Central line associated bloodstream infections Research Paper

Central line associated bloodstream infections - Research Paper Example It is essential that appropriate steps are taken by both the healthcare providers and the patient to assist in the prevention of such infections. Around 41,000 CLABSI happen within the United States hospitals every year. The central line- associated bloodstream infections are normally severe infections causing in a typical manner, a lengthening of stay in hospital and increased mortality risk as well as financial costs. Central line-bloodstream infections can be avoided by making use of proper techniques of insertion as well as through managing the central line in a proper manner. CVC, or central venous catheters, render essential accession to the bloodstream; all the same, their insertion makes the patients prone to CLABSI. The phases of insertion of central venous catheters and its maintenance afterwards along with the central line-associated bloodstream infections prevention plans may pose a challenging situation to the infection prevention while conveying resources to the central venous catheter phase that is inducing sub-optimal rates of CLABSI. Bloodstream infections that are associated to catheter are linked with the substantially increased mortality, morbidity as well as expenditures. These infections are a source of a severe threat to the patients within the intensive care units. In order to prevent central line-associated bloodstream infections, nurses, doctors and other health care professionals are required to follow the infection prevention guidelines provided by the Center for Disease Control in 2011. They are also needed to follow the recommended insertion techniques for the central line to avoid the risk of infection. The measures and guidelines provided by the CDC in 2011 are an effective way of preventing the occurrence of such infections. Guidelines along with the care bundles also advocate arrangement of care modules on the basis of unit characteristics; incorporating empirical measures and resources; training and education to encourage broa d implementation; and monitoring and auditing to make sure that staff is consistently following the advised procedural guidelines (Lu et al., 2012). The rates of central line-associated bloodstream infections in the ICUs of United States have been observed to decline dramatically in a few years as reported to the National Healthcare Safety Network (NHSN). This remarkable success has been achieved by applying a multifaceted technique and focusing on the use of best evidence-based practices for insertion of central line. Moreover, it has been suggested by the recent research that an additional benefit can be reaped by applying best evidence-based practices for the maintenance of central line. A meta-analysis conducted recently affirms the exercise of CHG, or chlorhexidine gluconate bathing, within the population of ICU in order to prevent CLABSI (Miller & Maragakis, 2012). Central line-associated bloodstream infections are regarded as a preventable problem of health care delivery. Mor eover, due to the utilization of resources and the remarkable morbidity, central line-associated bloodstream infections conduct a traceable mortality within the range of 12 to 25 percent. The approximated cost is around $25,000 per infection. During the

What do you see as Dickens social aims Essay Example for Free

What do you see as Dickens social aims Essay This is when the ghost is hinting at Scrooges living relative that Scrooge should also show love to. Scrooge then becomes uneasy and Dickens using a style of writing known as Stichomythic this is due to the shortness of Scrooges reply because he is thinking of how he has mistreated his nephew. You can see changes of Scrooge during this scene as he compliments his dead sister and he starts to think about his nephew in a good way also Scrooge starts to feel sorry for the poor, you can see this when he quotes; There was a boy singing a Christmas Carol at my door last night. I should have liked to have given him something thats all. This is the biggest change so far as it illustrates to the reader that Scrooge is beginning to feel sympathy which is a first for him in the novel. The second of the three spirits is described by what it wore and this was a green robe which is the original colour of Christmas, the spirit was very cheerful and warm as he has Sparkling eyes and Cheery voice. The spirit was also surrounded with items that are significantly related to Christmas, Holly, mistletoe, red berries, ivy, and turkeys. This is to try and help Scrooge relate to Christmas as he never has before. The ghost of Christmas present takes Scrooge to the Cratchit household so Scrooge can observe a happy family enjoying their annual Christmas dinner. Everything in the Cratchit family household is to do with the contrast symbolism of Scrooge therefore warmth and light. The first change during this scene is he feels sympathy and concern about the life of Tiny Tim. You can see this when Scrooge asks the spirit Tell me if Tiny Tim will live. Also when Scrooge quotes; Oh no, kind spirit! Say he will be spared. This is a major change as Scrooge is now starting to show care for others. The spirit replies to this; If these shadows remain unaltered by the future, none other of my race will find him here. What then? If he be like to die, he had better do it, and decrease the surplus population. Subsequent to hearing his own words quoted back to him Scrooge hangs is head in shame and realizes how harsh his own words had sounded, Scrooge now knows that if he does not change his ways Tiny Tim will die, Scrooge is now overcome with Penitence and Grief. This is also a change as this is a first for the reader to witness this. During this scene Scrooge also realizes how awful employer he is to Bob Cratchit, when Bob tries to raise a toast to Mr. Scrooge and Mrs. Cratchit replies; It should be Christmas Day, I am sure, on which one drinks the health of such an odious, stingy, hard, unfeeling man as Mr. Scrooge. You know he is Robert! Nobody knows it better than you do, poor fellow! This makes Scrooge think about how he treats Bob Crathit and how underpaid his clerk is for what he does. Dickens also describes Scrooge as the Ogre of the family which cast a dark shadow over the party this is relating to the symbolism of Darkness that Scrooge possess. The last of the three spirits is very dark and seems to symbolize death as it is described by dickens; the Phantom slowly, gravely, silently, approached. It was shrouded in a deep black garment which concealed its head, its face. It would be difficult to detach this figure from the night or separate it from darkness In this description the words gloom and gravely are related to death. The other words suggest mystery, fear and symbolism of darkness, which at the start of the novel was one symbol that was related to Scrooge. Scrooge shows a vast amount of terror in the presence of this spirit; Filled him with a solemn dread, His legs trembled beneath him also the fact that this Phantom is silent and communicates with Scrooge simply through hand gestures which is normally pointing. Scrooge is listening in on a conversation between a small group of business men about a death that has taken place some quotes from the conversation explain just how untouched everyone is about this death; I thought hed never die. What has he done with the money He hasnt left it to me. This pleasantry was received with a general laugh. Its likely to be a very cheap funeral. For upon my life I dont know of anybody to go to it. From these quotes the reader can immediately distinguish that these men are talking about the death of Mr. Scrooge, but as Dickens describes him Scrooge is ignorant therefore Scrooge will not accept or believe that these people are talking about himself. Due to this the Spirit guides Scrooge to a graveyard. When the spirit points to a particular grave before Scrooge lays his eyes upon it he begins to realize it was him that the people were talking about and this is clear from the question he asks the Phantom; Before I draw nearer to that stone to which you point. Are these the shadows of the things that Will be, or are they the shadows of the things that May be, only? Scrooge saw the name EBENEZER SCROOGE Scrooge now is made to believe that he was the man that when he died nobody was affected and suddenly the ignorance vanished and he swears to change; I will honour Christmas in my heart, and try to keep it all the year. The spirits of all three shall strive within me. I will not shut out the lessons that they teach me. This is Scrooges guarantee to change and never to change back to the ignorant, selfish, dreadful person that he once was. Scrooge stuck to his word he had changed, he is a complete contrast of what he once was and from the start of the last stave this is lucid; I am as light as a feather, I am as happy as an angel, I am as merry as a school-boy. I am as giddy as a drunken man. In each one of these similes there is a contrast of symbolism to what Scrooge was at the start of the novel. Feather is soft. Angel is light. Merry school boy or Giddy drunken man is warm. It is also clear that he is kind as he increases the wage of his maid and his clerk Mr. Bob Cratchit. A key incident within the novel illustrates what Dickens wants to alleviate this is the scene when the two children immerge from the second spirits cloak; This boy is ignorance. This girl is want. Beware of them both, and all of their degree, but most of all beware of this boy, for on his brow I see written which is Doom, unless the writing be erased. This is saying that Dickens think that we need to educate the poor to stop their ignorance and that the poor can help themselves, but when the rich are wilfully ignorant we need to help them to stop so that they can help change things to create a better world for everyone. Dickens novel produced some immediate effects and the poor were treated better by those who read the novel. Due to Scrooge changing throughout the novel from one extreme (hard, cold and dark) to another (soft, warm and light) it persuaded people who could relate to Scrooge in some way that they could do the same.

Setting up Bibliographies, Reference Lists, and Citations :: essays research papers fc

Setting up Bibliographies, Reference Lists, and Citations The following explanations from the American Psychological Association will guide you in setting up bibliographies, reference lists, and citations in the text of your work. If you are accustomed to using another style sheet, you will find some striking differences between APA style and the others with which you may be familiar. Most notably, in the APA style sheet, capitalization in the title of an article or of a book follows the same rules as capitalization in a common sentence. According to most other style sheets, each important rule in any title should be capitalized. In APA style, capitalization of each important word applies only to titles of journals. The following definitions are in keeping with APA style: A reference list appears on a separate page at the end of an article. Titled "References," it documents books and articles actually used in the preparation of an article or essay and provides the information necessary to identify and retrieve each source. The writer should include only the sources that were used in the research and preparation of the article. A bibliography cites works for background or for further reading. Often a bibliography is annotated; that is, it includes a brief objective description of the article or book. A reference citation in text, in preference to footnotes, briefly identifies the source of information for readers, and enables readers to locate the source in the alphabetical reference list at the end of the article. Content footnotes are discouraged because they are distracting to the reader, and because important information merits inclusion in the text. Citing References in the Body of the Paper * Each time you quote a source directly, paraphrase an idea, or refer to something that another person said or wrote, identify the original source by inserting the author's last name and the date within the text of your paper. Each source you cite must also appear in the reference list at the end of your paper. These arguments against standardized education (Duckworth, 1986) explore science as a process of discovery. Give page numbers for direct quotations. Note that any sentence punctuation comes after the closing parenthesis. As Dewey (1938) noted, the educational continuum was united by this "connectedness in growth" (p.75). If the author's name is used in the text, only the date needs to be inside parentheses. When both the author and the date are used in the citation, separate them with a comma.

Addressing Gary’s Aggressive Behavior in School

From The Four Mistaken Goals of Children’s Misbehavior – Diagnosis and Remediation (cited from Dreikurs and Soltz, 1987), these goals are seeking undue attention, power, revenge, and inadequacy (PSYCHOTHERAPY INSTITUTE). Gray’s case falls in the goal seeking undue power. In this type of mistaken goal, there are still 2 types: the active power and the passive power. The active power is the one which the child sees himself and acts like a boss to other people around him.On the other hand, passive ones would refer to those that do not allow themselves to under the authority of other people. Basically, being a new student in Ms. Adams fifth grade class, Gary’s primary response is to be defensive of his own self. People like Gary creates the I’m-in-charge atmosphere and, feeling that they are the boss, they refuse to cooperate with other people. According to the Psychotherapy Institute the effective way to deal with this kind of behavior is for Ms. Adams to not to tolerate Gary’s behavior.Primarily, she should listen first to Gary. There should have a communication between them as to why the child misbehaves himself and its effects to other people. Choices must be also available for Gary. When he misbehaves, he should be redirected to a similar yet pleasing manner (University of New Hampshire Cooperative Extension, 2002). Bargains should be made such that the child is not acknowledged of his misbehavior instead made to do something more agreeable.In here, some privileges too can be suspended due to his misdemeanor (Keep Kids Healthy, 1999). Schools have different strategies in dealing with student misdemeanors. To deal with them is one of the major aspects in classroom management in which educators, administrators and parents are to provide a safe, compassionate and well motivated environment for everyone especially the children (Blomberg, 2004).Misbehavior in School ReferencesBlomberg, N. (2004). Effective Discipline for Misbehavior: In School vs. Out of School Suspension. Villanova University: Department of Education and Human Services.Dreikurs, R. and Soltz, V. (1987). Children: the Challenge. OK, USA: Plume.

Masculinity in Science Fiction Essay

Throughout the past couple of centuries science fiction has become one of the most popular genres worldwide. Thousands of people of different age, gender, racial and ethnical origin submerge into a world where the level of technological development is incredibly high, and where the machines often seem to dominate their creators, humans. To begin the essay we should first give the definition for what the science fiction is. So, the Wikipedia says that: â€Å"Science fiction is a form of speculative fiction principally dealing with the impact of imagined science and technology upon society and persons as individuals.† Scientists have long been arguing about the reasons that make science fiction so popular among the readers. The realm, depicted in science fiction novels isn’t magical or fairy, like the fantasy world is. On the contrary, it’s often more cruel and merciless than our reality is. One of the main hypothesis is that people like to drift into the worlds of robots, intelligent machines and spaceships because there the easy ways to solving the emerging problems exist. In most of those books there is little attention paid to the human to human relations. On the contrary, the problems that are dealt in science fiction novels are rather more global than the relations between the individuals. The authors of this kind of books prefer to write about the rise and fall of the empires, about the giant wars, won or lost with the help of the mind, intrigues and power. For lots of people in our Western, highly individualistic world, reading science fiction books is one of the few ways to forget about the necessity to maintain and keep social relations with others. Nowadays, when the society allows us, its members, to open and develop our individuality freely, communication between the individuals becomes more and more complicated, as people, given the opportunity to develop the way they want, find more differences between each other, so that they have less in common with each passing year. This fact, combined with the absence of the defined standards of communication that existed in traditional societies, make communication a tough task for the contemporary people. It’s well known, that women adapt easier and faster than the man do, thus they experience less difficulties in adjusting to this new way of communication. On the contrary, men are those who sometimes experience severe troubles when some advanced form of social interaction is required. Thus, man read science fiction in order to transfer themselves in the world where mind and power decide a lot, and emotions are usually seen as something lateral and even useless. This hypothesis is confirmed by the fact that males comprise the main auditory for the books, shows and films in this genre. In order to better understand what is science fiction about, and why is it preferred by man, we’ll research the inner genres science fiction has in it. Kay Fowler offers his classification for the genres of science fiction which is: World at Risk SF and Apocalyptic Science Fiction Political/Massive War/Doomsday Weapons Disaster Alien Invasion/Conquest of Earth Plague/Disease/Epidemic Agricultural/Ecological/Population Disasters Far Future or Ancient History-Future History . Utopias/Dystopias/and in-between Utopia near utopias; ambiguous utopias, heterotopias Dystopias Alternate Earth/Alternate History (What If?) Time Travel, Time Paradoxes, Time Patrolling, Time Wars, Alternate Time Lines Religion/Theology/Anti-religion and Science Fiction Space Opera Robots, Androids, Cyborgs, Clones and Cyberbunk/Virtual Reality, Genetic Engineering, and Nanotechnology. World Building/Terraforming/Scientific and Social Inventiveness ESP/Telepathy/Psi Powers Underwater living/ocean worlds Human Colonization/Conquest of Other Worlds Feminist Science Fiction/Alternate Sexualities/Gender Benders SF with a theme of deafness or a focus on non-oral communication (Kay Fowler, Themes/Genres in Science Fiction: An idiosyncratic and woefully incomplete list) As you can note from the list above, science fiction is mostly the literature of action, the field of action for the active people, warriors, politicians and scientists, where there is little place for emotions and emotional life. Contemporary critics say that science fiction is one of the genres whose main characteristic is reflecting and reproducing masculinity, creating the specific, sometimes even perverted image of it in the minds of those who fancy this kind of literature. Of course, some researchers of the SF literature consider that: â€Å"science fiction †¦ seem(s) also to promise more freedom than do non-genre literature to imagine alternatives to the privileged assumptions of heterosexuality and masculinity that suffuse our culture », as it is noted in The Queer Encyclopedia of the Visual Arts.   But, in the reality, the authors of the SF books put â€Å"the male as the central role and in a position of power†, as it is noted in the article Science fiction’s use of Utopian and Dystopian visions of the future in relation to challenging boundaries of gender and / or sexuality. Today, when the amount of novels, stories and tales written in this genre is enormous, science fiction authors will do anything to attract the reader’s attention to their novel. Some years ago, when the SF began its rapid development, it was new and original to make the protagonist of the story female. Unfortunately, for most of the SF writers it meant only the change of setting or decorations, not touching the key points of their writings. To attract the readers’ (and, as we can recall, those are mostly males) attention they   provide their main protagonist with huge eyes and breasts, enormously long legs and a tempting smile, but inside their â€Å"heroines† are as masculine as any male monster slayer with the huge gun is. Thus, changing the decorations for their stories, the authors evade the convictions in gender discrimination, in the same time attracting new waves of male readers who are longing to read about the long-legged half-naked amazons fighting with the evil. Thus, the heroes of science fiction novels are mostly males to the marrow of their bones, and it doesn’t depend of their physical sex. Science fiction literature usually describes conflict situations, like war, ethical, racial or cultural conflicts. The protagonists of the science fiction stories are always the people of action; those who possess notable decision-making skills, and are able to actualize their choices immediately. If we analyze current researches in the field of gender psychology, a conclusion can be deduced that those qualities characterize mostly males, while women are considered to be more of the facilitators, peace makers. Stereotypical women behavior is characterized by irrationality, which’s doesn’t belong to the features that characterize this genre. A considerable part of science fiction novels and stories are characterized by the external conflict between the protagonists of the story. Of course the existing external conflict in science fiction, like in some of the other genres, is often the reflection of the internal protagonist’s conflict, but in most science fiction stories this internal clash is moved on the background of the story. Most SF stories are written for the man to allow them to drift into the world, where power and mind is the key to solving all of the existing problems. The external conflict in the story is usually characterized by the considerable amount of power the opposing characters possess, for whether it is physical or mental. Power is the key to becoming a winner in the clash, which’s the only goal the masculine protagonists usually have in mind. Another gaze into the gender psychology study book provides us with the information that the necessity to prove one’s superiority by becoming a winner in some conflict is also mainly male characteristic. Science fiction novels are usually the stories describing concrete situations, where the plot develops, and one event causes another. To cut the long story short, SF books are usually based on logical interpretation of the events. The causal consecutive ties there are usually very strong, thus there are usually little unfinished plot lines and the events that do not have any substantional meaning to the development of the plot of the story. All the technologies used in the story are scientifically validated, the principles of their operation are usually explained or understandable to the readers, in contradiction to the principles that stipulate the usage of magic in fantasy books.   One of the reasons for which less women read science fiction than man do, is the lack of the elements of decoration that make the book â€Å"alive† in women’s opinion. In the feminine literature the event that is described or the person that appeared may be introduced only in order to help the reader to feel the atmosphere of the setting described by the author. Only few of the science fiction novels hold such seemingly useless elements in them, while in all of the others â€Å"every gun that’s hanging on the wall is going to fire†, and every person appearing, and every action been committed are the basis for some further development of the plot, as Justine Larbalestier proves in his research book The Battle of the Sexes in Science Fiction. Science fiction novels’ protagonists are also often characterized by their orientation on victory. It’s a usual pattern of action for the SF heroes to fight the things they don’t like or don’t understand. They rarely seek for the round-abouts for reaching their goals, preferring the straight and habitual way of defeating and destroying the things that prevent them from getting the needed things. Such a way of solving the problems is also mostly male characteristic. For women the strategy would rather be to understand the enemy, to find the reasons for which he’s opposing and try to get rid of them, preferably uniting their forces with the past rivals. Women tend to understand and not to fight, as destroying diverges with the basic female ideals, while creation is their field.   But, as we can note, there are fewer science fiction novels that tell about the cooperation between the aliens and people, than of those, that describe the wars between the different races. In addition, most of the novels that actually describe that cooperation show it is based on the military, political or economic needs only. Actually, the situation with the aliens’ psycho type for lots of SF writers is the same as it is with gender appurtenant of the protagonists. The description of the aliens’ phenotype is called to create the impression in the consumer’s mind that humans in the story are contacting with the creatures totally different from them, but if the reader looks closer he begins to feel himself pigeoned, as there are the same humans under the scary carnival masks. Unfortunately, only a small amount of the writers puts an effort to design the psycho type different from the humans’ one.   Of course, most of them don’t even need it, as it’s not necessary and is even harmful to research the enemy’s psychology thoroughly, as it may summon sympathy or, which’s even worse, the desire to find the reasons for the antagonist’s inappropriate behavior. Psychologists prove this is typically masculine approach to problem-solving. That’s why only a few books describe cultural cooperation between the people and aliens. Human to human cooperation has been thoroughly researched and described, so it’s ineffective to create the â€Å"human in masks† type of aliens, while creating and designing the psychology of the race much different from humans requires lots of time and effort. Science fiction got its name because of the numerous elements of scientific research and the results of progress that characterize the books written in this genre. Science is the world of rationality, of the casual-consecutive bonds, where all the events have their reasons, and provoke certain consequences, the world where the miracle is unlikely, because it deprives that world of the reality it possesses. Introducing miracle in SF novel is the same as bringing the atomic bomb into the world of the faeries and dragons. If it is done without the proper skills only the excellent writers possess, those new elements ruin the authenticity of the imaginary world, making it look like a child’s picture with the broken proportions. SF world is primordially opposite to the woman’ irrational view of the surrounding world, the place where the content is valued and the form is neglected. Most of the science fiction worlds demand their protagonist to belong to one of the two categories, either the warrior or the scientist, in order to survive in the surrounding society. Of course there are woman whose nature is of one of this two types, but for most of the females those roles are unfamiliar and unwanted. It sometimes happens in the SF that the woman have to play those roles despite of their desires or longings in order to survive, but most writers prefer to describe the beings that feel themselves comfortable in those two roles, as only than their heroes are capable of actualizing their hidden potential and revealing some of the inner qualities.   Thus they prefer to write about males, who are naturally designed to play those roles. It is also important for the science fiction protagonist to be centered on the goals put before him by the gods, doom or just the consequences, and the science fiction writers know that man are much more suitable for this role than woman are. Realistic heroine will be distracted dozens of times a day from her high mission by the cute kitty mioving, new wrinkle appeared or the handsome man walking nearby. It is also worthy of mentioning that science fiction literature rarely describes the societies where the human’s individuality is valued. For most of the heroes their surroundings are not valued for their personal qualities, but for the things they can do, thus the notion of personality is often replaced by the notion of function in the mind of the protagonist of the SF novel. This also belongs to the typical masculine qualities, described by the gender psychologists. Te contemporary world becomes more and more feminine with each passing year, and the science fiction is often used to , distract the males’ attention from this fact. Using the example of Terminator 2, Amanda Fernbach in her article The Fetishization of Masculinity in Science Fiction: The Cyborg and the Console Cowboy says that: â€Å"Ordinary masculinity lacks, and the technological Terminator represents a fetishized, idealized masculinity that is a desirable alternative. In Terminator 2, the Terminator represents an idealized phallic masculinity heavily dependent upon technofetishes to ward off the anxieties of the male spectator faced with the prospect of a future vision of castrated masculinity. Although he learns to make jokes, the Terminator admits he could never cry. He becomes more human in every way except those that display weakness or vulnerability.† Thus we can make a conclusion that science fiction is a genre designed specially for man in order to solve some of their psychological problems and satisfy some of their needs. SF is designed for man and about them, at least most of the examples are. References Fernbach, A   2000, The Fetishization of Masculinity in Science Fiction: The Cyborg and the Console Cowboy. Science Fiction Studies, Volume 27, Part 2 Fowler. K 1999, Themes/Genres in Science Fiction:   An idiosyncratic and woefully incomplete list. Ramaro College of New-Jersey. Viewed 11 May, 2005.   http://orion.ramapo.edu/~kfowler/sfthemes.html Larbalestier, J 2002, The Battle of the Sexes in Science Fiction. Wesleyan University Press Science fiction. Wikipedia Online Encyclopedia. Viewed 11 May, 2005  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  < http://en.wikipedia.org/wiki/Science_fiction> Science fiction’s use of Utopian and Dystopian visions of the future in relation to challenging boundaries of gender and / or sexuality. 2002,   Viewed 11 May, 2005 http://www.corneredangel.com/amwess/papers/sf_gits_esca.doc. Summers. C (ed) 2004, The Queer Encyclopedia of the Visual Arts. Cleis Press.