Need an argumentative essay on Preventing vent acquired pneumonia (VAP) in the icu. Needs to be 1 pages. Please no plagiarism.
Microbiological surveillance is important because it prevents emergence of multi-drug resistant bacteria and also in determining empirical therapy for patients with VAP. According to Babcock et al (2004), educating health professionals about prevention of VAP is critical for prevention of not only VAP, but also various nosocomial infections. Similar reports were delivered by Needleman et al (2002) and Cho et al (2003).
Another important strategy for prevention of VAP is early extubation and this is possible by following certain extubation protocols like interruption of sedation every day. According to Cook et al (2000), decreased time of mechanical ventilation decreases the risk of aspiration and consequently decreases VAP risk.
The third strategy useful to prevent VAP is prevention of aspiration. Nieuwenhoven et al (2006) have reported that evevation of bed at 45 degrees prevents aspiration. Timely drainage of secretions in the subglottic region which get contaminated easily (Bonten et al. 2004), avoiding manipulation of fluids in the ventilator circuits (Han and Liu, 2010) and use appropriate endotracheal cuff pressure (Valencia et al. 2007) also prevent aspiration of contaminated fluids and secretions.
There are several decontamination strategies which have been advocated for prevention of VAP. Some drugs like chlorhexidine are useful for oral decontamination. Selective decontamination of the intestines is possible by using antibiotics like polymyxin which are non-absorbable (Bonten and Krueger, 2006).
Babcock, H.M., Zack, J.E., Garrison, T., Trovillion, E., Jones, M., Fraser, V.J. et al. (2004) An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest, 125, 2224–2231.
Tablan, O.C., Anderson, L.J., Besser, R., Bridges, C. and Hajjeh, R. (2004) Guidelines for preventing health-care–associated pneumonia, 2003:
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Need An Argumentative Essay On Prepare An Essay On Brazil And Brasil Foods After
/in Uncategorized /by developerNeed an argumentative essay on Prepare an essay on Brazil and Brasil Foods(after going through the Harvard Business School ). Needs to be 6 pages. Please no plagiarism.
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A country like Brazil with strong agriculture based economy has certainly made rapid transformation in the agriculture field and in other important sectors as well largely due to the derived benefits of globalisation. One of the primary benefits which can be obtained developing nations from globalisation is influx of greater amount of Foreign Direct Investment (FDI). Brazil also took a courageous step concerning this aspect by permitting 100% FDI in the major sectors like retail, oil, gas, iron and steel among others. This external influence of globalisation has facilitated an economic boom in Brazil in the past decade. Due to the positive influence of globalisation, the disposable income and purchasing power parity aspects have also augmented substantially which can be noticed from the expansion of the economy by 7.5% in the year 2010. In terms of another crucial external influence of globalisation, it is observed that foreign workers belonging to varied income levels have started to come to Brazil, which has certainly enabled to boost the country’s economy. …
In terms of internal influences of globalisation on Brazil, it is observed that by the year 2010 the nation had transformed into one of the foremost exporters of food in the world. The initiatives such as deregulation and privatisation have played a pivotal part in the economic emergence of Brazil. These factors have substantially been influenced by globalisation as the privatisation and deregulation are meant to attract greater investment in the nation which can facilitate overall development (McGraw-hill, n.d., Bell &. Kindred, 2012. The Times 100, 2013). Brazil has come in the spotlight of investors also because of possessing huge manpower as it is the fifth most populated nation. Additionally, this factor has also contributed to the nation possessing a huge market size thus ensuring continuous positive growth of the Gross Domestic Product (GDP). Moreover, the people of the nation have started to embrace a number of positive influences of foreign tradition and culture such as in case of accepting foreign apparel and clothing items. Overall, these benefits have transcended from globalisation based influences (Bharat Book Bureau, 2013). 2. Evaluate the Impact of Globalisation Globalisation is the method of interchanging the products, goods, ideas and various aspects of culture in the worldwide context. It helps the national along with cultural resources of nation to be promoted internationally including transportation enhancement, telecommunication, infrastructure development along with developing future prospect in economy and interchanging of the culture.
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Need An Argumentative Essay On Presentation And Needs To Be 12 Pages Please No P
/in Uncategorized /by developerNeed an argumentative essay on Presentation and. Needs to be 12 pages. Please no plagiarism.
However, later on, providing food to its inhabitants also entered the agenda. In course of time, as the concept of ruler became primitive and obsolete, a more democratic set up came into origin, feeling for the mass, compelled them to consider policies addressing issues like unemployment, inflation, inequality and racism received more importance and priority. The United States of America was always a land of freedom. As stated by Abraham Lincoln it was a land “for the people, of the people and by the people”. No doubt, USA is considered as one of the earliest democratic set up which entered the election process long back during 1860s. Interestingly, the policies that were taken by the government at that time remained unaltered with some minor additions till 2007.
USA has always been a place where the black and the white people interacted with each other and so it was obvious that racism would have been a prime concerns for the USA government. Soon it was understood that blacks were lagging behind without proper education and medical attention. That followed from their nominal level of earnings. Though the government tried to eradicate such inequality and help the black people to mingle with the main stream of the USA society, but even today, the initial oppression and lack of social amenities block the black people to feel at par with other US citizens. Exceptions are there but exceptions can never be examples.
While the Democratic Party is known as the architect of modern day racism, the Republicans have been following a policy of attacking racism at its very roots. The delegation head J.C. Watts pointed out, “we are going to attack racism at its roots, we have to focus on education, on economic empowerment, and on rewarding hard work” the Republicans are aware of the Democratic policy of keeping the blacks in poverty and hunger in
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Need An Argumentative Essay On Presidential Library Essay Needs To Be 2 Pages Pl
/in Uncategorized /by developerNeed an argumentative essay on Presidential Library Essay. Needs to be 2 pages. Please no plagiarism.
It is four miles north of Poughkeepsie in New York and midway between Albany and New York City. The architectural design of the library represents the Dutch colonial architecture designs that symbolize the quality of endurance in difficult situations (Leland, 1955). The building is an open square made of fieldstone, one story height, and high-pitched roof. It has interactive exhibits, map room, audiovisual theatres, two Fire Chat Environments, and storerooms (Franklin D. Roosevelt Presidential Library and Museum).
The most interesting is the interactive tables. The feature animation and videos for World War II meetings and spotlights on some countries, as well as key battles. Secondly, the library is rich with memorabilia collection from that includes ship models, his 1936 Ford Phaeton, paintings, gifts, Val-Kill furniture, and his family items that take memories back to his lifetime. Thirdly, it is interesting to hear readings of the original letters written by the President Memos and opinions he made during his time (Franklin D. Roosevelt Presidential Library and Museum).
The paintings provide a reflection of battles, marine scenes, and famous vessels of his administration. 125 ship models at the naval exhibition is an awesome sight. Main exhibition room has personal artefacts including original speech addresses, tributes, and gifts he received, photographs, coins, rare drawings, stamps album, and models such as the Boulder dam model.
Franklin D. Roosevelt was an effective leader in office and a powerful leader in the history of America presidents. He was self-confident, could interact with all people easily and determined public servant who provided America with a clear vision and used his political skills to get all people focused towards achieving the vision (Franklin, 2013).
His life was spent in public service. He began his public service career as a New York state Senator. Then he became the assistant secretary of navy, and
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Need An Argumentative Essay On Presonal Development Needs To Be 6 Pages Please N
/in Uncategorized /by developerNeed an argumentative essay on Presonal development. Needs to be 6 pages. Please no plagiarism.
Opportunities for study and growth in professional careers are available to all living in the UK.
I hope to have an evaluation of myself in context of personal and professional development. I need to have understanding of what positives I have in me that will help me in achieving my goals and what negatives I have that need to be fixed in order to be successful in my personal and professional life. Although personal and professional development plans are important at every phase of life but this is the most important time for me to evaluate myself and develop personal and professional development plan.
I served in Abu-Dhabi police for more than 4 years and my experience of working there was so great that I have opted this profession as my career path. My aim is to join the police force after I graduate with the degree of police officer in 2011.
Strengths: I feel that one of my key strengths is decision making, it is used throughout life because one has to make smaller or bigger decision during the course of life. It’s very common that before making an important decision, there are clouds of confusion all around. I experienced it making decision of higher studies in the UK. It was a tough decision, as majority of my friends and my relatives were pursuing their higher studies in Abu-Dhabi. I compared all the pros and cons of this situation did a fair bit of risk assessment and finally I was quite sure in my mind that I have made the right choice in the given circumstances. If I look at my career path and my motivation of becoming a Police Office, I feel that this strength of decision-making will help me a lot in my career development and growth.
Another key strength I found about myself during self-assessment is of quick learning and adaptability. This strength helped me when I left my native country and came to UK. Learning variety of courses
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Need An Argumentative Essay On Preventing Vent Acquired Pneumonia Vap In The Icu
/in Uncategorized /by developerNeed an argumentative essay on Preventing vent acquired pneumonia (VAP) in the icu. Needs to be 1 pages. Please no plagiarism.
Microbiological surveillance is important because it prevents emergence of multi-drug resistant bacteria and also in determining empirical therapy for patients with VAP. According to Babcock et al (2004), educating health professionals about prevention of VAP is critical for prevention of not only VAP, but also various nosocomial infections. Similar reports were delivered by Needleman et al (2002) and Cho et al (2003).
Another important strategy for prevention of VAP is early extubation and this is possible by following certain extubation protocols like interruption of sedation every day. According to Cook et al (2000), decreased time of mechanical ventilation decreases the risk of aspiration and consequently decreases VAP risk.
The third strategy useful to prevent VAP is prevention of aspiration. Nieuwenhoven et al (2006) have reported that evevation of bed at 45 degrees prevents aspiration. Timely drainage of secretions in the subglottic region which get contaminated easily (Bonten et al. 2004), avoiding manipulation of fluids in the ventilator circuits (Han and Liu, 2010) and use appropriate endotracheal cuff pressure (Valencia et al. 2007) also prevent aspiration of contaminated fluids and secretions.
There are several decontamination strategies which have been advocated for prevention of VAP. Some drugs like chlorhexidine are useful for oral decontamination. Selective decontamination of the intestines is possible by using antibiotics like polymyxin which are non-absorbable (Bonten and Krueger, 2006).
Babcock, H.M., Zack, J.E., Garrison, T., Trovillion, E., Jones, M., Fraser, V.J. et al. (2004) An educational intervention to reduce ventilator-associated pneumonia in an integrated health system: a comparison of effects. Chest, 125, 2224–2231.
Tablan, O.C., Anderson, L.J., Besser, R., Bridges, C. and Hajjeh, R. (2004) Guidelines for preventing health-care–associated pneumonia, 2003:
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Need An Argumentative Essay On Principels Of Organizational Mangement Needs To B
/in Uncategorized /by developerNeed an argumentative essay on Principels of organizational mangement. Needs to be 5 pages. Please no plagiarism.
Hence, for instance, a UK manager who initiates business activities in the US business environment has to verify if his strategies conform to the business culture and institutional settings of the region.
Researchers are of the opinion that the concept of HRM was the US contribution to the business world. American HRM started since 1890s with the emergence of NCR Corporation specifically when it initiated a separate personnel office (Ed. Pieper. 1990, p.41). In addition to this, several aspects including enterprise capitalism, free individualism, diverse workforce which comprised of immigrants also contributed to the growth of HRM in America (Ibid). Consequently, traditional business concept of ‘personal management’ gave way to collaborative business operation which gave much emphasis on creating large and diverse pool of human capital which would be cost effective and potential enough. Thus employee participation and managerial functions became the most inevitable part of American business organizations. As the new method was highly effective, it helped American organizations to be more competitive in the global market. Consequently, American organizations became highly competitive. and caught the attention of the entire business world. Organizations across the globe tried their own experiments on the strategic implementation of HRM.
Despite the common features of all HRM models, as Bratton and Gold (2001) state, ‘there is a qualitative difference between HRM and traditional personal management’. According to the writers’ view, it includes strategic character of transformational leadership, and involvement of line managers as the notable features of modern HRM. The features of American approaches to HRM, according Schuler and Johnson include mainly five characteristics that make US model of business management distinctive from other European models (Cited in Fenton, Gooderham & Nordhang 2005). Given below are the
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Need An Argumentative Essay On Principled Negotiation Needs To Be 1 Pages Please
/in Uncategorized /by developerNeed an argumentative essay on Principled Negotiation. Needs to be 1 pages. Please no plagiarism.
Thus, looking for a compromise in such a multicultural conflict we face a problem of understanding. Each party of the conflict stands for its own position, which can be interpreted in a wrong way by another party. The chain of misunderstandings can lead not to resolution of the conflict but even to its complicacy. Indeed, principled negotiation can figure out how to deal with the problem, though, the most difficult step in its process is the one when you are supposed to focus on person’s interest not position. The point is that in order to focus on personal interest we should clearly understand one’s personality and its universal features to press on them during negotiation, but it frequently happens that we don’t fully understand culturally diverse people. We can think that we know them in person, but in fact it might turn out that our actions in the negotiation just ruin everything because we are mistaken about the other party of the
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Need An Argumentative Essay On Principles Of Marketing Needs To Be 3 Pages Pleas
/in Uncategorized /by developerNeed an argumentative essay on PRINCIPLES OF MARKETING. Needs to be 3 pages. Please no plagiarism.
The marketing mix is customized to match the needs of the targeted consumers in the market that is vital to enhancing the attractiveness of products and services supplied by a given company. In addition, the branding of the MAC Cosmetic products has been influential in enhancing the attractiveness of the business that is vital to sales revenue generation. Consequently, this paper evaluates the influence of marketing strategies of MAC Cosmetics in enhancing the welfare of the business.
The mission statement of MAC Cosmetics is one of the attributes that has enhanced its attractiveness in the market. This is due to the role of mission statement in articulating the intention and objective of a business organization in offering services or goods to the targeted market (Kotler & Keller, 2012). Consequently, the mission statement of MAC Cosmetics in extending its services and goods to the targeted market has been able to reinforce the marketing effort of the company in attracting consumers in the market. The mission statement of MAC Cosmetics Company is as reflected below.
The mission statement indicated above for MAC Cosmetics reflects that the company embraces the diverse global community. This is instrumental in enhancing the acceptance of the company’s products since it caters for possible negative undertone a product may face from market (Carey, Knowles, & Towers-Clark, 2011). Consequently, the mission statement of MAC Cosmetic is vital in enhancing the penetration of its products in the market.
The financial performance and position of MAC Cosmetics is one of the vital aspects that reflect how the marketing efforts of the business enhance the welfare of the business in enhancing the wealth of consumers. Accordingly, the recent financial statement of MAC Cosmetics indicates that the marketing strategies of the company have been vital in enhancing the generation of sales revenue. The sales revenue of the company in 2012 stood at
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Need An Argumentative Essay On Prison Sentencing Reform Juveniles Needs To Be 7
/in Uncategorized /by developerNeed an argumentative essay on Prison sentencing reform-juveniles. Needs to be 7 pages. Please no plagiarism.
This is normally motivated by peer pressure whereby the deviant teenagers lure their friends to commit crimes in the name of having thrilling fun in their neighborhoods. Most American kids get away with the crimes they commit since the people in the community seldom take the matters to court but those who are not lucky enough to be forgiven face trials and they are given various sentences by the courts.
Delinquent juveniles may be incarcerated by the court as punishment, depending on the gravity of their actions. This normally happens when the crime committed by the juvenile could attract a heavy sentencing penalty if he or she was an adult. Repeat juvenile offenders also attract incarceration sentences. Juvenile offenders may be sent to juvenile correction facilities and later transferred to state prisons if they fail to reform as required of them. This paper will discuss prison sentencing reform for juveniles in the U.S. and its effectiveness. Prison sentencing of juveniles has more negative effects on the lives of the offenders and it should be discouraged.
Recent developments in the American Justice System allowed the courts to sentence juveniles to life imprisonment without parole. The controversial issue has attracted heated debates in the American society and some people have petitioned the Supreme Court to overrule the policy. It is, however, a very good way of safeguarding the American society since the maximum sentencing is only done on juvenile offenders whose crimes could attract capital punishment or life imprisonment if they were adults. Some of these crimes include murder and rape among other serious crimes. The sentencing has been devised in order to keep the dangerous juvenile criminals away from the society. It is believed that the life imprisonment is a viable reform method for the deviant kids. Most of them are reformed within the first 10 years of imprisonment
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Need An Argumentative Essay On Privacy Philosophy Related To Id Theft Needs To B
/in Uncategorized /by developerNeed an argumentative essay on Privacy Philosophy Related to ID Theft. Needs to be 3 pages. Please no plagiarism.
First of all, it must be noted that the above mentioned cyber crime has a considerable devastating impact on the victim. In spite of the fact that a person in not harmed physically, the cyber criminals might steal financial funds and make the social security number used for bad purposes which ultimately distorts the system of social security and does not allow the government to care after its citizens effectively. As for the companies that are involved in the ID theft directly or indirectly, one should point out that they experience negative influence as well. For example, it is beyond any doubt that a person would not be willing to use the services of a company that issued the debit card after the cyber criminals were able to steal the money from it. What is more important is that if the theft happened in the virtual environment, the companies which provided the software are likely to lose their reputation as well. There are several ways that a person might make sure that his or her ID is not stoles. One of the best ways is to change passwords frequently and contact the support team of different services from time to time. In this case, the criminals will see that a person actively protects one’s privacy and are not likely to try to steal the data. However, the easiest way to prevent ID theft is to be careful while interacting with the virtual environment and use the services of the reliable companies.
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