The Black Cat By Edgar Allan Poe - 2214 Words

A man who has abused his pets and killed his wife is sentenced to death, but were these transgressions made in the clarity of mind or was it an act of madness? In the short story THE BLACK CAT by Edgar Allan Poe, we follow the ramblings of a man who is sentence to death on the very next day for his act of murder. Do not take his ramblings to heart as he is an unreliable man but see for it what it really is. The beginning of the story starts out in a jail cell where the narrator is hours away from his death. He says that he wants to recount the events that placed him in this predicament. Since the day he was born, he has been noted for the docility and humanity of his disposition and these qualities flourished as he grew older. He marries a woman who shares his likeness of animals, and they have adopted abundance of pets. His favorite was a black cat named Pluto. The narrator starts drinking and his personality traits change to a detestable person. He begins to abuse his wife and pet s verbally and physically. One night while intoxicated, he believes the cat is ignoring him so he grabs it by the throat. Frightened the cat bit his hand, which angered the narrator so he took a pen knife and cut out one of its eyes. A few days later, he is overcome by a guilt and perverse impulse to hang the cat from a tree in the garden even though he knew it was wrong. That same night his house caught on fire and he lost everything. The next day he returns to the burned down house and sees aShow MoreRelatedThe Black Cat By Edgar Allan Poe1117 Words   |  5 Pages Edgar Allan Poe’s narrator in â€Å"The Black Cat† describes himself as a lover of animals and a man with a kind heart. But he uses his animals and alcoholism as an excuse for his perverse behavior. However, Poe drops hints though out the narrative to tell a different story. His violence towards animals tells the story of an irrational man who weeps while hanging his cat. Therefore, Poe employs the narrat or to show the human tendency to use scapegoats to shift blame for the wrong thing we do. The narratorRead MoreThe Black Cat By Edgar Allan Poe885 Words   |  4 Pagesobserve. An example of these observation and hands on applications would be Edgar Allan Poe, a writer and a poet, whom would be absolutely intrigued in these behaviors. His unique interpretation of the human mind could be seen in â€Å"The Black Cat.† In this short story Edgar Allan Poe embeds himself as the protagonist who are mere victims of the complexities of the mind known as revenge, anger, and perversity. â€Å"The Black Cat† shows the vital side effects of the mind recognized as revenge, anger, andRead MoreThe Black Cat By Edgar Allan Poe1778 Words   |  8 Pagesmonster up within the tomb† (Poe 32). This is the ending of Edgar Allan Poe’s short story â€Å"The Black Cat.† This story is one of the many famous short stories Poe has written in his life time. However, this story, in particular, captivities the horror and frightening works of his display. Having his personal history and short story at hand, will help his audience to understand some of his guilty pleasures. In this Critical Analysis Essay, the composition of â€Å"The Black Cat† will be revealed by connectingRead MoreThe Black Cat, By Edgar Allan Poe1240 Words   |  5 PagesLiterature, D.H. Lawrence condemns Americans for dodging their true selves by means of intellectualization and idealization. Both Edgar Allan Poe’s short story â€Å"The Black Cat† and Nathaniel Ha wthorne’s â€Å"Young Goodman Brown† feature allegorical representations of characters deceiving themselves in order to deny the darker aspects of their inner selves. In Poe’s â€Å"The Black Cat,† the narrator denies the darker aspects of his soul by abstracting his horrific actions with spectral evidence in order to externalizeRead MoreThe Black Cat By Edgar Allan Poe Essay917 Words   |  4 Pagesreality.† - Edgar Allan Poe Edgar Allan Poe is known for his dark and thought-provoking horror stories. In particular, The Black Cat does just that. The story focuses on the rationalizations of the horrific actions of the narrator. A black cat is introduced to pounce down on the rationalization of the narrator’s actions. Edgar Allan Poe also constructs a story where the main basis of the narrator’s decisions are ethical egoism and the principles of conscience. Poe constructs the black cat as the conscienceRead MoreThe Black Cat, By Edgar Allan Poe1900 Words   |  8 Pagesportion of his life writing these kind of stories. Edgar Allan Poe was influenced by his own life experiences, social normalities of the early 19th century, and used literary devices to write horrific works such as The Black Cat, The Raven, and Berenice. Edgar Allan Poe wrote the short story The Black Cat in 1843. The story starts out fairly normal, but very quickly spirals into a horrendous chain of events. The narrator of the story has a cat that he adaores at first, but then he grows irritatedRead MoreThe Black Cat By Edgar Allan Poe Essay1503 Words   |  7 PagesThe Black Cat Gothic Analysis In Edgar Allan Poe’s short story â€Å"The Black Cat† (1843), Poe creates a gothic narrative that exceeds the suspicions of the audiences predeterminations. Throughout the entirety of his piece Poe creates a scene that continuously leaves his readers wondering what was happening next. Suspicion being a key factor in gothic tales is only one strategy Poe used to illuminate the story of an unnamed psychopath and his attempts to either clear his conscious or set the recordRead MoreThe Black Cat, By Edgar Allan Poe871 Words   |  4 Pages Edgar Allan Poe is a world famous author who writes suspenseful/thriller story that keeps everyone interested. Three of his stories that we have read is â€Å"The Black Cat,† â€Å"The Tell-Tale Heart,† â€Å"The Cask of Amontillado†. The five questions that will be discussed is how/why does Poe have his narrator plan the murder of his victim, what is the narrators reason for killing his victim, how does the narrator dispose of the body, does the narrator know the difference between right and wrong, and finallyRead MoreThe Black Cat, By Edgar Allan Poe1202 Words   |  5 PagesEdgar Allan Poe is prominent for his literacy style of horror and mystery, in which he had written an innumerable number of short stories and poems in his lifetime. Evidently, many of his writings like, â€Å"The Black Cat,† â€Å"William Wilson,† and â€Å"The Raven,† share the same style, as their protagonists’ demonstrated a paucity of reliability. Readers often become engaged with how the main character of each text showed their rivulet of tales that seem to be quite fictitious. Available evidence suggestsRead MoreThe Black Cat By Edgar Allan Poe1142 Words   |  5 Pagescharacter survives eight shots to the torso, all happy endings. Edgar Allan Poe isn’t like that. Most of his characters are dark and insane. They have one last shred of sanity then they refuse to keep it and then they end up going insane, much like the characters in The Black Cat, The Raven, and A Tell-Tale Heart. All three the men reach insanity. In The Black Cat a man expresses his passion over all animals. He has a gorgeous black cat named Pluto,his prized possession. Years later this man has a

Designing and Managing the Supply Chain free essay sample

In a service supply chain, the (explicit) cost of information is higher than in a product supply chain. Note that in the mortgage example above, the bank has to compensate the credit reporting agency for each credit report it obtains. Question 3 Many supply chains evolve over time. For example, consider a memory chip supply chain. Production strategies may change during different stages of the product life cycle. When a new memory chip is introduced, price is high, yield is low, and production capacity is tight, and the availability of the product is important. Consequently, production is usually done at plants close to markets, and the management focuses on increasing yield, reducing the number of production disruptions, and fully utilizing capacity. When the product matures, however, its price drops and demand is stabilized for a period of time, so minimizing production cost moves to center stage. To reduce costs, production may be outsourced to overseas foundries, where labor and materials are much cheaper. Question 4 A vertically integrated company aims at tighter interaction among various business com- ponents, and frequently manages them centrally. Such a structure helps to achieve sys- temwide goals more easily by removing con? icts among different parts of the supply chain through central decision making. In a horizontally integrated company, there is frequently no bene? t in coordinating the supply chains of each business within the company. Indeed, if every business specializes in its core function, and operates optimally, an overall global optimum may be approached. Question 5 Effective supply chain management is also important for vertically integrated companies. In such an organizational structure, various business functions are handled by different departments of the company that usually have different internal objectives, and these objectives are not necessarily aligned with each other. This may be due to lack of com- munication among departments or the incentives provided by the upper management. For instance, if the sales department is evaluated based on revenue only, and the manufacturing department is evaluated based on cost only, the company. s pro? t may not be maximized globally. Effective supply chain management is still necessary to achieve globally optimal operations. The choice of the particular transportation service depends largely on the types and sizes of products the company wants to transport, the inventory and delivery strategies and the need for ? exibility: 1. A truckload carrier is better if delivering bulky items or small items in large and stable quantities from warehouses to demand points (stores). A good example is the delivery of groceries from warehouses to supermarkets. Note that in this case we would like the demand to be in increments of full truck loads. Additionally, a package carrier company offers more ? exibility by different modes of transportation depending on the needs of the individual customers. Question 9 1. High inventory levels i. Advantages: High ? ll rate (service level) and quick order ful? llment. ii. Disadvantages: High opportunity cost of capital tied in inventory, danger of price declines over time and obsolescence, need for more warehouse space. 2. The design of the logistics network is a strategic decision that has long lasting effects and impacts all functions within the company. For the success of such a project, many levels of the organization must be involved: 1. Upper Management: The new design must be aligned with the vision and strategic goals of the company. Additionally, such a project may be costly, so management buy-in is essential to ensure that sufficient resources are devoted to the project. Sales and Marketing: Demand forecasts and anticipated changes in product design and offerings affect the network and need the involvement of sales and marketing teams. . Manufacturing and Operations: The logistics network design has obvious impact on day- to-day operation of the ? rm. In order for the implementation to succeed, it is essential that the people involved with operating the system on a daily basis are involved in its design. Question 3 The decision that a single warehouse will be built has been made up-front. Therefore, we only need to focus on the location and capacity of the warehouse, and determine how much 7 space should be allocated to each product in the warehouse. In automobile manufacturing, cars are usually delivered over land, and demand is con- centrated around major cities. Therefore, we would expect warehouses in this industry to be located near large cities with easy access to freeways and railroads. This would help to reduce the delivery lead time to dealerships in the cities. b. In the pharmaceutical industry, overnight delivery is common. Therefore, proximity to a major airport is a factor that should be considered when choosing a warehouse location. Additionally, for raw material warehouses it is important that these are close to natural resources. c. In the book industry, supplier warehouse locations would be affected by the availability of nearby natural resources. d. In the aircraft manufacturing industry, sub-assemblies and parts are delivered by thou- sands of suppliers scattered all over the globe to the manufacturing facilities. Therefore, for these supplier warehouses, by far the most signi? cant consideration is the ability to ship parts easily and on-time, i. e. , the proximity to railroads, freeways, harbors, etc. In such a capital intensive industry, we would also expect that regulations such as tax breaks have an impact on potential warehouse locations. e. With a large customer base shopping for books on-line, short delivery lead times are crucial. Therefore, in book distribution, we would expect to ? nd large centralized ware- houses on reasonably priced land and where quick transportation modes are available. . Furniture manufacturing and distribution depends heavily on manual labor. Therefore, warehouses in this industry should be located close to cities with sufficient labor supply. g. In PC manufacturing, outsourcing from all around the world is common where labor is cheaper and regulations favor the huge investments associated with high-tech manufac- turing. These considerations should be factored in when choosing candidate warehouse locations. Question 5 In the pharmaceutical industry, we would expect more warehouses closer to the end cus- tomers for short delivery lead times.

Clinical Challenges in COPD-Free-Samples-Myassignmenthelp.com

Question: Discuss about the Mr. George Polaris Chronic Condition. Answer: Introduction The diseases lasting for three months or more is usually considered as chronic condition. These conditions are not preventable or curable in nature with the help of medications or vaccines. The only way to manage the condition is with the help of its continuous management. Certain chronic conditions are associated with co-morbidities, making the management of the condition further complex. Considering the above discussed aspect, the essay would deal with provided case scenario 1, which deals with the chronic condition of Chronic Obstructive Pulmonary Disease (COPD). In the process of discussion, 2 potential health concerns, apt topic of client education, 2 apt client education strategies will be discussed. Overview of Mr. George Polaris chronic condition Considering the case of Mr. Polaris it can be observed that due to symptoms like fever, shortness of breath and productive cough. Followed by number of respiratory tests he was diagnosed with COPD with a history of gastro-oesophageal reflux disease (GORD). Due to the condition it can be observed that he has lost several kilograms and at present he weighs 65 Kg with a height of 178cms. The scenario of Mr. Polaris also states that he is has been smoking 20 cigarettes every day since he was the age of 14 years (Effing et al., 2012). This clearly indicates the fact that Mr. Polaris is a heavy smoker which acts a major contributing factor to the chronic condition suffered on his part. The current vitals of Mr. Polaris reflect that he is having a body temperature of 36.7o which indicates an average body temperature. The vitals also reflects that his blood pressure is 135/88 mmHG. It is mentionable here that a reading of blood pressure between 120/80 and 139/89 indicates Pre-hypertension th at states that Mr. George do not have hypertension but the present blood pressure is higher as considered optimal blood pressure. The present vitals of Mr. Polaris also states that his Pulse 100 beats/min (Barnes, 2014).. A healthy adult heart beats, 60 to 100 beats/min. In case the heart rate of an individual is continuously over, 100 beats/min it will indicate the individual is suffering from tachycardia. In case of Mr. Polaris it the pulse rate indicates a risk of occurrence of tachycardia. The respiratory rate of Mr. Polaris is 22 breaths/min, which is more than usual adult respiratory rate i.e. between 15-20 breaths/min. The respiratory rate of Mr. Polaris indicates tachypnea, which is associated with COPD (Barnes, 2014). In the process of providing care services to Mr. Polaris these complications are required to be addressed. Two actual and/or potential health concerns for Mr. George Polaris Considering the present situation of Mr. Polaris there are various actual and potential health concerns which can be identified. It can be observed that he had lost several kilograms which at present stand to 65 kg with a height of 178 cms. On these facts it can be stated the actual health concerns in his case is emphysema. This particular form of chronic long term lung disease is associated with COPD. Due to this complication he was losing weight drastically (Donner and Carone, 2007). This particular condition is considered to be obstructive, as it results in blocking the natural air flow of the lungs. The occurrence of emphysema is due to the damage of the linings of tiny air sacs in the lungs beyond to the extent that cannot be repaired which in case of Mr. Polaris, occurred due to heavy smoking. This acted as a contributing factor in his case for the occurrence of COPD and the associated health concern of emphysema. In case of Mr. Polaris is heart complications is another concern. In case of patients of COPD, among the various conditions shortness of breath is among the common symptoms. The patients of COPD face issues in taking required oxygen for the usual functioning of the body and eliminating carbon dioxide from the body. In case of Mr. Polaris his respiratory rate was 22 breaths/ min which indicates he was facing trouble in respiration (Steinback et al., 2009). Due to such health risk, the health concern which may be developed on his part is low levels of oxygen in the blood that is referred as hypoxia along with high level of carbon dioxide referred to as hypercapnia. The combination of the above discussed issue in acute respiratory failure in the long term. Due to the occurrence of hypoxia, the pulmonary arteries also get affected, which results in narrowing the arteries and leads to high blood pressure. In case of Mr. Polaris, it has been noted that his blood pressure is 135/88 mmHg whi ch indicates Pre-hypertension. It may further develop to high blood pressure in the lungs or pulmonary hypertension (Minai et al., 2010) . Thus, in the process of providing care services in his case, the care providers like the GP and Registered Nurse are required to take these issues under consideration. Appropriate topics for Mr. George Polaris education In order to educate patients like Mr. Polaris with the help of educational program of pulmonary rehabilitation diverse needs of the patient can be addressed. It helps in creating awareness regarding various aspects of the condition, like the need of exercise (van der Molen et al., 2013). It comprises of physical activity sessions, advise and discussion on lung health of patients in this condition and thus educating the patients regarding the aspects in context to the particular condition. In similar cases like that of Mr. Polariss who are heavy smokers, PR programs help in positively impacting and changing the care users perception on habits like smoking and its adverse impact on the condition. The conducted study by Lung Foundation Australia in the year 2000, states that the essential educational topics in case COPD patients who are undergoing a pulmonary rehabilitation [PR] program (Hopkinson, 2017). The identified educational topics in this context are the role and appropriate use of medications, management of breathlessness or breathing techniques, physical exercise, healthy eating, information associated with the condition and coping up with the condition. The sequence of the educational topics for the patients of COPD undertaking PR program are in order of its significance. However, in order to address the particular heath issues in case of Mr. Polaris the two particular educational topics that are required to be addressed are breathing techniques to address the issue of abnormal respiratory rate and healthy or nutritional eating to address the issue of drastic weight loss associated with emphysema. Thus, in the process of educating patients like Mr. Polaris regarding breathing techniques, physical training that comprise of breathing exercise, endurance exercise and respiratory muscle strength training are required to be provided. With the help of the training under the educational topic of breathing technique, the health concern of shortness of breath, abnormal respiratory rate- 22 breaths/ min, associated condition of hypoxia and hypercapnia which may finally lead to acute respiratory failure and high blood pressure can be addressed and managed (Weldam et al., 2013). Under the educational topic of breathing technique, techniques like diaphragmatic bre athing are also required to be taught to the care users. These techniques help in developing the respiratory strength of the care users gets. Thus it helps the in managing the issue of breathlessness and abnormal respiratory rate of patients by disseminating information about self-management skills if they are out of breathe suddenly along with controlling the breathing pattern. Hence, it would help in avoiding heart complications like hypertension. In case of Mr. Polaris, drastic loss of weight is another major health issue. Among patients like Mr. Polaris, maintaining healthy weight is essential for the purpose of management of the symptoms. Though being overweight increases the complexities in the management of the condition, however being underweight creates further complication. Too much of weight loss in COPD result, in poorer prognosis . It also results in making individuals feel tired and make them prone to infections. In COPD more energy is also required to be used on the part of patients for breathing that becomes difficult in low calorie intake (Singh Singh, 2012). The lack of energy makes it difficult on the part of the care users to abide by COPD management plan. Thus, in the process of helping the patients to adhere to nutritional eating, monitoring calories, emphasizing on protein consumption, getting balance in the diet are essential (Williams et al., 2014). However, in case of patients like Mr. Polaris having d rastic weight, they are required to include high-calorie and healthy snacks in their diet. This makes it essential for them to consume products like milk, nuts, cheese, avocado, oats etc. Thus, in cases like that of Mr. Polaris, in order to educate him along with his family member to support him to intake the required amount of food at correct amount, dietitian can be helpful. On the basis of guide of such professional Mr. Polaris and his family members will have to help him to follow a healthy eating plan along with achievable exercise. This would help him to tackle the health issue of drastic weight loss. Appropriate client education strategies In order to educate patients like Mr. Polaris along with family members, due to having specific care needs, educational stated will be provided through individual session and private set up. The strategy which will be opted, by the Registered Nurse to create awareness on the educational topic of healthy or nutritional eating, is the use of interactive lecturing. In this particular strategy, effective participation of families and patients are required for the purpose of gaining knowledge on the topic (Nault, 2007). It requires the involvement of asking question and letting the patients and family members ask question. The tools will can be used in this particular strategy is PowerPoint presentation with the help of which required information can be disseminated to the patient and family members. On the basis of these informations, they can be asked question or allowed to ask question. The participant who would be involved in this particular strategy is the patient and the family memb ers, dietitian as they can work in an integrated manner towards maintaining a healthy living style. The strategy that would be used to educate the care user breathing technique is- supportive demonstrations. This strategy will also be taught in a private educational setting, so that the care user can learn the techniques effectively (Puhan et al., 2011). The tools which would be preferred to be used in the process is patients own equipment for the purpose of demonstrates. Thus with the help of these strategies, the educational topics on breathing technique and healthy nutritional eating can be disseminated. Justification for choice of education strategies The educational strategy of interactive lecturing has been chosen to disseminate information on healthy living strategy is due to the fact that in maintain healthy living pattern collaborative working of the professionals and the care users and family members is required. The particular strategy gives the opportunity to the family members and care users to gain information on the particular topic with the help of interactive pattern of communication under this strategy. Hence this strategy has been chosen by the Registered Nurse to disseminate information on healthy living strategy. Supportive demonstrations has been chosen by Registered Nurse to disseminate information on breathing technique due to the fact that with the help of this strategy, the care user can be provided with the time and opportunity to learn and practice the required skills and master it (Faris, 2016). Hence with the help of this strategy, patients like Mr. Polaris can learn techniques of breathing resulting in opting for the particular strategy. Conclusion On the basis of the above made discussion, Mr. Polaris has drastic weight loss and abnormal respiration rate are among the major issues. In order to deal with these issues educational topics like breathing techniques can be helpful. In the management of the condition, the collaborative working of the care users and family members are also important. References Barnes, P. (2014).COPD. 1st ed. Elsevier Health Sciences. Donner, C. and Carone, M. (2007). Clinical Challenges in COPD. Oxford: Atlas Medical Pub. Effing, T. W., Bourbeau, J., Vercoulen, J., Apter, A. J., Coultas, D., Meek, P., ... Palen, J. V. D. (2012). Self-management programmes for COPD: moving forward.Chronic respiratory disease,9(1), 27-35. Faris, S. (2016).Recognizing Serious COPD Complications. [online] Healthline. Available at: https://www.healthline.com/health/copd/serious-complications#Overview1 [Accessed 24 Aug. 2017]. Hopkinson, N. (2017). Pulmonary Rehabilitation for COPD.Tanaffos,16(1), S7-S8. Minai, O. A., Chaouat, A., Adnot, S. (2010). Pulmonary hypertension in COPD: epidemiology, significance, and management: pulmonary vascular disease: the global perspective.CHEST Journal,137(6_suppl), 39S-51S. Nault, D. (2007). Educating COPD patients using the self-management program L IVING WELL WITH COPD . [online] livingwellwithcopd. Available at: https://www.livingwellwithcopd.com/DATA/GUIDEEDUCATEUR/11_en~v~reference-guide-for-patient-education.pdf [Accessed 24 Aug. 2017]. Puhan, M. A., Gimeno-Santos, E., Scharplatz, M., Troosters, T., Walters, E. H., Steurer, J. (2011). Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.Cochrane Database Syst Rev,10(10). Singh, S., Singh, V. (2012). Pulmonary rehabilitation in COPD.Supplement to JAPI,60. Steinback, C. D., Salzer, D., Medeiros, P. J., Kowalchuk, J., Shoemaker, J. K. (2009). Hypercapnic vs. hypoxic control of cardiovascular, cardiovagal, and sympathetic function. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 296(2), R402-R410. van der Molen, T., Miravitlles, M., Kocks, J. W. (2013). COPD management: role of symptom assessment in routine clinical practice.International journal of chronic obstructive pulmonary disease,8, 461. Weldam, S. W., Lammers, J. W. J., Decates, R. L., Schuurmans, M. J. (2013). Daily activities and health-related quality of life in patients with chronic obstructive pulmonary disease: psychological determinants: a cross-sectional study.Health and quality of life outcomes,11(1), 190. Williams, V., Price, J., Hardinge, M., Tarassenko, L., Farmer, A. (2014). Using a mobile health application to support self-management in COPD: a qualitative study.Br J Gen Pract,64(624), e392-e400.

Jesus Superiority to All Things Jewish in the Epistle to the Hebrews free essay sample

.To what, exactly, is Jesus superior? What is the authors point in underscoring this? The author of Hebrews writes to encourage believers to stand strong in their faith and to not fall away from following God. The book is also written to encourage people and to explain where Jesus falls in the line of superiority. Hebrews discusses how the Jewish laws are full of flaws and doesn’t lead people to a relationship with God. It also notes that some Old Testaments prophets were aware of the laws imperfections and how they made mention of a new covenant. (Ehrman 300) The main theme of the Epistle to the Hebrews is that Jesus is the superiority over Prophets, Angels, Moses, Joshua and the Jewish Priesthood. Jesus is above all of these because he paid the ultimate sacrifice once and for all when he died on the cross covering all sins. The reason the author continues to declare, â€Å"Christ and faith in him are superior to anything that Judaism can offer† is â€Å"to convince his listeners not to convert to Judaism† (Ehrman 307). We will write a custom essay sample on Jesus Superiority to All Things Jewish in the Epistle to the Hebrews or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page According to the Hebrews, it wasn’t possible to know God and then â€Å"fall away† for if this did occur, you didn’t truly find salvation in the first place. (Towles, Lesson on Hebrews) The author wrote to encourage Christians to stand strong for no matter the persecution they faced and assumed them they will receive an award in the end.

Veteran Administration Nursing Home Reform

Veteran Administration Nursing Home Reform Veterans Groups Call for VA Nursing Home Reform Six national veterans groups- including the American Legion- have called for the federal government to reform the standards of care residents receive at all Veterans Administration (VA) nursing home facilities. A detailed article on their concerns is available here.The six national veterans groups- representing nearly 5 million veterans- say Americans who risked their lives for their country endure conditions they call nothing short of horrifying.Their demands to improve care at all VA nursing home facilities came after a recent report detailing substandard care and a blatant disregard for safety at a facility in Brockton, Massachusetts.The ClaimsA former nurse at the facility alleges nurses and aides did not empty urinals, failed to provide water, did not regularly check on residents and slept on the job.In addition to the American Legion, other notable groups calling for reform include AmVets, Disabled American Veterans, Paralyzed Veterans of America, Veterans of Foreign Wars and t he Vietnam Veterans of America. Collectively, they are known as the â€Å"big six† for their political influence in Washington.The RatingsIn September, President Trump signed legislation requiring the VA to publish quality ratings, which are based on the VA’s internal rating system. The investigation by the Boston Globe and USA Today revealed care received at many VA nursing homes is significantly worse than private facilities.In fact, the agency’s own rating system gave 93 facilities two out of five stars for quality. Unfortunately, this data demonstrates that the majority of the 133 nursing homes that the VA operates are severely lacking proper care for their nearly 46,000 residents.Data released by the VA shows 95 of these facilities scored below private nursing homes in most quality indicators, including infection rates, bed sores and pain levels.The VA has yet to release the results of their own internal inspections. Such reports typically include instances of neglect or poor conditions encountered inside a nursing home facility.We Can HelpIf you are disabled and unable to work, call Disability Attorneys of Michigan for a free confidential consultation. We’ll let you know if we can help you get a monthly check and help you determine if any money or assets you receive could impact your eligibility for disability benefits.Disability Attorneys of Michigan works hard every day helping the disabled of Michigan seek the Social Security Disability and Veterans Disability benefits they need. If you are unable to work due to a physical, mental, or cognitive impairment; call Disability Attorneys of Michigan now for a free consultation at 800-949- 2900.Let Michigan’s experienced disability law firm help you get the benefits you deserve.Disability Attorneys of Michigan, Compassionate Excellence. Michigan Veteran Disability Lawyers, Michigan Veterans Benefits, Michigan Veterans Disability Attorneys, Veteran Nursing Home Reform

Rheumatoid Arthritis Exercises Essay Example | Topics and Well Written Essays - 1250 words

Rheumatoid Arthritis Exercises - Essay Example The onset of the disease is most frequent in fourth and fifth decades of life (Luqmani et al., 2006). The aetiology of the disease is not specifically known and has been suggested to be multifactorial. The class II major histocompatibility complex allele HLA-DR4 and related alleles are known to be major genetic risk factors for RA. It has been suggested that RA might be a manifestation of the response to an infectious agent in a genetically susceptible host. Activation of autoimmune mechanisms is the key aetiologic event in sustaining the chronic inflammatory process so characteristic of RA (Scott et al., 2000). The main event in pathophysiology is inflammatory synovitis. Subsequently through a cascade of multiple immune events through mediation of a host of immune cells, the synovial fibroblasts are activated. Added to cartilage degradation, osteoclasts are activated that leads to erosion of bone. The chemokines and cytokines lead to synovitis, cartilage and bone damage, and systemic manifestations of RA (Luqmani et al., 2009). Altman (2008) notes that these immunologic abnormalities arise from various immune complexes, which originate from the inflamed synovial cells that serve as a target for such immune injuries. The plasma cells that are recruited produce antibodies known as rheumatoid factors. These actively contribute to these complexes which ultimately lead to joint destruction. With further inflammation chemotaxis ensues leading to recruitment of macrophage cells with associate vasculitis. Primarily CD4+ lymphocytes infiltrate the synovial cells. These together produce inflammatory cytokines and chemokines, namely tumor necrosis factors, granulocyte-macrophage colony stimulating factors, interleukins, and gamma-interferon. These are known inflammatory mediators leading to further joint inflammation and systemic manifestations of the disease. When the disease is chronic, the synovial membrane is very much thickened and is projected into the joint cavity. The synovium is the seat of inflammation, which produce collagenase and stromelysin leading to further degeneration of joint cartilage. Interluekin-1 and tumor necrosis factor-alpha contribute to this process and stimulate osteoclasts, thus leading to bone erosion. Prostaglandins are released. With the maintenance of inflammation, fibrous tissue is deposited within the joint. The synovial tissue appears very much proliferates and highly vascular, leading to pannus which further potentiates release of inflammatory chemokines leading to all round erosion of the joint structures such as cartilage, bone, articular capsule, and the periarticular ligaments. Most of the inflammatory cells are neutrophils. In some patients rheumatoid nodules develop (Altman 2008). Clinical Features Clinically RA presents as chronic polyarthritis of symmetrical synovial joints of hands, wrists, knees, and feet with an insidious onset of fatigue, generalised weakness, and vague musculoskeletal symptoms for weeks or months. Pain, tenderness, and swelling in the affected joints get aggravated with movement. Generalised stiffness of joints noted in the mornings for about duration of greater than 1 hour is invariable. Swelling and tenderness in the joints lead to motion limitation and hence impairment of physical function. These lead to fibrous or bony ankylosis of the joint leading to fixed deformities (Scott et al., 2000).

Spacial topic Essay Example | Topics and Well Written Essays - 1250 words

Spacial topic - Essay Example 2. Operational decision makers- After creation of the business strategy, the objectives for the operation business process are established. 3. Reporting, controlling and analytical processes- The necessary information and data for the desired changes in operational managers’ behavior are identified and specified by the business analysts. 4. ELT developers and data base specialists- The data from data warehouses is gathered by the database specialist or the ETL (extract, transformation, and load) developer who make it assessable and usable to the front-end application of the business. 5. IT Professionals- In this layer, infrastructure run and develop the primary data is developed by generating sources or creating new data by the IT professionals. (Laursen & Thorlund, 2010) Chapter 2 Question1. Explain the process of business analytics at strategic level. Answer. The process of business analytics at strategic level could be explained by integration between the BA function and th e company’s strategy. There are four different scenarios showing the degree of integration between business strategy and strategy: 1. Where no formal link exists between strategy and BA, the BA function is used on an ad hoc basis. 2. When the link between BA and strategy is coordinated, the BA function is purely reactive and there is no feedback procedure from BA to strategy. 3. When there is a formal feedback procedure from BA to strategy and strategy innovation is supported by BA. 4. Where the information is used as a strategic resource. It enables the information to be used to determine the strategy. (Laursen & Thorlund, 2010) Chapter 3 Question1. Explain the process of establishing a new business processes with the Rockart model? Answer. The process of establishing a new business processes with the Rockart model consists of the following stages: 1. Objectives- The first step is the identification of the objectives, i.e. to identify the aim and purpose of the information t o be developed. 2. Operational Strategy- The operational strategy to fulfill the objective is identified and implemented. 3. Critical Success Factors- A large number of activities are initiated by implementation of a strategy. Some of these activities are more critical than others. All such critical success factors should be identified. 4. Lead and Lag Information- The information at functional level can be broadly classified as: Lag information- The information which we choose to register on an ongoing basis is the lag information. Lead information- Lead information is created on the basis of lag information. It helps in monitoring and improving the existing or initiating processes. (Laursen & Thorlund, 2010) Chapter 4 Question1. What are the required competencies of a business analyst? Answer. A business analyst is a provider of methodology. A business analyst must meet the following requirements: 1. Business competencies- A business analyst must have the business competencies and should understand the business process properly. He or she must have the business insight. 2. Tool Kit must be in order- A business analyst should be able to deliver multiple information in same data and should be able to visualize the information as the user. 3. Technical understanding- The business analyst should have the technical understanding of the information which could be used in collection and presentation of data. (Laursen & Thorl