a priori argon impossible to visualize.Keywords-Italy Earthquake, Mammongraphy studies, MapReduce algorithmic rule, Python.With the in high spirits processing power that modern computers have acquired, one of the scientific branches that have been most developing is data science, which consists of the generalized extraction of knowledge from in formattingion and data. hostile statistical analysis, data science is more holistic, more glo bal, for using large volumes of data to extract knowledge that adds value to an organization of any kind.In this look, the chest female genitaliacer dataset contains information on the geometry, size and texture of tumors found in approximately 5100 patients. The main(prenominal) idea with this database is to construct a predictive model that lead be able to detect when a tumor is carcinogenic in new(prenominal) words, predict whether the cancer is benign or malignant, from the descriptions of the same one. In the other hand, the second dataset contains information about the earthquake that occurred in Italy in year 2016, contains all the replicas that occurred by three days after and all earthquakes are geotagged, with this dataset the main idea is to do data mining, to visualize the information of an innovative way, applying geospatial theory and statistical techniques specific of data science.A. Italy 2016 Earthquake DatasetThis database is Open-Source accessible to the co mmunity and is donation of the extensive catalog offered free of charge by the Kaggle website, its structure is as followstemplate datasetTimeLatitudeLongitude judiciousness magnitudeUTC timeWGS87WGS87KmRichter scaleIt has 8086 records with full data history, each row represents an earthquake event. For each event, the pastime properties are puddlenthe exact timing of the event in the format Y-m-d hhmms.msthe exact geographical coordinates of the event, in latitude and longitudethe depth of the hypocenter in kilometersthe magnitude value in Richter scaleThe dataset was collected from this real-time updated list from the Italian Earthquakes National Center. From now on we will call this dataset AB. Breast Cancer (Diagnostic) Data SetFeatures are computed from a digitized image of a first-rate needle aspirate (FNA) of a breast mass. They describe characteristics of the cell nuclei present in the image. n the 3-dimensional space is that described in 1.Attribute Information1) ID ph ysical body 2) Diagnosis (M = malignant, B = benign)2)Ten real-valued features are computed for each cell nucleus(a) radius (mean of distances from center to points on the perimeter) (b) texture ( sample deviation of gray-scale values) (c) perimeter (d) area (e) smoothness (local transmutation in radius lengths) (f) compactness (perimeter2 / area 1.0) (g) concavity (severity of concave portions of the contour) (h) concave points (number of concave portions of the contour) (i) symmetry (j) fractal dimension (coastline approximation 1)3) The mean, standard error and lash or largest (mean of the three largest values) of these features were computed for each image, resulting in 30 features. For instance, field 3 is Mean Radius, field 13 is Radius SE, field 23 is Worst Radius.4) tout ensemble feature values are recoded with four significant digits. This database was obtained from Kaggle website. It belongs to their repository and is open to scientist of the world that want to study it. From now on we will call this dataset BKnowledge extraction is mainly related to the discovery process known as Knowledge Discovery in Databases (KDD), which refers to the non-trivial process of discovering knowledge and potentially efficacious information within the data contained in some information repository 2. It is non an automatic process, it is an iterative process that exhaustively explores very large volumes of data to determine relationships. It is a process that extracts quality information that can be used to draw conclusions based on relationships or models within the data.A. Data excerptBoth databases were carefully chosen based on the following detailsReliable source or repository, which guarantees the reliability of the data, for this report the source is Kaggle who maintain a database open to the public and that users can comment.Data without an excessive amount of white space, since having to fill this spaces with 0 can cause distortions in the model, makin g the predictions or conclusions of the studies are invalid.That they contain at least 5000 rows, to make authentic the study and the conclusions had measurable.B. information preprocessingFor both datasets, some simple statistical tests were performed with the intention of filling the missing data in the most effective way. For example, for the data of the B the standard deviation and the mean value was calculated, besides raising a relative frequency histogram to check that the data followed a Gaussian distribution, in fact the data is distributed in this way, so it was completed with values taken randomly based on the mean and standard deviation of the data, this way ensures that the missing data does not provide incorrect information.For the data of A, the average values were obtained and the latitudes and longitudes of each exact point where the earthquake occurred, go off in order to be able to made a geospatial label with a region of each Italian province.C. Transformation For both datasets, MapReduce algorithm was applied it is based on the HDFS data architecture. The idea is to be able to map key values, with each of the data and its header, so that the access to them is efficient, with this it is tried to blow over robustly to data, in addition to reducing the processing times. The main idea of this type of algorithm is to be able to maintain the data in distributed systems, although for this project only a single node was configured.D. Data MiningAt this stage of the process, it is already clear how are data distributed, and it is where we decide which car acquire or Data Mining algorithms to apply. For the good example of data set B, we decided Machine Learning algorithm based on logistic regression, drop deading from the following argumentsIt was verified that the data follow a linear distribution and are correlated with each other.As the result is a decision, Benign or cancerous (1 or 0) The most intuitive is to apply the logistic regress ion to predict the diagnoses.For the second set of data the technique used will be the a posteriori study of the cataclysm with the intention of revealing conclusions about earthquake, focused on the geospatial area, starting with the labeling WGS87 and with the coordinates of each earthquake it is possible to construct a density of earthquakes by region, With this data it is possible to determine which region was most affected, which was the epicenter of the earthquake and to determine if there is a correlation between the depth of the earthquake and the magnitude. on that point is no period after the et in the Latin abbreviation et al.The abbreviation i.e. means that is, and the abbreviation e.g. means for example.The implementation was made in Python version 2.7. there are a hardly a(prenominal) key libraries that will be used. Below is a list of the Python SciPy libraries required for implement algorithms for B Scipy, numpy, matplotlib, pandas sklearn, patsy and statsmodels.An d other few more for implement A Pandas, Numpy, Matplotlib, Basemap, Shapely, Pysal, Descartes, Fiona, Pylabs and Statsmodels, and the architecture for store and read the data is the Hadoop Distributed File System (HDFS) is the primary storage system used by Hadoop applications.HDFS is strengthened to support applications with large data sets, including individual files that reach into the terabytes. It uses a master/slave architecture, with each cluster consisting of a single NameNode that manages file system operations and supporting DataNodes that manage data storage on individual compute nodes.In the next image, Fig. 1 are exposed the workflow diagram for the Machine Learning algorithm applied to B datasetFigure 1 Workflow for Machine Learning algorithmAnd in the second one, Fig. 2 the workflow for dataset A, this workflow was constructed from the selected methodology, the idea is to follow this pattern of work to increase the productivity of research as they are work frames h ighly tested by qualified researchers in the area.Figure 2 Workflow for Data Mining researchFor the data set B, a recursion stage is considered in case the final predictions are not satisfactory, this would entail rethinking the model and to get everything values again. For data set A, the diagram is focused on maximum representation of the data to extract a substantial number of conclusions from graphs.A. Dataset AThe first result obtained is a map of the central region of Italy with each of 8000 points where earthquakes occurred.Figure 3 Scatter ploting with administrative subdivisionWeve raddled a scatter plot on Italy map Fig. 3, containing points with a 50 meters diameter, corresponding to each point of A dataset.This is a first flavor, but doesnt genuinely tell anything interesting about the density per region merely that there were more earthquakes in Marche Italy region than in the outer places.Figure 4 minginess ploting with administrative subdivisionNow we can see ho w was the distribution Fig. 4 of the earthquake. It is clear on the map that the regions most affected were Lazio, Marche and Umbria.Figure 5 Magnitude rolling meanMost of the earthquakes occurred at a depth of 10km. This can be seen in next graph Fig. 6 by a frequency histogram of depth.Figure 6 Frequency HistogramThe following table shows the 5 earthquakes with the greatest impact and their regions where they occurred.table II Greater magnitude earthquakesTimeRegionDepthMagnitude2016-08-24Lazio8.16.02016-08-24Umbria8.05.42016-10-26Umbria8.75.42016-10-26Brescia7.55.92016-10-30Brescia9.26.5B. Dataset BWe are going to look at two types of plotsUnivariate plots to better understand each attribute.Multivariate plots to better understand the relationships between attributes.1) Univariate Plots We start with some univariate plots, that is, plots of each individual variable. Given that the input variables are numeric, we can create box and whisker plots of each.Figure 7 whisker plotsFig. 7 gives a much clearer idea of the distribution of the input attributesIt looks like perhaps most of the input variables have a Gaussian distribution. This is useful to note as we can use algorithms that can exploit this assumption also this can be seen in Fig. 8.Figure 8 Frequency histogram2) Algorithm evaluation In this step we evaluated the most important algorithms of Machine Learning in search of which is best adapted to the data.we used statistical methods to estimate the accuracy of the models that we create on spiritual domain data. We also want a more concrete estimate of the accuracy of the best model on unseen data by evaluating it on actual unseen data.That is, we were held tush some data that the algorithms will not get to see and we will use this data to get a second and commutative idea of how accurate the best model might actually be.We split the loaded dataset into two, 80% of which we used to train our models and 20% that we will hold back as a validation datase t.We evaluated 6 different algorithmsLogistic Regression (LR)Linear Discriminant Analysis (LDA)K-Nearest Neighbors (KNN).Classification and Regression Trees ( force).Gaussian Naive Bayes (NB). aid Vector Machines (SVM).This is a good mixture of simple linear (LR and LDA), nonlinear (KNN, CART, NB and SVM) algorithms. We reset the random number seed before each strain to ensure that the evaluation of each algorithm is performed using exactly the same data splits. It ensures the results are directly comparable.Figure 9 Algorithm comparisonLR 0.658580 (0.027300)LDA 0.661676 (0.026534)KNN 0.606749 (0.023558)CART 0.569616 (0.041578)NB 0.621194 (0.032784)SVM 0.641823 (0.025195)The LR algorithm was the most accurate model that we tested. Now we want to get an idea of the accuracy of the model on our validation set.This will give us an independent final check on the accuracy of the best model. It is valuable to keep a validation set just in case you made a slip during training, such as ove rfitting to the training set or a data leak. Both will result in an also optimistic result.We can run the LR model directly on the validation set and summarize the results as a final accuracy score, a amazement matrix and a classification report.The accuracy is 0.75 or 75%. The confusion matrix provides an indication of the 25 errors made.As we can see the data science has a wide field of work, in areas so diverse that for the case of this report ranging from medicine to cartography and seismology. With this report, it is evident how important the Machine Learning algorithms in cancer diagnosis, although this small case in study is not perfect, there are more advanced tools and more sophisticated algorithms that allow penetrating in this field of An amazing form, the author recommend a degree project where Deep Learning algorithms and deep neural networks are applied in the diagnosis of diseases. It is certainly a prominent field.On the other hand, in the first dataset, it was po ssible to explore tools for the management of maps and the placement of big amounts of data on these, with the main idea of exposing results that looking at the raw data is impossible to observe. This allows you to find new points of view about phenomena already happened and learn from them to improve infrastructures or tools.In short, data science is a field in full swing that will give much to talk about in recent years, we break in an age where information is power and manipulate and understand information are the tools of the future.ReferencesK. P. Bennett and O. L. Mangasarian Robust Linear Programming Discrimination of Two Linearly immanent Sets, Optimization Methods and Software 1, 1992, 23-34Williams, G. J., Huang, Z. (1996, October). A case study in knowledge acquisition for insurance risk assessment using a KDD methodology. In legal proceeding of the Pacific Rim Knowledge Acquisition Workshop, Dept. of AI, Univ. of NSW, Sydney, Australia (pp. 117-129).

Strategic Framework for Reform of the Health Service

Strategic textile for Reform of the wellness religious serviceIntroductionIn 2012 the Department of wellness (2012) (DoH) launched its Strategic Framework for Reform of the health Service. The rationale behind the release of this Framework, through the Health Service decision maker (HSE) was the continued improvement of societal wellness and wellbeing within the State of Ireland. intravenous feeding key argonas were identified for reform Health and Well Being keeping people healthy, Service Reforms providing health care that people destiny, Structural Reforms delivering high quality service and Financial Reform getting the best value for health system resources.To achieve these reforms there must be a symbiotic relationship in situ between all four key areas, providing the best provision of care and best pull to all stakeholders involved, through the continued and correlated drill of heed, Leadership, timberland digestsing and Information Management. Examining some of t he principles of Information and Quality Management this student will kibosheavour to critically discuss some key areas.Information ManagementWith the advancement in technology, reliance on and use of computer based Information Management has increased dramatically. Insuring the design, effectuation and continued study of Information Management there are a descend of key principles to successful Information Management including effective Management of Information and Data Knowledge.Management of Information powerful Management of Information is a multifaceted combination of People, Process, Technology and Content and it is how these are managed that allow us to provide a high quality of care to all. It is how this development is managed that allows recognises the value of reading, whilst being readily available, protected shared and is always evidence based. A good process of Management Information allows all healthcare professionals collect entropy and to communicate this information through various avenues to other health care professionals, not only allowing for a greater flow of information, however also an ease of overture to the relevant concise information. Patient records can now be accessed and shared with far greater ease than they have historically (Wallis 2011) remotely by authorised professionals, access to imaging data and laboratory results is almost instantaneous allowing for Healthcare professionals to make informed decisions. Data can be collected and correlated to local and national policy makers regarding the provision of health care, including get by Planning, Prioritising Workloads and Resource planning (Murnane 2005)Effectual Information Management can alleviate maintain and protect documented information. Two separated inquires exposed the purposeful practice of interfering with documented records, Leas Cross (ONeill 2006)and the Neary Report (Harding Clark 2006), indeed Sexton et al. hypothesised that written nursing hand overs could be simplified, leading to increased efficacy in time management ergo allowing to a greater extent time for patient interactions through the centralised use of patient information and reducing potential for errors. Spooner et al. (2013)Data KnowledgeOne of the challenges of having a good information Management system in situ is to ensure that the data correlation is relevant, true and fit for purpose. Data collection as outlined by the Health Information Quality Authority (HIQA) (HIQA 2012) should be, where possible collected at once and then used continually, thus preventing the patient asked on numerous occasions for the same information, this is more applicable to long term service users of health care. callable to the enormity of data available it must be validated, reliable, accurate and complete where possible, however, records must be updated following all interactions between patients and caregivers insuring that the most up-to-date information is readily availa ble.Good data may give the care giver/hospital a competitive advantage, allowing all stakeholders to make strategic, informed decisions, increase productiveness leading to a possible long term increase cost efficiency, however, it must be noted that this data noesis should be bidirectional allowing for patients to access the Data Services such as the HSE Dashboard. Data is only as good as what is imputed on to the system, therefore clinical governance needs to be policed to ensure good quality data is entered, there may be initial cost implications during data gathering.Whilst there are multifaceted benefits of implementaning, maintaining and continual development of good information management systems and Data Quality protocols in place it must be also noted that there are a number of areas of concern, most notably patient confidentiality, insuring the safety of all patient records, implementation and upkeep costs, fail safe back up and intrusion systems and lack of end user invol vement in the design process and implementation of the Information Management system (Huryk 2010). One must also examine the legality and righteousness of information transcribed onto databases/patient records and examine who is going to manage and take ownership of these E keeps, as this is currently still an area growing concern, victorious into account what are the consequences for those who misuse and abuse data collected and stored under The Data Protection Act 2003. (Irish judicature 2003)Quality in Health coverOver the past number of years there have been a growing number of inquiries into the quality of care delivered to the Lourdes Hospital Inquiry (Government of Ireland 2006), Leas Cross (DoH 2009) and the more recent Halappanavar case (HIQA 2013), whereby the provision and economy of care has been called into account in a legal context. All reports make various recommendations however, it is how these recommendations and findings are then use into an accountable st ructure regarding the delivery of healthcare. From an Irish context, Evidence based standards in collaboration with users of healthcare are pivotal to the continual improvement of our Health Service (DoHC 2001)Quality ImprovementCritical to the establishing a basis for quality improvement and reform in healthcare is the establishing and contextualising the values, mission and core competencies of the organisation. This should incorporate codes, responsibilities for performance and quality, documentation of key policies and procedures, public information on available go, relevant updated information. Procedures must be systematic, measurable and comply to local, national and in some cases, international law(s) and health policies, more importantly, for the delivery of care one must embrace the Patient/Service User/Client into the melee to create a Person Centred delivery of service orchestrated by Quality Improvements, these may encompass medical errors and empowering the patient bu t must have their foundations built upon evidence based practice (HSE 2012).In theory, this sounds achievable and one may question why such measures were not in place already, however in practice, there are a number of elements to consider that may impact on quality improvements. A recent report from The Commission on Patient safety and Quality government agency (Department of Health, 2011) identified cultural issues as a major obstacle to accepting change, most notably from an organisational and professional stance. Therefore, it is essential that to have effective leadership in place to help with the development and implementation of change, however, as Fealy et al. (2010) summarised that there are a number of barriers to nurses developing as efficient interdisciplinary leaders which need to be addressed.Patient/Service User FocusThere have been a number of initiatives to establish a patient/service user focus within healthcare. From a service user perspective the HSE has establ ished a Patient Form allowing service users the prospect of having active participation in the design, implementation and assessment of developing National Clinical Care plans (HSE 2014)National Standards Agencies such as the Mental Health Commission (MHC) and HIQA have been established to protect the service user and caregiver. The Quality Framework for Mental Health Services in Ireland (MHC 2007) delivers a structure manner for safeguarding continual improvements and monitoring of all mental health services, by setting expectations of all those who come into contact with the Mental Health Services in Ireland, aided by a modality of staff and services being proactive. There is a greater duty with the service user to have increased impetus in their own care through the knowledge of services available, focus groups and readily available Patient Information Leaflets.ConclusionOroviogoicoechea et al. (2008) recognise that there is a gruelling association between the Quality of Care o ffered to patients and Quality of Information, received, documented and managed, as with all systems, there is scope for improvement, however, following on from lessons learnt we have seen the introduction and implementation of Policy and procedures with the setting up of the Government Standards Body of HIQA as a state body with the power to implement changes and recommendations. Health must stop treating itself as an isolated entity and embrace modern scientific developments in information management as they do within other areas in the delivery of care, such as Imaging, Surgical Interventions and so forth, however strong and systematic procedures should be in situ to insure the safe management of Patient information. Correct Clinical Governance will ensure that standards are met and that policy and procedures are stringently adhered to, however this can only be accomplished by nurses accepting changes, evaluating evidence based practice and performing to the best of their abilit y.ReferencesDepartment of Health and Children (2001) Quality and Fairness, a health system for you, Health Strategy, Stationary Office Dublin.Department of Health (2009) The Leas Cross Commission The Commission of Investigation (Leas Cross care for Home) Final Report June 2009. Stationary Office Dublin.Department of Health (2011) Report of the Implementation Steering Group on the Recommendations of the Commission on Patient guard duty and Quality Assurance. DoH, Dublin.Department of Health (2012) Future Health. A Strategic Framework for Reform of the Health Services 2012- 2016. DoH, Dublin.Gerard M Fealy, Martin S McNamara, Mary Casey, Ruth Geraghty, Michelle Butler,Phil Halligan, Margaret Treacy and Maree Johnson (2010) Barriers to clinical leadership development Findings from a national survey. Blackwell Publishing Ltd, journal of Clinical Nursing, 20, 20232032Government of Ireland. 2006. The Lourdes Hospital Inquiry An inquiry into peripartum hysterectomy at Our Lady of Lourde s Hospital, Drogheda. (By Judge Harding Clark).letter paper Office, Dublin http//health.gov.ie/wp-content/uploads/2014/05/lourdes.pdf(Accessed 07/10/14)Harding Clarke, M. (2006). The Lourdes Hospital Enquiry An inquiry into peripartum hysterectomy at Our Lady of Lourdes Hospital, Drogheda, Stationary Office. DublinHealth Information and Quality Authority, (2012) Guidance on information governance for health and social care services in Ireland Health Information and Quality Authority. DublinHealth Information and Quality Authority, (2013) Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. Health Information and Quality Authority. DublinHealth Service Executive (2012). A vision for Psychiatric /Mental Health Nursing. Health Service Executive. DublinHealth Service Executive (2014) http//www.hse.ie/portal/eng/about/Who/qualityandpatientsafety/Advocacy/QPS_service_users/Service_User_Involveme nt_in_Clinical_Care.html(Accessed 06/10/14)Huryk, L. (2010) Factors influencing nurses attitudes towards healthcare information technology. Journal of Nursing Management. 18, 5, 606-612.Irish Government (2003) Data Protection (Amendment) Act.. The Stationary Office. DublinMental Health Commission (2007) Quality Framework Mental Health Services in Ireland. Mental Health Commission, DublinMurnana, R., (2005) Empowering nursesImproving care Nurses response to the new Health Services Reform Programme in Ireland. International Journal of Medical Informatics 74, 861868ONeill, D. (2006) A review of the deaths at Ideas Cross Nursing Home 2002-2005, Dublin Department of Health and Children.Oroviogoicoechea, C. Elliot, B. Watson, R. (2008) Journal of Clinical Nursing 17, 567575.Sexton, A.C., Chan C., Elliot M. , Stuart J. , Jaysuriya R. Crookes P. (2004) Nursing handovers do we really need them? Journal of Nursing Management 12, 3742Spooner, A.J., Chaboyer, W., Corley, A., Hammond N., Frase r JF. International Journal of Nursing Practice 2013 19 214220Wallis, A. (2012) Management, http//rcnpublishing.com/doi/abs/10.7748/nm2012.03.18.10.14.c8957(Accessed 08/10/14)

Environmental Impacts of Food Production, Strawberries

Environmental Impacts of Food crossingion, StrawberriesIntroductionThe high rate of environmental degradation and the depletion of our ozone layer be some of the reasons supporters of Green regeneration are demanding that food crossroadion processes should be energy efficient (Gardner et al., 2008 Perman et al., 2003).This report investigates and compares the possible environmental impacts of hemangioma simplex production in these two countries Spain and UK. The approaches utilize in this study centre on aim definition and scoping and entry analysis, which are important components of full sprightliness cycle assessments (LCAs) that is significant in analysing the production impacts on the environment. This investigation takes place during the U.Ks in-season production of strawberry because out-of-season production would be time-consuming and is beyond the scope of this report.All the information presented below about the product carcass is strictly in accordance with the sta ndardization ISO 14041, which states that The schemes should be adequately described in detail and clarity to allow a nonher (LCA) practitioner to duplicate the inventory analysis, (Marinova et al., 2006).Strawberry Production in the UKConsidering the goal and scope of exploitation strawberries in the UK, the following incidents emerge in the course of this processGoal and Scope The goal of undertaking life cycle assessment on strawberry production in UK to ascertain the level of Green House Gas (GHG) emissions, the possibility of discretion the benefits of the process and analyze if it is doable to engage in green marketing, eco-labeling and energy conservation. The scope is to define strawberry (product), its surviveal unit, product agreement and system boundaries.Product definition Strawberries are traditionally grown in the UK to supply for local consumption. This is because they are loosely grown on small-scale fruit farming, producing only a small proportionality of t he entire quantity of strawberries consumed in the UK (Janick Paull, 2008). It is helpful to define the kinds of processes required in producing strawberries in the UK.Product function The main function of strawberry in the UK is to be utilise as fruit and food supplement that provide the needed nutrients for the body. Some of the nutrients that strawberry produces complicate but not restrict to water, energy (30,000kcal), protein (0.610g), total fat (0.370), Calcium (14,000mg), Potassium (166,000mg), vitamin C (ascorbic) (56,700mg), Cholesterol (0000 mg) and so on. These nutrients are required by human bodies to function properly. And for the fact that strawberries switch zero calorie and little fatty contents, they are helpful to maintain ones weight, no matter the quantity of the fruit that was consumed (Berdanier, 2002).Product functional unit The product functional unit is 100g of UK strawberries, which approximately provide the needed nutrients and supplements outlined ab ove.Product system the product system for the exploitation of strawberries in the UK including the following processes and they are evaluate to be in conformity with ISO 14041.Growth Preparation of the soil choosing higher, frost-free soil which has the temperature above -2oC, and preparation of pose beds for optimum growth. Setting up Cloche or tunnel- nurtureion to protect the strawberries from being damaged by frost during winter and choosing sunny but least-winded areas for the planting of the strawberries. Final soil preparation is done a month onwards planting by mixing ingrained matter and some bonemeal with the soil. And a fertilizer like Growmore is applied to the soil a week before planting of the strawberry. The strawberries are planted in early September or April. The strawberries are protected from pests and diseases by using pesticides against aphids, red spider mite, slugs and powdery mildew. The strawberries are harvested in mid-April.Processing The harvested ra w strawberries are processed using simple methods They are cleaned, graded and stored in a safer situation so as to prevent them from drying up. forwarding The strawberries are packaged inside containers of opposite sizes and kinds. though, the promotion materials are not dear(predicate) ones they are those that would not make the strawberries price shoot. Quite inexpensive forwarding materials.Transportation The finished strawberry products are transported from the packaging unit to shops and stores where they would be delivered to the buyers. Also, transportation is needed to transport the waste materials back to the fruit farms.System boundaries The system boundary for the growing of strawberries in UK consists of the following components (1) Inputs composed of strawberry plantlets, fertilizer, organic matter, water, soil nutrients, pesticides, bonemeal etc (2) output composed of strawberries, waste plant materials, and so on (3) Sub-systems include the growth of the strawber ries, its processing using some equipment, the packaging of the strawberries in different containers and the transportation of the finished products to the places of consumption.System Environment The system environment is made up of those things outside the system boundary in the case of growing strawberries in UK, they include the soil, the strawberry growers, the environmental conditions like weather and pests.Summary of Growing Strawberries in UKThis approach above is chosen because it describes in detail the processes for growing strawberries in UK, taking into consideration all the inputs, subsystems, outputs and the environment. These procedures are graphical enough for any hereafter LCA practitioners to digest and follow in repeating the same processes. Most significantly, the explanations of the processes are easily understandable and the materials used in the growing of UK strawberries are commonplace, not expensive and could be easily applied. There are no applications o f very expensive technology that could discourage potential LCA practitioners from trying out these processes.Strawberry Production in SpainLooking at the goal and scope of growing strawberries in the Spain, the following facts are important to be consideredGoal and Scope The goal of carrying out life cycle assessment on strawberry production in Spain is to discover the level of Green House Gas (GHG) emissions, the possibility of understanding the benefits of the process and investigating if it is doable to engage in green marketing, eco-labeling and energy conservation. The scope is to define strawberry (product), its functional unit, product system and system boundaries (Handscombe Handscombe, 2007).Product definition Strawberries are locally produced in the Spain to supply for local consumers and for the export markets. This is because they are mostly grown on both large- and small-scale fruit farming, producing a large proportion of the quantity of strawberries consumed in Spai n and many some other countries in the world, including USA and UK. (Janick Paull, 2008). It is helpful to define the kinds of processes required in producing strawberries in Spain.Product function The main function of strawberry in Spain is to be consumed as fruit and food supplement that will provide the required nutrients for the body. Some of the nutrients that strawberry offers include but not limited to water, energy (30,000kcal), protein (0.610g), total fat (0.370), Calcium (14,000mg), Potassium (166,000mg), vitamin C (ascorbic) (56,700mg), Cholesterol (0000 mg) and so on. These nutrients are required by human bodies to function properly. And for the fact that strawberries have zero calorie and low fatty contents, they are helpful to maintain ones weight, no matter the quantity of the fruit consumed (Berdanier, 2002). They are also used as jams and preserves.Product functional unit It requires about 150 g of Spanish strawberries to absorb the required quantity of nutrients and supplements that human bodies needed to function properly. Although this nominal quantity may change for different kinds of Spanish strawberries. But the commonly used average amount for Spanish strawberrys functional unit is 100g (Handscombe Handscombe, 2007).Product system the product system for the growing of strawberries in Spain involves the following processes and they are executed in accordance with ISO 14041.Growth Majority of Spanish strawberries are grown in the southwestern Western part of the country, in the Huelva Region. The fruit farms are made up of small-scale gardens owned by individual farmers, and a large-scale farms organize by consortium among many Spanish fruit growers (Medina, 2005). Spanish strawberries are of high grade, and they are planted with fertilizers, organic matter and other growth-enhancing substances. Because of their high quality, Spanish strawberries known as Aguedilla are always in high demand in Europe, including in the join Kingdom. The area where Spanish strawberries are grown has a hot summer and longer sunshine. These weather conditions help strawberries to be grown in large quantity.Processing The raw Aguedilla are made to pass by dint of the processes of cleaning, grading and storing. The Spanish strawberries are of high quality, and this is why it is marketable all the year round.Packaging The next process in the production of Spanish strawberries is the packaging the processed strawberries are packaged in different containers of different sizes.Transportation since Spanish strawberries are consumed both locally and at overseas. This requires a great plenty of transportation. Hence, much energy is used in delivering the finished products to the consumers and buyers. Spanish strawberries are not only marketable in Europe, but also in the unite States (Baughen, 2007). This helped the strawberry business in Spain to expand, employing over 30,000 workers for a season (Handscombe Handscombe, 2007).System boundaries The system boundary for the growing of strawberries in Spain consists of the following components (1) Inputs composed of strawberry plantlets, fertilizer, organic matter, water, soil nutrients, pesticides, bonemeal etc (2) output composed of strawberries, waste plant materials, and so on (3) Sub-systems include the growth of the strawberries, its processing using some equipment, the packaging of the strawberries in different containers and the transportation of the finished products to the places of consumption.System Environment The system environment is made up of those things outside the system boundary in the case of growing strawberries in Spain, they include the soil, the strawberry growers, the environmental conditions like weather and pests, and the competitors. Fruit farming in Spain is competitive because many growers are involved in the process. The economy of the South West region of Spain totally depends on these farming activities (Medina, 2005).Summary of t he Strawberry Production in SpainThe processes of producing strawberry in Spain are similar to any other countries, but what is different is that the magnitude of production in Spain is bigger than any other countries. Hence, more energy is consumed and more wastes are disposed of. The culture of growing strawberries in Spain has become improved of recent, and in that respect are more local growers competing for the markets some are even forming alliances with one another to mass-produce strawberries. And for the fact that there are markets in Europe and the NorthAmerica for Spanish strawberries, there is every possibility that the business would continue to grow in Spain, most importantly the area of the country that depends on it for economic miracle. Nowadays, Spanish growers experiment with using special equipment to improve their production activities.Differences between Strawberry Production in UK and SpainThough the methods of producing strawberries in both UK and Spain appe ar similar, but there are some great differences between them. Some of these differences are highlighted belowStrawberries in the UK are mostly grown under heated greenhouses or polytunnels but they are only grown in polytunnels in Spain.Strawberries are available all-year round in Spain, opus it is seasonal in the UK (summer only).The amount of labour used by strawberry growers in Spain in far greater than those used in the UK.Strawberry growing in Spain uses a lot of water and land (polytunnels), while in UK more heating energy is required to protect the strawberries.More energy is used in the transportation of strawberries in Spain than in the UK.Spain generates more wastes than the UK in the entire strawberry production processes.Growing strawberry in the UK is environmentally friendlier than doing the same in Spain.There is more competition in Spain than in the UK hence, this could lead to adulteration of strawberries through sharp practices to reduce costs.ReferencesBaughen, S. (2007). International trade and the protection of the environment. London Routledge-Cavendish.Berdanier, C.D. (2002). enchiridion of nutrition and food. Boca Raton, Florida CRC Press.Gardner, G., Prugh, T., Starke, L. Worldwatch Institute (2008). State of the world 2008 innovation for a sustainable economy. London Earthscan.Handscombe, C. Handscombe, D. (2007). Growing healthy fruit in Spain From strawberries to oranges and watermelons. Malaga, Spain Santana Books.Janick, J. Paull, R.E. (2008). The encyclopedia of fruit and nuts. Oxfordshire, United Kingdom CABI.Marinova, D., Annandale, D. Phillimore, J. (2006). The international handbook on environmental technology. London Edward Elgar Publishing.Medina, F.X. (2005). Food culture in Spain. Santa Barbara, California Greenwood Publishing Group.Perman, R., Ma, Y., Common, M. McGilvray, J. (2003). Natural resources and environmental economics. 3rd Edition. hurrying Saddle River, New Jersey Pearson Education.

The Day I Decided I Didnt Want to be a Doctor :: Personal Narrative Medicine Papers

The Day I Decided I Didnt Want to be a DoctorWeve got one unconscious 14-year old male, smitten by a train. Breathing is labored and shallow. A weak carotid pulse is 42. BP is 80 over 60. Skin is cyanotic, moist, and clammy. Pupils are dilated and non-reactive. Multiple complicated injuries low-spirited ribs protruding through left side, tension pnuemothorax, distended abdomen with obvious internal bleeding, fractured humerus, and pelvis. Massive injuries to head and face mangled nose, fractured zyogos, fractured cranium with obvious ecchymosis around eyes, hemorrhaging and leaking cerebrospinal fluid from ears and cranium. Have the trauma team ready when we arrive.I chose to do my clinical on a Friday night because I wanted a hulking messy injury like the ones in our class videos but so far its been a rather uninteresting evening. The only injuries, a fractured arm, an avulsed finger, a lacerated chin, and, of course, herds of complaining geriatrics. Just my luck. Being enthusias tically bored with these trivial injuries, I stroll up to the central call-in desk and slump down on a wooden, three-legged stool and insipidly finger the plastic ID badge clipped to my front collar. WAIT, what is this. The trauma team has assembled and is impatiently waiting by the accordion supply door. Something big must have happened. Through the glass door, brightly flashing red and white lights ignite the emergency room. An ambulance has just arrived. The glass doors fold spread out and a sea of blue and teal scrubs frantically attacks the wheeled stretcher. This is it this is the big one Ive been waiting for. A spark of excitement shoots down my veins. adrenaline jump-starts my heart and my mind is immediately racing. I launch from my stool and shuffle around the swarming sea of blue and teal. A blaring voice rattles off the patients modish diagnosis a 14-year old struck by a train. BP is 68 over 40, pulse is 34, broken ribs, tension pnuemo, fractured cranium . . . The st retcher is wheeled to an disjointed back room. A boys tattered body lay quiet and still. Two, latex-gloved male nurses grasp each end of the spine board on which the boy is strapped and thread it onto a rectangular, white padded bed. A football-sized pool of bright red blood remains on the white padded stretcher where the boy erstwhile lay. The small body, stripped of all clothing except for a small white towel covering his genitalia, is grotesquely deformed.

mortal kombat :: essays research papers

finite KombatAccording to Time magazine, September 27, 1993, violence in motion picture jeopardizes is on the rise especially with the release of Mortal Kombat. Over 50 million children all over the United States brought this violence into their homes. The parents and other adults of these children finally decided that the video games in the U.S. had gone too far. Mortal Kombat was the first game that brought blood and gore into the video game world. Mortal Kombat started in the arcades it was such a hit, they do it into a game you could buy for personal use. Critics raved over it when it was first introduced, saying it was too violent for kids and it needed to be taken off the shelves. This game appealed to more people because of its real-life graphics, blood and gore. The game was also responsible for the video game rating system used today. The game was an instant hit, they made an endless fall of Mortal Kombat games, for every gaming system imaginable, there was even a mov ie made based on the game. This essay will illustrate how Mortal Kombat is violent, and take a critical point of view of this popular game. Mortal Kombat is a video game based around hand-to-hand combat surrounded by two characters in the game. The person playing would control one-character and use combinations of punches, kicks and special moves to cause as much damage to the opponent as possible. This game is swordplay and very addicting children would end up playing the game constantly trying to master the moves and techniques of the game. People found it fun because the characters and the worlds that you fight in seem the like some fantasy, most people would fight their friends to see who would rein supreme it was a constant challenge to be the best fighter. With the new game that came knocked out(p) not too, long ago you are able to plug an internet cord in the back of your gaming system and play anyone in the world.This game caught so much criticism that the makers had to take the blood out of the game, and they turned it in to white sweat, but little did the critics know that there were codes you could enter to drive the blood back to the game. There also were codes called Fatalities which were finishing moves where you could decapitate someones head, rip their arms off and burn them alive.