Basic Economics.Which economic system is best suited for handling a crisis of epic proportions? Essay

Essential Economics Presentation Which financial framework is most appropriate for taking care of an emergency of amazing magnitude?  â â â â â â â â â â  In the frequency of risks, catastrophes, threatsâ just as taking care of crisis’s of epic proportionsâ , for example, tropical storms, fires, snowstorms and floods among others, work of the Socialist framework helps administrations at all levels deal with and oversee such rates . The framework is methodical, proactive and guides offices at all degrees of the administration organization, NGOs, just as the private segment to fill in as a group and handle such emergency paying little heed to the size, the multifaceted nature, the source and the area (Kornai and Oxford University Press, 1992). Moreover, it gives a mix of help from various segments.  In this case, the framework decreases and once in a while forestall death toll, the loss of property and natural pulverizations from rates of any level. Basically, it gives a typical methodology in overseeing rates. For this situation, the communism framework assumes a significant job in offeri ng arrangements as the administration pays each and every individual who works inside the conditions. As most debacles are neighborhood, the quick network, the gatherings inside the region and the people inside go about as the specialists on call for a disaster henceforth use of the communist framework serves the best. This rouses people to help and help the individuals out of luck. In particular, the communist framework is the best framework in overseeing emergency as it shows individuals inside the general public the significance of living respectively, sharing assets and helping each other during the critical crossroads. Why a communist framework may be the best in reacting to the necessities of individuals struck by a crisis like the seismic tremor that happened in Haiti in January 2010? Communist social orders give quick answers for offer dire and controlled answers for crises and all the more so fiascos of incredible scale as the one endured in Haiti in 2010. This is on the grounds that the framework can call for help for a bigger scope since it plans on the blend of open, private and government claimed operations(Marangos and Palgrave Connect (Online assistance), 2013).  The frequency of the tremor that happened in Haiti was so cataclysmic to such an extent that it prompted breakdown of structures that caused the passings of thousands of individuals and left many harmed without food and fundamental commodities(Marangos and Palgrave Connect (Online assistance), 2013) . In spite of the fact that the US government and the UN offered fundamental help and help in salvage and arrangement of essential wares, the communist framework could have worked better. Communist people group utilize the framework to guarantee a typical base to benefit the country and human needs a nd give a typical methodology in giving an answer. The framework edifies people in general to accept the fundamental measures just as abstaining from holding up the legislature to bring an answer by perceiving that every individual has a task to carry out. It functions admirably on the grounds that it premise its undertakings in quick refocusing and rearrangement of endeavors. Why it costs more to warm our homes in the winter?  â â â â â â â â â â In the laws of gracefully and request, when the interest of items goes up, the cost of the items ordinarily goes up. In case of the enlarged expenses of warming up our homes throughout the winter, a similar law applies. For example, since everybody in the market endeavors to buy items for warming their homes, the interest shoots up consequently the costs significantly increment. Along these lines, if request increments and the flexibly stay unaltered, a lack is built up subsequently a higher balance costs (Gottheil, 1998). In winter, the equivalent applies as the vitality supplies continues as before as the interest expands overwhelmingly an angle that means raised bills for clients. For example, change in climate conditions fills in as the main consideration with respect to why customers pay more as far as vitality utilized throughout the winter. References Marangos, J., and Palgrave Connect (Online help). (2013). Consistency and reasonability of communist  monetary frameworks. New York NY: Palgrave Macmillan. Gottheil, F. M. (1998). Standards of financial aspects. South-Western school distributing. Kornai, J., and Oxford University Press. (1992). The Socialist framework: The political economy of  â â â â socialism. Oxford: Clarendon Press.

Great Italian Cuicine Without Wait free essay sample

It required a local road for development. Alessio had convinced Porcini’s senior officials to consider opening constrained menu outlets, Porcini’s â€Å"Pronto,† to serve interstate roadway voyagers. Most contenders serving this market were inexpensive food or low-end outlets. Alessio accepted that Pronto could offer a quality contrast that voyagers would esteem, yet the difficulties were generous. Could Pronto’s gainfully give a restricted determination of Porcini’s standard menu at moderate costs without risking the company’s notoriety for fantastic food? Might it be able to keep up Porcini’s broadly high assistance principles? Might it be able to beneficially break into a market involved by built up contenders? Food and administration quality were just two parts of the test. Porcini’sâ€a moderate developing, secretly held enterpriseâ€would need to reveal its new cafés rapidly so as to set up itself as an incredible brand. With constrained capital and access to prime land locales, in any case, that appeared to be far-fetched except if it embraced either a diversifying or a syndication model of possession. We will compose a custom paper test on Incredible Italian Cuicine Without Wait or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The first took a chance with the company’s quality notoriety; the second may deliver a pace of development that the organization was sick prepared to deal with. Working with VP of Operations Kurt Jensen, HR executive Wanda Halloran, and Chief Chef Mariana Molise, Alessio had outlined out strategies for encouraging Pronto’s quality objectives. These incorporated an inventive procedure for choosing, evaluating, and remunerating representatives, and the utilization of remote innovation to dispose of time from client charging. In the interim, Chef Molise had started detailing menu things for â€Å"great Italian food without the pause. † In Alessio’s mind, all pieces of the Pronto conceptâ€service quality, food quality, evaluating, marking, area, and proprietorship formâ€had to be composed and commonly steady. Copyright  © 2011 President and Fellows of Harvard College. To arrange duplicates or solicitation consent to replicate materials, call 1-800-545-7685, compose Harvard Business Publishing, Boston, MA 02163, or go to http://www. hbsp. harvard. edu. This distribution may not be digitized, copied, or in any case replicated, posted, or transmitted, without the authorization of Harvard Business School. 4277 | Porcini’s Pronto: â€Å"Great Italian food without the pause! † Company Background Porcini’s, Inc. , had started in 1969 as a family-possessed café in Boston’s North Endâ€a generally Italian-American neighborhood. Throughout the following two decades it opened new Porcini’s eateries in Hyannis, Massachusetts, Providence and Newport, Rhode Island, and Hartford, Connecticut. In 1989, the family (the Ventolas) offered a controlling enthusiasm for the venture to a gathering of private speculators. The new administration extended to various midtown and shopping center areas in the northeastern United States, contending with comparably estimated full-administration eatery networks. With the exception of during the downturn of 2008â€2009, Porcini’s had expanded incomes and profit each year. By yearend 2010, Porcini’s, Inc. , worked 23 areas, utilized 954 eople (some low maintenance), and created $94. 3 million in incomes. Its net revenue had ascended to 4% from under 3% the prior year. Indeed, even the same number of contenders were enduring, Porcini’s was progressing nicely. The company’s senior administrators ascribed Porcini’s accomplishment to consiste ntly great food and administration at every area. That quality could be followed to the long understanding of individual café administrators, administrative faculty, and gourmet experts, a generally steady workforce, and to the plans of Chef Mariana Molise, who had won the pined for James Beard grant while running the kitchen at New York’s Catania Grille. On joining the organization in 2006, Molise applied her culinary standards to Porcini’s less-expensive menu and by and by prepared each outlet’s gourmet specialist in her â€Å"flash cooking† strategies. Her mark vitello ala Mariana and container singed scallops with mushrooms had become top choices all through the chain. â€Å"Twenty-three restaurants,† one eatery pundit told perusers, â€Å"and every make nearly everything without any preparation, utilizing new fixings and guileful introductions. † And yet the normal course cost just a few dollars more than those of Olive Garden’s, a close to equal. Through management's eyes, thoughtfulness regarding quality separated it from Olive Garden, and from progressively equation based contenders, for example, Unos, Bertucci’s, and Buca di Beppo. Likewise, each Porcini’s made the climate of an extraordinary, family-claimed restaurantâ€in keeping with its North End rootsâ€unlike the â€Å"Italian topic park† air of numerous contenders. Clients esteemed the distinction and made Porcini’s a ground-breaking local brand. Table help coordinated the food in quality; in 2010 a noticeable New England café manage gave Porcini’s its â€Å"Best Chain Service† grant for the fourth continuous year.

Metaphor of the Month! Deadline Richmond Writing

Metaphor of the Month! Deadline Richmond Writing For June 1, Im on deadline for my and Brian McTagues forthcoming book,  Writing Centers at the Center of Change.  I planned to take a weeklong break on this blog for Memorial Day, but I wanted to know more about the term deadline. In any case it serves me well, if a little early, for our June Metaphor. Where did this drop-dead-serious figure of speech first appear? The OED Online, for once, provides no definitive etymology of the term! The most interesting candidate is a military one from the United States, with its earliest use given as 1864, during our Civil War. A dead line is A line drawn around a military prison, beyond which a prisoner is liable to be shot down. The grim origin has been lost as we use deadline for everything now. To my knowledge, rarely have editors shot authors or publishers shot editors. Thats my cue. Back to work. Have a word or metaphor worth pondering? This blog will continue all summer.  Please nominate a word or metaphor useful in academic writing by e-mailing me (jessid -at- richmond -dot- edu) or leaving a comment below. See all of our Metaphors of the Month  here  and Words of the Week  here. Nick Youngsons Creative Common Image courtesy of Picpedia.

The Uprising in Child Abuse - Free Essay Example

Sample details Pages: 4 Words: 1210 Downloads: 3 Date added: 2019/03/22 Category Society Essay Level High school Tags: Child Abuse Essay Did you like this example? Abstract The uprising in child abuse cases in America is forcing the country to open its eyes and investigate the underlying issue. Psychologist, social workers, law enforcement and researcher are all working hand and hand to combat the dilemma, yet all face the puzzling question Why does this continue happen? And Where does the issue stem from?. These are two question that once solved could substantially decrease cases of child abuse. Don’t waste time! Our writers will create an original "The Uprising in Child Abuse" essay for you Create order Erik Erikson in 1963 was one the first to divulge the importance of human development. His approach was generally based off his findings and description of the eight periods of human development. Throughout the detailed stages he described how pivotal and fragile each stage was for childhood development, regarding the exposure the child met. This exposure could be negative in the case of child abuse. Succeeding Ericksons early research and discoveries, further research defined child abuse in various forms each with detrimental and traumatic effects, on a childs psychological, physical and emotional state. Despite the advancements in detailed psychological analysis, strides towards an effort to alleviate child abuse have been made, but much aid is still needed to resolve child abuse. Children who suffer from long terms child abuse or malnourishment have showed negative signs of their childhood development. The United States has one of the worst records among industrialized nations losing on average between four and seven children every day to child abuse and neglect (Child Abuse Statistics, n.d). Nearly 700,000 children are abused in the U.S annually. An estimated 683,000 children (unique incidents) were victims of abuse and neglect in 2015, the most recent year for which there is national data (National Statistics on Child Abuse, n.d). Throughout this paper, I will address what types of abuse and what influences can cause abuse. I will also be going over how Eric Eriksons theory play a role in human development and how children who are abused are affected later in life. Child abuse can be used in many different forms and can affect the childs development negatively. According to National Childrens Alliance Neglect is the most common form of maltreatment. Of the children who experienced maltreatment or abuse, three-quarters suffered neglect; 17.2% suffered physical abuse; and 8.4% suffered sexual abuse. (Some children are polyvictimized †they have suffered more than one form of maltreatment) (National Statistics on Child Abuse, n.d). Child Abuse are seen in many types of different forms for example some children suffer from sexual, physical, neglect or verbal abuse. These types of abuse can impact a large effect on a childs development process. Three things that influence child abuse is culture influence, poverty and social isolation (Santrock, 2016). Some examples of cultural influence are how we punish our children when they dont meet our expectations. For example, spanking your child when they misbehave can be taken beyond what is considered appreciate. For poverty this happens due to lack of income or not enough resources to support a c hild which causes a stressful environment. Lastly you have social isolation, this happens when they have little support from high valued people in their life to deal with stressful events. When a child goes through these traumatic experiences, they tend to show problems later in their life. According to Chapter 7 of our books children who are abused and have no physical damage have showed signs of having poor peer relationships, being disruptive at school; earn low grades and test scores, have disturbed cognitive development, experience more depression, are more prone to abuse their children/spouses and to consider or attempt suicide as adults, when a child is raised it is expected to meet certain phases so it can become a well-developed individual when they grow up (Santrock, 2016). Eric Erikson was a well-known psychologist who divided a humans life span into eight periods called phases. The eight phases Erikson included was trust vs. mistrust, autonomy vs. shame/doubt, initiative vs. guilt, industry vs. inferiority, ident ity vs. role confusion, intimacy vs. isolation, generativity vs. stagnation, and integrity vs. despair. According Eric Erikson if a human doesnt complete a phase or skips a phase, they may carry it onto the next phase. Depending on how this person may cope with this problem may depend if it will impact them later in life. Eriksons description of human development can play a hefty role in a childs development. Lets say the child was abused emotionally by being left to cry and never getting attention from his parents, this could affect their toddler stage of the Eriksons theory. The toddler phase states that they will either learn to trust or mistrust so if the toddler is not getting the correct attention it may not hold good relations later. According to Kalat John Bowlby proposed that infants who develop good attachment have a sense of security and safety, and those without strong attachments have trouble developing close relations later as well (Kalat, 2017). Another phase of Eriksons that can be affected is young adult (intimacy versus isolation), due to the abuse they may have not been able to hold a healthy relationship causing them to most likely to swing towards isolation. When someone cant find someone or is isolated a lot of times people become depressed or dont feel their life being worthy. Due to this crisis in this phase it could cause someone to become suicidal. This is just one of many theories that can be affected when a child is abused. Due to many child abuses throughout the country they have been able to create programs and preventions for such traumatic events. Most of these programs are held at a medical facility and help both children and parents with education on prevention and mentoring. According to our book Some preventive measures are reducing positive attitudes toward physical punishment, reducing poverty and its stressful effects, maintaining social supports that advise parents and provide opportunities to vent, increasing counseling and training in parenting skills (e.g., for at-risk families due to child illness), maltreatment is typically a consequence of ignorance and burden, not malice, etc (Santrock, 2016). Even though childr en who are exposed to this type of traumatic event seem to be difficult to help, they all need that one person to help them move forward and succeed in their life. In conclusion, child abuse is used more than not to handle other peoples emotion or past traumatic events. Throughout this paper you will notice that there is more than one kind of child abuse that is used every day in America. In some situations, most connect back to parents or someone that is close to the child that inflicts this type of event due to influence we face every day. Eriksons stages of human development can also help many people understand what a child or teenage may need to achieve to be a successful human being. If we used the table of Eriksons stages of human development, we may be able to create a healthier environment for a childs upbringing. Due to many programs that have evolved over time people can find ways to prevent abusive situations and switch them with healthier alternate solutions. With all of these resources and evidence child abuse should be able to be eliminated and be able to provide children with a more health environment.

Langston Hughes Poetry Analyzing Themes of Racism

Langston Hughes Throughout many of Langston Hughes poetry, there seems to be a very strong theme of racism. Poems such as Ballad of the Landlord, I, Too, and Dinner Guest: Me are some good examples of that theme. The Ballad of the Landlord addresses the issue of prejudice in the sense of race as well as class. The lines My roof has sprung a leak. / Dont you member I told you about it/ Way last week? (Hughes 2/4) show the reader that the speaker, the tenant, is of a much lower class than his landlord. It also shows that the landlord could care less of what condition his building is in as long as the money is still coming in. Well, thats Ten Bucks moren Ill pay you / Till you fix this house up new. (Hughes 11/12)†¦show more content†¦Langston Hughes is a poet with whom to reckon, to experience, and here and there, with that apologetic feeling of presumption that should companion all criticism, to quarrel. (Cullen 1041) Countee Cullen admires Hughes for his emancipated spirit among a class of young writers whose particular battle-cry is freedom. Many people agree with Cullens views on Hughes because of such poems as I, Too and Dinner Guest: Me. In these poem we can however see th e attitude of the speaker change because of the huge gap between them. At one point Cullen says that to her, some of his works seem to give only one side of the story. They tend to hurl this poet into the gapping pit that lies before all Negro writers, in the confines of which they become racial artists instead of artists pure and simple. (Cullen 1041) Some may disagree with her opinion on this, but the rest of her thoughts on Langston Hughes seem to be universal. As proved through the above mentioned examples and essays, Langston Hughes often used the theme of racism in his works. Many people feel that this theme is expressed so strongly because of Hughes family background. For whatever reasons he uses this particular theme, it is one that is very obvious to all of us who appreciate his many works. Works Cited Barksdale, Richard K. On Censoring Ballad of the Landlord. Meyer 1038. Cullen, Countee. On Racial Poetry. Meyer 1041. Hughes, Langston Ballad of theShow MoreRelatedLangston Hughes Poetry Analysis Essay1287 Words   |  6 PagesArt is the illusion in which we see the truth- Pablo Picasso Langston Hughes clearly connects with a wide range of audiences through the simplicity that surrounds his poetry. The beauty of this manner in which he wrote his poetry, is that it grasp people by illustrating his narratives of the common lifestyles experienced by the current American generation. His art form expresses certain questionable ideologies of life and exposes to the audience what it takes to fully comprehend what being anRead MoreThe Harlem Renaissance Movement By Zora Neale Hurston, Langston Hughes, And Ralph Waldo Ellison931 Words   |  4 Pagesthe form of visual arts, musical elements, and even performing arts during the 1920s. Due to this movement, Harlem became the city that â€Å"gave African Americans a physical cultural center.† [1] Renowned black artists such as Zora Neale Hurston, Langston Hughes, and Ralph Waldo Ellison were primary figures that became well-known for their many artistic and creative pieces during this popular time. Created by a class of English teachers in April of 2003, a Wikipedia page was made in dedication of theRead MoreGoophered Grapes Pre Ready 1 Essay example2710 Words   |  11 Pagesfair-skinned black person as revealed by Mary Zeigler in her article, History And Background Of The Charles W. Chesnutt Commemorative Stamp (Zeigler). But while Chesnutt’s book, â€Å"The Conjure Woman† does address problems such as â€Å"slavery, miscegenation, and racism† as also pointed out in Zeigler’s article, what has to be considered is the actual work that the text is doing, how the actual words are placed in the text, how the characters are portrayed, and what ideals are actually being enforced or discouraged

Spinal Immobilisation Free Essays

Spinal Immobilisation: A Literature Review A review of the literature regarding spinal immobilisation has been undertaken using databases for PubMed, MEDLINE, CINAHL, OVID and Cochrane EBM. Reviews were electronically searched using the subject headings â€Å"spinal injuries†, â€Å"spinal immobilisation† and â€Å"management of spinal injuries†. The results generated by the search were limited to English language articles and reviewed for relevance to the topic. We will write a custom essay sample on Spinal Immobilisation or any similar topic only for you Order Now The aim of this literature review is to compare and contrast the views on spinal immobilisation and to achieve a better knowledge of evidence based practice. According to Chiles and Cooper (1996) spinal injury should always be suspected in patients with severe systemic trauma, patients with minor trauma who report spinal pain or have sensory or motor symptoms, and patients with an impaired level of consciousness after trauma. According to Caroline (2008) the primary goal of spinal immobilisation is to prevent further injuries. Good initial and acute management is crucial no matter the degree of damage (Sheerin and Gillick, 2004). The purpose of immobilisation in suspected spinal trauma is to maintain a neutral position and avoid displacement and secondary neurological injury (Vickery, 2001). Means of immobilisation include holding the head in the midline, log rolling the person, the use of backboards and special mattresses, cervical collars, sandbags and straps (Kwan, Bunn Roberts 2009). The Advanced Life Support Group supports the use of the long spinal board (backboard) for spinal immobilisation, despite knowledge of pressure problems and poor immobilisation in some patient groups. The spinal board was originally developed as an extrication device using its smooth surface to allow a person to be slid out of a vehicle. However, it is difficult to remove the patient from the board in the field and therefore the patient is most commonly transported to the A E department on the spinal board (Cooke, 1998). There is considerable variation in the best technique for pre-hospital cervical spine immobilisation (Vickery, 2001). Some have advised the use 1 to 1. 5 inches of padding under the head as standard, others have advised that judgement on the use of padding be based on visual inspection (Butman, McSwain McConnell, 1986). Conversely, several rauma texts recommend placing the patient directly against the spinal board (McSwain, 1989). In the United Kingdom, the vacuum mattress is predominately used by mountain rescue teams as it is believed to provide better overall protection of an injured casualty and is perceived to be safer and easier to transport over the terrain encountered in these situations (Herzenberg, Hensinger and Dederick, 1989). In a recent study by Luscombe and Williams (2002), it was sh own that the vacuum mattress prevents significantly more movement in the longitudinal and lateral planes when subjected to a gradual tilt. Perceived comfort levels are significantly better with the vacuum mattress that with the backboard. Chan, Goldburg Mason (1996) reviewed the use of the long spinal board and its association with pressure injury, unsatisfactory immobilisation and positioning, and the pain that it can cause (Chan, Goldburg Tascone, 1994). A study by Lovell and Evans (1994) indicated that while a casualty resides on a backboard it may possibly lead to pressure sores in those who have sustained injury to the spinal cord. The amount of time casualties remain on backboards can exacerbate the problems of pain and pressure. Ambulance journeys and waits in accident and emergency may be lengthy and there may be long distances involved in getting to hospital (Lerner Moscati, 2000). In addition to pressure injury and poor immobilisation, the backboard may be the cause of pain even in otherwise healthy patients, leading to unnecessary investigations, radiographs and potential ambiguity regarding the cause of pain (Chan, Goldburgh Mason, 1996). The evidence suggests that the backboard itself is not ideal and far from a gold standard. This has led to the suggestion that the backboard should not be the preferred surface for the transfer of patients with spinal injuries (Main Lovell, 1996). According to Vickery (2001) however, the spinal board is considered to be the gold standard for spinal immobilisation during the pre-hospital phase of trauma management. For some patients, effective spinal immobilisation is beneficial and can also be vital in preventing the devastating effects of cord damage however it has been suggested that for many the excessive use of this preventative measure may not be prudent or necessary. It has been estimated that over 50% of trauma patients with no complaint of neck or back pain were transported with full spinal immobilisation (McHugh Taylor 1998). Inappropriate spinal immobilisation may lead to patients experiencing unnecessary pain, skin ulceration, aspiration and respiratory compromise, which in turn may lead to further unnecessary procedures, a longer hospital stay which then incurs increasing costs to the National Health Service (Kwan, Bunn Roberts, 2001). Shooman Rushambuza (2009) report that immobilisation is a crucial part of the management of a trauma patient. They believe that if the mechanism of injury is uncertain, the patient should remain immobilised until further imaging even if there are no symptoms of spinal instability after log rolling. However, in a recent study by Pandie, Shepherd Lamont (2010) they concluded that on its own, standard immobilisation techniques appear to be inadequate to maintain the cervical spine in the neutral position. One argument for keeping the patient on a spinal board is that it facilitates an urgent turn should vomiting occur (Vickery 2001). Spinal immobilisation is used throughout the world however the clinical benefits of pre-hospital spinal immobilisation have been put under scrutiny. It has been argued that spinal cord damage is done at the time of impact and that subsequent movement is generally not sufficient to cause further damage (Hauswald, Ong, Tandberg Omar 1998). In contrast, in-line stabilisation of the neck, also termed ‘neutral alignment’, is usually enhanced by using immobilisation blocks and straps that fix the patient’s head and neck to a spinal board. In-line head and neck immobilisation is important during the transfer period to hospital and remains an important part of the care of the patient (Sheerin, 2005). Butler and Bates (2001), disagree with this and suggest that cervical collars are of no additional benefit to patients already immobilised using a long spine board with straps. In a recent report it was found that many patients brought to A E automatically had a cervical collar applied ‘as a precaution’. This usually means that the victim has been involved in an accident that could possible cause a cervical injury, although the patient shows no signs or symptoms of such an injury (Sexton, 1999). Immobilisation in suspected spinal trauma must be initiated at the scene of an accident and continued until unstable spinal injuries are ruled out. Adequacy of spinal immobilisation must be reviewed during the primary survey in the A E department (Vickery, 2001). Once the patient has reached A E, the spinal board should be removed as soon as possible once the patient is laterally transferred from the ambulance trolley onto an A E or resuscitation trolley (Vickery, 2001). The early removal of spinal boards and cervical collars is advocated by spinal units (Sexton, 1999). Complications associated with prolonged use of the spinal board include pressure ulcer development, pain and discomfort (Vickery, 2001). Vickery (2001) also suggests a partial solution would be recommended that the backboard should be removed as soon as possible after arrival in the A E department, ideally after the primary survey and resuscitation phases. Hickey (2003) agrees with this, it is vital that following initial assessment, the patient is removed from the spinal board. Porter and Allison (2003) support this by suggesting that the patient should be then transferred and nursed on an emergency trolley with head immobilisation and straps applied. This in turn should minimise the risk of pressure ulcer formation which is prevalent in patients with spinal cord injury (Sheerin and Gillick, 2004). Vickery (2001) also suggests that where a spinal injury is suspected, prompt and safe removal of the spinal board is mandatory, these are patients that are at the greatest risk of developing pressure sores. Vickery (2001) continues to say that spinal board immobilisation on the board may be inadequate ending with tragic consequences. Observational studies in the US have shown that immobilisation by rigid collars may cause airway difficulties, increased intracranial pressure (Davies, Deakin Wilson, 1996), increased risk of aspiration (Butman, 1996), and skin ulceration (Hewitt, 1994). Caroline (2008) also suggests that complete spinal immobilisation is painful, especially over pressure points and can also be a cause of airway constriction which in turn creates an increased risk of aspiration. It has been reported that many trauma patients do not suffer from spinal instability and will not benefit from spinal immobilisation (Orledge, 1998). The value of routine pre-hospital spinal immobilisations are questionable due to any benefits of immobilisation being outweighed by the risks (Kwan, Bunn Roberts, 2009). Kwan, Bunn Roberts (2009) have already indicated that inappropriate immobilisation is contributing to the increasing budget of the NHS. Dimond (2001) agrees and claims that litigation claims are increasing against the NHS. Society is becoming less tolerant of mistakes or inadequate service and litigation claims are now becoming an accepted part of daily life (Vukmir, 2004). In contrast, a study in the USA has indicated that due to the fear of litigation, over five million patients receive spinal immobilisation every year (Orledge Pepe 1998). In this current media inclined era, media attention for high profile claims against the NHS organisations is at a high. Although most of the evidence in literature is regarding claims against hospital specialities, there have been few claims written about claims against the ambulance service (Hulbert, Riddle Longstaff 1996). However, there may be few documented claims against the ambulance service there have been a significant number of claims settled by ambulance trusts (Vukmir, 2004). In conclusion, there are many different points of views by many authors on the subject of spinal immobilisation. Many argue that the need to immobilise suspected head, neck and spinal trauma is a priority due to the potential life threatening incident. This way of thinking has been supported by many of the authors. Others however have stated that each incident needs to be individualised as the necessity of using spinal immobilisation is increasingly being inappropriately used. Methods of spinal immobilisation are also highly debatable, calling the clinical professional to use their own training and judgements when deciding how to transfer each individual patient. It was highlighted by many authors that it was necessary for patients to be removed from the spinal board as soon as possible when being cared for within the hospital setting as this reduces the possibilities of further trauma and pressure sores. It became quite clear when conducting this research that many health professionals are now very aware of the potential to become a target for the all too common blame culture that is so prevalent in today’s society. The fear of litigation may be the cause for the higher usage of spinal immobilisation although there is limited research at this time but within the next few years we may in fact see a rise in claims against the Ambulance Service. There is evidence that inappropriate and prolonged use of spinal immobilisation can be very detrimental to the patient’s welfare, there is a vast amount of research to suggest the need to use spinal immobilisation in most head, neck and spinal trauma. Effective and appropriate use of spinal immobilisation is best practice in all situations and should be used wisely and competently by a trained professional. How to cite Spinal Immobilisation, Papers

The Battle of Midway free essay sample

An examination of the battle and its significance in World War II. An examination of the Battle of Midway and how it changed World War II. The author examines the international relations between states at the time, such as Japan and the U.S. and how this battle changed the position of the U.S. in the war. A look at the events that led to the battle. Prior to the Battle for Midway, the U.S. Navy had suffered nothing except crushing defeats (except for the Battle of the Coral Seas, which was less than a full victory). The Japanese were approaching Australia, and Admiral Yamamoto was relentlessly hunting what was left of the American Navy after Pearl Harbor. He intended to occupy the Western Pacific Islands (Boorda, 1995), especially Midway, to establish a protective perimeter around his homeland. (The desire to accomplish this was increased with Doolittles raid on Japan in April, mentioned below. We will write a custom essay sample on The Battle of Midway or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page )