Losing Patients and Gaining Insight :: Medicine College Admissions Essays

On Losing Patients and Gaining Insight "Call 911!" I shouted to my friend as I sprinted down the street. The young Caucasian male had been thrown fifteen yards from the site of impact and surprisingly was still conscious upon my arrival. "My name is Michael. Can you tell me your name?" In his late twenties, he gasped in response as his eyes searched desperately in every direction for help, for comfort, for assurance, for loved ones, for death, until his eyes met mine. "Flail chest", I thought to myself as I unbuttoned his shirt and placed my backpack upon his right side. "Pulse 98, respiration 28 short and quick. Help is on the way. Hang in there buddy." I urged. After assessing the patient, the gravity of the situation struck me with sobriety. The adrenaline was no longer running through my veins - this was real. His right leg was mangled with a compound fracture, and his left leg was also obviously broken. The tow-truck that had hit him looked as though it had run into a telephone pole. Traffic had ceased on the six-lan e road, and a large crowd had gathered. However, no one was by my side to help. "Get me some blankets from that motel!" I yelled to a bystander and three people immediately fled. I was in charge. The patient was no longer conscious; his pulse was faint and respiration was low. "Stay with me, man!" I yelled. "15 to 1, 15 to 1", I thought as I rehearsed CPR in my mind. Suddenly he stopped breathing. Without hesitation, I removed my T-shirt and created a makeshift barrier between his mouth and mine through which I proceeded to administer two breaths. No response. And furthermore, there was no pulse. I began CPR. I continued for approximately five minutes until the paramedics arrived, but it was too late. I had lost my first patient. Medicine. I had always imagined it as saving lives, curing ailments, alleviating pain, overall making life better for everyone. However, as I watched the paramedics pull the sheets over the victim's head, I began to tremble. I had learned my first lesson of medicine: for all its power, medicine cannot always prevail. I had experienced one of the most disheartening and demoralizing aspects of medicine and faced it. I also demonstrated then that I know how to cope with a life and death emergency with confidence, a confidence instilled in me by my certification as an Emergency Medical Technician, a confidence that I had the ability to take charge of a desperate situation and help someone in critical need.

BADM 3601 †Operations Management Assignmen

Caroline Walsh BADM 3601 – Operations Management Assignment # 4? Due: Monday November 12th ? 5:00 PM (a) Â  A study? aid desk manned by a graduate student has been established to answer student’s questions and help in working problems in your OM course. The desk is staffed eight hours per day. The dean wants to know how the facility is working. Statistics show that students arrive at a rate of four per hour, and the distribution is approximately Poisson. Assistance time averages 10 minutes, distributed exponentially. Assume population and line length can be infinite and queue discipline is FCFS.Using this information, answer the following questions. i. Calculate the percent of utilization of the graduate student P= 4/6 = 2/3 = . 6667 percent utilization ii. Determine the average number of students in the system ?= 4 per hour ?= 6 students helped an hour Ls= 4/ 6-4 = 4/2 = 2 students in the system on average. iii. Calculate the average time in the system Ws= 1/ 6-4 = ? = . 5 hours average time in the system iv. Find out the probability of four or more students being in line or being served P0= 1 – 4/6 = 1- 2/3 = . 33 probability that there are 4 or more students being in line or being served. . Before a test, the arrival of students increases to five per hour on the average. ?Compute the average number of students waiting under this scenario. Lq= 4^2 / 6 (6-4) = 16/ 12= 1. 33 student waiting in line on average. (b) Â  What are the three characteristics of a waiting? line system? 1. Arrivals or inputs to the system: these have characteristics such as population size, behavior, and a statistical distribution. 2. Queue discipline, or the waiting line itself: characteristics of the queue include whether is it limited or unlimited in length and the discipline of people or items in it. . The service facility: its characteristics include its design and the statistical distribution of service times. —————— ———————————————————————– Question 2. Radovilsky’s Department Store in Haywood, California, maintains a successful catalog sales department in which a clerk takes orders by telephone. If the clerk is occupied on one line, incoming phone calls to the catalog department are answered automatically by a recording machine and asked to wait.As soon as the clerk is free, the party who has waited the longest is transferred and serviced first. Calls come in at a rate of about 12 per hour. The clerk can take an order in an average of 4 minutes. Calls tend to follow a Poisson distribution, and service times tend to be exponential. The cost of the clerk is $10 per hour, but because of lost goodwill and sales, Radovilsky’s loses about $25 per hour of customer time spent waiting for the clerk to take an order. ?= 12 ? = 15 (a) What is the average time that catalog customers must wait before their calls are transferred to the order clerk?Wq= 12/ 15 (15-12) = . 2667 average time to wait before transferred (b) What is the average number of callers waiting to place an order? Lq = 12^2 / 15 (15- 12) = 3. 2 average number of callers waiting to place an order (c) Radovilsky’s is considering adding a second clerk to take calls. The store’s cost would be the same $10 per hour. Should it hire another clerk? Explain your decision. Yes they should hire another clerk because the customer average wait time and average number of callers waiting to place an order indicate that a second representative is needed.

Two dads are better than none

Life would always have Its way to prove that two is better than one. And partners would always almost remain partners. A spoon would always come with a fork, as a pencil would always have an eraser. A tooth paste would only be used with a tooth brush and a shoe has to be worn with a sock. Such things are typically seen as one. Though mammals the other would be fine, difficulties would still follow. Complete Is synonymous to perfect. And a complete family consists mainly of a father, a mother and their children.Two dads are better than none – a saying that goes against the natural law of marriage when you read between the lines. What happens when a family lacks a mother, and is rather replaced by two dads with their motherly big heart? It may not look complete. It may even seem peculiar. Or worse, unethical. But nothing would be more immoral than hurting someone physically and emotionally. A lot of children nowadays came from a broken family. As a consequence, they suffer depre ssion and attitude problems towards the people around them. They often feel alone and Incomplete.There are also a number of children left in an orphanage for their parents are not responsible and mature enough to keep them. Indeed It Is difficult to live alone or to live with people one Is not related with. And If two men are willing to live together and create a wholesome and loving family for a deserted child, why would I disagree? I personally believe that love knows no boundaries and that it knows no gender. Though I am a Christian, and the bible is strictly against same sex marriage, I find it acceptable but at the same time regrettable for they would never eve their own child.And thus no family of their own. But as I watch the pride march and heard their voices, I came to an understanding that they are happy with those consequences. Having a family with two dads may not be perfect. But the love that will be built inside a house, more likely a home, is enough to make everything complete. The sacrifices that these two men give the moment they decided to adapt a child and make a family may be equal or even more than the sacrifices a mother and a father can provide. For doing so, they are ready to face all discriminations, allInjustices, and all hardships In order to protect their child. They do not only need to be financially-prepared, but most especially emotionally- and mentally-prepared. People do change together with their perspectives. And everyone has all the rights to change. Being gay is not a negative thing. It comes all with acceptance not just by them but also by us. Moreover, being gay is not a hindrance to dream and pursue a family. Two dads are better than none By syllabicating Life would always have its way to prove that two is better than one.And partners Though missing the other would be fine, difficulties would still follow. Complete is alone and incomplete. There are also a number of children left in an orphanage for their parents are not responsible and mature enough to keep them. Indeed it is difficult to live alone or to live with people one is not related with. And if two men are injustices, and all hardships in order to protect their child. They do not only need to change. Being gay is not a negative thing.

Importance of Beauty Industry and Ethical Issues

Cosmetic improvements can make people feel better about themselves but can also make others that cannot afford or obtain such services feel worse. However, the debate as been raging as to whether or not the billion dollar beauty industry is worthwhile in the modern society. The beauty industry is very diverse and has multiple players.Players involved in this diverse industry include the dealers in the beauty products, the cosmetics, services for improving appearance like exercise machines, nutritional beauty products and above all the end users of all these products (Simms, 1998).Considering the rate at which the beauty industry has been growing, it would be important to analyze whether it impacts the current society positive or not. My analysis will examine the importance of the industry to the players and the society in general. In addition I will look at the various ethical concerns presented by the beauty industry and how possibly they should be solved in order to have the indust ry continue benefiting the society. The highest number of consumers of the beauty products in the current world and in deed over the centuries is undoubtedly women.Women generally adopt the idea of self-grooming at a very tender age (Gillespie, 1996). Unlike men, women have a natural interest in their looks and physical presentation and in most cultures; they believe that good looks and physical attraction is expected of them. Women therefore find it hard to escape such sociocultural norms and as they grow up they internalized the norms such that they simply become unaware of their motivations to seek beauty (Black, 2004). Nevertheless, the modern man has been quite conscious of his looks and physical appearance (Sullivan, 2001).The motivation behind men’s growing interest in physical attraction is a debate for another day; however, the importance of beauty products and services to these users is clear. The users of beauty products and services always want to experience body empowerment, pleasure as well as freedom from appearance (Haiken, 1997). Society associates good looks and great physical attraction to power and therefore those who possess such qualities would avert competition in marriage and other social spheres of life. The pleasure of having a good body elevates one’s esteem.The beauty industry therefore provides an opportunity for those who feel bad about their physical looks to transform it according to one’s own societal ‘standard’ (Morgan, 1992). Apart from the freedom it offers the users to improve their looks; the aesthetic industry is currently a multibillion dollar industry. From the manufacturers of various beauty products, to millions of users across the globe, the beauty industry is considered one of the top revenue earners in various economies around the world and therefore justifies its existence in toady modern world (Hiscock & Lovett, 2004).Despite the importance of the beauty industry to the various p layers and economies, the industry has been receiving criticism for its unethical practices (Brumberg, 1997). There has been a growing public outcry with regards to the industry’s unsustainable business practices especially with respect to the environment. Manufacturers of beauty products have always faced criticism for testing their products on animals, unsustainable sourcing for raw materials as well as for causing chemical pollution.But due to consistent pressure from the media, the consumers and the retailers, aesthetic industry especially the cosmetic companies are shaping up to be counted as good corporate citizens. Many corporate bodies in the aesthetic industry are investing a lot in CSR programs as well as in other sustainability initiatives. For example, the Body Shop has been embarking on ethical sourcing while others like Yves Rocher have been focusing on preservation of biodiversity (Organic Monitor, 2010).A number of beauty companies have opted to take holistic approach to the issue of ethics and sustainable business practices. These companies are now reducing the environmental effects of their products by opting to greener formulations, decreasing packaging of most of their products and also reducing greenhouse gas emissions as well as water and energy consumption. In addition, they are also considering the social dimension of their businesses and operations. These include ethical supply from their supplies and social responsibilities through corporate philanthropy.In its recent strategic report, Organic Monitor (2010) found that most companies are investing in greener formulations and sustainable packaging in order to reduce the environmental footprint caused by the various cosmetic products. The report suggests that packaging is getting high interest because most companies in the aesthetic industry have realized the high environmental impact most of their cosmetic products have had on the environment. As a result companies are now looki ng for biodegradable plastics, recyclable materials as well as other innovative ways to lower environmental degradation (Brandweek, n. d).ConclusionThe beauty industry has more to offer to the modern society in terms of monetary value and desired body image. Although, some may not be able to access or afford the most expensive cosmetic products like plastic surgery, the benefits far outweighs the concerns of the minority who would have to contend with their natural looks. But even as the industry remains relevant and beneficial to the current society, it has to treat the ethical issues raised as a matter of urgency.A sustainable business practice would not only benefit the consumers and the society but also ensure a continued operation by the cosmetic companies within a sustainable environment. Although, a few companies have seen this importance of this, more need to be done.ReferencesBlack, P. (2004). The Beauty Industry: Gender, Culture, Pleasure, Routledge: New York. Brandweek, ( n. d). Study: Natural Beauty Products Flooding the Market. Retrieved on August 21, 2010, from http://www. brandweek.com/bw/content_display/news-and-features/packaging-and-design/e3id5cad753451dc1bfe073efb89ddb9730 Brumberg, J. (1997).The Body Project: An Intimate History of American Girls. Random House: New York. Gillespie, R. (1996).Women, the Body Brand Extension in Medicine: Cosmetic Surgery and the Paradox of Choice. Women and Health Vol. 24. Haiken, E. (1997).Venus Envy: A History of Cosmetic Surgery. Johns Hopkins University Press: Baltimore. Hiscock, J. & Lovett, F. (2004).Beauty Therapy, 2nd Heinemann: London Organic Monitor, (2010, May 19).CSR & Sustainability: How the Beauty Industry Is Cleaning Up. Retrieved on August 21, 2010, from http://webcache.googleusercontent.com/search?q=cache:WvoQqIjRJqcJ:www.npicenter. com/anm/anmviewer.asp%3Fa%3D27277%26z%3D2+Beauty+Industry+Ethics&cd=7&hl=en&ct=clnk&gl=ke&client=firefox-a Morgan, K. (1992).Women and the Knife: Cosmetic Surgery and the Colonization of Women's Bodies. Hypatia Vol. 6: 25-53. Simms, J. (1998).A Practical Guide to Beauty Therapy for Nvq Level 2, 2nd edition, Nelson Thomes: New York. Sullivan, D. (2001). Â  

Health and Safety Assignment Example | Topics and Well Written Essays - 1250 words

Health and Safety - Assignment Example The passers-by who use the main road are also in danger. The cattle and sheep may be potentially exposed to serious peril if the chamber suddenly explodes. (c.) Evaluation of Risks: Due to the impending peril of a potential explosion of the chamber brought about by the cracks, it is best that immediate remedy shall be effected swiftly. The toxic pollutants found in the sewer system can cause a critical threat to public health. In the event that it explodes, the water system shall be affected which can harm the community that uses the sewer system. (d.) Implementation: A simple solution to fix the cracks by applying a sealant to the cracked edges is just a temporary relief. There is a need to upgrade the sewer system management plan. In order to prevent sewer overflows, it suggested that some guideline should be followed: 1. â€Å"Maintain uninterrupted sewage flow without health hazard, effluent leakage, or water infiltration and inflow. 2. Operate a sanitary sewer system that meets all regulatory requirements. 3. Avoid sanitary sewer overflows and respond to sanitary sewer overflows quickly and mitigate any impact of the overflow. 4. Maintain standards and specifications for the installation of new wastewater systems. 5. Verify the wastewater collection system has adequate capacity to convey sewage during peak flows". Details on how to achieve a sewer system management plan can be found in this website http://www.ci.san-luis-obispo.ca.us/utilities/download/ssmpgoal.pdf. (e.) Review of Assessment : The grave problem must be acted upon immediately. There is no need to wait for the operation to take place in June. The sewer system issue must be resolved in the soonest possible time as many people shall be exposed to the danger of spreading diseases and toxic pollutants in the water system which can be caused by a broken subterranean chamber of the sewer system. II. Operation 2 (a.) Hazards: The maintenance and upkeep of growing trees, grasses and hedgerows along highway and in the vicinity of a junior school in the suburbs of a small town has become a refuge of drug traders living in the area. The possible menace that the drug dealers can cause to the innocent children, the people who reside in the community, and the motorists who traverse the highway, should be prevented. (b.) Who may be harmed: The safety and well-being of the students attending the junior school and the entire school community are in jeopardy for they may encounter misfortune with the members of the drug syndicate. The gardener who is responsible for the upkeep of grass verge, tidy up hedgerows, and trim tree branches is in also peril if he is left alone to finish the task. The landowners near the site will also be in danger if no maintenance is implemented. â€Å"The highway users are exposed to harm, especially if they are blind and disabled and wheelchair or pushchair users. Children are particularly at risk from eye injury. They can also impair vision for drivers a t junctions†. Details on the danger caused by overgrown trees and hedges to highway users can be viewed in the website of Worcestershire County Council which can be viewed at http://www.worcestershire.gov.uk/cms/transport-and-streets/streets/trees-and-hedgerows.aspx. (c.) Evaluation of Risks: It is impossible for the grass cutter, which is a ride-on mower to be driven to the site on the

Human nature and politics Dissertation Example | Topics and Well Written Essays - 3500 words

Human nature and politics - Dissertation Example This essay tells that in the present day turmoil, observed worldwide in various political circles, and the disillusionment faced by the citizens thereafter, the focus has steadily remained on the changing political actors and their varying political ideologies, which are in reality superficial in nature. In a persistent move to examine various political theories and doctrines, one has failed to observe the most important aspect, which plays a decisive role in the world of politics and power play (both globally and nationally), which is the ‘human nature.’ However, the term human nature is not easily defined, and includes complex characteristics like human perception, reasoning, behavior, ways of feeling, thinking, that are naturally observed in any individual in context of his or her surrounding socio-political world. The questions as to what causes these characteristics to take shape and form within human thought processes, in what exact manner the causal factors work, and as to how well the human nature is entrenched, form the bases of various researches in the world of western philosophy, with considerable implications in the practical fields of psychological and biological sciences, religious studies, politics, and ethics. This is primarily owing to the fact that Ð °human nature can be seen as antecedent of a benchmark for ‘living well’ and behavioral norms, while on the other hand it can also be perceived as a characteristic that creates problems and constraints in the way of a good life. Aristotle in his virtue theory claimed that ‘virtues’ are human qualities that assist an individual to achieve the benchmark and ‘live well,’ which is in concordance to human nature.5 Machiavelli and Hobbes on the other hand believed that human nature tends to be egoistic thus creating problems and constraints in ‘living well.’ Machiavelli further suggests that each individual has the potential of ‘li ving well’ and being happy, as long as he/she does not face suffering. Hobbes however, takes an extreme view and states that human nature is entirely derived from materialist axioms, and the state

Organisational Behavior Essay Example | Topics and Well Written Essays - 2250 words

Organisational Behavior - Essay Example The second point of view of the organizational study is the macro study of the organization where the study is aimed at taking a general point of view of the whole organization. Macro point of view is also especially interested in how different organizations survive in changing conditions and how they learn to adapt to these changes, it focuses specially on the systems and people that help the company make a transition from this stage to the next one. Organizational studies can play a really important role in the development of an organization because it has all the ingredients that would give the employers the power to mould their workers in to a work force which is an ideal one for them and for this very reason it has been criticized by many because it is viewed as a tool by which employers control their workers in fact the case is totally different because organizational studies are designed to benefit the employees as well as the company that they work for. Organizational studies being a form of social science the over riding goal is to achieve a level where the employee can control the environment around him and should also be able to predict what is going to happen next due to the decisions being taken within the firm or the company. Since this paper aims to tackle both the macro and the micro side of the field of organizational study, macro should be dealt with first. Culture Culture is one of the most under rated portion of any company but the companies that have reached the top or those that are considered the most successful ones have never neglected this side of their corporate environment because it is in fact one of the most important things in the corporate sector. This is so because the culture defines how the employees of a firm behave and this behavior is what is important to the field of organizational behavior because people shape up an organization and their behavior shapes up the behavior or the direction of the company. The criteria for judging employees behavior or the culture of the organization is basically to check and see whether the policies that have been drafted are implemented or not and if they are with what regularity and what level of strictness is followed. The policies should be applicable to every one because if it does not then there would be clear cut discrimination and this would be the first fault line that would bring th e company down. The role of policies is to determine, to give direction to the employees of the company so that they may be able to ascertain certain things and these policies should be for every one, they should be implemented at all levels and no discrimination should be done on the basis of seniority, sex, cast or religion. This promotes healthy learning environments and people that are much friendlier and like each others company because they are being treated equally by the company and this promotes healthy working environment which is very important if a company or an organization has to grow and grow continuously and exponentially in every sense of the word growth. If such an environment is produced in the organization there would be automatic transfer of responsibility on every one to a certain degree, the role of the HR