A Simple Surgery Checklist Saves Lives Case Study

A Simple Surgery Checklist Saves Lives - Case Study Example They do not initiate for vital steps in the regular process but attempts to identify failures of the process. Based on the four flow charts, the system has much duplication of activities or redundancies in time especially on the number of times the patient has to give his consent. The patient consent is required in more in six scenarios in the system, from the holding room, anesthesiologist to the surgeon. The timing is such that they occur at a period when it is not late to correct the problem. This helps to ensure and further improve the safety of the patient. WHO Surgical Safety Checklist recognizes three stages of an operation, in each stage, the operation coordinator must check the completion of the task before embarking on the next stage (Szalavitz, 2009). The patient has three separate interactions with the health providers in the following phase of the WHO surgical safety checklist: During the Sign In stage (before the administration of anesthesia), the patient is identified, location, informed consent, and the procedure of operation are confirmed. The location/site marking is established and the finishing point of the anesthesia safety measure is done (Cavoukian, 2009). A confirmation of whether a functional pulse rate meter is present in the patient is done. Several other issues of concerns are addressed such as allergies, aspiration risk, air path risks, loss of excess blood, and the availability of effective tools and equipment for operation purposes. The Time Out stage is performed before the incision of the skin. Everyone involved in the operation introduces themselves to real names and their functions in the operation. They then confirm the patient once again, the identity/name of the patient, location/site, and procedure and deliberates on expected critical situations. Antibiotic prophylaxis, scheduling, and presentation of imaging studies are also confirmed at this stage.

Ethical issue Dissertation Example | Topics and Well Written Essays - 7000 words

Ethical issue - Dissertation Example Carbon offsetting and biodiversity offsetting are two examples of ways in which business can help with efforts to reverse damage to environment and society. However, because many avenues and opportunities are available for business to ignore the longer-term in favour of short-term interests, including profiteering, copyright and patent infringement, unfair trading and a neglect of product safety etc. a need exists for a broader examination of issues. The research presented suggests that although a sincere emphasis on corporate social responsibility will mitigate occasional and inadvertent harm to environment and society, a sustained record remains the key and it is unlikely that any business can continue to inflict harm on the environment and society without losing on the longer term. Declaration I certify that, except where cited in the text, this work is the result of research carried out by the author of this study. _____________________________________________ Name and Signature of Author May 2011 This write - up is for a dissertation on the impact of corporate Social responsibility on corporate irresponsibility and reputation. ... Sinners 10 2.3 Philanthropy and Strategic Giving as Corporate Social Responsibility 12 2.4 Deception for Corporate Social Responsibility 15 2.5 Significance of a Decent Historical Record of Adherence to Corporate Social Responsibility 17 2.6 Impact of Corporate Social Responsibility on Clients, Customers and Consumers 19 2.7 The Impact of Size 19 2.8 Corporate Social Performance 20 2.9 Carbon Offsetting and Biodiversity Offsets as Examples of Contributions for Corporate Social Responsibility 21 2.10 Conclusions about the Mitigating Impact of Corporate Social Responsibility 22 Chapter 3 Research Approach and Methodology 24 3.1 General approach 25 3.2 Methodology Framework 28 3.3 Secondary Research 30 3.4 Interpretation and Application of Results and Findings 31 Chapter 4 Analysis, Findings and Reflections 32 4.1 Analysis of CSR Indices, Publications and Case Studies 33 4.1.1 BP Deepwater Horizon Case Study 34 4.1.2 ExxonMobil Case Study 36 4.1.3 Toyota Prius Case Study 37 4.2 Observat ions Derived from Research 39 4.3 Reflection 39 Chapter 5 Conclusions and Recommendations 42 Bibliography/ References 45 List of Figures Figure 1: Maximising the Value Accrued from Philanthropy 14 (This page intentionally left blank) Chapter 1 – Introduction Now more than ever, contemporary society expects sustainability, responsibility and sensitivity to societal needs from companies and this challenges business to go beyond the predominantly economic view to take into account the wider context (Morschett, 2010, Pp. 221 – 222). The new normative perspective for companies now includes due regard for the environment, care in the use of resources including water, primary materials, energy etc. and issues related to human rights, transparency, child labour and sustainability. However,

Immortality Through Verse in Shakespeare’s Sonnet 18 and Spenser’s Sonn

Immortality Through Verse in Shakespeare’s Sonnet 18 and Spenser’s Sonnet 75  Ã‚     Ã‚  Ã‚   Desiring fame, celebrity, and importance, people for centuries have yearned for the ultimately unattainable goal of immortality. Poets, too, have expressed desires in verse that their lovers remain as they are for eternity, in efforts of praise. Though Shakespeare’s Sonnet 18 and Spenser’s Sonnet 75 from Amoretti both offer lovers this immortality through verse, only Spenser pairs this immortality with respect and partnership, while Shakespeare promises the subject of the sonnet immortality by unusual compliments and the assurance that she will live on as long as the sonnet continues to be read. Spenser debates with his lover, treating her as his equal, and leaves his opinion open for interpretation as an example of poetic indirection. Shakespeare’s Sonnet 18 begins with the "whim of an inventive mind," (Vendler, 120) a rhetorical question asking if he should compare the subject of the sonnet to a Summer’s day. After the readers see that Shakespeare does not ask to compare her to anything else, we realize that this one proposed comparison to a Summer’s day is, in his mind, perfection (Vendler, 120). However, in order to truly praise the woman, he must prove that she is "more lovely and more temperate" by deprecating the metaphor (Vendler, 121). Though the metaphor seems sweet at first, the implied answer is "no," and Shakespeare continues as to why she is not even worthy of the best possible metaphor (Colie, 36). His imagery of "rough winds" and the "too hot" sun together with the personification of Summer ("Summer’s lease hath all too short a date") support Shakespeare’s belief that Summer is too short and unpredictable to be compa... ...87. 36-37. Felperin, Howard. "Toward a Poststructuralist Practice: The Sonnets." Modern C Critical Interpretations: Shakespeare’s Sonnets. Ed. Harold Bloom. 1st ed. N New York: Chelsea House, 1987. 103-131. Oram, William Allan. Edmund Spenser. Ed. Arthur Kinney. New York: Twayne, 1 1997. Ray, Robert H. "Shakespeare’s Sonnet 18." The Explicator. Fall 1994: 10-11. Shakespeare, William. "Sonnet 18." The Norton Anthology of English Literature. E Ed. M. H. Abrams. 6th ed. New York: Norton, 1996. 471. "Sonnet 75: Criticism." EXPLORING Poetry. CD-ROM. Gale, 1997. "Sonnet 75: Overview." EXPLORING Poetry. CD-ROM. Gale, 1997. Spenser, Edmund. "Sonnet 75." The Norton Anthology of English Literature. Ed. M M. H. Abrams. 6th ed. New York: Norton, 1996. 415. Vendler, Helen. The Art of Shakespeare’s Sonnets. Cambridge: Harvard UP: 1998.      

Audience Adaptation Paper

Taylor Cook COMM 101- Fundamentals of Public Speaking Audience Adaptation Paper February 18, 2013 In the TED video that I watched, the subject was about â€Å"Body Language† and was twenty-one minutes and three seconds long, but the speaker stopped officially talking at twenty minutes and fifty-four seconds into the video. The speaker, Amy Cuddy, had very interesting points about how a person’s power pose, powerful/ prideful or curled into a ball and timid, can influence themselves on how they think and feel about themselves. She also made the point that our bodies change our minds and that power posing for a few minutes really change your life in a meaningful way. Throughout the video I was a little unimpressed with her delivery on the subject. She did not seem to â€Å"do as she preached. † Her personal appearance was fine. She was dressed in all black except for her undershirt was teal which made her fade into the background except for her pop of color. She also hunched quite a bit and did not stand as properly or formally as other public speakers I have seen. Her body language was okay. When she showed what a power pose was, which was supposed to look like Wonder Woman, she did it not very convincingly and looked better and more â€Å"at home† doing a shy and timid pose. She did do a lot of walking up and down the stage to keep an eye on her audience and to keep them paying attention to her. This did work because when they would put the camera out to the audience, they were all intently in tune with what she was saying. Throughout the speech I did not feel much of a volume change until the end when she had gotten emotional with a story she chose to tell about herself and later on a student much like herself. This volume change is of course not a good one because you should not ever pick something to talk about that creates reoccurring feelings. This could make you really hard to understand through the crying or you could not be able to finish through your weeping. Her rate of speech was never too fast, but at points was really slow due to trying to find the right words to say to her audience. She kept saying â€Å"um† quite often and stumbled over what she was trying to say next. After the first ten minutes, she had said the word â€Å"um† over fifteen times. After the ten minutes, I quite focusing my attention on that and tried to focus on her main points and ideas about our body language. As Amy Cuddy’s speech progressed, she did not pause as much as she did in the first half of her speech. The best segment when she was truly flowing was when she started to talk about lab research she had done to prove her point that higher powered people are twenty-seven percent more likely to gamble than low powered people. They also have a twenty percent increase of testosterone than low powered people. High powered people had a twenty-five percent decrease in Cortisol, while low powered people had a fifteen percent increase. She seemed really happy with her proven results and it showed the way she spoke. Her language was very proper and articulate, except for her â€Å"um’s† of course. She did very well at pronunciating each thing she said. She did not have any dialect, so she was really easy to understand. While speaking, the only gestures she seemed to make were with her hands. She would either point to the screen behind her to show her research or notes or fiddled with her hands in front of herself. She rarely used anything else than her hands to symbol anything or to point something out. From the very beginning her eye contact was spot on with the audience. She opened with a camera on the audience to see how everyone was sitting. When she started to point out what she saw, the entire audience began to realize they were being analyzed. Everyone sat up straight and fixed their overall appearances. Overall her presentation was not terrible, but it was not perfect either. Her aids throughout are what I believe made the presentation a somewhat success. Her notes, questions, and graphs on her slides for the audience not only showed proof of her research, but preparation. That is the key trait that I had seen in her, which was quite ironic since she said that it was her weakness. My favorite phrase that she used throughout the seminar and what I know I’ll definitely pass along is â€Å"Don’t fake it till you make it. Fake it until you become it. †

Thesis Statement Hispanic Latino Ethnicity - 843 Words

Thesis Statement: While Hispanic/Latino graduation rates continue on an upward trend, they are still the second highest dropout rates amongst all minorities influenced by a lack of bilingual education programs, low participation in early childhood education programs and a lack of respect for the Hispanic/Latino culture are leading contributing factors to their continued high dropout rate. I. Many people in the United States are in denial as to the impact of the growing Hispanic/Latino population. A. In the coming decades, Hispanic/Latinos will continue to have a significant effect on the work forces as they will account for 60 percent of the Nation’s population growth between 2005 and 2050. B. While Hispanic/Latino graduation rates continue an upward trend, they are still the second highest dropout rates amongst all minorities influenced by a lack of bilingual education programs, low participation in early childhood education programs and a lack of respect for the Hispanic/Latino culture are leading contributing factors to their continued high dropout rate. II. Expanding English as a Second Language (ESL) programs is not the solution to decreasing the dropout rate. A. Hispanic/Latinos take great pride in their heritage and culture and refuse to abandon their native language. 1. 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Timeline of the Ancient Maya

The Maya were an advanced Mesoamerican civilization living in present-day southern Mexico, Guatemala, Belize, and northern Honduras. Unlike the Inca or the Aztecs, the Maya were not one unified empire, but rather a series of powerful city-states that often allied with or warred upon one another. Maya civilization peaked around 800 A.D. or so before falling into decline. By the time of the Spanish conquest in the sixteenth century, the Maya were rebuilding, with powerful city-states rising once again, but the Spanish defeated them. The descendants of the Maya still live in the region and many of them continue to practice cultural traditions such as language, dress, cuisine, and religion. The Maya Preclassic Period (1800–300 BCE) People first arrived in Mexico and Central America millennia ago, living as hunter-gatherers in the rain forests and volcanic hills of the region. They first began developing cultural characteristics associated with the Maya civilization around 1800 BCE on Guatemalas western coast. By 1000 BCE the Maya had spread throughout the lowland forests of southern Mexico, Guatemala, Belize, and Honduras. The Maya of the Preclassic period lived in small villages in basic homes and dedicated themselves to subsistence agriculture. The major cities of the Maya, such as Palenque, Tikal, and Copà ¡n, were established during this time and began to prosper. Basic trade was developed, linking the city-states and facilitating cultural exchange. The Late Preclassic Period (300 BCE–300 CE) The late Maya Preclassic Period lasted roughly from 300 B.C. to 300 A.D. and is marked by developments in Maya culture. Great temples were constructed: their facades were decorated with stucco sculptures and paint. Long-distance trade flourished, particularly for luxury items such as jade and obsidian. Royal tombs dating from this time are more elaborate than those from the early and middle Preclassic periods and often contained offerings and treasures. The Early Classic Period (300 CE–600 CE) The Classic Period is considered to have begun when the Maya began carving ornate, beautiful stelae (stylized statues of leaders and rulers) with dates given in the Maya long count calendar. The earliest date on a Maya stela is 292 CE (at Tikal) and the latest is 909 CE (at Tonina). During the early Classic Period (300–600 CE), the Maya continued developing many of their most important intellectual pursuits, such as astronomy, mathematics, and architecture. During this time, the city of Teotihuacà ¡n, located near Mexico City, exerted a great influence on the Maya city-states, as is shown by the presence of pottery and architecture done in the Teotihuacà ¡n style. The Late Classic Period (600–900) The Maya late Classic Period marks the high point of Maya culture. Powerful city-states like Tikal and Calakmul dominated the regions around them and art, culture and religion reached their peaks. The city-states warred, allied with, and traded with one another. There may have been as many as 80 Maya city-states during this time. The cities were ruled by an elite ruling class and priests who claimed to be directly descended from the Sin, Moon, stars, and planets. The cities held more people than they could support, so trade for food, as well as luxury items, was brisk. The ceremonial ball game was a feature of all Maya cities. The Postclassic Period (800–1546) Between 800 and 900 A.D., the major cities in the southern Maya region all fell into decline and were mostly or completely abandoned. There are several theories as to why this occurred: historians tend to believe that it was excessive warfare, overpopulation, an ecological disaster or a combination of these factors that brought down the Maya civilization. In the north, however, cities like Uxmal and Chichen Itza prospered and developed. War was still a persistent problem: many of the Maya cities from this time were fortified. Sacbes, or Maya highways, were constructed and maintained, indicating that trade continued to be important. Maya culture continued: all four of the surviving Maya codices were produced during the Postclassic period. The Spanish Conquest (ca. 1546) By the time the Aztec Empire rose in Central Mexico, the Maya were rebuilding their civilization. The city of Mayapan in Yucatà ¡n became an important city, and cities and settlements on the eastern coast of the Yucatà ¡n prospered. In Guatemala, ethnic groups such as the Quichà © and Cachiquels once again built cities and engaged in trade and warfare. These groups came under the control of the Aztecs as a sort of vassal states. When Hernà ¡n Cortes conquered the Aztec Empire in 1521, he learned of the existence of these powerful cultures to the far south and he sent his most ruthless lieutenant, Pedro de Alvarado, to investigate and conquer them. Alvarado did so, subduing one city-state after another, playing on regional rivalries just as Cortes had done. At the same time, European diseases such as measles and smallpox decimated the Maya population. Colonial and Republican Eras The Spanish essentially enslaved the Maya, dividing their lands up among the conquistadors and bureaucrats who came to rule in the Americas. The Maya suffered greatly in spite of the efforts of some enlightened men like Bartolomà © de Las Casas who argued for their rights in Spanish courts. The native people of southern Mexico and northern Central America were reluctant subjects of the Spanish Empire and bloody rebellions were common. With Independence coming in the early nineteenth century, the situation of the average indigenous native of the region changed little. They were still repressed and still chafed at it: when the Mexican-American War broke out (1846–1848) ethnic Maya in Yucatà ¡n took up arms, kicking off the bloody Caste War of Yucatan in which hundreds of thousands were killed. The Maya Today Today, the descendants of the Maya still live in southern Mexico, Guatemala, Belize, and northern Honduras. Many continue to hold to their traditions, such as speaking their native languages, wearing traditional clothes and practicing indigenous forms of the religion. In recent years, they have won more freedoms, such as the right to practice their religion openly. They are also learning to cash in on their culture, selling handicrafts at native markets and promoting tourism to their regions: with this newfound wealth from tourism is coming political power. The most famous Maya today is probably the Quichà © Indian Rigoberta Menchà º, winner of the 1992 Nobel Peace Prize. She is a well-known activist for native rights and occasional presidential candidate in her native Guatemala. Interest in Maya culture was at an all-time high in 2010, as the Maya calendar was set to reset in 2012, prompting many to speculate about the end of the world. Sources Aldana y Villalobos, Gerardo and Edwin L. Barnhart (eds.) Archaeoastronomy and the Maya. Eds. Oxford: Oxbow Books, 2014. Martin, Simon, and Nicolai Grube. Chronicle of the Maya Kings and Queens: Deciphering the Dynasties of the Ancient Maya. London: Thames and Hudson, 2008. McKillop, Heather. The Ancient Maya: New Perspectives. Reprint edition, W. W. Norton Company, July 17, 2006. Sharer, Robert J. The Ancient Maya. 6th ed. Stanford, California: Stanford University Press, 2006.

Biography Of Hideo Kojima s Influence On The World

Hideo Kojima was born on 24 August, 1963. He was born in Tokyo, Japan, but his family moved to western Japan shortly after his birth. Growing up as a latchkey kid, he had to deal with loneliness and loss as a child, when his father passed away while he was just 13 years old. From an early age, he knew that he wanted to be a writer and illustrator, but faced a lot of pressure to seek out a safer and financially stable line of work. Despite discouragement from his family and peers, as a teen, he wrote and illustrated original short stories and sent them to magazines, although none ever got published. He first went to college to study economics, He spent most of his spare time playing video games. He shocked his peers by saying he wanted to go into video game design his fourth year of college. Kojima became famous beginning with the release of the first iteration of the Metal Gear series in 1986, Metal Gear biggest and most recognizable contributions to the gaming world. The main character of the title, Solid Snake, has even made appearances in other video games like Nintendo s Super Smash Bros Brawl. In the start of his career, he gain a lot of rejection most of his game ideas failed. Nonetheless, he was hired by Konami Digital Entertainment. The Metal Gear series is a prime example of a war game that includes violence and gun. The player takes control of a special forces operative, Snake, who is assigned to find the super weapon Metal Gear, a bipedal walking tank with