Us history

We take nothing by conquest, Thank god. Zinn uses this statement to present how atrocious the conquest really was since there was a conquest. America wanted to hide it's evil ways behind the facade of saying that America acquire land always through peaceful purchases. The war was very unpopular to many.Polk said that the war was to gain California and also said that Mexicans invaded first. On this chapter Zinn focuses on the Mexican American war and how it really was a conquest caused by Polk. In 1821, Mexico won it's independence in a revolutionary war against Spain. Mexico was a large country which included Texas, New Mexico, Utah, Nevada, Arizona and part of Colorado. In 183 Texas broke of from Mexico and declared itself † The lone star republic† and in 1845 the U. S Congress brought it into the union as a state.Later in spring of 1846, all that was needed was a military incident to begin the war Polk wanted. It happened after General Taylor's quartermaster, Colonel Cr oss isappeared. His body was found eleven days later. It was assumed that the Mexicans had killed him. A lot of the Anti-Slavery congressmen voted against all war measures. Seeing the mexican campaign as a means of extending the southern. Slave territory Joshua Giddings explains his vote against supplying men and arms for the war.To Howard Zinn looks like Polk was the only one that wanted California to be part of his nation. The war barely begun in the summer of 1846, when a writer who lived in Washington refused to pay his Massachusetts poll tax. Denouncing the mexican war. He was put into Jail and spent the night there. Zinn argues that the president Polk pushed for the war because he wanted to expand. He wanted to go as southwest as possible. He thought the United States needed to be larger. Polk wanted California for America before anyone else could get it.It was not right for him to move his troops into an area that was already claimed by Mexicans. The war was not popular and t he soldiers wanted to go home. Like Zinn said † I don't think it was right to Just take land from Mexico Just because the president wants it. I think thats ot fair. Polk's leadership as president ofa nation that was quickly expanding not care for the mexican people already living there. Zinn gives a quote from the diary of Colonel Ethan Allen Hitchcock, who opposed measures taken by General Taylor to annex Texas.Hitchcock explains, â€Å"He seems to have lost all respect for Mexican rights and is willing to be an instrument of Mr. Polk for pushing our boundary as far west as possible,† (A people's history of the United States page 150). The feelings for this burst of expansion were varied; some believed it unnecessary to ifferent degrees and opposed or refuse to go into war with Mexico Just to take their land , while others strongly favored the extra land.In fact, a new attitude was developed during this time, the one of â€Å"manifest destiny'Americans technically wen t into conquest because Cross was found dead eleven days after he disappeared and Mexicans were responsible for it. They didn't know who killed it so they actually went into conquest because Polk was already planning on taking California from Mexico. Americans assumed the war begin by the mexicans after killing Cross. No one wanted to go to war with anyone. The American people were not excited or impatient for this.In conclusion a part of me was shocked while another part of me knew that these actions were not uncommon. While it is hard for me to determine what the United States' goal is right now (perhaps stability) it's easy to see what kind of mindset these powerful leaders back then had. It was all about the idea that Americans were entitled to the land they set their eyes on. knowing that the united states of America used to be so grossly land-obsessed. Then again, who knows what our country is obsessed with today; it could be land once again. Us history We take nothing by conquest, Thank god. Zinn uses this statement to present how atrocious the conquest really was since there was a conquest. America wanted to hide it's evil ways behind the facade of saying that America acquire land always through peaceful purchases. The war was very unpopular to many.Polk said that the war was to gain California and also said that Mexicans invaded first. On this chapter Zinn focuses on the Mexican American war and how it really was a conquest caused by Polk. In 1821, Mexico won it's independence in a revolutionary war against Spain. Mexico was a large country which included Texas, New Mexico, Utah, Nevada, Arizona and part of Colorado. In 183 Texas broke of from Mexico and declared itself † The lone star republic† and in 1845 the U. S Congress brought it into the union as a state.Later in spring of 1846, all that was needed was a military incident to begin the war Polk wanted. It happened after General Taylor's quartermaster, Colonel Cr oss isappeared. His body was found eleven days later. It was assumed that the Mexicans had killed him. A lot of the Anti-Slavery congressmen voted against all war measures. Seeing the mexican campaign as a means of extending the southern. Slave territory Joshua Giddings explains his vote against supplying men and arms for the war.To Howard Zinn looks like Polk was the only one that wanted California to be part of his nation. The war barely begun in the summer of 1846, when a writer who lived in Washington refused to pay his Massachusetts poll tax. Denouncing the mexican war. He was put into Jail and spent the night there. Zinn argues that the president Polk pushed for the war because he wanted to expand. He wanted to go as southwest as possible. He thought the United States needed to be larger. Polk wanted California for America before anyone else could get it.It was not right for him to move his troops into an area that was already claimed by Mexicans. The war was not popular and t he soldiers wanted to go home. Like Zinn said † I don't think it was right to Just take land from Mexico Just because the president wants it. I think thats ot fair. Polk's leadership as president ofa nation that was quickly expanding not care for the mexican people already living there. Zinn gives a quote from the diary of Colonel Ethan Allen Hitchcock, who opposed measures taken by General Taylor to annex Texas.Hitchcock explains, â€Å"He seems to have lost all respect for Mexican rights and is willing to be an instrument of Mr. Polk for pushing our boundary as far west as possible,† (A people's history of the United States page 150). The feelings for this burst of expansion were varied; some believed it unnecessary to ifferent degrees and opposed or refuse to go into war with Mexico Just to take their land , while others strongly favored the extra land.In fact, a new attitude was developed during this time, the one of â€Å"manifest destiny'Americans technically wen t into conquest because Cross was found dead eleven days after he disappeared and Mexicans were responsible for it. They didn't know who killed it so they actually went into conquest because Polk was already planning on taking California from Mexico. Americans assumed the war begin by the mexicans after killing Cross. No one wanted to go to war with anyone. The American people were not excited or impatient for this.In conclusion a part of me was shocked while another part of me knew that these actions were not uncommon. While it is hard for me to determine what the United States' goal is right now (perhaps stability) it's easy to see what kind of mindset these powerful leaders back then had. It was all about the idea that Americans were entitled to the land they set their eyes on. knowing that the united states of America used to be so grossly land-obsessed. Then again, who knows what our country is obsessed with today; it could be land once again.

Post-Traumatic Stress Disorder symptoms Essay

I. Importance of Study Found in the Journal of Advanced Nursing, a group of Norwegian psychologists conducted an observational longitudinal study to discover whether or not there is a relationship because Health Related Quality of Life (HRQoL), and Post-Traumatic Stress Disorder symptoms (PTSD). Mette Senneseth, Kjersti Alsaker & Gerd Karin Natvig, conducted this study. According to the journal, the aim of the study was to examine HRQoL and PTSD symptoms in the people that attend Accident and Emergency departments (A&E), due to the fact that they suffer from some type of psychosocial crisis (Alasker et al. 2011, 403). Hereafter, this is referred to as Research 1. The study done in Research 1 revealed that there has been an interest in researching one’s quality of life, and how it correlates with one’s health. The term HRQoL refers to the â€Å"effects of health, illness and treatment on QoL† (Alasker et al. 2011, 403). There have been a number of studies that suggest that traumatic lif e events, including, but not limited to, sexual assault and military combat, have a negative effect on HRQoL. Additionally, poor HRQoL is not only associated with PTSD symptoms, but they are related to differences and modification in HRQoL, and there is a negative correlation between the two (Alasker et al. 2011, 403). The researchers hypothesized that people who seek help at A&E, suffering from such psychosocial calamites, have lower HRQoL than the general population of Norway at the time of the study, and that the participants will have improved HRQoL after two months (Alasker et al. 2011, 403). In addition, a second hypothesis predicts that participants who have high levels of PTSD symptoms at the time of the study will have reduced symptoms after the conclusion of the study at two months. Lastly, the third hypothesis wraps the study up by predicating that high levels of PTSD symptoms are associated to low HRQoL scores in a follow-up experiment (Alasker et al., 2011, 403). Found in the Cyber-psychology, Behavior and Social Networking Journal, a group of researchers conducted a study to compare the effects of VR-graded exposure therapy (VR-GET) versus treatment as usual (TAU) on people suffering from combat related PTSD (McLay et al. 2011, 223). Robert Mclay, Dennis Wood, Jennifer Webb-Murphy, James Spira, Mark Miederholf, Jeffery Pyne and Brenda  Wiederhold conducted this study. Hereafter, this is referred to as Research 2. The doctors responsible for conducting this study found that there has only been one â€Å"randomized, controlled proof-of-concept† study that was specifically designed for Active Duty Service Members suffering from PTSD (McLay et al. 2011, 223). Also, the doctors wanted to extend the â€Å"already found research gathered† from victi ms of PTSD, and take the study one step further. The researchers of Research 2 hypothesized that â€Å"patients with combat-related PTSD would be more likely to experience clinically significant improvements in VR-GET than treatment as usual† (McLay et al. 2011, 224). VR-GET is a virtual reality stimulation that combines graded virtual reality exposure with â€Å"physiologic monitoring and skills training† (McLay et al. 2011, 224). Also, VR-GET promotes engagement with, rather than escaping the events and experiences that prompt a traumatic episode. II. METHODS In regards to Research 1, the participants in the study had to meet three criteria before they were able to participate. During the recruitment period, the researchers found participants who were attending the A&E due to a â€Å"psychosocial crisis and who consulted a psychiatric nurse,† were 18 years of age or older, and those who were able to both read and understand Norwegian (Alasker et al. 2011, 404). A total of 113 were asked to participate in the study. Of those 113 people selected, 99 of the people participated in the baseline study, and 41 participated in both the baseline study, and the follow-up study. Aforementioned, this was an observational longitudinal study, where participants were observed repeatedly over a long period of time. There were two types of instruments that were used for the research in Research 1. The first instrument that was used was a SF-36 Health Survey, which is a â€Å"36 item self-report questionnaire that assesses eight domains of physical and MH ranging from 1-100† (Alasker et al. 2011, 404). In this survey, the higher score reveals the best HRQoL, and the lower score reveals the poorest HRQoL (Alasker et al. 2011, 404). The second instrument that was used for this study was the Post-traumatic Symptom Scale (PTSS-10), which is a ten item self-report questionnaire that â€Å"assesses the presence  and intensity of symptoms† (Alasker et al. 2011, 404). On the PTSS-10, scores range from 10 to 70, and a score of 35 or greater results in a PTSD diagnosis (Alasker et al. 2011, 404). In addition to the two questionnaires, participants were encouraged to go to consolations at the A&E. The number of consultations that each participant attended varies throughout the study. In regards to Research 2, â€Å"participants for the study were all Active Duty Service Members who had been diagnosed by a military mental health professional as having PTSD† related to military combat (McLay et al. 2011, 224). At the end of the baseline assessment, those who were qualified to participate in he study were asked to draw a piece of paper out of an envelop, making the selection of treatment completely random, and giving the participants an equal chance of choosing either treatment. There were a total of twenty people that participated in this study; ten assigned to the VR-GET and another ten assigned to TAU (McLay et al. 2011, 225). The two methods of Research 2 consisted of the VR-GET and the TAU. The participants that were assigned for the VR-GET had a sequence of sessions that consisted of different activities. First, the therapist would meet with the participant and discuss their trauma history. In the second session, participants were asked to reveal their more traumatic stories of their military combat and tours. In later sessions, the participant used the virtual reality helmet to relive their most traumatic events, based off of the information that was gathered about them in the earlier sessions. In each session, the participants were observed on their ability to face their fears and anxieties (McLay et al. 2011, 225). â€Å"Participants assigned to TAU could receive any of the regular services available to them at the NMCSD and NHCP. These two facilities offer full spectrum of PTSD treatment, including, but not limited to, cognitive processing therapy, prolonged exposure, and group therapy† (McLa y et al. 2011, 225). III. ANALYSIS/RESULTS Analysis The researchers for Research 1 used the two self-report questionnaires to gather their data. In addition, the researchers processed the data using  statistical analysis with the help of SPSS16 Processor for Windows (Oslo, Norway). The researcher for this study wants to compare the results of the two surveys with the general population of Norway, and to succeed with that, they used SF-36 data through the Norwegian Coordinated Living Conditions Survey from 2002, consisting of 5131 people (Alasker et al. 2011, 405). In Research 2, it was found that participants in the baseline study had lower norm-based scores in all eight HRQoL domains in comparison to the general population of Norway. In the follow-up study, two months later, the â€Å"participants still had lower norm-based scores than the general population of Norway, but participants had improved their HRQoL in five of the eight domains from the baseline study to the follow-up study† (Alasker et al. 2011, 406). In regard to the PTSS-10 questionnaire in Research 1, among the participants in the baseline study, 79% of them had a PTSS-10 score that was 35, expressing high levels of PTSD symptoms (Alasker et al. 2011, 406). At the follow-up, â€Å"59% of the participants had a PTSS-10 score that was 35, which shows high levels of PTSD symptoms, which can indicate a risk of developing PTSD† (Alasker et al. 2011, 406). The researchers for Research 2 aimed to identify which of the VR-GET or TAU would yield a greater percentage of participants with a â€Å"clinically meaningful reduction in PTSD† (McLay et al. 2011, 225). The researcher succeeded in deepening their research by investigating the â€Å"difference in CAPS scores at an initial assessment and then at the post-treatment assessment in VR-GET versus TAU† (McLay et al. 2011, 226). The CAPS is a â€Å"rating scale for PTSD that corresponds with the 17 symptoms of PTSD† (McLay et al. 2011, 226). Participants were classified according to whether or not they had a 30% of larger reduction of their PTSD based on the results of their CAPS. ii. Analysis Results Taking a look at Research 1, and the question concerning whether or not there is a link between PTSD symptoms and HRQoL, researchers looked at the differences in SF-36 scores between PTSS-10 subgroups in a follow-up study (Alasker et al. 2011, 406). â€Å"The PTSS-10 high scoring and low scoring subgroups at the 2-month follow-up differed in all eight of the HRQoL domains in the follow up study† (Alasker et al. 2011, 406). In addition, the PTSS-10 low scoring participants had improved HRQoL in six out of the eight domains (Alasker et al. 2011, 407). In regards to Research 2, all ten of the participants assigned to the VR-GET were assessed with the CAPS at the post-assessment. Seven out of the ten participants showed an improvement of 30% or more on the CAPS. On the other hand, out of the ten participants that were assigned to the TAU, one did not complete a CAPS assessment. Nevertheless, one out of the nine returning participants receiving the TAU revealed more than a 30% improvements on the CAPS (McLay et al. 2011, 226). â€Å"There was no significant difference between VR-GET and TAU average CAPS scores both before and after the treatments, but there was indeed a significant difference in the average CAPS score over the course of the entire treatment† (McLay et al. 2011, 226). IV. DISCUSSION Results Summary Concerning Research 1’s first hypothesis, participants of the study reported lower HRQoL compared to the general population of Norway in all eight HRQoL domains (Alasker et al. 2011, 408). In regards to the second hypothesis, participants in Research 1 reported high levels of PTSD symptoms at the time of the baseline experiment. Furthermore, PTSS-10 scores did improve from the time of the baseline experiment to the follow-up. The results show that PTSD symptoms decrease for people suffering from a psychosocial crisis in the 2 months after attending the A&E (Alasker et al. 2011, 408). Lastly, concerning the questions if there is a link between the level of PTSD symptoms and HRQoL in the follow-up study, the researchers found that a â€Å"high level of PTSD symptoms after a two month period were linked to lower HRQoL† (Alasker et al. 2011, 408). Results for Research 2 Strengths and Weaknesses In regards to Research 1, there are many strengths and lurking variables that should be pointed out. One strength of the study was that they  progress of the study was completely up to the participant. The participant had the option as to how may consultations they wanted to attend, and the varied decisions led to different results. Another strength of the study was that they used instruments that were both appropriate to the study, and reliable. On the contrary, there were several confounding variables in Research 1 that must be acknowledged. First, there is no evidence that anyone in this trial was on any sort of anti-depressant or medication that would affect his or her scores on the SF-36 and the PTSS-10. Also, there are so many different traumatic events that would cause someone to show symptoms of PTSD. The study should limit its participants to those who experienced similar types of trauma. As for Research 2, there were also strengths and weaknesses to the study. As for its strengths, the doctors did a good job through their selections process to select a small group of people who were highly qualified for this study. Also, the exam that was used to measure the severity of the participants PTSD was based off of seventeen symptoms of PTSD, whereas the instrument used in Research 1 (PTSS-10) only focused on ten symptoms of PTSD. Lastly, the ten-week span of the study was appropriate in yielding results. Just like any other study, there are confounding variables that need to be identified for Research 2. Although the goal was to get the participants in for a reassessment at the conclusion of the study (ten weeks), reassessment for some did not occur until as far as 36 weeks. With that being said, participants have plenty of time to have a relapse, or more time in combat that can result in more severe PTSD. iii. Future Directions The researchers of Research 1 suggest that a â€Å"randomized control trial with a control group is needed to investigate the effect of the psychosocial interactions that are given to this group† (Alasker et al. 2011, 407). In addition, they suggest that it is crucial to get more, information about the long term effects of acute crisis intervention on PTSD symptoms and HRQoL â€Å"given by psychiatric nurses to participants† (Alasker et al. 2011, 410). The researchers of Research 2 also have some suggestions for further directions of this research. It was stated that other studies on the topic  of virtual reality therapy on PTSD victims, improvements in symptoms aren’t visible until sometimes three months after treatment. For future studies there needs to be a longer wait time for the follow-ups so that there can be the most accurate results. In addition, the journal states that careful monitoring of the participants is also something that needs to be done more thorough in the future because a participants overall health, aside from PTSD, must be taken into consideration when the researchers are making observations and conclusions about the participants (McLay et al. 2011, 226). Works Cited Mette Senneseth, Kjersti Alsaker, Gerd Karin Natvig. (2011). Health-related Quality of Life and Post-Traumatic Stress Disorder Symptoms in Accident and Emergency Attenders Suffering From Psychosocial Crises: a Longitudinal Study, Journal of Advanced Nursing 68(2), 402-414. Retrieved from http://web.ebscohost.com.rocky.iona.edu:2048/ehost/pdfviewer/pdfviewer?sid=6c7164f6-d4f6-4ce6-8a46-f1ad579caf63%40sessionmgr15&vid=5&hid=24 Robert N. Mclay, Dennis P. Wood, Jennifer A. Webb-Murphy, James L. Spira, Mark D. Wiederhold, Jeffery M. Pyne, Brenda K. Wiederhold. (2011). A Randomized, Control Trial of Virtual Reality-Graded Exposure Therapy for Post-Traumatic Stress Disorder in Active Duty Service Members with Combat-Related Post-Traumatic Stress Disorder. Cyberpsychology, Behavior, and Social Networking Volume 14, Issue 4. Retrieved from http://web.ebscohost.com.rocky.iona.edu:2048/ehost/pdfviewer/pdfviewer?sid=61603dcf-c639-423e-8f1e-365db0b36d61%40sessionmgr13&vid=4&hid=24

How to Analyze That Problem.

Case 02: How to Analyze That Problem? 1. What Is your decision? I have formulated the following decisions after delightfulness all the relevant facts revealed with the help of the Scheduling Supervisor, Joyce Lane, during the said meeting: * For the succeeding operations, the production department must stick to the steel which contains the old formula of alloy since the one with the new formula of alloy has an effect on the Panther panels, thus, making them burred.The objectives of the company about the welfare of its employees must be cleared to them so that they may be encouraged to work harder and stop from doubting the intentions of the company, thus, learn to trust the company's interests. * The issue between Farrell and Valentine must be put to an end to prevent such from leading into a more serious problem. Farrell must be reprimanded for not informing Cogging first about his concerns before suspending Valentine. Also, Valentine must be ordered to come jack to work since there Is no proof about him being accused of drinking on the Job, In the first place. . Who will Implement your decision? The shift to the steel which contains the old formula of alloy and the outsourcing of products will be implemented by Robert Polk as the Production Chief and Ben Peters as the Quality Control Manager together with the men in the lines where Panther panels are being produced. * The gathering of employees and resolution of the conflict involving Farrell and Valentine will be headed by Cogging, the Industrial Relations Manager. 3. What measures will you put in place so that the problem will not recur?The Internal control of the company regarding the purchase of raw materials Is poor. If new materials will be employed In the future, there must be tests or examinations to be performed first to know the changes that may occur as well as materials. * A system of quality control which pertains to policies and procedures to be taken into consideration by each and everyone comp osing the whole entity must be established and highlighted, especially such policies and procedures which focus on ethical requirements, to prevent future conflicts between them.

Domestic violence Essay Example | Topics and Well Written Essays - 250 words

Domestic violence - Essay Example Domestic violence refers to physical or emotional abuse directed to one whom you are in a relationship or married. Domestic violence usually occurs to any person irrespective of gender, age, race, religion or location. In any form of domestic violence, there is often the abuser and the one who is abused. Recognizing domestic violence at an early stage is critical at ending it in any form of relationship (Davis, 2008). Therefore, understanding it in depth is what most articles would talk about. Based on the publishers, the issue of domestic violence is a reality in the society and should be addressed as soon as possible. Moreover, the writer has maintained a neutral ground while talking about the issue without pointing any fingers towards any person that exist in an abusive relationship. Based on the authors writing, writer’s association with special interest to domestic violence victims can view her point of view as unbiased (Smith, 2014). All in all, it is clear that the auth or related to the problems faced by people in domestic violence scenarios, addressed them in relation to his thesis. Davis, R. L. (2008). Domestic violence: intervention, prevention, policies, and solutions. N.p.: Boca Raton: CRC Press, c2008. Retrieved April 30, 2014, from

Sampling Coursework Example | Topics and Well Written Essays - 250 words - 1

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The efficiency of teaching Essay Example | Topics and Well Written Essays - 3000 words

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International economics Essay Example | Topics and Well Written Essays - 250 words

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Analysis of a foreign film Essay Example | Topics and Well Written Essays - 750 words

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West and the World Assignment Example | Topics and Well Written Essays - 250 words

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Week4 Case Study Example | Topics and Well Written Essays - 250 words - 1

Week4 - Case Study Example For instance, TechShepherd is using the platform for Ecosystem engineering with the aim of successfully growing its enterprise customer base. Through this HubSpot has assisted TechShepherd to develop from a one-man consulting corporation to a total of 10 employees and above 1million in proceeds. In addition, Lucid Meetings which is an exceptional performer in the web conferencing field has used numerous methods to support its promotion efforts. However, the methods were not integrated making it hard to assess the usefulness of the company’s marketing goals. Therefore, it embraced the marketing software HubSpot so as to achieve real-time insights into marketing performance and produce more appropriate content to increase trials, engagement, and funded subscriptions. Finally, the United Kingdom Coffee Company despite its efforts to use traditional techniques to develop their fledgling business, the company has embraced HubSpot as a way of trying inbound marketing. Through this, the company has managed to grow its business in the past four years despite a tough recessionary environment. It now hires more than 12 employees and counts Diesel, Abbey Road Studios, and Mulberry among its consumers (HubSpot,

Do you have to believe in Reason to believe in Democracy Essay

Do you have to believe in Reason to believe in Democracy - Essay Example 42). Therefore, an individual is able to make logic, justify his or her actions and have personal beliefs. This is based on the information that is existent. Philosophy considers reason as rational (Swanson 35). Therefore, cognition, intellect and thinking are part of the reason. Arguably, reason leads to actions or habits that are a person’s thinking. Consequently, one can judge a situation just or unjust, good or bad (Copp et al. 48). In summary, reason and democracy are two different aspects but with a connection yet cannot be said to be tightly linked. Democracy has its connection to rights and freedom to do what one desires. However, freedom and rights come with responsibilities according to democracy (Swanson 55). Consequently, people in democratic nations have the freedom to speech, live, assemble and do other things in accordance with the highest rule of law. Additionally, democracy is also a human right because it gives citizens the free will to carry on their mandate s. Moreover, democracy also protects the basic rights of people. Therefore, democracy is a principle mandate that most governments try to uphold. In summary, democracy is all about the rights and freedom of people. A government that is democratic has power but is accountable to the public. However, this accountability raises concerns because the government should respond to the voice of the citizens (Swanson 63). Consequently, forms of democracy that exist are direct and representative democracy (Held 80). Direct democracy means citizens can actively and directly participate the making of decisions within the government. On the other hand, there is a representative democracy where a set body has sovereignty of power (Held 80). These forms are to help in the representation of the people. Interestingly, this form of modern democracy is common today. In summary, democracy can be either direct or representative but still represents the will of the people. The sole principle in democracy is the equity and freedom of the people. This means that every citizen is equal before the law and the legislative process (Copp et al. 52). Therefore, every person is equal to the other. However, upward control, social norms and political equity are the fundamental principles (Copp et al. 54). As a result, the government reflects equality through these principles. Therefore, democracy allows citizens to be fully part in the life of the society. Democracy often characterizes the majority rule. As a result, the minorities within the government have the tyranny of the majority (Held 197). This is when the protection of a group or individual rights protection. On the other hand, democracy entails elections, which mainly are competitive. Additionally, democratic elections allow people their freedom of speech, political expression and press (Held 201). The citizens are eligible since they serve the interest of the people. In summary, democracy in the modern world entails the majority ru le and their tyranny as they enhance the freedom of the people. Reason is a substance that makes a judgment of a person’s behavior. It helps in arguments since it creates the sense of logic (Manktelow 15). Therefore, attitudes, institutions and traditions play a role in the creation of reason. Moreover, reason is associates with freedom and determinism. According to scientists, the cognition enhances reason in the

A Tale of Two Cities by Charles Dickens Essay Example for Free

A Tale of Two Cities by Charles Dickens Essay Throughout A Tale of Two Cities, Charles Dickens tells the story of several characters, all of who are developed continuously throughout the chapters. Several of the characters are greatly developed, some showing unpredictable sides to their personalities. Sydney Carton is a prime example of such a character, his delicate personality revealed when he declares his love for Lucie. He is not the only character in love with Lucie, however. Throughout Book Two, it is revealed that Stryver and Charles Darnay are also coveting Lucie. Darnay and Carton both announce their love for her, however Carton is the only one who goes directly to Lucie to tell her. In this passage, Carton is asking Lucie to not forget him and to remember that even when she is married and with kids, he will always be there for her to keep her happy. Carton’s declaration of his love for Lucie not only reveals his love and foreshadows his selfless, noble act in the later chapters, but in addition, Dickens’ use of language reveals that Sydney is no longer the â€Å"jackal,† but that he is in fact much more than that – a sensitive man with deep emotions. Dickens’ use of language in this passage brings to light the sincerity in Sydney Carton, changing the mood of the reader towards him, and the words that Dickens uses to make Carton express himself allows Carton to truly show his desire for Lucie. When Carton says, â€Å"for you, and for any dear to you, I would do anything,† Dickens is emphasizing the fact that Carton is dedicated to her. Throughout the passage, he continuously repeats phrases including the word you, such as when he states â€Å"I would embrace any sacrifice for you and for those dear to you.† As a result of emphasizing Carton’s love for Lucie, Dickens creates an immense feeling of sympathy for the reader, as the dedication for Lucie is expressed so eloquently. The fact that Carton accepts this unrequited love by saying â€Å"I will relieve you of a visitor with whom I well know you have nothing in unison, and between whom and you there is an impassable space† creates even more comp assion for Carton because even though it is known that Lucie does not reciprocate his feelings, it is even more painful to watch as he simply walks away from the woman he loves. In addition to uncovering Carton’s true love for Lucie, Dickens uses irony to show the eloquent Carton that contrasts with the drunken Carton of the previous chapters. The chapter to which this passage belongs to is titled â€Å"The Fellow of No Delicacy,† which is ironic because although perhaps Carton was not delicate in the preceding chapters, in this passage he is nothing but eloquent and delicate. He remarks â€Å"try to hold me in your mind, at some quiet times, as ardent and sincere in this one thing,† a great example of his eloquence, which once again causes the reader to develop sympathy for him, since the language he is using so differs from his previous drunken language à ¯Ã‚ ¨203). Carton’s eloquence really shines through in this passage, even though it contrasts with the chapter title and Dickens creates sympathy and tenderness towards Sydney Carton. Because Sydney Carton is put down, not only by others but by himself as well, throughout the entire first half of the second book, when he declares his love for Lucie in such an unselfish and loving manner, it changes how Carton is viewed. Since Stryver takes all the credit for being successful even though Carton does all the work, it is written, â€Å"†¦although Sydney Carton would never be a lion, he was an amazingly good jackal† à ¯Ã‚ ¨116). Carton even describes himself to Darnay as â€Å"I am a disappointed drudge, sir I care for no man on earth, and no man on earth cares for me,† exhibiting Carton’s own self-pity and sadness for the world à ¯Ã‚ ¨113). However, with this passage, Sydney Carton causes any reader to fully disregard any judgments made for his character. Dickens previously portrayed him as this unfortunate man without anything to live for, but now it is revealed that Carton does indeed have someone to live for – Lucie and her happi ness. This passage causes all previous opinions about Sydney Carton to be discarded, as now Sydney Carton is no longer the jackal, but he has turned into the lion. In addition to revealing the compassionate and eloquent side of Sydney Carton, this passage is also a moment of foreshadowing for Carton’s noble and unselfish act of sacrificing himself for Lucie’s happiness. What may have seemed to be just talk about how much he loved Lucie turned out to be very, very real. In this passage, Carton declares to Lucie, â€Å"†¦think now and then that there is a man who would give his life, to keep a life you love beside you† à ¯Ã‚ ¨204). In his last moments, Carton visualizes Lucie feeling that â€Å"each was not more honoured and held sacred in the other’s soul, than I was in the souls of both,† referring to the respect and recognition that both Darnay and Lucie give to Carton à ¯Ã‚ ¨500). In this passage, Carton sets up his feelings for her, perhaps knowing that someday he would have the chance to occupy a special place in Lucie’s heart for a noble, heroic act. His â€Å"sacrifice for you and for thos e dear to you† embodies the Charles Dickens’ theme of love overpowering everything. With love, Carton was able to have the strength to sacrifice his life for the happiness of one person he cared about. With love, not jealousy, he was able to ask Darnay, â€Å"I wish we might be friends† à ¯Ã‚ ¨275). While Lucie does not reciprocate Carton’s love, she does defend him in front of Darnay, declaring â€Å"I would ask you†¦to be very generous with him always†¦I would ask you to believe that he has a heart he very, very seldom reveals, and that there are deep wounds in it† à ¯Ã‚ ¨278). By Carton declaring his love for Lucie and being wholly devoted to her, he is not only able to give Lucie a complete family, safe and protected in England, but he is also able to say that â€Å"it is a far, far better thing that I do, than I have ever done; it is a far, far better rest that I go to, than I have ever known,† clearly displaying that through his death, he is gaining all the love and admiration he never had before à ¯Ã‚ ¨500). Sydney Carton is my favorite character of the entire novel. His noble act despite the unrequited love between him and Lucie is such an honorable action, and the fact that he kept true to his word about giving his life â€Å"to keep a life you love beside you† makes him all the more noble à ¯Ã‚ ¨204). I thought that this passage was really a turning point for Sydney Carton’s character, since up to that point he had been very reserved and inarticulate, but when he went to speak to Lucie he became this eloquent speaker, driven by a strong love. From then on, we continue to see Carton’s character develop, creatively seeking out the apothecary for the substances in order for the plan to work. He acted without a moment’s hesitation, and that â€Å"[his face] was the peacefullest man’s face ever beheld there† shows that he had absolutely no regrets about his sacrifice à ¯Ã‚ ¨4à ¯Ã‚ ¹Ãƒ ¯Ã‚ ¹). To be that calm when he is about to be the newest victim of the Guillotine is a daunting task in itself, but to have someone who would sacrifice his or her life just for someone else’s happiness is beyond imaginable. Therefore, this passage sets the stage for Carton’s ultimate sacrifice, making Carton no longer a â€Å"disappointed drudge,† but a noble hero who goes from being a friend to Darnay and the Manettes to becoming their savior. There is no greater sacrifice that Carton could have made, and for it all to be because he loved Lucie unconditionally is a pretty incredible thing.

Impact Of Cardiopulmonary Resuscitation Education Use Of Difibrillator Nursing Essay

Impact Of Cardiopulmonary Resuscitation Education Use Of Difibrillator Nursing Essay Poor knowledge and skill retention following AED and CPR training for nursing and other medical staff has been observed. Resulting of the increasing of the mortality rate CPR and AED training are important for nursing staff and is important as the nurses often are the first witness for the victim with cardiac arrest in hospital setting. The outcome of teaching approach is necessary to improve the knowledge and skill of the nurses and other medical team that increase the survival rate. Aim The aim of this literature review was to describe teaching approaches for cardiopulmonary resuscitation education in relation to acquired skills and knowledge in the use of an automated external defibrillation in a cardiac arrest situation in a clinical setting. Method The authors have selected a literature review for this study and key word that used are Cardiopulmonary resuscitation and education, nursing, continuing, cardiopulmonary resuscitation, nursing skill and education and cardiopulmonary resuscitation. Papers published two month ago since 04-2011 from many sources, such as books and Pubmed database including 10 years period. Those published paper in English language which covers strategies to improve the knowledge and skills of the nurses and other medical staff in cardiopulmonary resuscitation and automated external defibrillation using. In addition manual research has been used to get more information. Result There are many different teaching approaches can be used in cardiopulmonary resuscitation and automated external defibrillation training such as ; Digital Video Disc without manikin, DVD with manikin with scenario, peer tuition and instructor facilitated methods which the best method. The quality of education in cardiopulmonary resuscitation and automated external defibrillation training can be affected by the type of teaching approach which has been used. The education and refreshment of cardiopulmonary resuscitation and automated external defibrillation training can enhance skill and knowledge of nursing staff and give self confidence during resuscitation time and in using automated external defibrillation, which can lead to increase the survival rate and improve the quality of patients life. Conclusion Nurses in hospital setting who seldom encounter cardiac arrest, should received automated external defibrillation and cardiopulmonary resuscitation training to avoid time delays in resuscitation. Staff should be evaluated by using manikin with feedback system and expert instructors to ensure the quality f chest compression are satisfied at the time of training. The availability of resuscitation training equipment in unit and ward can enhance the nursing staff for self education and refresh their skill and knowledge. INTRODUCTION Each year in United States of America there are 325,000 victims of sudden cardiac arrest. The mortality rates due to cardiac arrest are frequently observed in most of emergency situation, which is most often the result of ventricular tachycardia (VT) according to Mosesso, Shapiro, Stein, Burkett, Wang (2009). Moreover, cardiovascular attacks cause one third of all deaths in the world today (Lindstrand, Bergstrà ¶m, Rosling, Rubenson, Stenson Tylleskà ¤r, 2010). The nursing staffs are often the first witness for cardiac arrest in a hospital setting (Dwyer, Mosel, 2002; Gombotz, Weh, Mitterndorfer Rehak, 2006). Moreover, the nurses are more efficient in training of automated external defibrillation (AED) as stated by Xanthos et al.2009. Bardy et al (2008) point out that due to the effectiveness of automated external defibrillation, it becomes recommended in public places such as; public places are: airports, schools, restaurants, planes, and crowded places. Furthermore they recommend that the AED machine is red in color with instructions for use. In spite of the effectiveness of AED in cardiac patients, a better understanding and knowledge about the use of AEDs is required (Hancock, Roebuck, Farrer Campbell, 2006; Martinez-Rubio, et al.2003).Therefore, the authors` see a need to explore how Cardio-Pulmonary Resuscitation (CPR) education can enhance and improve nursing skills and knowledge in the use of AED in order to reduce mortality rate in cardiac patients. BACKGROUND Automated external defibrillation www.priceit.in AED is an electronic devise which has two paddles; sternum and apex which can help to deliver the shock to the heart of the patient. This machine has been created and upgraded to convert the VT and Ventricular fibrillation (VF) to sinus normal heart rhythms, which are the most emergency situation that needs immediate medical intervention (Anas, Lee, Hasan, 2010). Moreover AED may be used in hospital setting or out of the hospital setting (Nettina, 2001). Winkle (2010) stated that around 250 000 victims are dying in United States of America every year caused by cardiac arrest 40% are resulting of VF.Therefore medical staff must be aware ,trained in using AED to enhance the quality of life of cardiac arrest patient. However, using this machine needs medical education and knowledge as stated by (Ammirati et al.2011).As mentioned above Brown, Rittenberger, Ammon, Harrington Guyette (2010) stated AED can have affect only in shockable rhythms like VF. Types of automated external defibrillation There are two types of AED: Monophesic which gives (360 joules) and the secound type is Biphasic which gives 150-200 joules (Sraj, 2005). The different between the two types: according to (Sraj, 2005): Feature Monophesic Biphasic Direction of the current Moves in one direction only from paddle Moves in both direction (first positive direction then in milliseconds in a negative direction Joules Form 360 150 (Some machines can go up 200) Potential myocardial damage More damaging less damaging Efficacy 93% in laboratory trails 99% in laboratory trails Ventricular tachycardia (VT) Ventricular tachycardia is a heart rhythm described as a run of three or more premature ventricular contractions (PVCs) (Lewis, Heitkemper, Dirksen, OBrien Bucher, 2007, p. 854). VT clinical association VT occurs with Coronary Artery Disease (CAD), cardiomyopathy, significant electrolyte imbalance, mitral valve prolapse, long QT syndrome, some medicine toxicity like digitalis and central nervous system disease. Furthermore, this type of dysrhythmia can be notice in non cardiac patients (Lewis et al, 2007). VT clinical significance Patient with VT may be found with pulse or pulseless and VT if persistent can lead to decrease in Carbon monoxide (CO) due to decreasing of ventricular filling times and loss of atrial contraction. All this finding can lead to several complications which include; hypotension, pulmonary edema, cerebral blood flow will decrease and cardiopulmonary arrest (Lewis et al, 2007). VT treatment This type of dysrhythmia can be treated simply if the causes identified like; electrolyte imbalance and ischemia. If the VT is monomorphic (patient has appearance of all the beats match each other in each lead of a surface electrocardiogram) and patient with pulse, Procaimade, Sotalol, Amiodarone or Lidocaine Intravenous injection (IV) can be used. If the patient in polymorphic (has beat-to-beat variations in morphology) VT with prolonged baseline QT interval Magnesium, Isoprterenol, Lidocaine Intravenous injection can be administer. If the patient has no pulse it must be taken in high priority level emergency case, in this condition CPR and defibrillation are the first line if treatment (Lewis et al, 2007). Ventricular fibrillation (VF) Ventricular fibrillation is described as a heart rhythm witha severe derangement of the rhythm characterized on electrocardiogram (ECG) by irregular undulation of varying shapes and amplitude (Lewis et al., 2007, p. 855). VF clinical association VF can occur in acute myocardial infarction (MI), myocardial ischemic disease like Coronary Artery Disease and cardiomyopathy. Furthermore this type of abnormal heart rhythm can be associated with coronary reperfusion after fibrinolytic therapy. Other VF clinical associations are like electric shock, hypekalemia, drug toxicity and acidosis (Lewis et al, 2007). VF clinical significance Patient with VF can be found unconscious, pulseless and apneic condition and if this type of dysrhythmia not treated immediately and rapidly patient will die (Lewis et al, 2007). VF treatment VF is life-threatening condition and the best treatment for this dysrhythmia is the CPR and Advance Cardiovascular Life Support (ACLS) with using defibrillation immediately if available (Lewis et al, 2007). Cardiac arrest It is the sudden loss heart function either the victim is diagnosed as a heart disease or not, which occur within minutes after symptoms appear. (American Heart.org.2011). Cardiopulmonary resuscitation (CPR) Cardiopulmonary resuscitation is a combination of oral resuscitation (mouth-to-mouth breathing), which supplies oxygen to the lungs, and external cardiac massage (chest compression), which is intended to normalize cardiac function and blood circulation(Kozier, Erb, Snyder Berman, 2008, P.1419). American Heart Association (2011) has emphasized the updated CPR guidelines for the chest compression rate is rate is 100 compressions per-minute. Defibrillation It is a process of administering the electrical shock to an individual heart for stop any abnormality heart impulse such For VT and restore the normal heart rhythm (Kozier, Erb, Snyder Berman, 2008). Public Access Defibrillation (PAD) It is a program that improves the automated external defibrillator in public facilities (Federal occupational health,2010). Cardiopulmonary resuscitation / automated external defibrillation provider An employee, who has finished or completed training in CPR, in addition has knowledge and understands an AED operation (Sraj, 2005). Chain of survival It is that access which concentrates on the increasing of the survival chance .according to these components: Early access to care (local emergency medical system number) Early CPR. Early defibrillation. Early advance of care. www.circ.ahajournals.org Sequence of actions when nursehealth provider is using an automated external defibrillator These procedures should be following when the patientvictim is unconscious or not breathing Start with calling for help then start with CPR if the AED not available immediately. 1-When the AED arrives: Continue CPR until the AED is switched on in case of more than one rescuer. If you are alone stop CPR and switch on the AED. Follow the voice instruction. Pads attaching to the patientvictim chest (the positive pad is placed on the patientsvictims left chest below the nipple, whereas the negative pads is placed on the victimspatients right upper chest above the nipple to the right from patient s perspective of the sternum). Be sure that no body touches the patientvictim during the AEDis analyzing the rhythm. 2-When the shock is needed: . Be sure that nobody is touching the patientvictim. Push the shock button as instruction Follow the voice instruction. 3-When no shock is needed: Continue CPR using a ratio of 30 compression to 2 rescue breathes Follow the voice instruction. Doing these procedures till the patient starts to regaining consciousness signs such as coughing, movement and breathing or you become tired (Nettina, 2001; Sraj, 2005). Precautions in the use of automated external defibrillation Sraj (2005) has emphasized several precautions which must be taken into consideration by the AEDs operator before using it. Furthermore, these precautions are very important in keeping the operator and the patient in a safe and secure environment. These precautions are; Unresponsiveness The rescuer should check the patients level of consciousness, pulse and any signs of life like moving or coughing. This step is very important step to avoid any problems or misusing of AED. Wet chest Due to water and sweat AED might not be very effective. So In order to get defibrillations effectiveness use the piece of cloth which is kept in the AED kit to dry the chest Moving vehicle Using AED devise needs special care especially during the transportation of the patient. In case of using moving vehicle it may affect AEDs analyzing the heart rhythm which can lead to wrong analysis. Flammable materials Try to avoid using any flammable materials like alcohol and stop any flammable gases like oxygen .using these flammable materials can make fire due to the expected spark from the shock. Chest patches Be close to the patient and scan for any nitroglycerine patches and remove it right away before attaching the AEDs paddles. These patches can make burn to the patients chest. Metal surface Avoid using the metal or any electric conductive surface because the ability of transmitting the shock to the rescuers or any persons nearby. Pacemaker The rescuer should look to the patients chest closely and identify if this patient using pacemaker especially if its implanted one. Try to attach the paddles one to one and have inches distance from the pacemaker to avoid destroying the pacemakers batteries. Age consideration AED is not recommended to be used in children under age of 8 especially in unadjusted energy AEDs. Hands off The users during analyzing the heart rhythm must be hands off to avoid analyzing disturbance. Furthermore the users and any person nearby must be clear before delivering the shock avoiding the transmission of the shock to them. Wireless devices The nearby people they must not use their wireless devices like cell phone and especially during the analyzing heart rhythm and delivering shock process. These devices can cause trouble made by waves interference which may influence the analysis. Education in a clinical setting Education can be defined as a learning opportunity which is planned by an individual or a committee to reach a related objective (Rogers, 2002). One of the main differences between nurse education and education of children in school is, that nurse education is based upon the theory and practice of adult learning. Furthermore, there are different teaching strategies, some of these teaching strategies like; lectures method, (lecturers) are the main instrument in this method. Experiential learning depends on learning result from experience. Last method is pairs exercise in this method the group members are asked to from pairs then work together (Quinn Hughes, 2007). The coordinators and teachers must chose the best teaching strategy accordingly and provide good learning environment to achieve teaching program goals (Quinn Hughes, 2007). McEwen Willss, (2007) have referred to one of the grand theory which is Henderson theory. The Henderson theory is focusing on the important of education for medical team, patient and families that translate to practice and experience to improve the quality of care. If this research has been done in a clinical setting it can enhance the education. Categorization of learning theories McEwen Willss, (2007) have mentioned, that sometime it will come to the nurses mind a question why is it very important to be aware of about the process of learning and to understand learning theories. The importance of understanding learning theories is to describe the process used to get about changes in the way individuals understand information and skills or tasks. Moreover, Bigge Shermis (1999) categorized the learning theories to two categories which are; Behavioral learning theories Behavioral learning theories which depend on behavior response and ignore the feeling, thoughts and cognitive processes of the student. In addition, behavioral learning theories were the first widely used in education and these types of learning theories includes the work of Pavlov, Skinner and others. Furthermore, these types of learning theories persistent in the American educational system in 1959s and 1960s, as well as behavioral learning theories enhance the American educational system in 20th century (McEwen Willss, 2007). Cognitive learning theories Cognitive learning theories which based on the mental processes and activities which go within the student. These type of theories start to get wide thrust in 1960s. Moreover, Jean Piaget is the most important theorists in cognitive science which developed main components of his theory in 1920s (McEwen Willss, 2007). Teaching approach Teaching can be defined most of the time as the facilitation of learning and is passing on to intentional act of communicating information (Bastable, 2003). To achieve this, the teachers must know the learning methods and the individual needs and connect them to instruction (Forrest, 2004). Skill and knowledge Skill is defined as a goal-directed, well organized behavior that is acquired through practice and performed with economy of effort (Proctor Dutta, 1995, p.18). Knowledge can be defined, as set of organized statements of facts or ideas, presenting a reasoned judgment or an experimental result, which is transmitted to others through some communication medium in some systematic form (Bell, 1976, p.175). Up to date, there are a lot of research articles regarding cardiopulmonary resuscitation education and use of an automated external defibrillation. Therefore it is important to identify teaching approaches and critically evaluate the effect of the education on skills and knowledge. The effect of Cardiopulmonary resuscitation education on nurses skill and knowledge Kardong ,Oermann,Odom,Ha (2010) conclude in their article if the nurses used manikin with voice advisory they will be more competent than the nurses how used normal manikin without voice advisory. Furthermore the median number of chest compression before Basic Life Support course was three and so fast, but after BLS training increased to 13 as stated by (Mellor Woollard, 2010). In addition, Madden (2010) found in his study that, the nurses are more confidant and competent in case of cardiac emergency situation after CPR training. AIM The aim of this literature review was to describe teaching approaches for cardiopulmonary resuscitation education in relation to acquired skills and knowledge in the use of an automated external defibrillation in a cardiac arrest situation in a clinical setting. Research questions Which teaching approaches are used for cardiopulmonary resuscitation education when nurses use an automated external defibrillation in a cardiac arrest situation in a clinical setting? What effect has the cardiopulmonary resuscitation education on nurses` skills in their use of an automated external defibrillation in a cardiac arrest situation in a clinical setting? What effect has the cardiopulmonary resuscitation education on nurses` knowledge when an automated external defibrillation is used in a cardiac arrest situation in a clinical setting? METHOD The method chosen for this study is a literature review with a systematic approach. A literature review is a critical summary of research on a topic of interest, often prepared to put a research problem in context (Polit Beck, 2008, p.757). Literature search The literature search was carried out in PubMed which is a data base that anyone, anywhere in the world with internet access can search for journal articles and permanent resource regardless of your institutional affiliation (Polit Beck, 2008, p.757). MeSH terms are created by the National Center for Biotechnology Information (NCBI). PubMed, works through searching in National Library of Medicine (NLMs) Web site, it helps the researchers to get full text of the articles from biomedical literature and helps to access further links to selected life sciences journals not in MEDLINE (National Center for Biotechnology Information, 2010). The search strategies were made by combining MeSH terms in PubMed and the result of this database search are shown in Table 1. In order to get relevant original articles to this literature review the authors have used Mesh term and limited the research which published in the last 10 years between 2001-2011, English human and any age. Table 1. Database search in Pubmed. Database Key word Identified articles (hits) Abstracts reviewed Articles examined Articles Included Date for search Pubmed 22032011 (Cardiopulmonary Resuscitation[Mesh]) AND Education, Nursing, Continuing[Mesh] 41 41 23 4 Pubmed 22032011 Cardiopulmonary Resuscitation[Mesh] nursing skill 22 21 21 4 Pubmed 22032011 (education [Subheading]) AND Cardiopulmonary Resuscitation[Mesh] 725 500 30 11 Key words In this literature review the authors completed this research with the following key words; (Cardiopulmonary Resuscitation AND Education, Nursing, Continuing[Mesh], Cardiopulmonary Resuscitation[Mesh] nursing skill and (Education [Subheading]) AND Cardiopulmonary Resuscitation[Mesh]. Identified original articles had to be published in peer-reviewed journals with an available abstract and had to focus on cardiopulmonary resuscitation education in relation to the use of an automated external defibrillation in a cardiac arrest situation in a clinical setting. Furthermore studies on adult, children eight years and older, SVT-VT patients and nurses were included. Non medical people and younger children (less than eight years), patients with pacemaker and refusal of informed consent were excluded, as were studies that did not involve health-care professionals in clinical settings. The primary search yielded 19 original articles of interest. In addition bibliographic searches revealed X articles. The articles are presented in the matrix (Appendix 1). The selected articles were assessed independently by the authors using Appendix 1Sophiahemmet University College classification guide of academic articles and studies regarding quality in both quantitative and qualitative research (Appendix 2). The studies were classified as Randomised controlled trial (RCT), Clinical controlled trial (CCT), Non- controlled study (P), Retrospective study (R) or Qualitative study (Q). Scientific quality of the studies was assessed on a three-grade scale:  high- (I), moderate- (II) or low- (III) quality. The authors` intended to work systematically by highlighting the similar words in the articles e.g., AED, clinical setting, skills and knowledge and discuss on regular basis to compare and discuss responses to the research questions. This literature review content the cardiopulmonary resuscitation education in relation to acquired skills and knowledge in the use of an automated external defibrillation in resuscitation situation in hospitals for most of the medical professionals like; doctors, technicians and nursing staff, but the authors will focus on nursing staff avoiding the vagueness of this literature review. Manual search can be defined as finding an original article which has been used in literature review (Polit Beck, 2008). ETHICAL CONSIDERATIONS The ethical consideration which are so important in this literature review, include the authors must check who is the sponsor of the study because it includes the use of technology Furthermore the authors must assess if the participants in the reviewed studies were informed and consented before they participated, especially in case of patients are involved. Finally, the authors must clarify if these studies have got approval from the ethical committees (Spouse, 2003). RESULTS 19 primary published articles have been reviewed by the authors` in this study which have focused on Teaching approaches used for cardiopulmonary resuscitation education when nurses use an automated external defibrillation in a cardiac arrest situation in a clinical setting and the Effect of cardiopulmonary resuscitation education on nurses` skills knowledge in their use of an automated external defibrillation in a cardiac arrest situation in a clinical setting. Results from the studies are chosen which are relevant to this study`s aim and research questions The selected results from the primary published articles have been categorized under the following headings; Teaching approaches used for cardiopulmonary resuscitation education when nurses use an automated external defibrillation in a cardiac arrest situation in a clinical setting Perkins, Hulme, Bion, (2002) stated in their article that , peer tuition is the one type of teaching approach which depends on peer of tutors with exceptional teaching background and experience by lecture-led CPR training. However, it pointed out that, in spite of cardiopulmonary resuscitation and AED skills performance enhance with peer tuition, knowledge remained the same over the participants. The quality of performance can be improved with audible feedback system (Noordergraaf, et al.2006). Furthermore, if audible feedback system has been used there is significant improvement in skill acquisition and skill retention has been reported that is available in automated external defibrillation (Handley Handley, 2003) Szà ¶gedi , Zrà ­nyi , Betlehem, Ujvà ¡rinà © Tà ³th(2010) defined problem-based learning as one of learning methods which organize the knowledge in clinical setting ,strengthens to motivate the students to learn, enhances clinical reasoning skills, and improve self-directed and continues education. Furthermore they concluded this method is better and more efficient method form the traditional method which is class room during cardiopulmonary education. Moreover this method can enhance and improve the outcome of cardiopulmonary education which can lead to better understanding and skill demonstrating during resuscitation in clinical setting. The other teaching approach which has been emphasized by Bjà ¸rshol, Lindner, Sà ¸reide , Moen Sunde(2009) is manikin and 24-min video instruction during cardiopulmonary resuscitation training. They made a study on hospital employees by distributing 5118 personal manikins.3466 responded to the first questionnaire the result can be seen in table 2 Table 2. Questionnaire administered to all hospital employees before receiving their personal resuscitation manikin. Question Answer Number of replies What is your age? 43 ( ±11) years 3445 What is your gender? Female: 87% 3298 Male: 13% How long ago did you have training in basic life support (BLS)? 15 (8-60) months 3295 Never: 296 How well do you feel that you are trained in BLS (1-5, 1  =  very bad and 5  =  very good)? 3.1 ( ±1.0) 3412 Have you been in a situation where you needed skills in BLS, whether at work or not? Yes, at work: 1121 (33%) 3425 Yes, outside work: 363 (11%) No: 2071 (60%) Altogether 908 replied to second questionnaire which they attended the classroom training the result can seen in table 2 Table 2. Questionnaire to all hospital employees nine months after receiving their personal resuscitation manikin. Question Answer Number of replies Where did you perform the BLS training with your MiniAnne manikin? Hospital meeting room: 908 (65%) 1397 Own dept.: 366 (26%) At home: 73 (5%) Did not participate: 120 (9%) How long ago did you train with your MiniAnne manikin? 39 (26-48) weeks 1184 How well do you feel that you are trained in BLS (1-5, 1  =  very bad and 5  =  very good)? 3.8 ( ±0.8) 1333 How many persons, in addition to yourself, have trained on BLS with your MiniAnne manikin/self-instruction movie? 1 (0-3) 1165 Have you experienced any discomfort using the manikin? Yes: 49 (4%) 1272 No: 1223 (96%) After receiving the participants their personal manikin by six month the result is displayed in table 3 Table 3. Number of study subjects performing different BLS tasks before and six months after BLS training with a personal resuscitation manikin and video instruction (percentages in brackets). The number of correct chest compressions and mouth-to-mouth ventilations are measured for 2  min after initiation of BLS (interquartile range in brackets). Before BLS training, n  =  59 Six months after BLS training, n  =  39 P value Assessed responsiveness 42 (71) 34 (87) 0.02 Opened airways before assessing respiration 10 (17) 17 (44) 0.01 Assessed respiration 42 (71) 28 (72) 0.73 Pulse check 34 (58) 13 (33) 0.02 Called for help before starting BLS 45 (76) 32 (82) 0.61 Correct telephone number for EMS activation 56 (98) 39 (100) Ns Correct compression :ventilation (C:V) ratio 32 (54) 36 (98) Number of correct chest compressions 60 (5-102) 119 (75-150) Number of correct mouth-to-mouth ventilations 3 (0-8) 4 (0-7) 0.23 After finalizing the result by Bjà ¸rshol , Lindner , Sà ¸reide , Moen Sunde(2009) they came to that cardiopulmonary resuscitation training with manikin and video instruction benefit and improve the staff self-confidence and clinical basic life support skill. In other hands using assessment of cardiopulmonary resuscitation defibrillation (CPR-D) nursing skills and informing the leaders is necessary to give information for kind of education they need seems to improve resuscitation performance (Mà ¤kinen, et al.2007). Spearpoint, Gruber Brett (2009) mentioned in their article that permanent cardiopulmonary education as one of the teaching approaches. Moreover they stated that , The simplicity, continuous and quality of the education on basic life support program are affected on CPR performance and hospitals cardiac arrest through increasing patient discharge and decrease the cardiac arrest. There was study done by Moule , Albarran , Bessant , Brownfield Pollock (2008) in united kingdom comparing two teaching met

Unemployment in the UAE: Causes and Effects

Unemployment in the UAE: Causes and Effects Table of Contents (Jump to) Analyze the reasons and effect of the unemployment suggest an applicable solutions to cope these problems Evaluate the advantage and disadvantages monetary policy being implement in the chosen country Advantages Disadvantages Monetary policy Find out and explain the effectiveness how to use it to fix unemployment . Monetary Policy: Whats the Most Cost Effective Unemployment Solution?: Using Solutions: Unemployment Benefits: Monetary Policy Risks: 1. Analyze the reasons and effect of the unemployment suggest an applicable solutions to cope these problems Generally because of their oil riches, the economies of the GCC nations have passed through real budgetary and social progressions throughout the previous decades that incorporate the investment blast of the 1970s and early 1980s and the bust of the late 1980s and 1990s. Emulating the sharp build in worldwide oil costs in the 1970s and early 1980s, the dominant presences in these nations reused the windfall oil picks up through liberal welfare framework, and a huge open financing program in foundation, utilities, and essential businesses. In coupled with these arrangements, governments assumed the part of first business resort which inevitably prompted congestion open part and expanded government consumptions on pay rates (Forstenlechner, Rutledge, 2010). Specifically, the administrations of the GCC urged locals to join general society part by offering profits bundles as appealing annuity and social stipends for companions and kids and financed the procurement of lodging, educating whats more wellbeing and essential customer items. Underlying open segment business and pay structures is the social contract of the GCC nations which prompted the grouping of more than 85% of local laborers openly vocation and which, accepted, brought about their underemployment. Generally, broad subsidies that were the impetuses of the social contract made an salary impact that appear to have had a general public wide impact on recreation designs in light of the fact that of social multiplier where the comes back to relaxation builds as more individuals are meeting expectations shorter hours and taking longer vacations (Forstenlechner, Rutledge, 2010).3 In parallel, GCC governments sought after open outskirt arrangements to outside specialists, guaranteeing sufficient supply of work at focused compensation at all ability levels. According to Sherif, (2013)The reservation wages of remote specialists reflecting their normal income in their nation of origin, balanced for commitment to transmit family help also put something aside for speculation in their nation of origin are much lower than the reservation compensation of the nationals at tantamount aptitudes. The double destinations of vigorously sponsoring local wages and livelihood, as a component of the social contract, and seeking after open-fringe work imports arrangements keeping in mind the end goal to keep up aggressiveness prompted the formation of a portioned work markets where locals bunch in the general population area whose profit level is moment and work hours are short while the additionally requesting occupations were left to outside laborers in the private area of the economy that paid significantly lower compensation and requested noticeably more hours (Sherif, 2013). 2. Evaluate the advantage and disadvantages monetary policy being implement in the chosen country Advantages The following is the arrangement of favorable circumstances of the Emiratisation: It adds to the development and manageability of the organizations and makers when they need to depend vigorously on the nearby inhabitants of the nation. The UAE society will be pushed and spread. It backings and helps the development and learning of the UAE nationals for the advancement and profits of the human capital improvement. Disadvantages The real detriment of the Emiratization is the constrained dependence on the livelihood of the UAE nationals (Elasrag, 2014). The private segment is as of now lingering behind general society division and the UAE national are not eager to work in the private part. Monetary policy The Government of the UAE utilizes a dynamic expansionary money related arrangement that is devoted to developing the economy and creating the fancied investment objectives of stable costs, low unemployment and high and managed budgetary development as confirmation by the article gave Dubai plots come back to credit markets. Dubai wants to offer more securities with a specific end goal to fund a more different budgetary method. With more cash under control, Dubai will push ahead with arrangements to expand genuine GDP by expanding government using on things, for example, base and ventures in the flight market. This is a methodology that is in lock-venture with governments’ monetary strategy to attain the three economic objectives. While the objective continues as before, the suggestions are more serious and conceivably more tragic. Likewise with financial arrangement, we pick up a finer understanding of how this could conceivably impact the three monetary objectives by dichoto mizing the subject into Hands-on (active) monetary approach, or Hands-off (free market) fiscal strategy. Once more, it is comprehended that the Hands-off financial arrangement generally implies next to zero government intercession which is at last a disagreement of fiscal approach (Elasrag, 2014). Purchase offering securities the UAE is expressing certainly that it accepts that by acquiring the money and issuing the security to the buyer at a certain premium rate, it can transform around and put the money into the channels it sees fit, whether this is base or flight, and afterward payback the obligation when the venture turns beneficial. The arrangement faces numerous possibilities and blocks on the capability of the UAE further bolstering take full good fortune by giving the trade something to do in for cold hard currency the most productive way that could be available, and if history is any marker Dubais track record of dangerous wagers is not a beyond any doubt thing. In any case, the results will without a doubt be higher of GDP because of dynamic Hands-on money related arrangement (Elasrag, 2014). A Hands-off money related approach would, basically, oblige that no obligation be issued, rather sufficient money to put would need to be actually under control before forward movement could start on any venture, paying little respect to how gainful the speculation is regarded to be. This out of date idea of looking before you jump appears to be falling further antiquated with each security issued In a Hands-off business sector economy, executing fiscal strategy to attain specific results, for instance changing the cash supply by offering more government issued securities to accomplish higher yield of GDP, is viewed as terrible cash administration and in opposition to the thought of Hands-off trading and lending (Driouchi, 2014). To streamline the viewpoint lets envision the UAE is a little family crew. Would it be sound approach for a house that is stretched out beyond their intends to take part in additionally getting with a specific end goal to accomplish a higher expectation for everyday life? Regardless of the fact that the objective is thought to be a build of the families general salary, the danger of selling your future could have unintended consequences that are sweeping and generational. The UAE could never be confounded with a little family, with unlimited future riches originating from a seeming less unending supply of oil. By utilizing the Hands-on hypothesis, Dubai will offer government issued bonds and utilize the money to manufacture streets and landing strips, giving its subjects something to do immediately, successfully keeping unemployment low and GDP high (Driouchi, 2014). 3. Find Out and Explain the Effectiveness How To Use It to Fix Unemployment The answer for unemployment is, clearly, to make new occupations. Normally, a solid financial development rate of 2-3% is sufficient to make the 150,000 new occupations required to keep unemployment from climbing. At the point when unemployment crawls over 6-7% and stays there, it implies the economy isnt solid enough to make sufficient new employments without help. That is the point at which the legislature is required to venture in and give results. See what the legislature has attempted in the past with Unemployment Rate by Year (Raven, 2011). Money related Policy: The result utilized first to address managed high unemployment is fiscal boost from the Federal Reserve. Sweeping financial approach is effective, snappy and typically compelling. Lower investment rates permit families to acquire all the more affordably to purchase what they need, in the same way as autos, homes and buyer hardware. This invigorates enough request to return the economy on track. Low investment rates likewise permit organizations to get for less, providing for them the funding to contract new laborers to take care of climbing demand. Monetary Policy: Nonetheless, when fiscal approach doesnt work, then monetary arrangement is normally requested. This method the administration should either slice charges or build using to invigorate the economy (Raven, 2011). Monetary arrangement is typically slower to begin, since Congress and the President must concur on what ought to be carried out. Nonetheless, it could be more compelling once executed. It additionally gives much- required certainty that the administration will empower the economy and things will improve. Certainty is a significant element in persuading individuals to use now for a superior future. Cutting charges has a comparative, however much more straightforward, impact as lower investment rates. It gives purchasers more cash to use, expanding interest. It additionally cuts costs for organizations, which can utilize the money to contribute within their business and contract more laborers. Government using normally takes the manifestation of occupations projects, where the legislature employs laborers and organizations straightforwardly to fabricate things or give administrations (Raven, 2011). This demonstrations like a tax break, by giving shoppers the money they have to purchase more items. Whats the Most Cost Effective Unemployment Solution? Nonetheless, not all financial approach results are made equivalent. Dollar for dollar, whats the best financing that makes the most occupations? A few examination studies indicate that the most savvy result is giving development occupations to, of all things, mass travel. The following most practical is unemployment profits and the third best occupations supplier is financing instruction. Tax reductions, whether payroll or no matters how you look at it pay assessment, are less powerful (Forstenlechner, Rutledge, 2010). Whats the slightest viable occupations maker? Safeguard using. Here’s Tax Cuts: As indicated by a U Mass/Amherst study, the most well known financial jolt, in all cases wage tax breaks, is not the savviest. One billion dollars in cuts made 10,779 employments, in light of the fact that just a large portion of the cash ($505 million) specialists accepted was used. The rest was spared or used to pay down obligations. (Source: Umass/Amherst, Robert Pollin and Heidi Garrett-Peltier, Department of Economics and Political Economy Research Institute, The Employment Effects of Military and Domestic Spending Priorities, October 2007) (Forstenlechner, Rutledge, 2010). Its more practical to give organizations payroll tax breaks. A study by the Congressional Budget Office (CBO) found that each $1 billion in payroll charge alleviation made 13,000 new employments. The best place to give business charge easing is with little organizations, which are the key driver for 65% of all new employments (Forstenlechner, Rutledge, 2010). (Source: CBO, The Economic Outlook and Fiscal Policy Choices, September 28, 2010) Using Solutions: The U Mass/Amherst specialists found that subsidizing mass travel gives the most value for the money. One billion dollars used makes 19,795 development occupations. An alternate practical result is using on training. One billion used employing instructors makes 17,687 occupations. It has the extra profit of including an extra $1.3 billion into the economy, as all the more exceedingly taught individuals improve employments on their own, and can purchase more things with the higher wages they acquire. The slightest savvy in occupations creation is military using, which just makes 8,555 for the same financing (Sherif, 2013). That is on account of its more capital serious, as advanced barrier depends all the more on automatons, F-16s, and plane carrying warships than infantry. Unemployment Benefits: Beside open works ventures, the second savviest utilization of government stores is giving profits to the unemployed. The CBO study discovered 19,000 occupations are made for each $1 billion in profits. That is on account of the unemployed are well on the way to use each dime they get on the rudiments, in the same way as basic needs, garments and lodging. This drives retailers and producers to contract more individuals to take care of the extra demand. The other preference of unemployment profits is it is quick. The legislature simply composes a check, which promptly goes into the economy. Open works undertakings can take a while to get actualized. For additional, see why Extended Unemployment benefits are the best way to boost the Economy (Elasrag, 2014). Monetary Policy Risks: The downside of monetary strategy is it can add to the financial backing deficiency, making more government obligation. As obligation methodologies 100% of the economys aggregate yield, it can really abate monetary development. That is on account of moguls lose interest for that legislatures obligation, which makes investment rates ascent, expanding the expense of getting. Then again, backers of supply-side matters of trade and profit say that, about whether, the economy will be helped so much that it will make up the lost expense income. All answers for decrease unemployment must make interest to invigorate the economy (Driouchi, 2014). For additional, see Job Creation: Ideas, Statistics and Creation by President. References Forstenlechner, I., Rutledge, E. (2010). Unemployment in the Gulf: time to update the â€Å"social contract†.Middle East Policy,17(2), 38-51. http://onlinelibrary.wiley.com/doi/10.1111/j.1475-4967.2010.00437.x/abstract;jsessionid=319D805ACF3FAE59970D9F3599158EF3.f04t02?deniedAccessCustomisedMessage=userIsAuthenticated=false Sherif, S. (2013). Macroeconomic policy, localization and reducing unemployment: The crucial human resource issues for the UAE.Competitiveness Review: An International Business Journal incorporating Journal of Global Competitiveness,23(2), 158-174. http://www.emeraldinsight.com/journals.htm?articleid=17084231show=abstract Elasrag, H. (2014). Ø §ÃƒËœÃ‚ ´Ãƒâ„¢Ã†â€™ÃƒËœÃ‚ §Ãƒâ„¢Ã¢â‚¬Å¾Ãƒâ„¢Ã…  ÃƒËœÃ‚ © Ø §Ãƒâ„¢Ã¢â‚¬Å¾ÃƒËœÃ‚ ¨ÃƒËœÃ‚ ·ÃƒËœÃ‚ §Ãƒâ„¢Ã¢â‚¬Å¾ÃƒËœÃ‚ © Ù Ãƒâ„¢Ã¢â‚¬ ° Ø ¯Ãƒâ„¢Ã‹â€ Ãƒâ„¢Ã¢â‚¬Å¾ Ù†¦ÃƒËœÃ‚ ¬Ãƒâ„¢Ã¢â‚¬Å¾ÃƒËœÃ‚ ³ Ø §Ãƒâ„¢Ã¢â‚¬Å¾ÃƒËœÃ‚ ªÃƒËœÃ‚ ¹ÃƒËœÃ‚ §Ãƒâ„¢Ã‹â€ Ãƒâ„¢Ã¢â‚¬   Ø §Ãƒâ„¢Ã¢â‚¬Å¾ÃƒËœÃ‚ ®Ãƒâ„¢Ã¢â‚¬Å¾Ãƒâ„¢Ã…  ÃƒËœÃ‚ ¬Ãƒâ„¢Ã…   (Unemployment and Job Creation in the GCC Countries).Available at SSRN 2411584. http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2411584 Driouchi, A. (2014). Unemployment Persistence Risks of Skill Obsolescence in Arab Countries. http://mpra.ub.uni-muenchen.de/53793/ Raven, J. (2011). Emiratizing the education sector in the UAE: contextualization and challenges.Education, Business and Society: Contemporary Middle Eastern Issues,4(2), 134-141. http://www.emeraldinsight.com/journals.htm?articleid=1926573show=abstract

EHR Implementation and Effects on Nursing Essay -- medical records, he

EHR Implementation Background The implementation of electronic health records (EHR) continues to make an impact on nursing and patient care throughout the country. As a part of the American Recovery and Reinvestment Act of 2009, all public and private healthcare providers were required to implement electronic health records in their facilities by January 1, 2014. By demonstrating â€Å"meaningful use† of the electronic medical record, facilities are able to maintain Medicaid and Medicare reimbursement levels. Providers who show that they are meeting the â€Å"meaningful use† criteria during EHR use will receive an incentive payment from Medicare and Medicaid. â€Å"Meaningful use† is â€Å"using certified technology in EHR implementation to improve quality, safety, efficiency, and reduce health disparities; engage patients and families; improve care coordination; and maintain privacy and security of patient health information† (Centers for Medicare & Medicaid Services, 2013). The federal government has encouraged EHR use in hopes that it will significantly improve patient care. There is the intent that electronic health records will allow any provider access to important patient health information no matter where the patient is, while â€Å"creating a comprehensive national electronic health information network that leads to a reduction in the duplication of tests, an improvement in the cost-effectiveness of interventions, and the ability to compile a comprehensive patient history† (McBride, Delaney, Tietze, 2012). While the implementation of EHR’s has good intent, an important question is, â€Å"How are the implementation of EHRs having an effect on emergency nursing and patient care?† Benefits of EHR Use in the Emergency Department Nurses are... ...ers to consider long-term benefits. (2012). ED Management, 24(3). Guterl, G. (2012, April 2). Motivating Meaningful Use on ADVANCE for Nurses. Retrieved February 18, 2013, from http://nursing.advanceweb.com/Features/Articles/Motivating-Meaningful-Use.aspx Kutney-Lee, A. (2011). The effect of hospital electronic health record on. NCBI, 41(11). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3236066/ McBride, S., Delaney, J., & Tietze, M. (2012). Health Information Technology and Nursing. American Journal of Nursing, 112(8). Retrieved from http://www.nursingcenter.com/lnc/pdf?AID=1402619&an=00152258-201301000-00010&Journal_ID=&Issue_ID= Meaningful Use - Centers for Medicare & Medicaid Services. (2013, December 6). Retrieved February 19, 2015, from http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html

Mechanisms and Processes of the Internet :: Computers Technology Web Essays

Mechanisms and Processes of the Internet Electronic commerce can be defined as the conduct of commerce in goods and services, with the assistance of telecommunications and telecommunications-based tools. Here, the term telecommunications can mean any existing telecommunication networks such as Public Switched Telephone Network, Integrated Services Digital Network, or even Wireless Networks. However the major and the most important telecommunication network of E-commerce is the Internet. The great possibility and potential of E-commerce has been realized with the development of the Internet. Therefore understanding how the Internet works is quite important to better understand E-commerce and to develop E-commerce applications. In this paper I will discuss the mechanisms and process of the Internet. The structure of the paper is as follows:  · The Basic Process  · Mechanisms of the Internet  · IP address and Name Servers  · Ports and Protocols II. The Basic Process When we surf the web, we type any URL in to our browser, and the desired page pop up on our screen. At the most basic level possible, the following diagram shows what happened: Our browser formed a connection to a web server, requested a page and received it. Here are the basic steps that occurred behind the scenes:  · The browser broke the URL into 3 parts: 1) The protocol ("http"), 2) the server name ("www.howstuffworks.com"), and 3) the file name ("web-server.htm").  · The browser communicated with a name server to translate the server name "www.howstuffworks.com" into an IP Address that it can use to connect to the server machine.  · The browser then formed a connection to the server at that IP address on port 80.  · Following the HTTP protocol, the browser sent a GET request to the server asking for the file "web-server.htm".  · The server returned the HTML text for the web page to the browser. The browser read the HTML tags and formatted the page onto your screen. III. Mechanisms of the Internet 1. Mechanisms The Internet is a gigantic collection of millions of computers that are all linked together on a computer network.

Outlines of the Theory of Choice :: Psychology Philosophy Essays

Outlines of the Theory of Choice There are two distinctions of orientation or of intention of a subject toward any phenomenon: "to" or "from" it, attraction or repulsion, acceptance or rejection. The +/- acceptability or pleasantness/unpleasantness of a phenomenon to a subject is the term indicating his or her +/- orientation to the perceived phenomenon. There are six components of the stream of human consciousness: contact senses (smell, taste, tactile senses), distant senses (auditory, visual) and emotions. Only four of them (the three contact senses and emotions) possess their own acceptability or pleasantness. Pleasantness of Condition of a Subject (PCS) is a sum or an integral of acceptabilities of these four components. "Happiness" is the upper limit of the maximization of PCS; a subject is constantly striving to maximize PCS or to reach for happiness. An attitude of a subject to a phenomenon in the center of his or her attention is determined by the synchronous PCS. Belief/disbelief is a verbalized positive/n egative attitude. Desire of a phenomenon x is a change of PCS (PCSx) created by the act of perceiving/imagining the phenomenon; the strength of desire is the magnitude of this change. Desire of a phenomenon characterizes power of the PCS maximization possessed by this phenomenon. Need is a periodic desire; the desire correspondent to need is a concrete form of existence of this need. Choice is determined by comparative strength of the desirabilities of the competing elements of choice; it includes choice of the phenomena to perceive or attend. The attention of a subject toward a perceived phenomenon x is proportional to the strength of its desirability: ATTx=kPCSx; the distribution of attention is a function of the desirabilities of phenomena perceived at that time. Will is an ability of the subject to influence the balance of desirabilities of elements of the subject's choice in the predetermined way. The nature of the will's effort is a self-inducement of suitable emotions through activation of memories by the concentration of the subject's attention to them. I. The Universal Intentional or Orientational Quality of "Acceptibility" Process of choice is vitally important for animals including humans because they are open, active, and limited systems. The term orientation is used in this work in two meanings corresponding to two main aspects of choice ¡Xan appraisal of the elements of choice one by one, and their comparison resulting in the choice being made. An appraisal of a singled out element of choice is also an act of orientation of a subject to it that can be 'positive' or 'negative', 'toward' or 'away' from it.