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Policy Problems in the Nursing Field

The North Carolina legislature recently approved House bill -181; a bill seeking to preserve and codify the current state law requiring physician supervision of nurse anesthetists. The current federal law gives the states the right to opt out of physician supervision requirement for Medicare reimbursement. Many states are choosing to opt out, which is in line with the recommendations of the Advanced Practice Registered Nursing (APRN from here on) consensus model on regulation (LACE). The Licensure, Accreditation, Certification & Education (LACE) document advocates for removal of unfounded restrictions such as supervision in order to maximize the potential of APRNs. Thus, it would allow for innovations to emerge, increase provider access and improve quality of care (Mason, Leavitt, & Chaffee, 2012 pg. 398). At a time when states are scrambling for ways to cut healthcare costs and improve access for the majority of the population, this particular bill appears to be retrogressive at be

1371

The High Price of Employee Theft

Abstract Business losses due to employee theft are estimated to approach $200 billion annually in the US. Experts pose many reasons for employee theft, but provide few prevention strategies for human resource managers. The various causes of employee theft are explored, from employee personality characteristics, to the social environment, to flaws in the organization's control system. From this analysis, guidelines for theft prevention strategies are offered. Since strategies may involve top-down control or trust-building experiences for employees and managers, HR managers are encouraged to implement those strategies that fit their organization. Headnote Business losses due to employee theft are estimated to approach $200 billion annually. Why do employees steal? Experts propose many reasons for employee theft, but provide few prevention strategies for human resource managers. In this article, the authors explore the various causes of employee theft, from employee personality characte

6022

A Feminist Interpretation of The Yellow Wallpaper

The narrator of "The Yellow Wallpaper," is meant to represent a certain type of oppressed women, specifically white, middle class women, or the type of woman that began the American feminist movement (I do not call the narrator an apt example of the oppression of all women, as society imposes different yokes of oppression on different women. Her story would be a bad example of the experiences of poor women (or women of color). In this interpretation then, we can show both that the actual character John is responsible for the psychological damage done to the narrator, and the oppressive institution that he represents is responsible for uncountable years of systematic abuse to the group of women our narrator represents. "The Yellow Wallpaper" is a feminist indictment of society at large. Before beginning making that case, however, it is important to have at least a layman's historical and medical understanding of just what the tragic narrator was being treated for. The regimen prescribe

845

Separation Anxiety Disorder and Cognitive Behavioral Therapy

Separation anxiety disorder is a young person's disorder and can be compared to the adult "version" of a panic disorder with agoraphobia, phobic avoidance, catastrophic interpretations and panic symptoms. Separation anxiety is a normal developmental milestone, which "appears at the age of 6 to 8 months, peaks at 10 to 18 months and subsides by 2 to 3 years old." (Ehrenreich, Santucci, & Weiner;, 2008) Along with object permanence, the child builds normal separation response levels by the age of 3 (Ehrenreich, Santucci, & Weiner;, 2008). Abnormal separation anxiety, also known as separation anxiety disorder, is composed of two core ingredients: excessive anxiety upon separation and a formed attachment to a primary caregiver (Carruth, 2000). The DSM-IV-TR diagnosis criteria states: recurrent excessive distress when separated, excessive worry about harm happening to major attachment figures, reluctance to be alone, reluctance to go anywhere without the attachments figures, rep

3134

Two Superpowers and the Cold War

Thesis The differing positions held by the United States and the Soviet Union on the various civil wars during the middle of the twentieth century as well as their direct confrontation during the Cuban Missile Crisis led to a major rise in political tension between the two superpowers and contributed to the longevity of the Cold War. 1) "Despite all Woodrow Wilson's efforts in establishing the League of Nations, the USA did not join the League because of objections raised in the Senate, and Wilson's refusal to compromise ensured that the US would not ratify the Covenant of The League of Nations and the Treaty of Versailles. Joining the League of Nations would be like signing a blank cheque - America didn't want to have to ship its troops half way across the world for disputes that didn't concern them. It didn't want to risk its economy or any more American lives after the losses of WW1. The Republicans wanted to return to Isolationism - being an independent country and not involving itse

669

William Blake, The Lamb and The Tyger

William Blake was an influential English poet who lived during the Romantic period (mid/late-18th century). Born in 1757, Blake was one of the great poets of this time, creating poetry not only with words, but also by using visual images to provide the reader a unique way of understanding/interpreting his words. Blake printed his poetry on illuminated plates which actually aided the reader in seeing what he was feeling. This aspect of his artistic methods would be compared today to story books or nursery rhymes written and illustrated for children. Or they could also be compared to some animated movies or cartoons of our time. Emotional boundaries were torn down with his poems. Blake used his personal spirituality and knowledge of theology to enhance his works. Along with his spiritual perspective he added a simplistic and comforting choice of words. One very sweet poem; "The Lamb", Blake meant to give the reader a sense of comfort and joy. &

646

Summary - Eternal Sunshine of the Spotless Mind

The film, "Eternal Sunshine of the Spotless Mind," directed by Michel Gondry, is a critically acclaimed science fiction/romance. This film follows Joel Barish's and Clementine Kruczynski's separation after a miserable, two-year relationship. They both separately undergo a procedure performed by the Lacuna company. The company's technicians have the technology that allows them to erase people's memories and certain past experiences, in which the procedure takes place while the person is asleep. The film also follows the relationship between the employees and owner of Lacuna, in which the owner, Dr. Mierzwiak and the company's secretary, Mary have an unorthodox love affair, and results in Mary having her memory of the affair erased. During Joel's procedure of having Clementine erased from his memory, Joel re- visits all of the memories shared with Clementine and finds a new love for her. This rekindled love of Clementine changes his mind about the procedure and no longer wants the

1210

Summary - Eternal Sunshine of the Spotless Mind

The film, "Eternal Sunshine of the Spotless Mind," directed by Michel Gondry, is a critically acclaimed science fiction/romance. This film follows Joel Barish's and Clementine Kruczynski's separation after a miserable, two-year relationship. They both separately undergo a procedure performed by the Lacuna company. The company's technicians have the technology that allows them to erase people's memories and certain past experiences, in which the procedure takes place while the person is a sleep. The film also follows the relationship between the employees and owner of Lacuna, in which the owner, Dr. Mierzwiak and the company's secretary, Mary have an unorthodox love affair, and results in Mary having her memory of the affair erased. During Joel's procedure of having Clementine erased from his memory, Joel re- visits all of the memories shared with Clementine and finds a new love for her. This rekindled love of Clementine changes his mind about the procedure and no longer wants the

1214

Robert Walton and Frankenstein

Mary Shelley, author of the classic novel, " Frankenstein," in an attempt to reveal the true nature of a monster, its uncanny suffering and grief, so as the events that will shape him a hated creature, starts her book in such a way that the reader starts feeling this sort of darkened and desolated environment, which will act, I think, as a metaphor of the following events. This chosen passage of the book responds precisely to this meticulous depiction of the infertile landscape surrounding Robert Walton, the "Arctic seafarer who...hears Victor Frankenstein's story" (sparknotes.com) This scene acts as an introductory scenario for what the whole story will be. The wilderness in which Walton and his crew find themselves in acts as a metaphor of the events upon which the story will develop itself. Previous to the letter that Robert Walton sends to his sister Margaret on August 13th, the frosted lands in which Walton and his crew are stuck seem absolutely remote and impenetrable. Nonet

886

Energy Policies in Hawaii

With its mild tropical climate, Hawaii has the third lowest per capita energy use in the Nation. The transportation sector leads Hawaiian energy demand, due in large part to heavy use by commercial and military aviation fuel. In 2010, Hawaii imported 94 percent of its energy and had the highest electricity prices in the Nation. Because Hawaii is isolated from the U.S. mainland, its energy infrastructure and consumption are unique among the States. Hawaii depends heavily on imported fossil fuels to meet energy demand. Close to nine-tenths of Hawaii's energy comes from petroleum. Hawaii uses small amounts of coal and very little natural gas. Hawaii's main industry is tourism, and the State economy is not energy intensive. Hawaii has two oil refineries that depend on crude oil shipped from Alaska and imported from foreign countries. The refineries, located near Honolulu on the island of Oahu, supply petroleum products to local markets. Petroleum-fired power plants supply more than three-

2464

Glycolysis and Phylogenetic Testing

Glycolysis is an ancient process that developed in the first prokaryotes as their primary means of (energy) production. Evidence of this is shown by its occurrence in the cytoplasm of eukaryotic cells rather than in the mitochondria, signifying that glycolysis was not introduced to eukaryotes with the incorporation of mitochondria but rather developed long before the first eukaryote and simply remained in the eukaryotes after their evolutionary development. This process was important in the first living organisms due to the almost complete absence of oxygen in the ancient atmosphere. The glycolytic pathway, once thought to be ubiquitous among all organisms, has been found to have variations in different organisms, particularly those belonging to the domain Archaea. This has led to new speculations about the prevalence of glycolysis in both archaea and eukaryotes as well as its importance in the evolution of all living organisms. The glycolytic pathw

646

The Fight of James Young

After leaving the Air Force in 2007, James Young became a military contractor in Iraq and Afghanistan. Due to the needs of a strong military presence in Iraq and Afghanistan, Young felt that he could do his country a favor by stepping up to contribute to the cause. While following strict protocol, his company sent him directly to Dubai for treatment by professional specialists, who determined that he also suffered other injuries, such as damaged cartilage in his neck followed by a torn meniscus in his left knee. He was hospitalized in Dubai for two days following a knee arthroscopy, and then sent home to Georgia to recover for six to twelve months. It has been hard on James for the sole purpose that he doesn't really understand life outside of the fight. That is because since he has been an adult, the fight has been his purpose. Now without the support the active duty injured soldier gets in the community, he must find a unique way to deal with it. When arriving

654

An Overview of Nationalism

In the years between 1850 and 1870, nationalism was evolving from the ideals of earlier decades to realities of power politics. No political force was stronger than nationalism after 1850. Threatening to destroy the Habsburg and Ottoman empires. Also pushing people toward national unity in Italy and Germany. The new generation of leaders molded nationalism to fit harsh political realities. Cavour had become committed to Italian unification. After becoming prime minister, Cavour had three goals. The first one was modernize Piedmont economically. Second goal was to make Piedmont the central leader for the advancement of national unification. Third, he advocated forming a new Italian state as a constitutional monarchy under Piedmont's king. To reach his goals Cavour had to get the funds, which lead him to lower tariffs, build railroads, and balance the Piedmont budget. Cavour used the Crimean War in 1854 between Russia and the Ottoman Empire, as the perfect opportunity to get closer with Great Britain and France. At the Paris Peace Conference in 1856 ended the war of Crimean. Later, Napoleon III and Cavour

750

The Soap Opera That Was Cleopatra

In The Discovery Channel's presentation, "As the Nile Turns: The Soap Opera That Was Cleopatra," Julius Caesar praises Cleopatra as his equal when he states that "You need my help to keep you on the throne, and I need the wealth of Egypt to continue my plans." She allied and companioned with Caesar in an attempt to strengthen her power. After Julius Caesar was assassinated, she became involved with Marc Antony who was a general in the Roman army. Analysis of the movie appears to have some inaccuracies or lack of certain events. The movie portrayed Cleopatra as a self indulgent, over the top theatrical individual. Cleopatra according to history was a very intelligent and intellectual person. I do not think the movie depicted that very well. The movie also spent a lot of time exhibiting the social life of Cleopatra rather than showing her ruling methodology. Cleopatra was able to get Caesar's attention by mentioning to him of Egypt's riches and connections to other rich nations such as India. Cleopatra did not seem intimidated by Caesar; instead she

711

President Truman's Big Decision - The Atomic Bomb

In the spring of 1945, American forces continued to fight Japan in the Second World War. Germany had already succumbed, with the help of several unexpected Red Army victories on the eastern battlegrounds. The never-say-die Japanese showed no signs of surrendering any time soon. Choosing to fight until death (and not surrendering) was a central belief in Japanese culture. Nonetheless, the United States had a secret weapon: the atomic bomb. America had been motivated to build a nuclear weapon to use in case Germany built their own. The Americans believed that Germany had the resources and ability to build a nuclear weapon. It was known that Japan, on the other hand, had a weak scientific base, and thus did not possess nuclear weapons. When Germany surrendered, many political detractors presumed that there was no purpose in furthering attempts to create an atom bomb. Several scientists in a group led by L. Szilard and J. Rotblat even left the Manhattan Project (the group that worked on

1613

The Eightfold Path and The Four Noble Truths

The Eightfold Path and the Four Noble Truths were arranged by Siddhartha Gautama as the substructure of all of his teachings. Although, many Buddhist have many differences in the way they practice Buddhism, Siddhartha's teachings are honored and respected by all. For many Buddhist, the main goal in their current life time is to be freed from the cycle of rebirth "The Samsaric cycle" and reach Enlightenment.1 Rebirth can be explained as the renewal or renewed existence of one's soul. Buddhist believes that people do not possess a soul or have a "permanent self." It is believed, that who we are at any given time is made up of the five skandhas. These five skandhas include; Physical factors, feelings, perceptions, volitions and awareness of consciousness. As long as these "forces are held together, a distinct separate being exists." These skandhas forces are held together with Karma, and are the law of action that keeps one from dissipation. Karma is powered

2171

A Rumor of War

Philip Caputo, author of "A Rumor of War," was born in 1941. He grew up to be an American author and journalist. Caputo is best known for "A Rumor of War," but has written 14 other books. He attended college at Loyola University of Chicago and after receiving his college education, he went to serve in the Republic of Vietnam as a platoon commander in the United States Marine Corps. He served in combat and also received a number of awards and medals due to his good service. After serving in the war, Caputo took up journalism in 1968 and joined the staff of the Chicago Tribune. From 1968 to 1973, he was a foreign correspondent for the Tribune and covered the fall of Saigon, served in Italy, the Soviet Union and the Middle East. "A Rumor of War" is divided into three sections. The first part Caputo named "The Splendid Little War," and in this part he explains why he joined the U.S. Marine Corps, describes his training, and tells about his arrival in Vietnam. In the U.S. M

806

Bibliotherapy - Literature and Healing

The Ancient Greeks, with all their philosophical wisdom, utilized works of literature to help with the mending of their sick and injured. They believed an active mind was instrumental in stimulating a person's health and healing. It only took over 2200 years for the progress of using literature as a means of a tool for education. This is known as bibliotherapy. This tool was used for the sick and injured until the 1700's where it was used for the mentally ill. The late 1940's is when educators started to use bibliotherapy for the use of special education. In this essay, I intend to explore this fairly new use of this ancient idea. The use of books to heal is not a new concept. It is believed the Greek civilization used such a therapy dating as far back as 300 B.C., and continued from there. "One of the earliest records of the use of books for treatment purposes appeared in 1272. At this time, the Al-Mansur Hospital in Cairo provided readings from The Koran [sic] as a part of t

1587

Promoting Professional Artists and Their Art

Introduction If, as a society, we are to comprehend how the arts contribute to our lives, it is important to understand how art is produced and what problems face those who produce it. From a social point of view, as a community, we need to accord to artists the respect they deserve as professionals who contribute in so many ways and with such dedication and skill to advancing our cultural life. From a policy point of view, an understanding of the conditions of professional artistic practice is essential if effective measures for nurturing the growth of the arts in Australia are to be developed. This report is actually a planning brief for the development of a website of community Arts and Crafts Centre. The name which I choose for it is VIC Community Arts and Crafts Centre. This report will discuss the purpose of the website, people who get advantages from this website, and the boundaries and limits of the website as well. As in second part of this planning brief the development lang

1523

Ontario's Economy - Transition into the Information Sector

Introduction Canada's premiere province of Ontario has been in an economic decline for the better part of a decade (Statistics Canada, 2012). Multiple factors contribute to this decline, politics and economy included. Ontario has ceased to be the economic engine of Canada for many reasons, one largely being that products which were primarily made in Canada are now being produced offshore (Wolfe, 2006, 577). This heavily decreases employment and income for the province, leaving Ontario with a dying economy.  Local manufacturing followed by the export to a broader array of regions is imperative to Ontario's economic health (Bone, 2011, 194). It is critical that both the federal and provincial governments address this and tailor their legislation to reflect the importance of local manufacturing and its need to be at the forefront. In order for this to occur, Ontario needs to be reinvented to incorporate a knowledge-based economy (OUSA, 2009, 2). Ontario manufacturing and consequently

944

The Truth about Lie Detectors

A polygraph test has the ability to measure and record different physical characteristics of the person who's being administered the test. The polygraph machine takes into consideration all of the physical attributes such as sweating, heart rate, blood pressure, and brain waves to significantly conclude if the person is lying or telling the truth. Interesting enough not all states apply the results of the test in the court ruling. For example, Georgia allows defendants who suffer damage because of a false result on a polygraph test (which are somewhat frequent) to sue the polygraph operator for damages and attorneys fees. Psychologist George Iacono, PhD, (1997) has argued, &qu

458

Nike and Globalization

Nike has become a globally recognized brand established in 1964. Since its creation Nike has evolved significantly and has adapted and expanded through globalisation and with the advancement of technology. Nike has used many strategies to maintain its global status, such as its cultural diversity, endorsements of sports legends, media convergence, cultural imperialism and other aspects that will be explored in this essay. It is these adjustments and adaptations that Nike has undergone over the past forty-eight years, that has led to Nike's continual success and the development of the Nike empire. Bill Bowerman, a nationally respected track and field coach of Oregon University who was constantly experimenting with re-hydration drinks, different track surfaces and running shoes, and Phil Knight, a talented middle-distance runner who believed that quality running shoes could be manufactured in Japan, established the global brand Nike in 1964 in Oregan, America. Bowerman and Knight were

2554

Shakespeare - Language as Art

In Shakespeare's theatrical romance, "The Tempest," Miranda instructs Caliban, "I endowed thy purposes With words that made them known" (I.ii.357-8), affirming the power of language to transform the insubstantial into a forceful and purposeful entity. As Prospero conjures up tempests, masques, and spells, Shakespeare creates a linguistic pageant of lush imagery, tense staccato exchanges, straight-forward narration, and lyrical songs to intensify different moments in and expose major themes of the play. The Tempest begins with an abrupt, monosyllabic exchange between the Boatswain and Master that evolves into a series of confused, frenzied conversations ¬ tempests of language ¬ that convey the helplessness, fear, and consternation faced by the crew. The play moves toward elevated poetry delightful music, and masques of mysticism, all of which converge in Prospero's poignant valedictory speech in which he surrenders his magic powers ¬ after asserting his authority as an artis

1589

The Cruelty of War in Literature

War has long figured as a theme in literature, some of the world's greatest works are about armies and battles. The numerous conflicts of the war and peace produced writers who sometimes chose to concentrate their writing on the horrifying effects and worthlessness of war. These writers wrote about the cruelty of war and they reveal the dark truth about it. They wrote a good piece of literature which really showed the peoples feelings during this time. The wars affected people and their everyday lives because many of their loved ones were fighting and dying .In three different literary works and by three different authors the topic of war is presented in a variety of styles. Wilfred Owen's "Dulce et Decorum Est" uses bright imagery in order to correct the patriotic idea that it is sweet and honorable to die for one's country. Randall Jarrell's "The Death of the Ball Turret Gunner" compares decrease in war to an abortion by using ambiguity. However, in "The Things They Carr

1752

Information Technology For Health Care Administration

Although the adoption of Electronic Health Record (EHR) systems has grown in recent years, both patients and physicians still have concerns about the security and privacy of EHRs (Sage Healthcare, 2011). In fact, 81% of patients interviewed and 62% of doctors are concerned about EHRs (Sage Healthcare, 2011). Physician skepticism may explain why only 10% of office-based physician practices have implemented a fully functioning EHR system (Sage Healthcare, 2011). Despite such skepticism, President Obama based on the American Recovery and Reinvestment Act (ARRA) of 2009 expects hospitals and physicians to do their part in facilitating a nationwide interoperable Electronic Health Information Network by 2015 (Rashbaum, 2011). Without proper security and regulation, such a huge Electronic Health Network (EHN) is fraught with potential medical risks and legal liability. The present paper reviews potential liability risks EHR systems pose and how healthcare providers can safeguard patie

2010