Monday, August 24, 2020

Free Essays on Global Apparel Sourcing for US----The post January 01, 2005 scenario.

it implies the fundamental needs of humansfood, apparel and cover and affe... Free Essays on Global Apparel Sourcing for US - The post January 01, 2005 situation. Free Essays on Global Apparel Sourcing for USThe post January 01, 2005 situation. Worldwide Apparel Sourcing for USThe post January 01, 2005 situation. Presentation: The subject of my examination paper is â€Å"Global Apparel Sourcing for USThe post January 01, 2005 scenario† January 01, 2005 is the date when unhindered commerce understanding of WTO will become effective and all exchange obstructions standards, obligations, levies will be either disposed of or exposed to decrease under a time span of a couple of years. In this paper I have endeavored to research and close the ideal exchange strategy US should actualize so as to accomplish most extreme favorable position for its economy without sabotaging or abusing the economies of its exchanging accomplices. All through this paper the essential spotlight will be on attire with two-sided exchange and bit of leeway to the US economy taken in a more extensive point of view. As it were the attire business will be the point of convergence in closing with regards to how the US economy and industry all in all will be profited by the proposals given by this paper. The essential wellspring of my examination has been Internet, books, periodicals and articles from industry specialists, approach creators and the scholarly world. The essential motivation to chip away at this theme is three overlap. 1. I have been related with the clothing business all through my profession and have been at the flexibly side of the industrycountries US sources its attire and material items from-from the start. 2. My major for my Bachelor’s qualification is International Business and clothing is an industry which is one of the most significant divisions for some creating and immature nations which might want to be profited by capital and research escalated enterprises of US by offering work serious results of which attire is a noteworthy one. 3. Apparel and material is one of the most significant heads of consumption with regards to shopper spending or monetary movement in the US. As such it implies the essential needs of humansfood, attire and cover and affe...

Saturday, August 22, 2020

The Silo Strangler- Creative Writing :: Creative Writing Essay

Gradually walking through the damp field outlined by the moon, was the fifth casualty of the Silo Strangler. He was 15 years of age, 5ft 6 and was the typical adolescent who believed that the world spun around him also, that nothing could hurt him. His dad set out the standards in his house and the one he, tried most was that Andy ought not escape his room and night to proceed to drink with his companions. In addition to the fact that it was unlawful for him to drink, the Silo Strangler was sneaking around and had just murdered four individuals in the region of the town. It was damaging this standard that got Andy murdered. It began when he moved out of his window at 10:30PM. He rearranged down the cast iron drainpipe down the side of his home to the ground, he sneaked around the house in all out secrecy ensuring no one saw him. He crossed the sufficiently bright primary street, which ruined the quietness of the town, carrying more individuals to the town who purchased houses for foul measures of cash and the Buttermilk Bluebeard. At that point he climbed fumblingly through the security barrier doing whatever it takes not to harm himself or his apparel as his folks would realize he had been out on the off chance that he did. Presently he was in the field he was unable to go through it, he needed to gradually stroll, down the edge of the field, as there was old fashioned corn developing in it so he needed to take care not to remain on or stumble more than one of the corn plants. At the point when he arrived at the finish of this field he had could run through the following field then he needed to stroll through the forested areas to the opposite side of the town. The forested areas were peculiar spot, particularly in obscurity when everything appeared to change. Trees looked like individuals. Branches looked like arms also, ordinary commotions like and owls hooting, or a winged creature setting of to fly caused you to feel like you were being viewed.

Saturday, July 18, 2020

Meal Planning Tips for People With ADHD

Meal Planning Tips for People With ADHD ADHD Adult ADD/ADHD Print Meal Planning for People With ADHD By Jacqueline Sinfield facebook twitter Jacqueline Sinfield is an ADHD coach, and the author of Untapped Brilliance, How to Reach Your Full Potential As An Adult With ADHD. Learn about our editorial policy Jacqueline Sinfield Updated on October 11, 2019 ADHD Overview Symptoms Causes Diagnosis Treatment Living With In Children Photographer and Designer/Moment/Getty Images Meal planning can cause anxiety and overwhelm many people living with ADHD. The thought of sitting down and planning three meals a day, for seven days feels like an enormous task. Instead, many people ‘wing it’ and eat whatever is around when they are hungry. While this technique might not be the most healthy or cost-effective way to eat, it does remove the need for meal planning. However, if you are responsible for other peoples nutritional needs besides your own you might feel guilty if you order pizza for the fifth night in a row. Meal Planning Benefits for People Living With ADHD There are many benefits to meal planning. The three main ones are: It Saves Money   When you meal plan, you have all the items in your kitchen to make a complete meal! This means fewer emergency trips to the grocery store and the inevitable impulse buys. You will also save money on eating out because there is nothing to eat at home. It Saves Time Thanks to meal planning, you always have the ingredients to make your meal. No more trying to make a chicken stir-fry and realizing you don’t have the chicken. Even quick trips to the store are time-consuming  when you factor in parking and waiting for the checkout line etc. Its Healthy Preparing and cooking your own food is much healthier than eating outside your home. To make the food taste so good, restaurants add fat, salt, and sugar. In contrast, when you are cooking at home, you can eliminate or use those ingredients sparingly. You can also plan a varied diet, which is helpful to ensure you are getting all the essential nutrients. Without meal planning, you might find yourself in default and eating the same meals again and again. How to Create a Menu Rotation for Easy Meal Planning There is a great way to have the benefits of meal planning without having to repeatedly plan your meals. It’s menu rotation.   Menu rotation is where you plan your meals for a certain period of time, for example, three weeks, then repeat those three-week menus again and again. Your menu is planned once and then you never have to do it again!  It will revolutionize your eating and your health.? Heres how to set up the system: In bullet points, write all the evening meals you make regularly now. Your list might look something like this.Look for additional meals you have made in the past and enjoyed but forgot about them. Ask family members, dig into recipe books, or check out cooking websites. Add these to your list. When you have seven  meals, you have your first week of evening meals!Write out all the ingredients you need for those meals.Now do the same for lunches.  Next plan your breakfasts. You don’t need the same variety for breakfast as evening meals. Perhaps you have weekday breakfasts and weekend breakfastsOver the next few weeks, build on that first week of meal planning. Add new recipes until you have 21 days of meals. When you have 21 days your work is done! You have menus and weekly shopping lists for each week.  If you like to try new recipes, then allocate one evening a week where you try a new recipe. If its really tasty it can be part of your rotation.

Thursday, May 21, 2020

Success Is The End Of Success - 844 Words

Success has many different interpretations. Some people distinguished success by social status and riches. Other people think that success is completing high school or finding his or her inner self. My mother once told me that success is within the mind of the individual. I believe success comes when a person desires to achieve the goal he or she is striving for. In my opinion, happiness is the end result of true success. If I put my mind into being the greatest cross country runner in De Queen, then I will do whatever it takes to attain that goal. Whether is for a sport or for school, I try to accomplish the goal I set out for myself. Even in the most difficult challenges, my desire to achieve the goal I make for myself overcomes any obstacle. If I truly believe I can do something, then I can achieve success through determination, ambition, and passion. Determination plays a major part in success. When I was a sophomore, I joined cross country for the very first time. I had already ran in track, and I wanted to try a different running sport. I never knew that I would fall completely in love with cross country. State was the most important meet in cross country. Only nine girls and nine guys would run in state. I didn’t make the state team my first year or even my second year. Therefore, I made it my goal to run in state and to be one of the privilege runners to run for the De Queen Lady Leopards cross country team. The summer before my senior year, I trained as hard as IShow MoreRelatedWhat Is Project Success From My Perspective?1287 Words   |  6 PagesHow to define project success from my perspective? In recent decades, a set of issues have been triggered by the fact concerning how to define project success. Some claim that the traditional views are still suitable to define project success, such as under budget, within schedule and acceptable quality. These traditional criteria are well-known as â€Å"Golden Triangle† or â€Å"Iron Triangle†, which has been used to assess project success over several decades. However, these criteria have been criticisedRead MoreMy Definition of Success Essay933 Words   |  4 Pagespersonality and duplicate it. – Bruce Lee – What is success? Society is always striving for a definition to define it and how others can and have achieved it. This paper will illustrate the definition of success, what makes society success or not success, and what my personal definition of success is. This will show how twisted and materialistic people can really be in today’s world. In the dictionary.com definition success is the achievement of something desired, planned, or attemptedRead More Money and Success, Who Wins Essay example964 Words   |  4 Pagesaid of bundles of money that he inherits and sees this as the only way out of the common life he is leading. The boy connects success and happiness solely with money and possessions. Unfortunately, the association leads to the downfall of his character. This is the path taken by too many individuals in todays society. Although they make a correlation between money and success, this connection is substantially unjustified. It results in the disillusions of children and adults alike, who see proof ofRead MoreWhat Is Good Human Being Or Shall We Say Famous Too?1547 Words   |  7 Pagestraits that define good human being(s) – the epitome of our mainstream success. Or does this individual have conflicting stress issues with his or her life, involved in mid-life crisis, and/or unsure of his or her purpo se in life? Whatever it may be, it all depends from person to person. In our day and age, mainstream marketing and social media have effectively transformed the millennial generation into accepting that â€Å"Success† beholds the luxurious lives of billionaires, owners of big real-estateRead MoreInfluencers For Project Success Factors Essay1147 Words   |  5 PagesInfluencers for Project Success - Akshay Suresh Rao RESEARCH ESSAY DISCUSSION PAPER Everyone wants to have a successful outcome for his or her project. The golden question is: What are the Influencers for Project Success? We all know every project is unique in terms of size; it’s uniqueness and complexity. But we more or less follow the same Project management guidelines drafted by the Project Management Body of Knowledge. If the process being followed is same then definitely we should be ableRead MoreCritical Success Factors For An Organization1540 Words   |  7 PagesCritical Success Factors The critical success factors for an organization will aid the development of the organizations success (Blocher, Stout, Juras, Cokins, 2016, p. 10). These factors assist the organization to measure the internal and external processes of the organization (p. 10). The critical success factors will determine the financial and nonfinancial factors that will assist the organization to remain competitive in the market place (p. 10). The critical success factors are the measuresRead MoreThe Truth On The Keys Of Success1190 Words   |  5 PagesTruth to the Keys of Success   How exactly do you define success? Does it mean to have a large house, expensive car and absolutely no financial problems? Does it mean that you have the best up-to-date technology and have the best style of clothing? As success may be defined differently for everybody, everyone’s goal in life is to succeed one way or another, but rather, many people struggle with attaining it. Today, society  and media has given us the misperception as to what success is truly defined asRead MoreTeaching Styles, Learning Styles, and Cultural Location in Relation to Academic Success996 Words   |  4 PagesCultural Location in Relation to Academic Success The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires. -William Arthur Ward. Every teacher is different and teaches differently, but when it comes to academic success of students, how do the teaching styles affect the overall outcome of the student success. Although teaching styles and learning styles have a massive role to play and academic success, so does cultural location. Teaching stylesRead MoreEssay on The Failure of the American Dream in Death of a Salesman1480 Words   |  6 PagesDream, the idea that anyone can ultimately achieve success, even if he or she began with nothing.  In The Death of a Salesman, Arthur Miller uses the characterization of Willy Loman to represent the failure of his ideal of the American Dream.  Willy’s quest for the American Dream leads to his failure because throughout his life he pursues the illusion of the American Dream and not the reality of it. His mindset on perfectio n, obsession with success, and his constant reminiscence of the past and predictionsRead MoreDeath Of A Salesman By Arthur Miller1015 Words   |  5 PagesSalesman† by Arthur Miller, the protagonist Willy Loman believes a person will be happy once they obtain success by living the American dream; if you are unable to achieve this goal then you are a failure. The play is divided into two categories: successes and failures. The image of the American Dream depicted in society influences Willy’s own perception of success and is the cause of his failures. Success is a main theme in â€Å"Death of a Salesmen†. There is a fine line between the characters, those who

Wednesday, May 6, 2020

Improving End Of Life Care In The Icu. A Literature Review

Improving End of Life Care in the ICU A literature review conducted by Crowe (2017) examines the role of ICU nurses in providing high quality end of life care in the ICU. He states that palliative nursing in the ICU is de-emphasized due to an increased focus on curative treatment. Four major themes have been identified that contribute to the poor management of critically ill patients needing palliative support. These themes include decision-making challenges, barriers, obtaining support and formation of guidelines to effectively implement comfort care therapies. Hence, a checklist has been developed to allow nurses to properly facilitate the provision of quality care to patients experiencing the end of life, as well as giving needed†¦show more content†¦With information gathering reflecting evidence-based practice, a checklist has been created in accordance with the philosophy of the hospital s palliative care program. This said checklist is also constructed in alignment with the ICU’s policies and proced ures to provide â€Å"a framework for the bedside ICU nurse to ensure proper process, and consistent care is provided to all patients and families at the end of life† (Crowe, 2017). This will be implemented upon completion of a family meeting with the multidisciplinary team that allows clear communication, decision making to modify goals of care from curative to comfort, reflection, and clarification of questions. The checklist is divided into three parts: Decision making, Preparation, and Implementation. Decision making involves the explanation and confirmation of withdrawal of life-sustaining therapies. The preparation phase includes family awareness, planning, consideration of spiritual practices and organ donation inquiries. Lastly, the implementation phase provides detailed instruction for the healthcare team once the process is initiated (Crowe, 2017). The study concludes that it is imperative for nurses to acquire knowledge on the significance of palliative care, the ethics behind, and how it impacts the lives of their patients and families. This checklist serves as a guide for bestShow MoreRelatedEssay on Importance of Communication Between Doctors and Nurses916 Words   |  4 PagesImportance of Effective Communication between Doctors and Nurses during End-of-Life Care in the Intensive Care Unit End-of-life care, as defined by the U.S. National Institute on Aging, is the term used to describe the support and medical care given during the time surrounding death. The Intensive Care Unit (ICU) is a specialty area that cares for critically-ill patients who are facing life-threatening problems. The goal of the ICU is to help patients and their families get through this difficult stageRead MoreQuantitative Research Article Critique Essay example1645 Words   |  7 PagesQuantitative Research Article Critique This paper is an academic critique of an article written by Lautrette, et al. (2007) titled: â€Å"A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU† and accurately reflected the content of the article and the research study itself. The abstract explained the article in more detail, while remaining concise. The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion wereRead MoreIdentifying Moral Distress : Ethical Concerns Of Intensive Care Unit Nurses3831 Words   |  16 Pages Identifying Moral Distress: Ethical Concerns of Intensive Care Unit Nurses Travis J. Hargreaves Clarkson College Abstract Moral distress is an ethical issue recently recognized in literature as afflicting nurses in the intensive care unit (ICU). ICU nurses often face conflicting dilemmas where the nurse knows the ethically and clinically correct course of action, but feels powerless to act due to numerous internal and external constraints. This creates feelings of frustrationRead MoreThe Mortality Of Maternal Mortality1231 Words   |  5 Pagessmall fraction of the burden of maternal morbidity; the health problems borne by women during pregnancy and the postpartum period. Maternal deaths have been described as the tip of the iceberg and maternal morbidity as the base. Yet, women who survive life-threatening conditions arising from complications related to pregnancy and childbirth have many common aspects with those who die of such complications (1, 2). World Health Organizations (WHO) estimate reflects the difficulty in calculating and characterizingRead MoreClinical Information System6441 Words   |  26 PagesCLINICAL INFORMATION SYSTEM TO THE CRITICAL CARE ENVIRONMENT INTRODUCTION The delivery of health care has become increasingly complex, and most clinical research focuses on new approaches to diagnosis and treatment. There have been significant advances in medical technology used in patient treatment and care. The Intensive Care Unit (ICU) in an acute hospital is designed to treat the most complex and unstable medical and surgical patient. Most ICU admissions occur because the patient requiresRead MoreHealth Promotion And Disease Prevention1909 Words   |  8 Pagesfamilies and peers which may lead to an increase or decrease in self-efficacy (Alligood, 2014). Ultimately, once all cognitive-perceptual and modifying factors are taken into account, the end goal is health promoting behaviors that result in improved health, enhanced functional ability, and a better quality of life (Alligood, 2014). The Health Promotion Model Benefits and Limitations Pender’s HPM is an important model for health promotion not only within the clinical setting but within the realmsRead MorePositioning Patients As A Routine Activity2179 Words   |  9 PagesPositioning patients is a routine activity carried out by critical care nurses. For mechanically ventilated patients, positioning is aimed towards minimising skin breakdown, improving oxygenation and preventing ventilator-associated pneumonia (VAP) (Thomas, Paratz, Lipman Stanton, 2007). According to Shah, Desai and Gohil (2012), therapeutic body positioning is different from routine body positioning when prescribed to optimise cardiopulmonary function and oxygen transport. It is utilised to improveRead MoreHealth Care : Helping Patients Live Better Lives And Die Better Deaths Essay1649 Words   |  7 PagesPalliative Care: Helping Patients Live Better Lives and Die Better Deaths Executive Summary People today are living longer than their forebears. By 2030, an estimated 72 million people of the U.S. population will be older than 65 years old and an estimated 9 million people will be older than 85 years old (Heinle, McNulty, Hebert, 2014). Most adults will live with at least one chronic illness until they die (Heinle et al., 2014). Palliative care (PC) is specialized care that ensures that patientsRead MoreThe Impact On Medication Safety And Quality Of Patient Care2980 Words   |  12 PagesCPOE: The Impact on Medication Safety and Quality of Patient Care Improving patient safety and providing quality care is a top priority in today’s health care forum. Medication errors (MEs) affect many seeking treatment in medical care settings. Computerized provider order entry (CPOE) systems are identified as potential sources for decreasing the occurrence of MEs and adverse drug events (ADEs). Notable health care organizations, including the World Health Organization (WHO), Institute of MedicineRead MoreA Research Proposal For Nurses On A Trauma Unit After Implementation Of New Electronic Method Of Charting And Administration4862 Words   |  20 Pageschosen topic for this research proposal is workarounds amongst nurses on a trauma unit after implementation of new electronic method of charting and administration of medication. The selected group included 10 nurses who have been working on a trauma care unit. Nurses may think that are doing a more efficient job by using workarounds especially to help with time management and emergenc ies. However this may not be the case, nurses may be doing themselves an injustice for not embracing changes as it

Natural Disaster Free Essays

string(89) " of human life due to high winds, flooding, and large waves crashing against shorelines\." Earthquake, shaking of the Earth’s surface caused by rapid movement of the Earth’s rocky outer layer. Earthquakes occur when energy stored within the Earth, usually in the form of strain in rocks, suddenly releases. This energy is transmitted to the surface of the Earth by earthquake waves. We will write a custom essay sample on Natural Disaster or any similar topic only for you Order Now The destruction an earthquake causes depends on its magnitude and duration, or the amount of shaking that occurs. A structure’s design and the materials used in its construction also affect the amount of damage the structure incurs. Earthquakes vary from small, imperceptible shaking to large shocks felt over thousands of kilometers. Earthquakes can deform the ground, make buildings and other structures collapse, and create tsunamis (large sea waves). Lives may be lost in the resulting destruction. In the last 500 years, several million people have been killed by earthquakes around the world, including over 240,000 in the 1976 T’ang-Shan, China, earthquake. Worldwide, earthquakes have also caused severe property and structural damage. Adequate precautions, such as education, emergency planning, and constructing stronger, more flexible, safely designed structures, can limit the loss of life and decrease the damage caused by earthquakes. Focus and Epicenter- The point within the Earth along the rupturing geological fault where an earthquake originates is called the focus, or hypocenter. The point on the Earth’s surface directly above the focus is called the epicenter. Faults- Stress in the Earth’s crust creates faults, resulting in earthquakes. The properties of an earthquake depend strongly on the type of fault slip, or movement along the fault, that causes the earthquake. Geologists categorize faults according to the direction of the fault slip. The surface between the two sides of a fault lies in a plane, and the direction of the plane is usually not vertical; rather it dips at an angle into the Earth. Waves- The sudden movement of rocks along a fault causes vibrations that transmit energy through the Earth in the form of waves. Waves that travel in the rocks below the surface of the Earth are called body waves, and there are two types of body waves: primary, or P, waves, and secondary, or S, waves. The S waves, also known as shearing waves, move the ground back and forth Effects Of Earthquake Ground Shaking and Landslides-Earthquake waves make the ground move, shaking buildings and causing poorly designed or weak structures to partially or totally collapse. The ground shaking weakens soils and foundation materials under structures and causes dramatic changes in fine-grained soils. During an earthquake, water-saturated sandy soil becomes like liquid mud, an effect called liquefaction. Liquefaction causes damage as the foundation soil beneath structures and buildings weakens. Fire-Another post-earthquake threat is fire, such as the fires. The amount of damage caused by post-earthquake fire depends on the types of building materials used, whether water lines are intact, and whether natural gas mains have been broken. Ruptured gas mains may lead to numerous fires, and fire fighting cannot be effective if the water mains are not intact to transport water to the fires. Tsunami Waves and Flooding- Along the coasts, sea waves called tsunamis that accompany some large earthquakes centered under the ocean can cause more death and damage than ground shaking. Tsunamis are usually made up of several oceanic waves that travel out from the slipped fault and arrive one after the other on shore. They can strike without warning, often in places very distant from the epicenter of the earthquake. Tsunami waves are sometimes inaccurately referred to as tidal waves, but tidal forces do not cause them. Rather, tsunamis occur when a major fault under the ocean floor suddenly slips. The displaced rock pushes water above it like a giant paddle, producing powerful water waves at the ocean surface. The ocean waves spread out from the vicinity of the earthquake source and move across the ocean until they reach the coastline, where their height increases as they reach the continental shelf, the part of the Earth’s crust that slopes, or rises, from the ocean floor up to the land. Disease-Catastrophic earthquakes can create a risk of widespread disease outbreaks, especially in underdeveloped countries. Damage to water supply lines, sewage lines, and hospital facilities as well as lack of housing may lead to conditions that contribute to the spread of contagious diseases, such as influenza (the flu) and other viral infections. Blizzard Blizzard, severe storm characterized by extreme cold, strong winds, and a heavy snowfall. These storms are most common to the western United States but sometimes occur in other parts of the country. According to the U. S. National Weather Service, winds of 35 mph (56. 3 km/h) or more and visibility of 0. 25 mi (0. 40 km) or less are conditions that, if they endure for three hours, define a blizzard. The great blizzard of March 11-14, 1888, which covered the eastern U. S. , was perhaps the most paralyzing of any storm on record. Cyclone Cyclone, in strict meteorological terminology, an area of low atmospheric pressure surrounded by a wind system blowing, in the northern hemisphere, in a counterclockwise direction. A corresponding high-pressure area with clockwise winds is known as an anticyclone. In the southern hemisphere these wind directions are reversed. Cyclones are commonly called lows and anticyclones highs. The term cyclone has often been more loosely applied to a storm and disturbance attending such pressure systems, particularly the violent tropical hurricane and the typhoon, which center on areas of unusually low pressure. Hurricane Hurricane, name given to violent storms that originate over the tropical or subtropical waters of the Atlantic Ocean, Caribbean Sea, Gulf of Mexico, or North Pacific Ocean east of the International Date Line. Such storms over the North Pacific west of the International Date Line are called typhoons; those elsewhere are known as tropical cyclones, which is the general name for all such storms including hurricanes and typhoons. These storms can cause great damage to property and loss of human life due to high winds, flooding, and large waves crashing against shorelines. You read "Natural Disaster" in category "Papers" How Hurricanes Form-Tropical cyclones form and grow over warm ocean water, drawing their energy from latent heat. Latent heat is the energy released when water vapor in rising hot, humid air condenses into clouds and rain. As warmed air rises, more air flows into the area where the air is rising, creating wind. The Earth’s rotation causes the wind to follow a curved path over the ocean (the Coriolis effect), which helps give tropical cyclones their circular appearance. Hurricanes and tropical cyclones form, maintain their strength, and grow only when they are over ocean water that is approximately 27 °C (80 °F). Such warmth causes large amounts of water to evaporate, making the air very humid. This warm water requirement accounts for the existence of tropical cyclone seasons, which occur generally during a hemisphere’s summer and autumn. Because water is slow to warm up and cool down, oceans do not become warm enough for tropical cyclones to occur in the spring. Oceans can become warm enough in the summer for hurricanes to develop, and the oceans also retain summer heat through the fall. Hurricanes weaken and die out when cut off from warm, humid air as they move over cooler water or land but can remain dangerous as they weaken. Hurricanes and other tropical cyclones begin as disorganized clusters of showers and thunderstorms. When one of these clusters becomes organized with its winds making a complete circle around a center, it is called a tropical depression. When a depression’s sustained winds reach 63 km/h (39 mph) or more, it becomes a tropical storm and is given a name. By definition, a tropical storm becomes a hurricane when winds reach 119 km/h (74 mph) or more. Characteristics of Hurricane-A hurricane consists of bands of thunderstorms that spiral toward the low-pressure center, or â€Å"eye† of the storm. Winds also spiral in toward the center, speeding up as they approach the eye. Large thunderstorms create an â€Å"eye wall† around the center where winds are the strongest. Winds in the eye itself are nearly calm, and the sky is often clear. Air pressures in the eye at the surface range from around 982 hectopascals (29 inches of mercury) in a weak hurricane to lower than 914 hectopascals (27 inches of mercury) in the strongest storms. Hectopascals are the metric unit of air pressure and are the same as millibars, a term used by many weather forecasters in the United States. Hectopascals is the preferred term in scientific journals and is being used more often in public forecasts in nations that use the metric system. )In a large, strong storm, hurricane-force winds may be felt over an area with a diameter of more than 100 km (60 m). The diameter of the area affected by gale winds and torrential rain can extend another 200 km (120 m) or more outward from the eye of the storm. The diameter of the eye may be less than 16 km (10 m) in a strong hurricane to more than 48 km (30 m) in a weak storm. The smaller the diameter of the eye, the stronger the hurricane winds will be. A hurricane’s strength is rated from Category 1, which has winds of at least 119 km/h (74 mph), to Category 5, which has winds of more than 249 km/h (155 mph). These categories, known as the Saffir-Simpson hurricane scale, were developed in the 1970s. Tornado Tornado, violently rotating column of air extending from ithin a thundercloud down to ground level. The strongest tornadoes may sweep houses from their foundations, destroy brick buildings, toss cars and school buses through the air, and even lift railroad cars from their tracks. Tornadoes vary in diameter from tens of meters to nearly 2 km (1 mi), with an average diameter of about 50 m (160 ft). Most tornadoes in the northern hemisphere create winds that blow counterclockwise around a center of extremely low atmospheric pressu re. In the southern hemisphere the winds generally blow clockwise. Peak wind speeds can range from near 120 km/h (75 mph) to almost 500 km/h (300 mph). The forward motion of a tornado can range from a near standstill to almost 110 km/h (70 mph). A tornado becomes visible when a condensation funnel made of water vapor (a funnel cloud) forms in extreme low pressures, or when the tornado lofts dust, dirt, and debris upward from the ground. A mature tornado may be columnar or tilted, narrow or broad—sometimes so broad that it appears as if the parent thundercloud itself had descended to ground level. Some tornadoes resemble a swaying elephant’s trunk. Others, especially very violent ones, may break into several intense suction vortices—intense swirling masses of air—each of which rotates near the parent tornado. A suction vortex may be only a few meters in diameter, and thus can destroy one house while leaving a neighboring house relatively unscathed. Formation-Many tornadoes, including the strongest ones, develop from a special type of thunderstorm known as a supercell. A supercell is a long-lived, rotating thunderstorm 10 to 16 km (6 to 10 mi) in diameter that may last several hours, travel hundreds of miles, and produce several tornadoes. Supercell tornadoes are often produced in sequence, so that what appears to be a very long damage path from one tornado may actually be the result of a new tornado that forms in the area where the previous tornado died. Sometimes, tornado outbreaks occur, and swarms of supercell storms may occur. Each supercell may spawn a tornado or a sequence of tornadoes. The complete process of tornado formation in supercells is still debated among meteorologists. Scientists generally agree that the first stage in tornado formation is an interaction between the storm updraft and the winds. An updraft is a current of warm, moist air that rises upward through the thunderstorm. The updraft interacts with the winds, which must change with height in favorable ways for the interaction to occur. This interaction causes the updraft to rotate at the middle levels of the atmosphere. The rotating updraft, known as a mesocyclone, stabilizes the thunderstorm and gives it its long-lived supercell characteristics. The next stage is the development of a strong downdraft (a current of cooler air that moves in a downward direction) on the backside of the storm, known as a rear-flank downdraft. It is not clear whether the rear-flank downdraft is induced by rainfall or by pressure forces set up in the storm, although it becomes progressively colder as the rain evaporates into it. This cold air moves downward because it is denser than warm air. The speed of the downdraft increases and the air plunges to the ground, where it fans out at speeds that can exceed 160 km/h (100 mph). The favored location for the development of a tornado is at the area between this rear-flank downdraft and the main storm updraft. However, the details of why a tornado should form there are still not clear. The same condensation process that creates tornadoes makes visible the generally weaker sea-going tornadoes, called waterspouts. Waterspouts occur most frequently in tropical waters. OccurrenceThe United States has the highest average annual number of tornadoes in the world, about 800 per year. Outside the United States, Australia ranks second in tornado frequency. Tornadoes also occur in many other countries, including China, India, Russia, England, and Germany. Bangladesh has been struck several times by devastating killer tornadoes. In the United States, tornadoes occur in all 50 states. However, the region with the most tornadoes is â€Å"Tornado Alley,† a swath of the Midwest extending from the Texas Gulf Coastal Plain northward through eastern South Dakota. Another area of high concentration is â€Å"Dixie Alley,† which extends across the Gulf Coastal Plain from south Texas eastward to Florida. Tornadoes are most frequent in the Midwest, where conditions are most favorable for the development of the severe thunderstorms that produce tornadoes. The Gulf of Mexico ensures a supply of moist, warm air that enables the storms to survive. Weather conditions that trigger severe thunderstorms are frequently in place here: convergence (flowing together) of air along boundaries between dry and moist air masses, convergence of air along the boundaries between warm and cold air masses, and low pressure systems in the upper atmosphere traveling eastward across the plains. In winter, tornado activity is usually confined to the Gulf Coastal Plain. In spring, the most active tornado season, tornadoes typically occur in central Tornado Alley and astward into the Ohio Valley. In summer, most tornadoes occur in a northern band stretching from the Dakotas eastward into Pennsylvania and southern New York State. The worst tornado disasters in the United States have claimed hundreds of lives. The Tri-State Outbreak of March 18, 1925, had the highest death toll: 740 people died in 7 tornadoes that struck Illinois, Missouri, and Indiana. The Super Outbreak of April 3-4, 1974, spawned 148 tornadoes (the most in any known outbreak) and killed 315 people from Alabama north to Ohio. Floods When it rains or snows, some of the water is retained by the soil, some is absorbed by vegetation, some evaporates, and the remainder, which reaches stream channels, is called runoff. Floods occur when soil and vegetation cannot absorb all the water; water then runs off the land in quantities that cannot be carried in stream channels or retained in natural ponds and constructed reservoirs. About 30 percent of all precipitation is runoff, and this amount may be increased by melting snow masses. Periodic floods occur naturally on many rivers, forming an area known as the flood plain. These river floods often result from heavy rain, sometimes combined with melting snow, which causes the rivers to overflow their banks; a flood that rises and falls rapidly with little or no advance warning is called a flash flood. Flash floods usually result from intense rainfall over a relatively small area. Coastal areas are occasionally flooded by unusually high tides induced by severe winds over ocean surfaces, or by tsunamis caused by undersea earthquakes. Effects of Floods-Floods not only damage property and endanger the lives of humans and animals, but have other effects as well. Rapid runoff causes soil erosion as well as sediment deposition problems downstream. Spawning grounds for fish and other wildlife habitat are often destroyed. High-velocity currents increase flood damage; prolonged high floods delay traffic and interfere with drainage and economic use of lands. Bridge abutments, bank lines, sewer outfalls, and other structures within floodways are damaged, and navigation and hydroelectric power are often impaired. Financial losses due to floods are commonly millions of dollars each year. Drought Drought, condition of abnormally dry weather within a geographic region where some rain might usually be expected. A drought is thus quite different from a dry climate, which designates a region that is normally, or at least seasonally, dry. The term drought is applied to a period in which an unusual scarcity of rain causes a serious hydrological imbalance: Water-supply reservoirs empty, wells dry up, and crop damage ensues. The severity of the drought is gauged by the degree of moisture deficiency, its duration, and the size of the area affected. If the drought is brief, it is known as a dry spell, or partial drought. A partial drought is usually defined as more than 14 days without appreciable precipitation, whereas a drought may last for years. Droughts tend to be more severe in some areas than in others. Catastrophic droughts generally occur at latitudes of about 15 °-20 °, in areas bordering the permanently arid regions of the world. Permanent aridity is a characteristic of those areas where warm, tropical air masses, in descending to earth, become hotter and drier. When a poleward shift in the prevailing westerlies occurs , the high-pressure, anticyclonic conditions of the permanently arid regions impinge on areas that are normally subject to seasonally wet low-pressure weather and a drought ensues. A southward shift in the westerlies caused the most severe drought of the 20th century, the one that afflicted the African region called the Sahel for a dozen years, beginning in 1968. In North America, archaeological studies of Native Americans and statistics derived from long-term agricultural records show that six or seven centuries ago whole areas of the Southwest were abandoned by the indigenous agriculturists because of repeated droughts and were never reoccupied. The statistics indicate that roughly every 22 years—with a precision of three to four years—a major drought occurs in the United States, most seriously affecting the Prairie and midwestern states. The disastrous drought of the 1930s, during which large areas of the Great Plains became known as the Dust Bowl, is one example. The effect of the drought was aggravated by overcropping, overpopulation, and lack of timely relief measures. In Africa, the Sahel drought was also aggravated by nonclimatic determinants such as overcropping, as well as by problems between nations and peoples unfriendly with one another. Although drought cannot be reliably predicted, certain precautions can be taken in drought-risk areas. These include construction of reservoirs to hold emergency water supplies, education to avoid overcropping and overgrazing, and programs to limit settlement in drought-prone areas. Volcano Volcano, mountain or hill formed by the accumulation of materials erupted through one or more openings (called volcanic vents) in the earth’s surface. The term volcano can also refer to the vents themselves. Most volcanoes have steep sides, but some can be gently sloping mountains or even flat tablelands, plateaus, or plains. The volcanoes above sea level are the best known, but the vast majority of the world’s volcanoes lie beneath the sea, formed along the global oceanic ridge systems that crisscross the deep ocean floor . According to the Smithsonian Institution, 1,511 above-sea volcanoes have been active during the past 10,000 years, 539 of them erupting one or more times during written history. On average, 50 to 60 above-sea volcanoes worldwide are active in any given year; about half of these are continuations of eruptions from previous years, and the rest are new. Volcano Formation-All volcanoes are formed by the accumulation of magma (molten rock that forms below the earth’s surface). Magma can erupt through one or more volcanic vents, which can be a single opening, a cluster of openings, or a long crack, called a fissure vent. It forms deep within the earth, generally within the upper part of the mantle (one of the layers of the earth’s crust), or less commonly, within the base of the earth’s crust. High temperatures and pressures are needed to form magma. The solid mantle or crustal rock must be melted under conditions typically reached at depths of 80 to 100 km (50 to 60 mi) below the earth’s surface. Once tiny droplets of magma are formed, they begin to rise because the magma is less dense than the solid rock surrounding it. The processes that cause the magma to rise are poorly understood, but it generally moves upward toward lower pressure regions, squeezing into spaces between minerals within the solid rock. As the individual magma droplets rise, they join to form ever-larger blobs and move toward the surface. The larger the rising blob of magma, the easier it moves. Rising magma does not reach the surface in a steady manner but tends to accumulate in one or more underground storage regions, called magma reservoirs, before it erupts onto the surface. With each eruption, whether explosive or nonexplosive, the material erupted adds another layer to the growing volcano. After many eruptions, the volcanic materials pile up around the vent or vents. These piles form a topographic feature, such as a hill, mountain, plateau, or crater, that we recognize as a volcano. Most of the earth’s volcanoes are formed beneath the oceans, and their locations have been documented in recent decades by mapping of the ocean floor. Volcanic Materials- 1-Lava-Lava is magma that breaks the surface and erupts from a volcano. If the magma is very fluid, it flows rapidly down the volcano’s slopes. Lava that is more sticky and less fluid moves slower. Lava flows that have a continuous, smooth, ropy, or billowy surface are called pahoehoe (pronounced pah HOH ee hoh ee) flows, while aa (pronounced ah ah) flows have a jagged surface composed of loose, irregularly shaped lava chunks. Once cooled, pahoehoe forms smooth rocks, while aa forms jagged rocks. The words pahoehoe and aa are Hawaiian terms that describe the texture of the lava. Lava may also be described in terms of its composition and the type of rock it forms. Basalt, andesite, , and rhyolite are all different kinds of rock that form from lava. Each type of rock, and the lava from which it forms, contains a different amount of the compound silicon dioxide. Basaltic lava has the least amount of silicon dioxide, andesitic and dacitic lava have medium levels of silicon dioxide, while rhyolitic lava has the most. -Tephra-Tephra, or pyroclastic material, is made of rock fragments formed by explosive shattering of sticky magma (see Pyroclastic Flow). The term pyroclastic is of Greek origin and means ‘fire-broken’ (pyro, â€Å"fire†; klastos, â€Å"broken†). Tephra refers to any airborne pyroclastic material regardless of size or shape. The best-known tephra materials include pumice, cinders, and volcanic ash. These fragments are exploded when gases build up inside a volcano and produce an explosion. The pieces of magma are shot into the air during the explosion. Ash refers to fragments smaller than 2 mm (0. 08 in) in diameter. The finest ash is called volcanic dust and is made up of particles that are less than 0. 06 mm (0. 002 in) in diameter. Volcanic blocks, or bombs, are the largest fragments of tephra, more than 64 mm (2. 5 in) in diameter (baseball size or larger). Some bombs can be the size of a small car. 3-Gases-Gases, primarily in the form of steam, are released from volcanoes during eruptions. All eruptions, explosive or nonexplosive, are accompanied by the release of volcanic gas. The sudden escape of high-pressure volcanic gas from magma is the driving force for eruptions. Gases come from the magma itself or from the hot magma coming into contact with water in the ground. Volcanic plumes can appear dark during an eruption because the gases are mixed with dark-colored materials such as tephra. Most volcanic gases predominantly consist of water vapor (steam), with carbon dioxide (CO2) and sulfur dioxide (SO2) being the next two most common compounds along with smaller amounts of chlorine and fluorine gases. Types of Volcano 1-Cinder Cones and Composite Volcanoes-Cinder cones and composite volcanoes have the familiar conelike shape that people most often associate with volcanoes. Some of these form beautifully symmetrical volcanic hills or mountains such as Paricutin Volcano in Mexico and Mount Fuji in Japan. Although both cinder cones and composite volcanoes are mostly the results of explosive eruptions, cinder cones consist exclusively of fragmental lava. This fragmental lava is erupted explosively and made up of cinders. -Shield Volcanoes-Shield volcanoes (also called volcanic shields) get their name from their distinctive, gently sloping mound-like shapes that resemble the fighting shields that ancient warriors carried into battle. Their shapes reflect the fact that they are constructed mainly of countless fluid basaltic lava flows that erupted nonexplosively. Such flows can easily spread great distances from the feeding volcanic vents, similar to the spreading out of hot syrup poured onto a plate. Volcanic shields may be either small or large, and the largest shield volcanoes are many times larger than the largest composite volcanoes. -Caldera-A caldera is a round or oval-shaped low-lying area that forms when the ground collapses because of explosive eruptions. An explosive eruption can explode the top off of the mountain or eject all of the magma that is inside the volcano. Either of these actions may cause the volcano to collapse. Calderas can be bigger than the largest shield volcanoes in diameter. Such volcanic features, if geologically young, are often outlined by an irregular, steep-walled boundary (a caldera rim), which reflects the original ringlike zone, or fault, along which the ground collapse occur red. Some calderas have hills and mountains rising within them, called resurgent domes, that reflect volcanic activity after the initial collapse. 4-Volcanic Plateaus-Some of the largest volcanic features on earth do not actually look like volcanoes. Instead, they form extensive, nearly flat-topped accumulations of erupted materials. These materials form volcanic plateaus or plains covering many thousands of square kilometers. The volcanic materials can be either very fluid basaltic lava flows or far-traveled pyroclastic flows. The basaltic lava flows are called flood or plateau basalts and are erupted from many fissure vents. Volcano Hazards-Eruptions pose direct and indirect volcano hazards to people and property, both on the ground and in the air. Direct hazards are pyroclastic flows, lava flows, falling ash, and debris flows. Pyroclastic flows are mixtures of hot ash, rock fragments, and gas. They are especially deadly because of their high temperatures of 850 ° C (1600 ° F) or higher and fast speeds of 250 km/h (160 mph) or greater. Lava flows, which move much more slowly than pyroclastic flows, are rarely life threatening but can produce massive property damage and economic loss. Heavy accumulations of volcanic ash, especially if they become wet from rainfall, can collapse roofs and damage crops. Debris flows called lahars are composed of wet concretelike mixtures of volcanic debris and water from melted snow or ice or heavy rainfall. Lahars can travel quickly through valleys, destroying everything in their paths. Pyroclastic and volcanic debris flows have caused the most eruption-related deaths in the 20th century. How to cite Natural Disaster, Papers

Saturday, April 25, 2020

Medicare and the Affordable Care Act

Introduction There has been a lot of attention from the media with regard to the recent Affordable Care Act in the United States. Little focus is given to how the new Act is going to affect the young and elderly receiving Medicare. This paper takes a critical look at the Affordable Care Act with an aim of analyzing its affordability, benefits, and quality as well as other key features.Advertising We will write a custom research paper sample on Medicare and the Affordable Care Act specifically for you for only $16.05 $11/page Learn More Affordable Care Act The Affordable Care Act (ACA) is the new law based on reforms in the United States health care. It refers to two separate Acts which are Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act 2010 (Rosenbaum, 2011). This Act gives an expanded Medicaid coverage to low-income Americans. The ACA provides access to care by providing coverage needed for the American c itizens. Once rolled in 2014, the ACA will allow millions of American individuals and families to access subsidized insurance coverage. The Act provides lower costs of insurance coverage, and makes insurers more accountable by setting standards be met (Rosenbaum, 2011). Furthermore, the act guarantees coverage for pregnancy and disability, or other pre-existing conditions. The law gives Americans more access to insurance coverage as well as safe-guarding their rights. The legislation also removes dollar limits on the coverage and prohibits insurers from dropping coverage when individuals get sick on an unintentional application (Rosenbaum, 2011). The Act also allows Americans to make appeals on insurers’ coverage decisions and allows individuals to take control over their health care issues. It sets new coverage options for young adults, senior adults, women, businesses, families with children, and people with disability. In addition to the above insurance related benefits, t he ACA provides essential medical benefits such as preventive care, doctor visits, hospitalization, and prescriptions (Rosenbaum, 2011). The ACA is projected to make Medicare more fiscally efficient through the application of cost savings. The law provides incentives to health care providers so that they can formulate strategies to provide high quality health care, and eliminate costs, wastes, and abuses in the Medicare (Family USA, n.d.). The Act will ensure that beneficiaries pay and receive high quality medical care. To achieve this, the law reins on unnecessary spending by health providers. These reforms will save Medicare billions of dollars. The Act imposes financial penalties on hospitals when a patient acquires infections from the hospitals (Family USA, n.d.). This move will improve hospital care and save money spent on paying for health care. Finally, the Act will improve the health care delivery efficiency, by reducing wastages within the system. Therefore, the high qualit y care and efficiency created by the new law are among the many methods through which the Act is fiscally efficient (Family USA, n.d.).Advertising Looking for research paper on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More The opponents of the ACA point at a number of issues about the consequences of the new legislation on the Medicare program. First, they argue that the law will reduce the autonomy of physicians, and hence reduce job satisfaction (Williams, 2013). The consequence of which they believe will be passed on to the patients. They foresee patients being restricted from accessing, or having to wait for long for appointments, and receiving rationed health care services (Williams, 2013). They regard the Act as having negative impacts on jobs and the overall economy. They argue that the price controls imposed by the legislation on Medicare will be a disincentive to in the medical sector, thereby reducing investment in health care (Williams, 2013). On the other hand, the proponents argue that this framework increases access to affordable Medicare for millions of low-income Americans and increases the provision of quality Medicare in a more pragmatic and efficient way (Family USA, n.d.). In particular, the proponents of the ACA point out that it gives people the liberty to take charge of their own health matters. This gives autonomy to the beneficiaries to plan for their health issues instead of leaving it at the discretion of the insurers and health providers (Family USA, n.d.). Additionally, the proponents also point out that the ACA introduces the culture of prevention by encouraging beneficiaries to work together with physicians and caregivers in order to reduce health costs through adequate preventive measures (Family USA, n.d.). The ACA will strengthen the Medicare program in the country. First, the Act’s top priority is fighting fraud in the Medicare program that has inhibited the delivery of quality health care to many Americans. Secondly, the legislation guarantees many benefits to many Americans who have been denied access to Medicare for a long time through discriminatory tactics. Finally, the Act reforms the Medicare program by offering medical providers with new incentives to improve the quality, as well as eliminate costs and abuse to preserve the benefits for all Americans. Conclusion The ACA was enacted with a primary purpose of increasing access to Medicare for millions of Americans. The law has received a lot of attention from the media due to the arguments leveled for or against it.Advertising We will write a custom research paper sample on Medicare and the Affordable Care Act specifically for you for only $16.05 $11/page Learn More Proponents argue that the Act is a landmark reform in the Medicare program that guarantees access to affordable and quality medical care to all in the United States hence benefiting many l ow-income Americans. On the other hand, opponents argue that the reduction of the autonomy of health providers and physicians, works negatively against the economy. These arguments can be proved early next year when the Act will be enforced. References Family USA. (n.d.). A Summary of the, Health Reform Law. Retrieved from https://familiesusa.org/product/summary-new-health-reform-law Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public Health Reports, 126(1), 130-135. Williams, A. (2013, October 10). Why are we against the Affordable Care Act? New York Amsterdam News. Retrieved from http://amsterdamnews.com/news/2013/oct/10/why-are-we-against-affordable-care-act/ This research paper on Medicare and the Affordable Care Act was written and submitted by user Xavier Davenport to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.