Pico Essays (Examples)

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Treatment to Patients the Main Objective of

Words: 4516 Length: 15 Pages Document Type: Essay Paper #: 23316992

Treatment to Patients

The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…… [Read More]


Beekmann, SE;Diekema, DJ; Chapin, KC;Doern, GV (2003) Effects of rapid detection of bloodstream infections on length of hospitalization and hospital charges.J ClinMicrobiol, 41:3119-3125.

Boussekey, N, Leroy, O, Georges, H, Devos, P, d'Escrivan, T, Guery, B (2005).Diagnostic and prognostic values of admission procalcitonin levels in community-acquired pneumonia in an intensive care unit.Infection, 33:257-263.

Charles, PE, Dalle, F, Aho, S, Quenot, JP, Doise, JM, Aube, H, Olsson, NO, Blettery, B: Serum procalcitonin measurement contribution to the early diagnosis of candidemia in critically ill patients. Intensive Care Med, 32:1577-1583.

Digiovine, B; Chenoweth, C; Watts, C; Higgins, M (1999)The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J. RespirCrit Care Med, 160:976-981.
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Adult Asthmatics Cinal Google Scholar

Words: 1284 Length: 4 Pages Document Type: Essay Paper #: 20390391

The findings yielded a direct correlation between poor inhaler use and poor literacy: Poor inhaler technique was found in 89% of patients reading at less than the third-grade level compared with 48% of patients reading at the high-school level (Nowlan, illiams, Baker, Honig, Lee 1991).

This study's result would have a direct impact upon traditional patient educational efforts, as health education still tends to rely heavily on printed materials. These materials might also be written at too high a level. Making use of pictorial materials and personal demonstrations, the authors concluded, might be more effective than using traditional verbally-based media. The study suggests that different approaches are needed, and more personalized intervention may be required for asthmatics, at least during early stages of treatment. However, there is an issue of correlation vs. causation -- individuals with low levels of literacy may have difficulty learning in general, regardless of the medium,…… [Read More]

Works Cited

Huss K., M. Salerno, & R.W. Huss. (1991, August). Computer-assisted reinforcement of instruction: Effects on adherence in adult atopic asthmatics. Research in Nursing & Health, 14 (4): 259-67. ISSN: 0160-6891 PMID: 1891611 CINAHL an: 1991128860.

Database: CINAHL Plus

Meer, V. van der, M.J. Bakker, W.B. van den Hout, K.F. Rabe, P.J. Sterk, J. Kievit, W.J.J.

Assendelft, & J.K. Sont. (2009, July 21). Internet-based self-management plus education compared with usual care in asthma. A randomized trial. Annals of Internal Medicine. 151 (2): 110-120.
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Mobility Evidence-Based Practice Progressive Mobility Protocol This

Words: 1626 Length: 5 Pages Document Type: Essay Paper #: 76051675


Evidence-based Practice

Progressive Mobility Protocol

This paper is a project based on PICO. The clinical question that serves as the foundation for this data-based design is; for immobile critical care patients, does the use of a nurse driven progressive mobility protocol reduce ICU LOS compared to every hour of repositioning? In this paper, the adult patients admitted to an ICU represent the population (P) of interest. The nurse driven progressive mobility represents the intervention (I), the comparison (C) is the critical care patients repositioned every two hours, and the reduction in LOS represents the result.

Most hospitals place critically ill patients on bed rest and reposition them every two hours in the intensive care unit. Some literature reviews provide evidence in favor of progressive mobility protocols. In addition, the paper also reviews the safety of mobilization of the critical patients and the negative effects bed rest may have on…… [Read More]


Plis, L. (2009). The Effectiveness of A Nurse-Driven Progressive Mobility Protocol on Reducing

Length of Stay in the Adult Intensive Care Unit. Retrieved from https://www.chatham.edu/ccps/pdf/Plis.L.Final_Capstone.pdf

Melnyk, B.M. & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice.Philadelphia, PA: Lippincott Williams & Wilkins

Goldhill, D., Imhoff, M., McLean, B., & Waldmann, C. (2007). Rotational Bed Therapy to Prevent and Treat Respiratory Complications: A Review and Meta-analysis. American Journal of Critical Care, 16(1), 50-61.
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Ethical Aspects in Research Studies the Essential

Words: 1340 Length: 4 Pages Document Type: Essay Paper #: 94884429

Ethical Aspects in esearch Studies

The essential aspects of research are the concern and respect that the researchers offer to the participants. esearch is aimed at producing insights that are beneficial to the society. However, the research should be conducted ethically. The ethical concern in research adduces that it should not advance a society at the detriment of others especially the participants in the research. Ethics in research is vital because it guides the working principles of the researcher for the research to conform to the required standards. This is the case especially when research subjects in health or medical research are often human beings. Therefore, it is vital to respect these individuals. The guiding principles in research ethics focus on preserving the rights and dignity of the research participants. In this regard, ethics focus on ensuring consent is obtained, no harm is done, the participant's privacy is respected, and…… [Read More]


Austin, W. (2007). The Ethics of Everyday Practice: Healthcare Environments as Moral Communities. Advances in Nursing Science, Volume 30 - Issue 1 - p 81-88.

Bernadette M.M. & Ellen F.O. (2011). Evidence-based practice in nursing and health care: a guide to best practice. Lippincott Williams & Wilkins.

Carol J.H. (2013). Professional Issues in Nursing: Challenges and Opportunities. Lippincott Williams & Wilkins.

Corey-L., Patricia M., Anita J., Marlene Z., & Alison M. (1999). Healthcare Reform: Its Effects on Nurses. Journal of Nursing Administration, Volume 29 - Issue 3 - pp 30-37.
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Narrative Describing Using Key Word Searches

Words: 481 Length: 2 Pages Document Type: Essay Paper #: 42134027

search I intended to use various keyword searches in order to find the relevant literature regarding how lifestyle modification compared to no modification in liver transplant patients, with a view to the impact on quality of life over 4 months post-operation. I was utilizing an intervention PICO and the reviews that I deemed relevant were systematic, reviews with meta-analysis of randomized control trials, case control studies, qualitative studies, and articles in which expert opinion was pronounced. Thus the purpose of these searches was to find literature which represented the extent of academic work on the subject in recent years.

Purpose Statement

The purpose of this review was to discover primary sources in various databases such as Medline, Cinahl, Embase, PsychINFO, and PubMed. Secondary sources were also targeted using Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials.

Strengths and Weaknesses

Medline was utilized primarily because it is…… [Read More]

Key word searches included various phrases such as "post liver transplant patient," "post-operative liver transplant patient," "change in diet," "nutrient levels," "quality of life," and any combination of the aforementioned among other similarly worded combinations of key words. Key words were culled from various commonalities among primary reading at the beginning of this research.


The PICO searches were generated using combinations of "post liver transplant patient" and "life style modification" and "quality of life" and various combinations with results being works such as Masala et al. (2012) study entitled "Quality of life and physical activity in liver transplantation patients: results of a case-control study in Italy." This article was helpful in pointing the way to other articles as it also contained key words that would later be used to generate further results in the search engines and databases mentioned above.
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Evidence-Based Research Problem in Nursing

Words: 1019 Length: 3 Pages Document Type: Essay Paper #: 29177472

Still, the concept of guided imagery tends to stray far from traditional methods of pain management. Pharmaceuticals have long been a major method of treatment for pain, but have resulted in major backlashes in regards to patients becoming addicted, especially in long-term and chronic cases of pain. If guided imagery could be a successful method, it may reduce pain or increase pain tolerance, without the threat of chemical dependence.

There are a number of benefits which are seen in the ongoing discourse today. As such, the expected improvements include things like drops in blood high blood pressure, lower heart rates, and reduction of chronic pain symptoms, lessoning of headache pain, and increasing overall pain tolerance (Cornelius, 2010). In situations were patients going into a major surgery were coached with guided imagery, it was "shown to decrease stress and anxiety before and after surgery," thus helping reduce additional pain issues during…… [Read More]


Bresler, David E. (2012). Raising pain tolerance using guided imagery. Practical Pain Management. Web.  http://www.practicalpainmanagement.com/treatments/psychological/raising-pain-tolerance-using-guided-imagery 

Cornelius, Debra. (2010). Guided imagery improves treatment options for various conditions. Health. Web.  http://voices.yahoo.com/guided-imagery-improves-treatment-options-various-6299902.html 

Davies, Karen Sue. (2011). formulating the evidence-based practice question: A review of the frameworks. Evidence-Based Library and Informative Practice, 6(2), 75-81.
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Interest an Identification of the Problem That

Words: 831 Length: 3 Pages Document Type: Essay Paper #: 79593461

interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

My research question: Among acute patients on medical surgical units does hourly rounding as opposed to only setting the bed alarm help decrease patients falls by 75%.

Falls are a major problem amongst acute patients, particularly amongst the 65+ population and can lead to so many related problems, occasionally to fatal results, that this essay considers it a crucial topic for nurses and caregivers to look into and investigate.

The fall is traumatic aside from which consequences of falling can also include post-fall anxiety, fractures, head injuries and loss of independence through falling, each of which has far wider ramifications impacting physical, social, mental, emotional, and behavioral spheres of the patient's life. The ramification of falling, therefore, for the patient has a wider and far-reaching impact that touches…… [Read More]


Broe, K et al. (2007) A Higher Dose of Vitamin D Reduces the Risk of Falls in Nursing

Home Residents: A Randomized, Multiple-Dose Study JAGS 55:234 -- 239

Oliver D. et al. (2004) Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review Age and Ageing 33:122 -- 130

Davies, K.S. (2011). Formulating the evidence-based practice question: A review of the frameworks. Evidence-Based Library and Information Practice, 6(2), 75a€"80. Retrieved from  https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
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Asthma or Heart Disease or Diabetes

Words: 3003 Length: 10 Pages Document Type: Essay Paper #: 13855478


According to Waryasz & McDermott (2009), the global prevalence of diabetes among people aged between 20 and 79 rose to 6.4% affecting 285 million people in 2010 and the rate will rise to 7.7% affecting 439 million people by 2030. Amid 2010 and 2030, the rate of individuals with diabetes will increase by 69% in developing nations, and a twenty percent rate in developed nations. In 2011, the number rose to 366 and it is expected to rise to 552 by 2030. The pervasiveness of diabetes is advanced in males compared to females, yet the number of women with diabetes is more compared to that of men.

Diabetes affects any part of the human body and people with diabetes are likely to die of heart-related problems or stroke. Seventy-percent of individuals with diabetes show signs of high blood pressure which a risk factor for heart-related diseases. The majority of…… [Read More]


Boussageon R, Supper I, Bejan-Angoulvant T, Kellou N, Cucherat M, et al. (2012).Reappraisal of metformin efficacy in the treatment of type 2 diabetes: A meta-analysis of randomized controlled trials. PLoS Med, 9(4): e1001204. doi:10.1371/journal.pmed.1001204.

Karin et al.(2002). Diet and exercise among adults with type 2 diabetes: Findings from the Third National Health and Nutrition Examination Survey (NHANES III) . Diabetes Care, 25 (10), 1722-1728

Wang, H., & Yeh, M.(2012). Systematic to insulin therapy in adults with type 2 diabetes. Mixed- method systematic review. Journal of Advanced Nursing, 68(4), 743 -- 757. doi: 10.1111/j.1365-2648.2011.05853.x.

Waryasz, G., & McDermott, A. (2009). Exercise prescription and the patient with type 2 diabetes: A clinical approach to optimizing patient outcomes. Journal of the American Academy of Nurse Practitioners, 22, 217-227.
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suicide among psychiatric patients

Words: 880 Length: 3 Pages Document Type: Essay Paper #: 35676335

Suicide rates are remarkably high worldwide and nationally, making suicide one of the leading causes of death (Schwartz-Lifshitz, Zalsman, Giner et al, 2012; Tillman, 2014). Although most suicides do not occur in the hospital setting, psychiatric disorders—especially mood disorders and psychotic disorders—are risk factors that increase the likelihood of a suicidal event (Appleby, 1992; Sarzetto, Delmonte, Seghi, et al, 2017). Suicide not only affects the patient, but reverberates throughout the patient’s family and social circle, also causing distress and potential performance issues among clinical staff (Tillman, 2014).

Therefore, it is important that psychiatric nurses understand how to recognize risk factors, and establish a clinical practice environment that prevents suicide. Minimizing suicidal tendencies requires different types of treatment interventions individually tailored for at-risk patients, as well as implementing best practices for creating a clinical environment that reduces risk. Best practices may also include preparing, teaching, and training nursing staff, especially when…… [Read More]

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Francesco Petrarch Lived in Florence

Words: 1251 Length: 4 Pages Document Type: Essay Paper #: 79170902

These individuals promoted the belief that it was in people's best interest to concentrate on putting across thinking that reflected positively on the world and that moral thinking played an essential role in changing the way that the social order functioned. Humanist writers wanted people to learn to enjoy life's pleasures without focusing on material values.

Even with the fact that Castiglione partly agree to Pico by stating that reason and knowledge were essential factors in this process, the former actually seems to focus on a more profit-motivated attitude while the latter is apparently interested in having people acknowledge the need for more moral values.

Castiglione, Machiavelli, and Pico all had different perspectives concerning the attitudes that the Renaissance man needed to employ in order to experience positive results as he was trying to discover his personal identity. In contrast to both of them, Machiavelli did not hesitate to emphasize…… [Read More]


Sherman, Dennis, "Western Civilizations: Sources, Images, and Interpretations, from the Renaissance to the Present,"
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Feeding intolerance Integrative Review Paper

Words: 2577 Length: 7 Pages Document Type: Essay Paper #: 78824345


Despite major medical advancements over several decades, nearly 10 percent of births in the US continue to occur prematurely each year (Martin, Hamilton, Osterman, Driscoll, & Matthews, 2017). Creating a significant socioeconomic burden, preterm birth is one of the leading causes of infant morbidity and mortality in the United States resulting in approximately $16.9 billion in medical care costs annually (Institute of Medicine [IOM], 2007). After days, weeks, or even months of intensive care, weight gain becomes a major criterion for hospital discharge. Feeding intolerance (FI) is a common complication among these preterm infants, which disrupts enteral feeding, resulting in feeding advancement delays, prolonging adequate weight gain and growth, and increasing hospital stays (Carter, 2012). Additionally, FI is associated with necrotizing enterocolitis (NEC), a gastrointestinal emergency and a leading cause of morbidity and mortality in this group of patients (Moore & Wilson, 2011). The underlying cause for these problems…… [Read More]

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The Role of Roys Adaptation Model in Nursing Theory

Words: 535 Length: 2 Pages Document Type: Essay Paper #: 60433390

Feeding intolerance has been identified as a significant problem for infants in the Neonatal Intensive Care Unit (NICU). Inquiry has revealed massage therapy as a possible nursing intervention for the problem (Shaeri et al., 2017). Additional knowledge is desired to determine if new research findings present clinically significant evidence for use of the intervention in the NICU patient population. Toward this end, a PICO question has been formulated: does massage application given to infants born at less than 37 weeks gestation reduce feeding intolerance?

Given the increased prominence of theory-based nursing, identifying an applicable nursing framework is important. One model that can be used in addressing the identified problem is Roy’s adaptation model (RAM). Indeed, RAM is one of the most common nursing models. Essentially, the model emphasises patient adaptation to the environment (Saini et al., 2017). As per the model, the nurse focuses on improving the patient’s ability to…… [Read More]

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Post Traumatic Stress Disorder and Risk of

Words: 2054 Length: 6 Pages Document Type: Essay Paper #: 14834415

Post Traumatic Stress Disorder and isk of Dementia among U.S. Veterans

According to Yaffe et al. (2010), Post Traumatic Stress Disorder is a prevalent psychiatric syndrome linked to increased mortality and morbidity rates. This condition is among the most prevalent amid veterans returning from combat. Among veterans returning from Afghanistan and Iraq, the prevalence of post traumatic stress disorder is estimated to be about 17% (Seal et al., 2009). Veterans returning from Vietnam have a twenty to thirty percent rate. Past studies have confirmed that PTSD is linked to increased health care consumption and an augmented danger of developing a variety of other medical conditions among veterans such as dementia. The risk factors that link PTSD to increased rates of dementia include head injuries, depression or medical comorbidities.

This work highlights the findings of the study carried out by Yaffe et al. (2010). The project specifically focuses on the conclusions…… [Read More]


Bernadette M.M. & Ellen F.O. (2011). Evidence-based practice in nursing and health care: a guide to best practice. Lippincott Williams & Wilkins.

Deurenberg, R. (2009). A practical guide to Pubmed/Druk 1/ING. London: Bohn Stafleu van Loghum.

Gerrish, K., & Lacy, A. (2013). The research process in nursing. New York: John Wiley & Sons.

Glasziou, P.G., Mar, C.D. & Salisbury, J. (2009). Evidence-Based Practice Workbook. John Wiley & Sons.
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Antiquity and Renaissance

Words: 870 Length: 3 Pages Document Type: Essay Paper #: 73456817

Confessions of Augustine, The Life of Saint Teresa of Avila by Herself, "On the Oration and Dignity of Man," Petrarch's poetry, and Shakespeare's drama "King Lear" are both products of societies in which the dominant religious ethos was Christian rather than pagan. However, although all texts share this similar historical feature, fundamentally opposing views of the self are articulated through the theological texts in contrast with the works of lyric and dramatic poetry.

This may seem counter-intuitive to a casual reader, as both Augustine's Confessions and "King Lear" makes use of pagan and Christian modalities of selfhood. A closer reading suggests that while the former does so to validate the Christian concept of the supreme value of the inner life of the self as illuminated by God, the latter does so in a way that ultimately expresses a view of human inner life that is nihilistic, confusing, and cannot necessarily…… [Read More]

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Team D Agreed to Focus

Words: 951 Length: 3 Pages Document Type: Essay Paper #: 38725445

Foreign key fields (i.e. The key that represents the value of a primary key in a related table) may exist in the case of CLEBSI speciment: date of diagnosis, date and time of specimen (where latter may replicate). Under 'Patient', CLEBSI line is a foreign key, too.

V. Atomic-level data

Atomic data would be the most reducible element of information (without elaboration). So for instance for hand hygiene it would be Chlorhexidine Skin Antisepsis Antimicrobial Dressing Placement

VI. Schemas of the database will be:

Patient with the attributes of name, age, medical record number (MN), diagnosis, central line; Central line with the attributes of medical record number, date of insertion, insertion site, date of removal, line days, inserting provider, the components Central Line Bundle compliance, antimicrobial dressing placement; and CLABSI infections with attributes of MN, date of diagnosis, date and time of specimen, organism detected. Central Line Bundle compliance will…… [Read More]


CDC (2010) Central Line-Associated Bloodstream Infection (CLABSI) Event. Retrieved April 1, 2011 from www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf

Databasics: A Database Dictionary. Retrieved April 1, 2011 from:  http://www.geekgirls.com/database_dictionary.htm 

Institute for Healthcare Improvement. (n.d.). Implement the central line bundle. Retrieved March 21, 2011, from  http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementtheCentralLineBundle.htm 

Moodle. Database Fields. Retrieved April 1, 2011 from  http://docs.moodle.org/en/Database_fields#Field_name_and_description
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Employment Application Statement as a

Words: 304 Length: 1 Pages Document Type: Essay Paper #: 19558335

I completely understand the agency's chain of command, rules, and protocols. Frankly, I also appreciated the camaraderie that I enjoyed at the LCSD because it made it an absolute pleasure to come to work everyday and I look forward greatly to the opportunity to rejoin the team. Naturally, I missed the annual picnic provided by Director Strout, as well.

It would be my most sincere pleasure to have another opportunity to work for Director Dean Strout, Lou Mackoler, John Carillo, Tray Strout, and Ruben Verillo again and I am confident that they will be able to confirm my suitability for the advertised position. I look forward tremendously for the opportunity of an interview and genuinely appreciate the chance to return to the Los ngeles County Sheriff's Department as an electrician because my previous employment in that same capacity has been my career highlight to date.… [Read More]

As a former (laid off temporary) employee of the Los Angles Sheriff's Department in the same capacity as this job opening from 2006-2010, I am already thoroughly familiar with the requirements and responsibilities of the Electrician position. During my previous tenure in this same position, I became familiar with and knowledgeable about all of the agency's facilities, including Twin Towers, Men's Central Jail, Pitches, CRDF, Mira Loma. FSB Headquarters, and Crime Lab. Additionally, I have already worked at the Lancaster, Palmdale, East Los Angeles, Lennox, Pico Rivera, San Dimas, Temple, Walnut/Diamond Bar, and West Hollywood stations.

Most importantly, I learned how to perform all of the positional responsibilities and tasks described in the job announcement in my previous LACSD position under the tutelage of my supervisors and Lou Mackoler and John Carillo. Also, I have already received the necessary training and have considerable experience interacting with and working safely around inmates and sworn personnel alike. I completely understand the agency's chain of command, rules, and protocols. Frankly, I also appreciated the camaraderie that I enjoyed at the LACSD because it made it an absolute pleasure to come to work everyday and I look forward greatly to the opportunity to rejoin the team. Naturally, I missed the annual picnic provided by Director Strout, as well.

It would be my most sincere pleasure to have another opportunity to work for Director Dean Strout, Lou Mackoler, John Carillo, Tray Strout, and Ruben Verillo again and I am confident that they will be able to confirm my suitability for the advertised position. I look forward tremendously for the opportunity of an interview and genuinely appreciate the chance to return to the Los Angeles County Sheriff's Department as an electrician because my previous employment in that same capacity has been my career highlight to date.
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Globalization Often Has a Paradoxical

Words: 831 Length: 2 Pages Document Type: Essay Paper #: 70964938

Q2. From an American perspective, it is tempting to look out at the world and to assume that American culture now dominates and reigns over all, given the seeming ubiquity of American movies, television, and music. However, a cultural analysis of many regions of the world yields the finding that culture is far more regional and pluralistic in nature.

For example, in Mexico, soap operas known as telenovelas captivate almost the entire population. They often give voice to Mexican fantasies about transgressing economic borders. One such soap opera, Ugly Betty, has actually been appropriated by U.S. culture. Mexican culture has changed the U.S., as well as vice versa, despite the U.S.'s greater economic power in the region. And within India, Bollywood films are far more popular than Hollywood films because of the way they speak to unique Indian culture needs. Within this densely-populated and fantastically diverse nation, the fascination with…… [Read More]

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Violation of First Amendment Rights

Words: 474 Length: 2 Pages Document Type: Essay Paper #: 87122493

On the other hand, a motive of debate was whether or not the Court should be intervening on issues that, ultimately, belong to daily operations in schools. The Court judged, however, that this was a breech to "basic constitutional values" (as in Epperson vs. Arkansas) and, in this sense, the judicial system's intervention becomes a necessity.

Additionally, the Court decided that the school board's decision could not be justified by the sole means of "educational suitability," which would have made it permissible, but that it was based on a purely partisan, political approach (some of the 9 titles clearly suggest this).

Petitioners rightly possess significant discretion to determine the content of school libraries. But that discretion may not be exercised in a narrowly partisan or political manner."


In Board of Education vs. Pico, the Supreme Court affirmed, with a 5-4 vote an order from the Second Circuit Court of…… [Read More]

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Nursing Responsibilities With EBP Nursing

Words: 525 Length: 2 Pages Document Type: Essay Paper #: 23113646

Nurses are well positioned to identify clinical problems and use existing evidence to improve practice and make care more effective (eyea, 2006). Evidence-based practices enables nurses to provide high quality care based on current evidence. The potential impact includes better patient outcomes, contributions to the science of nursing, keeps practice current and relevant, increases confidence in decision making, and keeps policies and procedures current, supporting JACHO readiness.

Some common practices in disseminating to a broader audience includes poster presentations, presentations, such as paper presentation, speaking, and presenting to the organization (Mauk). Other ways can include presenting to nursing journals for publication. Still another way is to implement a nursing research council that shares in the processes of researching current research studies, collecting evidence, and sharing at their individual organizations.

To implement a strategy for developing a collegiate EP network, goals and mission first need to be defined. Processes, then, need…… [Read More]


Beyea, S. & . (2006). Evidence-Based Practice in Nursing. Retrieved from hcmarketplace.com:  http://www.hcmarketplace.com/supplemental/3737_browse.pdf 

Mauk, K. (n.d.). Essentials of Evidence-Based Practice Disseminating Findings Program.

Worral, P.L. (Fall/Winter 2009-2010). Documenting and EBP Project: Guidelines for What to Include and Why. Jouranl of the New York State Nurses Association.
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American Influence Abroad

Words: 1017 Length: 3 Pages Document Type: Essay Paper #: 50243552

American Culture

riters such as Pico Iyer, Richard Pells, and Joseph Nye are in fact correct that the world culture has not and will not be Americanized. These writers are correct in asserting that American culture is ever forceful, but still America remains just one influence in a multicultural world: a manifestation of globalization. ith such a supreme focus on America, it can seem like America is the dominant force; however, this is just a result of a skewed perspective. It is true that other cultures have also spread outwards and that local cultures cannot and will not be destroyed.

The phenomenon of culture shock is direct evidence of the fact that American culture is not as pervasive as many people would like to assert that it is. As centers for study abroad programs in various universities explain, culture shock is a logical reaction to the body and mind in…… [Read More]

Works Cited

Balko, R. (2014). Globalization & Culture. Retrieved from globalpolicy.org:  http://www.globalpolicy.org/component/content/article/162/27607.html 

Chapman.edu. (2013). Culture Shock. Retrieved from Chapman.edu:  http://www.chapman.edu/international-studies/center-for-global-education/study-abroad-programs/accepted-students/culture-shock.aspx 

Kitamura, H. (2010). Screening Enlightenment. NewYork: Cornell University Press.
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Analyzing the Experience of Humanities

Words: 3596 Length: 12 Pages Document Type: Essay Paper #: 67210203

Qu'an simila to and diffeent fom the Holy Bible? Give examples fom each wok to illustate thei similaities and diffeences

The Qu'an is the holy book of Islam, the eligion established by Muhammad while the Holy Bible is the saced book of Chistianity. Thee ae a numbe of ways in which the Qu'an is simila as well as dissimila to the Holy Bible. Fo states, both of them consist of chonicles, teachings, poety, and epimanding. Seveal chonicles encompass the simila basic occasions and individuals. The Qu'an and the Bible both teach the ceation of the wold by a distinct almighty, all-knowing God who commands human beings to follow the moality set out fo them. Fist of foemost, one of the key simila doctine is that God, efeed to as Allah in the Qu'an, and Yahweh in the Bible, is the only ceato of all things in the univese and whose…… [Read More]

references to elements in the sacred books as he points out the time of Adam's creation. In particular, Pico mirrors upon the fact that God, being the creator and artist of the universe, made the decision to make this being that is dissimilar to the other beasts, and who, as they emanate from the womb of their mother, have only one distinctive role to fulfill in this world. Man, on the other hand, has been bequeathed grace, personality, and the ingenuity that comes straight out of his own Creator. This, in particular, is the free will to act in keeping with the directives of the heart, mind, and soul. Taking this into consideration, freedom is intrinsic and blessed by the Higher Power and it is an indication of God's distinctive love for humankind.

However, Pico is keen to point out that freedom is not an assurance of happiness. Free will implies setting one's own objectives and thereby acting and operating in their own accord. For this reason, with freedom comes about a great deal of far-reaching and significant responsibilities for the reason that at the end of the day, human beings set up their own destiny. The most significant thing is that all human beings have the similar right and freedom to be completely happy and have the sense of feeling blessed by their Maker. More so, with the understanding that there is good will and a comprehensive way to nurture the "being," self-determination and freedom will instigate miracles in every Tom, Dick, and Harry. For that reason, the free will bequeathed to us by God as a gift to all humankind can impel us to utilize our freedom for whatsoever we wish and desire. Nonetheless, it is most beneficial and fruitful to make the most of the gift of free will for our own benefit, to grow into better persons and to at no given point, be unable to summon up our inimitable status as children of the "great Artisan," which is God.

In accordance to Pico, a man is duty-bound to imitate the dignity and splendor of the angels by undertaking philosophy. More so, he asserts that a man, if he develops what is coherent and sensible, will disclose himself as a heavenly being. Furthermore, if he is intelligent, he will be an angel and the son of God. Pico proclaims that a philosopher is a living being of heaven and not of the earth. At the time when man exercises philosophy or moralizes, he climbs up the chain of being in the direction of the angels and close association with God. However, on the other hand, if he fails to exercise philosophy and use his intellect, he starts to vegetate. The foundation and basis of this dignity lay in Pico's proclamation that only human beings were capable of changing themselves by means of their own free will, while all other alternation in nature were resultant of some external force operating on whatever it is that is cause to experience change. Pico made the observation that from the past account, philosophies and bodies were constantly in change, which made the capacity of man for self-transformation as the sole constant.
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Rudolfo Anaya Grew Up in the New

Words: 1648 Length: 4 Pages Document Type: Essay Paper #: 46007941

Rudolfo Anaya grew up in the New Mexico and much of his work reflects this upbringing. A popular theme in his fiction is the background of the state and the introduction of factors that can lead to human destruction: greed, lust, self-righteousness, deception, and connivance (Garcia 2000, p. 11). His short story "The Apple Orchard" is not exception to this. This is the story about a young boy named Isador who is in seventh grade as he struggles to come of age in his community. The first-person narrator has a father who values education. The themes of education and its importance is integral in Chicano literature. According to Hector Colderon (1999), it is extremely difficult to finish education in the Hispanic community, particularly if English is not your first language. He says, "Out of some thirty-plus students, three of us graduated from high school on time, a few others had…… [Read More]

Works Cited

Anaya, Rudolfo. (2006). The Apple Orchard. The Man Who Could Fly and Other Stories. 74-86.

Calderon, Hector and Jose David Saldivar. (1991). Criticism in the Borderlands: Studies in Chicano Literature.

Garcia, Nasario. (2000). Rudolfo Anaya. Platicas: Conversations with Hispanic Authors. 5-34.
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Southern and High Northern Renaissance

Words: 714 Length: 2 Pages Document Type: Essay Paper #: 3543775

In Italy, the Counter-eformation had a great deal of effect on enaissance works. As an example, Michelangelo's Cristo della Minerva in the church of Santa Maria sopra Minerva, in ome, fell victim to these actions. Just as the bonfires of the vanities saw artwork in various forms destroyed by fire, Michelangelo's sculpture was not safe from harm. The nakedness of Christ was seen as obscene, and as such, a girdle was added to the sculpture to cover his genitals ("Cristo della Minerva"). This is in contrast to enaissance works in Northern Europe that although they experienced the troubles of religious division with the eformation, Counter-eformation and events such as the formation of the Church of England..

German enaissance artist, Albrecht Durer, also is instrumental in illustrating the differences between the Southern and Northern enaissances. Durer captures his views of the 'condition of man' eloquently in his print Melencolia I.

Many…… [Read More]


Cristo della Minerva. 15 Jan. 2007. Wikipedia.com. January 24, 2007  http://en.wikipedia.org/wiki/Cristo_della_Minerva .

Melencolia I. 23 Jan. 2007. Wikipedia.com. January 24, 2007  http://en.wikipedia.org/wiki/Melencolia_I .

Pico della Mirandola, Giovanni. Oration on the Dignity of Man. 21 Nov. 1994. University of Michigan. January 24, 2007  http://www.cscs.umich.edu/~crshalizi/Mirandola/ .
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Fibromyalgia More Than 50 of

Words: 5095 Length: 19 Pages Document Type: Essay Paper #: 36644521

(Busch, Barber, Overend, Peloso, and Schachter, 2007, p. 8)

esults from this study relate a moderate quality evidence that aerobic-only exercise training at recommended intensity levels produces positive effects "global well-being (SMD 0.44, 95% confidence interval (CI 0.13 to 0.75) and physical function (SMD 0.68, 95% CI 0.41 to 0.95) and possibly on pain (SMD 0.94, 95% CI -0.15 to 2.03) and tender points (SMD 0.26, 95% CI -0.28 to 0.79)." esults noted that flexibility and strength and flexibility remain under assessed. (Busch, Barber, Overend, Peloso, and Schachter, 2007, pp. 11-13)

According to criteria Melnyk Fineout-Overholt (2005) present, this study is a Level II study. From the Cochrane review, the following relates what research notes regarding the effect of exercise for FMS:

moderate intensity aerobic training for 12 weeks may improve overall well-being slightly and physical function.; moderate intensity aerobic exercise probably leads to little or no difference in pain…… [Read More]


Antai-Otong, Deborah, MS, APRN, BC, FAAN. (2005). "Depression and Fibromyalgia Syndrome (FMS): Pharmacologic Considerations." Perspectives in Psychiatric Care. Volume: 4, Issue 3, 146+. Retrieved April 29, 2008, at  http://www.questia.com/read/5011211783?title=Depression%20and%20Fibromyalgia% Syndrome%20(FMS)%3a%20Pharmacologic%20Considerations

Busch AJ, Barber KAR, Overend TJ, Peloso PMJ, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD003786. DOI: 10.1002/14651858.CD003786.pub2.

Burckhardt, Carol S. Mannerkorpi, Hedenberg, Kaisa, Lars and Bjelle, Anders. (1994). A Randomized, Controlled Clinical Trial of Education and Physical Training for Women with Fibromyalgia. The Journal of Rheumatology; 11:4, 714-719

Costa1, D. Da., Abrahamowicz, M., Lowensteyn, I., Bernatsky, S., Dritsa1, M., Fitzcharles, a., and Dobki, P.L.. Advance Access Rheumatology; 19 July 2005, 44:1422
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Innocent III and Mirandola Compare

Words: 353 Length: 1 Pages Document Type: Essay Paper #: 129040

" (Hooker)

The Pope's purpose, of course, was to emphasize the concept of original sin and the importance of the Church's priests in reconciling sinful man with God's mercy. In order to do this, he downgraded the condition of man in his writings, emphasizing how demeaned, pitiful and degraded is the state of the human soul, which could only be saved from eternal damnation by the pardon obtained by prayers and petitions offered through the Catholic Church. Mirandola's viewpoint, synthesizing the Platonist view with Aristotelianism, Averroism (a form of Aristoteleanism) and mysticism (the Kabbalah and the Hermetica), which elevated the concept of humankind, in religion, as well as in other ways, believing that religious truth was freely available and "in part revealed to all, both Christian and non-Christian." (Hooker 1)

Hooker, Robert. (6 Jun 1999) Pico Della Mirandola. orld Civilizations. Retrieved January 15, 2007 at http://www.wsu.edu/~dee/REN/PICO.HTM… [Read More]

Whereas the Pope wrote that the destiny of damned humankind is dire, whose every idle word renders an "account... that will be exacted to the last penny," facing in the end all sorts of unutterable torture and calamities, Mirandola wrote that each human being becomes a "small universe" or parvus mundus with the potential to become any aspect of the universe, that human beings could occupy any position whatsoever in the "chain of being," including becoming the "equivalent of God, at least in understanding." (Hooker)

The Pope's purpose, of course, was to emphasize the concept of original sin and the importance of the Church's priests in reconciling sinful man with God's mercy. In order to do this, he downgraded the condition of man in his writings, emphasizing how demeaned, pitiful and degraded is the state of the human soul, which could only be saved from eternal damnation by the pardon obtained by prayers and petitions offered through the Catholic Church. Mirandola's viewpoint, synthesizing the Platonist view with Aristotelianism, Averroism (a form of Aristoteleanism) and mysticism (the Kabbalah and the Hermetica), which elevated the concept of humankind, in religion, as well as in other ways, believing that religious truth was freely available and "in part revealed to all, both Christian and non-Christian." (Hooker 1)

Hooker, Robert. (6 Jun 1999) Pico Della Mirandola. World Civilizations. Retrieved January 15, 2007 at  http://www.wsu.edu/~dee/REN/PICO.HTM
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Nursing and Burnout The 12 Hour Shift

Words: 1417 Length: 7 Pages Document Type: Essay Paper #: 62355507

PICO/PIO development

Key term




Paediatric, pediatric, infant

Albuterol, ventolin

How would you describe your Participant, Patient, or Population group?

Female hospital worker age 20 to 45

What characteristics of your Patient/s are important? Age, gender, condition, etc. can all be significant.

What Intervention are you interested in?


8-hour shift

Work shift 8 hours long

Defining the Intervention is often the central part of PICO.

What alternative or different option do you want to Compare your intervention to?


12-hour shift

Work shift 12 hours long

You might want to Compare the chosen intervention to usual care, to another intervention or to no intervention.

What measurable Outcome/s are you interested in?



Nurse fatigue

Outcome is the final aspect of PICO. Some examples include: symptoms of asthma, accuracy of diagnosis or mortality.

2. eformatted (PICO) Clinical Question

In healthcare providers working in a hospital (nurses) (P…… [Read More]


Classen, J., Davis, S., Sutter, E. (2016). The impact of an 8-hour versus 12-hour shift for registered nurses: An integrative review. Cedarville University Symposium. Retrieved from  http://digitalcommons.cedarville.edu/research_scholarship_symposium/2016/poster_presentations/12/ 

Dall'Ora, C., Griffiths, P., Ball, J. (2016). 12-hour shifts: burnout or job satisfaction? Nursing Times, 112(12/13): 1-2.

Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., Aiken, L. (2015). Association of 12 h shifts and nurses' job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open, 5(9): e008331 doi:10.1136/bmjopen-2015-008331.

Han, K., Trinkoff, A., Geiger-Brown, J. (2014). Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health & Safety, 62(10): 409-414.
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Renaissance Humanism Refers to a Period of

Words: 1062 Length: 3 Pages Document Type: Essay Paper #: 37621671

Renaissance humanism refers to a period of history where there was a move away from the ideas of State and religion as the basis of society and a move towards human experience and interaction. It was a rebirth in that it rejected the ideas of the Middle Ages and reinvented the ideas of the ancient philosophers. The basis of it was a return to the study of the humanities which included music, art, poetry, science, and virtue. The one thing that underlined both the ideas of the ancient philosophers and the ideas of the Renaissance humanists was that the importance of humans lay in their ability to interact as individuals with the world around them and extract meaning from it. Man himself became the measure of all things.

It is first worth noting that the humanist ideas were the ideas of scholars. For this reason, much emphasis was put on…… [Read More]

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Disseminating Evidence Strategies for Dissemination the Key

Words: 548 Length: 2 Pages Document Type: Essay Paper #: 89646861

Disseminating Evidence

Strategies for Dissemination

The key stakeholders in the implementation of the PICO project include patients, their families, health care team members including physicians, hospital administrators, insurers, suppliers, and investors ("Who are the Stakeholders in Health Care"). A broad and diverse group of stakeholders like this one requires a complex and multifaceted approach to project dissemination.

Different dissemination strategies will be used for different stakeholders. For patients and their families, the dissemination strategy will consist of the distribution of educational materials and access to educational resources. The educational resources will help patients to be empowered, so that they can ask questions related to their catheterization. Knowing what questions to ask, and what the answers mean, will help patients and their loved ones make responsible health care choices. For example, the study will show patients that they do not have to keep the catheter in, just because the nurse has…… [Read More]


"Who are the Stakeholders in Healthcare" (2005). Retrieved online:  http://patientsafetyed.duhs.duke.edu/module_a/introduction/stakeholders.html
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How Carbohydrates and Fructose Pack on the Pounds

Words: 2856 Length: 8 Pages Document Type: Essay Paper #: 130877

Carbohydrates and Obesity

Obesity and diabetes are diseases that are not restricted to national boundaries or culture today. These health threats are universal. In the United Kingdom recent reports put the percentage of men that are either overweight or obese at 67%, and the percentage of overweight or obese women is an estimated 57% (Boseley, 2014). Recent data shows that about one-fourth of the entire population in the United Kingdom is obese (Boseley, 2014). The Global Burden of Disease study reflects that around the globe an estimated 26% of boys and 20% of girls are either overweight or obese, Boseley writes in The Guardian.

The number of overweight and obese people in the world has "surged in the past three decades," Boseley explains; to put this surge into perspective, about 2.1 billion people on the planet are either overweight or obese -- and that is almost a third of the…… [Read More]

Works Cited

Boseley, Sarah. "UK among worst in western Europe for level of overweight and obese people." The Guardian. Retrieved November 17, 2014, from  http://www.theguardian.com . 2014.

Bostock-Cox, Beverley. "Obesity and diabetes: a different perspective." Practice Nurse,

44.8, 1-5, 2014.

Bray, G.A. " Fructose: should we worry?." International Journal of Obesity, vol. 32, S127-
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M-13 Gang and How it

Words: 2401 Length: 8 Pages Document Type: Essay Paper #: 64986942

In fact, when it comes to terrorism, strangers are, generally, the ambit of their activities.

There have been some activities, however, that have targeted innocent civilians and the motives and actions, in these cases, have ominously paralleled terrorist stratagems and motivations. A case in kind occurred in December, 2004, when an intercity bus in Honduras, Central America was intercepted and sprayed with machine gunfire and 28 passengers, mainly women and children, were killed first by the gunfire then by the assailants climbing abroad the bus and methodically executing the passengers17. The objective was a protest against the Honduran government who had recently reinstated the death penalty.

Another similarity is in their pattern of operation where, like al-Quida, they operate in a form of loose, unstructured cells that form a global dispersed network. Similarly, too, their individual ceils are devoted to similar activities and some are quite sophisticated. These include activities…… [Read More]


Bunker, R. J. 'Epochal Change: War over Social and Political Organization', Parameters, vol. 27, no. 2, Summe, 1997

Derbeken, Jaxon Van."Widow pleads for death penalty." San Francisco Chronicle. June 27, 2008.

Del Barco, M. "The International Reach of the Mara Salvatrucha." NPR.org (May 2, 2011).  http://www.npr.org/templates/story/story.php?storyId=4539688 

Elkus, a. Foreign Policy in Focus "Gangs, terrorists, and trade" (April 12, 2007)
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Cultural Transmissions by the Italian

Words: 2492 Length: 9 Pages Document Type: Essay Paper #: 82728048

Indeed the Germans, the French, and the rest looked back to an antiquity in which their ancestors had been subjugated by the legions. Nothing is more remarkable therefore than the rapid and irrevocable penetration of Italian ideas and practices among the "barbarians," as the Italian writers referred to them, some of whom were currently invading the peninsula." (Wiener, 124) it's also important to note that influence of antique classicism typical for Italian architecture of the 14-16th centuries is not observed in the north. Classical style of Italian cathedrals and churches, typical for Ancient Greek and oman pagan temples is usually not observed in buildings of enaissance epoch in Germany, Britain or France, where architecture was influenced by Gothic style, which got earlier spread in Europe.

eformation and Counter eformation

The spread of Protestantism over Europe, which is considered to be one of the most historically significant achievements of enaissance and…… [Read More]


Hileman, Tony Living on the Creative Edge of Our Culture available at www.americanhumanist.org/about/messageED1.php

Wiener, Philip P. The Dictionary of the History of Ideas: Studies of Selected Pivotal Ideas available at  http://etext.virginia.edu/DicHist/dict.html 

Kohl, Benjamin G., and Witt, Ronald G., eds., the Earthly Republic: Italian Humanists on Government and Society (1978)
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Transfer Through Satellite Communication Systems

Words: 5027 Length: 13 Pages Document Type: Essay Paper #: 25885212

After the completion of the design and development of satellites, the systems are normally subjected to waiting periods that span for several years before the identification of an appropriate launch opportunity.

Design and Implementation Cost:

The third major problem in the development and implementation of satellite communication is the software development costs. This includes money spent on all bus systems, ground support equipment, systems engineering, communication payloads, program management, and integration and test. In most cases, the development and implementation costs are difficult to estimate since there are recurring and non-recurring cost drivers in the process. The non-recurring cost drivers include heritage, number of prototypes and engineering models, and technology readiness while the recurring cost-drivers are complexity, project scope, and quantity of production.

The production quantity refers to the number of flight units developed, combined, and tested on similar contract to the development initiatives. hile the development and production initiatives…… [Read More]

Works Cited:

Burgess, Erik, and Nathan Menton. "Satellite-Subsystem Development Costs." The Office of the Director of National Intelligence. Cost Analysis Improvement Group, Feb. 2008. Web. 29 Apr. 2012. .

Dawoud, M.M. "Communications Satellite Sub-systems." KFUPM Open Courseware. KFUPM. Web. 29 Apr. 2012. .

Lappas, V., G. Prassinos, a. Baker, and R. Magnuss. "Wireless Sensor Motes for Small Satellite Applications." IEEE Antennas and Propagation Magazine 48.5 (2006): 175-79. Web. 29 Apr. 2012. .

Marz, Justin D. "The Design and Implementation of Various Subsystems for Pico-Satellites." University of Kansas. University of Kansas, 12 Dec. 2004. Web. 29 Apr. 2012. .
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Predominantly Latino Gangs Mara Salvatrucha

Words: 17380 Length: 40 Pages Document Type: Essay Paper #: 44825476


Since gang-related crimes fall within the jurisdiction of state, this research will give an insight on the need to find solutions that increasingly include all levels of government. Congress needs to pass legislation that will change immigration enforcement laws and make more aliens deportable. In addition, the federal government should take a more active participation in helping local and state jurisdictions develop anti-gang responses. The local, state and federal governments must take a stand, and combine forces to combat the immigration problem that continue to plague this country into the next generation.

Importance of the Study

The die has been cast, there is no turning the clock back now and the Mara Salvatrucha and 18th Street Gang have established themselves in the United States and far beyond. The origins of the current situation with MS-13 and the 18th Street Gang date back to the late 1980s and early 1990s…… [Read More]


Armstrong, W. (2009, February 16). 'Sanctuary cities' protect murderous illegal aliens. Human Events, 64(37), 8.

Bansal, M. (2006) Chertoff: Street Gangs a Threat to National. Retrieved November 12,

2006 from  http://www.CNSNews.com .

Barber, B. (1996). Jihad vs. McWorld: How Globalism and Tribalism are Reshaping the World. New York: Ballantine Book.
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Nursing Leadership Issues

Words: 867 Length: 2 Pages Document Type: Essay Paper #: 14201245

Nursing Leadership Issues

eflect on how you would create a safe environment in a healthcare setting by applying the 4 characteristics of a culture of safety. They are:

• Psychological safety. People know their concerns will be openly received and treated with respect.

One of the tenets of the total quality movement as expressed by W. Edward Deming is "Drive out fear" (Edward, 2012). The recommendation comes from a fundamental understanding of human nature: people do not like to call problem to the attention of their supervisors. No one wants to be the bearer of bad news, and in medical and healthcare settings this may be particularly true. Unsafe conditions can mean that patients are exposed to hazards or that employees are more likely to incur injury. In addition, nursing staff may occasionally find themselves in a position where a peer or another staff member are not following procedure. Not…… [Read More]


Edward, A. (2012). Project and Program evaluation. Global Health Strategies for Stability. Baltimore, MD: Johns Hopkins University, Bloomberg School of Public Health. Retreived ghss.cdham.org/wp.../Project-Evaluation_GHSS_AE_HO.pdf

____. (2010, March 29). Whistleblower protection for nurses in health care reform bill. Undercover Lawyer. Retreived  http://www.undercoverlawyer.com/whistleblower-protection-for-nurses-in-health-care-reform-bill/ 

____. (2007). Evidence-based practice. Bio-Medical Library. Twin Cities, MN: University of Minnesota Libraries. Retrieved  http://hsl.lib.umn.edu/learn/ebp/mod01/step1.html 

Carey, R.G. And Lloyd, R.C. (1995). Measuring quality improvement in health care: A guide to statistical process. Milwaukee, WI: ASQ Quality Press. Retrieved  http://books.google.com/books?id=IiISAjR73BkC&dq=quality+improvement+in+healthcare&lr=&source=gbs_navlinks_s
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Response to Intervention Effectiveness

Words: 3002 Length: 10 Pages Document Type: Essay Paper #: 26765077

Intervention Effectiveness

esponse to instruction and intervention TI2 is reported as a general approach in education to closing the gap in achievement. TI2 methods are constructed upon the esponse to Intervention (TI) model that was an option for schools under the 'Building the Legacy, Idea 2004 reauthorization of the individuals with Disabilities Education Act IDEA. (California Department of Education, 2011) TI and the expanded TI2 are reported as being based upon "17 years of practice that has refined continuous progress monitoring as a strategy for keeping students on a path toward success." (California Department of Education, 2011) TI is reported as a strategy that moves all students through the steps set out in the learning standards and is further more stated to be an approach that views both academic and behavioral achievement of students.

Tier 1-3

Tier 1 included the 'Universal Interventions' which include "preventive, proactive, universal intervention in all…… [Read More]


Benchmark interventions -- reinforcement (2011) Department of Education. Retrieved from: http://pubs.cde.ca.gov/tcsii/ch2/bnchmrkrnfrcmnt.aspx

Case Study: El Rancho Unified School District in Pico Rivera, California (2011) International Reading Program. Retrieved from:  http://www.reading.org/downloads/resources/rti0707_implications.pdf 

Case Study: Pella Community School District, Iowa (2011) International Reading Program. Retrieved from:
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Down These Mean Streets

Words: 6074 Length: 22 Pages Document Type: Essay Paper #: 42314847

Down These Mean Streets believe that every child is born a poet, and every poet is a child. Poetry to me was always a very sacred form of expression. (qtd. In Fisher 2003)

Introduction / Background History

Born Juan Pedro Tomas, of Puerto Rican and Cuban parents in New York City's Spanish Harlem in 1928, Piri Thomas began his struggle for survival, identity, and recognition at an early age. The vicious street environment of poverty, racism, and street crime took its toll and he served seven years of nightmarish incarceration at hard labor. But, with the knowledge that he had not been born a criminal, he rose above his violent background of drugs and gang warfare, and he vowed to use his street and prison know-how to reach hard-core youth and turn them away from a life of crime.

Thirty years ago Piri Thomas made literary history with this lacerating,…… [Read More]

Works Cited

Anonymous. "Piri Thomas" (2000). 09 December 2003. http://www.peacehost.com

Coeyman, M. "In a Largely Minority School, Literature Helps Students Confront Complex

Issues of Race and Culture" (2002). The Christian Science Monitor. 10 December 2003.  http://www.csmonitor.com 

Fisher, S. "Mean Streets Author Launches Latino Month" (2003). 10 December 2003. http://www.advance.uconn.edu/htm
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Nursing and Midwifery Cancer Scenario

Words: 2821 Length: 8 Pages Document Type: Essay Paper #: 28937469

treatment using the drug, tamoxifen, and higher mortality rates in females aged over forty years. The peer-reviewed papers employed for this study reveal a dynamic scrutiny of the aforementioned link. Quantitative as well as qualitative research works have been utilized, with a comparison and contrast made of the most apt methodology employed by the researchers. The end goal is ascertaining whether or not it is a risky decision to not adhere to tamoxifen treatment and how much information patients possess with regard to the drug and its effects.

The esearch Question and its Importance

After the diagnosis of her health condition, Ms. Jones is prescribed tamoxifen as medication. For an entire year, Ms. Jones fails to consume this prescribed drug. Upon revisiting the hospital after a year of not complying with this recommended treatment plan, she is told that her cancer has reappeared and is much more lethal than before.…… [Read More]


ANS (2010) Cancer Facts And Figures 2010. American Cancer Society. https://old.cancer.org/acs/groups/content/@nho/documents/document/acspc-024113.pdf

Banerjee, S., Saxena, N., Sengupta, K. and Banerjee, S. K. (2003) 17 alpha-estradiol-induced VEGF-A expression in rat pituitary tumor cells is mediated through ER independent but PI3K-Akt dependent signaling pathway. Biochem. Biophys. Res. Commun.300, 209-215.

Banning M (2012). Adherence to adjuvant therapy in post-menopausal breast cancer patients: a review cc_1295 1.10

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Study on Parents with Autistic Children

Words: 1500 Length: 3 Pages Document Type: Essay Paper #: 39071859

Autism is a problem with significant negative impacts on affected children and their parents/families who require wide-ranging support services for their children. For family members, the condition generates distress when raising the affected child due to the psychological and social problems it creates. Therefore, the consideration of parental mental health is an important aspect for social workers and mental healthcare providers when attending to these special needs' kids and creating interventions for children diagnosed with autism. In this regard, the research problem to be examined in this study is the link between hopefulness, quality of life (QOF) and internalized stigma for parents with autistic children.

Plan for Identifying Research Question and Sub-questions

The plan for identifying the research question and relevant sub-questions in this study involves utilizing the PICO format. First, the researcher identified the population or problem of interest i.e. parents with children suffering from autism. This was followed…… [Read More]

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Radon Exposure Radon Is Present

Words: 1838 Length: 5 Pages Document Type: Essay Paper #: 93345645

For basement and Slab- on -- Grade houses, the reduction is done through any of the four methods of soil suction: drain tile suction, sump-hole suction, drain tile suction or block wall suction. For claw-space houses, the radon levels are reduced effectively by using high-density plastic sheet to cover the floor. Radon is vented to the outdoor by drawing it under the sheet using fans and vent pipe. Other method of radon reduction is sealing of the cracks found in the foundation that limit the radon flow into the house ("How to reduce radon levels in your home").


Association between lung cancer and exposure in the residential houses has been shown by many studies conducted by scientists In the United States and other parts of the world though not all studies has shown this association. The reason for this inconsistencies in the different studies is because of disparate radon…… [Read More]

Works Cited

"Cancer and radon: Studies on the carcinogenicity of radon," Radon. 2 Jun. 2009. 21 March.


Field, Bill. "A Review of Residential Radon Case-Control Epidemiologic studies Performed in the United States," Reviews on Environmental Health 16.3 (2001): 1091-1102.

"How to reduce radon levels in your home," Pennslyvania Consumer's Guide to Radon
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Radon in Michigan Radon Is

Words: 1164 Length: 4 Pages Document Type: Essay Paper #: 74702922

The development of lung cancer is the primary health risk regarding radon, though even this risk was only discovered in the mid-1980s and it is possible that there are other health issues that could be caused or exacerbated by the presence of unsafe radon levels in many buildings (MDNE 2010). Government as well as private intervention through awareness programs, self-testing, and subsidies for installing air-exchangers, filters, and other devices proven effective at removing radon from the air and trapping the particles can and should be explored as possibilities for mitigating the negative effects of radon gas, or even eliminating them altogether (MDNE 2010; EPA 2010; SGO 2007). The government also must serve as the primary source of information on this topic, as it is simply not a major media issue for other reasons, and is a constant and ongoing problem rather than something that might receive a spike in attention…… [Read More]


EPA. (2010). "A citizen's guide to radon.' Environmental protection agency.  http://www.epa.gov/radon/pubs/citguide.html#overview 

MDNRE. (2010). "Radon potential in Michigan." Michigan department of natural resources & environment.  http://www.michigan.gov/deq/0,1607,7-135-3310_4105_4196-10497  -- ,00.html

SGO. (2007). "National health advisory on radon." Surgeon general's office.  http://www.surgeongeneral.gov/pressreleases/sg01132005.html
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Caries Beware the Wykked Worme

Words: 1764 Length: 5 Pages Document Type: Essay Paper #: 67669695

Bell (2011) reported on work at the University of Illinois School of Dentistry which led researchers to conclude that raisins, consumed either alone or added to sugared bran flakes, lowered the pH in the mouth, thus making that environment less hospitable for bacteria-causing caries. aisins thus may be an alternative hygienists can recommend to patients and parents as a food that satisfies the craving for sweetness but is a healthier choice for teeth.

There are no "wykked worms." Tooth decay is not something that just happens. Caries are both preventable and treatable. Dental hygienists have an important mission to not only provide oral care but to educate patients about nutrition and decisions under personal control that support good oral health.


Arola, L, Bonet, M.L., Delzenne, N., Duggal, M.S., Gomez-Candela, C., Huyghebaert, a., Laville, M., Lingstrom, P., Livingstone, B., Palou, a., Pico, C., Sanders, T., Schaafsma, G., van Baak, M.,…… [Read More]


Arola, L, Bonet, M.L., Delzenne, N., Duggal, M.S., Gomez-Candela, C., Huyghebaert, a., Laville, M., Lingstrom, P., Livingstone, B., Palou, a., Pico, C., Sanders, T., Schaafsma, G., van Baak, M., van Loveren, C., and van Schothorst (2009. Summary and general conclusions/outcomes on the role and fate of sugars in human nutrition and health. Obesity Reviews 10, 55-58.

Anderson, C.A., Curzon, M.E.J., Van Loveren, C., Tatsi, C. And Duggai, M.S. (2009). Sucrose and dental caries: A review of the evidence. Obesity Reviews 10, 41-54.

Bell, S. (2011). Here come the raisins. RDH Magazine 3. [Online] Available:  http://www.rdhmag.com/index/display/article-display/3826569535/articles/rdh/volume-31/issue-3/features/here-come-the-raisins.html  [March 11, 2011]

Associated Press. (2009). Cut back, way back, on sugar, says heart group. MSNBC Online. [Online] Available:  http://www.msnbc.msn.com/id/32543288/ns/health-diet_and_nutrition  / [March 12, 2011]
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Population Consists of Patients Entering

Words: 495 Length: 2 Pages Document Type: Essay Paper #: 40438164

This created problems in the care of patients that should have been admitted to other units, as well as for all patients receiving care in the emergency department on an inpatient or an outpatient basis.

In addition, research was undertaken that examined alternatives to simply increasing the efficiency with which ED patients are either treated and released or admitted on an inpatient basis, and it was found that increasing staffing level and other practices were still insufficient. The research all quite clearly suggested that the practice of inpatient boarding in emergency departments was detrimental to patients as well as to medical, nursing, and support staff, and was also not cost effective for hospitals. It was recognized that a huge benefit could be derived from a comprehensive and conclusive survey of the issue, which would lead to clearer recommendations for nursing and medical staff as well as hospital administrators than have…… [Read More]

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Birth of Venus by Boticelli

Words: 3077 Length: 10 Pages Document Type: Essay Paper #: 87697021

In his attempt to paint the goddess, the Renaissance painter inspired from the mythological legend of Venus's birth. The Roman Goddess of love apparently emerged out of the sea as a result of a foam formed around Uranus's genitals that had just been cut by his son, Cronus. Cronus apparently did so in order to get revenge, since his father treated him very cruelly (Deimling 52).

otticelli focused on emphasizing the painting's contours with a black stripe, making them contrast the rest of the picture. This concomitantly makes the painting clearer and gives it a detached character. The flowers falling from the sky were also taken from the legend, since flowers and spring are associated to Venus's birth (Deimling 52).

Whereas the painting's title refers to the actual birth of the goddess, the painting itself seems to represent something else. Instead of showing Venus as she comes into this world,…… [Read More]


Argan, Giulio Carlo, Botticelli: Biographical and Critical Study, trans. James Emmons (New York: Skira, 1957).

Bowman, David. "Birth of Venus and La Primavera Conjoined." Retrieved November 18, 2010, from the Aiwaz Website: http://www.aiwaz.net/article/Birth-of-Venus-and-La-Primavera-Conjoined/a115

Deimling, Barbara. Sandro Botticelli, 1444/45-1510, (Taschen, 2000).

Singleton, Esther, Great Pictures as Seen and Described by Famous Writers, (BiblioBazaar, LLC, 2008).
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Shopper Berfield 2009 the Ethnographic

Words: 580 Length: 2 Pages Document Type: Essay Paper #: 5966553

His firms' methodology concentrates on tracking shoppers throughout stores and videotaping their behavior, then analyzing it in the context of displays, traffic routing strategies and the use of signage in the stores. As a result of this methodology, the company Envirosell captures 50,000 hours of video each year. His firms' analysis shows that the front of stores is often used as a decompression zone, and that Americans tend to turn right when they walk into a store. As is the case with auto dealerships' service centers, the most crucial time to meet a customer is when they first enter the dealership or store. Mr. Underhill's analysis supports this fact with his firm stating that the first minute a customer enters the store is the most important in getting them to purchase. he challenges that Mr. Underhill highlights for retailers are to control the flow of traffic through their stores and…… [Read More]

Throughout the article there are specific strategies defined for increasing the sales effectiveness of retailers, illustrating the unique methodology that Mr. Underhill's firm Envirosell utilizes to increase the effectiveness of retailing strategies. His firms' methodology concentrates on tracking shoppers throughout stores and videotaping their behavior, then analyzing it in the context of displays, traffic routing strategies and the use of signage in the stores. As a result of this methodology, the company Envirosell captures 50,000 hours of video each year. His firms' analysis shows that the front of stores is often used as a decompression zone, and that Americans tend to turn right when they walk into a store. As is the case with auto dealerships' service centers, the most crucial time to meet a customer is when they first enter the dealership or store. Mr. Underhill's analysis supports this fact with his firm stating that the first minute a customer enters the store is the most important in getting them to purchase. The challenges that Mr. Underhill highlights for retailers are to control the flow of traffic through their stores and also specifically control the eye movement of shoppers. Each of these techniques is briefly analyzed below.

Increasing Same-Store Sales by Incenting Customer Loyalty

Mr. Underhill highlights the use of signage and shows the significant differences in how it is used at meat counters in grocery stores where 61% of the time spent waiting is after an order is placed (Berfield, 2009) in addition to how Williams-Sonoma uses signage to underscore the uniqueness and value of their products to customers. Mr. Underhill makes the point that the signage must have immediacy to them, as shown in the meat counter example, yet also be rich enough with content to provide sufficient differentiation for the products being sold. The example of this connection of incenting loyalty of customers through signage is also shown for
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Transition From Gprs Edge to 3g

Words: 1821 Length: 7 Pages Document Type: Essay Paper #: 82199775

In North America the system progression will start from Time division multiple access (TDMA), change to Enhanced Data Rates for GSM Evolution (EDGE) and then to UMTS.

Evolution from 2G to 3G

2G networks were built for the most part for voice data and slow communication. Due to rapid changes in user anticipation, they do not meet today's wireless requirements. Cellular mobile telecommunications networks are being improved to use 3G technologies from 1999 to 2010. Japan was the first country to introduce 3G nationally, and in Japan the transition to 3G was largely completed in 2006. Korea then adopted 3G Networks soon after and the transition was made as early as 2004.

From 2G to 2.5G (GPRS)

2.5G and even 2.75G are technologies such as i-mode data services, camera phones, high-speed circuit-switched data (HSCSD) and General Packet Radio Service (GPRS) that present some functionality domains like 3G networks, but not…… [Read More]

Works Cited

Attewell, Jim and Smith, Carol Savill. Learning with Mobile Device. London: Learning and Skills Development Agency, 2004.

Hellberg, Chris, Greene, Dylan, and Boyes, Truman. Broadband Network Architecture. Boston: Pearson Education Inc., 2007.

Miceli, Andrew. Wireless Technician's handbook. Norwood: Artech House Inc., 2003.

Muller, Nathan J. Wireless a to Z. New York: McGraw Hill Companies Inc., 2003.
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Renaissance Is Perhaps the Best

Words: 909 Length: 3 Pages Document Type: Essay Paper #: 37306021

The Renaissance gave them the opportunity to explore and create without restraint. As a result of this, learning took on an entirely different meaning in that it included the human experience as a significant aspect of knowledge, increasing the desire to know more.

A result of a desire to learn resulted in an invigorated self-confidence that only reinforced the belief that mankind had the power within him to understand all things, including nature. This new outlook on life and mankind resulted in an expansion of knowledge, especially in literature and science. Renaissance artists broadened their skills by using oil paints and incorporating realism to their work. Leonardo di Vinci is perhaps one of the most prominent artists of this time. His work illustrates the new trains of thought that mankind was taking. Another artist that cannot be ignored when mentioning the Renaissance is Michelangelo; a man whose art speaks volumes…… [Read More]

Works Cited

Barzun, Jacques. From Dawn to Decadence. New York: Harper Collins Publications. 2000.

Breisach, Earnst. Renaissance Europe. New York: The Macmillan Company. 1973.

Craig, Albert M., et al. The Heritage of World Civilizations. Fifth Edition. New Jersey: Prentice Hall. 2000.

Lucas, Henry. The Renaissance and the Reformation. New York: Harper and Brothers. 1934.
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Hamlet & the Renaissance if

Words: 1029 Length: 3 Pages Document Type: Essay Paper #: 89348376

In Hamlet's case, the dark Ages conquer the light and the last scene displays before Fortinbras'(the Prince of Norway, whose father was killed by Hamlet's father) eyes. Fortinbras seems to be the symbol for the rebirth of Denmark, in the light of a young king that lacks the putrid inheritance of an alienated royal family, like Hamlet's. The Renaissance man, Prince Hamlet, seems aware of the inutility of trying to restore the reign of his royal family in Denmark, since its members are proved to be corrupt and not suitable any more to lead a country in the spirit a new born world. His acts could also be in the spirit of sacrifice, suitable for a Renaissance man, in the name of restoring the dignity of his subjects and the glory of his country. People like Galileo and Savonarola were ready to give up their most precious possession, life, for…… [Read More]


1. Shakespeare, Hamlet, the Literature Network, retrieved Jan., 22nd, 2007, Jalic Inc. 2000-2007


2. Hamlet, Study Guide, SparkNotes, retrieved Jan, 22nd, 2007, 2006 SparkNotes LLC,  http://www.sparknotes.com/shakespeare/hamlet/section15.rhtml