Abortion as a Сurrent Public Policy Issue

Premature birth as a Ð ¡urrent Public Policy Issue Premature birth as a present open strategy issue/debate in the news today Controversies emerge due to various assessments of individuals because of individual uniqueness in convictions, intelligent thinking, strict, political, and social monetary foundations that frequently lead to warmed and contentious conversations. While there are various open approach issues, the paper tables the degree, cost, arrangements, arrangements, partners, and foundations that address fetus removal in the United States of America as an issue broadcast in the news nowadays.Advertising We will compose a custom research paper test on Abortion as a Ð ¡urrent Public Policy Issue explicitly for you for just $16.05 $11/page Learn More Thousands of issues appear to be directly according to dominant part, yet are speaking to the minority or people profiting by them (Lejano, Leong, 2012, p. 796). The factious subject on fetus removal is a worry for open as portrayed by the interest of a few people in todayâ€℠¢s news everywhere throughout the world. In any case, in taking a gander at the key issues identified with premature birth, instruction, legitimate and activism, sex and sexism, medication and substance misuse, and social insurance change can't be overemphasized considering the way that fetus removal is a procedure and not a mishap. The inquiry about whether or not the legislature ought to legitimize fetus removal has hit the ongoing news with Americans having isolated suppositions. The United States’ premature birth techniques touched off open consideration in 2010 and 2011 (Campbell, 2011, p.963: Gerwin, 2012, p. 632). Rivals pressure that life starts at origination, and in this manner premature birth causes excruciation in the unborn youngster. Defenders guarantee that inability to legitimize fetus removal causes pregnant ladies to select to dangerous premature birth techniques and that legislative or strict authority ought not confine their premature birth rights (Bisigna no, 2009, p. 745). Subsequently, the issue has seen the development of social and political activists who have enraptured the discussion on fetus removal so as to pick up prevalence inside general society. In my view, it doesn't make a difference the sides where one has a place with as long as the contentions can withstand the trial of time, are in accordance with the basic opportunities and privileges of the individuals, and are as per cultural good gauges and standards. Both the defenders and rivals recognize that fetus removal is an issue of life and passing, which is cultivated out of one’s individual activities. Much the same as death, premature birth doesn't separate dependent on the practitioner of the demonstration whether an all around educated or uneducated mother, poor or rich mother, youthful or old mother, under or not affected by drug.Advertising Looking for research paper on open organization? How about we check whether we can support you! Get your first paper with 15% OFF Learn More The results and destinations are connected (Gerwin, 2012, p. 634). Be that as it may, any endeavor to limit the dependable premature birth discussion should target changing people’s disposition towards sex, medication, and substance misuse that upgrade early or impromptu pregnancies among ladies. Moreover, anticipation is superior to fix. With unlimited contentions on premature birth, satisfactory instruction and mindfulness just as appropriate social insurance changes on fetus removal are unavoidable. Depiction and investigation of the extent of premature birth Throughout history, fetus removal strategies have regularly been hazardous since they can bring about genuine wounds and in some cases passing to the ladies. The major contention for permitting premature birth has been to cancel perilous fetus removal techniques done in social orders where premature birth was unlawful and without the help of authorities. The variety in contentions on issues of premature birth is without a doubt an open concern (Campbell, 2011, p.967). The two adversaries and defenders somewhat acknowledge that fetus removal can go about if all else fails under unavoidable conditions, for example, when a womans life is in danger as well as if there should be an occurrence of assault or interbreeding (Pollman, 2012, p. 185). The people group contends that careful and clinical premature births are the most widely recognized sorts of fetus removal systems utilized by ladies while remedial, elective, unconstrained, and instigated premature births are infrequently utilized (Lejano, Leong, 2012, p. 807). In any case, passing of the newborn child or mother or both may happen whether an expert aides all the while. As indicated by the Centers for Disease Control and Prevention (CDC), in excess of 80% of the US areas give fetus removal administrations where an expected multiple times dark ladies as white ladies do premature birth every day (Uscinski, 2009, p. 798). The administrative authorization and change on premature birth is another essential open concern. The alteration guarantees that government restriction on open financing for premature birth shapes a piece of the States’ constitution so as to diminish the extent of the State protection law. What's more, the national premature birth announcing laws and arrangements in America neglect to advise and control on issues identified with open approach in an ideal way (Gerwin, 2012, p. 642). The US began condemning fetus removal since 1821. Doctors for the most part impacted the move dreading its wellbeing. By 1965, the whole US had banned fetus removal. Be that as it may, as indicated by World Health Organization Report discharged in 2006, every year, premature birth causes a few maternal passings in districts where it isn't lawful (Uscinski, 2009, p. 998). For this situation, individuals talk about issues of life and demise and issues emerging from the authorization and illegalizatio n of fetus removal (Campbell, 2011, p.972). Consistence with fetus removal detailing laws has additionally demonstrated troublesome. There is the powerlessness of finding out the contributions of different ailments to maternal passings and giving total reports on premature birth (Pollman, 2012, p. 199).Advertising We will compose a custom research project test on Abortion as a Ð ¡urrent Public Policy Issue explicitly for you for just $16.05 $11/page Learn More Lack of solid estimations makes computation of the relative security and peril of prompted premature birth and conveyance not reasonable. The test has spackled an open discussion. Besides, general wellbeing offices can't implement the current revealing laws making it risky in understanding the main problems about fetus removal. The partners and influenced voting public Issues of fetus removal don't have explicit partners since they cut over all humankind. Notwithstanding, the mankind can be arranged into essential, optional, and key partners. Recipients are the individuals who target picking up either cash or administration from the premature birth process. They incorporate people who are encountering the hazard for a specific issue or abortionists and the individuals who help in doing the procedure: the doctors (Gerwin, 2012, p. 650). Auxiliary partners include those legitimately engaged with recipients, for example, guardians, mates, kin, youngsters, companions, instructors, advisors. Auxiliary partners likewise include individuals whose employments or lives can be affected by the fetus removal process particularly in the event that they do or neglect to report the demonstration of premature birth (Lejano, Leong, 2012, p. 811). They involve network individuals, managers, temporary workers, owners, police, and other law requirement organizations. Key partners incorporate those with an enthusiasm for the fetus removal result and the individuals who can impact choices government authorities and strategy producers (Uscinski, 2009, p. 805). Government authorities and strategy creators, for example, state or bureaucratic offices, governors, nearby board individuals, and administrators have the obligation of formulating, passing, and upholding laws and guidelines, which could possibly satisfy the set objectives (Uscinski, 2009, p. 812). In deed, if the administrations permitted ladies to prematurely end pointlessly, a portion of the world’s extraordinary pioneers and researchers would not have been conceived. On the off chance that passing happens, the families and networks where it happens are influenced mentally, socially, financially, and strategically (Campbell, 2011, p.966). Ladies, their life partners, and the unborn are the immediate bearers of the outcomes of premature birth. As per Breast Cancer Prevention Institute (BCPI) and the Catholic Medical Association (CMA) in 2006, fetus removal improves the probability of ladies creating bosom malignancy and future unnatural b irth cycles (Pollman, 2012, p. 206). Significant political establishments to the strategy conversation about Abortion Even however doctors don't engage social, social, and strict issues in breaking down the connection between fetus removal legislative issues and strategies, premature birth has end up being a troublesome policy centered issue in the United States since the rule of Roe Wade (Pollman, 2012, p. 183). Political organizations are focal in the issue.Advertising Searching for research paper on open organization? We should check whether we can support you! Get your first paper with 15% OFF Find out More Thusly, through federalism, legal audit, and a private social insurance framework, the Americans consider premature birth just as an individual right as opposed to a clinical prerequisite (Uscinski, 2009, p. 814). The nature and structure of the US ideological groups offer fetus removal advocates and adversaries the chance to start and oblige premature birth issue in their political plan. Legitimate multifaceted nature, political factors, structures, and qualities are answerable for advancement of premature birth strategy. Political foundations and belief systems â€Å"†¦affect the nature and timing of strategy choices on fetus removal in this manner contributing unmistakably to strategy contrasts across nations† (Bejesky, 2012, p. 967). The discussion encompassing the subject of premature birth shimmered in the US Congress social insurance banter in 2010 with the adversaries and defenders in the House of Representatives and the Senate exchanging allegations. Not at all l ike the advocates who need equivalent treatment of all in the social insurance administrations, rivals of fetus removal didn't need recipients of protection sponsorships to get Federal financing for any premature birth (Gerwin, 2012, p. 645). The wellbeing vehicle

Oral Communtications Essay Example | Topics and Well Written Essays - 250 words

Oral Communtications - Essay Example 24). The law that put a cutoff to the terms that a president can serve in the U.S. was approved by at any rate 41 states and dismissed by a small two states. Numerous history specialists note that the 22nd Amendment was organized in response to what the establishing fathers of the United States wanted for the nation. The establishing fathers imagined that without setting a term limit for presidents, the country would successfully turn into a government (Moore p. 7). George Washington, Thomas Jefferson, James Madison and James Monroe, are a portion of the presidents who selected not to strive for administration for a third term. Their moves toward this path were generally taken decidedly and affected the selection of Americans to organize a term limit for presidents. The 22nd Amendment has been dependent upon a ton of discussion. While others contend that the Amendment when identified with the Twelfth Amendment bars individuals who have served two terms as president can't fit the bill to become VPs, others note that a previous president who served two terms can fill in as VP legitimately (Moore p. 7). The last gathering contends that the Twenty-second and the Twelfth Amendments talk about qualification to fill in as president and political decision individually to the degree that a previous president can fill in as VP regardless of whether he/she had functioned as president for two terms. Taking everything into account, the 22nd Amendment unmistakably bars an individual who has filled in as president for two terms from serving extra terms in a similar limit. The Amendment was authorized with the sole reason for keeping away from the chance of the country turning into a

Zero Tolerance and Alcohol Laws

Zero Tolerance and Alcohol Laws Addiction Alcohol Use Drunk Driving Print Zero Tolerance and Alcohol Laws By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Updated on April 27, 2019 Chris Ryan / Getty Images More in Addiction Alcohol Use Drunk Driving Binge Drinking Withdrawal and Relapse Children of Alcoholics Addictive Behaviors Drug Use Nicotine Use Coping and Recovery Zero tolerance is the practice of adopting laws or policies that call for mandatory enforcement of violations without regard to severity, intent or extenuating circumstances. Fundamentally, zero tolerance laws and policies impose a penalty or consequence on all violations and infractions without any subjective judgment of the action or behavior. As it pertains to driving under the influence, zero tolerance refers to laws that make it illegal for persons under age 21 to drive with any amount of alcohol in their system. Prior to zero tolerance laws, most states had drunk driving laws that established legal limits for blood-alcohol content that applied to all drivers regardless of age. If a teenaged driver was drinking and driving, but had a BAC of under 0.08, for example, they were not guilty of driving under the influence. Depending on state law, they may be guilty of consuming or being in possession of alcohol underage, but not guilty of DUI. History of Zero Tolerance Laws Because drivers under the age of 21 are twice as likely to be involved in fatal vehicular crashes if they have been drinking than people over 21, the U.S. Congress passed the National Minimum Drinking Age Act in 1984 that forced states to raise the legal drinking age to age 21. By 1988, all 50 states had raised the legal drinking age to 21 and that laid the groundwork for the passage of zero tolerance laws. Illegal to Drink, Illegal to Drive The idea behind zero-tolerance laws is because it is illegal for people under that age of 21 to drink alcohol, it should, therefore, be illegal for them to operate a vehicle while drinking any amount of alcohol. All 50 states have now passed zero-tolerance laws that penalize underage drinkers for operating a motor vehicle with BAC levels as low as .01 or .02. In fact, in most states, an underage drinker can be charged with a DUI with a BAC level of .00 if the arresting officer smells alcohol on the driver. Zero Tolerance for Other Situations Zero tolerance can apply to other situations as well. Some states have zero-tolerance laws regarding riding in a vehicle with an open container. Regardless of how the opened alcohol container got there, how long it has been there, or who it belongs to, the law enforcement officer is compelled to take action if he observes an open container in the vehicle. Many school districts have passed zero-tolerance policies regarding weapons and drugs on campus. Students can be expelled or suspended from school for having any type of weapon or any type of medication in their possession. No mitigating or extenuating circumstances are considered zero-tolerance means zero. Of course, in reality, there are going to arise situations that do have extenuating circumstances, so blanket enforcement of zero-tolerance policies has drawn considerable criticism and has produced some outrageous incidents of unjust punishment.

The Argument Of The Tobacco Industry Essay - 877 Words

Tobacco is an argument that touches my feeling profoundly as my father used to smoke a lot and passed away because of it. When I read the article I can only see a rhetorical fight between parties where we basically know the truth but we pretend convincing ourselves that there must be a solution to meet everybody’ needs. Obviously the problem here is not just the tobacco; we could mention a lot of other products (specifically drugs) in commerce that are dangerous for our health. In the article, the tobacco companies argue the fact that they do not sell the concept of smoking but that the only role of the marketing is to help adults in making their choices relating the brand of the cigarettes. This concept to me could be translated as:† which brand would you like to get sick with?† (excuse my sarcasm). I definitively agree with the Supreme Court of Canada which states that â€Å"The State seeks to control the thought, beliefs and behavior of its citizens along the line it considers acceptable. This form of paternalism is unacceptable in a free and democratic society.† It refers to what tobacco companies argue against a ban where the state is telling smokers that they were not responsible of their own health, therefore comparing the state intervention as a role of a nanny. Well, I say: â€Å"Welcome to the nanny!† People need to be shaken. I know smokers that do not even remember why they started this habit. My former boss used to smoke in the office and sometimes he would light aShow MoreRelatedAnalysis Of Case Ban On Tobacco Ads By The Government Of India Essay760 Words   |  4 PagesAnalysis of case Ban on Tobacco Ads by the Government of India Introduction Can a ban of advertising on tobacco products keep young adults from developing the habit of smoking? 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This created twoRead MoreIndia s Ban On Tobacco Advertising849 Words   |  4 Pagesproposed a ban on tobacco advertisement in an effort to curb tobacco use with adolescents. It was met with sharp criticism from the tobacco industry. However, some saw it as a great move by the government in looking after the welfare of its citizens. I hope to explore in the essay each side’s voice as well as deal with the myriad of issues the government faced upon the bans proposal. Lastly I will give my opinion on what position the government should take. One the main arguments for this proposedRead MoreBanning Of The Law Of India1326 Words   |  6 PagesBANNING TOBACCO IN INDIA A case study in ethics management SUMMARY In order to better understand the complexities and difficulties of ethical decisions in the context of organisational management, we will examine one such decision made by the Government of India in 2001. 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In India specifically, a country that is renowned for its high use of tobacco production and use, the idea o f smoking has become a national crisis. With tobacco companies trying to push for freedom of speech† with advertisements, and the government attempting to assume a sense of responsibility, it seems almost impossible to find a solution that can encompass all perspectives. Pro-banning arguments Many feel that the Indian government should be allowed to intervene, especially whenRead MoreThe Dangers Of The Tobacco Industry974 Words   |  4 Pagesscientific findings? In the early 1950s, the Tobacco industry was in disarray over the release of a scientific paper, on several mediums, that demonstrated the connection between the carcinogens in cigarette smoke to several types of cancer. In reaction to this devastating paper, Tobacco executives banded together along with a public relations firm, R.J. Reynolds, in order to shroud the reality of the situation; the actions taken by the Tobacco industry, ranging from funding distracting research to

Literary Analysis Of The Love Song Of J. Alfred Prufrock

Literary Analysis of The Love Song of J. Alfred Prufrock The human psyche has perpetually been characterized by a nagging sense of doubt. When one makes the decision to follow through (or, rather, not follow through) with an action, it is unlikely that he does so without questioning whether he made the right choice; this is recurring theme in literature, evident in works such as Crime and Punishment and A Separate Peace. T.S. Eliot’s The Love Song of J. Alfred Prufrock explores the universal nature of hesitation and self-doubt as part of the human condition primarily through apt use of metaphor, syntax, and allusion. Eliot uses metaphor to relate accessible, physical entities and concepts to more abstract themes present in the poem. In†¦show more content†¦This disdain of superficiality contributes to Prufrocks inclination to avoid interactions with those who conformed to the shallow behavior that characterized the periods social decorum. He feels that everyone involved is putting on airs, participating in meaningless gathe rings in order to accomplish nothing, much like the measuring of coffee spoons. In line 57, Prufrock refers to himself as â€Å"sprawling on a pin.† This is a reference to the practice of sticking pins through live insects and watching them squirm, which was a common amusement for children at the time (Napierkowski 122). By establishing this comparison between Prufrock and an insect, Eliot describes the scrutiny that Prufrock believes himself to be under by relating it to a familiar, yet morbid childhood pastime. Not only does Prufrock feel the sting of a puncture wound that he is wriggling to be free of, but he is under the lens of his captors, painfully self aware and self conscious. The idea of â€Å"sprawling on a pin† also implies that Prufrock sees himself as a mere insect, a pest, lacking human capacities of expression. Eliot also uses syntax to establish thematic concepts. In stanzas 7 to 9, Prufrock muses about how he has â€Å"known them all,† (lines 4 5, 59,62) referring to the people andShow MoreRelatedLiterary Analysis Of The Love Song Of J. Alfred Prufrock Essay1336 Words   |  6 PagesA Literary Analysis of T.S. Eliot’s â€Å"The Love Song of J. Alfred Prufrock† T.S. Eliot was one among few poets and authors that dominated the years between the First and Second World Wars. Eliot showed his use of modernism techniques through â€Å"The Love Song of J. Alfred Prufrock†, creating a powerful reputation around the world, particularly as a member of The Lost Generation in the 1920s. Eliot moved to and settled in London where he worked with famous poets including Ezra Pound, and published hisRead MoreThe Love Song of J. Alfred Prufrock Essay1524 Words   |  7 Pagesï » ¿Question: Part A: Analyze the social and historical context of a particular poem Poem: T. S. Eliot, ‘The Love Song of J. Alfred Prufrock The context of any given text whether poetry, novels or a movie is always integral to its understanding. Social and historical context of not only the given text, but the writer’s context and reader’s context play an important role in the interpretation and understanding of the major ideas, issues, values and beliefs within the text. T.S (Thomas Stearns) EliotRead MoreThe Deeper Side of Prufrock from The Love Son of J. Alfred Prufrock1801 Words   |  8 PagesThe Deeper Side of Prufrock from The Love Son of J. Alfred Prufrock Thomas Sterns Eliot wrote the poem The Love Song of J. Alfred Prufrock over a period of six years and published it circa 1917 at the ripe old age of twenty-nine. As his first published poem, Prufrock revealed Eliots original and highly developed style. Its startling jumps from rhetorical language to clichà ©, its indirect literary references, and its simultaneous humor and pessimism were quite new in English literature. (WorldRead MoreTechniques and Concerns of Modernism1482 Words   |  6 PagesDemonstrate your understanding of the context and values of Modernism by close analysis of the techniques and concerns of Modernism that are reflected in one poem and one short story. Modernism as a movement is an artistic reaction to the conventional art and literature of mid- to late 19th century. World War I introduced advanced technology and the introduction of industrialisation provoked Modernist writers to express their concerns about the changing society and the complexities it of throughRead MoreThe Lovesong of J Alfred Prufrock by T.S. Eliot5394 Words   |  22 PagesThe Lovesong of J. Alfred Prufrock A Descriptive Paper Presented to the Faculty of College of Arts and Sciences University of the Cordilleras In Partial Fulfillment of the Requirements of the Course English 2 Writing in the Discipline 10:20 – 11:45 MWF By Juan Carlos P. Canilao April 2013 TABLE OF CONTENTS TITLE PAGE 1 TABLE OF CONTENTS 2 RESEARCH OUTLINE 3 CHAPTER I: INTRODUCTION 5 CHAPTER II: DISCUSSION 6 Thomas Stearns Eliot amp; Why He Writes PoetryRead MoreNarratology And The Love Song Of J. Alfred Prufrock Essay2087 Words   |  9 PagesNarratology and â€Å"The Love Song of J. Alfred Prufrock† Seymour Chatman writes of showing and telling as the distinctions that have been made when one is describing the narrative process (97). Although he goes on to explain how, in the study of the narrative discourse and narrative statements, the differences create ramifications that run much deeper than merely acts of showing and telling, the overall message remains the same: The narrative of any given story relates to how it is being shared, toRead MoreAnalysis Of The Appearance Theme By T. S. Eliot, Tennessee Williams, And Arthur Miller2539 Words   |  11 PagesSydney DeBerry Motlow English 2130 Mrs. Lockhart 20 November 2014 An Analysis of the Appearance Theme in Three Works by T. S. Eliot, Tennessee Williams, and Arthur Miller â€Å"Once you allow yourself to identify with the people in a story, then you might begin to see yourself in that story even if on the surface it s far removed from your situation. This is what I try to tell my students: this is one great thing that literature can do -- it can make us identify with situations and people far away.Read MoreHesitation, Repression, and Indecisiveness in the Love Song of J. Alfred Prufrock1433 Words   |  6 Pagespathetic, inadequate, timid. Everyone knows a J. Alfred Prufrock, and everyone has a bit of him in himself or herself. Just like Prufrock we readers have been witness to the pretentious triviality of others, the women who come and go/ Talking of Michelangelo (lines 13-14), and the lack of confidence which prevents the realization of desires. Eliots careful choice of epigraph from Dantes Inferno reverberates throughout this poem as the logic behind Prufrock sharing his feelings with his listener. JustRead MoreAnalysis Of Eliot s Poem The Wast e Land 1401 Words   |  6 Pagescharacters who fit the type of modern man as described by Fitzgerald, Faulkner. The title character of â€Å"The Love Song of J. Alfred Prufrock† is a perfect example of solitary and utterly incapable of expressing himself to the outside world. As Eliot grew older, and particularly after he converted to Christianity, his poetry changed. The later poems of his work emphasized depth of analysis over breadth of allusion: they simultaneously become more helpful in tone; thus, a work such as â€Å"Four Quartets†Read MoreEmily Dickinson Essay1254 Words   |  6 Pagesher trip to Philadelphia. He was a clergyman and Emily looked to him with respect. He was similar to Emily in that he was a romantic person who sought solidarity too. It is said that although he was married, Emily had a love for him, and he may be the subject of some of her love poems. When Emily had enough poems, she went to find someone who could help her and give her advice about anonymous publication. On April 15, 1862 she found Higginson. She wrote letters to him asking for advice. He was

Pathology and Contemporary Treatment Alternatives Free Essays

According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. We will write a custom essay sample on Pathology and Contemporary Treatment Alternatives or any similar topic only for you Order Now al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body’s cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn’t the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn’t prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI’s correctly† (Newman, 1177). Modern or contemporary pMDI’s according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program’s Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person’s condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease. How to cite Pathology and Contemporary Treatment Alternatives, Essay examples Pathology and Contemporary Treatment Alternatives Free Essays According to the Centers for Disease Control and Prevention, asthma is a complex disease on the rise in the United States. Most at risk include poor or inner city minorities that present with inordinately high rates of mortality resulting from the condition (CDC, 2005). Asthma may also be on the rise due to environmental factors including increased pollution and exposure to environmental toxins that may affect lung capacity (CDC, 2005; Hwang et. We will write a custom essay sample on Pathology and Contemporary Treatment Alternatives or any similar topic only for you Order Now al, 2005; Yang, et. al, 1997; Wickman, et. al, 2003). Asthma is a serious, potentially life threatening condition for the millions of sufferers worldwide. Doctors are still working to determine the cause of this disease and finding new ways to treat it. While there is no cure for asthma yet, researchers have uncovered multiple treatment alternatives that help patients with asthma effectively control their condition. Education, public response and intervention are all critical success factors for predicting the quality of life for patients with asthma now and in the future. Research supports the use of a defined set of treatment protocols for assisting patients with asthma lead a better quality of life. The basis for treatment, anatomy and physiology of the respiratory tract and pathology of asthma in patients are all discussed in greater detail below. Normal Lung Function and Respiratory System The human body has two lungs located on either side of the chest. The lungs functions include passing oxygen from outside the body into our bloodstream and releasing waste materials in the form of carbon dioxide back into the environment (Gershwin Klingelhofer, 1992). During each breath the body inhales oxygen and exhales carbon dioxide (Polk, 18). Oxygen combines with carbohydrates and fat in the body to product energy. During the process of creating energy water and carbon dioxide are formed that are expelled through breathing. The lungs consist of several anatomical structures including the bronchial tubes that enable expansion and constriction of the muscles in the lungs and chest. These tubes consist of muscles that allow air to pass deep in to the lungs. Bronchial tubes consistently change width, increasing in girth as an individual inhales and becoming narrower upon exhalation. In a person with a well functioning respiratory system all parts of the airway function synergistically to ensure maximum intake of oxygen and exhalation of carbon dioxide with each breath. Air enters the body through the nose and mouth. It passes through the pharynx, larynx and trachea, all important parts of the airway (Polk, 18). The noses and sinuses act as conditioners adjusting the air temperature as it passes through other structures in the airway. The pharynx or back of the throat allows liquids and solids entering the airway to â€Å"drop out before entering the lungs† (Polk, 19). Likewise the larynx helps prevent other unwanted particles in the air from entering the lungs (Polk, 19). It is here that the body’s cough reflex lies. If something unwanted is present in the air being inhaled, the larynx will stimulate a cough reflex to help expel the object. While the larynx isn’t the only trigger for a cough reflect it is very important to the entire breathing process (Polk, 19). When a person inhales, the chest muscles in the body contract allowing the ribs to separate slightly. Air is then drawn into the lungs. The opposite happens when an individual exhales, allowing air to forcefully come out of the lungs. The abdomen is also involved in breathing. The abdomen attaches to the front and back of the ribs, pushing them up and out when breathing. Breathing thus incorporates the chest and abdomen. The more a person engages all the muscles and organs involved in respiration including the abdomen, the better able they are to take a full breath of air. In times of old doctors ascribed asthma to anyone having difficulty breathing regardless of the cause; during the 20th century however researchers refined asthma to include difficult breathing â€Å"Because of a problem that begins in the bronchial tubes of the lungs† (Polk, 15). Asthma is a complex disorder that doctors are still working to fully understand. While doctors have uncovered many potential causes for asthma, they are still not certain what exactly causes it and how to prevent it 100 percent in all patients. In patients with asthma, the ability of the bronchial tubes to adjust their width is often diminished, resulting in difficulty breathing. Children are often at increased risk for developing asthma, as their bronchial tubes are narrower to begin with than adult tubes, thus less change in width is evident even in healthy lungs. Exercise induced asthma is a form of asthma that results when the air present in the nose and sinuses isn’t prepared appropriately to pass through other parts of the airway (Polk, 19). Normally this form of asthma is easier to treat than severe forms of asthma whose cause is unknown (Hogshead, 1989; Guyton, 1991). During a bronchospasm attach involuntary spasms may prevent lung tissue from expanding to their normal size. Air can become trapped in the lungs. Cellular and structural changes often occur within the airway and lungs of patients with asthma, including thickening of the airway wall and inflammation (Saetta Turato, 2001). Normally as air passes through the lungs the bronchiols or airways get smaller. In a patient with uncontrolled asthma however, the sides of the airways typically become enlarged or inflamed (CDC, 2005). During an acute attack, the muscles or bronchiols surrounding the airways constrict, thus reducing the amount of air a person can pass in and out of their lungs (CDC, 2005). Once this constriction begins, mucus starts forming in the airways, causing even greater constriction and distress. Typical symptoms associated with an asthma attack include wheezing, chest pain and tightness, coughing and difficulty breathing (CDC, 2005). No one is immune from asthma. Children, adults and the elderly are all at risk. Some people are more at risk than others including people who smoke, those with seasonal allergies and anyone with recurring acute respiratory infections (CDC, 2005). Signs of asthma include physical qualities of the disease a patient, family member or doctor can easily identify such as dyspnea (trouble breathing) (Polk, 7). Symptoms include complaints generally associated with the condition, and may include headaches or chest pain, skin flushing and itching (Polk, 8). Dyspnea results from multiple conditions other than asthma including infections, allergies, foreign bodies present in the airway and associated factors (Polk, 8). It is important a clinician differentiate between asthma and other causes of the disease. Basis Contemporary Treatments For Managing Asthma The National Asthma Education and Prevention Panel consistently work with doctors to develop contemporary treatments to manage asthma (Moonie, et. al, 2005). Many of these treatments are based on empirical research that supports reduction of patients symptoms and prevention of chronic attacks. The goal of contemporary asthma care and treatment includes â€Å"control of asthma and good quality of life for asthmatic patients† (Gaga, et. al, 80). The basis for much of contemporary care is empirical based research, though trends are changing in an attempt to encourage doctors to improve patient awareness and education. Many asthma drugs historically are administered through inhalation. Inhalers are often prescribed â€Å"on an empirical basis rather than on evidence based awareness: (Virchow, 24). Much of the asthma management guidelines currently available offer â€Å"non-specific advice regarding inhaler choice† (Virchow, 24). As such it is important that GP work with patients to decide what the ideal inhaler is for all patients involved. The ideal inhaler according to Virchow (2005) is one that (1) is breath activated, â€Å"releasing medication only when all prerequisites for successful inhalation are met, (2) has a low intrinsic airflow resistance so children and elderly patients may use it and (3) is one that provides a flow-independent deposition of drugs in the lungs as well as feedback that reassures patients whether the drugs has been inhaled properly (24). Newman (2005) suggests the pressured metered-doze inhaler or pMDI delivers asthma medications in a reliable â€Å"multi-dose presentation† (1177). Key components of this devices help determine the amount of drug delivered to the patient. The researcher further suggests that pMDIs can be developed that are breath actuated and coordinated with â€Å"spray-velocity modifiers† to help patients unable to use â€Å"conventional press and breathe pMDI’s correctly† (Newman, 1177). Modern or contemporary pMDI’s according to Newman should also contain non-ozone depleting propellants, a sentiment confirmed by Virchow (2005) as well. Patients with severe refractory asthma require more comprehensive treatment. High-doses of inhaled corticosteroids are often insufficient for treating this form of asthma. Most require contemporary treatments including oral corticosteroid administration and use of immunosuppressants (Sano, Adachi, Kiuchi Miyamoto, 2005). Chronic use of these drugs however present a high risk for adverse side effects. A study conducted by Sano, et. al (2005) suggests that nebulized sodium cromoglycate â€Å"is expected to be a new second-line therapeutic option in severe asthma† (1). Gaga, et. al (2005) suggests that many doctors are not achieving good quality of life and control of asthma for patients. Their study of treatment outcomes for asthmatic patients in specialized care suggests that contemporary treatments should include more patient education combined with increased use of LABAs (Long-acting beta2-agonists) and leukotriene antagonists to help prevent bronchoconstriction and improve quality of life for patients. Despite multiple contemporary treatment choices, managing acute severe asthma attacks still present a tremendous health challenge to health care professionals (Barnard, 2005). Contemporary guidelines for treating acute emergency attacks currently include treatment with oxygen and inhaled beta 2 agonists, which can be administered continuously to help preserve life in acute patients (Barnard, 532). Patients discharged after such treatment should also engage in review of current medications and consider â€Å"a short course of oral steroids, a written asthma action plan and detailed advice about deterioration that may occur within 48 hours† (Barnard, 533). Butz et. al, (2005) are among a growing body of contemporary researchers that suggests that self management and patient education are critical success factors for treating patients with asthma in modern society. Their studies suggested home based educational programs that focus on accurate symptom identification and demonstration of â€Å"asthma medication delivery services† may improve patient quality of life and assist children with asthma and asthma like conditions (Butz, et. al, 190). Delaronde, Peruccio Bauer (2005) find that â€Å"individualized telephonic case management† from registered nurses specifically trained in contemporary asthma treatment may improve asthma medication use and subsequent quality of life for patients with asthma (361). This research correlates with a growing body of evidence supporting patient education and direct support as practical contemporary treatment practices. The basis for much of contemporary treatment lies in the gold standards or clinical practice guidelines outlined by the National Asthma Education and Prevention Program’s Expert Panel (CDC, 2005). These standards offer patients and health care practitioners specific guidelines for recognizing, diagnosis, treating and providing ongoing care to asthmatic patients. Because asthma is a difficult disease to diagnose, clinicians should utilize multiple diagnostic tools to determine whether airflow obstruction in patients results from asthma or other underlying conditions. Doctors should also acquire a comprehensive medical and family history and attempt to quantify the severity of a person’s condition (CDC, 2005). Other contemporary diagnostic criteria helpful for assessing a patients condition include lung function tests (also referred to as spirometry) (CDC, 2005). Because there is no cure for asthma at this time doctors must work to improve the quality of life for patients presenting with asthma as effectively treat acute attacks. Doctors also work with patients to prevent attacks and recurrent episodes. Not one treatment modality works for all people because every case of asthma is unique. Because of this doctors often use various medications including injections, oral medications, vapors and inhalers. Use of inhalers to expand airflow is currently one of the most common and effective long-term treatment choices for patients with asthma. Contemporary long lasting medical treatments should include use of corticosteroids to help reduce inflammation in the lungs and airways. Most patients will inhale these medicines or take them orally. Long acting beta2-agonists are also identified as effective long-term treatments for patients with asthma. While inhalers, nebulizers and other medications all serve the asthmatic population, education should also form the foundation for modern treatment practices. Multiple researchers have concluded that patient education is effective for improving the quality of life in patients with asthma. Education also ensures that patients understand how to use their medications and do use them to prevent acute attacks. Education may be particularly beneficial for children by helping them adopt healthy behaviors early on that can help control their condition. Asthma is a complex disease involving structural and physiological components. Patients with asthma face a life long and often debilitating condition that under severe circumstances may result in increased morbidity. Fortunately there are many treatments currently available that effectively manage this condition. Contemporary management and treatment of asthma is based on empirical research that suggests multiple forms of medication for preventing and treating acute asthma attacks. The most common forms of treatment include corticosteroid administration through inhalers or oral forms. There are other equally effective medical treatments however that may work well for patients depending on the severity of their illness. No two patients are alike with respect to the condition thus treatment must be tailored to the individual. New research suggests that doctors and patients focus on prevention and education to help improve patients quality of life and experience of their disease (West, 1990). Education that starts early, as when patients are children, is likely to be more effective than education that starts years after an individual has attempted to manage their disease using other methods. Adequate evidence suggests that the manner of delivery for education does not impact a patients success rate. Thus information may be distributed in person, in the home or even over the telephone if necessary. The currently body of literature available suggest that education in the classroom may also be an important avenue for teaching prevention and treatment in the future (West, 1990). It is important that researchers and doctors continue exploring new avenues for treating and preventing this insidious disease. How to cite Pathology and Contemporary Treatment Alternatives, Papers

The Search for Order by Robert H. Wiebe

Summary Written by Robert H. Wiebe in 1967, the book, The Search for Order, is a perfect chronicle of the Americans’ search for economic, political, and social order between 1877 and 1920. The search kicked off immediately after the Reconstruction Era until 1920 just before the vagaries of the Great Depression set in.Advertising We will write a custom book review sample on The Search for Order by Robert H. Wiebe specifically for you for only $16.05 $11/page Learn More The Reconstruction, which was occasioned by the Civil War, failed and people started looking up to themselves and this change was supported by the growing industries. This shift from government dependence to self-actualization was at the center of the controversies that followed including the introduction of the Gold Standard, the agrarians’ fallout, and the bulging need for professionalism in the country among other issues. Theodore Roosevelt’s triumph to presidency co nsolidated the calls for professionalism in every aspect of the American livelihoods including politics. The First World War was a shocker to the US, which mistakenly thought it had enough diplomatic ties to control such an occurrence. The key concern in the book is the progressive movement that gripped the Americans, which seemed to be the genesis of the disorder that Wiebe seeks to address via this book. Critical Analysis Conventionally, by exploring the undying spirit for search for order amongst Americans from the late nineteen century, Wiebe, through the law of unintended consequences, highlights the ripe disorder that defined the American society at the time. One of the critical issues that I learnt from the book is the disorder that prevailed after the abortion of the Reconstruction and the subsequent quest for restoring order in the American society. Wiebe (1967) confesses, â€Å"Americans in a basic sense no longer knew who or what they were†¦The setting had altered b eyond their power to understand it and within an alien context they had lost themselves† (42). As aforementioned, Americans embraced professionalism in their dealings and thus they departed from the earlier way of handling issues via moral lenses. Americans embraced officialdom and thus â€Å"the heart of progressivism was the ambition of the new middle class to fulfill its destiny through bureaucratic means† (Wiebe 1967, 166). Unfortunately, while bureaucracy was initially meant to bring order and progression, it soon degenerated to chaos as the changing social, political, and the economic environment introduced new challenges. People wanted accountability from the government; however, this push was not strong enough following the government-engineered Reconstruction Era, which aborted miserably. People had lost faith in the same government that they wanted to be accountable. Therefore, in the raging confusion, the very ideals highly regarded in society like anticorrup tion started to wane. Corruption and political persecutions found their way back into the mainstream government. Unfortunately, the masses were too disorganized to voice their issues- they had neither inner push nor reason to champion for reforms. Therefore, â€Å"with no purpose beyond disclosure and conviction and very little organized support behind them, they captured the headlines, and then disappeared† (Wiebe 1967, 172).Advertising Looking for book review on american literature? Let's see if we can help you! Get your first paper with 15% OFF Learn More However, as aforementioned, Wiebe’s purpose of compiling this book was to highlight how Americans realized order in a seemingly hostile and disorderly environment. Therefore, even though the author starts by highlighting a disorder, he quickly moves to the central theme and explores the journey to an ‘orderly America’. By the turn of the twentieth century, the cards were changing as alleg iance shifted from politics to professionalism. In a span of 11 years, Americans had three presidents all of which were progressives. President Theodore Roosevelt in particular was a darling to many Americans due to his liberal stand on governance. He brought order in a hitherto disorderly society grappling with the vagaries of a changing environment. While William Taft was somehow undecided on liberal issues, by the time he rose to power, the progressives had already been established and they carried on with Roosevelt’s spirit until Wilson Woodrow won the presidency and continued with restoring the order that Theodore had initiated. By 1912-1913, the American society had achieved domestic ‘order’ and so they started pushing for foreign policy and investments overseas. Unfortunately, as aforementioned, the outbreak of the First World War was a shocker to the Americans as their teething diplomatic ties were thrown into disarray and the disorder moved from domestic to the international arena. However, Wiebe is only concerned with the domestic order and as he closes up the book, he notes that the 1920s brought order in the American society –an order that had been elusive for many years. Conclusion Wiebe’s book, In Search for Order, is a masterpiece as it gives an impartial view of the American’s search for order immediately after the abortion of the Reconstruction all through to the 1920s after the First World War. The book is thematic and Wiebe does not dwell on the disorderly era for long, but he shifts to the theme of his book. He does this by dedicating a larger part of his book to the ‘search for order’ aspect. The book is informative and from it. I learnt of the Americans’ resilient journey towards ‘order’, which they ultimately realized according to Wiebe’s chronicles. Reference Wiebe, Robert. 1967. The Search for Order, 1877-1920. New York: Hill and Wang.Advertising We w ill write a custom book review sample on The Search for Order by Robert H. Wiebe specifically for you for only $16.05 $11/page Learn More This book review on The Search for Order by Robert H. Wiebe was written and submitted by user Eva Ross to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Russian Accounting Standards Essays - Free Essays, Term Papers

Russian Accounting Standards Essays - Free Essays, Term Papers Russian Accounting Standards The previous Russian accounting standards are still being used and creating much turmoil today. Financial statements are inaccurate turning profits into losses and changing losses into earnings (vice versa). One issue covered in the article was the strict enforcement of laws. The soviet central planners don't give accountants enough freedom for them to think for themselves. Instead of allowing accountants to set depreciation rates according to real wear and tear the state publishes a book dictating the life span of everything from wooden chairs to tools. Another issue covered in the article was the banking problems in the Russian nation. Russian banks keep obsolete equipment on their books for a long period. The Central Bank is attempting to change this and is pressuring the banks to disclose the true state of their finances. The two issues discussed in the article give the idea of a big cultural characteristic of the Russian nation. The use and understanding of Hofstede's chart was a useful resource when reading the article. The use of statutory control was clearly evident. As well as the use of secrecy for their financial statements and banking system was easily understood.

4 Inspirational Stories from the Hood to Make You Stop Feeling Sorry for Yourself!

4 Inspirational Stories from the Hood to Make You Stop Feeling Sorry for Yourself! Last summer, I made a promise at the end of a blog about participating in College Summit, a program that prepares inner city high school students to attend college: I announced I would return to the program in 2015. And I kept my promise! From July 23-26, 2015, I worked with four student leaders to find their unique stories and put them down on paper. I was inspired by all of them in different ways, and I’d like to share their stories with you. As you read about these young leaders, consider the things that stop you in your life. My four students each encountered situations that could have brought them down, but they did not give up on themselves or their dreams. Here are their stories (complete with typos and grammatical anomalies). Their names have been changed for purposes of this article. Benita Benita, in an initial writing exercise, referred to a â€Å"family situation† but did not say what it was. We told her we wanted to know more, and she said she didn’t write more about it because she would cry. I told her it was okay and welcome if she cried. In the next exercise, she revealed, tears streaming down her face, that her dad was arrested in front of her eyes when she was 12 years old, and then was quickly deported. He had been trying to do what he could to put food on the table. After her dad’s departure, Benita quit playing soccer; she and her two siblings quit school; and her mother quit eating for seven months. But the family ultimately was able to turn their lives around. Benita rejoined the soccer team; all the kids went back to school; and her mother opened a dance studio. Benita’s dream: to become a history teacher in the neighborhood where she grew up. How remarkable that this young woman wants to give back in the setting that holds so many painful memories. She is creating new and more positive ones. My dad would take us to Disneyland once a month or even once every week. Our family was very cheerful and probably the happiest people anyone knew. When we would be home or somewhere else we didn’t really have enough food for us to eat. But that didn’t matter to us, all we cared about was being so happy and energetic family. Jorge Jorge’s brother Paul was the first in their family to graduate high school and to go to college. He was Jorge’s idol. When Paul dropped out of college, Jorge began to doubt whether he himself had what it took to make it through college. He spoke about how he started to give up on himself, but he said it looks likely that he will graduate this year. What he didn’t mention (and what I found out from one of the college coaches at the program) was that he has a 3.8 GPA and super high SAT math scores for someone from his background. Jorge is passionate about computer science and he has started to regain confidence in himself. I see every reason why he is going to be the first in his family to graduate from college. First period I had a computer science class in which we created our own website, our own game, our own graphics and pictures, and a program for a small robot made out of Legos. Most people thought that this class was boring and pointless, but I honestly thought that this was one of the most fun classes. I wish that I had a computer with all the programs at home to finish it or continue onto something else on my own. Jennifer A fireball from the moment we started working together, Jennifer never shied away from the task at hand. This girl from the ghetto is tired of walking by drug addicts every day. She wants more for herself and for her friends and family. Daring to be different from her neighbors, she has excelled in music and theater wants to be an obstetrician. She’s the one who bandages up the bleeding when her family gets scraped up. And I’ve never heard someone so excited while talking about mitosis! Jennifer is unafraid of the 13 years of schooling she will undergo to reach her dream. Being happy with what I do is an awesome feeling but knowing that it could take me places I could never imagine is even better. I am Jennifer Johnson. I’m from the ghetto. And despite all the negative things that are happening around me I did the things that made me the happiest, and became somebody. Sandra I wouldn’t have guessed that this tiny quiet girl, who at first was reluctant to talk and told us all she had nothing to write about, was captain of her school’s 4-time winning cheer team. Her story of how she got there was inspiring, and even more inspiring was watching her unfold into a true writer. I compete to fight to the top, although there is no path there. I like taking a step forward knowing I can trip. My shoes aren’t always tied, and there will always be cracks and bumps on the floor, but I will tie my shoes, and nothing will stop me from taking another step forward and wanting to run. If you let your untied shoes, your role model’s downfall, your background, or a family crisis stop you from playing full out for your goals, I hope the spirit of Benita, Jorge, Jennifer and Sandra inspires you to keep reaching, fighting, and celebrating.

Business Plan Essay Example | Topics and Well Written Essays - 750 words - 2

Business Plan - Essay Example In the global market, computer and mobile demand has grown higher while in the local market, the demand is reducing. The Europe market has portrayed a more friendly environment and the hope for business development. Competitive analysis Being a new company in the market, Webcore has experienced a lot of competition from companies that sell computing products. The main competitors in the market include dominant companies such as Global Business Machines, Micro-Tech and Advance technology. The main strength of these companies is that they enjoy a good reputation for having built their name of the years. In addition, the companies have more than five products while Webcore has only two products. The ability of these companies to differentiate in the market have given them an advantage over Webcore. However, just like any other companies they are already feeling the pressure of competition within the market. However, while Webcore still has the opportunity to grow, these companies have r eached their optimal stage of the business cycle and are in verge of entering business recession. Webcore has the opportunity to penetrate deeper into both the local and international market, and to launch new products in the industry (Rhonda, 2003). The threat that exist in the market is the high number of new companies that they are entering the market and more expected in this financial year. Target Market and Customers Webcore has laid plans to satisfy its short term goals by expanding its market segment and creating new distribution channels. To extend its geographical scope, the company is going to establish a new branch in California to target the growing demands of computers in this city. In New York, there are plans to open new distribution channels in this city to target the high demand for Pro-book computers in this city among the middle level customers (Rhonda, 2003). Plans are underway to establish partnership with Whole Stock distributors in New York to develop a new c hannel for its products. It is expected that this move will optimize the sales in this country and hence increase the company marginal profit. Secondly, the company is establishing an on-line selling platform where customers can register as members and order their products on-line. Product or Service Line Currently, the company two main products include Webcore Pro and Webcore pro-book. The company intends to differentiate by investing in non-computing products whose demand is growing in the market. With introduction of printers and mobile phones in the market, the company aims at attracting satisfying the demand for these products that seems to grow each year. At the same time, the company intends to increase its production of Webcore Pro computers that seem to be attracting more customers into the business as compared to the Pro-book. Advertising Plan Webcore has laid strategies to roll out its products by investing $1000 in advertisement in the television media and newspaper. The expectation of this program is that the public will become aware of the products and services that Webcore will be offering during this financial quarter. The company advertisement will appear on the newspaper at least twice every week to allow and each day on all television service providers. By ensuring the public are aware of the products, the company will expect more buyers this year than any other years when little advertisement was evident (Rhonda,

Choose a president Research Paper Example | Topics and Well Written Essays - 1000 words

Choose a president - Research Paper Example However, at least until 1949, the Russian threat was not significant in its scope and character. It assumed ominous proportions only when Russia began deploying the tool of communism influencing the people and nations of Europe. More to that, the Soviet Russia exploded its nuclear bomb that nullified the US lead over Russia. Due to changing circumstances, economic assistance was not just enough to establish the confidence in the Europe; however, the rearmament of West Germany, and military assistance in Europe became necessary to tackle soviet expansionary motives. Adding fuel to the fire, the Korean War intensified the cold war between two super powers. Truman soon realized that democratically elected governments anywhere in the world would be in jeopardy if the communist aggression having support from Russia was not resisted strongly (Gaddis, 1974). Thus, the Truman Doctrine emerged not in isolation but essentially to counter expansionary Stalin Doctrine. In 1947, President Truman, while addressing a joint session of congress, asked for $400 million economic and military aid for Greece and Turkey with an aim to contain communist onslaught in those countries (Merril, 2006). In fact, between 1947 and 1949, several policy measures were taken by the establishment that included the Truman Doctrine, the Marshall Plan, the Vandenberg Revolution, and the North Atlantic Treaty. It is important to notice that President’s doctrine for the first time had military and economic perspective to contain the soviet communism. These were mainly the psychological measures aimed at developing confidence in the minds of Europeans about democratic means and ways against the juggernaut of communism (Gaddis, 1974). Truman doctrine was hugely successful in its objectives in the sense that it halted the Soviet insurgency in Greek. Moreover, between 1948 and 1952, technical support grants, and loans extended to Europe amounting

Simulation Module for Patients with Hypoglycemia

Simulation Module for Patients with Hypoglycemia Development and Evaluation of Simulation Module for Patients with Hypoglycemia INTRODUCTION Background Human patient simulator (HPS) has been used in medical education (Alinier, Hunt, Gordon, Harwood, 2006) for almost four decades. Since simulation using high-fidelity has begun by applying crisis intervention training on nurse anesthetist   (Fletcher, 1995), over the past 10 years, simulation has been rapidly expanded in nursing education (Dunn, 2004). Simulation education is not just about obtaining simple knowledge and techniques but rather have been considered as a kind of new education method that can train nursing care ability by reproducing real-like clinical situation in a safe environment (Hodge, Martin, Tavernier, Perea-Ryan, Alcala-Van Houten, 2008; Steadman et al, 2006). Moreover, simulation education have been accelerated by shortening of the patient’s admission period and limited chances of nursing student’s participation due to elevated expectations on the medical staff by the patients. Through simulation education, student carry out physical examination directly on simulator and immediately identify physiological changes on the monitor. After implementing the proper intervention, they can get feedbacks from results (Bremner,Aduddell,Bennett, VanGeest, 2006). Therefore education using simulation is becoming the most important subject in current nursing education as a method that can improve problem solving ability and critical thinking of students in clinical situation (Corbridge, McLaughlin, Tiffen, Wade, Templin, Corbridge, 2008; Feingold, Calaluce, Kallen, 2004). Since a simulation practice method has been introduced to the nursing practice educating in South Korea ten years ago, many study results on the effect of simulation education have been reported in the area of pediatric nursing (Yoo, 2013; Shin, Shim, Lee, 2013), maternity nursing practicum (Kim, Ko, Lee, 2012; Kim, Lee, Chae, 2012; Lee Kim, 2011), psychiatric nursing (Choi, 2012), and critical and emergency care unit (Kim, Choi, Kang, 2011; Kim Jang, 2011). Current scenario that can be used in simulation education is not still developed variously in sub-major nursing areas in Korea. Therefore case is not appropriate to situation so there is a difficulty of having simulation practice. Especially, diabetes mellitus is prevalent disease in middle ages. However, it can be controlled by both concrete assessment for differentiation and anticipatory management. And because patients with diabetes mellitus should always manage blood glucose in their life, nursing education to prevent h ypoglycemia is essential education contents. In nursing student education, simulation practice for critical thinking training to identify symptoms and plan nursing care as priority due to hypoglycemia is effective and important nursing problem. In this study, we tried to test the applicability of the simulation by developing simulating education scenario based on the case of hypoglycemia and evaluating student’s performance after using it. The study was done to improve nursing students’ critical thinking on nursing problems and clinical decision-making ability by developing scenario with high-fidelity SimMan simulator based on clinical real situation. The purpose of this study is to develop a scenario and evaluate students’ performance and satisfaction in simulation learning of care for patients with hypoglycemia. METHOD Design This study used a mixed method design which captured both quantitative and qualitative data to evaluate degree of performance and satisfaction as development and applying simulation module with hypoglycemia. In disciplines such as nursing, the phenomena studied are often complex and mixed-method approaches can expand the impact and enhance the flexibility of research designs (Sandelowski, 2000) Participants A convenience sample of 55 nursing students participated from a university located in Seoul, South Korea. We have decided that third year nursing students who have enough basic knowledge on pathophysiology will not have difficulty in applying simulation education on patient with hypoglycemia and developed simulation scenario targeting them. The inclusion criteria to attain hypoglycemia included (a) junior nursing students, (b) completion of fundamental and endocrine system nursing course with the same credits and textbook, and (c) no prior participation in a simulation class focused on diabetes mellitus. The participants ‘ ages ranged from 21 to 25 years. The majority of students 89% were women. Ethical considerations’ Approval to conduct this study was obtained from the Sahmyook university institutional review board (SYUIRB-2013-074). Written informed consent consist of issues of voluntary participation, anonymity, and confidentiality. It explained the purpose of study, the researchers’ credentials, and information regarding confidentiality. Collected data will be managed in the researcher’ office and will be shredded after coding. The IRB proved that there were no factors to this study that would deprive human ethical right, and that all contents and processes confirm to proper research ethics. Process of module development Scenario development Contents of scenario were developed based on real patient’s situation which admitted to emergency unit with shock symptom due to hypoglycemia. In addition, we searched more information on nursing care for hypoglycemia from nursing textbook and protocol. Scenario was focused on developing of student’s ability about assessment and problem identification by critical thinking. For this, the purpose of scenario formulation was to differentiate the origin of shock symptom between hypoglycemia and increasing of intracranial pressure. For testing of validity, five experts consisted of three nursing professors, two nurses who have worked in emergency unit over 10 years reviewed contents of scenario. The scenario was pilot tested using five students (not included in the present study) to determine feasibility and clarity of instructions. No problems were identified. Development of evaluation checklist The evaluation checklist focused on the attainment of critical thinking ability rather than implementation skill and was divided into three categories: assessment, problem identification, and interventions. Finally, 4 items were deleted and 16 items reached by consensus (Table 1). The items were selected, reviewed, and analyzed by a seven expert panel including two nursing professors, five advanced practice nurses. Process of debriefing Debriefing questions were also developed focused on critical thinking as three phase process. Description phase : ‘What decision did you make when patient complains dyspnea? Why did you do?’; Analysis phase : ‘Did you have an enough understanding about nursing care for patient with hypoglycemia after this simulation practice?’; and Application phase: ‘How can you cope real nursing situation in future through what you learned?. These three phases for debriefing are based on clinical judgment model by Tanner (2006). After taking simulation practice, students had debriefing time for about 20~30 minutes per group of four students. The nursing students were encouraged to reflect on their critical thinking. Data collection procedure Data were collected from May6, 2013 to June 28, 2013. The study’s purpose and its procedures were explained to the participants prior to obtaining informed consent. All participants enrolled in this study voluntarily and anonymously, were made aware that there was no disadvantage to nonparticipation as well as information regarding confidentiality. In addition, the data would be reported as a whole and not individually. The ratio of participation was 98%. Before the simulation, students received an orientation that included how to operate the simulator, simulation learning objective, the scenario information, and patient’s health status. Four nursing students have teamed up to have a discussion of the simulation scenario. Students were asked to wear uniforms and to treat these as actual professional situations. The simulations were scheduled in simulation rooms in which the high-fidelity patient simulators were used. One operator and one instructor observed the simulations from the control room. Each simulation lasted 20 minutes, with the simulation module including debriefing taking about two hours per group. The evaluation checklist was evaluated as a group and was handed to two instructors in a sealed envelope. After simulation module, student satisfaction was measured using the Satisfaction of Simulations Experience (SSE). Instruments The evaluation checklist tool using 3-point Likert scale (1: not fulfill, 2: partially fulfill, 3: fulfill) was a researcher-developed tool designed to assess simulation-based performance. The higher the evaluation checklist score, the better the performance. Content validity was conducted from nurse educators, simulation experts, and clinicians (n=10). The results of the content validity index were above 80% (Waltz and Bausell, 1981). Inter-rater reliability between two independent raters was established using Cohen’s kappa. Satisfaction which students felt about simulation practice was measured just after finishing the debriefing session using the Satisfaction of Simulations Experience (SSE) scale developed by Levett-Jones and colleagues (2011). This scale consists of 18 items in the area of debrief and reflection (9 items), clinical reasoning (5 items), and clinical learning (4 items). Each item was scored on a 5-point Likert scale. Higher scores indicated higher satisfaction. Cronbach’s alpha coefficient in this study was .94. Data analysis The evaluation checklist and the SSE were analyzed using SPSS 18.0 for Windows to calculate descriptive statistics including means and standard deviations. Debriefing data were analyzed using the Matrix Method (Garrad, 2007). Four researchers was analyzed all papers related to debriefing. It were photocopied and organized as a review matrix that, once labeled appropriately, would serve as a structured abstract of all of the documents. The 3C’s (i.e., codes, categories, and concepts) of analysis was used to capture key characteristics of interest, thereby summarizing a large amount of textual information into meaningful themes (Lichtman, 2006). RESULT Scenario of simulation-based hypoglycemia The patient’s case was developed based on scenario objectives and performance measures. The simulated patient was a 55-year-old man admitted via the emergency unit complaining of dizziness and sweating. The algorithm proceeded as follows: assessment, problem identification, intervention (Fig. 1). Evaluation Checklist The evaluation checklist consisted of three categories and 16 items. To identify a statistical measure of inter-rater agreement for items, Cohen’s kappa was measured. Cohen’s kappa for the evaluation checklist was 0.61, good strength of agreement, and each category ranged from 0.33 to 0.97. The mean score of each category and item is shown in Table 1. The mean score is average of numbers of two measurers. The total mean score was 2.68 ( ±.129). The mean score of assessment was 2.56 ( ±.199), problem identification was 2.91 ( ±.193), and intervention was 2.71 ( ±.192). Debriefing Student comments about the simulation experience were grouped 2 categories, 9 subcategories, and 303 significant statements using content analysis (Table 2). The categories were as followed: Self-reflection and Improvement of competency. The most frequent subcategories, in order, were nursing intervention, coping ability deficiency, perception of real situation, clinical thinking deficiency, knowledge deficiency and communication. Satisfaction with simulation experience The SSE scale was used to assess participation in the simulation experience. The total mean score of SSE was 4.15 ( ±.68). The mean score for debrief and reflection was 4.21 ( ±.58), clinical reasoning was 4.09 ( ±.50), and clinical learning was 4.08 ( ±.46). The highest score item in SSE was â€Å"I received feedback during the debriefing that helped me to learn†, and the lowest was â€Å"The facilitator made me feel comfortable and at ease during the debriefing† (Table 3).

Tanglewood Case 3

Tanglewood Case #3 Nelson Ivan Castro PID# 3774408 1. Recruitment Guide Position: Sales Associate Reports to: Store Manager Qualifications: High School Diploma. Good communication and writing skills. Leadership and analytical skills. Ability to learn and apply a variety of policies and procedures. Work effectively as a part of a team. Relevant Labor Market: Regional Northeast Timeline: There are continuous hiring activities to interview future candidates for the positions. Activities to undertake to source well-qualified candidates: * Employee referrals Posting job on company site * Radio and newspaper advertising * KIOSKS * Job services * Staffing Agency Staff Members involved: * Store Manager * Store Assistant Manager * Department Manager Budget: $2000- $3500 2. We understand that recruitment is one of the most difficult aspects for an organization, who is looking for potential employees. There are different types of recruitment, but I believe that Tanglewood should use an Open Rec ruitment process. This step will allow them to have a variety of applicants from different races, cultures and ages.Also, it will allow them to recruit employees with different strengths and weaknesses, helping them to create a team work that is supported by all of its members. On the other hand, Tanglewood can use targeted recruitment for high management positions that might require specific KSAOs, so the job can be developed. * Media: Tanglewood is media advertising, such as print, radio, and television advertising sources, coupled with respondents filling out a standardized job application. This is an open method of recruitment since it gives the opportunity to a large body of people to apply for the job. Referrals: it is a targeted method since allow employees from Tanglewood to promote and show the positions available to people who might meet the job requirements. * Kiosk: Is an open method since a large variety of people to apply for any position at the store, instead of writi ng on a piece of paper their personal information, they type it into the system. * State Job Services: It can be an open method since all unemployed people can look for any positions available. However, it can be targeted since some positions will require some specific qualifications for certain positions available. Staffing Agency: It can be both targeted an open since they can look for special people with specific qualifications, and people with basic skills for any regular job. 3. Western Washington branches find that referrals possess a higher qualification and retention rate than kiosks, media and job service; it also provides the highest percent of applicants hired. Furthermore, Job service is very practical for this side of the company, even though the percentages and the number of applicants hired are less; it provides the same satisfaction as referrals.On the Eastern Washington branches, referrals also play an important role in the recruitment process, even though Kiosks an d media both provide a high number of applicants, the hiring and retention rate for referrals is way much higher allowing this to be an important tool for this branch to find future employees. On the other hand, for Northern Oregon branches find that by using staffing agencies a better way to find their employees since it provides them with a higher qualification, short and longer retention.The Kiosks and media provide certain type of percentage and even though they are cheaper, they are not as effective as hiring an agency. Finally, In Southern Oregon Kiosks provide the bigger pool of applicants, but it holds a low retention and qualification rate. In this branches they also prefer to use staffing agencies since it provides a better short and long time retention and qualification for the job; however, staffing agencies represent a higher costs, since it is more expensive than referrals and kiosks. . The Northern Oregon suggests an idea of using Kiosks and staffing agencies for hiri ng employees for all the stores, they believe this is the most accurate way that Tanglewood should use and implement to recruit new workforce; these methods have not only been successful Northern Oregon, but for South Oregon region too. However, The Eastern and Western regions have used a different approach, they have used the employee referral tool to recruit new employees, and it has been successful until the moment.I believe this region does not have a valid point, because if they decide to generalize the hiring and recruitment process into general ways as Kiosks and staffing companies, these other branches might start using and hiring people who does not have clearly understand what the needs, tasks, basic requirements and knowledge for the job are. Also, by implementing these new policies these branches might not receive the same quantity of people trying to enter the organization, and quality from the employees, affecting the working environment and results of these stores. . Tanglewood wants to keep improving their customer service quality to better assist the costumers; they should focus on obtaining sufficient quality from the variety of people who would like to work at Tanglewood, allowing employees to see this company and this position as a long term commitment. If we pay attention what Tanglewood is scared the most is the retention rates of positions from their employees, since employees do not believe and feel any kind of closure between them and the job.Furthermore, Tanglewood has noticed before that many employees hired without any kind of retail experience do not recognize the importance of having good customer service skills, and training is not enough to solve this issue. Tanglewood should look for people with certain skills for specific positions, they should look for quality employees who have at least a minimum of knowledge, and with the help of training reinforce their knowledge and teach them how to apply this on their job. 6. A realisti c recruitment message is a basic way of communication that states the name of the company and the job as it is.The purpose of this type of communication is that companies try to sell the job to applicants with only the positive things about the job, like good salary and benefits. Job attributes in an RJP for an associate: POSITIVE JOB ATTRIBUTES * Dental, Vision and Medical care. * Belong to a strong and respected workforce. * Training in different learning areas. * Different opportunities to obtain promotion. NEGATIVE JOB ATTRIBUTES * Salary has not risen for the past four years. * Promotions are very selective. * Annual reduction of benefits for family members.A branded message is when an organization wants to show a good image, so future applicants might develop a connection feeling towards the organization, in this way the company will try to sell the idea to the applicant by saying that this company is a great place to work surrounded by nice, helpful and committed people. * Wo uld you like to work in a nice competitive environment in which you can exceed your abilities as a professional? Well, come and apply at Tanglewood stores, and learn and master your abilities while getting paid; receive medical, dental and vision care and 401K. Don’t waste your time!!