Financial Aid is Not Always the Answer Essay Example for Free

Financial Aid is Not Always the Answer Essay The United States is known for getting involved in affairs that does not concern them all in the name of foreign policy. Nonetheless, its stance regarding its foreign policies have undoubtedly helped other nations especially those economically-challenged at the same time serving the US’ own interest. However, its policy in relation to Armenia and the so-called Armenian Genocide is nil to the least. As it is the United States’ aim to help Armenia, it has not yet officially recognized that the Armenian Genocide indeed occurred. Admittedly, democracy in Armenia is still a work in progress and it still has a long way to go especially now that elections are set this year. The United States despite its hesitation to fully acknowledge the atrocities committed by the Turks in 1915 and even until now against the Armenians, can nevertheless help in aiding Armenia and put a stop to the Armenian genocide. There is no easy way but to go head on. The first step would be to appoint and send an Ambassador that fully knows and understands the situation and plight of the Armenians. When John Evans, Ambassador to Armenia used the word â€Å"genocide† in public to describe the deaths of some 1. 2 million Armenians at the hands of the Ottoman Turks, this prompted a controversy that eventually cost Evans his job. Although none of the Ambassadors, other than Evans has affirmed and recognized the Armenian genocide during Senate confirmation hearings, it is imperative that the members of the diplomatic corps or nominees for the ambassador post must recognize and understand as well as refer to the Armenian genocide. Once this is done, other forms as well as policies of aiding will soon follow. Nonetheless, it cannot be denied that despite the aids sent by the United States, totaling to $75 million seemed to be not working at all. In fact, instead of going back to their national homeland, Armenians have left the country, including the 30 percent of its working population. The country is wrought with corruption and poverty and despite the immense aid provided from foreign sources, the country seems like it has just recovered from the genocide. Hence, in order to help the Armenians, change must start from within the country because admittedly even if foreign aid would still continue, it would still be useless considering that the money for aid sent is not used for the growth of the country. The United States has supported the Georgians and the Ukrainians in their quest for change in their respective countries. If it will support, even encourage the Armenians in its quest for a revolutionary and peaceful change, through its policies, perhaps it could help the Armenians who are still languishing in poverty and corruption. Therefore, the financial aid that it is providing for the Armenians is not the way to aid the Armenians and the victims of genocide. It is to help them shape their internal policies and shape the country into a clean and habitable homeland. The bottom line for this is: if we really want to help the Armenians and the victims of genocide, then it is imperative that we recognize what happened in 1915 as it is – genocide in the least. The Armenian Genocide undoubtedly has prompted the first large-scale international human rights movement in the United States and financial aid is not just enough, we have make sure that this does not happen again, not only in Armenia but in other countries as well to which the United States has vested interests.

Physics of a Plane Crash :: physics airplane landing land

There is an old saying that any landing you can walk away from is a good landing. There is a lot of truth to this statement, especially if you are the one walking away. Here are the stories of two such landings that I am personally familiar with. Since they are both very similar in nature, they will be discussed simultaneously in the pages to follow. N9KF was a Model 1 Kitfox. It was built and flown by my father. The Kitfox is an experimental, homebuilt kit plane. Every plane, like every person, has a story. This is the story of N9KF or at least the story as I know it. NEWTON'S LAWS - A Brief Review Newton's First Law An object remains at rest/motion unless an external force acts upon it.(Newman) Newton's Second Law The acceleration of a body or object is directly proportional to the net force acting on the body or object and is inversely proportional to its mass. (F=ma)(Newman) Newton's Third Law For every action force, there is an equal and opposite reaction force.(Newman) Forces of Flight LIFT Lift is generated by the air flow around the plane's wing. This effect is explained mostly by Bernoulli's Principle which states that the pressure of the air decreases as the velocity of the air increases. The design of a plane's wing changes the airflow around the wing's surface. The air has farther to travel over the top of the wing than the air traveling below the wing. Therefore, the air traveling above the wing is traveling at a higher velocity than the air traveling below it. As air flows around the wing, a high pressure region with low air velocity is created below the wing, and a low pressure region with high air velocity is created above the wing. The difference between the two pressures generates the lift force. (JEPPESEN 1-11) Newton's third law, stated above, explains how the remaining lift force is produced. Lift is generated when the air hits and is deflected off of the underside of the wing. This deflection of air downwards, in turn, causes an upward lift force on the wing since there must be an "equal and opposite reaction force."(Newman) This force accounts for a relatively small portion of the total lift generated for a wing.(JEPPESEN 1-13) WEIGHT Weight is one of the opposing forces to lift. From Newton's second law, the weight of an object is the magnitude of the force of gravity on that object.

Sepsis: Blood and Fluid Resuscitation

Sepsis; pathophysiology, etiology and treatment Abstract To define the disease known as sepsis, briefly discuss its pathophysiology, etiology, signs, symptoms, and treatments. Outline protocols for sepsis screening, early directed goal therapy, and to establish the nurse’s role in the process. Sepsis is a complex disease, or response to a disease process that can lead to patient mortality rates up to 60%. Gram negative infectious organisms invade the blood stream, and activate a systemic response.This systemic response exacerbates the problem, leading to disproportionate blood flow, alterations in tissue perfusion, and eventually multiple organ failure. Sepsis screening begins in the ER, signs and symptoms that are indicative of sepsis, or early indications of infection that can eventually lead to sepsis should be identified quickly. Since the majority of these patients are already compromised, it is imperative to have proper screening and initiate early goal directed therapy. Following standard protocols has proven to reduce mortality rates by as much as 25%. Sepsis; pathophysiology, etiology and treatmentSepsis has been defined as a suspected or proven infection that has entered the blood stream, and has the clinical manifestations of what has been termed the systemic inflammatory response (e. g. , fever, tachycardia, hypotension, and elevated white blood cell count termed leukocytosis) (Dellacroce, 2009, p. 17). Sepsis can be a result of any infection in the body that has triggered this systemic inflammatory response. Often times especially in the elderly it might be a result of an untreated urinary tract infection, or some other unknown infection that enters into the blood stream.When the invading organism or antigen enters the bloodstream, it releases endotoxins, a toxic substance usually associated with gram negative bacteria, such as Escherichia coli, Klebsiella pneumoniae, Serratia, Enterobactor, and Pseudomonas. In the patient who is ill already this invasion into the blood stream stimulates the release of too much immunodulators, causing an exaggerated response. Vasodilation is the body’s way of increasing blood flow to the attested area, thereby transporting more white blood cells, such as macrophages, to control the original infection.However, vasodilation, without a proportionate increase in blood volume leads to hypotension, increased capillary permeability which allows fluid to leak out of the blood stream and into the surrounding tissue causing edema. Concurrently, fibrinolysis is impaired leading to a decrease in clot breakdown. This is thought to be the body’s attempt to confine the antigen. However, the formation of fibrin clots leads to micro thrombi, causing hypoperfusion of tissues, tissue necrosis and eventually organ failure (Dellacroce, 2009, p. 17).Consequently severe sepsis is evidenced by sepsis-induced organ dysfunction or tissue hypoxia, hypotension, oliguria, metabolic acidosis, thromboc ytopenia, hypotension being a late sign of sepsis. Septic shock is defined as severe sepsis with hypotension, despite fluid resuscitation. Sepsis and septic shock are the most common form of vasodilatory shock, associated with the systemic response to severe infection. Sepsis and septic shock are very common in critically ill patients, elderly, and is accompanied by a high mortality rate.In many cases as high as 30 percent of patients die within the first month of diagnosis, and 50% of patients die within 6 months (Gerber, 2010, p. 141). The growing incidence has been attributed to enhanced awareness of the diagnosis, increased number of resistant organisms, and growing number of immunocompromised patients, and the increase in the elderly population. The early goal is direct therapy interventions and better treatment methods which have resulted in a decreased mortality rate; however the number of deaths has increased, because of the increased prevalence. Porth, 2011, p. 505) The pat hogenesis of sepsis involves a complex process in which the immune system releases a number of proinflammatory and anti-inflammatory mediators. In doing so, the body reacts by generating a fever, tachycardia, lactic acidosis, and ventilation-perfusion abnormalities occur. Hypotension is caused by arterial and venous dilatations, plus leakage of plasma into the interstitial spaces, abrupt changes in level of consciousness and cognition, are a result of decreased cerebral blood flow.Regardless of the underlying cause of sepsis, fever and increased leukocytosis are present. Elevation in lactic acid levels may not always be immediate, but generally a lactic acid level that is above 3. 2 would trigger the sepsis screening and cause initiation of early goal directed therapy. Our role as the nurse is to recognize the signs of sepsis, and or infection that could lead to it, and make the Doctor aware of any abnormal values or signs. Sepsis screening should be done on any patient that present s to ER with symptoms that would indicate infection, or early sepsis.Sepsis should be ruled out by using the screening protocols, and standard blood work, including two sets of blood cultures, (should be from two separate sites fifteen minutes apart) (Dellacroce, 2009). If the patient has passed the sepsis screening, sepsis protocols for early goal directed therapy should be initiated. The sepsis screening for a patient should take a systematic approach. Does the patient have a suspected infection as evidenced by, white blood cells (WBC) in urine, cerebral spinal flood, or other normally sterile body fluid, cellulitis or other skin infection, new pulmonary infiltrate on chest x-ray consistent with pneumonia?Does the patient have systemic inflammatory response syndrome (sirs) as evidenced by, WBC’s greater than 12,000 or less than 4,000, temperature greater than 38C, heart rate greater than 90 beats per minute, respiratory rate greater than 20 breaths per minute, PaCO2 less th an 32, or on a ventilator? Does this patient have organ system failure as evidence by, respiratory on ventilator, vasopressors, and metabolic serum greater than 3. 2, urine output of less than 0. 5 ml/kg/hr or greater than 0. 5 ml/kg/hr above baseline, or platelets less than 100,000?Does this patient have serious condition that indicates septic shock as evidenced by, receiving vasopressors after fluid resuscitation or lactate greater than 3. 9? (EGDT, 2011) Early goal directed therapy or implementation of sepsis bundle, should be priority, after cultures and all blood work has been completed. Antibiotics should be initiated within 3 hours of admission to emergency room, with initial round of antibiotic started within one hour of diagnosis. Central line access should be established for vasopressors.Arterial line should be established to measure central venous pressure (CVP). Fluid resuscitation to maintain CVP of greater than 8, 12-15 for ventilated patients (Soo Hoo, Muehlberg, Ferr aro, & Jumaoas, 2009). Rapid fluid resuscitation is required with these patients it is recommended they receive up to 3 liters of fluid. Mean arterial pressure (MAP) should be maintained via vasopressors to achieve MAP above 65. One of the more recent advances in treatment of sepsis is the administration of recombinant human activated protein c (rhAPC). rhAPC is a naturally occurring nticoagulant factor that acts by inactivating coagulation factor Va and VIII. RhAPC has direct anticoagulant properties, including inhibiting the production of cytokines (Porth, 2011, p. 506). Sepsis is a complex disease that takes a multi-disciplinary team to detect and treat. It is vital for the patients that diagnosis and early treatment begun immediately. This disease process is accompanied by a high mortality rate, so vigilance on the part of the health care team is a must. Screening and early goal directed therapy protocols are vital tools in the treatment of septic patients.The implementation of these tools has been shown to reduce mortality as much as 25%. The health care professional must pay attention to the signs that may be subtle, such as a slight increase in temperature; this is especially tricky in elderly patients whose baseline core temperature may be hypothermic. Nurses should watch pulse rates from baseline, urine output, any changes in mental status. References Dellacroce, H. (2009, July). Surviving sepsis: The role of the nurse. RN, 16-21. Gerber, K. (2010). Surviving sepsis: a trust-wide approach.A Multi-disciplinary team approach to implementing evidence-based guidelines. British Association of Critical Care Nurses, Nursing in Critical Care 2010, 15, 141-151. Porth, C. M. (2011). Essentials of Pathophysiology (3rd ed. ). Philadephia, PA: Lippincott Williams & Wilkins. Severe Sepsis/Septic Shock Screening Checklist for Early Goal Directed Therapy [Protocol]. (2011). LRMC Soo Hoo, W. F. , Muehlberg, K. , Ferraro, R. , & Jumaoas, M. C. (2009, July 4). Successes and Lessons Learned Implementing the Sepsis Bundle. Journal of Healthcare Quality, 31(9-15).

The Story Of Rons Life - 1374 Words

On Ron’s house he was sitting on his chair like any other day, but today it was the last day of the month. Which means he has to gather supplies for the next month. So he got up grabbed his items to hunt and flew to the forest. You all may be thinking how is Ron flying well you see Ron is not a normal human being. Ron is not even a human being. Ron used to be a little boy aged 8 lived in Washington. Who enjoyed science. Ron’s dad named Wilbert was a scientist. Ron also had a mom. Rons mother jully died from a car accident, but Ron believes that his mom is still out there. Just because that Ron’s mom may be dead that still doesn’t stop Ron for what he enjoys the most. Ron’s favorite thing to do is to watch his dad do invention about science†¦show more content†¦So then Wilbert thought and said â€Å"Hey Ron would you like to come back to my laboratory tommorow and see my chamber change a human being to 50% animal of that users chose but als o stay 50% human†. Ron was so excited and said â€Å"Yes I would love to come back to your laboratory and see your new invention.† Wilbert drove back to his house with Ron. â€Å"You better go to sleep understand Ron, I don’t want you to go past your bedtime today do you understand† Wilbert told Ron. Ron never heard his dad say anything like that before, Ron’s only words that he said was â€Å" Ok I’ll sleep at my bedtime today daddy†. It was 8:00 o’clock which is also known as Ron’s bedtime. Ron brushed his teeth got his pajamas and quickly fell asleep. While Ron was sleeping Wilbert wanted to test Ron and see if his chamber would have turned Ron into 50% any animal of Ron’s chose but also stay part human. Ron woke up and was so excited to go back to his dad’s laboratory. Ron changed his clothes to go the Lab again. Wilbert drove Ron to his laboratory. Ron explored everything he saw yesterday. Then he saw t he chamber again and said â€Å"Dad remember you said that I would see someone test your invention†. Then Wilbert open the door pushed Ron into the chamber and activated it. Then the chamber had this chemical that would make Ron pass out. Once Ron was passed out Wilbert pulled the lever to change any user into 50% animal of the users chose but stay part human. The way the invention is supposed to workShow MoreRelatedSarah Cole : A Type Of Love Story897 Words   |  4 PagesIn â€Å"Sarah Cole: A Type of Love Story†, Russell Banks uses story elements that are important to remember when writing a short story. He creates a unique character whose actions and comments are different from what he thinks. This create an internal conflict for the main character that is written in a seamless way that allows the reader to interpret Banks’s writing. 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