Saturday, May 16, 2020

Public Health Nurses ( Phn ) Essay - 932 Words

MCHD Public health nurses (PHN) â€Å"apply the nursing process†, â€Å"use data†, and emphasizes â€Å"prevention†¦educating and empowering† individuals in the community (Allender, Rector, Warner, 2014). The government on federal, state, and local levels rely on the PHN to uses their nursing skills and critical thinking to do the â€Å"greatest good for the majority of people† in the community (Allender, Rector, Warner, 2014). The funding provided by the federal, state, and local government is assessed and implemented based on nurses input and epidemiology. As a PHN they must have skills like, assessment, â€Å"priority planning†, and evaluation; working in conjunction with the three core functions of public health according to IOM, â€Å"assessment, assurance, and policy development† (Allender, Rector, Warner, 2014). Assessment includes, observing and â€Å"identify trends† (Allender, Rector, Warner, 2014). The PHN uses â€Å"morbidity and mortality statistics† and â€Å"assess communicable disease rates† in order to prevent outbreaks and to identify the community’s needs (Allender, Rector, Warner, 2014). The nurse also â€Å"track[s]†¦compliance with immunizations† and â€Å"use census data to determine population growth†. This data can help determine herd immunity and risk for spread of preventable diseases. They â€Å"use prevalence data to determine†¦groups at higher risk† for things like preventable disease, related to people not vaccinating. When the nurse is making home visits they also are assessing theShow MoreRelatedA Public Health Nurse ( Phn )1450 Words   |  6 Pagesexemplary public service (give specific examples): Jane Capili has worked as a Public Health Nurse (PHN) for the past eleven years for Santa Clara County in v arious roles impacting the community s health. As a generalist PHN, she entered clients homes assessing newborns and their moms providing education, valuable resources and encouragement. Jane also case managed other types of high risk clients and families ranging from those with active Tuberculosis to families with multiple health and socialRead MoreThe Nursing Career1082 Words   |  4 Pagesâ€Å"Nurses entering this specialty must highlight not only their clinical skills, but also their critical thinking, advocacy and analytical abilities. Communities are dynamic, and nurses must adapt to and be able to provide patients with whatever care is needed.† (Meadows, 2009). The PHN uses clinical knowledge along with an ecological viewpoint. A public health nurse can practice in clinics, health departments, faith-based organizations, mobile vans, homes, correctional facilities, occupations,Read MorePublic Health Nursing ( Phn ) Uses The Nursing Process Essay1577 Words   |  7 PagesPublic Health Nursing (PHN) uses the nursing process every day to help the community on a local, state, and national level. The PHN is a vital part of the health care system because they are part of the interdisciplinary team. The government on federal, state, and local levels rely on the PHN to uses their nursing skills and critical thinking in order to provide information; which then influences funding. PHN work in conjunction with the three core functions of public health, according to the IOMRead MoreEmergency Preparedness and Disaster Response956 Words   |  4 Pagesfloods, hurricanes, tsunamis, earthquakes, pandemics, and volcano eruptions (Schaefers, 2014). 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After this material was completed I was assigned to a local public health nurseRead MorePublic Health Nursing911 Words   |  4 Pagesthe assumptions to action research prior to the process were mostly based on the perception that of Public Health Nursing as just caring for the sick. The author focuses on nursing roles in providing care to help solve the complex problems that is threatening the southern state of Virginia. However, after carrying out the research on the various evolutionary stages, it was discovered that Public Health Nursing was more than that. Also, the author assumed the need to emphasize co llaboration and partnershipsRead MoreNurses And Nursing Interventions Help Increase The Cure Of Patients Diagnose With Tuberculosis Disease?1706 Words   |  7 PagesPICOT Question Will increase knowledge among nurses and nursing interventions help increase the cure of patients diagnose with tuberculosis disease? PICOT element P – Tuberculosis patients I – Empower nurses with new evidence based practices and redirect their nursing practice skills towards early diagnosis of TB disease. Educate the society to be aware of TB disease and encourage them to seek medical help when experiencing any signs of TB. And provide resources to patients on Anti-TB Drugs to helpRead MoreHealth Disparities : Transportation Equity And Applied Theories Essay1661 Words   |  7 PagesHealth Disparities: Transportation Equity and Applied Theories Summary of the Problem and Applied Middle-Range Theory All people, regardless of demographics, race, age, or physical limitations, deserve to have access to available resources within their own community. According to the American Public Health Association (APHA), health equity is defined as: all individuals merit the opportunity to achieve optimal health (Health Equity, 2016); furthermore, health disparities are described as the â€Å"differencesRead MoreThe Family Health For The Community952 Words   |  4 PagesThe family health nurse providing care in the community must integrate community involvement and knowledge about the population with their personal and clinical comprehension of health and illness experiences of individuals and families within a population (Kaakinen, Coehlo, Steele, Tabacco, Harmon Hanson, 2015). Nurse Home Visiting Programs The visiting nurse can assess a family’s health statues in their environment that will allow them to develop specific interventions and strategies, as wellRead MorePrimary Prevention Essay938 Words   |  4 Pages and at parent-infant groups (PHN, personal communication, 2017). Evidently, screening takes place at both the individual level and the community level. With that said, there may be a significant number of mothers who slip through the cracks because home visits are rare, half of the infants I observed at the CHC were accompanied by someone other than their mother, and if the mother has PPD, she is unlikely to attend a parent-infant groups (Reproductive Mental Health, 2006). Because there is a risk

Wednesday, May 6, 2020

Analysis Of John Proctor s The Crucibles - 1212 Words

Celine Christiansen Mrs. Evans English III H November 23, 2015 The Crucibles â€Å"I have given you my soul; leave me my name!† bellowed John Proctor to Danforth in Act IV. The Crucibles was written by Arthur Miller reminiscent of McCarthyism in the 1950s. Reputation and integrity is set forward in the story, as it causes the plot to develop and advance, and it is discernible all throughout the story, especially the end. Reputation is tremendously significant in theocratic Salem. The pernicious accusations of witchcraft cause the characters in the play to choose whether they want to salvage how they perceive themselves or how others perceive them. In the play, characters face a difficult decision of choosing their†¦show more content†¦The plot began unfolding when Abigail and other girls accused multiple innocent individuals of witchcraft. A hysteria developed, creating chaos and leading to multiple deaths of the guiltless individuals accused. However, in order to avoid death, these individuals can choose to â€Å"confess† to their si ns and lose their integrity in order to save their life and reputation. Abigail Proctor lost the quality of being honest the moment she began to spread lies. The situation corroded Salem and deteriorated, and she began to exploit the situation to cause damage to Elizabeth Proctor. Abigail claimed that a fiend had taken possession of many individuals in Salem, declaring of having seen them with the devil, including Elizabeth. â€Å"She is blackening my name in the village! She is telling lies about me!† (Miller 23). Abigail’s concern with her reputation led to her accusing several individuals in order to regain her good reputation. As the situation progressed and the plot unfolded, Abigail continuously blamed other people to save her reputation, and when challenged, she brought more people down with her. Parris, her uncle, firmly believed his reputation was salient and must be preserved at all costs. Therefore, at the start of the story, Parris believed Abigail’ s actions would threaten his reputation. â€Å"You compromise my very character† (Miller 11). This remark, made by Parris, illustrates how his reputation is essential. He had seen the girls dancing in the woods, and his

Tuesday, May 5, 2020

Deflection of an Eccentric Tie free essay sample

Figures and Diagrams/15| | Materials and Method/10| | Results Discussions/45| | References/10| | Total| | School of Engineering Taylor’s University Malaysia 28 September 2012 Table of Contents Abstract3 1. Introduction3 2. Experiment design4 2. 1 Materials4 2. 2 Methods4 2. 3 Procedure4 3. Results amp; Discussion5 3. 1 Tables5 3. 2 Graphs 6-7 3. 3 Discussion of results8 4. Analysis9 4. 1 Guidelines for error analysis9 5. Conclusions amp; Recommendations9 6. References 10 ABSTRACT The aim of doing this experiment is to compare the transverse bending deflection of the tie bar and the theoretical values that obtain from the simplified formula and the exact formula when the eccentricity of the load is 75m, 55mm and 35mm. The experimental values of the deflection of the tie are obtained by reading the results of dial gauge during the experiment. 1. INTRODUCTION Eccentric loading is the pressure directed anywhere on a component other than where the component is designed to accept the force. Sometimes the design of a mechanism or a structure demands that a tension member has to be offset from the line of the pull. This means that the member has to carry combined tension and bending, the latter increasing with the eccentricity of the load. When the load line is going out the middle third of a square tie bar, as in this experiment, the bending moment predominates and bending deflection may be considerable. The more rigorous mathematical solution of an eccentrically loaded tie bar requires some knowledge of differential equation. An approximate solution could be obtained by regarding the tie bar as a beam with equal and opposite couples applied, thus producing circular bending. The experiment provides an exaggerated demonstration of an eccentric tie to make possible a visual appreciation of the problem. It also gives an opportunity to check the order of accuracy that can be achieved by using the simple theory. 2. EXPERIMENT DESIGN Dial Gauge Aluminum Tie Bar Apply Load Figure 1. Eccentric Tie Bar Dial Gauge Aluminum Tie Bar Apply Load Figure 1. Eccentric Tie Bar The experiment is designed as followed. . 1 Materials 1. Eccentric Tie Apparatus 2. Load hanger 2N 3. Weight sets 50N, 20N, 10N and 2N. 2. 2 Methods First, the gauges readings are obtained by calculate the dial gauge at the centre of the eccentric tie apparatus. The dial gauge contain of 100 divisions, to get the central of deflection, is the gauge readings multiply by the sensitivity of the dial gauge which is 0. 01mm. Besides that, the central defle ction also obtains by using the simple formula and exact formula. The comparison between the results will be shown in the form of graph. 2. 3 Procedure ) The apparatus with the greatest eccentric of loading (75mm) was set up and the â€Å"zero† load reading of the dial gauge was noted. b) 90N of load was added in nine increments of 10N, the reading of the central deflection for each increment was recorded in Table 1. c) The above procedure was repeated with the load at 55mm eccentric, and 120Nof load was added in increment of 20N, the results were recorded in Table 2. d) The above procedure with the load at 35mm eccentric was repeated, and 140N of load was added in increment of 20N, the results were recorded in Table 3. 3. RESULTS amp; DISCCUSION 3. 1 Tables Applied Load (N)| End Moment (KN. mm)| Gauge Reading (No of divisions)| Central Deflection (mm)| Central Deflection,? from simple formula (mm)| ? /e| Central Deflection from exact formula (mm)| | | | | | | | | | | | | | | | | | | | | | 0| 0. 00| 0| 0. 00| 0. 00| 0. 000| 0. 00| 10| 0. 75| 79| 0. 79| 1. 28| 0. 017| 1. 26| 20| 1. 50| 289| 2. 89| 2. 56| 0. 034| 2. 49| 30| 2. 25| 321| 3. 21| 3. 84| 0. 051| 3. 69| 40| 3. 00| 411| 4. 11| 5. 12| 0. 068| 4. 85| 50| 3. 75| 513| 5. 13| 6. 41| 0. 085| 5. 98| 60| 4. 50| 618| 6. 18| 7. 69| 0. 02| 7. 08| 70| 5. 25| 719| 7. 19| 8. 97| 0. 120| 8. 15| 80| 6. 00| 821| 8. 21| 10. 2| 0. 137| 9. 20| Table 1: 75mm eccentric Applied Load (N)| End Moment (KN. mm)| Gauge Reading (No of divisions)| Central Deflection (mm)| Central Deflection,? from simple formula (mm)| ? /e| Central Deflection from exact formula (mm)| | | | | | | | | | | | | | | | | | | | | | 0| 0. 0| 0. 0| 0. 0| 0. 00| 0. 000| 0. 00| 20| 1. 1| 147| 1. 47| 1. 88| 0. 034| 1. 83| 40| 2. 2| 300| 3. 00| 3. 76| 0. 068| 3. 56| 60| 3. 3| 448| 4. 48| 5. 64| 0. 102| 5. 19| 80| 4. 4| 600| 6. 00| 7. 52| 0. 137| 6. 5| 100| 5. 5| 730| 7. 30| 9. 39| 0. 171| 8. 22| Table 2: 55mm eccentric Applied Load (N)| End Moment (KN. mm)| Gauge Reading (No of divisions)| Central Deflection (mm)| Central Deflection,? from simple formula (mm)| ? /e| Central Deflection from exact formula (mm)| | | | | | | | | | | | | | | | | | | | | | 0| 0. 00| 0. 0| 0. 0| 0. 00| 0. 000| 0. 00| 20| 0. 70| 85| 0. 85| 1. 20| 0. 034| 1. 16| 40| 1. 40| 194| 1. 94| 2. 39| 0. 068| 2. 26| 60| 2. 10| 396| 3. 96| 3. 59| 0. 102| 3. 30| 80| 2. 80| 481| 4. 81| 4. 78| 0. 137| 4. 29| 100| 3. 50| 570| 5. 7| 5. 98| 0. 171| 5. 23| 20| 4. 20| 645| 6. 45| 7. 17| 0. 205| 6. 12| Table 3: 35mm eccentric 3. 2 Graphs The results of the experiment are plotted and as shown in the 3 graph above, the eccentricity of load which is 75mm, 55mm and 35mm gave us the different results. The equation that used to calculate the Central deflection is: Simplified Formula ?=ML28EI Exact Formula 3. 3 Discussion of results 1. After compared both theoretical and experimental results, it shows that the values of central deflection is related to the end moment, as the end moment increases, the central deflection also increases. The behaviour of the graph central deflection against end moment also clearly showed that the central deflection is directly proportional to end moment. The results of the central deflection for the experimental values is smaller than the simplified and exact formula, this is because, there might be some errors occur during the experiment. The errors are listed in 4. 1 Guidelines for error analysis. 2. There are significant different between the values obtained from Simplified Theory and the Exact Formula, this is because the eccentricity of the tie bar that used in the Simplified Theory is only considered the applied load. On the other hand, the Exact Formula is considered as a whole depending on the effective load, Young’s modulus, length, and second moment of inertia. Therefore the values that obtain by using the Exact Formula are more accurate. 3. If an error of 10% was allowed (by using a larger factor of safety in design), the experimental results which are after 80N are not adequate, this is because the tensile strength of the tie bar that used in the lab is not that strength. Therefore, the different between the Theoretical central deflection and the central deflection that calculate using Simplified Theory for the heavier loads shouldn’t be ignored. . 0 ANALYSIS 4. 1 Guidelines for error analysis 1. Parallax error might be occurred when reading the dial gauge when taking different results. 2. The load is not applied directly on the normal axis will also cause some error on our results. 3. Slight vibration of the table might also affect the accuracy of the result. 5. 0 CONCLUSION A ND RECOMMENDATION From the experiment, the accuracy of the experimental values is less accurate if compare to the Theoretical values, this is because there might be errors that occurred during the experiment. In order to increase the accuracy of the experimental results, a digital dial gauge with smaller scale and more sensitive should be used and the experiment should we repeated more times to get the average reading. 6. 0 References 1. M. Zaina, S. J. Foster (2005), â€Å"Testing of Concentric and Eccentrically Loaded Fibre-Reinforced HSC Columns†, School of Civil and Environmental Engineering, UNSW. 2. Hugh D. Young, Roger A. Freedman (2008), â€Å"University Physics with Modern Physics†, 12th Edition, p. 363-370. 3. W. A. Bassali, M. N. Y. Anwar, K. M. Mosleh (1985), â€Å"Deflection of an Eccentrically Loaded and Concentrically Supported Thin Circular Annulus†, Journal of Pure and Applied Maths, 16(2), 189-212. 4. Beer, Johnston, Dewolf 2002. Mechanics of Materials 3rd Ed. (Reference list) 1. http://www. engineeringtoolbox. com/area-moment-inertia-d_1328. html 2. http://www. ecourse. ou. edu/cgi-bin/ebook. cgi? doc=†amp;topic=meamp;chap_sec=09. 3? amp;page=theory 3. http://www. toolingu. com/definition-570240-28512-eccentric-loading. html 4. http://www. freestudy. co. uk/statics/beams/beam%20tut3. pdf

Wednesday, April 15, 2020

Psychological Approach on Black Swan Essays - Psychiatry

Psychological Approach on Black Swan October 19, 2017 For this paper we were asked to watch a movie and look at it from a psychological stand point. The movie Black Swan could be classified as a psychological thriller featuring a ballerina by the name of Nina Sayers. Nina works for a prestigious New York City ballet company, as one of their many young dancers who have the dream of becoming a prima donna. The ballet company decides to open the new season "Swan Lake" by Pyotr Ilyich Teahikovsky. Though Nina is very talented, she is also very reserved. This leaves the other's in the company to call her a "shy, frigid little girl." And when s he gets the leading roll it requires her to be both the black and white swan. While her reserved, child-like personality makes it very easy almost perfect for her to perform the side of the white swan. It also makes it very troubling for her to get into the character of the black swan. The black swan's character was seductive, and this made it very hard for Nina to get into character during this part. The film shows her slow fall into the pressures of the role and how they weigh her down. During the film you see Nina's madness progress. She ends up showing many differ symptoms of schizophrenia. This is a psychotic disorder where the individual suffering loses touch with reality and sometimes has trouble separating the two. The DSM and our books states the criteria for schizophrenia are: having at least two or more of the symptoms of the disorder, hallucinations and delusions, experiencing significant impairment in the ability to work or to perform everyday tasks, and they must show these symptoms for at least six months. Nina's show signs of hallucinations and delusions very often, one seen shows her in the bath tub and while she goes under water and appears to be releasing the stress from the day she opens her eyes under water and a woman is over her in the bathtub and the water showing traces of blood. In reality she was harming herself by scratching her back to the point of bleeding. Nina could be said to have paranoid schizophrenia, this is characteri zed by delusions and hallucinations according to our books and the DSM. There is no known cause for schizophrenia there are things that factor in that put you at risk of developing it. Stressful circumstances can be a cause of this. As the film shows Nina is under a lot of stress trying to keep and maintain the roll of both the black and white swan. The pressures she faces at work, home, and amongst the others in the company puts her in a more vulnerable state to these symptoms. Though Nina may have shown signs of paranoid schizophrenia, notably having may delusions and hallucinations that seemed to have gotten worse as the film went on. Her first psychotic episode didn't appear until Lily, another girl from the company, showed up at Nina's house to apologize for telling the director that she was crying and upset, and he needed to take it easier on her. While Lily may have had the good intensions on going over to Nina's, it ended up being a night of partying and drugs given by Lily. Nina has hallucinations in which she sleeps with Lily, but the next day when Nina confronts Lily thinking they has slept together she was shocked to find out that she did not sleep with Lily but with a man that Lily had left her with. This only furthered the delusions involving Lily, she later states that Lily is out to harm her and wants to steal the lead role from her. Nina then starts to see her face on Lily and others around her. Nina's second major psychotic epi sode happens during opening night when she finds Lily in her dressing room, after the first act of the white swan did not go as planned. Lily is dressed as the black swan and is claiming that she wants to take over performance. This ends up Nina and Lily having a violent show down that resulted

Thursday, March 12, 2020

Essay on Book Critique

Essay on Book Critique Essay on Book Critique Jocelin Camacho December 4, 2014 Mexican American Studies 141-07 Book Critique William S. Maltby book 2009, â€Å"The Rise and Fall of the Spanish Empire†, is about how Spain achieved to be one of the most powerful empires and ended up falling just after one century of being really powerful. A nation rose from the ashes of Europe, they builded an empire unlike anything mankind had ever witnessed before and it would remain the largest empire. Spain revolutionized the world more than any modern nation in history. In the late fifteenth and sixteenth century Spain was one of the most powerful countries in the world. In the fifteenth century Spain had been ruled by two Christian kingdoms and it was Castile and Aragon. In 1469 King of Aragon Ferdinand married Isabella Queen of Castile and through this marriage began the process of unifying Spain into a single kingdom. Later a centralized government was established and authority was concentrated in the hands of the monarchy. Isabella sponsored Christopher Columbus to explore overseas and try to find any good that will help with trade. King Philip sent an armada to invade England and when invading the England won the battle. Too much spending and unnecessary wars of Spanish kings drained the national treasury. Spain declining during the wars, and then later in the sixteenth and seventeenth century Spain rivals were becoming more powerful. During the nineteenth century Spain lost most of its world countries and was forced to recognize the independence of its New World Colonies. There was no such country as Spain, just like any other empire it began from the bottom and will end up rising all the way to the top. Yet within a century Spain became the most powerful nation in Europe. Spain experienced economic, social, and political age during the sixteenth century, but due to bad planning and decisions Spain later declined as an empire. The Spanish empire went through a lot of wars during the time they were really powerful. Starting from a small empire, Spain step by step found a way to expand their empire and control more cities so it can be under their empire. â€Å"War, rather than the promotion of social or economic welfare, was the primary business of the early modern state. During much of the sixteenth and seventeenth centuries it consumed ten times more revenue than all other functions of Spanish government and was by itself responsible for the crown’s enormous debt† (85). Just like any other empire being in the state of war will come its ups and downs. Being in wars constantly then that will have a downfall for any empire. It takes a lot of money to for a nation to be proving so much weapon and especially if a nation is constantly on war. It is not only about just fighting another country or city, but as well as maintaining the military equipped. War causes a lot of money to a nation and if the nation doesn’t have the resources then they will need to borrow money from somewhere. Empires and nations feel the need to keep growing their power and conquering every city. By doing that empires and nations start getting in debt. I believe there is a difference between defending your empire and trying to conquer other cities just to feel more powerful. Empire don’t need to feel that they need to be the most powerful nation than other ones. There is no benefit of other countries being scared of the most powerful. Empires feel the need of showing the rest of the world how powerful they can be. Spain used religion as a social process. One of the reason why the

Tuesday, February 25, 2020

The Price Of Conservation Essay Example | Topics and Well Written Essays - 1000 words

The Price Of Conservation - Essay Example The villagers’ reaction to Golap brings home to me the second big reason rhinos are still wandering around Kaziranga. Rhinos remain (as do elephants, buffaloes, and tigers) because many Indians want them. You do not have to stay long in Assam to realize that local people are tremendously proud of Kaziranga and its rhinos in particular. The Assamese are paying a heavy price for their rhinos and other wild animals. The positive attitude towards wildlife is influenced by the belief that human beings should care for all animals as taught in Buddhism and Hinduism. Recently, the Forest Department and other stakeholders have also started initiatives aimed at making the community work together in protecting the park. The author acknowledges the sentiments of Mr. Boro, who believes working with the community is a major boost to the fight against poachers. It will also provide a way for the conservationists to solve the foundational problems that push people to poach. In conclusion, Ada ms and Carwardine are keen on explaining the importance of innovative conservation efforts as the world changes. Areas like Assam are likely to change as development and western views dominate most parts of India. The people’s views about wildlife are also changing. The lack of innovative conservation efforts means the future of Kaziranga is not safe. The national park does not earn enough revenue for everyone. Creativity is paramount to continue protecting the rhinos of Kaziranga and other wild animals in different parts of the globe

Sunday, February 9, 2020

Shearwater adventures Essay Example | Topics and Well Written Essays - 1750 words

Shearwater adventures - Essay Example Rival Sellers: Although Shearwater Adventure has differentiated itself from its rivals by offering a wide product range, the company still faces threats because the competition can either increase its product line or devise new adventures or copy those offered by Shearwater. and thus increase its sales and market share. The rivalry intensifies as new competition enters the market with low priced products and offering good deals compared to the existing ones. In addition to this, the competitors in the adventure industry are now trying to build strong dealer networks with the African local companies in order to increase their credibility, which is also a means of promotion and advertising. The practice of increase repeat bookings from the customers is spreading like fire among the competitors who try different tactics and methods to achieve this. New Entrants: Opening an adventure company in countries like South Africa, where Shearwater Adventure is currently operating, is very easy as compared to the setting up in United States due to high permit costs. In addition to this, the new entrants who focus on rafting trips have to endure a cost as low as $20,000 and if the company wants to offer all the services than the cost could be as high as $200,000. New companies would be encouraged to enter the market by seeing a double digit growth of few companies. Substitute Products: The companies in the industry are providing more or less the same the adventure products. Shearwater Adventure has tried to differentiate itself by providing more choices in the sports than any other company. Although at-least 40 extreme sports exist in the industry, it is difficult to provide them all depending on the location of the company. A company providing water sport activities will try to attract customers by positioning itself as better than land activities. In order to predict the future demand, the companies should link up