The Treatment of Acute Exacerbation of COPD Research Paper - 1

The Treatment of Acute Exacerbation of COPD - Research Paper Example In any case, Sahn (2012) directed research that indicated the pre-medical clinic organization of hydrocortisone may improve. This might be a consequence of proof based practice (EBP) and the motivation behind this paper is to introduce the aftereffects of examination into the topic.â EBP is important practically speaking predominantly in light of the fact that it is educated by as of late explored information that has been affirmed by experts and the business. As indicated by Moyer (2008), overseeing intense compounding of COPD is a typical practice that requests the basic quest for proof in the medicinal services setting. In concurrence with this supposition, Gregory and Mursell (2010) underline that clinical specialists ought to detail significant inquiries concerning the treatment of intense fuel of COPD. In light of this, this exposition will look and answer the inquiry â€Å"would the result of patients with intense intensification of COPD be improved by the pre-medical clinic organization of hydrocortisone in the UK?† Specifically applied to this inquiry, the PICO model characterizes the issue as well as the populace at which the populace is focused on. This was huge in the molding of the writing search since it limited the degree to a progressively characterized territory with explicit anticipated results. Yoder-Wise (2007) calls attention to that it is basic in enumerating the mediations and hazard factors that must be consi dered by paramedics in their technique. This is instead of generalizing the administration of intense compounding of COPD to a specific since quite a while ago utilized system (Goldacre, 2013).â â

Compare and contrast Essay Example | Topics and Well Written Essays - 500 words - 9

Investigate - Essay Example For the third passage, it discusses the examination and difference of the structure. The structure is the depiction of what can be found in the painting, for example, the shading, geometric structures, lines, complexity of dull and light hues. It talks more on the presence of whatever that can be seen inside the fine art. For the last passage, it discusses the sentiment of the essayist about the artistic creations. The composition entitled â€Å"The Last Supper† was initially painted in the fifteenth century by Leonardo da Vinci during the Renaissance time frame. It is a bit of work of art painted legitimately on a divider in Santa Maria delle Grazie, Milan with an estimation of 450 by 870 centimeters or 15 feet by 29 feet. Leonardo da Vinci painted the wall painting on a dry divider which implies that it's anything but a genuine fresco. He fixed the stone divider with a layer of pitch, gesso and mastic at that point paint onto the fixing layer with gum based paint or in a lasting quick drying painting medium comprising of hued shade blended in with a water-dissolvable folio medium. In the year 1518 to 1594, Jacobo Tintoretto painted his own form of â€Å"The Last Supper† in San Giorgo Maggiore, Venice. He painted on oil on solicit with an estimation of 12 feet by 18 feet, 8 inches. The artistic creations painted by da Vinci and Tintoretto are a gathering of individuals in a room especially Jesus Christ and his twelve devotees. In Tintoretto’s painting there are others that can be considered such to be the servers and many flying pictures on the two sides of the top however in da Vinci’s painting just the representations of Jesus and his followers or witnesses. Both of the canvases depict the response appeared by every witness when Jesus said that one of them would sell out him. The impact of his words drives them to an obvious reaction. The entirety of the twelve witnesses have various responses to the news, with various degrees of outrage and stun. In da Vinci’s painting, he gathered the witnesses into four gatherings of three joined by their stance and signal, with Jesus in

Sample TOEFL Paired Choice Essay Study Alone or in a Group

Sample TOEFL Paired Choice Essay Study Alone or in a Group Sample TOEFL Paired Choice EssayThe QuestionSome students prefer to study and do homework alone. Others prefer to study and work on class assignments with a group of fellow students. Which do you prefer? Use specific reasons and examples to support your answer.Special Offer: TOEFL Essay Evaluation and ScoringYou can now sign up to have your practice essays evaluated and scored by the author of this page. This service is a great way to learn how you will do before test day and how you can best prepare for the big day. Sign up today.The Sample EssayEveryone has their own favorite study methods, and all of them have specific benefits. I am of the opinion that it is better to study alone than to study as part of a group. I feel this way for two main reasons, which I will explore in the following essay. First of all, studying alone helps us to focus on specific areas of a subject that we are struggling with, rather than doing a broad overview of the subject. Diligent students always atten d classes and communicate regularly with their professors and teachers, so they are constantly aware of which topics they need to focus on when they study. When people study in a group, everyone in the group has different needs, and the study session is required to touch on all of them. My own experience is a compelling example of this. As a freshman four years ago, I was not aware of the aforementioned drawback and found myself wasting my time studying in a group for an important European history exam. I knew that I really needed to focus on religious history, but sat uncomfortably through a group study session that progressed through political, cultural, scientific, literary and artistic history before touching only briefly on the issue of religion. As a result, I performed worse on the test than I would have if I had just studied alone. Furthermore, when people study in a group they are easily distracted. Many people will agree that they desire to socialize rather than study when they get together with their friends and classmates. For instance, in the group I mentioned above not only did I suffer from the fact that we only touched briefly on my problem area, but certain group members (including myself) were easily drawn off-topic. We were quick to make jokes about the material being covered, or make tenuous and meaningless connections between those topics and our own lives. Thankfully I have avoided this problem since then as I have decided to always prepare for exams by myself. In conclusion, I strongly believe that studying alone is better than studying in a group. This is because it allows me to focus on the areas that I need to, and because it helps me to avoid socializing when I should be doing real academic work.NoteThis is a sample TOEFL paired choice essay written by a native speaker. It follows our TOEFL writing templates for independent essays. If you find it useful, please remember that we have many more sample essaysfor you to read!

Nannie Helen Burroughs Advocate and Businesswoman

Nannie Helen Burroughs founded what was at the time the largest black women’s organization in the United States and, with the organization’s sponsorship, founded a school for girls and women. She was a strong advocate for racial pride.  Educator and activist, she lived from  May 2, 1879, to May 20, 1961.   Background and Family Nannie Burroughs was born in north-central Virginia, in Orange, located in the Piedmont region. Her father, John Burroughs, was a farmer who was also a Baptist preacher.  When Nannie was only four, her mother took her to live in Washington, DC, where her mother, Jennie Poindexter Burroughs, worked as a cook. Education Burroughs graduated with honors from the Colored High School in Washington, DC, in 1896. She had studied business and domestic science.   Because of her race, she could not get a job in the DC schools or the federal government.  She went to work in Philadelphia as a secretary for the National Baptist Convention’s paper, the Christian Banner, working for the Rev. Lewis Jordan.  She moved from that position to one with the Foreign Mission Board of the convention. When the organization moved to Louisville, Kentucky, in 1900, she moved there. Womans Convention In 1900 she was part of founding the Woman’s Convention, a women’s auxiliary of the National Baptist Convention, focused on service work at home and abroad. She had given a talk at the 1900 annual meeting of the NBC, â€Å"How Sisters Are Hindered From Helping,† which had helped inspire the founding of the women’s organization. She was the corresponding secretary of the Woman’s Convention for 48 years, and in that position, helped recruit a membership which, by 1907, was 1.5 million, organized within local churches, districts, and states.  In 1905, at the First Baptist World Alliance meeting in London, she delivered a speech called â€Å"Women’s Part in the World’s Work.† In 1912, she began a magazine called the Worker for those doing missionary work.  It died out and then the women’s auxiliary of the Southern Baptist Convention—a white organization—helped bring it back in 1934. National School for Women and Girls In 1909, Nannie Burroughs’ proposal to have the Woman’s Convention of the National Baptist Convention found a school for girls came to fruition.  The National Training School for Women and Girls opened in Washington, DC, in Lincoln Heights.  Burroughs moved to DC to be president of the school, a position in which she served until she died.  The money was raised primarily from black women, with some help from a white women’s Baptist mission society. The school, though sponsored by the Baptist organizations, chose to remain open to women and girls of any religious faith, and did not include the word Baptist in its title.  But it did have a strong religious foundation, with Burrough’s self-help â€Å"creed† stressing the three Bs, Bible, bath, and broom: â€Å"clean life, clean body, clean house.† The school included both a seminary and a trade school. The seminary ran from seventh grade through high school and then into a two-year junior college and a two-year normal school to train teachers. While the school stressed a future of employment as maids and laundry workers, the girls and women were expected to become strong, independent and pious, financially self-sufficient, and proud of their black heritage. A â€Å"Negro History† course was required. The school found itself in conflict over control of the school with the National Convention, and the National Convention removed its support. The school temporarily closed from 1935 to 1938 for financial reasons. In 1938, the National Convention, having gone through its own internal divisions in 1915, broke with the school and urged the women’s convention to do so, but the women’s organization disagreed. The National Convention then tried to remove Burroughs from her position with the Woman’s Convention.  The school made the Woman’s Convention owner of its property and, after a fund-raising campaign, reopened.  In 1947 the National Baptist Convention formally supported the school again. And in 1948, Burroughs was elected as president, having served as corresponding secretary since 1900. Other Activities Burroughs helped to found the National Association of Colored Women (NACW) in 1896. Burroughs spoke against lynching and for civil rights, leading to her being placed on a U.S. government watch list in 1917.  She chaired the National Association of Colored Women’s Anti-Lynching Committee and was a regional president of the NACW. She denounced President Woodrow Wilson for not dealing with lynching. Burroughs supported women’s suffrage and saw the vote for black women as essential for their freedom from both racial and sex discrimination. Burroughs was active in the NAACP, serving in the 1940s as a vice president. She also organized the school to make the home of Frederick Douglass into a memorial for that leader’s life and work. Burroughs was active in the Republican Party, the party of Abraham Lincoln, for many years. She helped found the National League of Republican Colored Women in 1924, and often traveled to speak for the Republican Party. Herbert Hoover appointed her in 1932 to report on housing for African Americans. She remained active in the Republican Party during the Roosevelt years when many African Americans were changing their allegiance, at least in the North, to the Democratic Party. Burroughs died in Washington, DC, in May, 1961. Legacy The school which Nannie Helen Burroughs had founded and led for so many years renamed itself for her in 1964.  The school was named a National Historic Landmark in 1991.

A Juvenile Justice Case - 541 Words

After carefully reviewed all the facts, evidences and interviews of those associated in John’s case, as a judge, I would handle the case in a non-judicial way, require John to make restitution to the store in a form of community service and order his parents to cooperate in the treatment program. In case of John’s parents are unwilling to cooperate in the treatment programs, under the Parens Patriae concept, I would have to put him on probation in order to help deter John from committing crime in a future. In this report I will explain the reasons why. First, John is not considered delinquent because this was his first offense and based on his statements, it seemed to me that John wasn’t aware of the consequences that would follow his actions and furthermore, John simply had a mindset that his action was normal and that his friends did it all the time. This would place John under the Social Process Theories. The explanation of Social Process Theories according to the textbook, (Clemens F. B, Stuart J, 2011, p.70) â€Å"Social process theories examine the interactions between people and their environment that influence individuals to become involved in criminal or delinquent behaviors.† John’s behaviors were the result of bad influences and that he has learned that stealing was acceptable as many of his friends did it. Secondly, I would considered John as a victim himself because after reviewing the interview given from his mother; Joann, John would fall under the category of aShow MoreRelatedA Case of Juvenile Justice Essays1116 Words   |  5 PagesCharlie – A Case in Juvenile Justice Melissa Thomas CJ420 – Juvenile Justice Prof. Amy Ng December 4, 2012 Abstract Children are gifts from above and need guidance and love. If either one is absent then they are at risk of becoming juvenile offenders or career criminals. The juvenile justice system has many players that facilitate the tools for a juvenile to use an offense as a learning experience. The juvenile encounters three important individuals; the juvenile police officer, probationRead MoreOutgrowing Juvenile Justice: Jamal Vick Case Study Raises Essay606 Words   |  3 PagesIn Outgrowing Juvenile Justice, Michael Jonas (2001) raises several important issues concerning juvenile justice policies and practices. In discussing Jamal Vick, a range of youth crime issues surfaces, including: †¢ Balancing treatment verses punishment †¢ Responses to serious juvenile offenders o Waiver into the adult criminal justice system o Utilize the juvenile justice system o Blend elements of both the adult system and the juvenile system †¢ Youth in confinement o Growing numbers of youthRead MoreThe Juvenile Justice Process Essay1293 Words   |  6 PagesThe Juvenile Justice Process: A Breakdown of the System Dana R Kirkland Strayer University Abstract Although based on the adult criminal justice system, the juvenile justice process works differently. Juveniles can end up in court by way of arrest, truancy or for curfew violations or running away. A youth may also be referred to the juvenile court system by school officials or a parent or guardian for being continuously disobedient. The juvenile justice process involves several different stepsRead MoreJuvenile Justice And Criminal Justice1368 Words   |  6 Pages The border between juvenile justice and criminal justice did not endure the juvenile court’s first century. By the 1980s, there was general disappointment with both the means and the ends of normal juvenile justice. As with every other social repair efforts, it is difficult to say whether frustration with juvenile justice was born of erroneous concept or of wretched execution. The administering accepted by justice policy, however, was unmistakable. Juvenile courts began to adopt the sentiment andRead MoreStatus Offenders, Dependent and Neglected Youths, and Juvenile Victimizations1872 Words   |  7 PagesDependent and Neglected Youths, and Juvenile Victimizations: As they come into contact with the juvenile justice system different, delinquent youths are treated differently in this system. Notably, the jurisdiction of this system and its courts also extends to non-delinquent youths like dependent and neglected youths, and status offenders. However, non-delinquents are not only viewed differently but they are also treated separately from delinquents. In most cases, non-delinquents are regarded as childrenRead MoreJuvenile Offenders And The Criminal Justice System860 Words   |  4 PagesOnce youth is committed a crime he or she must face the criminal justice. Whether it is simple face to face contact with the police officer or trip to juvenile facility, juvenile is becoming part of the criminal justice system. For many youth it is their first contact with the justice system however for some others it is a very familiar process. So once juvenile is making face to face contact with the police officers, his life is in the hands of that officer w ho can make very important and sometimeRead MoreJuvenile vs Adult Justice System Essay989 Words   |  4 PagesAdult Justice v Juvenile Justice System There is no question that if a person is involved in any type of crime they will at some time make their way through the justice system. However, when that person is an adolescent they will go through the juvenile justice system, as an adult would go through the adult justice system. Even though the crimes of each can be of the same manner or hold the same severity the punishment results can differ. The main reason for having the two different justiceRead MoreComment On The Juvenile Justice System943 Words   |  4 Pagesincreased punitiveness in juvenile justice. When is it appropriate to have cases involving murder or rape be heard in juvenile courts, and when should they be heard in adult court? Please be specific. It has been understood by society that juveniles have been committing more serious crimes while the juvenile justice system had also become lenient with juvenile offenders. They were only getting a ‘slap on the risk’ as some members of society interpreted it, by the juvenile justice. This therefore led toRead MoreThe Juvenile Justice System Is Creating A Criminal Class758 Words   |  4 PagesSuch reactions and critiques of the juvenile justice system enforce the notion that the juvenile system is creating a criminal class. Black’s theory states that patterns of relationships between the parties involved in a case predict the styles and forms of social control, relationships between intimates would result in more informal handling of cases. Law and formal control arise when informal control is weak and unavailable. Legal control by the state develops when social control of familiesRead MoreThe Juvenile Justice System And Juveniles1663 Words   |  7 Pagesthe criminal justice system and juveniles, there have been many landmark cases that have made a significant impact on the juvenile justice system. The cases arise from dealing with certain aspects that comes from handling juveniles entering the system. Since juveniles are very different from adults they have to deal with them a certain way and a case by case basis. The court cases concerning juveniles and the decisions that have come from them is what has made what the juvenile justice system is today

International Involvement Free Essays

International Involvement Several significant events took place from 1890-1905 that involved the United States, particularly the United States becoming more involved in international affairs. The United States has been a major player in world affairs over the last two centuries. In the years following its War of Independence, its policies tended to be isolationist, but over the centuries it has transformed, mainly by trade and economic imperatives, into a superpower that exerts military, economic and cultural domination over much of the rest of the world. We will write a custom essay sample on International Involvement or any similar topic only for you Order Now This paper will outline two major events occurring from 1890-1905. Treaty of Paris 1898 The first meeting for the Treaty of Paris occurred on October 1, 1898 when officials from Spain and the United States congregated in Paris, France. The intent of the meeting was to generate an agreement, or treaty that would put an end to a war, also known as the Spanish American War. The American officials present at the meeting were the Honorable Whitelaw Reid, Senators George Gray, William Frye and William Day (Library of Congress, 2010). The outcome of the meeting resulted in Spain receiving 20 million dollars from the United States in exchange for possession of the Philippines. Along with the Philippines being placed under American control, the United States also gained power over Guam and Puerto Rico. The meetings took place over a nine day period and the Treaty of Paris was finalized and signed on December 10, 1898 (Library of Congress, 2010). Venezuelan Boundary Dispute 1895-1899 Although most may relate the Venezuelan Boundary Dispute to December 17, 1895, when the United States president at the time Grover Cleveland submitted a letter to Congress practically declaring war on Venezuela, the Dispute essentially initiated in 1841 when Venezuelan officials claimed British military was approaching Venezuelan land with intention of taking possession. The main reason for this was in 1814 Great Britain gained control of Guyana by signing a treaty with the Netherlands without a definite western boundary (Pike, 2010). In result, the British hired a man named Robert Schomburgk, who was a well-known and well respected surveyor, to clarify how far the boundary of the land that the British owned. The survey that Robert Schomburgk conducted in 1835 resulted in an additional 30,000 square miles of ownership for the British (Pike, 2010). This additional territory was later named the Schomburgk Line. However, Venezuela argued the results of the survey in 1841 and claimed that its borders extended as far east as the Essequibo River, which meant that Venezuela was claiming nearly two-thirds of British territory. Years later after gold was discovered in the Schomburgk Line by Britain, Venezuela contested the ownership of the area in 1876, and asked the United States for assistance in the matter, referring to the Monroe Doctrine as rationalization for United States involvement. The Monroe Doctrine (referring to former United States President James Monroe) stated if European countries attempt to unfairly overtake land the United States would view the action as a requirement for United States military involvement (Yale Law School, 2008). The request for United States involvement continued for the next 19 years, but received little response from the United States. The United States finally became involved in 1895 when Secretary of State Richard Olney delivered a letter to British Prime Minister Lord Salisbury, ordering the British settle in court the boundary dispute. Lord Salisbury responded by arguing that the Monroe Doctrine did not apply throughout the world. In December 1895, President Grover found the Prime Minister’s response unacceptable and requested Congressional approval for a boundary commission, which would serve as a â€Å"final deciding panel,† and requested that the United States do whatever is necessary to enforce the findings of the commission (Pike, 2010). Congress agreed to do so and rumors of War with Britain began to erupt in United States newspapers throughout the country. Once rumors of War circulated in Great Britain Lord Salisbury eventually agreed and submitted his argument of the land to the appointed panel and did not mention anything else of the Monroe Doctrine. Venezuela submitted its dispute as well with the confidence of the outcome favoring Venezuela. Then on October 3, 1899 the panel decided in favor of Great Britain and the Schomburgk Line (Pike, 2010). Although Venezuela was disappointed in the decision and did not necessarily agree with the decision, it did not appeal and, more important, revealed to the world that the United States possessed power throughout the world. Conclusion As previously stated, several significant events occurred from 1890-1905, but more important, the events that took place before and after that time have lso affected the current power status of the United States military and how the world views the United States as a nation. In addition to events such as the Treaty of Paris and the Venezuelan Boundary Dispute, the United States has shown throughout history that not only can the United States accomplish endeavors by employing military force, but it can also assist other countries in solving disputes acting a s a logically thinking and fair third party. References Library of Congress. (2010, July 15). Treaty of Paris 1898. Retrieved from http://www. loc. gov/rr/hispanic/1898/treaty. html Pike, J. (2010). Venezuela Boundary Dispute, 1895-1899. Retrieved from http://www. globalsecurity. org/military/ops/venezuela1895. htm Yale Law School. (2008). Monroe Doctrine; December 2 1823. Retrieved from http://avalon. law. yale. edu/19th_century/monroe. asp How to cite International Involvement, Papers

Memoirs of a Geisha Review Essay Example

Memoirs of a Geisha Review Paper Essay on Memoirs of a Geisha Im terribly disliked this conversation. I do not see why I should be in front of you in some way justified. Note that you I have nothing accused, and you got me as not only humiliated already: and arrogant, I without measure (to the point that it can be seen in every comment and every review and one of us is a maximalist;? )), and an upstart (I have a lot, and Im stunned by the status activist), intolerant (calls for respect for other users), maximalist, even rude to criticize. Well, the last time 1) I have every right to express their point of view. And it does not have the right to speak. (This is, in my opinion, is suitable as a reply and your thoughts: Who is she to put the assessment in such a peremptory tone What does it represent why she believes that she is allowed I am a user of the site and, like anyone else here, I can express my opinion. whats the difference, Im an activist, or I go once in five years?) I wrote their comments under the bad reviews and write why it is bad. You will argue with the fact that the bad review? No. Why have you brought this conversation? To bad I did not write under the bad reviews? Apparently so. After all, if I write that such a review I liked it it is no one satisfactory! And why do I write praise and do not write comments? ? Why would such a filter We will write a custom essay sample on Memoirs of a Geisha Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Memoirs of a Geisha Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Memoirs of a Geisha Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer 2) As for the fact that you think Im not the least express criticism, if it is done: in my opinion, you are not in the subject. And we have not seen examples of harsh criticism. 3) Note on their unconstructive remarks, I do not accept. Quotation, please! Unfounded criticism I myself never allow -. Strew ashes, if somewhere it still broke 4) As for the fact that the site for the exchange of views. Yes, of course, in much. But the main form of discussion reviews and comments. Although according to the canons reviews Nobody writes, yet we would like them to be literate and interesting. To have something out of it for themselves learn that there is something to discuss. If not normal reviews, the site just become a grandmother with seeds gatherings, as you put it below. Who cares to read review John Doe that The Book class all read, because full of flies, although I initially thought that complete garbage. And what about the person who is looking for something to read? The retelling of his offer, the spoiler is arranged, so to speak. That opinion, unwarranted served if it is a guarantee that a book is good or bad Talk Review -. Standard practice on the site, no its up to you not to interfere. I do not know how to discuss books without discussing the reviews! Thats just to bring the discussion to the product, it is necessary to review at least gave some material about the book. Under bad, is not meaningful review about a book you will not talk. Because she does not push. It does not answer the question, to read or not. Generally does nothing! Why should there be such a review? In order for the people themselves immortalized their opinions about the book? Let him do it in the LJ, on his personal territory! And then everything the overall! And the reviews are not written for himself (as a rule), and for all! So, to all of it was interesting, and there is a struggle for quality. It is a pity that in this you are not willing to participate.