Case Study( Paramedics assessment) Essay Example | Topics and Well Written Essays - 2500 words

Case Study( Paramedics assessment) - Essay ExampleHowever, it should be realized that this is not the restore cause of chest pain, and that it may be due to classical angina (Devonshire Lodge Practice, 2011) whose symptoms generally appear during, or immediately after exercise and subside after resting. However, it must as well as be said that where nearone complains of discomfort across the center of the chest coming on during exercise that stops on rest and then GTN glycerine trinitride tablets relieve the pain within 5 minutes he/she is going to have ischemic heart disease almost without uncertainty (Devonshire Lodge Practice, 2011). ... It is hoped that the task will be made easier by paramedic assessment, which should be thorough enough to eliminate many uncertainiies. That is why a domineering stepwise series of protocols such as those advocated by Domanovits et al. (2002) and Anderson (2002) is essential. 2. Case muniment of paramedics assessment of ischemic chest pain Complete History & Assessment of Patient Presenting Complaint Chest Pain Allergies None Communicable Diseases None PHx- Past History O/A On Arrival O/E On Examination Medn- Medication Patients Name William Templeton Age 57 Address 12 Andover Terrace, STAINES Bucks. SL4 3TR O/A - Emergency run called by patients family at 0956 hrs, arrived at patients home 1015 hrs..William, a white male, complained of severe chest pain, breathlessness, nausea and dizziness. He also appeared pale and slightly sweaty. PHx Patient was normally in good health, a non-smoker, moderate drinker and ate healthy meals at home. He also took unremitting exercise. His grandfather had been gassed in WWI and his grandmother had suffered intermittent asthma attacks in her later years. As to childhood illnesses, William reported German measles, two bouts of chicken pox, and tuberculosis at the age of 6, which had affected stomach and neck glands and also the lungs. Chicken pox and TB raised alarm signals since the former could have returned as shingles (pain comes some time before the rash, and lung damage may have contributed to ischemic heart disease. O/E The assessment procedures followed the guidelines established by the York Region Base infirmary Program (Anderson, 2002). For clarity and consistency during patient questioning the following mnemonic

The Treatment Of Men During Slavery Essay Example | Topics and Well Written Essays - 1250 words

The Treatment Of Men During Slavery - Essay ExampleSlaves in the ancient popish Empire consisted mostly of prisoners of war, captives sold by pirates, or even children of Romans in penury who had been sold. The slaves were engaged in farming, businesses, working for private households, and in the construction of fundament for public use including aqueducts, bridges, roads etc. It was common for the owners to treat the slaves cruelly, and even kill them and not be punished for it. But some slave know were also kind and considerate to their slaves (Nardo) as indicated by the saturnalia festival which was an occasion for the slaves and masters to be thankful to each other and enjoyed peaceful era together. Also, a hallmark of Roman slavery as compared to the modern variety was manumission or the formal release from slavery by the owner. Contrasting the ancient system of rules of slavery in Rome with the system that existed until the end of the 19th century in the the Statess, in par ticular North America, the glaring difference was that the latter was ground mainly on race. Marysue Andreozzi The import of slaves from Africa to America began mainly due to the shortfall of labor. And the blacks were believed to be hard workers. Furthermore, the practice did not meet with any religious reproval either, since the Church law did not prohibit black slavery. Thus began slavery with racist overtones. Gradually, the slaves themselves became a trade commodity. Thus, what began as a need to overcome shortage of labor became the means to acquire more wealth (McKay et al., 2008). It is believed that in a span of a little more than 300 years (between 1500 A.D. and mid 1800 A.D.), rough 12 million black slaves from Africa to the westernmostern Hemisphere. A first-hand account of the harrowing life of the slaves aboard the ship on their voyage from Africa to America has been given by Alexander Falconbridge (1788) who was the British surgeon on four of those voyages. As men tioned in the narrative, the blacks who refused to eat had their lips almost scorched by red-hot coal that was brought on a shovel very close to their lips and also issued dire threats that they would be made to swallow the embers if they continued to resist eating food. The author mentions that he heard of a captain pouring molten lead on some slaves who obstinately refused to eat (p. 23). On the voyages Falconbridge saw that the Blacks were provided extremely uncomfortable accommodation on the half deck with planks to sleep on. Lying on the bare planks caused their skin and in even flesh of the emaciated men to get rubbed off from their shoulders, hips and elbows due to the unbroken motion of the ship (p. 28). Exercise being deemed necessary to keep the slaves healthy, they were forcibly made to dance on the deck even in foul suffer when it was difficult to be on the deck. They were flogged if they showed any reluctance or were not Marysue Andreozzi active (p. 23). On longer vo yages such as from the coast of Guinea to the West Indies, the food ration was very small, which led to quarrels among the slaves (Falconbridge, 1788, p.22). Also, the allowance of water was restricted to about half a pint per head per meal. The life of the slaves once they reached the shores of America became just a shade better. They were housed in slave pens a description of which has been provided by Abdy

Strategic Management Essay Example | Topics and Well Written Essays - 1500 words - 12

Strategic Management - Essay ExampleThe most controversial acquisition of Patrick by toll Holding in Austrilia though through acrimonious court cases is to improve the losistic effecieny of the company and the industry, technically align it with supply chain management and improved customer responsiveness. The acquisition was aimed to come out in future infrastructure, increase industriy syngeries, leverage scale of economics, improve competitive positioning and thereby reduce operational and management costs. The business of airlines being very volatile and tolls competitor having the majority shareholding in Virgin Blue,overcapacity in the shipping business and problematic rail business it was difficult for toll to establish a firm foothold toward leadership position in the logistics industry. Toll had only two alternatives to either to merge with some bigger outside(a) transport company to achieve its strategic goal or acquire related business of high standing to get business opportunities to expand march on and consolidate its position.Toll had the vision to get advantage by acquiring Patrick but still there were several internal risk involved. Whether the acquisition would leave synergy and integrated cost saving. Whether investment in an aging infrastructure of Patrick corporation would prove productive or turn negative in future. result the acquisition build competitive advantage for Tolls business in the logistic industry. Patrick corporation themselves needed to be reorganized and restructured with injection of broad funds of $1.1 billion to stablize. These were challenging questions for the leadership to answer. However, the oportunity in the industry after acquisition was great to hold about 15% of the market share with the revenues of some(prenominal) the transport giants that was about $5.1 billion in 2005.This market share would transform them to formidable position in the domestic and international transport and storage market. Toll and Patrick both had

Current Events Journal 3 Essay Example | Topics and Well Written Essays - 500 words

Current Events Journal 3 - Essay ExampleThe Federal government has also contemplated this issue. umpteen Republican congressmen would go as far as to amend the U.S. Constitution to ban gay marriage. An article by Steve LeBlanc that appeared recently in the Boston nut examined this issue.An important concept of the Constitution provides that those of a minority opinion cannot have their rights as Americans taken away by those that subscribe to the current majority opinion. Thus, a vote should not determine whether or not gays should be able to marry. Opponents to gay marriage argue that democracy is based on the will of the spate thus the decision should be in the hands of the voters. They also say that a judge should not be able to abolish centuries of tradition with no consideration of majority opinion. Being gay is a choice and therefore their civil rights are not being violated and they are not experiencing discrimination. By contrast, a person of minority heritage, women and t he disabled do not have a choice.A letter was issued to Massachusetts lawmakers from 165 prominent business and civil leaders asking that legislators frame the gay marriage issue as a civil rights concern when debating the question of amending the States Constitution. The letter read, in part, we should not write discrimination into the Constitution and oppose efforts to amend the Constitution that would take away rights, including the right of gay and lesbian citizens to marry. Another letter, released by the quadruple Catholic bishops in the state supported a gay marriage ban amendment. The debate over the meaning of marriage should not be restrict to government officials since the magnitude of the issue calls for the full participation of the public. Neither the judiciary nor the legislature should substitute itself for the sovereignty of the people, especially on such a foundational division as the meaning of marriage.The

Glacier Inn Essay Example for Free

Glacier indian lodge EssayOur strategy map for the Glacier hostel focuses on the four main dimensions of a business a pecuniary perspective, a client perspective, an internal process perspective, and a learning and produce perspective. Each dimension plays a critical part in establishing a stiff unified coating, and documents the primary objectives within the organization. For 2004, Glacier Inn has two main goals to increase profitability and cash flow. The map outlined in Appendix A demonstrates how we go a course use these four dimensions to facilitate and implement different measures to achieve the desired strategies. With regards to the financial perspective, Glacier Inn prat focus on a growth of revenue strategy and productivity strategy. In order to increase revenue, your main focus is to increase the capacity and quality of the hotel. We also believe there are new(prenominal) possible sources of revenue that could be implemented in order to further your capacity to generate income. Because Glacier Inn has such a sententious season and window of opportunity to make a profit, it is crucial that you make the most out of those winter months by enhancing your productivity and efficiency.The Glacier Inn is part of the serv trash industry, and customer rapture plays an integral role in the success of your organization. Your vision statement is centered on delivering more than just place to spend the night you are providing an endure, an experience of unmatched value and satisfaction. To achieve this, we believe that centering your organization around the culture of the First Nations people renounce for be creating memories and providing adventures. Providing your customers with an unrivaled experience will include outdoor(a) activities, traditional meals, quality service, native art work, individualized meanss, etc.Not only will these add value to the business and key out Glacier Inn from other Ice Hotels, but they can also serve as anoth er source of revenue to aid in our revenue growth strategy. The internal process perspective is another consequential role in our strategy mapping. One of your main goals is to increase occupancy at the Glacier Inn, and we feel that it is important to focus the marketing efforts on the adventure campaign. Glacier Inn needs to showcase their unique business offerings inspired by nature, art, and culture.Due to the nature of the business, it is difficult for Glacier Inn to attract skilled and fit employees. With the training of an effective hiring and training process that also supports the culture that Glacier Inn is trying to create, they will be able to bust serve their target market by attracting and retaining customers. Innovation is a key part of your internal process controls, and Glacier Inn wants to be working with ice experts for the development of different and unique ice themes. The final dimension of the Glacier Inn Strategy Map deals with a learning and growth perspe ctive.In order to expand and realize within the entertainment industry, we want to mentor employee proficiency by working with and training the first nations people by incorporating and encouraging culture both internally and externally and by advancing with new technology through partnering with local colleges and universities in order to generate new innovations in ice making and preservation. All of these dimensions feedback and tie in with what Glacier Inn is trying to accomplish and what their vision is for the company. Issues Another issue that you surrender acknowledged is the restraint of hiring skilled and competent staff.The Glacier Inn is only open during the winter months, which makes it difficult to attract qualified and experienced employees. Glacier Inn is providing an experience of culture and excitement for their customers. Why not tin the same atmosphere for its employees. In the end, its not just about the money. Employees will be able to enjoy the same lifesty le and adventure that this environment has to offer. Glacier Inn can also invest in effective industry training programs to help and support the success of their hired personnel.We also want to dispense your concerns over changing the staff bonus plan. Currently, bonuses are being determined by profits alone. We agree that the implementation of the 2004 scorecard will provide a great method of measuring employee achievement. The balanced scorecard will provide feedback on whether the strategy is working to impact organizational performance. By measuring employees found subjectively on their scorecard execution, staff will be motivated and empowered to work in the best interests for themselves as well as the company.With employees being measured based on the strategy and implementation of Glacier Inns critical success factors, you can ensure that those goals become fundamental to their success as well. Employees are able to focus their attention on what matters most to the succes s of the organization. The Glacier Inn Hotel has another concern without the seasonal revenues. There is only a short window of opportunity to make profits, from January 4th to April 15th, and is primarily determined by the warming of the weather which can shorten this window.To off set the decrease in revenues in the summer, the hotel can offer customers a chance to stay in touch with nature. Two innovations will be needed to accomplish this, hiring of experienced outdoor staff and the building of year round facilities on the property. By offering summer outdoor actives such as fishing, hiking, and canoeing on guided tours the Glacier Inn can attract year round revenues. Also having facilities built on the property will allow customers places to stay in the summer as well as a warm place or customers to stay in the winter if they are not interested in sleeping in the cold rooms.Lastly, Glacier Inn hHotel lacks a specific measures, targets, and personal initiatives that are clear to the employes of the company. These need to be clearly defined to enhance the strategy and culture that needs to be wolves into the company. We have recommended a possible strategy map that can facilitate these initiatives. We have also chosen a proposition on how the Glacier Inn can continually add value and increase customer satisfaction. We included below a detailed plan of additional initiatives of adding customers value.Customer Value proposition Glacier Inn has competitors in more than just the hotel industry it is competing with other forms of entertainment as well. The direct industry competitors of Glacier Inn Hotel are the hotel chains in the area, such as exceedingly 8 Motel that offer a place to sleep and eat at a low price. However they do not offer an individualized customer experience. Glacier Inn also competes with other forms of entertainment in Northern Ontario. Places such as Moose Cree Outdoor Discoveries Adventures, which offers outdoor activities incorporated with the culture of the area.However, this experience is slowly replicated. We believe that if Glacier Inn could combine the value of both of these industries into one unique location. The hotel must be unique. We have chosen product leadership as our demeanor of adding value to customer offerings. Our recommendations for implementing this customer value from the hotel would be Three Main Concepts For Product Leadership 1. Cree culture could be used to attract many customers distant and domestic that are aspect for a Canadian experience or wish to discover more about the first nations of Canada.Through cultural composition telling, traditional foods, also traditional artwork and ices museum in the hotel lobby a broad audience can be drawn to the hotel. This will also allow the area to maintain its cultural identity and uniqueness while informing others. 2. The Glacier Inn could also offer outdoor winter activities such as snowshoeing, cross-country skiing, and wilderness sigh t seeing. Acquiring equipment traditional foods (maple syrup). When guests arrive at the hotel, staff could ask two questions What do you want to experience?What are you not looking for? So that customers do feel pushed or pressured into experiences thats are out of their fitness level. 3. Lastly, we believe that the individualized rooms will be an excellent way to attract customers to stay in each room. By pre-planning and designing each rooms theme the hotel can attract more customer to stay in the rooms overnight rather than just visiting the hotel for the day. Also ice sculptures will add a unique finishing touch to each room and can be a way of individualizing each room.

Japanese Spirit, Western Things Essay Example for Free

Nipponese Spirit, Western Things Essaya) How did lacquer modernize their economy without embracing Western Culture? Japan has proven that economic modernization is attainable without embracing economic subtlety. Rather, Japanese philosophy of decolonization (Suzuki, 1996) and isolation were imposed because the government wanted the country to become independent and sustainable without the help of different nations.Although Japan attempted to include Western science (Kasulis, 1995) and absorbed Chinese tradition and culture including technology, philosophy, and literature a couple of decades and a half, Japan heady to close its doors to external influences like the prohibition of Christianity and overseas travel or immigration, in the nineteenth century. However, Japan eventually accepted western technology when the Americans arrived in 1853 for the motive of becoming stronger in terms economic growth. b) Has this modernization been successful?Modernization in Japan was not an easy process since some, like anti-liberal Japanese leaders, wanted to preserve the Japanese culture, preventing other(a)s, called power-breakers, to reflect a true western tradition and imitate western technology. The later group used talk of local anaesthetic culture in order to keep them from becoming politically and economically at risk. c) What could be some unforeseen events occurring in a companys environment that might affect further cooperation between Japan and America?Companies are likely to face the prolonged tension between Japanese culture and western technology. Japanese companies might experience the difficulty of replacing Japanese with culture with western ideas, increased competition, political structure, and the different strategies for auditing and corporate governance. On the other hand, western companies might continue to suffer from regional economic barriers. Cultural diversity would remain a significant barrier for multinational companies due to Japan s internal colonization in the past and the preservation of Japanese culture (Suzuki, 1996).Therefore, companies must be able to deal with and overcome the challenges of globalization and war-ridden market by becoming aware of their responsibilities, understanding legal policies, resolving conflicts through open communication, and reassessing corporate social responsibility.ReferencesJapanese Spirit, Western Things (2003) The Economist Newspaper, Ltd. (July 10). The Economist. Kasulis, T. P. (1995) Sushi, Science, and otherworldliness Modern Japanese Philosophy and Its Views of Western Science. Philosophy East West, 45(2), 227. Suzuki, T. M. (1996) Japan Beyond the Lessons of Growth. Social Justice 23(1-2), 275.

Slavery and The Making Of America Essay Example for Free

bondage and The Making Of the States EssayHave you ever thought round the explicit details that went into the population of America? thraldom and the Making of America, written by James Oliver Horton and Lois E. Horton uses facts and stories to portray the life of slaves, and the evolution of slavery over several decades, and its effect on America today. The title of this book, Slavery and the Making of America is a great leeway into the authors main thesis of the book Slavery was, and continues to be, a critical factor in shaping the United States and all of its people. As Americans, we must understand slaverys storey if we are ever to be emancipated from its consequences, (Horton). Throughout the sextette chapters in this book, the authors go into explicit details on what actions from both exsanguinous Americans and African slaves led to the Civil War, the abolition of slavery and America as it is today. Slavery and the Making of America is a book split into 6 chapters. The book starts off by explaining history about African slaves, and their bringing to America. Africans were kept as slaves in the United States for at least twelve generations.Slavery was one of the main components that led to the building of America. Well-endowed white men would buy slaves to earn on their plantations. Slaves eventually created a basis for Americas wealth as a nation, especially with their proletariat put towards farming cotton. This book not only goes into details about the labor that the slaves partook in on a daily basis that kept America up and running, but besides about the cultural aspect of bring slaves into the country. Bringing Africans over to America brought a whole new culture to America. Although white men enslaved Africans they continued to embrace their culture. They brought a new religion, language, music, and several skills that have uniquely blended the American culturethat it is today. This book shares stories of African people late becomin g African Americans, despite the conditions that they lived and worked in. It goes into detail about the contradiction of the American people.How could a country founded on the basis of supererogatorydom and equality for all opine in slavery and unequal treatment of persons due to race? This book shares details of white Americans, generation after generation, trying to reconcile this contradiction, yet beingness unsuccessful. Although drear people were enslaved, they never lost hope or determination to live up to the principles stated in the founding documents of America. The African Roots of compound America, the first chapter in this book, reflects the authors main thesis by examining the beginning of the African slave trade in America. During this time millions of Americans were shipped across the Atlantic in the largest pressure migration in human history. During this time hundred of thousands of slaves were sent, and arrived to the new land annually. These slaves were used to create a newer and stronger global economy, by farming cotton, tobacco, and sugar in the Americas. Chapter two, Slavery From the Revolution to the Cotton Kingdom shows a different perspective of the authors thesis.This chapter goes into more depth about the American Revolution and the signing of the Declaration of Independence. The authors explain that the white Americans had no intentions to include blacks in the Declaration of Independence despite the hostility from blacks, both those who were slaves and those who were free. The American Revolution was a turning point in slavery. Thousands of slaves flee to the British, many settling in different countries. In the midst of the Revolutionary War, President Jackson sought out to black troops, granting them freedom from slavery if they survived the war. after(prenominal) the American Revolution, westward expansion was beginning to happen. With new technology of the cotton gin, more and more slaves were needed in the pursuit of expansion. Throughout this book the authors bind in specific persons and events that support their thesis. Several people who have shaped American history are mentioned in this book including Ellen Craft, Frederick Douglass, Harriet Tubman, and Henry Box Brown.The plaza of this book goes into explanation of fugitive slaves and Underground Railroad The terms associated with the new railroad became the code words used by these secret organizations. They called escape routes rails, invulnerable houses stations, and the fugitives themselvespassengers or packages. Those who assisted fugitives called themselves conductors, (Horton). Almost every important event in American history between 1650 and 1896 had some implication with racial inequality or slavery. The last two chapters of the book go into details about the ending of the Civil War and the final years of slavery in America. Chapter 5 looks into the actions of black Americans during the war that eventually led to freedom. Chapte r 6 goes hand in hand with the main thesis of the book, describing the fight for equality of all races, specifically blacks in America. The authors sing about the Emancipation Proclamation, and the passing of the thirteenth amendment, providing for total abolition of American Slavery, (Horton). Although slavery had been abolished, there was still not equality in the United States, and there would not be for quite some time.Over time, racial inequality slowly diminished, through the passing of the fourteenth amendment (equal citizenship for blacks), the fifteenth amendment (right to vote), and the Civil Rights Act, which was eventually repealed in 1883. One of my favorite aspects of this book is that there is a companion video and website that compliment it very well. The website is very interactive and goes along right with the book. It shares individual(prenominal) stories of the slaves. It also has a very descriptive timeline of events that occurred over several centuries, whic h is also provided in the back of the book. I enjoyed that this book and the website not only focused on the labor that the slaves did but their culture. It showed what types of clothes they wore, what type of music they played and listened to. When Africans were first brought to America, they never stopped believing in their culture and where they came from.One of the founding principles of the United States is the force for different races and ethnicities to come together and create one America, a melting pot. Although the predominant race was white Europeans and still is to this day, people of all races are free to their own culture. I believe that this book and all the content that goes along with it is very well written and accurate. I enjoyed that this book went to a more personal level and told stories of specific slaves, and their hardships. The authors thesis throughout this book is very vague but I think they still provide a substantial bill of information to back up the ir thesis, throughout the whole book. I agree fully that slavery was one of the most importantinfluential aspects of American History. Although I think that there was information that the authors left out.This book focuses predominantly on the slavery of Africans, even though many other races were also sold as slaves throughout many decades. Hundreds of thousands of Irish were sold to English settlers for hundreds of years, and often saw harsher punishment than their African counterparts. I feel like the credibility of the book would go up significantly if it focused on the broad spectrum of slavery, rather than only focusing on the history of slavery throughout African American history. I would put this book on a list of must reads, as it really shows you the smaller, more important details that built a foundation for this country. overall I felt that this book was a great at going into more detail on slavery and how important it actually was in the foundation of America. Although I knew that slavery was a main component in the United States history, this book was an eye opener, and reminded me that almost all of the most significant events that shape the history of this country were primarily based around slavery and the freedom and equality of all persons.Works CitedHorton, James Oliver, and Lois E. Horton. Slavery and the Making of America. Oxford Oxford UP, 2005. Print. Slavery and the Making of America. PBS. PBS, 1 Jan. 2004. Web. 24 Nov. 2014. .