7 Steps to Finding Success If You Drop Out of College

7 Steps to Finding Success If You Drop Out of College Think you can’t be successful if you drop out of college? Think again. Some of the biggest companies in the world were started by entrepreneurs who never finished school. While there are skills and experiences and accomplishments that any aspiring successful person will acquire in college, if you happen not to have finished (or you find yourself having dropped out and spiraling in a fit of panic), remember that it isn’t necessarily the end of the world. Here are a few things you can do if you dropped out to get yourself back on a good track to success.1. Breathe.First take a deep breath and realize it’s your life. You are in control. If this is what you need and you can still accomplish what you want to in life without this degree? Then great. Start making concrete plans and working towards that goal.2. Keep learning.Education doesn’t necessarily end with school. Neither should yours. Continue learning as voraciously as possible- following what interests y ou most and what you’d need to know to expand your career outside of school. Don’t fall into ignorance or stagnation just because you needed to stop attending college.3. Keep taking risks.Dropping out to pursue other options is a big risk. If it pays off for you, continue thinking of other ways you can take calculated risks in pursuit of your destiny. Keep pushing for your dreams. You’ve already shown you have the guts. Persist!4. Find your real-life community.Just because you aren’t in college anymore doesn’t mean you don’t need professors and â€Å"classmates.† Find yourself mentors. Present yourself to people in your desired field  and show your willingness to learn. You’ll probably get a good recommendation out of it at some stage in your career. Similarly, find your crew of like-minded, similarly-oriented people who you can build your empire (or at least a business) with. Learn from each other and promote each other†™s work.5. Don’t ditch responsibilities.Whatever your new class equivalent is- show up for it. Don’t blow things off just because you aren’t technically required to show up anymore. Push yourself and give yourself grades! This is equally important for work. Get a job and show up at it- on time and consistently.6. Don’t be defensive.You can’t have it both ways. If you didn’t finish school, you can’t very well complain that other people did and it makes you feel bad. Remember you chose your priorities and your life. It was your choice. Be honest about why and don’t take any negativity  from anyone if they react unfairly.7. Be humble.Be willing to work from the bottom up. Get in on the entry level of whatever field you most want to work in. Be willing to start low on the totem pole. With a little humility and dedication, you probably won’t be down there long.

3 Reasons Quitting Might Be the Right Thing to Do

3 Reasons Quitting Might Be the Right Thing to Do The world is full of inspirational posters, coffee mugs, and bumper stickers telling us not to be quitters. But that kind of blanket dogma- black-and-white in a world of grey- can be hurtful on occasions when giving up might actually be the best idea. Here are three reasons why we think this advice doesn’t always have to be the final word. 1. It  can lead you to the path you really wantIt’s all well and good to say â€Å"winners never quit and quitters never win,† but what if you’ve devoted yourself to the wrong pursuit and quitting could lead you to a better one- where you could actually win and not just slog away forever because you’ve been told you’d be weak or lazy if you quit?If you’re on the wrong track, and you know it, sometimes quitting is the braver, nobler thing to do. And it just might be the only route to winning in the end. So have the courage to take stock of where you are and what you’re doing.2. Sometimes,   you’re just truly unhappyThere are a ton of cognitive biases that already predispose us against quitting. Like the sunk cost fallacy (â€Å"I’ve already spent so much on this hobby,† or â€Å"I’ve wasted so much of my life playing the tuba, so I can’t switch to building miniature boats†) or our bias towards the status quo (â€Å"I may have it rough now, but the unknown could be even worse†). Not to mention loss aversion and the need to hold on to whatever gains we’ve made at all costs. But none of these are good reasons to stick it out in bad relationships or careers. The last thing we need is some smarmy â€Å"Never give up† slogan making us feel even worse about our prospects.3. You  can set an example  and be an inspirationQuitting is considered weak, and quitters a failure. But we should buck this trend. Wouldn’t it be better to encourage people to be more mindful about what they do? And to check in from t ime to time to see whether they should still be doing it?Next time you notice someone spewing platitudes on Facebook about quitters or inspirational gifs about never giving up, take a moment to disagree. That advice can keep people from being their best selves, and can actually be harmful when wielded willy-nilly.

Free Will and Personal Responsibility Case Study

Free Will and Personal Responsibility - Case Study Example To prove the superman theory, they murdered a fourteen year-old boy named Bobby Franks. Also, they committed the murder of Franks to prove that they were intelligent enough to outsmart the police and create the perfect crime. However, because of the negligence of leaving behind Leopold's glasses near the dead body, the police was able to prove that they were the perpetrator of the crime. Ultimately, they had been convicted for the crime that they committed. The defense counsel of Leopold and Loeb presented a closing argument justifying the murder committed against Franks. The main argument of the closing speech is that Leopold and Loeb's act of murdering Franks was a necessary consequence of their background, their upbringing and the principles of Nietzsche. According to the defense counsel, all these factors drove them to killing another person. The combinations of said factors afforded no other result other than the horrific crime committed. As such, Leopold and Loeb could not be held responsible for their actions. Therefore, they should not be punished for killing Franks. To support this argument the lawyer presented the three points. First, Loeb's and Leopold's upbringing served as a breeding ground for a twisted sense of morality. Loeb was raised by a governess who pushed him too hard on his studies. It was because of the strictness of the governess that Loeb was swayed into rebellion. And the form of rebellion that he took is to read detective stories that were forbidden to him. Loeb's fascination lead to him to observe that in all these stories, the detective always wins. The detective always figures out the puzzle to the crime. Because of this, he became challenged. He became captivated and obsessed to formulating the perfect crime - one that may not be solved by the brightest detective. Leopold on the other hand was an intellectual. Because of this, he was accelerated in school. On the downside, he failed to develop this emotional part of his being. He was so smart that he took a liking to Philosophy, particularly the teachings of Nietzsche. And Nietzsche believed that an intelligent man is above the law and morality. The second thing that the lawyer pointed out is that with the fascination in detective stories, it is but understandable that a highly intellectual person would be challenged to formulate an undetectable crime. They would prove that the detectives do not always win. From the lawyer's point of view, because of this challenge, it was natural that they create the perfect crime. Hence, Loeb cannot be faulted for his creation. The strictness of his governess and the challenge brought by detective stories was to be blamed for his action. The third point that the lawyer raised for Loeb and Leopold's defense is the teaching of Nietzsche. Nietzsche was strong in his teachings that the intelligent man is not bound by the ordinary rules in morality. Than in fact, the superman is the law by himself. Leopold firmly believe this. And because of which, what else can be the result but a series of acts defying the law and morals The last defense that the lawyer raised was that of insanity. He claimed that who in their right mind would exchange

History and Imagination in Daniel's Richter's Facing East from Italian Essay

History and Imagination in Daniel's Richter's Facing East from Italian Country - Essay Example The book surpasses the narrow confinements of the academic study and depicts the Eastern and Western perspective of historical developments in early Native America from an instrumentalist point of view. Richter’s study also centres on the creation of histories and their construction as part of a transcontinental discourse. In the words of the author, the main purpose of the book is to â€Å"hear Native voices when they emerge from the surviving documents, to capture something about how the past might have been if we could observe it from Indian country† (9). In the following chapters, Richter achieves his purpose. History is personified and imagined through the accounts of the Native Americans. Organized in six chapters, the study reveals the evolution of the relations between the settlers and the Native Americans. The structure successfully captures the psychology behind this evolution and chronologically depicts its stages. Initially the image of the settlers is imagi ned by the Native people, as a distant, non-tangible world. Richter describes the materialization of this world and the gradual establishment of social dynamics, which Indians and settlers shared. The natives started to make use of the new tools and guns in order to improve their crafts, and as a result commerce began to prosper. Also, the redistribution of economic resources is a result of the innovation brought by the settlers (52-80). What makes Richter’s method interesting and authentic is its ‘double’ (his)tory-telling. He accounts for the perspective of the Westerners, as well as the perspective of the Native people, whose historical articulation of the same occurrences has been different. A good example is the story of Pokahontas in Chapter 3, where the opposing interpretations of the Natives and the settlers are discussed (Richter 69-110). In the final chapters Richter observes the tensions between the Natives and the settlers, which have been accumulated in two separate historic creations – the world of the Indians and the world of the settlers. The most challenging concepts of the book are presented probably in the last chapter, which describes the clash between the Indian and the White ethnic identities. The Indian identity exists as an oppositional element in a world, already dominated by the settlers. In this sense Richter’s observation offers a historically sensitive and instrumentalist reading of one of the most disputed passages in American history. Perhaps his greatest contribution in this study is his ability to make the reader visualize historical events, and to question their depiction in conventional academic literature and fiction. Part II Seeing history from different perspectives is more than a projection of the past – it is a condition for understanding why the present looks the way it does. In this sense, retelling American history through the eyes of the Native people is important for understa nding it not only as a mixture of flat events, but as part of a broader historical tendency. By seeing history through the prism of the Native people, we gain a different perspective on their attempts to adapt their system of beliefs, social traditions and customs to the growing patterns of dominance, which were being established by the settlers. Richter raises this peculiar topic of adjustability in his observation

Do Markets Emerge or Are They Created By Firms Essay

Do Markets Emerge or Are They Created By Firms - Essay Example Whether by accident or design, when a firm appropriately guesses a latent need and develops novel offerings addressing unmet needs, new markets are created. Though innovative firms are not always profitable, new markets add value to society, and firm’s primary target is to capture some part of that value by exploratory strategies (Jacobides, 2003). The various mechanisms through which firms profit from their own activities associated with new product development include product features to attract buyers, price inelastic new markets, substitution of existing products with cheaper products, and development of capabilities for adaptation. Variation causes further variation, and the creation of product categories and process of organizational unbundling results in reduction of transaction costs setting grounds for new markets to be created (Anderson and Gatignon, 2005). Firms also create markets without developing new products through mere marketing and management activities, eve n for familiar products. For example, creation of outlets in disadvantaged regions creates new markets. The underlying principle to this concept is reducing transaction costs, and converting prospects into buyers (Anderson and Gatignon, 2005). ... The learning of consumers by using technologies or the change in consumption technology makes it very hard for firms to find or predict new markets on basis of merely abstract demand. Moreover, firms never rely on existing differences in tastes to develop markets, but strive hard to make tastes cohere transforming them into specific artifacts which may not always succeed eventually. Additionally, the arguments supporting creation of new markets through predicting demand are unable to justify the development of certain products and not others. Competition should result in firms converging to same product designs. Instead, there is enormous variation as observed in real markets (Sarasvathy and Dew, 2005). Firms own assets or have control over them, and ownership is the power which allows effective exercise of that control (Grossman and Hart, 1986). The major benefit of ownership is that it allows flexibility over decision-making and firm’s adaptability to changing environments ( Madhok, 2006). Ownership is regarded as one of the key variables in determining the performance or outcome of a firm. Research reveals that a positive relationship exists between managerial ownership and performance until a certain threshold level of ownership concentration. Beyond the threshold, performance may decline as managers often take advantage of the shared benefit of control to pursue their own interests and strategies (Neumann and Voetmann, 2003). The performance of firms tends to decline when ownership and control are separated, and increase with competition. However, firms having employee managers usually show better performance than owner managers in various sectors because owner managers inherit estates

Incorporating Telemedicine into a Surgical Practice

Incorporating Telemedicine into a Surgical Practice Kristen Harkey Complex wounds can create a challenge for the patient as well as the surgeon. The challenges faced include operative management, cosmesis, long-term management, effects on lifestyle for patient and caregiver, and self-image (Park, Copeland, Henry Barbul, 2010). Hospitalized patients will have the surgical team, the wound care specialist, and a bedside nurse to assist them in their daily care. When these patients are ready to leave the hospital they can feel anxiety about providing care for themselves, especially if they have a complex wound present. This anxiety can decrease once they learn how to care for themselves at home while having the readily available supplies, but then they must leave their homes to travel to come to the surgical office for a wound check. This can be a burden to not only the patient but their primary caregiver. The purpose of this paper is to introduce an evidence-based change project that focuses on providing patients with the option of telemedicine office visits. Background In 2010, approximately 51.4 million inpatient surgeries were performed in the US according to the National Center for Health Statistics (CDC/NCHS, 2010). Wound complications can be an important cause of postoperative morbidity following a laparotomy (Mizeell, Sanfrey, Collins, 2014). Acute wound care is needed in all patients with surgical and traumatic wounds, when an incision is made this creates a wound which will need further attention. There are a multitude of ways to address these wounds such as wet to dry dressings, dry packing strips, wound vac systems, and if needed further surgery such as a skin graft. These wounds can then become chronic when they have failed to proceed through the reparative process to produce anatomic and functional integrity in 12 weeks (Sen, 2009). Both acute and chronic wounds can become a significant financial burden on both the healthcare system and the patient’s themselves. Significance With the sheer number of surgeries listed above, this will create wounds that need to be managed appropriately. Not only are wounds created by surgery, they can also be created by trauma or massive soft tissue infections (Park, Copeland, Henry Barbul, 2010). Part of this management may be further surgical interventions to restore the fascia or possibly watchful waiting. In our facility in 2014, 3349 patients were evaluated by our wound care specialist. Of these 695 patients had surgically created wounds and approximately 656 were managed with wound vacs (G. Caldwell, personal communication, January 20, 2015). These patients will need to be followed in the outpatient setting for ongoing wound assessments, possible change in wound management, or further surgical intervention if indicated. The outpatient care to these patients will include discussions on proper nutrition to promote wound healing, activity levels, timing of dressing changes, and ongoing assessments of the wounds. It can create a significant burden to patient and caregiver to travel to office visits for ongoing assessment of the wounds which can take as little as ten to fifteen minutes to examine once they have arrived back to the exam room. This short office visit can create a significant burden to the patient and their caregiver, this burden can include ability to keep themselves clean throughout the trip, financial, and time-strain. PICO Question and Components Evidence-based practice (EBP) can be described as a â€Å"life-long problem solving approach to clinical decision-making that involves the conscientious use of the best available evidence with one’s own clinical expertise and patient values and preferences to improve outcomes for individuals, groups, communities, and systems† (Melnyk Fineout-Overholt, 2011). EBP will help to ensure high quality, safe, relevant, and up-to-date care while at the same time improving patient outcomes (Robb Shellenbarger, 2014). One of the ways to create EBP in a way that will yield the most relevant information from a search is to form a question in the PICOT format. The PICOT format is composed of the following: â€Å"P† will describe the patient population, â€Å"I† will reveal the intervention or issue of interest, â€Å"C† will reveal the comparison intervention or status, â€Å"O† will reveal the outcome, and â€Å"T† will reveal the time frame in w hich the intervention/issue of interest will accomplish the outcome (Melnyk Fineout-Overholt, 2011). For the purpose of this paper, the author will include all components listed except for time which will be addressed at another juncture. Population The population of focus will be outpatient postoperative patients in the home health setting. The patient population will be those with acute/chronic wounds, ages eighteen and up, both male and female patients with no restrictions on ethnicity. The wounds will likely be compromised of complex abdominal wounds, however no limit will be placed on the type/cause of the wound. The patient’s will live in North Carolina or South Carolina and reside within a 4 hour drive from Charlotte, NC. No restrictions will be placed on the agency providing home health services to the patient. Intervention Telemedicine is defined by the World Health Organization (WHO) to be the practice of healthcare using video, interactive audio, and/or data communications (Chanussot-Deprez Contreras-Ruiz, 2008). With the use of telemedicine the patients will be able to stay in their own home. This will also provide an enhanced team based approach because we will have both the patient, patient’s caregiver if applicable, and the home health nurse. This will provide accurate documentation of wound measurements. The appropriate wound care will then be provided by the home health nurse, and if applicable the wound vac will be re-applied. Comparison The comparison group will be a standard office visit. The standard office visit will consist of the patient and their caregiver coming to our surgical practice, in one of our two locations. The patient will be required to wait for their appointment time and wait as required for the provider to see them. If a wound vac is present, this will be removed in the office and will not be re-applied per standard operating procedures. The patient will have a temporary dressing replaced and will then need the home health nurse to come to their home upon their arrival to re-apply the wound vac. This consists of a standard office visit in our practice. Outcome The anticipated outcome, will be no effect on wound healing when using telemedicine. For the practitioner, one important aspect of examination of the wound is not only using your sense of sight but also your sense of smell. The smell of a wound can be indicative of necrotic tissue that requires further debridement or possibly a wound infection. This sense will be missing with telemedicine and the practitioner will need to rely heavily on the home health nurse for this aspect of assessment. Another outcome for this study will be increased patient satisfaction. The patient with a complex abdominal wound may have difficulty at baseline maintaining adequate coverage for the drainage, this is more of a challenge when you add frequent position changes associated with traveling to a health care provider’s office. In summary, a postoperative surgical patient will require care for the surgical wound in an outpatient setting. This care can be frustrating for the patient, the patient’s caregiver, and the home health nurse. With the addition of telemedicine to a surgical practice this will decrease the burden of traveling to a standard office visit as well as enhance multi-disciplinary care for the patient. It is the hope of the author that for complex wounds that remain difficult to manage in the outpatient setting, the inpatient wound ostomy nurses who provided care inpatient will be able to assist more in the outpatient setting by providing continuity of care. Conclusion With every surgery performed a resultant wound is created. Wounds can also be created by trauma or massive necrotizing soft tissue infections (Park, Copeland, Henry Barbul, 2010). The surgical wound can heal without difficulty and the patient returns to his activities of daily living, however a multitude of wound complications can occur delaying wound healing. Some wound complications will require further surgery, however due to the nature of these wounds surgery may need to be delayed for up to one year or longer. This can cause caregiver strain and for the patient can take away many of the freedoms we enjoy on a daily basis. As part of a standard office visit the patient is expected to arrange transportation to our office, wait for his/her appointment time, have their wound examined, and then if a wound vac is used they are expected to have this re-applied when they get back to their home by the home health nurse. With the addition of telemedicine to the patient’s postopera tive care, they would be able to have a multidisciplinary team visit them in the home using telemedicine resources. This would significantly decrease the burden travel can create for these patients with complex wounds. References CDC/NCHS National Hospital Discharge Survey (2010). Retrieved from  http://www.cdc.gov/nchs/data/nhds/4procedures/2010pro4_numberprocedureage.pdf Chanussot-Deprez, C. Contreras-Ruiz, J. (2008). Telemedicine in wound care. International  Wound Journal, 5(5), 651-654. Melnyk, B. Fineout-Overholt, E. (2011). Evidence-based practice in nursing healthcare: A  guide to best practice (2nd ed.). Philadelphia, PA: Wolters Kluwer|Lippincott Williams   Wilkins. Mizell, J., Sanfrey, H., Collins, K. (2014). Complications of abdominal surgery. Retrieved  from http://www.uptodate.com. Park, H., Copeland, C., Henry, S., Barbul, A. (2010). Complex wounds and their  management. The Surgical Clinics of North America, 90(6), 1181-1194.  doi: 10.1016/j.suc.2010.08.001 Rob, M., Shellenbarger, T. (2014). Strategies for searching and managing evidence-based  practice resources. The Journal of Continuing Education in Nursing, 45(10), 461-466. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T. K., Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair Regeneration, 17(6), 763-771. doi:10.1111/j.1524-475X.2009.00543.x Incorporating Telemedicine into a Surgical Practice Incorporating Telemedicine into a Surgical Practice Kristen Harkey Imagine presenting to the hospital for your planned cesarean section, a time of great anxiety and joy. During the procedure you unfortunately have a complication and an enterotomy (cut into the intestines) is made, but missed at the time. Hours later you develop increasing abdominal pain and a rash spreads quickly across your abdomen. Your healthcare providers explain you have an infection called necrotizing fasciitis and this requires further surgery to treat the condition. The individual then wakes up possibly weeks later with most of their abdominal wall, upper thigh skin, some muscle layers missing of both the abdomen and thigh, as well as stool draining from the middle of the wound. The individual is informed they have an enterocutaneous fistula that will likely not be able to be repaired for several months to a year. This person is finally able to transition home with their newborn, a gaping abdominal wound, stool draining from the wound, not allowed to have anything to eat or drink, and are attached to intravenous nutrition twenty-four hours a day. This would be overwhelming for the most health literate patient, much less an individual with limited resources and low health literacy. Our health can change quickly with an unexpected surgery that causes a complex surgical wound. This wound must be monitored closely in the outpatient setting to prevent further complications including loss of limb or possibly life. Typically the patient’s wound care has been provided in the home by a home health nurse. Subsequently the patient and family caregiver are then expected to travel to the doctor’s office for intermittent follow-up examinations of the wound over a weekly to monthly schedule which could last up to one year or more postoperatively. Leaving the patient’s home with these complex wounds can be a burden due to factors such as increased pain, time-consumption, financial costs, and possible embarrassment if the wound or ostomy appliance leaks. Some of this burden could be relieved with virtual visits. Overview of Problem of Interest In the United States 6.5 million individuals are affected with chronic wounds that require ongoing care (Sen et al., 2009). Patients are expected to travel to their healthcare provider’s office for follow-up examinations and sometimes this requires a long care ride, wait in the office, and then travel home. It is difficult to maintain a dressing on the wound in the most basic of circumstances, such as during times of everyday activity in their home. With the addition of traveling this can become an overwhelming and untidy endeavor while the healthcare provider will likely only spend minutes examining you. Due to this some patients will not come to their follow-up appointment and this can be detrimental to their health by prolonging wound healing, increasing risk for infection, and delay future surgical repairs. When the individual is at home, they require home health services for ongoing wound care as well as provision of supplies. The home health nurse sees the patient on a m ore regular basis than the healthcare provider and will call the providers’ office with important changes they note. Unfortunately this process may take several phone calls which takes valuable time for the home health nurse and increases wait time for care of the patient. Most patients have an expectation that surgery will help them heal or cure their disease. Unfortunately approximately 22% of patients may experience moderate to complete postoperative disability (Shulman et al., 2015). Home health nursing will provide some relief for the patient and a multidisciplinary approach is necessary to manage complex treatment modalities (Wilkins, Lowery, Goldfarb, 2007). In Carolinas Medical Center Main in 2014, 3229 patients had wound care provided by our wound ostomy care nurse team and of those 820 were surgical patients (G. Caldwell, personal communication, January 25, 2015). These are many of the patients that require ongoing care in the outpatient setting to prevent further complications. In the United States (US) in 2000, forty million inpatient surgical procedures were performed and at that time the need for post-surgical wound care was sharply on the rise (Chittoria, 2012). In the US the amount of money spent on wound care, diminished quality of life, and the loss of productivity for the individual and caregiver comes at a great cost to our society (Sen et al., 2009). Therefore it is in our best interest as providers to provide safe and effective care to our patients in the most convenient format for both the patient, caregiver, home health nurse, and the healthcare provider. Review of Literature One of the first steps to address a problem is reviewing evidence available to support the proposed intervention. Virtual care is currently being used in many different platforms such as urgent care, psychiatric care provided in ER’s, preventing readmissions in heart failure patients, and many other venues. The examination of acute and chronic wounds is one venue that has found success. In the plastic surgery population where visual exam is heavily relied upon for decision-making, telemedicine has been shown to have great potential. Gardiner and Hartzell (2012) performed a systematic review of twenty-nine articles. Twenty-eight of the articles noted a benefit including improved access to expertise and cost reduction through conserving hospital resources and avoiding unnecessary transfers (Gardiner Hartzell, 2012). Wallace, Hussain, Khan and Wilson (2012) had similar findings in the burn population where they noted improved assessment and triage, avoidance of unnecessary trans fers and a potential for health care savings when using virtual care. In the trauma population a 90% accuracy was noted in assessing traumatic plastic surgery injuries whether the practitioner was using bedside visual exam or transmitted digital images (Gardiner Hartzell, 2012). Wilkins, Lowery, and Goldfarb (2007) used their initial investigation to determine the feasibility of virtual wound care and then moved forward with performing a pilot study using a store and forward technique. At the time of initial referral the mean wound surface area was noted to be 5.85 cm2. Using virtual care the authors noted in 58.2% of the wounds, the diagnosis or treatment plan was changed. This change in diagnosis or treatment plan resulted in an average decrease of 58% from the initial wound size over an average time period of 40.2 days. The authors went on to note 95.5% of patients found telemedicine consultation more convenient than traveling and 98.2% of patients were either satisfied or very satisfied with the care they received (Wilkins, Lowery, Goldfarb, 2007). An article published in 2014 by Kidholm, Dineseen, Dyrvig, Rasmussen, and Yderstraede was noted to be the largest and most comprehensive research project to evaluate telemedicine effectiveness and costs for patients with chronic diseases. The results revealed telehealth reduced mortality with an odds ratio of 0.54. Mortality in the control group was noted to be 8.3% while the intervention group was 4.6%. The authors also noted a 10.8% lower hospital admission rates in the intervention group with an odds ratio of 0.82 (Kidholm, Dinessen, Dyrvig, Rasmussen, Yderstraede, 2014). Telemedicine may be applied to many different aspects of medicine, but a benefit has been shown in the examination and long-term treatment of wounds (Wilkins, Lowery, Goldfarb, 2007). Telemedicine has been shown to satisfy both the clinician as well as the patient, while continuing to provide quality care. Therefore a solution to the burden of traveling to the doctor’s office, decreasing financial strain, decreasing caregiver strain, and improving access to care are all potential benefits of providing care using virtual visits. Purpose of Project The purpose of incorporating telemedicine into our surgical practice is to provide our patients with the most efficient high quality care in the most appropriate setting for the patient. A standard office visit consists of the patient traveling to our office, being evaluated by the medical team, and then having to travel back to their home. This evidenced based project will allow the patient to stay in their own home and have the providers visit them via a virtual visit. Upon discharge from the hospital the patient will be evaluated for inclusion into the virtual visit program. If the patient is determined to meet the criteria including living in NC, using Healthy at Home to provide home health services and have a complex surgical wound; then an appointment will be made for the virtual visit. The home health nurse will proceed to the patient’s home at the assigned appointment time and use their tablet for the visit. The provider will then join the home health nurse in the virt ual setting and the patient’s wound will be evaluated. Appropriate changes in the treatment plan for the wound will occur and the provider will assure all questions/concerns are addressed with the patient, caregiver, and home health nurse. One desired outcome for this project will be to maintain a high level of patient satisfaction, as we do in our office. As providers, we would like to provide more efficient care and this may be possible by having one provider performing postop visits virtually while another provider evaluates new consults in the office. It will be important for this project to provide the same level of care that we provide in the brick and mortar office, as well as following all current standards of care. Project Management The facility where this project takes place is a Magnet facility. To receive this designation an organization must prove they have several key characteristics including empirical outcomes as well as integrating evidenced based practice and research into operational and clinical processes (American Nurses Credentialing Center, 2014). An important goal for our organization this year will be to provide care in new ways, one of which will be providing more opportunities for our patients to experience virtual care. This innovative project is meant to assure that we are improving quality, enhancing value and dealing with the complexity of health care today (Harris, Roussel, Walters, Dearman, 2011). Implementation Team The backbone of quality improvement work is the team and their teamwork (Ogrinc et al., 212). The team for this project will include individuals from different disciplines to ensure success. The author of this paper will serve as the operational lead on the project, assuring all aspects of the project are coordinated. Our administrative lead will be the practice manager for our outpatient sliding scale clinic. He will be able to assist the project in assuring we meet meaningful use standards as we do in the office, as well as building templates in our scheduling software, and facilitate changes in the organization. A management associate with the virtual care division will remain part of the team, as she has had past experience with implementing similar projects and has provided invaluable support. The next member of the team will be a member of the IT department and will assist the team in choosing the right technology/platform for this project. He will not only assist in the beginn ing stages of this project but will be a constant resource for ongoing IT support. The administrator for the home health agency will be a member of this team, she will provide information regarding her organization and provide us with establishing workflow for the home health nurse. This will be an important step as this project is meant to provide multidisciplinary care, however it will not be beneficial for it to provide more efficiency for our team but not the home health team. The chairman of surgery who also serves as the interim lead of the acute care surgery team, as well as the two surgeons who practice on the same service. This team will serve to bring virtual care visits to our surgical practice. Risk Management Strategy It is important to examine every project to identify external and internal items that either positively or negatively affect the project. One type of assessment that can be performed is the strengths, weaknesses, opportunities, and threats analysis (SWOT analysis). During the SWOT analysis the system is fully examined from the clinical micro to the macrosystem perspective (Harris, Roussel, Walters, Dearman, 2011). For this project some strengths noted include other departments within the facility using virtual visits and a department dedicated to assisting new groups to use this technology. Another strength is the patients included in this project will remain in the global ninety day postoperative fee which will not require reimbursement from insurance companies and keep the cost incurred limited. It is important to then examine some of the weaknesses which include removing a provider from an already overbooked clinic to participate in this project, the additional cost of the techno logy, and surgical postoperative care has not been provided in this manner in our facility prior to this. When further evaluating opportunities associated with this project, the ability to be the only surgical providers providing care virtually will set this team apart and appeal to more consumers and home health agencies. Another opportunity would be to include all home health care providers in our area and obtain licensure to be able to provide virtual visits in South Carolina. Some threats to this project include newer technology that hasn’t been tested, a good working relationship with the home health agency must be in place, and is it possible for the team to provide confidential care to our patients using virtual visit technology. Organizational Approval Process Initially this project was approved at the departmental level after multiple discussions with the chairman of surgery for the metro division of our healthcare system. Prior to proceeding to the IRB process, the facility requires submission of your proposal to the Nursing Scientific Advisory Council (NSAC). Once NSAC has evaluated a proposal fully and any revisions have been completed you may move forward with your submission to the IRB. Role of Information Technology in this Project Information technology will play an integral part of this project. Although virtual visits are used throughout the hospital system, they have not been incorporated into the surgical practices within our system. This project will include an IT tech to assist in choosing the best platform to serve our patient population while being user friendly for our home health nursing colleagues. It will be important for our platform to work well with the technology available to the home health nursing team. This will assure we are able to provide the best quality visit and address not only the provider’s needs, but also the home health team, patient, and caregiver. The project needs IT support for both the onsite provider as well as the home health team in the patient’s home. Plans for IRB Approval An institutional review board (IRB) is a committee that is mandated by the National Research Act, Public Law 93-948 and is required in institutions that conduct biomedical or behavioral research that involves human subjects (Harris, Roussel, Walters, Dearman, 2011). IRB approval will be sought for this project using the Carolinas Healthcare System’s IRB. The submission type will be expedited. This approach was chosen because it is evidenced based research and poses minimal human risk to the participants (Chatham University). Prior to approval by the IRB this project must be submitted to the NSAC therefore this will be performed in September 2015. Once approval has been obtained by the NSAC the information will then be submitted to the IRB for approval, likely in November 2015. This letter can be reviewed in Appendix A of this paper. References American Nurses Credentialing Center. (2014). Magnet model. Retrieved  fromhttp://www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model Chatham University. (n.d.). Institutional Review Board (IRB). Retrieved from  http://my.chatham.edu/tools/irb/ Chittoria, R. (2012). Telemedicine for wound management. Indian Journal of Plastic Surgery,  45(2), 412-417. Gardiner, S., Hartzell, T. L. (2012). Telemedicine and plastic surgery: A review of its  applications, limitations and legal pitfalls. Journal of Plastic, Reconstructive   Aesthetic Surgery: JPRAS, 65(3), 47–53. doi:10.1016/j.bjps.2011.11.048 Harris, J., Roussel, L., Walters, S., Dearman, C. (2011). Project planning and management:  A guide for CNLs, DNPs, and nurse executives. Sandbury, MA: Jones Bartlett  Learning. Kidholm, K., Dinesen, B., Dyrving., A, Rasmussen, B., Yderstraede, K. (2014). Results from  the worlds largest telemedicine project-The whole system demonstrator. EWMA journal,  14(1), 43-48. Ogrinc, G., Headrick, L., Moore, S., Barton, A., Dolansky, M., Madigosky,  W. (2012).Fundamentals of health care improvement: A guide to improving your  patients’ care(2nded.). Oakbrook Terrace, IL: The Joint Commission and the Institute  for Healthcare Improvement. Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T., . . . Longaker, M. T.  (2009). Human skin wounds: A major and snowballing threat to public health and the  economy. Wound Repair and Regeneration, 17, 763-771. Shulman, M. A., Myles, P. S., Chan, M. V., McIlroy, D. R., Wallace, S., Ponsford, J. (2015).  Measurement of Disability-free Survival after Surgery.Anesthesiology,122(3), 524-536.  doi:10.1097/ALN.0000000000000586 Wallace, D., Hussain, A., Khan, N., Wilson, Y. (2012). A systematic review of the evidence  for telemedicine in burn care: With a UK perspective. Burns, 38, 465-480. Wilkins, E., Lowery, J, Goldfarb, S. (2007). Feasibility of virtual wound care: A pilot study.  Advances in Skin Wound Care, 20(5), 275-278.

Essay --

ResearchTopic: Increased incidence of pressure ulcer cases. Researchable problem: What are the reasons for increases rate of pressure ulcers in WMW that is unknown? Problem statement: What are the effects of increased pressure ulcers on patient over the disease they were admitted for? Purpose: To determine the impact of increased rate of pressure ulcers to patients in Women’s Medical Ward in Labasa hospital. A Four- step Approach: What factors influence pressure ulcer patients that will enhance on mobility and self-care? What is the relationship between pressure ulcer and mobility? Will self-care and mobility decrease the number and severity of pressure ulcer patients? How can emotional support be used to mediate the suffering of patients with pressure ulcers? A Two-stage Approach: Who is the patient’s most suffering from pressure ulcers? What causes the risk having pressure ulcers? When do patients are prone to have and where do most pressure ulcers occur? Why do patients suffer from increased pressure ulcers? Refined Problem Statement: What are the effects and risk factors to have increased rate of pressure ulcers on patient ? Hypothesis: Increased incidence of pressure ulcers among immobilizing patient than mobilizing patient in Women’s Medical Ward. Pressure ulcer is defined as damage to the underlying tissue due to lesion caused by unrelieved pressure. In this there are reasons for pressure ulcers occurring hence the risk factors the adverse effects to pressure ulcer. Literature review 1 Causes of pressure ulcers Citation: Workman, B. A., & Bennett, C. L. (2003). Key nursing skills. UK: Bell and Bain ltd, 85-87 In this study the researcher examined about the third problem arising in a patient that was studied upo... ...is, decubitus ulcers with systemic. To relief of pressure and reduce the susceptibility of pressure ulcers due to circulatory interference with the arterial blood supply or venous return. By changing the patient’s position frequently, as often as every 2 hours.To reduce constant pressure on a body part. To maintain the skin integrity dressings are to be changed frequently to prevent damage to the skin. As it is discussed due to immobility of patient is one of the risk factor of this complication together with poor nutrition status hence protecting the skin from damage and managing the incontinence as well as proper diet and nutrition is discussed as an early intervention as one of the preventative measures rather than suffering the consequences .In this due to immobility is accentuated as one of the most paramount factors relating to development of pressure sores.

IMPACT OF MEDIA ON YOUNG GENERATION’S DEPORTMENT Essay

INTRODUCTION. Information is an essential input for decision making while media is an important source of such information. Media including print media and electronic media is an excellent mode of communication, entertainment and information which exert different impacts on different people depending upon their age and perception. A mature person will perceive things differently whereas a child or an adolescent will perceive it differently because his mind is in the process of formation. Children try to adapt things immediately whatever they will see on television or internet, whether it’s smoking or fighting by the famous actors, or sometimes they just follow it as trend. Media is increasingly pervasive in the lives of children and adolescents. However, until now there has been very little comprehensive analysis of the different research tracking the impact of media on children’s health. In 80% of the studies, greater media exposure is associated with negative health outcomes for ch ildren and adolescents (Commonsense Media, 2008). These negative health outcomes include child obesity, drug use, alcohol use, low academic achievement and attention deficit hyper activity disorder (ADHAD). While there are many factors that contribute to negative health results for children, media is a crucial one. It also affects the aggressive behavior of a teenager through violence in movies and video games as it has a strong potential to affect the norms of a society. see more:pros and cons of social media essay Objectives of the study: This study is an effort to evaluate different impacts of media on young generation whether they are positive or negative in nature. This study also focuses on how media is affecting Pakistani youth’s demeanor and its impact on Pakistani culture, religion and societal norms. LITERATURE REVIEW. Violence and sex shown on television results in higher rate of crimes and encourages antisocial behavior. This is especially apparent in the U.S.A and other western countries. Many criminals own up that their violent actions or attitudes to women were result of TV. The rate of such crimes is continuously rising and more often they are committed by teenagers. They easily get affected to violence and various stereotypes shown through TV, because the outlook of young people is in the process of formation. Television’s impact on the ethics of the younger generation can affect the future of our society negatively. According to the statistics, the average child watches 26 hours a television per week affecting family relations by reducing dialogue, and even having an impact on health by dispiriting exercise. Violence, aggression, crimes and wars are broadcast through the daily news as well as in movies, showing gloomy pictures that encourage mental tension, pessimism and negative emo tions (Jurgita Venckute, 2003) A UK study focused on children aged (9 – 13), as this was the age group where parents were least assured about appropriate TV consumption. Responses showed that children have a consistent world view which is different from that of adults, and violent images are seen within this perspective. These children, aged 9 – 13, were able to distinguish between ï ¬ ctional and ‘real’ violence. Children responded most to violent images where there were negative physical and emotional consequences. The older children had a clearer understanding of the potential consequences of violence. Children differed from adults in their expectation of a level of security and protection, and they looked to adults for this protection. Violence in media has a negative effect on mental state of children. (Andrea Millwood Hargrave, 2003) Many well controlled and randomized experiments have examined how exposure to violent TV, film media affects aggression of youth of all ages. Brief exposure to violent dramatic presentations on TV or in films causes short-term increases in youth’s aggressive feelings, emotions and behavior, including physically aggressive behavior serious enough to harm others. Total amount of TV watching was assessed at the ages of 14 and 22. The more time they spend watching violence on television the more is  their aggressive behavior. (Craig A Anderson et al, 20 03) Media is increasingly penetrating in the lives of children and adolescents .In 80% of the studies; greater media exposure is associated with negative health outcomes for children and adolescents. Meta-analysis of the best studies on media and child health published in the last 28 years clearly shows the connection between media exposure and long-term negative health outcomes, especially childhood obesity, tobacco use, and sexual activity. Studies show that more exposure to scenes with alcohol use in movies is associated with early-onset teen drinking. Media exposure also has an impact on low academic achievement and Attention Deficit Hyperactivity Disorder (ADHD). (Common sense media, 2008) Media has a disturbing potential to negatively affect many aspects of children’s healthy development, including weight status, aggressive feelings and beliefs, consumerism and social seclusion. Media also has potential for positive effects on child health. We need to find ways to maximize the role of media in our society, taking advantage of their positive qualities but and minimizing their negative ones. The ultimate goal is to reach youth with positive messaging. Accepting media r ather than trying to offset and it promises to be an effective tool in shaping the behavior of children and adolescents. (Munni Ray and Kana Ram Jat, 2008) There is serious association between violence in the media and the appearance of seriously violent behavior among older children and teenagers in a nationwide sample. (Michele L.yebarra et al, 2008) Television has become so powerful that it plays a decisive role in shaping the attitude, moral fiber, individuality and the ability of the youth to look at the things. But regrettably, the things are not going right. Television channels have adopted the policy of telecasting the cheap and sensational programs that will attract more and more youngsters to them. The interest of these channels is just money-making and economic. The television channels are busy in displaying violence, mysteries of murders, human capacity of committing crimes and some other things which definitely have negative impact on our present generation. Children are exposed to huge amount of violence and aggressiveness leading to deterioration of mentality of youth. (Carmela Lomonaco et al, 2010). There is extensive exposure of young US adolescents to movies with tremendous graphic violence from movie rated for violence and there are a lot of questions about the effectiveness of the current  movie-rating system. (Kielah A. Worth et al, 2010) Media has the greatest impact on young generation as compared with the family or school because teenagers spend more time watching television, using cell phones, doing internet surfing o r using any other source of media. All these affect teenagers in various aspects like culture, politics, social life, religious conviction, style, education and other interests. Apart from this media represents important source of enrichment and education for young generation as they receive variety of informal education from various sources like electronic libraries and internet etc. Media is also a source of entertainment. Still, media does not always inform and manipulate teenagers on a positive way, because it also represents a resource of violence through movies or news. (Cristina Nuta, 2011) â€Å"The internet and a large number of TV channels are working day and night to promote vulgarity and immorality. Undoubtedly, media aids to research and development, but illiteracy limits the users’ abilities to acquire knowledge oriented benefits. Especially children lack the abilities to make accurate judgment of the benefits and harms of the information being fed to them and hence consciously or unconsciously accept it as a truth of life†. (Muhammad Iqbal Zaffar, 2003) The author wrote the article by the name, â€Å"Youth and role of media in Pakistan† to analyze the negative and positive media effects casted on the youth of Larkana city. He reported in the article that, â€Å"Since a couple of decades print media mainly Sindhi print media has replaced the other languages of print media including Urdu due to many reasons including low cost, powerful influence of Sindhi language and non availability of network in far flung areas. Unfortunately the youth developmental issues are not the key information of many media resources. Therefore, youth behavior is influenced by violence, global media prejudices and other negative values. Maladaptive, drug abuse, violence and local tribal conflicts reports on media are adversely impacting the youth†. He concluded, â€Å"There is need to promote the positive impact of media by guiding and advocating the thematic standards in media†. (Zulifqar Ali Rahujo, 2007) Iram Arif in collaboration wit h Dr. Muhammad Ashraf Khan conducted research study on the subject, â€Å"Media imperialism and its effect on culture of Pakistan†. The main objective of the study was to examine the nature of cultural globalization  through media and its effects on national and local culture with special reference to Pakistan in the shape of effects on the youth of Multan. She tested the hypothesis, â€Å"The greater the exposure to the satellite/cable TV Entertainment programs, the greater the effects of foreign culture on our youth & cultural identity†. In the light of the survey findings, the researcher concluded, â€Å"The foreign media channels on cable TV are adversely affecting Multan’s youth mindsets, although the adoption of such an attitude is bit slower as compared to other mainstream cities of Pakistan because Multan is renowned as a city of Saints with the decade’s long history of tradition and culture†. (Dr. Muhammad Ashraf Khan, Iram Arif, 2009) Dr. Muhammad Wasim Akbar conducted the research study with the title, â€Å"Cultural invasion of western media and Muslim societies†. He presented his report in the words, â€Å"Waves of western culture equipped with secularism and materialism are heading towards the Muslim societies very rapidly. There is a wave of these attacks in the form of computer, intern et, TV, Cable network, films, magazines, etc. As the developed countries are the architects of the modern age, they want to dominate over the pious Muslim civilization by replacing it with their free society and culture†. He quoted the suggestion of Mansoor Jaffer as a solution to the problem which is, â€Å"It is the need of the day that Muslim countries should formulate communication policy for all media institutions under such policies which could reflect Muslim culture in true sense†. (Dr. Muhammad Wasim Akbar, 2009) Problem Statement: â€Å"Is today’s media impacting our youth in a constructive or a destructive manner?† Variables of Concern: Independent variable. Intervening variable. Dependent variable. Moderating variable. â€Å"Proper parental guidance minimizes the probability of negative media influence on young generation’s deportment which occurs through today’s media meretriciousness and gaudiness†. Hypothesis:  Ã¢â‚¬Å"Greater the degree of meretriciousness/gaudiness in today’s media, greater  will be the probability of negative influence on young generation’s deportment†. RESEARCH METHODOLOGY. Hypothesis Testing Study: We will be conducting a hypothesis test study in order to explain the relationship between our dependent variable (meretriciousness in media) and independent variable (young generation deportment) and also to test our hypothesis i.e. â€Å"Greater the degree of meretriciousness/gaudiness in today’s media, greater will be the probability of negative influence on young generation’s deportment†. Correlational Study: We will be using a correlational study as we are interested in delineating the important variables associated with our problem i.e. negative media impact on our young generation’s deportment. Minimal Interference by the Researcher: We will be conducting correlational study with minimal interference i.e. we will be only administering questionnaires during normal flow of work. No further interference will be made. Non-Contrived Study Setting: We will be conducting correlational study in a non-contrived setting. Groups As Unit of Analysis: Our unit of analysis is â€Å"Group† for media impact being studied on young generation’s deportment. Data Collection: Primary and secondary data will be collected. Sample Size We are making use of sample size of 50, that is, we will administer our questionnaire survey to 50 respondents most conveniently available mainly youth ( above 16 years and below 25 years of age) and the provided responses will then be analyzed with the help of â€Å"SPSS† in order to reach at any appropriate/sound conclusion. References: Andrea Millwood Hargrave (2003), â€Å"How children interpret screen violence† British Broadcasting Corporation. Craig A Anderson et al (2003), â€Å"The Influence of Media Violence on Youth†, psychological science in the public interest Vol.4, pg 81-110 Common Sense Media (2008), â€Å"Media + Child and Adolescent Health†, A Systematic Review. Brett Brown , Pilar Marin (2008), â€Å"the school environment and adolescent well-being: beyond academics†, Child trends Brief Research Michele L yebarra et al (2008), â€Å"Linkages between Internet and Other Media Violence with Seriously Violent Behavior by Youth.† Pediatrics 122(5):929-937. Munni Ray and Kana Ram Jat (2010), â€Å"Effect of Electronic Media on Children† Indian Pediatrics 2010; 47: 561-568 Carmela Lomonaco et al (2010), â€Å"Media Violence†. Kielah A.Worth et al (2010), â€Å"Exposure of U.S. Adolescents to Extremely Violent Movies.† Pediatrics 122(2):306-312 Muhammad Iqbal Zafar et al (2003), â€Å"Media influence on social component of human personality† Pakistan journal of information & technology. Zulfiqar Ali Rahujo (2007), â€Å"Youth and role of media in Pakistan† Dr.Muhammad Ashraf Khan and Iram Arif (2009), â€Å"Media imperialism and its effect on culture of Pakistan† Global media journal. Dr. Muhammad Wasim Akbar (2009), â€Å"Cultural invasion of western media and Muslim societies† Global media journal

What Xenophobia Is With Examples

What Xenophobia Is With Examples Xenophobia is as ubiquitous as the common cold. It shapes public policy, drives political campaigns and even sparks hate crimes. Yet, the meaning of this multi-syllabic word remains a mystery to many of the people who adopt xenophobic attitudes or find themselves subjected to them. This review of xenophobia illuminates the practice with a definition, contemporary and historical examples and an analysis of how xenophobia intersects with racism. What Xenophobia Is Pronounced zeen-oh-fobe-ee-ah, xenophobia is the fear or contempt of foreign people, places or things. People with this â€Å"fear† are known as xenophobes and the attitudes they have as xenophobic. While phobia refers to fear, xenophobes aren’t scared of foreign people in the same way that a person with arachnophobia fears spiders. Instead, their â€Å"fear† can best be compared to homophobia, as hatred largely drives their repulsion to foreigners.   Xenophobia can occur anywhere. In the United States, known for being the land of immigrants, a number of groups have been the targets of xenophobia, including the Italians, Irish, Poles, Slavs, Chinese, Japanese and a variety of immigrants from Latin America. As a result of xenophobia, immigrants from these backgrounds and others faced discrimination in employment, housing, and other sectors. The U.S. government even passed laws to restrict the number of Chinese nationals in the country and to strip Japanese Americans from the country’s coasts. The Chinese Exclusion Act and Executive Order 9066 More than 200,000 Chinese nationals traveled to the U.S. after the gold rush of 1849. In a three-decade period, they became 9 percent of California’s population and a quarter of the state’s labor force, according to the second volume of America’s History. Although whites excluded the Chinese from higher-wage jobs, the immigrants from the East made a name for themselves in industries such as cigar-making. Before long, white workers came to resent the Chinese and actually threatened to burn the docks from which these newcomers arrived in the U.S. The slogan â€Å"The Chinese Must Go!† became a rallying cry for Californians with anti-Chinese biases. In 1882, Congress passed the Chinese Exclusion Act to halt the migration of Chinese nationals into the U.S. America’s History describes how xenophobia fueled this decision. â€Å"In other parts of the country, popular racism was directed against African Americans; in California (where blacks were few in number) it found a target in the Chinese. They were an ‘infusible’ element who could not be assimilated into American society, wrote the young journalist Henry George in a famous 1869 letter that made his reputation as a spokesman for California labor. ‘They practice all the unnameable vices of the East. [They are] utter heathens, treacherous, sensual, cowardly and cruel.’† George’s words perpetuate xenophobia by casting the Chinese and their homeland as vice-ridden and, thus, threatening to the U.S. As George framed them, the Chinese were untrustworthy and inferior to Westerners. Such xenophobic opinions not only kept Chinese workers on the sidelines of the labor force and dehumanized them but also led to U.S. lawmakers banning Chinese immigrants from entering the country. The Chinese Exclusion Act is far from the only U.S. legislation passed with xenophobic roots. Just months after the Japanese bombed Pearl Harbor on Dec. 7, 1941, President Franklin D. Roosevelt signed Executive Order 9066, allowing the federal government to force more than 110,000 Japanese Americans on the West Coast from their homes and into internment camps. He signed the order under the guise that any American of Japanese descent was a potential threat to the U.S., as they could join forces with Japan to commit espionage or other attacks against the country. Historians point out, however, that anti-Japanese sentiment in places such as California fueled the move. The president had no reason to view Japanese Americans as threats, especially since the federal government never linked any such person to espionage or plots against the U.S.   The U.S. appeared to make some headway in its treatment of immigrants in 1943 and 1944, when it, respectively, repealed the Chinese Exclusion Act and allowed Japanese American internees to return to their homes. More than four decades later, President Ronald Reagan signed the Civil Liberties Act of 1988, which offered a formal apology to Japanese American internees and a payout of $20,000 to internment camp survivors. It took until June 2012 for the U.S. House of Representatives to pass a resolution apologizing for the Chinese Exclusion Act. Proposition 187 and SB 1070 Xenophobic public policy isn’t limited to the anti-Asian legislation of America’s past. More recent laws, such as California’s Proposition 187 and Arizona’s SB 1070, have also been labeled xenophobic for striving to create a sort of police state for undocumented immigrants in which they’d constantly be under scrutiny and denied basic social services. Named the Save Our State initiative, Prop. 187 aimed to bar undocumented immigrants from receiving public services such as education or medical treatment. It also mandated teachers, healthcare workers, and others to report individuals they suspected of being undocumented to the authorities. Although the ballot measure passed with 59 percent of the vote, federal courts later struck it down for being unconstitutional. Sixteen years after the controversial passage of California’s Prop. 187, the Arizona legislature passed SB 1070, which required police to check the immigration status of anyone they suspected to be in the country illegally. This mandate, predictably, led to concerns about racial profiling. In 2012, the U.S. Supreme Court ultimately gutted some parts of the law, including the provision allowing police to arrest immigrants without probable cause and the provision making it a state crime for unauthorized immigrants not to carry registration papers at all times. The high court, however, left in the provision allowing authorities to check a person’s immigration status while enforcing other laws if they have reasonable cause to believe the individuals reside in the U.S. illegally. While that marked a small victory for the state, Arizona suffered a highly publicized boycott because of its immigration policy. The city of Phoenix lost $141 million in tourism revenue as a result, according to the Center for American Progress.   How Xenophobia and Racism Intersect Xenophobia and racism often coexist. While whites have been targets of xenophobia, such whites usually fall into the â€Å"white ethnic† category- Slavs, Poles, Jews. In other words, they’re not white Anglo-Saxon Protestants, the Western Europeans historically deemed as desirable whites. In the early 20th century, prominent whites expressed fear that white ethnics were reproducing at higher rates than the WASP population. In the 21st century, such fears continue to be raised. Roger Schlafly, son of Phyllis Schlafly, founder of the conservative political group Eagle Forum,  Ã‚  expressed his dismay in 2012 about a New York Times article that covered the rise of the Latino birthrate and the dip in the white birthrate. He lamented the growing number of immigrants with little in common with the 1950s American family, which he describes as â€Å"happy, self-sufficient, autonomous, law-abiding, honorable, patriotic, hard-working.†   In contrast, according to Schlafly, Latino immigrants are transforming the U.S. to its detriment. They â€Å"do not share those values, and †¦ have high rates of illiteracy, illegitimacy, and gang crime, and they will vote Democrat when the Democrats promise them more food stamps.† In short, because Latinos aren’t 1950s WASPs, they must be bad news for the U.S. Just as blacks have been characterized as welfare dependent, Schlafly argues that Latinos are too and will flock to Democrats for â€Å"food stamps.† Wrapping Up While white ethnics, Latinos and other immigrants of color face negative stereotypes, Americans typically hold Western Europeans in high regard. They praise the British for being cultured and refined and the French for their cuisine and fashion. Immigrants of color, however, routinely fight off the idea that they’re inferior to whites. They lack intelligence and integrity or bring disease and crime into the country, xenophobes claim. Sadly, more than 100 years after the passage of the Chinese Exclusion Act, xenophobia remains prevalent in U.S. society.

Robert F Kennedy vs Francis Broadhurst Essays

Robert F Kennedy vs Francis Broadhurst Essays Robert F Kennedy vs Francis Broadhurst Essay Robert F Kennedy vs Francis Broadhurst Essay Authors demonstrate their arguments in many ways. Writers differ in their organization, mode of discourse, and style in making their arguments. An example is of Robert F. Kennedy Jr. and Francis Broadhursts essays on the Cape Wind project. The respective essays are of the same topics but with opposing views. Both opinions are neither right nor wrong, it depends on how well the writer supports his case. Kennedy uses descriptions and examples to draw in the reader, while Broadhurst uses statistical evidence and studies to illustrate his point. Facts and research are powerful when speaking to scientists and politicians. But to the average reader and tourists that visit or live in the Nantucket Sound area, the pathos reasoning is far more relatable and hits close to home thus, it is more appealing. Ultimately, Kennedys An Ill Wind off Cape Cod makes a stronger and more effective argument because he can manipulate his readers prospective and outlook on the topic of the Cape Wind project through the organization of the essay, the mode of discourse, and the style in which the essay is written in. Kennedy first begins to create an image of the effects of turbines in Nantucket sound by organizing his essay in a cause and effect style. Kennedy explains the Cape Wind project to his audience, Cape Winds proposal involves construction of 130 giant turbines whose windmill arms will reach 417 feet above the water and be visible for up to 26 miles. This is the cause. The effect is that the turbines will need flashing lights to warn the airplanes and boats that they are in the path of a turbine. And as Kennedy puts it, Hundreds of flashing lights rom the turbines will steal the stars and nighttime views. The turbines will wreck the views of Nantucket Sound, seeing that they will be inescapable; able to be seen and heard from miles away. Another effect the turbines will have is the economy. First of all, the area will lose many of its small businesses like hotels, motels, whale watching tours, and many more due to the decline in tourism that the wind turbines will cause. It is estimated that 2,533 jobs will be lost (using a study from The Beacon Hill Institute at Suffolk University). Secondly, Nantucket Sound is an affluent fishing area. There are hundreds of fishing families in the areas where the Cape Wind project would be built. These families make half their annual income from catching fish. The family-owned businesses will be destroyed from the risk that their gears will become trapped in the cables of the 130 towers. The collapse of the fishing and tourist businesses will cost the local economy over a billion dollars. The cause and effect method is successful in Kennedys essay because the reader can fully understand what the problem is and why it is a bad idea. Furthermore, Kennedy chooses an argumentative mode of discourse. He takes a position on the issue and stands by it. Kennedy opposes the idea of the Cape Wind project on Nantucket Sound. His essay is set up like a persuasive essay. Kennedy begins with exposing his main argument, while acknowledging the other side. He writes As an environmentalist, I support wind power, including wind power on the high seas But I do believe that some places should be off limits to any sort of industrial development. I wouldnt build a wind farm in Yosemite National Park. Nor would I build one on Nantucket Sound Then, Kennedy provides examples and descriptions, one after another. The examples are the body paragraphs of the persuasive essay. They are the reasons and the descriptions are the details that support the examples. The descriptions only strengthen the reasons by adding a sense of reality to the reader because now he or she can visualize it. Kennedy rationalizes that Nantucket Sound is among the most densely traveled boating corridors in the Atlantic. The detail that he supports the reasoning is that the towers will be close to the main navigation channels for cargo ships, ferries, and fishing boats. And because the area is infamous for their fogs and storms, collisions are inevitable. In this way, it is very difficult to not agree with Kennedy, especially because there are consecutive paragraphs that supply the audience with so many examples. Each one is more intense than the last; it starts out with Kennedy pointing out the monetary irresponsibility of Cape Wind and ends with arguments that the turbines impact the local economy and the environment of the Cape region. Kennedy then has concession paragraphs that give points about what his uncle did to help preserve Nantucket Sound and why it needs to be preserved. He agrees that there should be something done to reap the same benefits as the Cape Wind project and suggests alternatives, such as the Scottish deep-water wind project that is also mentioned in Broadhursts essay. The argumentative mode of discourse is makes the essay a powerful case because Kennedy provides reasons for rejecting the wind turbines. The line between an opinion and a legitimate argument is how one defends himself. Kennedy proves to his readers that he can justify his case. Kennedys writing style was big in developing his argument. His use of descriptive language is consistent throughout the entire essay. A very large part in the essay was Kennedys practice of descriptive language and imagery to make his emotional case. The reader can not but be moved when he says, The humane society estimates the whirling turbines could every year kill thousands of migrating songbirds and sea ducks, or when he makes an ardent petition about the charm and appeal of Cape Cod. His central argument is that wind turbines would desecrate the natural beauty of Nantucket Sound and in turn, have adverse effects on the region. Kennedy writes, There are those who argue that Cape Cod is far from pristine and that Cape Winds turbines wont be a significant blot. I invite these critics to see the pods of humpback, minke, pilot, finback, and right whales off Nantucket, to marvel at the thousands of harbor and gray seals lolling, to chase the dark clouds of terns and shorebirds descending over the thick menhaden schools exploding over acre-sized feeding frenzies of striped bass, bluefish, and bonita. He rebuts his opponents allegations using lucid descriptions of Cape Cods magnificence. Kennedy uses description as an extremely effective and central part of his argument against the Cape Wind turbines. The illustration of windmills as instruments of demolition allows him to persuade the readers that the massive wind turbines can destroy the utopian Nantucket Sound. As a result, Kennedy is able to guilt the reader into supporting his anti-Cape Wind position. Kennedy is so successful because he reaches his audience emotionally and tricks them to feel that if they are supporting Cape Wind, they are also supporting a felony against nature in Nantucket Sound itself. Lastly, Kennedys second apparent writing style was the application of a specific tone in his essay. Kennedys enthusiasm and passion for the topic clearly shows throughout the essay, and only adds to his strategy of appealing to the audiences emotions. The passages in which Kennedy discusses the turbines possible impact on fishermen and describes the aesthetic of Cape Cod show that this is an issue that is very close to him. This topic is something that he obviously really cares about, and that helps Kennedy establish his credibility with the reader. He passionately describes the area, I urge them to come diving on some of the hundreds of historic wrecks in this graveyard of the Atlantic, and to visit the endless dune-covered beaches of Cape Cod, our fishing villages immersed in history and beauty, or to spend an afternoon netting blue crabs or mucking clams, quahogs and scallops by the bushel on tidal mud flats He uses words and phrases like beauty and endless dune-covered beaches to draw in the reader and lets them know that he, himself, is very fond of Nantucket Sound. However, there is always a hint of antagonism in his tone; it especially shows when he addresses his critics. He uses words like I invite and I urge to refer to them. The use of the hortative expresses that Kennedy truly wants to prove to the critics that they are wrong. Kennedys tone throughout his piece further permit him to emotionally inspire the audience and consequently, he pulls the reader to his side of the dispute. Kennedys strategy in this essay is clear. He targets the audiences emotions and sympathy in order to win over their vote in opposing wind turbines and he is able to do this through his cause and effect organization, his argumentative mode of discourse, and in his tone and use of imagery. Kennedys essay is well written and successfully defends the argument against wind turbines.

Ciscos Product Grant Program Case Study Example | Topics and Well Written Essays - 3000 words

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