Lester Electronics Gap Analysis Essay Example | Topics and Well Written Essays - 1500 words

Lester Electronics Gap Analysis - Essay Example The process of merger is set in motion by Shang-wa CEO John Lin, as he thinks that the merger will give his company a much needed secured future. On the other hand, Lester Electronics CEO Bernard Lester feels that the merger will prevent future revenue losses. These merger plans were initiated by the actions of two other companies, Transnational Electronics and Avral Electronics, who try to take over Shang-wa and Lester Electronics respectively. But, if the merger plans between Lester and Shang-wa gets actualized it will nullify the other two companies take over bid. Along with that advantage, the merger will also create a lot of opportunities and bring in profits. But, even with all the opportunities, there exist some financial issues or threats that will cause the merger to fail. So, the correct decision has to be taken after analyzing the key financial issues, with the involvement of all the key people and departments, including the accounts department and its head Anne Lorale. â €Å"Good decision-making starts from the right place† (Paul & Elder, 2006 In the scenario, the merger of Lester and Shang-wa could spring up many issues particularly in the financial sector. Normally, in times of merger between two companies existing in different countries, the financial issues have to be dealt firstly, to make the merger a success. So, Shang-wa’s balance sheet and incomes statement has to be properly analyzed by Anne Lorale and her team, before going with the merger. As the income statements will clearly gauge the financial performance of a company over a specific period of time, it will surely aid Lester to grasp the financial condition as well as the value of economic assets of Shang wa. From the analysis of the financial statements, it is clear that the merger of Shang wa and Lester would lead to a low debt to equity ratio, increasing the chances of bankruptcy in the long run. The other issue that will arise in

Solid and Hazardous Waste Assignment Essay Example | Topics and Well Written Essays - 1500 words

Solid and Hazardous Waste Assignment - Essay Example Agricultural waste comprises mainly slurry and farmyard manure with significant quantities of straw, silage effluent, and vegetable and cereal residues. Most of this is spread on land. Certain types of waste are defined as hazardous because of the inherent characteristics (e.g. toxic, explosive). The three largest waste streams in this category are oils and oily wastes, construction and demolition waste and asbestos, and wastes from organic chemical processes. Non-controlled waste includes waste generated from agriculture, mines and quarries and from dredging operations. In 1998–99 over 470 million tons of wastes were generated in the UK. The mean production of daily household and commercial waste in EU Member States in 1993–96 was approximately 370 kg/capita/annum, ranging from 350 to 430 kg (Waste Statistics). Most people lack of understanding on â€Å"hazardous waste†; it doesn’t always mean that when waste is hazardous it is harmful, though most can be . Hazardous waste defines that a waste has a property which might make it harmful to human health and the environment. Most, but not all, wastes produced by humans can be classified as hazardous. That is why, authorities and government agencies concerning environmental issues are stepping forward to the control and proper disposal of hazardous waste. Domestic wastes that are, may be, hazardous are the following: asbestos, pesticides and garden chemicals and medicine, fluorescent tubes and lamps, oils and oil filters, plastics, paints and coatings, household batteries and car batteries, discarded electrical equipment like TVs and radios, and computers, computer monitors and CRTs, fridges and freezers, discarded energy saving light bulbs (CFLs), Chlorofluorocarbons (CFCs), HCFCs, Cathode ray tubes, and tires and rubber. Environmental impact on the disposal of municipal solid wastes (MSWs) Many options may be taken by management of environmental agencies to dispose hazardous wastes, pa rticularly incineration and landfills. However, several potential health risk

Electronic Health Record Essay Example for Free

Electronic Health Record Essay In the proposed scenario, a Clinical Nurse Specialist (CNS) with a Post-Masters Nursing Informatics Certificate has decided that the 100 bed hospital that she works in would benefit from transitioning from paper charting to using an electronic health record (EHR) system. She has done initial clinical research and has a solid foundation of best-patient-practice reasons that support this change. She has also researched and studied the information on the government’s websites HealthIT.gov, and CMS.gov pertaining to the American Recovery and Reinvestment Act and the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. HITECH is a stimulus package approved by the US government allowing $19 billion dollars to be divided between hospitals and doctors â€Å" who demonstrate â€Å"meaningful use† of electronic medical records†(ARRA HITECH Solutions, 2015). She knows that the best way to select and institute an EHR is to assemble a team of members with various specialties pertaining to the goals outlined in the stages of HITECH. Stage 1- Data capture and sharing, Stage 2- Advance clinical processes and Stage 3- Improved outcomes. Each of these stages has it’s own meaningful use criteria. As seen in the diagram to the  left. The CNS begins by choosing the members of her team from various disciplines in the hospital. Because this will mean corporate wide changes and adoption. Her list includes the following, from the IT department, a Clinical Nursing Informatacist- chosen for a specialty in how nurses interact with software and what is required for nurses to effectively care for patients, and the Director of Clinical Informatics- chosen for an overall knowledge base of the hospitals informatics resources and requirements including what software and hardware is currently available, what has worked or failed in the past and what changes will need to happen to keep the hospital compliant with patient privacy and safety regulations. She will also need a Corporate Project Manager to organize and disseminate information to the various off-site entities related to the facilities that will need to be on board with this change across the corporation. A Chief Medical Information Officer will be key in providing the perspective of the physicians and their particular needs and goals, and to be a liaison for the staff physicians when the EHR rollout occurs. A Chief Information Officer will bring knowledge about the hospital’s day to day functions that will need to integrate into the new EHR along with how those systems currently function. A Chief Nursing Information Officer will have their finger on the pulse of each nursing unit and be aware of the different user interface requirements that will be needed by different departments for the the specific type of flow and care given. Lastly, a Chief Financial Officer will be able to guide the team on topics concerning governmental funding and current assets along with helping to create and maintain a budget as required with the acquisition of new software and hardware, he will also be able to work with each department’s budget makers when the time comes for allocating training hours and equipment purchases. Along the way the team will need to bring in sub-specialists to give information and feedback as they hone the new system, but for now the assembled team will be responsible for researching, choosing and implementing the best EHR for their hospital. A.2 a-e) Choose 2 real-life computerized management systems and analyze them by comparing their advantages and disadvantages, recommend the best choice to meet the ‘MU’ requirements, describe how the features of the recommended system meet the guidelines outlined in the three stages of meaningful use, describe the impact on quality of patient care, documentation and outcomes. The team is aware that currently they have a computerized system that they use for reporting and tracking labs, radiology and scheduling, but all documentation is paper based. They consider the price point involved with adding modules to the existing McKesson software vs purchasing and implementing an entirely new EHR called EPIC. EPIC appears to be user friendly and able to seamlessly connect all of the facilities under the umbrella of their corporation. They make a list of some of the pros and cons associated with each system. McKesson has the upside of being a system they have already worked with and it has different programs that can be pieced together to meet some of the meaningful use (MU) criteria for compliance. They already have a working relationship with this vendor and some experience with the product. Once the discussion gets going, the team realizes that there are many more bad points than good with McKesson. In their experience, the software modules are connected in a piecemeal fashion that makes it difficult for programs to interface. Quite frequently data is just lost and not retrievable. There are different data entry systems for the different types of departments i.e. OR, ER, labor   delivery, Med/Surge, radiology, and pharmacy. The different systems do not allow for across the board data harvesting and that makes it difficult and time consuming to track reportable nursing and CMS indicators. The aesthetics of McKesson are something that is frequently complained about by the staff, due t o lack of distinctive color transition and eye fatigue. Lastly, the group is very reluctant to continue on building their EHR base with McKesson because the PCPs in the area will not be able to access hospital records, and office visit information will not be available to the hospital based staff. Due to the need for increased man hours in servicing McKesson, lack of discrete data sampling, and the poor continuity of care related to PCPs not having access to hospital data and vice versa, the team decides to choose Epic instead. Epic has the down side of being a system that will require a large initial outlay of funds. The hospital will have to purchase software, and related hardware. They will have to expand the IT and biomedical engineering departments to support and maintain the new system and equipment (something that would have been necessary to a smaller degree with McKesson). They will have to address some retrofitting needs related to wiring and computer instillation and lastly training will be a very big issue. Despite the potential down sides, the team comes up with a long list of reasons that EPIC is the right system to choose. To begin with EPIC is all one system. It allows for seamless interdepartmental interfacing. The PCPs in the area already use a version of EPIC and this will allow for easy data exchange and a patient’s information will follow them easily. The EPIC system has a medication reconciliation form that is easily viewable to all care givers and pharmacies in the area, keeping track of each patients reported medication dose and frequency. EPIC has a ‘my chart’ feature that allows patients see labs, after visit summaries , and to interact with physicians about scheduling, medications and lab results. EPIC has  many built in safe guards, including password protection, continuous backup and recovery programs so no dat a is lost, and the vendor provides continuing support as needed. EPIC comes in 3 pre-bundled, customizable templates, each already set up to meet the Meaningful Use (MU) criteria without having to alter the program. The team can look at the three available options and determine if one fits them perfectly, or find the closest one and alter it to fit their specific needs. Some examples of how EPIC will meet the Stage 1 MU criteria are computerized physician order entry, checking for drug interactions and allergies automatically, tracking demographics, keeping current diagnosis, medication and allergy lists, allowing patients to have electronic access to discharge summaries, and it gives patients electronic access to physicians. Once the hospital has used EPIC for at least two years, some examples of how EPIC will help meet the Stage 2 MU criteria are ongoing patient data entry and discreet sampling for report generation. The team will continue to develop the software that demonstrates interoperability in sharing of lab results with other providers and systems. Security risk assessment will be ongoing and built into the system. Smoking status will be tracked on all patients 13 and older and the EPIC software is designed to guide the facility from meeting the Stage 1 criteria to meeting the Stage 2 criteria. Stage 3 MU objectives are projected to improve outcomes. The team is waiting on the final ruling for what the Stage 3 guidelines will be and in the mean time they have a projected goal of focusing on primary prevention measures and improving overall population health. This will include recommended vaccination reminders, smoking cessation assistance, healthy lifestyle and meal planning recommendations, and yearly checkup reminders generated by primary physicians that will crossover to hospital patient charts. Some of the better benefits of EPIC include point and click tabs in the assessment fields, this allows for discrete sampling of information. EPIC utilizes a reporting workbench that will harvest requested, reportable data  and assemble it into a user friendly template. This will benefit the hospita l by reducing former man-hours required to find and collect data for clinical quality measures, public health reporting, and CMS indicators. Discrete data sampling from EPIC will make the hospital a benefit to the community as well by allowing it to track trends and provide information to community health nurses. EPIC comes with the ability to establish hard stops and reminders that allow real-time users to be aware of needs for care coordination and patient specific follow-ups or recommended testing related to treating chronic conditions. It will also allow for symptom driven order entry fields to be immediately available in emergent situations where time taken to look for those things could mean a worse outcome. This is especially important when people present with symptoms of stroke or heart attack. Another EPIC benefit is the different levels of bedside specific PHI protection related to sensitive care. EPIC has a ‘break the glass’ functionality pertaining to all sexual assault and psychiatric admits. This function only allows relevant staff to open and view these patients charts, any others are shown a pop-up warning and a notice is sent to start an investigation of any other person who logs in to theses charts. The team is impressed with the information provided by EPIC concerning scanning patients and medications at the bedside and the reduction in medication errors this causes. The scanners will integrate with the medication dispensing machines already in use at the hospital. One of the major benefits of EPIC is the order entry build. Each physician, with a minimal amount of training, can customize the order entry process to reflect their needs. Medication orders are instantly linked to a pharmacist to double check for allergies, and correct dosing information, and then the medication becomes available, via PYXIS machines on the unit for the RN to administer at the bedside. The bedside dosing requires the patient and medication to be scanned, further eliminating potential erro rs, and provides a pop-up warning if an emergency override is required during any of these steps. While the team acknowledges that training and time to become familiar with the new charting and bedside routine changes will initially impact patient care in a negative way, they have a plan in mind to keep the patients educated on the new system changes and the anticipated better care available to the patients across the board from instituting an EHR system. Having the patients ask questions and give real time feedback will help the team tweek their training and bedside routines to give better, more organized care that results in trackable outcomes. This is just an overview of some of the many functions EPIC has that persuaded the team to choose it as the new EHR system for the hospital. (EPIC and McKesson related information was culled from the authors own experience with the systems and personal interviews with multiple members of the informatics department at St Francis Hospital, Indianapolis campus). A.3 a) Use of Quality Improvement Data EPIC has point and click assessment tabs and a standardized documentation format that links related data. This allows for discrete data sampling related to things like CMS indicators. The hospital will be able to track compliance with things like ‘door to EKG’ times in the emergency department, Foley catheter use and resultant CAUTIs, and the time from when a patient presents with stroke symptoms until a cat scan is done and/or whether the patient receives antithrombolytics as a result. The hospital will also be able to generate reports on errors that occur the via the Risk Monitor Pro incident tracking software. This will allow them to continue researching and improving processes. A. 3 b) Security Standards and Methods EPIC has 24 hour monitoring of staff use while logged in, and the records they access. This is important because hundreds of staff members will be using the system and there has to be accountability if employees were to look up their own records, or the records of friends or family. This  information can be tracked and the employee interviewed and disciplined if needed. EPIC also comes equipped with incident reporting software called Risk Monitor Pro. All staff members are encouraged to use this format to report any incident that might warrant further investigation. It covers every location, type of employee, type of equipment, patient, visitor or vendor. Risk Monitor Pro forms are used to report potential or perceived injuries, faulty equipment, sentinel events and things that have the potential to cause harm or damage. This information can be followed up on by the risk management team, so that process improvement is an ongoing process. The team works with members from the IT department and plans for primary data storage with a redundant back up storage unit that simultaneously updates so if the primary server fails there is no loss of information. They have also planned for a second, off site data storage center that can be used in case of emergency to ensure continuity of services, and keep things up and running while the primary system is off line for upgrades. Lastly back up tapes will be kept at a third site in case both of these areas are compromised, and the system can be rebooted and running again within 72 hours. A. 3 c) Explain how the system will protect patient privacy and meet HIPAA requirements EPIC will protect patient privacy in a number of ways. End User access is limited to only being able to access the information needed to do their jobs. Making the accessible information different for nurses, physicians, registration clerks, radiology technicians, committee members etc. Personnel will only be granted access once they have completed security training and have signed documentation stating that they understand the legal risks and responsibilities when accessing protected health information (PHI). Individuals outside the hospital will have access to EPIC as well, for example nursing home physicians. They will have a read only access granted, but will require multiple patient identifiers to access the information. Also, as mentioned earlier, EPIC will employ security related  chart hard stops like ‘Break the Glass’. A. 3 d) Explain how the recommended system meets HIPAA requirements EPIC helps to meet HIPAA requirements with automated enforcing of access policies, and pro-active alerting that links directly to the risk management department, requiring strong password policies, and automatic logout at end user work stations. EPIC allows providers to protect the integrity of data and recover original data in the case of it being altered or damaged. EPIC users are required to have appropriate training to be able to access the system, and can be locked out in the case of termination. Portable devices carry encryption software that does not allow for third party data extraction or access. EPIC can also quickly generate reports with discrete sampling related to various forms of access. The majority of compliance will be the responsibility of the staff with written policies, documented sanction programs and investigation that is on-going, consistent and documented. A. 3 e) Describe how adopting the system will reduce costs to the organization Instituting this new system will initially generate more costs, but in the long run will save the hospital money in many ways. Meeting the ARRA/HITECH Act requirements will help to offset those cost with financial incentives and avoiding fines and penalties. Having readily available test results will decrease the costs and labor associated with repeating lost or illegible results. With superior organization and data summary tools, the cost for labor associated with studying charts individually and generating reports will be exponentially lower. The need for transcriptionists will be greatly reduced by utilizing dictation software. Facilities for storage of paper charting cost money for upkeep and staffing. An electronic database should make billing and insurance claims easier to process and thereby generate revenue faster. The time it takes for physicians to spend going over complicated medical histories with patients is greatly reduced by  having that information readily available in a database. â€Å"According to a recent study, when hospitals rely on advanced electronic health records they can save up to 10 percent per patient admission† (Advanced EHR Cuts Hospital Costs By 10% Per Admission, 2014). 4. A) Explain why active nursing involvement in the planning, selection, and implementation of the systems is important to the success of the implementation process and meeting meaningful use requirements Active nursing involvement is important to the success of implementing any process that affects care given at the bedside. For the system to be optimized for use, nursing suggestions and feedback are critical. EPIC knows this and has a team of nurses on staff to work with the facility  in developing end-user interface. ‘Nurses’ from the hospital include the advocates, CNS’s, NP’s, LPN’s, managers, and bedside care givers, each with a specific focus and experiences that are valuable when helping to decide how charting should work. Any thing that pulls a nurses attention away from the patient, or is distracting or difficult to work with decreases the perceived level of care and increases the potential for errors. The health care goals of meaningful use include improving efficiency, safety and quality while decreasing discrepancies, involving patients and their families in their care, improving public health outcomes, improving care coordination, and advancing security and privacy of PHI (Gregory Klepfer, 2010). All of these things are the foundation of every interaction a nurse has with a patient. This is why nursing is one of the most trusted professions, according to the Gallup pole website, nurses come out on top at 80% when people were asked to rate â€Å"the honesty and ethical standards of people† in different given fields (Honesty/Ethics in Professions | Gallup Historical Trends, n.d.). Because standard nursing care already meets the goals outlined for meaningful use, the most important thing the average  nurse can do is to work hard to be competent utilizing the selected EHR software. Advanced users and nurse leaders are important to help guide the EHR selection process in the direction that will improve the bedside interactions and user interface. Clinical nurse specialists have advanced educations and bring the nursing philosophy to the selection and implementation process. All of these roles are vital to the success of any EHR implementation.

Implementing a Client-to-client Communication System

Implementing a Client-to-client Communication System Abstract Due to people, behaviour over the social networking and peer-peer needs for the online chatting and sharing the information, file etc, Chat Applications had acquired great importance and there is abundant increase in the development of these applications. Therefore, in this Conference Chat Application Project we are going to develop a chat application to implement client-to-client communication using client server architecture for the group talk of the clients and additional feature of sending the personal messages using keyword and another keyword to leave the group talk. This is java based chat application, where we are going to implement server socket programming in which we have to create the server by creating the server socket in which client request for the connection for further communication. Server socket allows the maximum number of connections. To add new users/sockets in parallel when server is running, we have to create a thread class Server Thread and array lists for s toring the clients information. This Application is developed by using Net Beans (8.0.1). The output of this application enables the clients to join in a group talk, which is already running and allows client to send the personal messages simultaneously. 1. Introduction Conference Chat Application enables the users/clients to exchange the information among all clients or to the specified client in the group. This Application requires Transfer Control Protocol (TCP) to establish the connection between two sockets for the communication. There are two programs, Server side program and client side program. Server will receive the request from the client, establishes the connection, and send the messages sent by the client to all other clients except the sender itself. Before connection, clients user name is needed which immediately after connection will be send to the server using Print Writer, server will save this client, and a message thread will start for this client, which we implemented on the client side as myThread Class. Each client has its own message thread so this thread data will be read/received from server and displayed to client using buffered reader. 1.1Problem Statement Most of the chat Applications need email address to enter the group talk; username will be more flexible instead of email address. Chat Applications does not have personal messaging option in the group chat. Personal messaging in the group chat increases efficiency. 1.2 Research Question How to develop a chat application using Client Server Architecture? How can we send personal messages in a group chat simultaneously? How to add clients in the chat using user name instead of email address? 1.3 Objectives To develop a Chat Application and to implement Client-to-Client communication using Client-Server Architecture. To add Additional feature of sending personal messages in a group using a keyword and to leave the group with another keyword. 2. Literature Review/Previous Work On March 9th 1998 the first version of Yahoo messenger was launched.it supports various operating systems. It is chatting application said to be rapid messaging client. It used to support various operating sytems.Yahoo uses transfer control Protocol for the communication but its header is supported by its own application format.it supports messaging, voice calls and video calling. Microsoft company created MSN which was formerly known as Windows Live Messenger is an instant messaging client application.it supports various operating systems like Windows etc.., MSN basic functions are pc to phone calls, messaging and game application. Client and server programing is performed over Transfer Control Protocol (TCP) in MSN. In MSN client uses various port numbers to request the server for the establishment of the connection, the server uses the port 80 to reply to the client requests, and it only replies to the clients whose port numbers are less than 1024. For the transport layer protocol, it uses Hyper Text Transfer protocol. MSN also supports file sharing and uses Session Initiation protocol for messaging and Transfer Control Protocol for file sharing. 3. Approach/ Methodology The Methodology we use in this project is Joint Application Development (JAD). It is used for any development process initially used to design computer-based system. End user or client is involve in the development process of an application. Many companies accept Joint Application Development methodology. Data processing industry was developed by JAD. Joint Application Development minimizes errors and produces the faster output, as client is involved in the whole development process the user will acquire great satisfaction. It eliminates the delays, output can obtain in short span of time, and it is cost effective. Transfer control protocol is used by socket to provide communication between computers. On one end of the communication, client creates a socket and tries to connect the socket to server. The server represent server socket object, which denotes port number for the communication. The server appeal accept() method of server socket class. This method will wait until client connects to given port of the server. Transfer control protocol is two-way communication protocol. Therefore, data is exchanged between clients at the same time 4. Results/experiments/Discussion The anticipated results of the project are To create and execute client side program. To create and execute server side program. To execute the server thread for multiple connections. The output of this application enables the clients to join in a group talk, which is already running and allows client to send the personal messages simultaneously. 5. Significance of Study This Application is useful for the peer-to-peer communication Any company can make benefit of this conference chat application which enables group talk as well as personal chat. Faculty and students can make use of this application to discuss about the subjects. The customer service representatives to communicate with the customers can use this Application. 6. Future Works We have many social networking sites like WhatsApp messenger, Facebook messenger, Instagram etc.., which do not have a feature called personal texting in a group chatting. Therefore, this feature will be useful for many mobile chat applications. Conference Chat Application does not have automatic joining of the clients; clients are added manually to the group. This feature can be added to the further development of this application. 7. Conclusion We are going to develop chat application and implement client-to-client communication using Client Server architecture We are going to add Additional feature of sending personal messages in a group using a keyword and to leave the group with another keyword. 8. References 1. Dennis, Alan R., Hayes, Glenda S., Daniels, Robert M. Jr. Business process modeling with group support systems. Journal of Management Information Systems. 115-142. 1999 spring. OSMC Consulting Services. Services. http://www.osmc-web.com/services.htm last update time Unknown. Accessed Nov. 14, 1999. Abhijit A.Sawant, Dr. B. B. Meshram/International Journal of Engineering Research and Applications(IJERA) vol 3, Issue 1,January-February 2013,pp Network programming in java using socket Veletsianos, G. 2012. Higher education scholars participation and practices on Twitter. Journal of Computer Assisted Learning, Vol. 28, No. 4, pp 336-349. Veletsianos, G. and Kimmons, R. 2016. Scholars in an increasingly open and digital world: How do education professors and students use Twitter? The Internet and Higher Education, Vol. 30, pp 1-10. Schiller, S. Z., 2016. CHAT for chat: Mediated learning in online chat virtual reference service. Retrieved July 15, 2016, from Web site: http://dx.doi.org/10.1016/j.chb.2016.06.053. Open Source Chat Servers in Java http://java-source.net/open-source/chat-servers

Summary Of Latex Allergy :: essays research papers

Summary on Latex Allergy in the Workplace (from JADA) Latex Allergy in the Workplace first talks about the background of the obvious problem of Latex allergy. Natural rubber latex is extracted from the milky sap of the rubber tree Hevea Braziliensis namely in Malaysia. The history of Latex gloves began over a hundred years ago. The first recorded incidence of hypersensitivity (allergic reaction) to the natural rubber Latex occurred in 1939. Because of the upsurge of infectious diseases there was an increase in imported Latex gloves increased from one million in 1987 to eight million in 1988. Also, because of this increase in demand, foreign suppliers didn't live up to the US requirements in manufacturing the gloves, which has of course resulted in a higher latex exposure. And because of Latex being an allergen, the repeated exposure to it may become life threatening. Some types of allergic reactions are as follows: ICD – Irritant Contact Dermatitis – Because of around 200 different compounding chemicals in the gloves, and not properly washing hands after use an itchy, irritated, dryness occurs on the hands. ACD – Allergic Contact Dermatitis (Type IV) – is a delayed reaction to the Latex and usually occurs 24 to 96 hours after exposure. The symptoms of this certain reaction, is similar to poison ivy. Immediate Hypersensitivity (Type I) – Although the least common reactions to latex, these are the most severe and life-threatening. There have been serious reactions to Latex when inhaled as the proteins are aerosolized during glove cleaning and removal. In 1997 62% of Latex related deaths were from gloves alone. A positive diagnosis of Latex allergy is made by using the results of a medical history, physical exam, diagnostic/exposure related evaluation, and tests. Some tests include, the patch test, the prick skin test, and radio allegro-sorbent tests. With all these tests there is yet to be a 'gold standard'; for diagnosing Latex allergy. The big problem with these tests is that there are a significant number of wrong diagnosis results. The article goes on to tell just who is at risk to this allergy and who has increased risk. Everyone really is at risk to developing an allergy to Latex because even if you are not healthcare providers, workers that produce Latex products, or children with spina bifida or urogenital defect (all which have increased risk) you can still be exposed to Latex in many ways.

Chronicle of a Death Foretold (Gabriel García Márquez) and The House of Bernarda Alba (Frederico García Lorca) :: essays papers

Chronicle of a Death Foretold, by Gabriel Garcà ­a Mà ¡rquez and â€Å"The House of Bernarda Alba†, by Frederico Garcà ­a Lorca People will do and say almost anything to protect their reputations. Their reputations become such a large part of their lives that their thoughts and actions revolve around protecting and maintain them. In Chronicle of a Death Foretold, by Gabriel Garcà ­a Mà ¡rquez and â€Å"The House of Bernarda Alba†, by Frederico Garcà ­a Lorca, the characters focus their lives on building and maintaining good reputations. Bernarda’s life totally revolved around her reputation. The Vicario brothers got so caught up in trying to regain the family’s honor they were even willing to kill a man. Finally, In â€Å"In a Grove†, by Ryunosuke Akutagawa, Tajomaru, Takehiko, and his wife all took credit for Takehiko’s death. They did this to receive some honor and try to better their reputations in a tough situation. Bernarda dedicates her life to insure that her family has a good reputation. She acts like this because she cares so much about what other people think of her. Bernarda is constantly regulating the things that her daughters can and can’t do. After their father’s death Bernarda wants to stick with tradition so she tells her daughters, â€Å"[d]uring our eight years of mourning no wind from the street will enter this house!† She is forcing her daughters to shut out whatever social life they had to stay in Bernarda’s â€Å"prison† for eight years and mourn their father’s death. She forces her daughters to stay in the house because she thinks that if she lets her daughters out people will think that they are not sad about their fathers death and Bernarda doesn’t want to give people a reason to talk about the family. Bernarda is so concerned what the neighbors think about the family that she tries to make sure that none of the familyâ₠¬â„¢s business leaks out of the house, so the neighbors won’t have anything to talk about. During a dispute in her house she says, â€Å"[t]he neighbors must have their ears glued to the walls.† She is terrified that the neighbors may have heard something and now they will have something to gossip about. Bernarda is so concerned about the image of her family that other people see, she even tells her family what to wear. When Bernarda’s daughter Martirio is going to go out into the courtyard, Bernarda says, â€Å"[v]ery well, but don’t take the kerchief off your head.

Respiratory Therapist

Ms. Paula Weston English 101-57 30 October 2012 In the World of Respiratory Therapy When you graduate high school most of us look forward to going to college and starting a new chapter in our lives. There are many choices of fields to choose from when we enter college. Some of us know right from the start what we want to do and some of us don’t. I have had many ideas of what I might want to pick as my career for the rest of my life. It first started out with wanting to be a teacher, and then it changed to a veterinary technician, and finally with lots of thought and research I have decided I want to be a Respiratory Therapist.I have struggled through many years trying to find the perfect career I wanted to do for the rest of my life. I knew I wanted to do a career in the health care field because I knew it would always be a field that would be around and always in demand. When interviewing Dennis Brown, a Registered Respiratory Therapist, he stated, â€Å"I had always been in terested in the medical profession, and the coursework provided me with the flexibility to choose another medical profession if I found respiratory care was not what I believed it to be. (Brown). It hadn’t occurred to me until I was talking with Brown that I could use my background and degree to go into other medical fields if I felt the respiratory field wasn’t the one for me. One reason I have chosen this field is I have always wanted to work with children. I love being around children they are so innocent and have no worries and are always happy go lucky, most of the time. In my research I have found that I could work in the neonatal and pediatric care.I would love to help out a child in need and try to my best to help them get better in any way that I could and it would give me a lot of satisfaction and being able to do that every day would all be worth it. Another reason for choosing this field is I could get a job anywhere I go. If I chose to stay in Michigan the re are many good hospitals in the area to work at, and even if I chose to move out of state this is the kind of career that I could take with me and I would expect to find a job easier than other careers that are only limited to certain areas.When researching this career I have always wondered if I there were any risks or downfalls to this career path. Of course like any other career there are always good and bad thing to the job. One main thing that has stuck in my mind when researching is health risks to Respiratory Therapist from exposures on the job. â€Å"Respiratory therapists (RTs), through their involvement in the diagnosis, treatment, and care of patients with respiratory and cardiopulmonary disorders, can potentially be exposed to a variety of agents that could impact occupational health.Respiratory hazards that may be encountered in the work environment include aerosolized agents and chemical sensitizers such as glutaraldehyde, which is used to disinfect bronchoscopes. A lthough there are many types of aerosolized substances, concerns have been found no significant dose-response effect on lung function, although there were increased symptom complaints (ie, chest tightness and shortness of breath) in some of the nurses. (abc) This information has opened my eyes to many things that could happen on any job when exposed to different chemicals. This research has not stopped me from pursuing my career in Respiratory Therapy though. I have just started my journey into getting my degree in the Respiratory Therapy program and so far the courses are easy, but I know the farther I am in the program the harder it will get. There are many positives to way I am choosing this career path and also there are some negatives just like in any other career.I think the satisfaction of being able to help other people will overlook the fact that there might be a chance of risks within my career choice. I plan to stick through my goal of becoming a Respiratory Therapist and push through and struggles that might come along the way to achieve this goal. Work Cited Brown, Dennis. Personal Interview. 25 October 2012 Dimich-Ward, Helen, PhD; Michelle Lee Wymer, BSc; and Moira Chan-Yeung, MB. â€Å"Respiratory Health Survey of Respiratory Therapists† CHEST; Oct2004, Vol. 126 Issue 4, p1048-1053, 6p.