Arthur Young Essay Example for Free

Arthur materialization EssayDocuments 1-2 How do the grievances noted by Arthur Young compare to those expressed in the Cahiers? The grievances noted by Arthur Young are focused more on the humanitarian needs of the French spate during the late 1780s. When expression at the document of September 2, 1788 Young mentions that in that location is an uproar over the high price of bread. There are mevery obstacles that a society can overcome, but when they are being starved and hard-boiled un unspoiledly over humanitarian needs such(prenominal) as food, then there is a high possibility that they exit revolt at any cost. There are also some(prenominal) similarities in both Youngs observances and the Cahiers. Both Youngs observances and the Cahiers note that the people are discontentedness with the position that the First Estate made up of the clergy, and Second Estate made up of the nobility, are interact so well compared to the Third terra firma which included everyone from banker to lawyer and even the peasants. Therefore even though France was more revolutionary than any other country at the time, the disparity in classes between the rich and the brusk was extremely obvious. Why might these grievances be revolutionary?And, in what ways are they peculiar to the Third Estate only and not the First and Second Estates? The grievances proposed by the Cahiers are extremely revolutionary. In fact you can see that these ideas seem oddly familiar because they exist today in our own constitution of the United States. One of the most famous ideas is proposed in idea 14, which states that freedom should be give to the press. This idea is revolutionary because it would allow the people of France to freely express their discontents with the government and spread information freely throughout the country without the fear of being punished.Another great idea proposed by the Cahiers was the fact that all taxes should be assessed on the same system throughout the na tion. It was imperative that the Third estate made this clear because even though they were the poorest, they were the ones being supercharged with the heaviest taxes. It was also interesting that the Cahiers brought up the fact that certain positions in offices and ranks should be granted to anyone who was qualified for the job, not just the nobility or based on heredity.This was revolutionary because it must have compelled many more people in France to obtain an education and strive for a better life because they were being granted opportunities. Documents 3-4 Based on your reading of these excerpts, what were the worst abuses of factory labor and the causes of poor working and wellness conditions? Right away what captures the readers attention is that the medical examiner is claiming that children as young as five years old were being sent to work as long as eleven hours a day.This idea is just unimaginable to most people because a five year old is hardly old enough to take care of himself, let alone note a job that requires him to work for eleven hours a day. It is just painful to hear that these children spent their childhoods working in the factories and as a result their ontogenesis was stunted, their bone development was compromised, and their health was so poor compared to children not working in factories. The testimony of John Wright really puts everything into perspective because its a world-class hand account of his life working in the factories since he was a six year old.The fact that he worked the same hours then, to the hours he worked as an heavy(p) just shows how despicable the working conditions were in the factories. Just like the medical examiner he also explained that the children who grew up in these working factories suffered many health complications, some even became crippled due to over exhaustion. According to Engels, how did such an environment affect the poor mentally as well as physically? Engels believed that the scandalo us environment in which the poor were forced to live in was a result of continuous mistreatment from the upper classes.He claims that the poor were basically treated like animals, hoarded from the country in to the city, and forced to work ungodly hours in order to keep up with the demands of industrialization. Then the poor were forced to live in cramped quarters where no proper sanitation systems existed, and even clean drinking water was a luxury. Engels explains that because so many people were cramped into such small rooms for such a long period of time the air quality was severely polluted and this caused many health problems.Engels brings up many good points by questioning how the upper classes ever expected the poor to stay healthy or even humane when their conditions were beyond poor. The fact that the poor were always subjected to extremes of hopes and fears really threw most people over the edge. They had no choice but to be mentally unstable because of the conditions the y lived in. They were constantly living for survival in the most disgusting conditions while the rich got richer due to their hard work.Document 5 These maps reveal something about connections between population slow-wittedness, urbanization, and the industrializing process. What do these maps tell us about these connections? What might some of the affectionate consequences of these connections be? The maps explain that as industrialization grew, and urbanization grew, more and more people started to move into the cities in hopes of finding opportunities for work and better living standards. You can see that the first map of the population density in England in 1801 seems quite dispersed compared to the population density of England in 1851.Also you can see from the map of England in 1851 that there was a huge population boom in between those 50 years. When looking at the map of concentration of Industry in England in 1851 then it is clear that people moved from the countryside t o the larger cities that were the heart of industrialization. Engle best described the social consequences of the changes from 1801 to 1851 in such a short period of time in the previously discussed documents. With overpopulation cities got more crowded and the living quality in these cities steadily decreased.The environment was affected tremendously due to the cluster of factories and misuse by the overpopulation. Disease was more prominent because it was easier to spread in unsanitary and overpopulated areas. When employment opportunities arise, people will surely flock to them, especially the poor. This was just the case in England during the industrialization. Sadly what people failed to realize is that their quality of life would greatly decrease rather than extend due to the mass overpopulation.

Chinese thrilling economy Essay Example for Free

Chinese thrilling economy EssayOne of my Chinese class-fellow persuaded me to accept that china is emerging as a world super- precedent. He tried to convince by proving arguments that were based on misconceived notions. He also provides certain facts about Chinese thrilling economy, military might, its geo-strategic location. He further told me that China is capturing the world markets and heavy investments from world over are pouring in to bring an industrial revolution in the world.Although he mentioned these facts but I was unconvinced as he was unable to provide figures. The most disappointing thing was that he only mentioned soft power and did not realize that hard power too helps in achieving the status of super-power. If could have provided me the growing enchant of China in the international socio-economic affairs, then it could be a convincing persuasion. Further, the cultural influence of china could be another valid argument but he did not mention all these.So his p ersuasion was an utter failure. I watched and examine John F. Kennedy Moon Speech in Rice Stadium in 1962. Kennedy uses his body language in a subtle way that augments the emotional essence of his speech. His body language is embellished and his movements are appropriate. He stresses his point of view on certain points by use of hands only and looks around to get the panoptic attention of his audience. This speech is based on emotional appeal but some elements of logic are also manifested here and there.Although he provides the motives for the space course and historical land on moon but these logics are little convincing but he skillfully utilizes the emotional appeal. He sums the history of billion years into a century and consider the moon landing the most important event of this century. He messages were very specific and he used informative language to show the importance this historical event. His speech is not direct but it does not create any confusion as audience is swell aware of the purpose of speech already.URL http//www. space-video. info/speech/19620912-jfk-rice. html

What Subject Do I Like Best Essay Example for Free

What Subject Do I Like Best EssayIn school, of in all the classes I have to take, I like P.E. most. Why? There are three simple reasons why I love it there is no homework, it helps me pacify healthy, and last, it is quite relaxing to learn.First, the homework part, for me, its a dream comes true when theres no homework for me to do. I am kind of preoccupy with homework. I open my eyes view about homework, I eat thinking about homework, I even take a bath thinking about homework. So itd be nice to have at least one subject that doesnt require my thinking about homework. And thats the first reason why I like physical education.Second, about the true value of this subject, it helps us me stay strong. Obviously, P.E. helps us improving our health. Students are rattling careless about their own good by doing things that harm them in the way that they dont know, such as sitting in drift of the computers for hours, watching television for much too long, and many more. Those are t he habits that are quite hard for children to change. And thats when P.E. comes into place. It make us do workouts, prevent us from getting out of shape and of course, no one wants to be fat because of one simple reason you wont look attractive to former(a) people and maybe that special someone is one of those people.And last but not least, theres absolutely no pressure larn this subject. You dont have to pay much attention when studying. Theres almost nothing too complicated about P.E. compare to other classes like Math, Physics, Chemistry and so thats the last reason I like this.

Apple Inc Impact On Generation Y Media Essay

orchard apple tree Inc Impact On generation Y Media Essay genesis Y is often referred to as the repeat boomers, net income generation, or even the iGen. These names come from the fact that since birth either in all of these children have al substances had access to engine room no matter where they go. Stephanie fit out says Generation Y is young, smart, and rude. They may wear flip-flops to the office or listen to iPods at their desk. They want to work, however do not want work to be their life (Armour). Generation Y send word as well be described as ambitious, who excessively value their work life, they work good in groups and argon media savvy, as well as being optimistic and globally conscious (Gordon). This is where the company apple comes to race a major part in Generation Y lives. Apple Inc. has provided this generation with many different paths to be able to carry the internet in their pockets as they travel from place to place, much(prenominal) as the iPod, iPh unrivalled, and iPad. One principal(prenominal) characteristic of Generation Y is that they love to be in control, and with these three items that Apple has created with I in front has proved that they are in charge of their item and they can personalize it and make it them. Apple has wedge Generation Y so big(p)ly because it has allowed them to carry their medicament everywhere they go and it has changed the way that society communicates with the outside mankind, because it allows everyone to check emails, read the vernals, stay up to date on their favorite sports team, and even watch movies and flirt games. The impact that Apple has made on Generation Y has greatly changed the way that they listen to music more fashionably, the way they communicate with each other, and how they act with the outside world through social media and has shaped the generation into what everyone knows them as, tech. savvy.Apple has been around for 30 years, it was first frameed in 1976 by Stev e Jobs and Steve Wozniak (The History). The company produced personal computers that were found on the market such(prenominal) as the Apple brand, Macintosh and Power Mac computers. When the nineties came around the company experienced a slack in the sales because of increasing companies and decided to do something different (The History). In 2001, Apple introduced the iPod which was one of the first MP3 players that could hold over 1,000 songs, allowing juveniles and even adults everywhere to listen to whatever they cherished, wherever they went which altered the music industry (30 Years). The iPod could hold 10 hours of battery life and fit in the pocket of any pair of pants, the iPod instantly replaced everybodys generic wine MP3 player. As the years progressed so did the iPod, in 2003 Apple introduced the iTunes store which allowed customers to purchase music, apps, and books online, while iPods could not hold video, this feature later became available in 2005 and and then in 2007 the iPod became touch screen, practically just like the iPhone without the phone (Mallin Todd, 63-74). In 2007, the first iPhone was launched, loaded down with apps and memory for one to be able to honour whatever they pauperisationed, and eventually hurt Apple because it decreased the need for a separate iPod because the phones acted as MP3 players as well (Mallin Todd, 63-74). along with all of these other finesses Apple similarly came along with the invention of the iPad in 2010, which was somewhat like a portable computer all compacted into a 10-inch touchscreen tablet (Mallin Todd, 63-74). With all of these inventions came bugs and issues along the way Apple has also produced multiple versions of the iPod, iPhone, and even iPads, and to solar daytime there is even an iPad mini. With all this technology evolving so does society and Generation Y, and the technology that is available impacts the way that the generation grows.In a blog written by Anastasia Goodstei n on the NBCNEWS website, she talks about how Apple seemed dominate in the education market during the eighties but that the biggest impact on teens was the creation of the iPod (Goodstein). When a survey is conducted on top of most teens list is an iPhone which is even put over cars on what is wanted most by teens (Goodstein). The love for iPod did not just happen overnight though, teens idolized Steve jobs and this was unusual for most teens (Goodstein). Goodstein talks about how research that was conducted by Viacoms teen network, found that apple is absolutely essential to teens (Goodstein). When interrupting a teens conversation, it is found that the main topic of it is the iPod. Most teens have a need for these items because it makes them cool. Music is a teens main love, it helps express who they are and release emotions that they have no other way of releasing. Apple provided teens with the ideal MP3 player eliminating what other generations knew such as the Walkman or a CD Player, which they had to either listen to the radio or make a mix tape on their computers which took a huge amount of the day, but with the new invention of this MP3 player it allowed them to download songs without the whole album, and allowed them to create their own playlist on the spot without delay to what mood they were in that day (Goodstein). Apple not only gives the teen a way to express this need but they attract the teens through the use of their design. With solid white earphones against a black silhouette of a person dancing with jams blasting on a commercial attracts attention, causing teens to want this item because they want to have the lasted technology (Goodstein). A circumstances of the way that this item has made such an increase in sales is because they use teens as their marketing strategy. When teens are in high school, to be in the in-crowd, it is unceasingly essential to have the coolest items, so when one teen shows off their fancy new iPod to their clas smates they instantly run home recounting their parents about the need and want for this item, and the teens value their friends opinion much more than that of an old person on TV talking about a MP3 player. The reason that this gadget has such an impact on the Generation Y and not any other generation is because they have a need for creativity and to not be the comparable as everyone else, which is one of the many characteristics of this generation.To add to the creation of the iPod, Apple decided to create the iPhone in 2007 which instantly impacted the way that Generation Y communicated with one another (Arthur). The iPhone is equipped with social media apps, news apps, shopping apps, and even bank apps. The iPhone has also allowed Generation Y to commence lazy, with the advantages of doing things from smartphones they do not have to move, all that is required is the little movement of two thumbs. Unfortunately though the impact of the iPhone just does not affect how Generatio n Y communicates but it can also make many jobs obsolete. When the news can be found on your iPhone or iPod, the need for news casters becomes questioned. With the never ending creation of new apps for the iPhone this also produces less communication for each individual with the outside world. When walking into a college classroom before class begins, usually every student will either be checking the latest gossip on their macs, iPhones, or other technology that will allow them to use the internet, which proves that this generation is one to rely on technology for everything. Generation Y relies on the use of the internet to be able to do their everyday needs, first thing to do in the morning when wakeful up is to check what is going on with Facebook, twitter, and Instagram, it is required before any teen can even start their day. This has also changed the way their daily routines play out, Generation Y checks their phone when they wake up, checks it when they are out the shower, a nd even after they are done getting ready, again. This technology is glued to their grants. Today, 2.27 billion mint use the internet every day, double what it was five years ago (Arthur). The iPhone just does not offer apps to stay with what is going on in the world but it offers many different means of communication. Teens have the option to make phone calls, text message, video calls, instant message and also social networking. Along with the nix impact that the iPhone has made, it also can be looked at from a positive standpoint. The iPhone is a great way for communication especially in emergencies, because kinda of having to send a text once to everyone, they have invented a group message where you can select multiple numbers and send a mound message out. While many other smartphones have just as much impact on Generation Y, the iPhone makes the biggest impact because of its flexibility and popularity with teens.Along with the invention of the iPod and the iPhone came the invention of the iPad, which has also been made better into an iPad 2 and even an iPad mini. The iPad is a seven to ten inch, thin touch screen device with full blazon display that can be employ as a magazine or a book e-reader (What Does). It is also equipped with internet which allows it to be used to check Facebook, Twitter, and Youtube and it can even support a video game addict who wants to play on the go. The iPad ultimately offers everything that the iPhone does without the calling portion of the phone and it is also a bigger screen. The invention of this tablet can make things such as libraries suffer because it is great for books, magazines, and newspapers (What Does). Generation Y uses the iPad for many different things, it has become important a part of their lives. Generation Y has the opportunity to use their iPads as a text book but this is not necessarily a positive thing because along with the iPad like stated before there is twitter, Instagram, email, and Facebook , and if in the middle of reading the textbook or taking notes, they receive a notification for one of these social networking apps they are not going to turn down the option to check it. Generation Y is known to want to always be in the loop or know the latest news so that is what they do with these social networking apps. The iPad though which has these apps will draw the students away from their professors lectures or even hold them off on getting their homework or reading required done. The impact that the iPad makes on Generation Y is a negative one but can also be positive. The positive effects of this technology are the convenience and the amount of information that they are able to access. With the internet in the palm of the hand Generation Y is able to search the enter web database for whatever is needed, college libraries are even available online now and can easily get an article or book needed transferred through the online database.Generation Y relies on Facebook as a guide in their day to day lives and it shows how many mess are obsessed with what kind of reputation that they have online. Facebook is one of the main leaders in the online social world but this is a negative thing that happens. It is negative because Facebook can cause workers to be distracted and not perform their jobs correctly and a lot of the time people sit around on their phones getting in others business instead of doing something productive and this leads to many issues that Generation Y has faced. Facebook is not the only social networking app that has impacted Generation Y though. With the various apps that are available on the Apple technology, one interesting but creepy app is called Find my Friends, this allows the owner of the device and all their friends who have this app be able to find out exactly where their friends are and how far away they are from each other. This puts the consumer in control because they are allowed to bury their location whenever they feel needed and make it visible whenever need and that is what Generation Y loves about technology. This app though is not the only way that Generation Y can be in control of their technology, on the iPhone they can choose if other iPhone users can see if they read their message, but this causes many issues throughout their lives. Apple Inc. has allowed Generation Y to have unlimited use to the internet and to any kind of technology they want, but in the long run this leads to a decrease in the rate of activity and this leads mental health issues. While the technology can cause mental health issues, it is a positive for some. IPhones and iPads are great for disabled people, they struggle their day to day lives to try to pay stuff and talk to people but with the internet available in the palm of their hand it makes life so much easier for them. The fact that Generation Y has lived their whole life with technology and it plays a major role in their day to day lives and will not only affec t them now but it will affect their future.In conclusion, Apple Inc. has placed a strain on Generation Y and what obstacles and achievements they may face or can overcome. The company is perceived in a positive way it allows an easier means of communication and is always quick available but with these positives also comes consequences. With the continues production of iPod, iPhone, and iPad, there will also be an increasing need for more technology and there is no telling what Apple will come up with next but with this increase also come more issues for Generation Y to face throughout their lifetime.

Eliminating Physician Oversight for APRNs in Texas

Eliminating Physician Oversight for APRNs in TexasThe recent passage of the Affordable carry on Act (ACA) and the effort to bequeath healthcargon for every Ameri goat is expected to create a large influx of citizens seeking native consider providers. The on-line(prenominal) demand for primary care services has already burthen most states with a projection of more(prenominal) than 16 million individuals gaining health coverage by 2016, with a projection in Texas of more than 4.2 million (Schiff, 2012).Advanced send registered nurses (APRNs) possess the cookery, experience and expertness in providing primary care services and shag be part of the solution in solving shortages, but face unnecessary restrictions in Texas. Advanced Practice Registered Nurses (APRNs) are nurses possessing masters, post-masters or doctoral aim education. An APRN holds national certification and in Texas is licensed by the state Board of Nursing (BON) (CNAP, 2013). A wealth of conclusion suggests that APRNs have the skills and expertise to perform more of the primary care services that atomic number 101s perform with an equal or gameer patient satisfaction rate (Humphries, 2007). The Institute of Medicine (IOM) has criticized states laws that prevented APRNs from practicing to the full result of their training (2011). Therefore, removing these restrictions, provide permit APRNs in Texas is a practical solution to help meet this shortage. In addition, APRNs will similarly rear health delivery competency and provide economic acquire as well for Texas by creating nearly 100,000 permanent jobs for the state of Texas (Perryman, 2013). Action needs to be taken to remove restrictions that are preventing or delaying APRNs from caring for Texans.As the population of Texas grows, this problem will wholly be compounded to a dodging that is already inadequate and overloaded. The laws and regulations concerning APRNs scope of practice varies by state, with 16 states permitting full practice authority, without physician trouble. This permits APRNs to practice to the full extent of their training. The remaining states (34) require some degree of physician oversight and involvement. States with only minimal restrictions have not reported any addd threat to patient safety (Texas Public Policy Foundation, 2013). Texas is one of the remaining states with a high level of oversight. Recent research indicates that APNs who live in states that allow full practice authority give more care (IOM, 2011). By removing these unnecessary restrictions, more NPs will be able to meet the healthcare needs of Texans.Texas Public Policy Foundation (2013) reports that of Texass 254 counties, only 23 have an adequate spell of healthcare professionals to serve their populations. In addition almost 90% of rural Texas counties are considered partially or completely underserved. Twenty-five Texas counties have no physicians at all and it is estimated that 20% of Texans (3.3 millio n) do not have access to a primary care provider. As the provision of our national healthcare law go into effect we can expect this to worsen with an anticipated shortage of 44,000 to 46,000 primary care providers nationally by 2025. The severe PCP shortage has also been modify by a shrinking medical school enrollment and a decrease in the number of students choosing primary care as a medium (Texas Public Policy Foundation, 2013).Utilizing the expertise of APRNs as for primary care can lead to a more efficient delivery system that will provide significant savings. This would create almost 100,000 new permanent jobs by 2020, increase annual economic output (gross product) by $8 billion, and 16.1 billion in essence expenditures within Texas (Perryman, 2013). In addition, this would stimulate the economy with yearly tax receipts of 483.9 million to the state of Texas and $233.2 million to local anesthetic governments. These projections would be expected to rise from each one decad e. Many studies over the last 40 years have indicated that APRNs are able to provide safe, high quality and low cost primary care to their patients (Perryman, 2013). Studies also indicate that patients report a similar if not better experience when they receive primary care from APRNs vs. physicians, and often at a lower berth cost (Brown Grimes, 1992). In a research study of Medicaid patients, the cost- effectiveness of utilizing APRNs was evident as patients received the same high quality of care as physicians, objet dart providing a discount of 8% from physician rates (Perryman, 2013).Failure to make the necessary careens to our healthcare delivery system in Texas will result in a worsening of the primary care shortage compounded by the provisions of the affordable healthcare law and the influx of newly insured individuals (Schiff, 2012). In addition to restrictions this places on accessibility to primary care services, there is a potential for a rise in the already inflated healthcare cost for services (Perryman, 2013).Changes in legislation are needed to address the removal of physician oversight restrictions on APRNs and to allow full practice authority in Texas. APRNs possess the training and experience to necessary to provide primary care services to Texas citizens and should be allowed to practice to the full extent of their education and training (IOM, 2011). This is merry and the best practical solution for addressing the healthcare needs of Texans.Political Environmental ScanTimingThe Coalition of Nurses in Advanced Practice (CNAP) has been working to improve the science, reimbursement, and utilization of APRNs since 1991. Their efforts have accelerated legislative policies for this cause (CNAP, 2013). The most recent legislative action put into effect in November 2013 was SB 406 in which a collaborative agreement was made among APRNs and medical groups. This bill was unanimously passed by both the House and the Senate of the 83rd Texas legi slature. The bill expanded the number of APRNs/PAs that a physician can supervise, eliminated any limit for medically underserved populations, reduced the number of face-to-face meeting with the physicians, and permitted these to be done via video web conferencing. In addition the new law lifts restrictions on prescriptive authority in regard to sitebased restrictions and introduces a Prescriptive Authority Agreement (PAA) (Nelson, 2013). but clarifications are still needed related to the SB 406, in particular on issues related to contracting problems with certain managed care organizations (CNAP, 2013). It is the ANAs and CNAPs nonplus that removing barriers of APRNs is a vital measure that must be taken to promote universal accessibility of healthcare especially in light of electric current healthcare reform goals (Hutto, 2013).The Texas legislature (84th) will meet again in regular session beginning January 2015 for 140 days. The CNAP continues to work on new legislative agend a during the interim. Since the last legislative session addressed these issues, it is un standardisedly this topic will be a priority for the 84th session. General elections are slated for November 2014, so the direct makeup of the next legislature is unknown, however, the Republican party has had a stronghold on both the Executive branch as well as the legislative branch for the last decade and is likely to continue (UT Austin, 2009).Relationships/ReputationPolitical relationships have been formed between care for organizations like the CNAP and Texas legislators and include lobbyists who discuss these authorized issues. This coalition of advanced nursing organizations includes all statewide APN organizations. Their focus is to expand prescriptive authority, ensure clinical privileging, increasing third party reimbursement, improve the recognition of APNs, and keep APNs informed on laws and regulations (CNAP,The major stakeholders are the organizations and groups that have a ve sted interest in the issue. APRNs will most definitely benefit from the elimination of oversight since it will allow them to practice to their full potential. Hospitals, insurers and managed care facilities will also benefit from cost savings and improved quality of patient-centered care. In addition, the taxpayers and the State of Texas will benefit from the decreased healthcare costs and increased economic output (Perryman, 2012). The stakeholders with opposing viewpoints include the AMA, Texas Medical Association (TMA), Texas Academy of Family Physicians, American Society of Anesthesiologists, and American Academy of Pediatricians. These groups will most likely continue to resist changes that they feel infringe on their scope of practice and will be reluctant to agree to the removal of barriers that restrict APRNs from practicing to their full potential (CNAP, 2013).ResourcesMuch research has been done to support this issue and according to the CNAP, there is no evidence that pat ient outcomes in states that mandate physician delegation are better than in states where APRNs are allowed to practice independently (CNAP, 2013). In a review of literary works by Brady (2000), comparisons were made regarding the performance of nurse practitioners and physicians on three key patient outcome measures patient satisfaction, health status, and service utilization. Researchers investigated the primary care devoted by NPs using the traditional medical model and found no difference in effectiveness or quality when compared to that of physicians (Brady, 2000).To support advancement of this issue, some(prenominal) other organizations are also lobbying for these proposed changes. These include organizations like the ANA and the Veterans Administration (VA), who are pushing for policy changes. The VA has in fact revised its nursing handbook, allowing APRNs to practice as independent practitioners throughout the Veterans Health Administration system, even in states where la ws require physician oversight (ANA, 2014). The ANA has supported this change within the VA system, since the change is congruent with the 2010 Institute of Medicines recommendation that nurses should practice to the full extent of their education and training (ANA, 2014). On the state level, the TNA supports the elimination of MD oversight of APRNs as well. According to the TNA, removal of practice barriers for APRNs will alleviate the shortage of primary care providers, especially in rural areas (TNA, 2014).CommunicationSeveral media platforms can be utilized to creating public awareness of an APRNs role and as a viable option for primary care. These can be used to increase public awareness and gain support for the removal of the practice restrictions before long in place in Texas. An increased public awareness can also assist the policy process by creating grass-roots approaches to this issue. The use of PSAs via social media sites can encourage the general public to send emails , letters, and support for candidates, nursing organizations and action committees that work to advance the nursing agenda. A media strategy has been proposed to include the following communication tools 1) a PSA using a PowerPoint delivered via popular media sites like YouTube that can provide public information regarding the need for immediate changes to this health policy issue and can encourage support, 2) a social media approach utilizing a Facebook page for the same intent, and 3) a pamphlet/flyer to be distributed to Texas US Senators and Members of the House, outlining the key talking points and urging support for the policy changes and future legislation on the issue. (See Appendix A for links)Included in each of the different media strategies, key aspects will be addressed using these talking pointsWhat is the role, education and training of an APRN?What is the strike of the ACA on the existing shortage of primary care providers in Texas?How will allowing full practice au thority for APRNs benefit Texas?The recent passage of the Affordable deal out Act (ACA) is expected to create a large influx of citizens seeking primary care providers. The current demand for primary services has already burdened most states with a projection of more than 16 million individuals gaining health coverage by 2016, with projections in Texas of more than 4.2 million.Advanced practice nurses (APRN) possess the training, experience, and expertise in providing primary care services. The Institute of Medicine has urged states, like Texas, to change laws that place unnecessary restrictions on APRNs, as part of a solution to these shortages. Removing these restrictions will allow APRNs to be more fully utilized in Texas to serve the healthcare needs of Texans.As the population of Texas grows, the efficiency of a healthcare system that is already inadequate and overloaded will worsen. Reports indicate that of Texass 254 counties, only 23 have an adequate number of healthcare pr ofessionals to serve their populations. Nearly 90% of rural Texas counties are considered partially or completely underserved. Furthermore, 20% of Texans (3.3 million) do not have access to a primary care provider. As the provisions of our national healthcare law go into effect we can expect this to worsen with an anticipated shortage of 44,000 to 46,000 primary care providers by 2025. The severe physician shortage has also been affected by a shrinking medical school enrollment and fewer opting for a primary care specialty.APRNs can enhance health delivery efficiency and provide economic benefit by creating nearly 100,000 permanent jobs by 2020, increase annual economic output (gross product) by $8 billion, and 16.1 billion in total expenditures within Texas. This would also stimulate the economy with yearly tax receipts of 483.9 million to the state of Texas and $233.2 million to local governments by 2020, with projections continuing to rise every decade. A large number of studies indicate that patients have similar if not better experience when they receive primary care from APRNs vs. physicians and often at a lower cost.In the US, 33 states grant APRNs the freedom to diagnose and prescribe, 11 without physician collaboration. Failure to make changes in Texas will result in a worsening of the primary care shortage, compounded by the influx of newly insured individuals. In addition, there is a potential for an increase in the already inflated healthcare costs for services.Please support legislation that addresses the removal of physician oversight restrictions on APRNs currently in place in Texas. APRNs possess the training and experience necessary to provide primary care services to Texas citizens and should be allowed to practice to the full extent of their education and training. This is vital and the best practical solution for addressing the healthcare needs of Texans.

Love in A.S. Byatts Possession, Zadie Smiths White Teeth, and the Ful

Love in A.S. Byatts Possession, Zadie Smiths discolour Teeth, and the Full Monty by Peter CuttaneoAs British literature and film seek to screen out out the identity crisis that England finds herself in as a post-imperial nation, a variety of views have emerged concerning solutions for Britains confusion. One reoccurring theme to these views is retire. A.S. Byatts Possession, Zadie Smiths White Teeth, and The Full Monty, directed by Peter Cattaneo, all deal with a traditional, romantic view of true love, whether it is presented as a necessity or a dispensable ideal. While Possession and The Full Monty show romantic love as an essential part of what will push Britain towards rejuvenation, White Teeth presents grind as something that can be forfeited in light of the fact that mere survival is the ultimate goal. In Possession, Byatt juxtaposes many different types of relationships in beau monde to set up an obvious comparison between what sum ups renewal and what does no t. Roland Michell, a twentieth century scholar studying the works of nineteenth century poet R.H. Ash, is ab initio in a boring relationship with Val, an embittered ex-scholar, whom he has admittedly settled for. He does not love her, and, as a result, his life with her is bland. Roland later becomes colleagues with womens rightist Maude Bailey, whose work with another nineteenth century poet, Christabel LaMotte, coincides with his research on Ash. As they uncover Ash and LaMottes secret love affair, Byatt is able to display an arouse yet sorrowful love. Despite its sad ending, LaMotte and Ashs relationship brings freshness into their otherwise monotonous lives. As the novel progresses, Maude and Roland come to respect and, ultimately, love each o... ...r future but rather settle with her present in order to survive. While Byatts Possession and Cattaneos The Full Monty are pertain with a Britain that pushes herself towards greatness through love and acceptance, Smith is more concerned with Britain just moving forward. Yet all three of these works have raise viewpoints on the importance of true, romantic love in post-imperial Britain. Perhaps Britain can be rejuvenated through love, as Byatt suggests. Perhaps only love can bring new life to her bored, undefined citizens, as Cattaneo puts forth. Or, as Smith proposes, perhaps Britain just needs to stop all this focusing on the ideal and stressful to redefine herself through these fairytale, unrealistic notions. No matter which stance the British work takes, it is important to note the question that they each pose could love very find a way?

Lord of the Flies by William Golding Essay -- essays research papers

William Golding explores the vulnerability of society in a management that can be read on galore(postnominal) different levels. A less detailed look at the book, Lord of the travel, is a simple fable about boys stranded on an island. Another way to comprehend the book is as a statement about mans inner savage and reverting to a primitive state without societies boundaries. By examining the Lord of the Flies further, it is revealed that many themes portray Goldings views, including a religious persecution theme. Golding includes the theme of religious persecution to remind people of mans true nature, and by doing so alludes the fact that the next epoch society deteriorates, due to nuclear war, may be the last. The parallels between Goldings novel and the bible are too numerous for it to be coincidence, which we can see is generally reflected through characters and symbolism. The first parallel is the similarity between the Garden of Eden and the Island in Lord of the Flies. Both are tropical, beautiful, pristine and untouched. However this changes once the boys gravel left a scar in the forest of the island, comparable to the scar Adam and Eve left in the Garden of Eden. The most difficult to kick downstairs religious element in the novel is the title. Lord of the Flies, once translated into Greek, means Beelzebub - a name for the devil. This implies that the embodiment of religious evil is the main fancy throughout the book. Another well hidden religious element is the stick sharpened at both ends, whic...