Wednesday, March 18, 2020
First They Killed My Father essays
First They Killed My Father essays Loung Ung was the next to youngest of eight children born into a middle-class family living in Phnom Penh, and the daughter of a former member of the Cambodian Royal Secret Service under Prince Sihanouk. Conscripted as a major into the new government of General Lon Nol, her father was the incarnation of all that the Khmer Rouge wanted to obliterate when they stormed Cambodia's capital city on April 17, 1975, beginning their reign of terror. Fleeing with her family into the countryside, along with thousands of others who were evacuating Phnom Penh, Loung learned the first of many hard lessons. In order to survive, she had to hide her identity, her education, her former life of privilege. It was no longer safe to trust anyone. "To talk is to bring danger to the family. At five years old, I am beginning to know what loneliness feels like, silent and alone and suspecting that everyone wants to hurt me." Posing as peasants, Loung's family moved from village to village, hoping that no one would recognize and expose them as enemies of the Khmer Rouge government. Working 12-14 hour days and barely surviving on their meager rations, they supplemented their diet with roots and leaves or small animals that they trapped. When those became scarce, they caught beetles, crickets, grasshoppers, and frogs for food. "In Phnom Penh, I would have thrown up if someone told me I would have to eat those things. Now, when the only alternative is to starve, I fight others for a dead animal lying in the road. Surviving for another day has become the most important thing to me." Although Loung's three oldest siblings - her brothers, Khouy and Meng, and her sister, Keav-were forced to go to different labor camps, the rest of the family struggled to stay together. After the soldiers came for Loung's father, they separated to survive. Finding her way to a work camp for orphans, Loung began training as a child soldier and was subjected to brainwashing. F ...
Monday, March 2, 2020
Overview and Explanation of ZIP Codes
Overview and Explanation of ZIP Codes ZIP Codes, five-digit numbers that represent small areas of the United States, were created by the United States Postal Service in 1963 to aid in the efficiency of delivering the ever-increasing volume of mail. The term ZIP is short for Zone Improvement Plan. The First Mail Coding System During World War II, the United States Postal Service (USPS) suffered from a shortage of experienced laborers who left the country to serve in the military. In order to deliver mail more efficiently, the USPS created a coding system in 1943 to divide delivery areas within the 124 largest cities in the country. The code would appear between the city and the state (e.g., Seattle 6, Washington). By the 1960s, the volume of mail (and population) had dramatically increased as a vast majority of the nations mail was no longer personal correspondence but business mail such as bills, magazines, and advertisements. The post office needed a better system to manage the huge quantities of material that moved through the mail each day.à Creating the ZIP Code System The USPS developed major mail processing centers on the outskirts of major metropolitan areas to avoid the transportation problems and delays of transporting mail directly to the center of cities. With the development of the processing centers, theà United States Postal Service established ZIP (Zone Improvement Program) Codes. The idea for a ZIP Code System originated with Philadelphia postal inspector Robert Moon in 1944. Moon thought that a new coding system was needed, believing that the end of mail by train was soon to come and instead, planes were to be a huge part of the mails future. Interestingly, it took nearly 20 years to convince the USPS that a new code was needed and to implement it. ZIP Codes, which were first announced to the public on July 1, 1963, were designed to help better distribute the growing amount of mail in the United States. Every address in the United States was assigned a specific ZIP Code. At this time, however, the use of ZIP Codes was still optional. In 1967, the use of ZIP Codes was made mandatory for bulk mailers and the public caught on quickly. In order to further streamline mail processing, in 1983 the USPS added a four-digit code to the end of ZIP Codes, the ZIP4, to break ZIP Codes into smaller geographic regions based on delivery routes. Decoding the Code The five-digit ZIP Codes begin with a digit from 0-9 that represents a region of the United States. 0 represents the northeastern U.S. and 9 is used for the western states (see list below). The next two digits identify a commonly linked transportation region and the last two digits pinpoint the correct processing center and post office.à ZIP Codes were created to expedite mail processing, not to identify neighborhoods or regions. Their boundaries are based on the logistical and transportation needs of the United States Postal Service and not on neighborhoods, watersheds, or community cohesion. It is troubling that so much geographic data is based and available based only on ZIP Codes.à Using ZIP Code-based geographic data is not an excellent choice, especially since ZIP Code boundaries are subject to change at any time and do not represent true communities or neighborhoods. ZIP Code data is not appropriate for many geographic purposes, but has, unfortunately, come to be the standard for dividing up cities, communities, or counties into different neighborhoods. It would be wise for data providers and mapmakers alike to avoid the use of ZIP Codes when developing geographic products but there is often no other consistent method of determining neighborhoods within the diverse geographies of the local political boundaries of the United States. The Nine ZIP Code Regions of the United States There are a handful of exceptions to this list where parts of a state are in a different region but for the most part, the states lie within one of the following nine ZIP Code regions: 0 - Maine, Vermont, New Hampshire,à Massachusetts, Rhode Island, Connecticut, and New Jersey. 1 - New York, Pennsylvania, and Delaware 2 - Virginia, West Virginia, Maryland, Washington D.C., North Carolina and South Carolina 3 - Tennessee, Mississippi, Alabama, Georgia, and Florida 4 - Michigan, Indiana, Ohio, and Kentucky 5 - Montana, North Dakota, South Dakota, Minnesota, Iowa, and Wisconsin 6 - Illinois, Missouri, Nebraska, and Kansas 7 - Texas, Arkansas, Oklahoma, and Louisiana 8 - Idaho, Wyoming, Colorado, Arizona, Utah, New Mexico, and Nevada 9 - California, Oregon, Washington, Alaska, and Hawaii Fun ZIP Code Facts Lowest: 00501 is the lowest numbered ZIP Code, which is for the Internal Revenue Service (IRS) in Holtsville, New York Highest: 99950 corresponds to Ketchikan, Alaska 12345: The easiest ZIP Code goes to the headquarters of General Electric in Schenectady, New York Total Number: As of June 2015, there are 41,733 ZIP Codes in the U.S. Number of People: Each ZIP Code contains approximately 7,500 people Mr. Zip: A cartoon character, created by Harold Wilcox of the Cunningham and Walsh advertising company, used by USPS in the 1960s and 70s to promote the ZIP Code system. Secret: The President and the first family have their own, private ZIP Code that is not publicly known.
Friday, February 14, 2020
Catheter associated urinary tract infections Term Paper
Catheter associated urinary tract infections - Term Paper Example . The use of the urinary catheter has some side effects such as kidney failure or even weakening of the bodyââ¬â¢s general defense mechanism. The kidneys are responsible for filtering the urine so as to make urine, and when there is an infection, especially an untreated infection, it might lead to kidney failure. This tube is usually used when there a person cannot urinate on their own, and hence this tube is inserted to help drain the urine. It can also be used when there is need and essence to establish the amount of urine that a personââ¬â¢s body makes, especially when the person is hospitalized. The tube can also be used when carrying out kidney and bladder tests, and when performing some surgeries (Gotelli et al, 2008). This tube has been associated with urinary tract infections, with some of the signs of the infections being blood in urine, frequent but painful urination after the catheter has been removed and lower abdominal pain. The use of catheter tubes is at times co nsidered a risk to patient safety due to the high rate of infections. The tube provides a more direct access for bacteria and other infectious organisms into the bladder (Bernard, Hunter and Moore, 2012). The after and long term effects of the use of the catheter tube might be very adverse, and this necessitates the need for a solution, an alternative or an intervention. Intervention The adverse effects resulting from the use of the urinary tract catheter shows that there is need for intervention. In this case, the suggested intervention to aid in the reduction of the effects is proposed in several ways. The use of indwelling catheters use only follow after the patients records have been checked and it has been determined that it is a must for the catheter to be used (Bernard, Hunter and Moore, 2012). If there is another way of administering treatment without using the tube on the patient, then this should be adopted. It also follows that the catheter should be removed from the pati entââ¬â¢s body as soon as possible to minimize the chances of infection. In addition, the direct staff and all nurses should ensure that they are properly trained on handling the catheter. This includes frequent and thorough washing of hands before and after handling the catheter. Gotelli et al (2008) clearly propose that the se of external catheters in intermittent urethral catherization might be part of the intervention. Urethral catherization is very sensitive and is among the leading causes of urinary tract infections. By the health staff gaining enough competence concerning how to handle and use the catheter, chances are that the cases of the infection might probably reduce. The doctors and other health staff have become too used to the urinary tract infections such that introducing the intervention might not be too easy (Gotelli et al, 2008). Competence Outcome and Performance Assessment model To investigate and potentially assess the interventions, the Competence Outcomes and Performance Outcome theoretical approach and framework shall be used. This model has been earlier on been applied in academic and non-academic institutions, and has succeeded in works environment, especially the health industry since it is encourages adopting the environment in contemporary living (Lenburg, 1999). It is a model that seeks not to change the traditional way of learning but to make learning, in all academic and
Saturday, February 1, 2020
Goodwin Development Trust Essay Example | Topics and Well Written Essays - 3500 words
Goodwin Development Trust - Essay Example This demonstrates how Goodwin networks the community in Hull to improve the quality of life for everyone. To sum up, the Goodwin statement ââ¬Å"Our overall goal is to improve the quality of life of people living in deprived neighborhoods. We aim to do this by helping communities and community-based organizations to develop innovative new services through practical learning, knowledge management, and networkingâ⬠, says it all. (The Goodwin Trust Link) 2 Introduction Nearly any community anywhere comprises of the Haves and the Have Nots. It is a universal phenomenon and has existed from time immemorial. However, in each era, there have been conscious individuals or institutions that have taken care of the needy, poor and deserving. Usually, this was out of pity, religious teachings and occasionally out of love for the fellow brethren. This act of charity was limited to a few of the higher strata and was not universally practiced. In the modern era, however, due to higher levels of education that are now widespread, and also due to more liberal outlooks the community at large has started feeling uncomfortable at the existence of pockets that lag behind in education and resources. There has also been a feeling of resentment from the have not which was duly acknowledged by others. The feeling of obligation to give a helping hand has become more pronounced than ever before. Out of this has born the need to institutionalize the noble act of charity and people from all over the community participate in it.
Friday, January 24, 2020
Belize Guatamala territory dispute :: essays research papers
British lumberjacks set up settlements in the eventual Belize. The Spanish granted them the territory. When war broke out in Europe there was an attack which was repulsed. Over the next 20 years the British had grown into the assigned area and some unsettled areas of South America establishing the now existing Belize. The Spanish never had any rule over the territory. Up to 1859 the British continued to exercise exclusive jurisdiction over the settlement, further establishing administrative control and implementing a comprehensive legal and legislative system. In 1859 a treaty officially established the boundaries of Belize. In 1940 Guatemala declared the Treaty to be void, alleging failure to implement article 7 (That the British build a road which they never did) A new Guatemalan Constitution in 1945 declared Belize to be Guatemalan territory Belizean culture and nationality developed throughout the 19th century (and the British became the minority). Self-government was achieved in 1964, but full independence was delayed until 1981 only because of the Guatemalan claim to the territory. Guatemala changed its argument in 1999. it rested its case on the 18th century Treaties between Britain and Spain covering the area between the Hondo and the Sibun Rivers. Guatemala claimed that the area between the Sibun River and the Sarstoon River was 'illegally' occupied by Britain, and argued that the area south of Sibun up to the Sarstoon River must be "returned" to Guatemala together with all the cayes which were not included in those Treaties. The area thus claimed by Guatemala amounts to over 12,000 square kilometres, which is more than half of Belize's territory. The British occupied this territory when it was uninhabited and unsettled. Belize rests its case on two firm pillars: the right of a people to self- determination and the fact that Guatemala's claim is legally untenable. Negotiations began between Britain and Guatemala and Belize. In 1975 the UN General Assembly passed a resolution affirming Belize's right to secure independence with all its territory and declared that any proposals emerging from negotiations between Britain and Guatemala must respect this right In 1980, the UN resolution declared that Belize should become independent by the following year. The entire global community supported this decision the territory was perfected through the process of acquisitive prescription, which is a recognised means in International Law for acquiring title to territory Guatemala never occupied, nor did it ever exercise any control or jurisdiction over, any part of the territory of Belize.
Thursday, January 16, 2020
Understand The Role Of Communication And Interactions With Individuals Who Have Dementia
People who have dementia can communicate in different ways depending on how they feel and the type of dementia someone has. If an individual has dementia they might not be able to speak so as a career itââ¬â¢s important to read the body language of the individual. If they make funny noises or they are acting out of character or if they are being very loud then this may mean they are not happy and that they are angry. If they are lively and smiling and laughing then this may mean that they are happy and is feeling in a good mood.If the individual suddenly gets up from his/her arm chair and walks around then if may mean that they need to go to the toilet. If an individual who has dementia can talk then you can usually know how they are feeling through their tone of voice. If the tone of voice is sharp and clear then it might mean that they are upset or cross, if they are very quiet and talking softly then it might be scared and feeling very lonely.It is very easy to misinterpret som eone who has dementia. For example, If a lady or gentleman gets up from the chair and walks to the other side of the room, careers may think that he/she just wants to walk around to stretch his/her legs but in fact he/she needs to go to the toilet. Another example would be if a gentlemen is shouting for no apparent reason it might be because he is in pain but doesnââ¬â¢t know how to tell someone, a career might not realise this and may this he wants something instead. Also another example would be if a lady is asked if they would like something and they said no but actually they mean yes they would, careers wouldnââ¬â¢t realise what she means and ends up not giving her anything.There are different types of dementia which may affect the way someone will communicate. Dementia will affect an individualââ¬â¢s communication depending of what part of the brain the disease has affected. Here is a table to show which dementia effects communications.DementiaHow it affects communicat ion Alzheimerââ¬â¢s diseaseIf someone has Alzheimerââ¬â¢s disease then they regularly forget names, faces and recent events. They have problem finding the right words so can be hard making a conversation. Also they would have mood or behaviour problems such as irritability or loss in confidence so it would be hard for them to talk to someone and describe want they would like and making decisions. Vascular DementiaPeople with this type of dementia would find it hard to communicate because they find it difficult finding the right words to say. They may use inappropriate words which people may get offended as they donââ¬â¢t understand. They also become more emotional which again may affect the way they communicate to someone. Dementia with Lewy bodiesIndividuals with this type of dementia would find it difficult to communicate because of the variation in attention. It may be hard to communicate because they wouldnââ¬â¢t be focused as they are confused and not really listeni ng. FTD (Frontotemporal Dementia)This dementia is quite rare as it affects only 11,000 people in the UK compared with dementia with lewy bodies which affects about 100,000 people in the UK. People with FTD will have a decline in language abilities so they would find it difficult with trying to find the right word, finding it difficult to speak and have trouble with understanding common words and peopleââ¬â¢s names. Also in the later stages the reason why an individual may find it hard to communicate relates to the persons memory.The physical and mental needs that would affect communication with someone who had dementia would be a stroke. If someone had dementia it would be hard for them to try and talk and communicate but with a stroke as well it would be really hard to communicate as they would lose the use of their one side so their speech would be even more affected. In time the individual would get frustrated because they canââ¬â¢t speak and explain to people what they wan t or need. A mental affect with communication would be depression. If an individual had dementia and also suffered with depression, they would find it hard to talk to people as they find it hard to live through eachà day. They would find it hard to talk because of their dementia so they would be able to express how they feel therefore would become even more depressed.If an individual has dementia had a sensory impairment would find it difficult to communicate. For example if gentlemen could see he would find it hard to explain what he wants as he canââ¬â¢t talk very well due to the dementia. Even if u offered a choice to him he would be able to say which one he wanted because of the dementia and would be able to point to the choice he would like because he canââ¬â¢t see. If a lady had a hearing impairment and had dementia she would find it hard because she would feel like she was in some sort of bubble as she canââ¬â¢t hear or talk to people. She would feel so down and de pressed because there is a lack of understanding between the carer and the individual. The ladyââ¬â¢s well being would decline and her eating habits may also decrease as well.The environment would affect an individual who suffer from dementia because they wouldnââ¬â¢t recognise their surroundings so they would feel lost and maybe scared. It is important to have things and objects that they recognise because they wonââ¬â¢t forget who they are. People who have dementia lose their confidence so being in a different environment would ââ¬Ëthrow them out of placeââ¬â¢ so to speak. They would feel even lonelier as they wouldnââ¬â¢t know anyone. Having new things around you would make an individual with dementia feel even more disorientated as they would feel agitated and wouldnââ¬â¢t be able to relax because they are not familiar with the environment.The way people interact with dementia patients can vary between the way careers or other people behave towards them. For example is a career was feeling down, looking miserable and not putting any effort into their working then the individual would see and feel it and would not cooperate with you. If a career was really happy, jolly and being loud the individual may feel intimidated and again they wouldnââ¬â¢t want to cooperate. If the career was calm, relaxed and spoke in a clear voice then the chances are the individual would comply and do things as you ask. It is very important to know how to approach a person with dementia because they donââ¬â¢t know who you are so you canââ¬â¢t do anything that they wouldnââ¬â¢t like. You would have to beà polite and give clear instructions of you would like them to do. If you are friendly with them then they would be friendly back.The way you talk to someone with dementia is very important because itââ¬â¢s hard for the person to understand what they are doing because they have dementia but if you say it in a way thatââ¬â¢s positive, loud and clear you would try get them to understand. You would have to speak proper English especially if you are working with the elderly, you canââ¬â¢t use any slang words because they wouldnââ¬â¢t understand what you mean. When talking you must slow down so they can hear what you are ask and you have to be polite when asking otherwise they would find you rude and words because again they would do what you ask.Also you have to talk in simple terms and not use big words because again they wouldnââ¬â¢t understand and if you do ask them to do something donââ¬â¢t ask all at once, ask in stages, for example if you are helping someone to get up in the morning instead of asking ââ¬ËCan you get out of bedââ¬â¢?, ask them in stages, Can you sit upââ¬â¢? Then ââ¬Ëcan you bring your feet aroundââ¬â¢? And then ââ¬Ëcan you stand up pleaseââ¬â¢? This way the individuals thought process is less so can do each step at a time. This in time would make the individual more ha ppier and comfortable being around you and overall a positive atmosphere.
Wednesday, January 8, 2020
The Advantages of Teamwork at the Workplace - 1051 Words
Teamwork in the workplace has never seemed as important as it currently stands. Much of the cross-training that takes place in the workplace is due to the extended importance that has been placed on developing teams comprised of members who can handle a variety of tasks and are able to transition throughout the company at a moments notice. There are important components that a team must have in order to be the efficient and effective force that most managers desire of them. Effective teams are likely to include individuals skilled in the art of communication, as well as personnel who understand processes, how they work and how they are implemented. A recent study determined that a recent review of decades of scientific articles and patent applications has revealed that our most important scientific innovations are increasingly produced by collaborating teams (Wuchty, Jones, Uzzi, 2007, p. 1036). Scientific innovations is not the only area in which collaborating teams have shown succe ss, teams in the workforce arena are showing a similar degree of success as determined by other studies including one that found teamwork is a growing mode of operation within organizations (Ahanchian, McCormick, p. 386). There are a number of advantages to teamwork in the workplace that draws the attention of many business managers; collaboration allows for a pooling of resources that might not otherwise be available, and it oftentimes produces results that are superior to otherShow MoreRelatedWorking With Teams739 Words à |à 3 PagesWorking with teams Working in teams is a common approach that many areas such as schools, workplaces are taking in certain tasks, responsibilities or even special projects. 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