Nursing research Essay Example | Topics and Well Written Essays - 250 words - 29

Nursing research - Essay Example The third thing that I have learned in this course is the approaches of improving HCAHPS scores in an organization. In line with this, I will use this lesson in my workplace to ensure that my facility improved its scores. On the other hand, another thing that I have learned is the development of an action aid plan that aimed at achieving the objective of raising the HCAHPS scores. In line with this, I am going to design an action aid plan and inculcate all the elements such as the objectives, processes that should be addressed, the timeline of implementation, cost-benefit ratio, and the financial implications of the action aid plan on the organization and patients. Finally, I have learned about the important role played by the aspects of monitoring and evaluation of a program its implementation my workplace. In line with this, I will ensure that I monitored and evaluated a program during its implementation stage in order to take corrective measures or make decisions regarding the fut ure of the

DELL Essay Example | Topics and Well Written Essays - 1250 words - 1

DELL - Essay Example The most disappointing thing was the location of the launch as the Chinese got the first experience being the aim market for Dell; evidently, this itself was substandard for the people in the west (Camp 2012). All the same, the phone looked splendid with a rare design; moreover, it had a built-in receiver and ran on an Open Mobile System. Once people heard about these and other features, the interest faded slowly; naturally, for a leading computer technology company, one would expect features such as 3G circuitry in an android phone manufactured in China. Most of the consumers also lamented about the lack of Wi-Fi in the smartphone; in fact, the only type of wireless network that the device had was Bluetooth. The touchscreen was better off with a screen resolution greater than that of the iPhone; appreciably, the camera was standard but not top class. However, to add on to the problems, the device lacked a favorable keyboard, which was disappointing as the iPhone and android Samsung phones launched before it had the same problem thus people expected an improvement on this model. Generally, the Dell Mini i3 smartphone was a downfall for the company and the only reason very few considered it was because of impressive features such as Micro SD card slot or the USB port. Essentially, Dell China and China Mobile faced the greatest challenge then, due to a lot of criticism; however, Dell took almost all the blame because this was their first smartphone and it seems China Mobile was not in support of launching the project because no updates have come up (Camp 2012). Decisively, Dell requires a new and unique smartphone to redeem the company as a whole and that particular division, definitely, the new gadget, better than the latest iPhone or android Samsung phones will meet the customers’ needs and act as a foundation for corporate social responsibility and

Breast Cancer Gene Mutations Biology Essay

Breast Cancer Gene Mutations Biology Essay Breast Cancer affects nearly 1 in 4 women in the United States each year. Cancer is the uncontrolled growth of abnormal cells in the body. Breast cancer is a form of cancer that originates in the tissues of the breast. Using the latest technology researchers have determined that there is a specific line of genes linked to breast cancer, breast cancer (BRCA) 1 and BRCA 2 genes. The ability to test a patient for these breast cancer genes will help lead to better diagnosis and treatment for those with the gene. Often breast cancer will start from a single abnormal cell that grows into a benign tumor (Mader123). The tumor originates in the milk duct, where an extra lining of cells is formed that fills the ducts, this is known as ductal carcinoma. Another form, lobular carcinoma is when the cancer begins in the lobules, which are the glands that make the milk. Breast cancer is most common in females; however, males can still have breast cancer. In women it is recommended to be screened for breast cancer via self examination or mammograms, depending on age. Women who are over the age of forty are recommended to have a mammogram done every one to two years. Age is another risk because as a person gets older their risk increases. Race and ethnicity is another risk factor; white women are more at risk for breast cancer than African American women. Only about 5% to 10% of breast cancer cases are thought to be hereditary, resulting directly from gene defects inherited from a parent (cancer.org). Breast cancer can be classified by either BRCA 1 or BRCA 2 gene, which defines the mutation of the breast cancer gene. This form of breast cancer is considered genetic, which is when one dominate gene is passed onto subsequent generations and can result in the BRCA 1 or BRCA 2 gene. There are genes that can help with DNA repair, but in this case it is not a damaged gene it is mutated and cannot be repaired. Females who are heterozygous for the BRCA 1 mutation have a higher risk of getting breast cancer. The gene loci for BRCA 1 gene can be found on the 27th chromosome, it is known as a tumor suppressor gene that provides the blueprint for protein that breaks cellular growth**. Families who have history of breast and ovarian cancer have a strong occurrence of the BRCA1 gene and as a result there is a high risk for breast and ovarian cancer. Individuals that do have a family history of breast and ovarian cancers tend to acquire these cancers at a young age or acquire the more aggressive forms. The gene loci for the BRCA 2 gene is found on the 13th chromosome; although breast cancer is rare in men, this gene tends to affect males at a higher rate. The gene for BRCA 2 is not expressed as often as BRCA 1, and families who carry this gene tend to be at a lower risk for developing cancer. Men who carry the BRCA 2 mutations are at a higher risk of developing breast cancer by age 70. Breast cancer is more commonly found in families with high male and female breast cancer occurrences. Breast cancer can also be related to ethnic background and specifically families who are of Jewish decent tend to be more likely to develop breast cancer due to a high mutation rate. Prevalence of BRCA1 and BRCA2 mutations in different ethnic groups in the  U.S. BRCA1 Asian American 0.5% African American African American 1.3-1.4% Caucasian Caucasian (non-Ashkenazi Jewish) 2.2-2.9% Hispanic 3.5% Ashkenazi Jewish 8.3-10.2% Adapted from National Cancer Institute materials  [5]. Figure : Prevalence of BRCA1 and BRCA2 mutations in different ethnic groups in the U.S. (komen.org) This table shows the percentages of the different ethnic groups and their chance of developing the BRCA1 or BRCA2 gene. Men or women who are considered to be at high risk for breast cancer have the option to be tested. A person is considered to be at high risk if there are two or more family members that have had breast or ovarian cancer. The test for the breast cancer gene is a blood test that checks the DNA to see if there is a mutation in the BRCA 1 or BRCA 2 gene. A positive result of this test means that the patient has inherited the mutated gene. It is not definitive that the patient will get breast cancer as it requires unidentified environmental factors in order for the cancer to develop. However, a positive result means that the patient can pass the mutated gene to their children. If a person receives a negative result of having the breast cancer gene, it does not necessarily mean that they are not at risk for breast cancer, it means that they do not have the gene. In fact, 90 to 95 percent of breast cancer is not a result of BRCA 1 or BRCA 2, and 5 to 10 percent of women have the heredity fa ctor of breast cancer (Schnipper221). Also, The child of a parent who has a positive gene has a 50 percent risk of inheriting the mutation (Schnipper223). Testing for a genetic inheritance of the gene can be very helpful for families to know if they are carrying the mutated gene, and it can also be upsetting to the families who are affected. If a test comes back positive for the gene it will put other members of the family at risk for carrying the gene. Breast cancer heredity is very rare and it does not occur in every family. Age and ethnic background play a huge role in determining if you have a higher risk of carrying the gene. If a Jewish woman younger than 40 has breast cancer, there is about a 33% chance that they will be a carrier of the gene. While those who are not Jewish and have breast cancer before 30 have a 12% chance of having a mutation (Love108). This illustrates that the genetic test is not a good determinant of risk for cancer. Positive results from the breast cancer test have a few options to lower their risk of getting breast cancer. Patients can choose to be monitored closer by their doctors for breast cancer signs by having frequent breast exams, mammograms, MRIs, ultrasounds, blood tests, and also by self examination. A more aggressive step could be having prophylactic surgery, such as a double mastectomy. The surgery is a quite radical surgery and is not a common choice. Research has indicated that those who carry either the BRCA1 or BRCA2 mutation can lower their risk of getting the cancer by keeping up with a physical, healthy lifestyle and by breastfeeding. Although that may not work on everyone, it has shown to help with some patients who carry the mutation. There is not much that can be done to prevent the chances of getting breast cancer besides radical surgery. There are other factors such as carrying the mutated breast cancer gene that can elevate the risk of getting breast cancer, a second primary cancer, which is a second breast tumor that is not related to the first tumor, can also show an increased risk of occurring with patients who carry the mutation. For BRCA1/2 carriers, the chance of a contralateral breast cancer 10 years after diagnosis of the first cancer is about 18 to 30 percent compared to about 10 percent for breast cancer survivors without a BRCA1/2 mutation (komen.org). Surgery, radiation therapy, tamoxifen, and chemotherapy are the most commonly used treatments for breast cancer. The treatment that is used depends on the type and severity of the cancer. A patient will go over the options that work best for them with their doctor to help get the best treatment. Two other surgeries that are performed depending on the patients cancer are Lumpectomy, and Mastectomy. Lumpectomy is a surgery that removes only the cancerous lump from the breast. Mastectomy is removal of the entire breasts to remove the cancer and the tissue that surrounds it. Men and women who have breast cancer as a result of a genetic mutation will go through the same treatments. A patient who has a genetic mutation of breast cancer does not have their own treatment plan. Although they can take precautions to help prevent their chance of developing breast cancer, there is no different treatment if they do have breast cancer. Only five to ten percent of breast cancer patients in the United States are linked to a high risk genetic mutation (komen.org). Men and women who inherited the BRCA 1 or BRCA 2 gene, do not make up the population of those who suffer from breast cancer. Having a genetic mutation is not the only way for a patient to receive breast cancer, there are many other aspects. There are chances that getting breast cancer may be genetically linked, but there is still research being conducted to investigate the occurrence of breast cancer.

Hurtful Love and Foolish Hope in Death of a Salesman Essay -- Death S

Hurtful Love and Foolish Hope in Death of a Salesman A father is an important role model in a young man's life; perhaps the most important. A father must guide his children, support them, teach them, and most importantly, love them. In the play Death of a Salesman, written by Arthur Miller, an aging salesman of 63, Willy Loman worked all his life for his children. Happy and especially Biff, his two sons, where his pride and joy and his reason for living. Willy tried as hard as he possibly could to provide for them, to support them, to mold them into men; but he failed. Willy's greatest fault, perhaps, was his inability to see his sons for what they really were. Biff and Happy were never destined to be great men, yet Willy always believed in them. Although Willy's hope is touching, it is also foolish. Willy Loman's blind faith in his son Biff's abilities destroyed Biff's sense of moderation and modesty. Despite Biff's obvious incompetence and mediocrity, Willy vehemently refused to accept his son's failure to "make the grade." Biff "stole himself out of every good job since high school!" (131), yet Willy cannot accept that his son is a "dime a dozen" and declares that Biff is merely failing to spite him. "I want you to know...where ever you go, that you cut down your life for spite!" (129). By blaming Biff for his problems, Willy clears himself of all guilt. Willy cannot realize that it was his ineptitude as a father that created Biff's character. If Willy was a little more aware of his son's situation, his true character, Biff may have realized sooner that he was not "a leader of men." When asked whose fault it is that he never accomplished anything, Biff answered "...I never got anywher... ...r looked up to was nothing more than a "fake", and Biff lost all reason to his life. Everything that Willy taught him was destroyed on that one night. Every rule, every piece of advice, was nulled by that one act of adultery. Willy Loman tried his best to be a good father. He encouraged his sons, he worked all his life for them, and he tried to help them in any way he could. The only problem was, although his heart was there, Willy just wasn't a good father. Willy did his best to raise his sons, but tragically, the more he tried, the worse they became. Ultimately, Willy failed as a father, but he did try his best. He loved his children, in some cases, too much. He loved them blindly, and never once questioned their greatness. Although love like that is touching, it also harmful. Willy's delusions of grandeur for his sons hurt them more than it helped them.

Thomas Jefferson

As stated in the instructions under the navigation link, â€Å"Papers/ Projects,† a historical analogy Is to â€Å"compare/contrast† two historical events. You should choose two historical events In which you compare and contrast two important historical events such as two battles, two laws, two presidential administrations, etc. You should begin on this assignment as soon as possible. This assignment is very important and is worth 300 points! You must submit your historical analogy no later than OCTOBER 19th!This assignment Is worth a total of 300 plants It Is due no later than the last day of class Please submit your Historical Analogy to the instructor, using the † Here is a detailed description of what a â€Å"Historical Analogy† is for the purposes of this course: Historical Analogies are essays that compare/contrast two or more historical events, issues, and/or ideas. Analogies help to increase understanding by dealing with relationships and compariso ns – the new to the old, the unknown to the known.That is, analogies help us to understand unfamiliar Ideas, things, and situations by showing how these matters are similar to something we already know. The instructions below should give you an idea of what the skeleton of a historical analogy essay might look like: You would write a brief Introduction that states your thesis (central Idea, whatever – however you learned It) and previews how your essay will be constructed: [Then you would write the body of your paper:] You would then tie it all together with a well-written conclusion.So, the Idea Is to compare/contrast two historical events/issues from the same era, or one historical event/lessee from one era with a scalar historical event/lessee from another era, or a current event with a historical event we have read about or discussed. Thus, Historical Analogy assignment is essentially an essay discussing and analyzing what you have learned In a way that makes histo ry meaningful to us In our present Analogies should be a MINIMUM length of 4 double spaced pages. REMEMBER, this is the minimum. You should go beyond the minimum if you expect to receive higher Han minimum points for this assignment.You must use AT LEAST three sources OTHER THAN your textbook. You should send your analogy to the instructor via the MESSAGES center (as an attachment). The Dropped can be found under the † Tools† navigation button. Be sure to cite all sources that you use! You must also provide a list of your sources/ references at the end of your paper. This should be the last page of your paper. This is a must! Use the Epistyle and format. Sample Analogy Essay: This is an example of an Analogy essay from one of my previous classes.Although his analogy is not as long as four (double spaced typed) pages, this should give you a good idea regarding the style and form your essay should take. I hope it is helpful. 🙂 In this analogy, I will compare parti san politics of the early United Gastroenteritis to today's political parties. Prior to 1789 there was basically one party in American politics. In approximately 1792 due to differing opinions on the direction the United Statehood take in terms of commerce, and trade two separate parties began to form. The Federalist party headed by Washington, but whose financial policy was set byAlexander Hamilton, believed that the economic success of the United States lied in trade, and commercial interests. Their power base was in the New Mistranslated where there was less of an emphasis on agriculture due to poor soil. The Republican party began around 1792. Thomas Jefferson, and James Madison became convinced that Hamiltonians policies favored the wealthy commercial interests at the expense of agriculture. Their belief was that Hamilton and the Federalists were bent on forming an aristocratic government in the United States.Although the names have changed we still have two main political part ies in the United States. Today we have the Republican, and the Democratic parties. As in the late sass's both of our present day parties claim to be the party of the people. Like early politics both of our parties continually blame the other for the problems that our society experiences. In the assess citizens complained when the United Stateside not remain neutral in European politics, and the same holds true today. Currently we are mired in problems in Bosnia, and most U. S. Citizens would probably rather not see our U.S. Troops involved in something we consider not to be our fight. The last thing that I would compare is how our U. S. Politics were nasty back in early look at Aaron Burr, and Alexander Hamilton. Aaron Burr after being thwarted by Hamiltonian his bid for president challenged Hamilton a duel. Burr was upset at Hamiltonian Hamiltonians comment that Burr was too dangerous, and unfit to hold office. The end result was that Hamiltonian shot and killed by Burr in this du el. While today our politicians do not shoot each other, they do find other ways to kill ACH other politically.In today's politics no aspect of a public figures private life is exempt from public scrutiny. Our politicians even go as far as to hire private investigators to dig up dirt on each other. While I do not have a fix for the evils, and divisiveness that our two party system brings about, I do think that it does have its redeeming qualities. Having two parties keeps the ruling party semi-honest. With the threat of losing an election should you go against the will of the people, a two party system allows voters a choice come election time.

Dramatic Tension in this final act Essay

Perplexed still, we get the impression that John Proctor wants his life but cannot stand having a guilty conscience. Elizabeth perhaps adds to his puzzlement, â€Å"I want you living John. That’s sure†. This is the first real emotion we have seen between them in the play. Elizabeth’s words finally persuades John to save himself, and as he confess’ Rebecca Nurse is brought in. Her presence makes John ashamed and guilty, especially when asked â€Å"Did you ever see Rebecca Nurse with the devil? † He is under immense pressure and when at last he is asked for his signed testimony we realise another factor as to why he took the ultimate sacrifice. â€Å"Because it is my name! Because I cannot have another in my life! Because I live and sign myself to lies! Because I am not worth the dust on the feet of them that hang! How may I live without my name? I have given you my soul, leave me my name! † The presence of Rebecca Nurse, a saint in his eyes, the importance of his name are all important factors as to why John Proctor gives up his life, but he also realises he will die a good man. It is the one good thing he can do for Elizabeth after all the pain he has caused her. There is a dignity in what he is doing for himself, Elizabeth and his own community. He is an important figure in his society and by standing up to the corruption and being brave enough he is truly doing the right thing but not just for himself. The last act shows John proctor’s emotions and his own physical bodily actions ‘in agony’, but when he tears up his false testimony his can stand up straight for the first time. His death will also bring redemption from his own guilt. He has made a statement as to how un-just and corrupt their justice system was, and by leaving behind a world of prosecution and pragmatism he has become a man of principle. In act four, John Proctor decides to give up his own life rather than confess to being with the devil falsely. We encounter Proctor as a different character, a martyr, almost Christ like. Procter wavers, and at one stage he wants his life, â€Å"I will have my life†, but at the last minute he tears up his confession to save his integrity. Arthur Miller builds up the tension in the last act by using the interaction of characters, language and stage directions. Arthur Miller reveals a character’s innermost thoughts and feelings. In comparison to Act two, when Elizabeth and John Proctor’s conversation had been confrontational and short plagued by the crime John had committed, in the last act when they meet for the final time, they act truly in love and this is portrayed by the stage directions given to the actors. John is described to be ‘weak of body’, but seems to be stronger here than at any other time in the play.