Letter to Government Essay Example for Free

Letter to Government Essay I am writing to you on behalf of your article in this weeks paper I think the curfew is a fantastic idea I am in full support of the Council proposing this great curfew. Where I live under 16s are taking over my neighbourhood me and the other residents in the area are feeling threatend by these gangs of yobs hanging around our area. All they do is go around drinking and creating uneeded noise which I and the rest of our neighbourhood would agree on. While we adults are staying indoors scared of going out they are out commiting crimes and going round doing under age drinking and under age sex and if the parents of these children could see what I see nearly every night then Im sure they would be in support with me. As I said before I am scared to go out of my house to go to the shops or to the pub or anywhere! because I am scared of getting jumped or mugged or even killed. Also this curfew would be a good idea because it would give new employees in the police force good experience of dealing with these situations so they are confident and experienced when it comes to a really big proper crime. Also if this curfew goes through then once all of the under 16s are indoors then it will make life easier for the police patrolling to catch the proper criminals because they wont have to put up with the cheek and disrespect that they recieve off the under 16s, also the under 16s need to respect the police force and realise that they are trying to protect them but they are just trying to show off in front of friends.

Iron Deficiency Anemia And Treatment Health Essay

Iron Deficiency Anemia And Treatment Health Essay This paper explores five sources that report what iron-deficiency anemia is along with how to treat the ailment. More specifically this paper looks at what role vegetables play in treatment of iron-deficiency anemia. All sources remain consistent in the role and how helpful vegetables are in fighting iron-deficiency anemia. Iron-deficiency anemia treatment from Heart, Lung, and Blood institute will provide that background of what iron-deficiency anemia is and how to treat it. Ross (2002), Johnson and Shinde (2010) all cover the role of food and more specifically the role of vegetables in treatment of iron-deficiency anemia. What is iron- deficiency anemia? According to Iron-deficiency anemia treatment from Heart, Lung, and Blood institute (2010); iron-deficiency anemia is the most prevalent type of anemia on earth. This type makes red blood cells (RBCs) that are below average size, thus the term microcytic is used when referring to them. RBCs are not only smaller in size and amount, but contain a below average amount of hemoglobin, which makes cells pale. Because RBCs are needed to transport oxygen throughout the body, anemia results in lower amounts of oxygen reaching the cells and tissues, disturbing their function. The distinction between iron-deficiency and anemia is important. They often go hand in hand, but people can be iron deficient without being anemic. Iron-deficiency is a reduction of iron storage while anemia refers to the reduction of iron in the RBCs. These reduced RBCs are not able to transport enough oxygen from the lungs to the tissues, causing a shortage in energy being released from the cells and every cell in the body will feel the effect. What causes iron-deficiency anemia? According to Iron-deficiency anemia treatment from Heart, Lung, and Blood institute (2010); iron-deficiency anemia may be caused by the following: diets low in iron due to iron being obtained from foods in our diet. A person unable to have a balanced high iron diet may suffer from some extent of iron-deficiency anemia. An increased iron requirement as well as an increased red blood cell production is required when the body is going through changes such as growth spurts in children and adolescents. Gastrointestinal tract abnormalities, malabsorption of iron is common after some forms of gastrointestinal surgeries. Most of the iron taken in by foods is absorbed in the upper small intestine. Any abnormalities in the gastrointestinal (GI) tract could affect iron intake and result in iron-deficiency anemia. Loss of blood can cause a decrease of iron and result in iron-deficiency anemia. Sources of blood loss may include GI bleeding, menstrual bleeding, or injury. What are the symptoms of iron-deficiency anemia? According to Iron-deficiency anemia treatment from Heart, Lung, and Blood institute (2010), the following are the most common symptoms of iron-deficiency anemia: abnormal paleness or lack of color of the skin, irritability, lack of energy, increased heart rate (tachycardia), sore or swollen tongue, enlarged spleen. The symptoms of iron-deficiency anemia may resemble other blood conditions or medical problems. How is iron-deficiency anemia diagnosed? According to Iron-deficiency anemia treatment from Heart, Lung, and Blood institute(2010), iron-deficiency anemia can be found from general findings on a complete medical history and a physical, like complaints of tiring easily, abnormal paleness or lack of color of the skin, or a fast heartbeat (tachycardia). Iron-deficiency anemia is typically found during a medical examination via a blood test that measures the how much hemoglobin (amount of RBCs) present, as well as the amount of iron in the blood. According to Iron-deficiency anemia treatment from Heart, Lung, and Blood institute (2010), treatment for iron-deficiency anemia: certain treatment for iron-deficiency anemia will be determined by your doctor based on: age, overall health, family and personal medical history, severity of the anemia, cause of the anemia, your opinion or preference. Iron supplements are just one of the many ways to treat iron-deficiency anemia. Supplements can be taken during the duration of several months to raise iron levels in the blood. Supplements may cause agitation of the stomach along with discoloration of bowel movements. Supplements should be consumed on an empty stomach, or with orange juice, to raise absorption levels. According to Ross (2002), other treatments include an iron-rich diet. Eating a diet with iron-rich foods can help treat iron-deficiency anemia. Good sources of iron include the following: meats beef, pork, lamb, liver, and other organ meats also, poultry chicken, duck, turkey, liver especially dark meat. Fish shellfish, including clams, mussels, and oysters, sardines, anchovies. Now letà ¢Ã¢â€š ¬Ã¢â€ž ¢s look at what vegetables are good sources of iron. For example, leafy greens of the cabbage family like broccoli, kale, turnip greens, and collards. Also legumes, such as lima beans and green peas; dry beans and peas, such as pinto beans, black-eyed peas, and canned baked beans are good way to get some iron in your diet. And then there are the grains that are high in iron content such as yeast-leavened whole-wheat bread and rolls, iron-enriched white bread, pasta, rice, and cereals. With a vast amount of veggies and fruits around, high iron foods for vegans is abundant. According to Shinde(2010), one should eat the following high iron foods to maintain a healthy life. Food as follows : Freshly baked potato, Cooked Spinach, Green leafy vegetables, Beets, Lima beans, Peas, Broccoli, Turnip greens, Asparagus, Green beans, cooked, Tomato juice, Pumpkin, cooked, Swiss Chard, Canned sweet potatoes, Cooked Bok Choy. Those are mainly just the beans and vegetables that have high iron content to aid in ones high iron diet. Here is a list of high iron fruit: dates, gooseberries, mangoes, apples, papaya, banana, grapes, jack fruit and muskmelon. Since iron from vegetables sources are poorly absorbed by the body, it is important for vegans to take in more amounts of high iron foods and high iron vegetables. According to Johnson (2010), one can increase how fast the iron is absorbed by eating foods high in vitamin C. For optimal iron absorption in these sources in the body, one should ingest a good amount of vitamin C in the eating plan. Vitamin C increases the rate of absorption of iron in the body, so that its potential in the body is reached. Discussion Instead of taking iron supplements, one can get iron through foods high in iron. High iron vegetables and fruits remain the healthiest way to take in iron. All vegetables are packed full of some nutrients, but certain vegetables are specially known to be high in iron. There are plenty of high iron foods for vegans since there are lot vegetables high in iron. Certain vegetables have iron that is easily absorbed. These types of vegetables are very helpful people with iron-deficiency anemia. Knowing which foods are high in iron is half the battle.

King Richard Essay -- History England King Richard Essays

King Richard My report is on Richard I, byname Richard the Lion-Hearted. He was born September 8, 1157 in Oxford, England. He died on April 6, 1199 in Chalus, England. His knightly manner and his prowess in the Third Crusade(1189-92) made him a popular king in his own time, as well as the hero of countless romantic legends. He has been viewed less kindly by more recent historians and scholars. Richard was the third son of Henry II and Eleanor of Aquitaine, and he was given the duchy of Aquitaine, his mother’s inheritance, at the age of 11 and was enthroned as duke at Poitiers in 1172. Richard possessed precocious political and military ability, he won fame for his knightly prowess, and quickly learned how to control the turbulent aristocracy of Poitou and Gascony. Like all Henry II’s legitimate sons, Richard had no filial piety, foresight, or sense of responsibility. He joined his brothers in the great rebellion(1173-74)against his father, who invaded Aquistaine twice before Richard submitted and received pardon. Thereafter, Richard was occupied with suppressing baronial revolts in his own duchy. His harshness infuriated the Gascons, who revolted in 1183 and called in the help of the â€Å"Young King† Henry and his brother, Geoffrey of Brittany, in an effort to drive Richard from his duchy altogether. Alarmed at the threatened disintegration of his empire, Henry II brought the feudal host of his continental lands to Richard’s aid, but the younger Henry died suddenly(June 11, 1183)and the uprising collapsed. Richard was now heir to England, and to Normandy and Anjou, and his father wished him to yield Aquitaine to his youngest brother, John. But Richard, a true southerner, would not surrender the duchy in which he had grown up. Richard received Normandy on July 20, and the English throne on September 30. Richard, unlike Philip, had only one ambition, to lead the crusade prompted by Saladin’s capture of Jerusalem in 1187. He had no conception of planning for the future of the English monarchy, and put up everything for sale to buy arms for the crusade. Yet he had not become king to preside over the dismemberment of the Angevin Empire. He broke with Philip and didn’t neglect Angevin defenses on the Continent. Open war was averted only because Philip also took the cross. Richard dipped deep into his father’s treasure and sold sherif... ...of Hubert Walter, justifier and archbishop of Canterbury. It was Richard’s impetuosity that brought him to his death at the early age of forty-two. The Vicomte of Limoges refused to hand over a hoard of gold unearthed by a local peasant. Richard laid siege to his castle of Chalus and in an unlucky moment was wounded. He died in 1199. He was buried in the abbey church of Fontevrault, where Henry II and Queen Eleanor are also buried, and his effigy is still preserved there. Richard was a thoroughgoing Angevin, irresponsible and hot-tempered, possessed of tremendous energy, and capable of great cruelty. He was more accomplished than most of his family, a soldier of consummate ability, a skillful politician, and capable of inspiring loyal service. He was a lyrical poet of considerable power and the hero of troubadours. He was both an honored and despised man. Works Cited: A History of the Crusades; Vol. 3; 1954 Richard the Lion Heart; K. Norgate; 1969 Itinerary of King Richard the First; L.Landon; 1935 Loss of Normandy 1189-1204; 2nd Edition; 1961 Eleanor of Aquitaine and the Four Kings; A. Kelly; 1950 Encyclopedia Britannica Online; www.eb.com; 1999

India: Land of Diversity Essay

The western culture has always been known for its progressive nature. It has given its followers a lot of freedom and openness. But there are times when the freedom gets on to you. This is when one starts feeling the void and the emptiness and starts craving for some sort of support or someone to look upto as a guiding force. Since many decades, the westerners have been looking towards India to save their fizzing hearts and morality by its spiritualism. This is because India is the land of sages and great thinks and reformers who have reached far and wide spreading the true message of god. Their sayings and preaches have been guiding all of us since ages to listen to the voice inside us and lead a meaningful life. The growing impetus of spiritualism in the world was born in India and it has been the flag bearer of all this since ages. India is a land where many different religions and practices live together in complete conglomerate, side by side. India has always been open to visitors. There has been an old famous saying in India which says: â€Å"Atithi Devo Bhava† which literally translates to say that guest is god. The Indians have lived by this thought since the very beginning and still practice it. This is the reason why when any foreigner came to India (with whatever motives in mind, India was there with arms wide open to welcome them. It started with the Aryans, then came the Persians, Mughals, British French and many more. All were welcomed in India with equal gratitude. The humbleness and hospitality has also been prevalent till now. It welcomed the Dalai Lama when he escaped from Tibet after the Chinese agression.This is another example of the nobility that India has been Famous for. India and its have also been famous for helping out others. It helped Bangladesh to win freedom and independence from the erstwhile Pakistan. The practices of helpfulness and aid have been carried out like a tradition since ages, transferred from one generation to another. India has become the land where cultures and thoughts intermingle to provide an altogether new way of living to the people. Since being a home to people from different cultures, the residents have learned how to respect all the various cultures and traditions. Come to India-the only country in the world  where you shall find a Hindu temple, a church and a mosque adjoining each other and followers of any of them visiting each. This is the best part of the underlying Indian thought – tolerance and respect for everyone. So whatever be your culture, beliefs, religious practice, India can surely make you feel at home. India is truly a land of great cultural heritage and enriched traditions. The influence of various cultures on each other is evident from the architecture styles, language as well as the practices in various parts of the country. This innate mixture of features of various cultures and traditions gives India the place and the reputation of being the most tolerant and patient country in the world.

What is sociology, anyway? Why bother to study it?

The aspect of sociology mainly relates to the study of the human behavior, existence, and individual characteristics based on the collective perspective of the society. The importance of this field in science generally manifest in many ways varying from the views and interpretation of the person involved. In reply to the read article regarding a personal reflection towards sociology, this writer clearly understands that the author of the said article greatly appreciates the value of the aspect of sociology with its manifestation towards the said author’s life. Read also  Sociology and Social Integration. Parts of his realization are greatly inclined towards the aid of sociology for understanding the human behavior in the society and discovering the individual characteristics of each person in a collective perspective. By the inclusion of the sociological concepts, the author of the article was able to understand the individual differences in terms characteristics, behavior, intellect, and others relevant to his successful merge in his society. In agreement to the ideas presented of the author of the read article, indeed, the aspect of sociology explains that the individual differences of each person is rooted on the influence of numerous factors in the person’s development. Realizing this fact, it is important to acknowledge these factors in understanding the personal characteristics of each individual such as his or her opinion, values, perspective, behavior, and actions. Among these influential factors are the concepts of family background and culture wherein the former has changed significant in the present. Other than the traditional type of the family unit, new structure have already emerged in the present namely the extended and nuclear or modern type which also have significant influences in the personality development of the person involved in these family unit. The dominant culture existing inside the family also becomes a fundamental factor in the individual characteristic thus, should also be considered in the sociological analysis and understanding. Indeed, the factors of family background and culture significantly affect the development of individual personality and characteristics relative to understanding the differences of each person inside the collective group of their respective society. Being part of the broad field of sociology, indeed, it is important to consider this scientific field towards achieving development in the aspect of understanding social relationship and individual differences inside the organization of human society.

Organizational Change Plan Essay

Electronic Health Record or EHR, is an electronic record of patient health information that includes demographics, progress notes, medications, vital signs, past medical history, and any other pertinent data that relates to a patient’s health record (â€Å"Himss†, 2012-2013). Electronic Health Records make clinical workflow more effective and efficient as well as provides monetary incentives from Medicare and Medicaid for those organizations that implement the use of these electronic records. CPOE, also known as Computerized Physician Order Entry, is a system utilized by physicians to enter in patient orders electronically. It is a safer and more effective way for doctors to enter orders for their patients and by using it, an organization will receive monetary benefits from Medicare and Medicaid. Change is important to any organization in order for that business to keep up with its competitors and to increase as well as improve the products and services that it provides to its customers. Technology plays a big role in the changes of an organization because technology is becoming more and more of a means of communication; whether it be in the form of communicating with cell phones to a physician communicating what orders he wants for a patient by using CPOE. The organization that I work for is in need of implementing Computerized Physician Order Entry in order to attest to and meet the requirements for Stage 2 for Meaningful Use. The Centers for Medicare & Medicaid Services has an EHR Incentive program that provides organizations monetary incentives for meeting certain requirements through the use of electronic health records. Their Meaningful Use requirements are split up into stages and in order to meet Stage 2, organizations have to implement certain requirements with the first being to use Computerized Physician Order Entry (Woodcock, 2010). Organizational and individual barriers such as lack of involvement from employees, lack of communication, fear and stress can cause issues when it comes to implementing a change such as CPOE. According to Barriers To Change (2007), â€Å"Involving employees as soon as possible in the change process and letting them create as much of the change as possible, is key to a successful change effort. â€Å" The organization that I work for has tried to involve the physicians in the building process of CPOE from the beginning. We have asked their input on what order sets would be good for them to have to make ordering easier and have let them practice in the Meditech Test environment by entering orders on fake patients; we have gotten really good feedback from the doctors that chose to come and it has helped with the change process. Inadequate communication is often the reason behind barriers to change and people being receptive to the change. Many people in the hospital did not know what CPOE was; communicating with them from the beginning about the system and what it actually is may have helped with the introduction of the system to the organization. Our hospital goes LIVE with CPOE September 24, 2013 and although administration was asked many months prior to this to inform the hospital of what was coming, most employees knew nothing about it until they came to the training classes that were held to show them how orders would be entered when we went up with CPOE. When it comes to change, certain details need to be shared with employees because they need to know why this change is occurring, what this change means for the organization itself, and what the change means for them and how it will affect their job(s). People often fear change, especially if they are not a part of it or aware of it. If employees understand why the change is occurring then they are more likely to accept it. CPOE can be a big change for an organization and can cause fear. Explain to employees what CPOE is, how it will improve patient safety in terms of legibility, and how it will create a better workflow for physicians and staff. According to Borkowski (2005), stress can certainly be increased due to change; it can create a physical as well as a psychological response in the work force. CPOE can put a lot of stress on physicians and supporting staff because their whole workflow has to change; learning a new routine of working needs encouragement and support from everyone. Factors that may influence the change could include content issues, process issues, contextual issues, and individual differences. Content issues are specific to each organization and refer to the change that is being implemented, in this case CPOE. These content issues can occur in an attempt to meet demands such as government regulations or changes in technological demands (â€Å"Factors Influencing Organizational Change Efforts,† n.d., p. 762). In the case of the organization that I work for they are implementing CPOE in order to meet the demands of Meaningful Use Stage 2 government requirements. Process issues are the actions that are taken during the implementation of the change and involve open, honest communication with employees about the change (â€Å"Factors Influencing Organizational Change Efforts,† n.d., p. 762). The organization should be honest with its employees about what CPOE is and why it is needed or why it will be a good change for the organization. They should also be efficient and express confidence that the change will be successful; knowing that administration is behind the change is an important part of being confident and showing employees that the organization is ready for this change (â€Å"Factors Influencing Organizational Change Efforts,† n.d., p. 763). Contextual issues deals with external factors that usually can’t be changed and internal factors that can be. External factors would include government regulations, as stated before, meeting Meaningful Use Stage 2 requirements. Internal factors would be attitudes or feelings about the change, lack of resources, or lack of knowledge about technology. If attitudes are negative coming from administration then employees are going to have a negative attitude towards the change as well. Administration or those implementing the change need to have a positive attitude and positive outlook on CPOE and express to employees that CPOE is going to improve workflow as well as patient safety when it comes to order entry. According to Factors Influencing Organizational Change Efforts (n.d.) organizations have a variety of individuals who have different attitudes and personalities that could influence the reaction and commitment to change. Individual differences can have a big impact on the implementation and the acceptance of CPOE; attitudes need to be positive and encouraging and communication needs to be open in order to have successful implementation of computerized physician order entry. Factors influencing organizational readiness mainly come from individuals themselves who are not ready or who do not want to accept the change. Individual readiness for change is when someone is open and willing to change; if the person is not open or willing then this affects their readiness for change. It seems as though the physicians are the ones who are the least ready for the change from paper charting to CPOE. Physicians are used to writing orders on paper, giving verbal orders or giving telephone orders and with CPOE this all changes. CPOE requires physicians to do their own ordering so verbal and telephone orders are supposed to be used as little as possible. Their readiness to change from ordering on paper to electronic ordering is not very high because they like the flexibility of being able to tell nurses to place orders for them and with CPOE this process is supposed to stop. Kurt Lewin’s change model of unfreezing, change and refreezing relates to the proposed change from placing orders on paper to electronic order entry. Unfreezing is an important step in the change process because it deals with communicating to employees about the change. Inform staff what CPOE is, why the hospital is making the change to CPOE and what CPOE means for the employees. Change deals with making the actual change from physicians ordering on paper to placing their own orders electronically. The refreezing stage is when the change has been implemented and accepted; the change has been accepted and the effects of the change are being monitored (Borkowski, 2005). Resources for the implementation of CPOE involved internal as well as external persons. Training will include superusers who will be available to assist staff on the units when the change is made. The Clinical Informatics team will be available extra hours to provide coverage on the CPOE Go Live day. Our facility uses Meditech so there will be Meditech consultants that come to assist us with the Go Live preparation of CPOE. Our physicians and nurses will have the coverage and help that they need with the implementation of Computerized Physician Order Entry. Resources Borkowski, N. (2005). Organizational Behavior in Health Care. Retrieved from The University of Phoenix eBook Collection database. Factors Influencing Organizational Change Efforts. (n.d.). Journal of Organizational Change Management, 20(6), 761-773. Retrieved from http://www.emeraldinsight.com.ezproxy.apollolibrary.com/journals.htm?articleid=1630997&show=abstract HiMSS. (2012-2013). Retrieved from http://www.himss.org/library/ehr/?navItemNumber=13261 Woodcock, E. (2010, September). . , 31(9), 91-92. Retrieved from http://search.proquest.com.ezproxy.apollolibrary.com/docview/757065487

Department of corrections case Study Example | Topics and Well Written Essays - 1250 words

Department of corrections - Case Study Example Objectives In order to go about upgrading the information systems one requirement is the identification of objectives of the department of corrections so as to determine what features will need to be included into the information system in order to achieve these objectives (Engdahl, 2010). There are a number of objectives held by this department, but the main one is the rehabilitation of convicted felons as well as the punishment of their crimes. Other objectives of the department include: †¢ Creating a safer environment for the citizens of the country by incarcerating those who project a danger to society and trying to convince them to change their ways. †¢ Providing a system that encourages the rehabilitation of the convicted felons through the inclusion of training and education programs that will provide them with skills and knowledge they can use to make a living after being released. †¢ Providing a safe environment for the felons themselves that will give them an opportunity to transform their ways during their period of incarceration (Engdahl, 2010). There are a number of measurements of accountability that can be utilized to rate the success of the department of corrections at achieving these objectives. ... The objective of creating a safer environment for members of the society and its success can be measured through studying the level of the crime rates in various regions of the country (Engdahl, 2010). A reduction in the crime rate will show that the department has managed to achieve this objective while an opposite direction will depict otherwise. The crime rate differs from region to region, but an overall perspective can also be used as a criterion of measurement. The measurement of the success of the department of corrections objective of providing a successful training and education program system can be done through follow up studies done on ex convicts who have been released (O'grady, 2011). The study can focus on whether the ex felon has been able to rebuild their life successfully and whether they used what they learned while serving their sentence. Though this may be potentially expensive to pull off, it is the most accurate way of determining the level of success of this p articular objective and the department can use volunteers who report to researchers after a period of time to reduce costs. In regard to the provision of a safe environment for the felons while in incarceration, the level of success of this objective can be determined through the observation of the level of prison crimes (that is, crimes committed by convicts within the prison) that are committed (Engdahl, 2010). A reduction in prison crimes will mean that the objective has been able to be attained. Considerations that will have to be factored into the equation include environmental with regard to the number of prisons and tactical dealing with the level of training of the prison personnel as this will affect the department’s ability to