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Hello, I am looking for someone to write an essay on Respiratory, pain relief meathods used during chest drain removal. a. It needs to be at least 2000 words.

This would enable detection of the levels upon which the tube would be removed from the patient (David 2009, 1).

Chest drain systems consist of collection chamber and mechanism that prevents air and fluid from re-entering the pleural cavity. They may have wet or dry properties that are aimed at draining the chest and preventing air from getting into the cavity. The wet system use water while the dry system uses suction mechanism instead of water to seal the opening and prevent air from re-entering the pleural cavity (Brunner and Day, 2009, 716).

Patients undergo a lot of pain during cardiac surgeries that involve the chest drain removal from the pleural membrane of the chest. This chest drain removal would be aimed at draining fluids and air form the lungs and subsequent expansion of the lungs. These tubes would be often removed when the condition is better within a period of not less than 3 days after the surgery (SH Sane, 2008, 43). The experience is painful and highly unpleasant to the patients (SH Sane, 2008, 43). This would result in development of negative emotions in the patients. Doctors and medical experts, being aware of this have developed their own procedures and methods of relieving pain in the affected patients. Drugs such as topical Valdecoxib, fentanyl and sufentanil, would be used in curbing the problem of controlling pain (SH Sane, 2008, 43).

Most patients have confirmed that chest tube removal (CTR) is a painful experience. This would prompt quick action aimed at reducing complications associated with it and reduction of pain. This would be as a result of inadequate management of pain during recuperation. It has also been confirmed that most countries have not set standards that would be used in pain management (Fischer and Bland, 2007, 769).

According to Puntillo & Ley (2004, 294), morphine is the most common drug used in the management of

 
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Hello, I am looking for someone to write an essay on Residence discussion its pros and cons. It needs to be at least 3500 words.

Naturally, under any circumstances and in any situation children’s interests should be of primary concern. If the contact with one of the parents is lost, then future of the child is under the threat of problems and disadvantages. Divorce leads to separation and social dysfunction of the family. but it is not separation itself that is harmful for children. it is the way divorce is handled. The justice system of the United Kingdom is involuntarily daily involved into exclusions of such kind1. Exclusion of one parent makes the child think that the latter is bad. consequently he may think that a part of him is spoiled too. Thus the child’s self-esteem and self-assurance are damaged. These dreadful outcomes of divorces could have been changed by the judicial system if they had eliminated discrimination of one parent with regard to another. Child’s best interests wouldn’t be protected if he lived with one parent. fit biological parents have equal rights and play equal roles in the lives of their children. Child’s best interests are in active involvement in his life of both fit biological parents. The Government issued Children Act 1989 is considered to be an initial step in shared residence initiation2. In spite of the fact that many years passed after Children Act adoption, shared residence is still considered to be a novelty in the UK. USA and Canada have more loyal attitude to shared residence and this decision after divorce is considered to be an optimal one. The UK Government should care about the fact that children alienated from one of their parents suffer emotional discord and turbulence. When children have to make choice which parent to ‘prefer’, they feel great emotional stress and self-sacrifice. Therefore Equal Parenting Council approves of shared residence.

 
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Hello, I am looking for someone to write an essay on Research Summary and Ethical Considerations , consequences of nurses working long hours. needs to bequalitative or quantitative study. It needs to be at least 750 words.

Patients go to the hospital expecting the best of care from the nurses. When this is not the case due to nurses working for long hours, there emerges a cause for concern and immediate remedy. The consequences of nurse working for long hours are prioritized because of the intensity of human suffering that is associated with poor medical attention /care.

The purpose of this study is to identify the consequences of long working houses for nurses and how they affect their ability to provide appropriate medical care to patients. Consequently, the goals of this study lead to formation of recommendations that can be adopted to handle the problem at hand.

The purpose and the research question are directly related to the problem. Exploring ways to answer the research questions will give relevant information on the nature of the problem and provide insights on ways to deal with it.

Qualitative methods such as case study analysis are appropriate in answering these research questions. Basically, the key consideration is how the nurses who work over long hours have behaved over time. The cases will provide information for analysis.

There are qualitative and quantitative studies that have concentrated on highlighting the major consequences of long working hour’s for nurses. The school of nursing from the University of Pennsylvania conducted a study in 2012 where 22, 275 nurses were interviewed to give their experiences of working for more than 10 hours. The same study also interviewed patients who had been attended to by the nurses after the elapsing of the recommended working hours. Close to 80% of the nurses reported burnout due to fatigue and said they felt sleepy after working for 12-13 hour shifts. 70% of the patients interviewed reported dissatisfaction with the attention and medical care given to them by the nurses working for long hours. It has also been noted in the research conclusions that not much is done to improve the situation the nurses face.

Other

 
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Hello, I am looking for someone to write an essay on Research report writing (Maintenance Management). It needs to be at least 2500 words.

The development intent aimed at enterprise creation for people within adjacent communities, a densely populated depressed area.

The front most of five warehouses which stretches 200 meters corresponding to the highway was split in half to create roadway and traffic flow into the industrial block. Roadwork and open space completes 55% of the 22,365 square meter original warehouse footprint. One of the halves of the original warehouse, which has a floor area of 5, 804.5 square meters, is fit out as a bazaar of smaller stalls. Several corridors cut from road level through entrances 3 meters wide and 3 meters high. Along the perimeter there are a total of 19 direct exit points with a total linear opening of 54.3 meters, but this includes the number of back portion fire exits. The overall effect is practically a covered open space.

Common in a number of historic facilities is the practice of natural ventilation systems, which over several alterations of the facility use, these built in systems are compromised. By contentious views on energy usage and environmental issues, natural ventilation resurfaced as a method increasingly attractive for reduced energy consumption and acceptable ecological print (Walker, 2010).

In the conversion of Warehouse—1, the ventilation system was reviewed of less importance since there were no recorded technical complications of difficulty in this category for the past 25—year warehouse operation. While this review provoked green build possibilities, the idea of facility conversion insofar also compromised capital expenditure constraint or reinvestment conservatism.

The design approach is an application of the displacement ventilation theory by exhaust suction treatment, which relies heavily on the natural air movement in the vicinity. It occurs that the industrial block has a constant cool breeze from tree hedges that outline each warehouse zone.

That is, a natural ventilation system depends on pressure differences to

 
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Hello, I am looking for someone to write an essay on Role of the WTO and the IMF in global business. It needs to be at least 2250 words.

IMF was formed in 1944 at the conference held in the United States. another main role of formation was to provide loans to the members. The loan provision to members of IMF was meant to boost trade between countries or achieve balance of payments. While WTO has increased access to international markets, IMF has assisted some countries achieve positive balances of payment. However, many have criticized the two institutions. For example, IMF has been criticized for formulation policies that make it difficult for some countries to access IMF loan. This report explains the role of WTO and IMF. It also explains the impacts of the two institutions have had on global businesses.

According to Morrison (2011), IMF and the World Bank are two institutions formed to provide funds. The two institutions are also called Bretton Woods Institutions because they were formed in Bretton Woods. The main aims of formation of IMF are to foster international monetary cooperation and expand international trade. The two objectives that led to the formation of IMF go on to remove the inequities that exist between members’ balance of payment. The goals that led to the formation of the institution are to be met by promoting exchange stability, maintenance of systematic exchange arrangements and circumvention of competitive exchange depreciation.

In addition, IMF also promotes the economy of the member states by providing funds for disposal and the funds assist states facing financial crisis. Internal Monetary Fund also provides assistance temporarily to countries (members) that tries to keep their currencies stable in times of financial downfalls. In addition, the institution assists states that have structural trade problems. This only happens when the states having structural trade problem seek help from the institution. However, the author noted that the institution could not save the country facing huge and continuous (Ramakrishnan & Zalduendo, 2006). Here are main

 
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Hello, I am looking for someone to write an essay on Robert Cialdini: Influence: Science and Practice. It needs to be at least 500 words.

Thus various tactics used to persuade or stimulate others are explained in the book and these tactics come under the classification of six basic categories of reciprocation, consistency, social proof, liking, authority, and scarcity.

Another powerful concept that the book explains is the key of attracting the customers or viewers attention by using the idea of scarcity –the rule of few i.e. using labels like limited availability, short time only or restricting the information in order to stimulate viewers to know more about it. In addition, using the appropriate caption added to the sale of the product to a large extent. For instance, the caption used in the present book is-‘over a quarter million copies sold’-hence an idea of influencing the readers or viewers so that they demand more information and respond positively.

Incase of approaches described in the book, first effective and learnable is that we should avoid social proof. The situation becomes worse when we do not know much about things we are going to do. So, we really ignore our own consciousness and mentality, which is risky. The notion is well beneficial for both person as well as organization, since own intellectual and judgments can escape us from blunders those we were going to act just because of social proof.

The second very awakening idea illustrated in chapter 8-Instant Influence-truly warns us not to rely our decisions on small primitive piece of the information rather than the total available one. Hence, the chapter informs the professionals to use the maximum accessible information as well as the normal man to furnish his decisions on the basis of complete information.

As far as the personal assessment is concerned, the book is quite beneficial to everyone whether the individual is student of management, marketing professional, a common customer of a market. Although book explained each and every concept in an organized way yet it

 
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Hello, I am looking for someone to write an essay on Rites of Passage for Mesai and Nubian culture. It needs to be at least 1250 words.

In the Maasai culture, ceremonies are used as a way of expressing their culture and self-determination. All the ceremonies form a part of their lives because they are rites of passage. The younger Maasai boys and girls get very anxious to reach the right age and qualify to go through these rites of passage. The pre-circumcision ceremony referred to as Enkipaata is the first boy’s initiation. It is arranged by the fathers of the new age-set group. The ceremony is carried out only when the senior warriors have been settled. Boys aged between 14-16 years later move all around their land in a period of about five months giving information that they will be forming their new age-set.

The boys going through initiation are offered a house which has been built in their respect. The Maasai prophet, known as Oloiboni, is responsible for choosing the location of the houses where all the boys of the whole community will be initiated. During this process, the chief of the boys, known as Olopolosi, is chosen, although this position is considered by the community as unfortunate. This is because the chief of the boys is the person supposed to carry all the sins committed by members of his age-group. The boys to be initiated are supposed to sleep in the forest, and at dawn they run towards the homestead and go in with a raider’s attitude. They dance throughout the day of the ceremony dressed in loose clothes. It is after this ceremony that the boys are ready for circumcision.

The circumcision ceremony is the most important rite of passage in the Maasai community, for men and women. It is the process that develops young girls and boys from childhood to adulthood. However, due to upcoming challenges of civilization and the 21st century, circumcision for Maasai women has been fading over the years. Once a Maasai boy has been circumcised, they become warriors. After becoming warriors, they fully take the responsibility

 
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Hello, I am looking for someone to write an essay on Scientific( Virology ). It needs to be at least 3000 words.

This antibody has proved essential in management of the virus development in succeptible children. To date, Ribavirin stands as the only accredited drug against the circus. Nevertheless, the applicability of this sophisticated drug has been subject to cost and toxicity constrains thus limiting its use.

As a consequence, there remains an urgent need for research ventures aimed at developing more effective anti-RSV treatments. To fuse with the host cell, the virus uses glycoprotein F. therefore, this knowledge could be used in drug targeting to develop anti-protein F medications.

Through research ventures, the first strain of the virus was harvested from the chimps respiratory channel, and has since been widely associated with infants and newly born babies. Notably though, the virus lacks age specificity with its incedences being noted among adult humans. Currently, it is estimated that the disease causes approximately 34 million infections of the lower respiratory tract among children. Out of these, an approximate 10% often require hospitalization to recover. Sadly, up to 7% of the hospitalised children end up losing their battle against the virus, with fatality rates in developed states accounting for just 1% of the total.

While world health systems are continuously laying foundations in attempts to develop an ideal vaccine and medication against the infection, this has faced many hurdles. In the end, the world remains stuck with Palivizumab as the only humanized antibody compliant to the guidelines of the Food and Drugs Authority. This artificially articulated MAb targets the virus by identifying its antigenic F-protein and mounting immunological response against the virus. On the other hand, the virus can be managed through transcription arrest in this RNA-virus, an approach that has been exploited in the designing of Ribavirin. However, such RNA targeting drugs are highly costly to produce,, while others

 
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Hello, I am looking for someone to write an essay on Risk management. It needs to be at least 3250 words.

This process is to benefit from the use of the PDCA cycle, as well as the FOCUS model-based situation analysis (Yoder-Wise, 2010. American Society for Quality, n.d.. Garkovich, 2009. Wilburn, 2012).

In the case at hand, the patient was admitted into the ER as a stroke suspect, but the tests yielded negative for stroke with the CT scan. The urine tests showed the presence of opiates, leading the staff to suspect the use of IV drugs by the patient. He is negative for aphasia, and has no signs of having had a seizure, even though that was the suspicion,. He was under observation the past 24 hours. Not being certain of the problem in Mr. Xs case, the care staff moved him to a unit on acute care. There he is left without restraints, shirtless, and wearing just a pair of boxing shorts. As nurse administrator, the flag for Rapid Response showed the patient hysterical and asking for help. The intervention given was an facial mask-delivered oxygen, and following the protocol of getting the cardiac monitor attached to the patient as per the Rapid response protocol. The staff seemed paralyzed and unable to know how to deal with the crisis. The protocol fails, as the patient only takes a minute to start acting up again, and removing the mask and the monitor. The EKG reading was normal, and the protocol having failed, the staff did not know how to proceed. The patient escapes and is seen at home. The patient returns the next day with a headache and discomfort in the chest area that are self-reported. The same unit as the previous day accommodates him, but the staff are understandably wary. Three hours hence they recorded another emergency from the patient The patient complained of pain in the stomach. The doctor is called, but the nurse in charge of the case and the other staff keep their distance from Mr. X (Yoder-Wise, 2010. American Society for Quality, n.d.. Garkovich, 2009. Wilburn,

 
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Hello, I am looking for someone to write an essay on SCIE210 U3IP: Energy Plan. It needs to be at least 750 words.

Secondly, the energy source should depict safety and convenience. Thirdly, the energy source should be easily transportable as well as able to store. Lastly, it should have a long usability period.

The law of conservation of energy is a very important law in nature. According to this law, the total amount of energy in a system is constant. This means that energy is neither lost nor destroyed (IOP Institute of Physics, 2014). The reason why energy sources exhaust is that it is converted from one source to another. In real terms, the energy within a system remains constant because one of the forms of energy in the system changes. For example, when an engine utilizes fuel, it converts the chemical energy that is available in the fuel into mechanical energy that is capable of make a movement. Therefore, energy is very dynamic. It is clear that the energy in the world is constant. the conversion from one form to another is what makes the sources of energy exhaustible. For example, it is possible to exhaust the oil in the world but the reality is that the amount of energy remains unaltered.

The various sources of energy have different advantages and disadvantages. Fossil fuels include oil, natural gas, and coal. These have been used as energy sources for quite some time 9International Energy Agency, 2013). One major advantage is their ability to generate high amounts of energy. Secondly, they are easy to explore. Transportation of oil and gas is very efficient through pipelines. On the other hand, coal is cost efficient as well is available in bulk. The efficiency that is associated with gas in the power plants is usually very high. On the other side, these sources have their own disadvantages. Crude oil poses a risk of pollution among other environmental hazards, coal is highly bulky hence, exploration and transportation is tedious, while coal also releases carbon dioxide and sulphur dioxide when

 
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