Thursday, November 28, 2019

Adam Walsh Act Essay Example

Adam Walsh Act Essay Example Adam Walsh Act Essay Adam Walsh Act Essay Thousands of people are sexually abused every year, however not all sex offenders are ever apprehended. There really is no description as to who is a sex offender as they can seem normal and be highly intelligent. They have been known to premeditate and to use deceptive techniques to get what they want (Cross-Tower, 2008). Many believe that sexual offenders should be monitored for the rest of their lives because statistics show that hey are likely to repeat their first offense and to ensure the safety of society. The Adam Walsh Child Protection and Safety Act requires that before a sex offender Is released from prison or three days after being release from nonpoisonous sentence that they must be registered in the sex offender registration. They must provide their name, USN, address, name and address of their employer if they have one, if they are a student they need to provide the school and address, and license plate along with car description (Public law 2006). At the same time, the state must also provide into the registry the description of the sex offender, the offense, criminal history, fingerprints, and current photograph (Public law 2006). The law also requires a classification of sex offenders which is broken down into three categories: Tier l, Tier II, and Tier Ill. Each tier Is setup with different requirements. For example, Tier Ill, sex offenders In this tier are required to update their whereabouts every three months along with malignantly life registration. Tier II ex offenders must update their whereabouts every SIX months and be registered In the database for 25 years. And the less severe Tier I only update their whereabouts once a year but must be registered for 15 years. Sex offenders in Tier II are people who have been imprisoned for more then a year and who have committed the following offenses: sex trafficking; coercion and enticement; transportation with intent to engage in criminal sexual activity; abusive sexual contact (Public law 109? 2006).

Monday, November 25, 2019

How to Get a Job as an Online High School Teacher

How to Get a Job as an Online High School Teacher Teaching online high school courses can be a full-time profession or a rewarding way to supplement your income. New online high schools start up every year, and qualified online teachers are in high demand. Typically, virtual instructors are expected to monitor students in several courses, grade assignments, interact through message boards or emails, and be available when students have questions. The curriculum for online high school classes is often pre-determined by the school and online teachers are generally expected to follow a particular syllabus for each course. How to Qualify for Positions Teaching High School Online Online charter schools are publicly funded and must follow some state and federal guidelines. Generally, online teachers hired by charter schools must have a valid teaching credential for the state the school is based in. Private and college-sponsored schools have more flexibility in hiring, but they also tend to favor online teachers with credentials or an impressive work history. The best online high school teachers usually have classroom teaching experience, technological competency, and excellent written communication skills. Where to Find Online High School Teaching Jobs If you want to become an online high school teacher, start by looking for jobs locally. Contact the online charter schools in your district to see if they are hiring, send in your resume, and be prepared for an in-person interview.Next, take a look at online high schools that enroll students in multiple states. Large online charter and private schools generally accept applications through the internet. Programs such as K12 and Connections Academy have streamlined application processes. Finally, try applying individually to smaller online private schools throughout the nation. Some of these programs offer online job information; others require potential employees to research the appropriate contact info and make a few phone calls. How to Stand Out as a Potential Online High School Teacher Your application probably won’t be the only one sitting on the principal’s desk. Stand out from the crowd by emphasizing your teaching experience and your ability to work in an online environment.During the application process, keep deadlines and respond to phone calls and emails promptly. Keep emails professional but not overly formal or stuffy. Resolve any technical problems (such as email attachment issues or difficulty accessing online application materials) quickly. Since ​online teaching jobs are all about virtual communication, consider every interaction with the school an opportunity to prove yourself.

Thursday, November 21, 2019

History of the English Cutlery Essay Example | Topics and Well Written Essays - 750 words

History of the English Cutlery - Essay Example Forks do not have a very ancient history like knives or spoons as it is considered to be a very recent invention. It is very surprising that we humans are still in the process of learning how to utilize this modern eating utensil. To my utter surprise, it is also said that the way we use a fork can also tell a lot about our personality and major concerns of life such as religion, manliness, inner traits etc. Knives and spoons are the initial forms of eating utensils. Knives that resembled hand-held ax were used in olden times to scrape off meat whereas spoons were used to dig in liquids. The first use of forks is seen during the Greek empire that used large forks to take food out of the big boiling pots. It should be noted here that in the Greek empire the use of fork was limited and it did not make its way to their dining table and most people preferred to use their hands, spoons or knives. The reason why folks were not used by the people was that of the shape it had and the name it bore. A fork resembles a devils pitchfork from which it also derived its name. The association of the fork with the devil has bought a sense of hatred amongst the people. A Venetian princess used to use forks to eat as she didn’t like to eat through her hands. When the princess died plague many people considered it to be a reprimand by the almighty for her act of arrogance. Such myths were always associated with the use of forks in olden times. During the middle ages, the trend changed when from Byzantine the use of cutlery traveled to France. In France, there was a monarch who had a brutal image amongst the people. She was fond of food, therefore, arranged such gatherings where food was always under the limelight. In these gatherings, spoons and knives were used for the feast but on some occasions, forks were also used to have sweets. Such occasions were quite seldom.

Wednesday, November 20, 2019

Policy Essay Example | Topics and Well Written Essays - 2000 words

Policy - Essay Example Policies in academic institutions remain to be central in molding students through providing them with responsible conducts essential for life. However, formulating academic policies that foster pleasant interaction between policy makers and students, faculty, staff and administrators has continued to face challenges hence hindering the achievement of educators’ mission. This paper shall candidly and comprehensively review the library policies used by Arizona State University (ASU), to ascertain the practicability of such policies and recommend necessary policy-changes that can help transform the university. Arizona University formulated rule and regulation that are fundamental in guiding students toward accessing and utilizing the library resource. The library is known as a treasure-house of knowledge acquisition as it helps in stimulating the mind with its resourceful material. The library can be unpleasant to unlucky learners who cannot afford to buy the book or other reading material to enhance their learning (Doyle p. 148). Therefore, the school libraries should be easily accessible and do not exploit its users through heavy fines and inconvenient policies. ASU library is vital toward the student and the staff in general. Therefore, the policy guiding the library must be made in their interest. However, the university has continued to formulate exploitive policies towards this vital department that act like the source of knowledge. Arizona State University has made and implemented these policies: student must pay for the books they require for their studies; student, staff and facu lty also must be charges an overdue of $10.00 cost of learning and teaching material replacement after 90 day (Melnick p. 179). The university also implements other fines such as recall for the material at $10, reserves cost at $1.00 per hour to $20 per item, community card holder at $10.00 billing fees and should

Monday, November 18, 2019

MALARIA Research Paper Example | Topics and Well Written Essays - 1000 words

MALARIA - Research Paper Example The disease was first effectively managed from the early 17th Century following the understanding of Quinine by Jesuit Priests through their interaction with indigenous tribes of the New World. The cause of the disease remained unknown until 1880. That year Charles Louis Alphonse Laveran, a French army surgeon, became the first person to propose that the disease was caused by organisms he had observed in malaria-infected blood. Further discoveries over the course of the Century yielded that the disease were caused by Plasmodium species and was spread by mosquitoes. During that period, other antimalarial treatments were discovered. From the 1960s onwards, there were global eradication efforts conducted mainly through outdoor and indoor spraying of insecticides by DDT and other insecticides to control mosquitoes and other pests. However, this had detrimental effects on the environment primarily on the climate and on local fauna and increased resistance from insecticides by mosquitoes. In 2014, the World Health Organization (WHO) estimated that 1.2 billion people are at high risk of malaria. They also estimated that from 198 million malaria cases worldwide, the disease caused an estimated 584,000 deaths with Ninety percent of the deaths occurring in Africa (World Health Organization, 2014). Malaria in humans is caused by four Protozoan species: Plasmodium vivax, Plasmodium malariae, Plasmodium ovale and Plasmodium falciparum. Of the four species, the most common forms are P. vivax and P. falciparum with P. falciparum being the most deadly. P. falciparum contributes to 75% of reported cases and deaths and P. vivax around 20%. P. knowlesi causes malaria in primates. An infected female Anopheles mosquito is the primary host for the disease. On fertilization, female mosquitoes feed on blood to support egg development. By feeding on an infected person, the secondary host, the female mosquito is

Friday, November 15, 2019

Role of Triage in Emergency Care

Role of Triage in Emergency Care OVERVIEW There is a consensus on the fact that there has been a significant increase in traffic to emergency rooms which has resulted in rapidly growing demand on the limited resources of emergency rooms worldwide. In 1980, there were more than 82 million visit to hospital Emergency rooms in the USA, and a large percentage were for non urgent medical conditions. One reason for this trend is that people know they can get medical attention immediately in the Emergency departments without the long wait for appointments. This has led to very high load of patients visit to emergency rooms; a pattern that holds true globally for non urgent patient visits to most pediatric emergency rooms ( Wilson FO etal ). Another reason given for overcrowding is the increase rural to urban migration of populations and also the increase in the standard of care provided in most emergency room. However, the resulting increase in demand for emergency medical care has not been matched by availability of resources in most healthcare systems and hence there is need for emergency room managers to adopt or develop tools and protocols to prioritize the urgency and acuity of conditions to allocate appropriate level of care. If this is not done, then there is a likelihood that very ill patients may end up waiting long hours with increased risk of morbidity and some may even die as a result of delay in life saving treatment or interventions. (Mirjam van veen and Harriette a Moll) DEFINITION Triage as a term actually originates from the French verb ‘trier’, which translates ‘to sort’. It was originally used by the military as a concept to deal with large number of casualties managed by very few human and material resources. The decision is made to prioritize who had the best chance of survival, and what level of care for the survivors (LE Slay,WG Rislan ) In the last 20 years, this concept has become applicable in response to the increasing traffic to the emergency rooms and several tools have been developed to assess, prioritize and sort patients coming to the emergency department according to a determined severity of illness or injury, the level of suffering, the likely prognosis and need for intervention with available resources. It must be clarified, that triage in itself is not a diagnostic tool but a systematically structured and methodical way of assessing the severity of patients conditions to determine their clinical priorities using their presenting symptoms and measurable physiological parameters and it aims to optimize the provision of emergency care efficiently to produce the best outcome for every patient by channeling patients to appropriate level and quality of care. Hence the factors that are considered are severity of illness, level of urgency and impact of life saving intervention to reduce mortality, as well as level of care needed baring limited resources. These factors can be measured objectively using mortality rate, number of admissions to critical care unit and wards as well as patients referred to low urgency care services. The development of different assessment scoring systems and other pediatric-specific scales were attempts to have an objective approach to the assessment of severity acuity and to help predict illness or injury outcomes in children. Hence the Pediatric Glasgow Coma Scale, the Yale Observation Scale, the Pediatric Trauma Score, the PRISM score (Pediatric Risk of Mortality score), different pain scales and various respiratory severity scoring systems were all attempts to provide common nomenclature and standardize the assessment of severity of sickness and to predict prognosis in the pediatric age group. However in practice the emergency room triage nurse needs a comprehensive, simple and efficient acuity stratificaton of the severity, to make rapid and effective decisions(Dieckmann, 2002). These led to development of various decision making tools or triage scales. Gerber Zimmerman and McNair had tried to described triage as simply a rating of patients clinical urgency, that eventually evolved into 2 levels of urgent, and non urgent. Triage scales are hence developed with the aim to rapidly identify very urgent cases requiring immediate or urgent life saving treatment, or efficiently direct them to appropriate level of care, and the variations of triage scales are due to functional differences in service provision as well as availability of resources. Though there is no fail proof scale of stratification because invariably cultural adaptations, level of sophistication of data collection, personal and environmental factors do influence every measurement tool. (Christ et al 2010 as per Azeredo et al) Fittzgerald in his doctoral thesis in 1989, showed it is actually a far more complex decision making tool using defined criteria to classify patients as either a simple 3, 4 or 5 level urgency scale, pioneering the objective distinction of the earlier urgency scales(Fitzgerald GT. Emergency department triage. Department of Medicine. Queensland, Australia: University of Queensland, 1989.) TRIAGE IN CHILDREN Laskowski-Jones and Salati (2000) had strongly elucidated that children should not be seen as little adults and must not be treated as such by healthcare professionals. This is because of obvious anatomical, physiological, as well as emotional and intellectual differences between children and adults which directly alter the presentation of this group of patients in the emergency department[Laskowski-Jones]. This makes it inapplicable to use adult triage criteria for children of pediatric age due to unique clinic-pathological characteristics that creates the potential for sudden and rapid deterioration when children present to the Emergency department, creating an absolute necesity for very accurate focused triage. There are evidence that in mixed emergency departments, adults tend to ‘be seen earlier than equally ill children resulting in unacceptable waiting times for very ill children, therefore again creating a need for specific pediatric triage scales.(Cain P, Waldrop RD, Jones J; improved pediatric patient flow in a general emergency department by altering triage criteria. Acad Emerg Med 3:65-71, 1996) The UKs Manchester Triage Systems MTS, the USAs Emergency Severity Index ESI, the Canadian Triage and Acuity Scale CTAS, and the Australian(National ) Triage Scale, the most widely used triage scales and by consensus the most studied were all eventually modified to contain specific parts for children, are all also made of five level of triage urgencies (van Veen and Moll) It is important to note that none of them had been developed ‘de novo’ specifically for the pediatric age group. The initial three-level systems which predominated in the United States typically used either levels 1, 2, and 3 or emergent–urgent–nonurgent classification assignments. These methods are driven by the underlying question, ‘‘How long can patients wait?’’ When evaluated, these three-level methods had been found to be highly unreliable and have been criticized because they lack validation with clinical outcomes. (Travers DA, Waller AE, Bowling JM, Flowers D,) The 5-level scales provided a better discriminated tool for pediatric patient triage in emergency department, which was shown to be more efficient in predicting resources utilizations including hospital admissions, length of stay, and resourse utilization.(Chang, Hsu) Though 5-level scales are similar to the adults, but they have pediatric clinic-pathological parameters. Level 1 is critical, level 2 is emergent, level 3 is urgent, level 4 is non-urgent and level 5 is fast track.(O’Neil KA, Molczan K: Pediatric triage: a tier, 5-level system in the United States. Pediatr Emerg Care 19:285-290, 2003) The MTS is a five-level scale that incorporates the UK National Triage Scale. It was developed in 1996 and then revised ten years later after thorough input by various experts.(Mackway-Jones et al 2006). Though it was designed predominantly for adults, the MTS eventually adapted six flow charts that relate specifically to children and hence in 2007 it became endorsed by the Royal College of Pediatrics and Child Health. WHAT IS ALREADY KNOWN? What is already established is that the true functional capability of an effective triage system is determined by their reliability and validity. Reliability is measured as both inter rater reliability which is a measure of the agreement between two or more separate individuals using the same scale. It is an affirmation that the agreement is beyond that presented by chance, and this can be statistically determined and analyzed using Cohen’s kappa k. Where K is equal to 1 if the raters are in perfect agreement, and K is equal to 0 if their agreement is absolutely by chance. So k is rated from 0.1-0.9 ( as poor to excellent agreement). Intra rater reliability measures the agreement of one triage rater agreeing on the same level of urgency when two different cases of same scenario present on separate occasions. Validity is a determination that a conclusion of a true urgency is in fact the true value for every clinical presentation. Whereas internal validity measures of the ability of the triage system to predict this true urgency within a system, external validity measures its reproducibility in a different setting. Hence experts agree that any triage has to have these characteristics to be seen as a legitimate tool of assessment and to perform as intended [Fernandez C]. It is also known that the four major triage scales, the MTS, ESI, CTAS, and ATS have been studied and validated for both internal validity and reliability in adults and have been used in ED triage by different health institutions. Some studies reported that the MTS and the Pediatric-CTAS both seem to be valid and reliable to triage children in pediatric emergency care. (Ma, Gafni and Goldman)This has been confirmed by van Veen and Moll in another review in 2009. The CTAS enables rapid stratification of patients at the time of first encounter based on 5 levels of urgency (risk and symptom severity). Each level has a targeted waiting period until the patient is examined by the doctor or to be reassessed again in the triage area to consider the possibility of waiting longer or to be seen immediately by the physician. The standards recommended by CTAS is that waiting time is 0 minutes for level 1, 15 minutes for level 2, 30 minutes for level 3, 60 minutes for level 4, and 120 minutes for level 5. (Murray M, Bullard M, Grafstein E; CTAS National Working Group; CEDIS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale implementation guidelines. CJEM 2004, 6: 421-427.)

Wednesday, November 13, 2019

Social Concerns in the Romantic Period :: essays research papers

In the Romantic period, many authors make references to different social concerns. This enabled the authors to hint towards different concerns in their writing, but not come directly out and state their concerns. Three great examples of authors like this include: William Blake, Robert Burns, and Anna Laetitia Barbauld. Each of these authors had unique concerns that they were able to get across in their own way.   Ã‚  Ã‚  Ã‚  Ã‚  Blake wrote two poems with entitled â€Å"Chimney Sweeper.† One version was found in his ‘Songs of Innocence’ and the other was found in ‘Songs of Experience.’ Although the first was told with a child almost in mind, and the second was told in a darker, colder point-of-view, they both contain the same concern. This concern is having very young children working as chimney sweepers. Blake talks about how you boys are almost forced into this career   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"When my mother died I was very young,   Ã‚  Ã‚  Ã‚  Ã‚  And my father sold me while yet my tongue,   Ã‚  Ã‚  Ã‚  Ã‚  Could scarcely cry â€Å"’weep! ‘weep! ‘weep! ‘weep!   Ã‚  Ã‚  Ã‚  Ã‚  So your chimney’s I sweep and in soot I sleep† This was a horrible was to live, yet hundreds and hundreds of little children do this work on a daily basis.   Ã‚  Ã‚  Ã‚  Ã‚  Another author that alluded to social concerns in his writing is Robert Burns. His poem, â€Å"To a Mouse† makes references to different classes and the effects of social order on them. The poem tells a simple story of a mouse who builds a house to with-hold winter, only to have it knocked down by a man with his plow. Now although its house is gone, the mouse doesn’t seem horribly bothered by it. In the more complex story, the mouse represents the lower class, and the former with the plow represents the upper class. To the lower class material possessions do not surround their life as they do in the lives of the upper class.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"The Best-laid schemes o’ mice an’ men   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Gong aft a-gley,   Ã‚  Ã‚  Ã‚  Ã‚  An’ lea’ us naught but grief an’ pain,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  For promised Joy.† Burns starts out life in the lower class, but due to the high success of his poems he ends up more in the middle class. This poem is a way for him to show how he feels life was better when he was in the lower class, because he didn’t have to worry about the things he worries about in the upper middle class.   Ã‚  Ã‚  Ã‚  Ã‚  Barbauld tried to get across some of the responsibilities of women in the nineteenth century through her poem, ‘Washing-Day.