Wednesday, November 27, 2019

How to Use the French Preposition Pour (For)

How to Use the French Preposition Pour (For) The French preposition pour  (pronounced poor) is one of the most common in the French language and one of the first that new students learn. The word usually means for, but it has a few other possible meanings as well.  Pour can be followed by a noun, pronoun, or infinitive, and as youll see, it can be used to express causation, intent, and motivation, among other relationships. This word also appears in a number of colloquialisms. Purpose / Intention   Jai achetà © un cadeau pour toi.   I bought you a gift.  Il la fait pour nous aider.   He did it (in order) to help us. Duration of future event In this case, pour functions as a  temporal preposition.   Je vais y habiter pour un an.   Im going to live there for a year.  Il parlera pour une heure.   He will speak for an hour. In favor of   Il est pour la peine de la mort.   He is in favor of the death penalty.  Jai votà © pour Macron.   I voted for Macron. Direction   Il est parti pour Ottawa.   He left for Ottawa.  Voici le train pour Rouen.   Heres the train to Rouen. Point of view   Pour nous, cest une bonne idà ©e.   For us, its a good idea.  Il est tout pour moi.   He is everything to me. Cause / Reason   Jai à ©tà © puni pour avoir volà ©.   I was punished for stealing.  Ce magasin est fermà © pour rà ©parations.   This store is closed for repairs. In place of / In exchange for   Il doit signer pour moi.   He has to sign for me.  Tu me dois 4 euros pour le cafà ©.   You owe me 4 euros for the coffee. Comparison / Relationship   Un pour cent   One per hundred (one percent)  Il fait chaud pour lautomne.   Its hot for the fall. Description   Je suis assez fatiguà © pour dormir par terre.   Im tired enough to sleep on the floor.  Il est trop avare pour nous aider.   Hes too stingy to help us. Expressions Sa bonne constitution y est pour quelque chose.   His strong constitution had something to do with  ou  played a part in it.Elle est pour beaucoup dans le succà ¨s de la pià ¨ce.   The success of the play is to a large  extent due to her. /  She has had a great deal to do with the success of the play.Ne me remerciez pas, je ny suis pour rien.   Dont thank me; I didnt have anything to do with it.Cest fait pour. Thats what its (there) for.à ªtre pour  Ã‚  to be in favourJe suis pour quon sy mette tout de suite.  Ã‚  Im in favour of getting down to it immediately.pour de bon for good, reallypour ce faire for that purpose, to that endavoir pour but aimpour ainsi dire as it werepour lessential mainly, basically An acceptable antonym would be  contre  (against).  Pour que  is an offshoot, a conjunction meaning, so that or in order to.

Saturday, November 23, 2019

Long Drop to Nowhere essays

Long Drop to Nowhere essays Donald Smalls was a simple enough man with a simple enough life. He was the head pharmacist at the local drug store. He lived in a small house tucked away in the woods, about half a mile off the main road. He could even forget things from the past that would haunt anyone else. The pay from the drug store allowed a slightly moderate life style. His clothes were neat and new around every month. He owned a nice little Beamer, you know, the kind that makes people feel richer than they are. Donald had just recently bought the Beamer to replace the old truck he had driven for the past couple of years. He was driving the old truck because the Mustang he had owned since he was nineteen finally called it quits. Now he had one sweet ride. Today he was driving up to one just one more thing the drug store made possible for him to own, a nice cabin in the mountains. He bought it off a previous owner, a man who seemed to have a nervous disorder around others. After shaking hands with the man, Donald had to wipe his hand on his jeans. The cabin was a nice place, just the place to spend a weeks vacation doing nothing and reading books. He would be happy, shoot, ecstatic to relax for a while. After having dealt with two hectic months behind that smooth white counter he thought he deserved a vacation. Now he was on a mountain highway, making his way to his own little crack in the world. Donald started to relax a little and let the speedometer do a little walking. Once it registered sixty he thought that would be a nice clip to cruise along at. Most drivers would worry about taking curves at this speed, but not Don Smalls. At thirty five and driving mountain roads most of his life, he considered himself a seasoned vet. He knew how to do it. He knew people relaxed and wrecked on roads like this all the time. He wasnt one for wrecks or for worrying about them but all of this just seemed too familiar. An old forgo...

Thursday, November 21, 2019

Hydrogen Energy and the Greenhouse Effect Essay Example | Topics and Well Written Essays - 750 words

Hydrogen Energy and the Greenhouse Effect - Essay Example The measurements showed that in the past half century, CO2 levels have been steadily rising at an exponential rate (Weart). This is due to growing population and the quickly-developing technologies that inevitably demand more energy, and, in the present, humanity's main source of energy is fossil fuels. As such, finding alternative energy sources has become a very important quest in the present. Among these alternative sources of energy is Hydrogen. Hydrogen is often presented as one of the most promising alternatives for carbon-based fuels because it is the clean energy source that burns into water vapor. It is also often pointed out that Hydrogen is the most abundant element in the universe and is very abundant on earth itself in the form of water. However, switching to a Hydrogen powered economy isn't really as simple as it sounds. Although water is very abundant on Earth, it takes up a lot of energy to break it down into its hydrogen and oxygen components and package it (Zyga). There is also the risk of hydrogen leaking out from the fuel cells which contain it (Warwick et. al.). Hydrogen energy would then basically cost more and be less economical than the current energy sources. However, if switching to Hydrogen as a major energy source would have good environmental impacts, t hen maybe it would be worth the cost. The product of Hydrogen combustion as opposed to, say, gasoline combustion would only be water vapor whereas for gasoline combustion, the products would include carbon dioxide which is considered to be the major cause of global warming. However, there are some who argue that water vapor, in fact, is the major greenhouse gas and is responsible for a larger portion of the greenhouse effect than carbon dioxide is. So, to find out whether hydrogen would really be a better energy source than carbon-based fuels, let us first look into the reactions involved in their combustion. For the carbon-based fuels, we'll just take octane, which is an important component of gasoline, as an example. The combustion reactions are as follows: 2 H2 + O2 2 H2O + 572 kJ (1) 2 C8H18 + 25 O2 18 H2O + 16 CO2 + 11017.8 kJ (2) If we multiply equation (1) by 20, we get roughly the same amount of energy generated for the two reactions: 40 H2 + 20 O2 40 H2O + 11440 kJ (3) So, to produce the same amount of energy, 16 CO2 molecules and 18 H2O molecules would be produced for the octane combustion while 40 H2O molecules would be produced for the hydrogen combustion. If water vapor is a greenhouse gas just as CO2, then it my be that switching to hydrogen as an energy source would bring about an even worse greenhouse effect than the CO2 produced by burning octane. However, there are a lot of things to be considered. Even though water vapor makes up 80% of all greenhouse gases in the atmosphere by mass, it is responsible only for 36% - 66% of the long wave absorption done by all the greenhouse gases (Schmidt). By contrast, CO2 comprises only 1.44% of all the greenhouse gases by mass, yet it absorbs 9% - 26% of the total long wave absorpt

Wednesday, November 20, 2019

Home depot in chile Case Study Example | Topics and Well Written Essays - 500 words

Home depot in chile - Case Study Example Home Depot adopted the international strategy, when it entered the Chilean market in 1998. As part of that strategy, it tried to implement the same practices and marketing strategies, which they carried out in its United States operations. In the case of international strategy, the firm transfers its core competencies and operational strategies to the foreign subsidiary. (Aswathappa 355). One of the key operational strategies of Home Depot in U.S. is sizably selling Do-It-Yourself (DIY) products, and they transferred the same to Chile. Instead of multidomestic strategy (which focuses on customizing the product according to the local market) and global strategy (which focuses on selling a product based on a globally formulated strategy), Home Depot adopted international strategy. As it was its first market expansion out of North America, Home Depot did not have any global strategy. Also, they avoided the multidomestic strategy and did not customize its products according to the Chilea n people. So, in line with the international strategy, Home Depot put more of DIY products on its shelves. However, this strategy of transferring the same practices to Chile did not work first because Chilean people were less willing than in the United States to repair their houses by themselves. b.

Sunday, November 17, 2019

Written Assignment Essay Example for Free

Written Assignment Essay Answer all of the following questions. Title your assignment Written Assignment 4, unless your mentor directs otherwise. This assignment covers text chapters 18 through 23. 1. Explain the relationship among savings, investment, and net capital outflow. Savings are equal to domestic investment + net capital outflow. In an open economy, both net capital outflow ( which is the purchase of foreign assets by domestic investors minus the purchase of domestic investments by foreigners) and savings and domestic investments are both ways of saving, and are both used to get the full picture of total saving. 2. Describe the economic logic behind the theory of purchasing-power parity (PPP). What factors might prevent PPP from holding true? The purchasing power parity tells us the a unit of any given currency should be able to buy the same quantity of goods in all countries. This principle is based on the fact that prices should remain constant for goods no matter where the goods are purchased, otherwise there is an opportunity for profit that was left un-exploited. The theory has 2 holes in it. Firstly, some goods are not easily traded, and secondly, some goods cannot easily be substituted for another. 3. Describe supply and demand in the market for loanable funds and the market for foreign currency exchange. How are these markets linked? Supply and demand of loanable funds is determined by the real interest rate. A higher interest rate causes people to save and raises supply where a lower real interest rate does the opposite. In the market for foreign currency exchange, the real exchange rate balances out supply and demand. A higher U.S. real exchange rate increases U.S. goods compared to foreign goods, and exports fall. These 2 markets are linked because between the 2 of them, they determine national saving, domestic investment, net capital exports and net exports. 4. What is capital flight? When a country experiences capital flight, what is the effect on the countrys interest rate and exchange rate? Capital flight is a large and sudden reduction in the demand for assets located in a country. The currency of the country depreciates in value and the interest rate rises. 5. List and explain the three theories for why the short-run aggregate-supply curve is upward sloping. Sticky wages. Wages are slow to adjust and may not be able to be changed. Steady wages can be harmful to a company and cause them to have lower production levels. Nominal wages are based on expected prices and are slow to respond when the actual prices ends up being different. Sticky price. Prices for some goods and services also are â€Å"sticky† and take time to adjust. This is due in part to â€Å"menu costs†, or the administrative costs incurred by changing the prices of a product in a firm. Misperceptions. Different businesses read the market different ways. A misperception in the trend of the market can cause suppliers to supply more product, even when the demand is not truly there. 6. What might shift the aggregate-demand curve to the left? Use the model of aggregate demand and aggregate supply to trace through the short-run and long-run effects of such a shift on output and the price level. Use the following diagram to help explain your answer. Point A is the short-run equilibrium point whereas Point C is the long run equilibrium point. Higher prices lower costs and shift demand to the left (lower). If for say, the current market price of this item is at Point C, and the market price drops, the demand for the item will rise, shifting the curve to the left. 7. Suppose the Fed expands the money supply, but because the public expects this Fed action, it simultaneously raises its expectation of the price level. What will happen to output and the price level in the short run? Compare this result to the outcome if the Fed expanded the money supply but the public didn’t change its expectation of the price level? Use the diagram below to explain your answer. The output should remain constant if the FED had raised its expectation of the price level over time, but immediately, the raise is price would cause in increase in production. The equilibrium point should shift from point a, to point c temporarily, then up to point out as it balances out. If the FED did not change it’s expectations in the price levels, than the equilibrium should move to pint c from pint a, and stay there. 8. What is the theory of liquidity preference? How does it help explain the downward slope of the aggregate-demand curve? This is the theory that the interest rate adjust to bring the money supply and demand into equilibrium. A higher price level increases the demand for money, as people will carry more to pay the higher prices. Higher prices in turn causes a higher interest rate. The higher interest rate reduces goods demanded, and supply will also shift downward. 9. Suppose that survey measures of consumer confidence indicate a wave of pessimism is sweeping the country. If policymakers do nothing, what will happen to aggregate demand? Explain what the Fed should do if it wants to stabilize aggregate demand. If the Fed does nothing, explain what Congress might do to stabilize aggregate demand. If policy makers do nothing, demand will fall, so will production and employment. Eventually, recession and possible depression afterwards. The Fed can do things such as lowering the interest rate to help stimulate the economy. Congress may decide to cut taxes in an attempt to simulate the economy, but they can also increase government spending to stabilize the economy. 10. What is natural about the natural rate of unemployment? Explain why the natural rate of unemployment might differ across countries. The natural means that it is beyond the influence of monetary policy. Different countries have different abilities, laws and demand for employment. For instance, the country may not be able to organize in the same fashion as a union shop here is the US. might. 11. What causes the lags in the effect of monetary and fiscal policy on aggregate demand? What are the implications of these lags for the debate over active versus passive policy? Aggregate demand has lags in policy due to the time it takes for the policy to take affect. Additionally, the spending plans are set in advance so it also takes time for changes to affect spending. The biggest issue is the ability to time the policy correctly, since it takes time for everything to adjust. 12. Some economists say that the government can continue running a budget deficit forever. How is that possible? Since population and technological progress grow over time, so do a nation’s ability to repay the interest on it’s debt. As long as the debt grows slower than the nation’s income, this is possible. Reference: Mankiw, N. G. (2008). Principles of Macroeconomics. Fifth Edition. Ohio: South-Western Cengage Learning.

Friday, November 15, 2019

Imagery of Disease and Decay in Hamlet Essay -- GCSE English Literatur

Imagery of Disease and Decay in Hamlet  Ã‚     Ã‚  Ã‚   William Shakespeare found that imagery was a useful tool to give his works greater impact and hidden meaning. In Hamlet, Shakespeare used imagery to present ideas about the atmosphere, Hamlet's character, and the major theme of the play. He used imagery of decay to give the reader a feel of the changing atmosphere. He used imagery of disease to hint how some of the different characters perceived Hamlet as he put on his "antic disposition". And finally, he used imagery of poison to emphasize the main theme of the play; everybody receives rightful retribution in the end.      Early in Hamlet, Shakespeare's first use of imagery was of decay. Marcellus says, "Something is rotten in the state of Denmark" (I; iv; 90), to Horatio after Hamlet leaves to talk with the ghost of his father. The imagery of decay used here gives the reader a background understanding of a few things. First, it foreshadows that the king's throne (the state of Denmark) is on shaky ground because Hamlet will shortly find out that his father was murdered and not bitten by a snake as was originally thought. Also, it reveals the building atmosphere of suspicion (something is rotten) which would play a role for a big part of the play. Then, two scenes later, imagery of decay was used a second time when Hamlet says, "For if the sun breed maggots in a dead dog, being a good kissing carrion", (II; i; 182-183) to Polonius during their first conversation in the play. The imagery of decay used here subtly gets across information of a few things. First, it foreshadows that Hamlet (the sun) wil l kill Polonius (breed maggots in a dead dog). And secondly, at this point in the scene, Hamlet goes on to talk about his own ... ...mastery of imagery that helped Shakespeare lift himself in the world of literature and to give him a solid place as one of the greatest playwrights of all time.    Works Cited and Consulted: Bodkin, Maud. Death and Decay in Hamlet   Oxford: Oxford University Press. 1934. Burnett, Mark, ed. New Essays on Hamlet. New York: AMS Press, 1994. Levin, Richard. 1990. 'The Poetics and Politics of Bardicide.' PMLA 105: 491-504. Vickers, Brian. Appropriating Shakespeare: Contemporary Critical Quarrels. New Haven and London: Yale University Press. 1993. Watson, Robert N. 1990. 'Giving up the Ghost in a World of Decay: Hamlet, Revenge and Denial.' Renaissance Drama 21:199-223. Wright, George T. 1981. 'Hendiadys and Hamlet.' PMLA 96:168-193. Shakespeare, William. The Tradegy of Hamlet Prince of Denmark.   New York: Washington Square Press, 1992

Tuesday, November 12, 2019

Alcoholism 11

Alcoholism Alcoholism is one of the biggest medical problems in the Western world. Alcohol has been around since biblical times. The problem continues to grow every year and has a negative impact on society. Nearly every town and city has restaurants that serve alcohol, and has stores where it can be purchased. For these reasons, the nature of alcoholism needs to be exposed. The problems that arise from this disease need to be shown. The purpose of this paper is to talk about the problem, the cause and effects, and the treatment process. Alcoholism is the habitual or compulsive consumption of alcoholic liquor to excess according to Webster’s New World Dictionary. An alcoholic has no control over drinking and continues to use alcohol even though adverse consequences occur (Hurley 71). Alcohol affects the alcoholic’s family and work, they ignore responsibilities and assignments. In nineteen fifty six alcoholism was recognized as a disease by the American Medical Association. Fishman 28) When the National Council for Education on Alcoholism (now known as the National Council on Alcohol and Drug Dependency) was formed, their first and most prominent principle was, â€Å"Alcoholism is a disease† (Nicolaus 136). The disease has serious consequences on the drinker and society as well. Even though there is much concern about drugs, next to tobacco, alcohol is the most widely used drug in the United States (Hurley 71). Alcohol impaired drivers caused thirty two percent of traffic related fatalities in two thousand eight (â€Å"Alcohol Impaired Driving†). In 1996 nearly thirty six percent of incarcerated criminals were under the influence of alcohol when committing their crime (â€Å"Alcohol and Crime†). Indeed, alcoholism has become a public concern, since it had begun to influence society as well. There are two types of alcoholism, alcohol abuse and alcohol dependency. An example of alcohol abuse is random binge drinking. A person is alcohol dependent when that person can’t stop drinking without withdrawal symptoms. â€Å"There is no known cause of alcoholism. † (Van Voorhees) Alcoholism is described as a drug addiction. There are several factors that play in its development. They are divided into two main groups, psychological and social. Psychological factors include anxiety relief, conflict in relationships, depression and low self-esteem. Some examples of social factors are the ease of getting alcohol, peer pressure, social acceptance of alcohol use, and a stressful lifestyle. (Van Voorhees) There are other factors that lead to excessive drinking. â€Å"Research suggests that certain genes may increase the risk of alcoholism, but which genes or how they work is not known. (Van Voorhees) Studies have shown that family history is a factor as well. People whose parents abused alcohol have a higher risk of alcoholism. It is a given that alcoholism leads to physical and mental problems. But how does excessive consumption of alcohol affect the daily life of alcoholics? What are the effects of alcoholism in everyday life? The organ most sensitive to alcohol is the brain. The cerebrum is affected first. It is in control of sensation, perception, speech, and judgment. The cerebellum is the second part of the brain affected. The cerebellum is responsible for coordination and balance. A person under the influence of alcohol will have slurred speech, loss of balance and uncoordinated movements. The excessive alcohol user is usually unable to judge accurately what he or she can or cannot do. Drinking alcohol increases confidence and diminishes abilities. This misplaced confidence often leads people to judge themselves competent to perform tasks that are beyond their abilities. (Fishman 37-41) An alcoholic’s job and family are also affected by alcoholism. In couples it affects communication, which in turn, increases conflict levels. It has also been proven that domestic violence increases in alcoholic families. Alcohol use affects parenting. Family life can become chaotic and have poor quality environment. The children are exposed to the parent’s increased conflict (â€Å"Alcohol and the Family†). An alcoholic’s attendance to work is affected by drinking. They are chronically late and their productivity is decreased. The effects of alcohol in everyday life can be further explained through specific examples. In terms of finances, an alcoholic would be irresponsible. The bills would not be paid on time, prompting the collection agencies to take action. An alcoholic would not be stable enough to manage his or her own money; thus, incapacity for money management is an effect of alcoholism in everyday life. In terms of employment or schooling, an alcoholic is most likely to be tardy. However, the person can altogether skip school or work to drink. Even socializing with friends is affected by alcoholism. An alcoholic usually does not like it when other people offer their opinion about his or her drinking habits. He or she is irritated by comments and critiques of their drinking. As a result, the alcoholic would soon drink in secrecy. Another effect of alcoholism in everyday life is the lapses in memory and interest. Due to the aforementioned effect on the brain, it follows that even memory is not spared from the dangers of alcohol. Alcoholics usually suffer from â€Å"blackouts† (Fishman 40). These are instances when they could not remember appointments and the like. Moreover, the activities that the person used to enjoy would cease to be enjoyable, due to the effect of alcoholism (Fishman 42). These are some of the examples of how alcoholism affects everyday life. Alcoholism is a treatable disease. There are treatments available for this condition, and several medications have made it possible for alcoholics to fully recover. In the treatment of alcoholism, there are several steps to take into account: intervention, detoxification and rehabilitation (Fishman 60). The first step is intervention. It takes someone else to point out the problem for them to realize that they need to get help. The most familiar approach in intervention is the confrontation between alcoholics and the concerned party. It was only recently when studies have shown that intervention would be more effective if it was done with â€Å"compassion and empathy† (Medline). The next step is detoxification. The objective of this step is to stop the drinking of alcoholic beverages. This phase in the treatment is tough for the alcoholic, as the intake of alcohol will suddenly be stopped. That is why detoxification usually takes place in an inpatient set-up, in which the environment is â€Å"controlled and supervised† (Van Voorhees). During the process, every medication is cautiously measured to hinder withdrawal from taking place. The moment the symptoms of withdrawal are absent, the giving of medications would be gradually stopped. The duration of detoxification usually lasts from four to seven days. These days, there is a kind of detoxification that is in the outpatient set-up, but still under the guidance of a physician. While in detoxification treatment, it is important that the patient has a balanced diet, as well as vitamin supplements. This is because there are complications that happen with alcohol withdrawal, and the patient must be as healthy as possible (Fishman 83-84). If the detoxification process stops people from consuming alcohol, the rehabilitation process guides people to fully recover by staying away from alcohol (Van Voorhees). This fourth step in the treatment is more comprehensive, as it prepares the patient for complete recovery in the long run. Not only does rehabilitation stop people from drinking, it allows them to create a network of support to encourage their continuous road to recovery. Rehabilitation programs usually involve â€Å"counseling, psychological support, therapy, education and skills training† (Fishman 85-88). There are two kinds of rehabilitation programs: the short-term and the long-term programs (Fishman 89). The former requires less than a month, while the latter could range from a month to a year or longer. There is also the outpatient counseling option, which is suitable for those who have just finished an inpatient treatment. Aside from this, there are the support groups dedicated to the endeavor of recovery of alcoholics. Examples of which include SMART Recovery, Women for Sobriety, and Alcoholics Anonymous (Van Voorhees). There are three recognized medications in treating alcoholism. The first one is Disulfiram. The medicine works by disrupting the metabolism of alcohol, causing a metabolite that would make the person sick if he drinks even a small amount of alcohol about two weeks after taking the medicine. The second drug is Acamprosate. It is believed that this drug helps people to abstain from alcohol; it also decreases the symptoms that come with abstinence (â€Å"Alcoholism†). The third drug is Naltrexone, which works on the brain to decrease alcohol cravings (Barbour 145-146). It is crucial that people are made aware of the causes, effects and treatments of alcoholism. This awareness would help prevent the problem of alcoholism. People should be reminded that alcoholism is not just the problem of an individual but also of society. Works Cited Alcohol and the Family. Aug 2004. National Institute on Alcohol Abuse and Alcoholism, Web. 15 Dec 2009. . Barbour, Scott. Alcohol. San Diego: Greenhaven Pr, 1998. 145-146. Print. Fishman, Ross. Alcohol and alcoholism. New York, NY: Chelsea House Pub, 1986. Print Hurley, Jennifer. Addiction. San Diego: Greenhaven Pr, 2000. Print. â€Å"MayoClinic. com. † Alcoholism. 08 May 2008. Mayo foundation for Medical Education and Research. Web. 15 Dec 2009 . National Highway Traffic Safety Administration. Alcohol-Impaired Driving. , 2008. Web. 28 Nov. 2009. Neufeldt, Victoria, and David Guralnik. Webster. 3rd college. New York, NY: Webster, 1989. Print. Nicolaus, Martin. Empowering Your Sober Self. 1st. San Francisco, CA: Jossy-Bass, 2009. Print. United States Department of Justice. Alcohol and Crime. , 2008. Web. 28 Nov 2009. Van Voorhees, Benjamin. â€Å"MedlinePlus. † Alcoholism. 15 Jan 2009. Web. 15 Dec 2009. .

Sunday, November 10, 2019

Inpatient and Outpatient Hospital Services Essay

The main difference between inpatient and outpatient services is that inpatient care is performed by an inpatient facility that is prepared for patients to be able to stay overnight if need be. This inpatient care can be provided by a hospital, skilled nursing facility, or a long term care facility. A skilled nursing facility (SNF) is designed to provide rehabilitation services and/or skilled nursing to injured patients after they no longer need to be in a hospital setting. The skilled nursed help the patient and assist with their recovery. A skilled nursing facility is operated by licensed nurses, with the assistance of a medical physician. A few examples of care given at a skilled nursing facility would include dressing changes, intravenous injections, and tube feeding. A nursing home is an example of a long-term care facility, which provides custodial care for patients who suffer from chronic disabilities or prolonged illnesses. Outpatient care, is also referred to as ambulatory care, is somewhat different from inpatient care in a hospital or skilled nursing facility setting. Outpatient care involves care that does not require and overnight stay. This kind of care is found in a family physician office, ER visit, physical, speech or occupational therapy, and home health care. Due to the different settings and types of treatment received at inpatient or outpatient facilities, there are different codes for all the different procedures. An inpatient care example would be an overnight stay and care that is a round-the-clock due to a surgical procedure received. If it was outpatient care the service or treatment would have been in the doctor’s office or facility. Outpatient care codes differ than inpatient due to their different settings and what services can be performed. Coding for inpatient and outpatient are different, diagnostic coding for inpatient care follow the rules of the Uniform Hospital Discharge Data Set (UHDDS). Inpatient coding differ from physician and outpatient coding, because the main diagnosis is generally determined after study in a hospital setting and coding an unconfirmed condition as the admitting diagnosis is permitted. Inpatient codes can be more complex than outpatient, in general there are more codes used in inpatient care than outpatient.

Friday, November 8, 2019

Free Essays on Underage Drinking

Alcohol is a drug most frequently used by American teenagers. It is consumed more than all other illegal drugs combined and is also the drug that is most associated with injury or death. Underage drinking is a serious problem for teenagers in the United States. People do not realize the effects that alcohol have on young growing adults. Alcohol is a drug that can affect judgment, coordination, and long term health. Underage drinking has no positive aspects to it. How can we say â€Å"yes† to underage drinking? The legal age to drink is twenty-one, and people should abide by the laws. Back in the 1960’s and early 70’s a number of states lowered their drinking age from twenty-one to eighteen. In many of these states, research found an increase in highway deaths due to this law. Since then, all states have raised the drinking age back up to twenty one. This just shows that at the age of eighteen your life takes off with too many responsibilities and it’s hard to handle alcohol. Children do not have enough responsibility and since they are now classified as adults they thinks they can do whatever they want. Underage drinkers are not very smart when it comes to judgment and other factors that take toll when operating a vehicle. Alcohol affects everyone judgment whether you are old or young, but it is more likely that a younger person will do more damage. Young teens are just not aware of what it can do to you and your body. One reason drinking is bad for you is because your brain doesn’t stop growing until your around twenty. Alcohol effects the growth of your brain and due to underage drinking it doesn’t give your brain full growing capacity. Also, your body’s organs do continue to grow until you get older and by drinking at such a young age it does not allow them to grow to full size or strength. Alcohol is also very addictive especially in young teens. It is more likely for children who start drinking underage to have a ... Free Essays on Underage Drinking Free Essays on Underage Drinking Underage Drinking Why are you given the rights to everything else but restricted from alcohol and for some reason you aren’t â€Å"responsible enough to drink?† The answer is plain and simple: you are looked at as being immature. We need to be taught about alcohol and then trusted to make decisions on our own. The only way we can be trusted is by being given the right to drink when we turn 18. Underage drinking will be minimized if the age group of 18 to 20 is allowed alcohol. Through education, we in the United States can move forward and overcome the underage drinking problem. I found one very developed group that has a goal and a very practical plan to change the legal age to 18. RALLY, which stands for Realistic Alcohol Laws for Legal Youth, knows that underage drinking is a problem and wants to see changes made to give 18 to 20 year-old adults their deserved rights. RALLY is designed for college students, by the college student and because of that system their ideas are the easiest to understand and live by. If you look around at college parties it seems as if everyone is drinking. Actually you are probably right, but over half of those people drinking are also under the legal drinking age. Drinking is one of the main forms of entertainment for the typical college student. The only problem with drinking being the main form of entertainment is that half of the students in college or 20 years or younger. This seems to be a problem all over the country and a debate has started to see whether or not lowering the drinking age would be a reasonable solution to keep students from over drinking. Many leaders at different universities such as Bill Jordan, a member of the Board of Trustees at the University of North Carolina, and Ruth Ings, a professor at Indiana University, believe that lowering the drinking age would solve many problems occurring at colleges today (Hochberg). Along with these leaders are the KU Senators at Kansa... Free Essays on Underage Drinking Alcohol is a drug most frequently used by American teenagers. It is consumed more than all other illegal drugs combined and is also the drug that is most associated with injury or death. Underage drinking is a serious problem for teenagers in the United States. People do not realize the effects that alcohol have on young growing adults. Alcohol is a drug that can affect judgment, coordination, and long term health. Underage drinking has no positive aspects to it. How can we say â€Å"yes† to underage drinking? The legal age to drink is twenty-one, and people should abide by the laws. Back in the 1960’s and early 70’s a number of states lowered their drinking age from twenty-one to eighteen. In many of these states, research found an increase in highway deaths due to this law. Since then, all states have raised the drinking age back up to twenty one. This just shows that at the age of eighteen your life takes off with too many responsibilities and it’s hard to handle alcohol. Children do not have enough responsibility and since they are now classified as adults they thinks they can do whatever they want. Underage drinkers are not very smart when it comes to judgment and other factors that take toll when operating a vehicle. Alcohol affects everyone judgment whether you are old or young, but it is more likely that a younger person will do more damage. Young teens are just not aware of what it can do to you and your body. One reason drinking is bad for you is because your brain doesn’t stop growing until your around twenty. Alcohol effects the growth of your brain and due to underage drinking it doesn’t give your brain full growing capacity. Also, your body’s organs do continue to grow until you get older and by drinking at such a young age it does not allow them to grow to full size or strength. Alcohol is also very addictive especially in young teens. It is more likely for children who start drinking underage to have a ...

Tuesday, November 5, 2019

Polyprotic Acid Example Chemistry Problem

Polyprotic Acid Example Chemistry Problem A polyprotic acid is an acid that can donate more than one hydrogen atom (proton) in an aqueous solution. To find the pH of this type of acid, its necessary to know the dissociation constants for each hydrogen atom. This is an example of how to work a polyprotic acid chemistry problem. Polyprotic Acid Chemistry Problem Determine the pH of a 0.10 M solution of H2SO4. Given: Ka2 1.3 x 10-2 Solution H2SO4 has two H (protons), so it is a diprotic acid that undergoes two sequential ionizations in water: First ionization: H2SO4(aq) → H(aq) HSO4-(aq) Second ionization: HSO4-(aq) ⇔ H(aq) SO42-(aq) Note that sulfuric acid is a strong acid, so its first dissociation approaches 100%. This is why the reaction is written using → rather than ⇔. The HSO4-(aq) in the second ionization is a weak acid, so the H is in equilibrium with its conjugate base. Ka2 [H][SO42-]/[HSO4-] Ka2 1.3 x 10-2 Ka2 (0.10 x)(x)/(0.10 - x) Since Ka2 is relatively large, its necessary to use the quadratic formula to solve for x: x2 0.11x - 0.0013 0 x 1.1 x 10-2 M The sum of the first and second ionizations gives the total [H] at equilibrium. 0.10 0.011 0.11 M pH -log[H] 0.96 Learn More Introduction to Polyprotic Acids Strength of Acids and Bases Concentration of Chemical Species First Ionization H2SO4(aq) H+(aq) HSO4-(aq) Initial 0.10 M 0.00 M 0.00 M Change -0.10 M +0.10 M +0.10 M Final 0.00 M 0.10 M 0.10 M Second Ionization HSO42-(aq) H+(aq) SO42-(aq) Initial 0.10 M 0.10 M 0.00 M Change -x M +x M +x M At Equilibrium (0.10 - x) M (0.10 + x) M x M

Sunday, November 3, 2019

Religion Research Paper Example | Topics and Well Written Essays - 1000 words - 1

Religion - Research Paper Example There are major forms of religion in the world today. These forms of religion differ in practices and beliefs. However, the concept of religion still remains the same in all the 18 branches that make the world religion. The concept of religion explains the relationship between natural and supernatural concepts of reality in which various religions have their unique way of explaining nature and the existence as well as the role of humanity. Religion is associated with the study and understanding of human practices in relation to the natural and spirit world. Religions can be compared on the basis of what they stand for, belief and practices. For instance, Buddhism is a form of religion that practices its ways of living in relation to the teachings of Siddhartha Gautama. Christianity is known to be the world’s biggest religious society and pillars its practices and ways of living on the teachings of Jesus Christ. Judaism is a form of religion formed by the Jewish people and base s its practices and beliefs on the covenant made between the God and the Jewish people. Islam is also among the top religious groups in the world and it bases its beliefs and practices on life and teachings of Prophet Muhammad. Traditional African religion has its own practices which are unique but with a common concept compared to all other forms of religions in the world (Matthews, 2012). It relies on hereditary values to build its moral understanding and practices. In this case, it bases its beliefs and practices on the communities’ ancestors whom are believed to exist in the spirit world. Religious forms have a common concept which is based on the belief of sacred aspects that are used to create moral value. Christianity differ from the Islamic religion in the notion that one religion believes in the teachings of Jesus Christ who is acts as the pillar its foundation while the other focuses on the

Friday, November 1, 2019

Ethics of Mass Media Article Example | Topics and Well Written Essays - 250 words

Ethics of Mass Media - Article Example There is a rising body of forensic evidence that indicate that mass shooters tend to emulate their most infamous predecessors. This copycat problem is very serious since most of the people who plan and execute such crimes are greatly influenced by previous attacks’ sensational news coverage. Taking that into account, I think the press should be extra mindful of the way they cover the news regarding murderers in killings. For instance, the way the Mass media covered the Oregon killing posed an ethical issue considering the possible effect it may have copycat crimes. Journalists should take another ethical approach to help lower the frequency of such killings while maintaining their aggressive and robust reporting. I tend to think that is not very unethical to use such graphical images or keep the names of the killers in headlines as it encourages copycats. It is unethical for mass media to publicize manifesto or video rant of killers in full. My own response is that just summar izing the salient materials tend to be smarter than propagating the demented bid for glory of killers. This will not interfere with the reporting because juveniles and rape victims charged are never named in news reports and yet wide coverage is still given to the issue. In addition, news organizations rarely cover the plight of American journalists taken hostage overseas to safeguard their safety. Mass media should avoid this unethical practice while informing the public to reduce the copycat problem that greatly contribute to mass shootings.