The Importance Of Animal Testing Essays - HIVAIDS, Lentiviruses

The Importance of Animal Testing Research on animals is important in understanding diseases and developing ways to prevent them. The polio vaccine, kidney transplants, and heart surgery techniques have all been developed with the help of animal research. Through increased efforts by the scientific community, effective treatments for diabetes, diphtheria, and other diseases have been developed with animal testing. Animal research has brought a dramatic progress into medicine. With the help of animal research, smallpox has been wiped out worldwide. Micro-surgery to reattach hearts, lungs, and other transplants are all possible because of animal research. Since the turn of the century, animal research has helped increase our life-span by nearly 28 years. And now, animal research is leading to dramatic progress against AIDS and Alzheimer's disease. Working with animals in research is necessary. Scientists need to test medical treatments for effectiveness and test new drugs for safety before beginning human testing. Small animals, usually rats, are used to determine the possible side effects of new drugs. After animal tests have proven the safety of new drugs, patients asked to participate in further studies can be assured that they may fare better, and will not do worse than if they were given standard treatment or no treatment. New surgical techniques first must be carefully developed and tested in living, breathing, whole organ systems with pulmonary and circulatory systems much like ours. The doctors who perform today's delicate cardiac, ear, eye, pulmonary and brain surgeries, as well as doctors in training, must develop the necessary skills before patients' lives are entrusted to their care. Neither computer models, cell cultures, nor artificial substances can simulate flesh, muscle, blood, and organs like the ones in live animals. There is no alternative to animal research. Living systems are complex. The nervous system, blood and brain chemistry, and gland secretions are all interrelated. It is impossible to explore, explain or predict the course of many diseases or the effects of many treatments without observing and testing the entire living system. Cell and tissue cultures, often suggested as "alternatives" to using animals, have been used in medical research for many years. But these are only isolated tests. And isolated tests will yield only isolated results, which may bear little relation to a whole living system. Scientists do not yet know enough about living systems or diseases, nor does the technology exist, to replicate one on a computer. The information required to build a true computer model in the future will be based on data drawn from today's animal studies. Primates represent only about 1/3 of 1 percent of animals in research. But during the last half century, research using primates has led to major medical breakthroughs, most notably in the treatment of polio and Rh disease. Vaccines have reduced the cases of polio in the U.S. from 58,000 to one or two a year at present. Scientists are learning how the Human Immunodeficiency Virus (HIV) works by studying its non-human primate counterpart, the Simian Immunodeficiency Virus (SIV) in monkeys. The SIV model is useful in testing drugs for AIDS. In addition, the HIV virus survives in certain kinds of monkeys and although it does not kill the animals, it can be removed from them. This may prove useful in testing an AIDS vaccine. Researchers are studying rhesus macaque monkeys to explore ways to reduce multiple organ failure following hypotensive shock, a loss of blood pressure due to loss of blood. Researchers have hypothesized that damage to the organs occur within the first few minutes after blood flow is reestablished, when a certain kind of white blood cell attaches to walls of blood vessels and releases toxic substances. The researchers reasoned that if, just before blood flow is reestablished, a substance that prevents the white blood cells from attaching to the vessel walls were injected into the blood stream, it might prevent the release of their toxic contents and avoid multiple organ damage. It is expected that this new technique will prove effective in human patients. Researchers are studying obesity in monkeys in hopes of finding a way to control body weight. Scientist are also using monkeys to study Taurine deficiency, which causes vision problems, and zinc deficiency, which causes growth retardation among infants and fetuses. Researchers are

Elder Abuse Essays

Elder Abuse Essays Elder Abuse Essay Elder Abuse Essay Question 1 What is elder abuse? The International Network for the Prevention of Abuse of Older People (INPEA) and the World Health Organisation (WHO) define Elder Abuse as: a single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress t an older person. Abuse of older people can be of various forms such as physical, psychological/emotional, sexual and financial. It also reflects intentional or unintentional neglect. (ACT Government Community Services, June 2012) Question 2 List five types of abuse. Give a brief description of each of elder abuse and an example of signs that could indicate abuse is occurring. Forms of Abuse of Older People: Physical Abuse: the infliction of pain or injury. This can include hitting, pushing, punching, kicking, biting, scratching, shaking, slapping, dragging, burning, inappropriately restraining or confining, inappropriately medicat ing, and damage to property. Psychological Abuse: inflicting mental anguish through actions that cause fear of violence, isolation or deprivation, and feelings of shame and powerlessness. It may nclude verbal intimidation, humiliation or embarrassment, shouting, bullying, threats of physical harm, threats of institutionalisation, withdrawal of affection (e. g. refusing access to grandchildren), emotional blackmail, damage to, or removal of property and possessions, removal of decision-making powers, or preventing access to services. Sexual Abuse: unwanted sexual behaviour including rape, indecent assault, sexual harassment or inappropriate touching. Financial Abuse: the illegal or improper use of an older persons finances or property. It may include stealing, misappropriating money, forcing changes to a will or other egal documents, denying access to personal funds, forging signatures or misusing Power of Attorney. Neglect: the failure of a carer to provide the necessities of life to a person for whom they are caring. Neglect can be intentional or unintentional. Intentional neglect is when an older person is abandoned or not provided with adequate food, clothing, shelter, medical or dental care, or where their spiritual needs are not met. It also includes improper use of medication, poor hygiene or personal care, or the refusal to allow other people to provide adequate care. Unintentional neglect occurs when a ay not be aware of the types of support available, or may be ill and unable to meet the persons needs. Social Abuse: preventing a person from having contact with friends or family, or access to social activities. It includes intrusion, isolation, and preventing independence using threats, manipulation and control. (Advocare 2012) Signs that would indicate that abuse is occurring would be: Physical Behavioural Showing signs of being afraid of a particular person/people Appearing worried and/or anxious for no obvious reason Becoming irritable or easily upset Appearing depressed or withdrawn Losing interest Sleep disturbances Changed eating habits Having thoughts of suicide Frequent shaking, trembling and/or crying attacks Rigid posture Presenting as helpless, hopeless or sad Making contradictory statements not resulting from mental confusion Reluctance or hesitation to talk openly, waiting for the carer to answer Avoiding physical, eye or verbal contact with carer or service provider. Psychological Abuse The person may be huddled when sitting and nervous with the family members or carer nearby Insomnia, sleep deprivation and loss of interest in self or environment Fearfulness, helplessness, passivity, apathy, resignation, withdrawal Sexual Abuse It can be very difficult to identify, as embarrassment and shame may prevent the subject from being raised. Medical or nursing staff should examine the genital areas for bruising, bleeding, and painful areas. Check for torn, stained or blood stained underwear. Look for evidence of sexually transmitted disease. Watch for difficulty in walking or sitting. Any of these signs may be indicative of sexual abuse. Financial Abuse This is the improper use of a persons money, property, or assets by someone else. Money can be a very sensitive subject. Gear of not having enough money for future care, or feeling obligated to others can leave a person vulnerable. These feelings can be reinforced and used as a threat. Material or financial abuse may be more easily detected when clients are visited in their own homes. Neglect This is where a person is deprived by the carer, or the carer is unable to provide the necessities of life. If food or drinks are being withheld, there is malnutrition, weight constipation or faecal impaction Isolation, lack of mental, physical, social or cultural contact Inadequate supervision, the person is abandoned/unattended for long eriods or locked in the house with any supervision There may be evidence of inadequate or inappropriate use of medication, for instance, the person may be over- sedated in the middle of the day There may be evidence of unmet physical needs such as decaying teeth or overgrown nails The person may be lacking necessary aids such as spectacles, dentures, hearing aids or walking frame Clothing may be poor hygiene or inadequate skin care. The victim may be very dirty, smell strongly or urine or be infested with lice. There may be a urine rash with abrasions and chafing Hypothermia, recent colds, bronchitis or pneumonia Department of Human Services September 1997) Question 3 Who is vulnerable to abuse? Abuse of older people crosses gender, social-economic, relig ious and cultural boundaries. Abuse is more likely to be inflicted by family members, especially an older persons adult children. Older people are at increased risk of abuse when they: Have a disability or poor health; Are in dependent caring relationships, particularly where a carer is experiencing carer burden or carer stress; Are isolated and/or without personal supports Have a past history of violence or conflict within the family Exhibit particularly ifficult and/or inappropriate behaviour, and/or confusion or memory loss; or Exhibit signs and symptoms of dementia. Question 4 What reporting mechanisms/systems are in place in residential care to address elder abuse? Recent amendments to the Aged Care Act 1997 (the Act) are designed to increase safeguards for residents of Aged Care homes. The Act requires approved Aged Care providers to report allegations or suspicions of unlawful sexual contact, or unreasonable use of force on a resident of an Australian Government subsidised Aged Care home. From 1 July 2007 Aged Care providers must have systems and protocols in place that nable compulsory reporting of such incidents. If the approved provider receives an allegation of, or starts to suspect on reasonable grounds that unreasonable use of force or unlawful sexual contact on a resident has taken place, they must report the allegation or suspicion as soon as reasonably practicable and within 24 hours to the Police and the Department via the Aged Care Complaints Scheme. They must also provide protections for staff who report abuse. (Aged Rights Advocacy Service 2012) Question 5. are no mandatory reporting laws for elder abuse anywhere in Australia. As from 1 July 2007 Compulsory Reporting of certain assaults, inflected on a recipient of residential care was imposed on providers of Australian Government subsidised Aged Care homes. Amendments to the Aged Care Act 1997 (the Act) are designed to Aged Care providers to report unlawful sexual contact or unreasonable use of force on a resident of an Australian Government subsidised Aged Care home. (Aged Care Act 1997) Question 6 Who is primarily responsible for services relating to abuse of the older person in the wider community? List the range of responses Elder Abuse and the Law Mandatory Reporting There are no mandatory reporting laws for elder abuse anywhere in Australia. As from the 1st July 2007 Compulsory Reporting of certain assaults, inflicted on a recipient of residential care was imposed on providers of Australian Government subsidised Aged Care homes. Amendments to the Aged Care Act 1997 (the Act) are designed to increase safeguards for residents of Aged Care homes. The Act requires approved Aged Care providers to report unlawful sexual contact or unreasonable use of force on a resident of an Australian Government subsidised Aged Care home. Suggested interventions include: Crisis care Provision of community support services Provision of respite care Counselling Alternative accommodation Legal interventions including police involvement, restraining orders, and applications for guardianship and financial management. At this time the evidence in support of mandatory reporting is not convincing. The consensus of government reports and researchers has been to oppose the introduction of mandatory reporting. Workers and agencies are encouraged to seek advice from specialist services whenever required (e. g. Aged Care Assessment Teams, legal services, Police, mental ealth services, sexual assault services). All agencies that provide services to older people have the following roles in responding to the abuse of older people: Refer suspected, disclosed or established cases of abuse to appropriate services Identify possible abuse of older people (Australian Society for Geriatric Medicine Position Statement No. 1 Elder Abuse) Are older people with Dementia at higher risk of elder abuse? Support your answer Older people with dementia are more likely to be abused than those who are cognitively intact. This may be related to increased dependence on carers or to a ower likelihood of seeking help. Mistreatment occurs when C6s (referred to hereafter as care givers) cause harm to persons with dementia (referred to hereafter as care recipients (CRs) through their actions or failure to act. Risk factors can be characteristics of the CR, the CG, their relationship, and the environment. These formed the design of the current study. Some CG factors associated with mistreatment of CR include poor health, social isolation, and mental health problems such as depressive symptoms and anxiety. The CGS perception of caregiving burden has been associated with multiple types of abuse. Similarly, being a spouse CG, duration of caregiving, and a shared living arrangement have been associated with mistreatment. A poor pre-morbid relationship was associated with CG physical aggression, whereas a good pre-morbid relationship and the use of formal services were associated with lower likelihood of mistreatment. CR factors significantly related to elder abuse included poor functional status and more-severe cognitive impairment. Several studies have associated CR behavioural problems with mistreatment, and CR physical aggression specifically with physical abuse. (Wiglesworth A, Mosqueda L et al Journal of American Geriatric oc. 2010) Question 8 List the key strategies for prevention/early intervention of Elder Abuse. Key strategies for preventing abuse include: Encouraging and supporting older people to stay active and socially connected Ensuring that older people have access to independent information and advice prior to making decisions about financial and housing matters Educating older people to assert their rights and gain support where necessary Facilitating older peoples use of powers of attorney and guardianship which can enable them to plan for and have choice over who will have control over their affairs f they lose capacity in the future Educating professionals to identify and respond to abuse Community care agencies and workers have an important role to play in implementing these strategies. Strategies to provide easier access to information and advice through helplines and specialised abuse services can be effective. Queensland, Victoria and the ACT have implemented helplines with positive feedback from a Queensland evaluation (Procopis 2007). The Victorian, WA and ACT Governmen ts have developed state wide policy frameworks addressing the abuse of older people. The Victorian Governments Elder Abuse Prevention Strategy, for example, includes a financial literacy program, an education and training package for professionals, specialist legal and advocacy services and community education (Office of Senior Victorians 2009). Page Research to Practice Briefing 3 February 2010 REFERENCES ACT Government Community Services, June 2012, ACT Elder Abuse Program Policy, viewed 30 May, 2013 http://ACT (ACT Elder Abuse Program Policy). Advocare viewed 30 May 2013: Advocare. org. au 2012. Aged Care Act 1997, Australian Government Department of Health Ageing 4 May, 2013. Aged Rights Advocacy Service (ARAS) 2012, viewed 24/5/13. viewed Australian Society for Geriatric Medicine Position Statement No. 1 Elder Abuse Department of Human Services Southern Metropolitan Region, (Dealing with Elder Abuse September 1997). Government Community Services, June 2012, Government Community Services, June Government Practice Guidelines for Health Services and Community Agencies for the Prevention of Elder Abuse viewed 30/5/13. ervices and community agencies Wiglesworth A, Mosqueda L, Mulnard R, Liao S, Gibbs L, Fitzgerald W. Screening for Abuse and Neglect of People with Dementia Viewed 4 June, 2013, http:// Medscape. com/v iewpublication 2010 (American Geriatric Soc. 2010. ) PART B case study Your grandmother lives in an aged care facility and overall seems happy with the care that she receives. However, recently the staff seems to be very busy and do not attend to her toileting needs. When you speak to the staff they are too busy to attend for some time. Your grandmother finds this very distressing. You are her representative and she has indicated that she wants you to intervene on her behalf. What rights does your grandmother have? My grandmother has the right o full and effective use of her personal, civil, legal and consumer rights to quality care appropriate to her needs to have full information about her own state of health and about available treatments neglect to live without discrimination or victimisation, and without being obliged to feel grateful to those providing her care and accommodation to personal privacy to live in a safe, secure and homelike environment, and to move freely both within and outside the residential care service without undue restriction to be treated and accepted as an individual, and to have her individual preferences taken into account nd treated with respect to continue her cultural and religious practices, and to keep the language of her choice, without discrimination to select and maintain social and personal relationships with anyone else without fear, criticism or restriction to freedom of speech to maintain her personal independence to accept personal responsibility for h er own actions and choices, even though these may involve an element of risk, because she has the right to accept the risk and not to have the risk used as a ground for preventing or restricting her actions and choices to maintain control over, and to continue making decisions about, the ersonal aspects of her daily life, financial affairs and possessions to be involved in the activities, associations and friendships of her choice, both within and outside the residential care service to have access to services and activities available generally in the community to be consulted on, and to choose to have input into, decisions about the living arrangements of the residential care service to have access to information about her rights, care, accommodation and any other information that relates to her personally to complain and to take action to resolve disputes o have access to advocates and other avenues of redress to be free from reprisal, or a well-founded fear of reprisal, in any fo rm for taking action to enforce her rights. (User Rights Principles 1997) Question 2 What is the Act that protects residents against abuse in Aged Care Facilities? The Charter of Residents Rights and Responsibilities under the Aged Care Act 1997 explicitly states that people living in aged care homes have the right to be treated with dignity and respect, and to live without exploitation, abuse or neglect. A process for reporting allegations of suspicions of physical assault and unlawful exual contact to the Victorian Department of Health was established in 2007. The reporting is consistent with accountability principles that underpin funding to all Victorian public health services. All Public Sector Residential Aged Care Services (PSRACS) must notify the department of these reports, at the same time or within 24 hours of advising the Scheme, Victoria Police and residents family. Question 3 How can you advocate on behalf of your grandmother? Outline your approach. If I did feel a complaint was warranted I would bring it up to a staff member that I was comfortable dealing with. If this was a serious complaint I would take it up with the homes administration. If I was uncertain I would ask, talk it over, perhaps have a chat to someone that I trusted who was not emotionally involved to get a clear picture of my grandmothers situation and another opinion. Approach staff- Talk to the staff finger at tired or uneducated nursing staff. A phrase that has a negotiatory tone is much more likely to get the response required. It should be put in the l sense such as Im concerned that such as such is happening. Talk to management- If no action is taken talk to the next person up the ladder. Use your support person to record events from a less emotional position. Using a back up person also shows you are less likely to back off. Record events- Start taking notes of the situation including the sequence of events and any relevant dates, names and staff responses. Nursing homes should have a complaints process in place, dont wait too long to lodge a complaint. Making an official complaint- If things are still unsatisfactory, it is now time to use the official complaints mechanism of the organisation or aged care system. This is where having kept a record is imperative. A well documented difficulty nd the sequence of events is much more likely to be corrected than one that is hazy. (Aged Carer) I would be sure that my Grandmother was kept informed that everyone was working on the complaint and giving her status reports. Your grandmother asked you to advocate on her behalf. What type of advocate would you be? Advocacy is about someones life. The aim would be to keep the focus of any discussion on my grandmother. Something that might be a good idea for one person, might not be a good idea for another. I would need to discuss with the residential care home my grandmothers individual needs and expectations. I would represent my grandmother who I was advocating for what she values and her communication, temperament, methods and style, what brings on a smile, etc. I would avoid avid direct confrontation and go for a win/win situation. Question 5 What outside agencies would you approach on behalf of your grandmother if your complaint is not dealt with effectively? I could contact the Public Sector Residential Aged Care Services (PSRACS) and I could report to the Commonwealth Government and Victoria Police (this would have to be done within 24 hours of the incident). I would need to record my contact details; including my email address and telephone umber so that the Victorian Department of Health could contact me immediately if and to make complaints about health service providers. The Health Services Commissioner (HSC) is an independent statutory authority established to receive and resolve complaints about health service providers. The HSC also handles complaints about disclosure of health information and access to health information and ageing. Aged Carer viewed 3 June, 2013 agedcarer. com. au Australian Government Department of Health Ageing Charter of Residents Rights Responsibilities 1997. Schedule 1 of the User Rights Principles 1997

Tiempo máximo de estancia permitido en Estados Unidos

Tiempo mximo de estancia permitido en Estados Unidos Para evitar problemas migratorios muy serios es necesario saber y respetar el tiempo mximo de estancia legal permitido en Estados Unidos. En realidad, el monto de la estadà ­a legal depende de varios factores, como por ejemplo, tipo de visa. En este artà ­culo se informa sobre la cantidad de tiempo que un extranjero con visa de no inmigrante puede quedarse legalmente en Estados Unidos, segà ºn los casos –turista, estudiante, intercambio, trabajo o inversià ³n–. Tambià ©n se informa sobre lo que se conoce como periodo de gracia  y cà ³mo afecta a la estadà ­a legal la extensià ³n o los cambios de visa realizados desde dentro de Estados Unidos. Por supuesto, los extranjeros con una tarjeta de residencia pueden permanecer en el paà ­s el tiempo que quieran. Es ms, estn obligados a vivir en el paà ­s y sà ³lo pueden ausentarse para viajar a otro por tiempo limitado. Tiempo que turistas pueden quedarse legalmente en EE.UU. Para el caso de los turistas hay respuestas diferentes segà ºn el documento que se ha utilizado para ingresar al paà ­s. Adems surge la duda sobre si conviene agotar el tiempo permitido o es ms aconsejable salir antes.   Un primer caso es el de los turistas que ingresan a Estados Unidos sin visa. Los ciudadanos de 38 paà ­ses pueden ingresar a los Estados Unidos sin visa, si lo hacen como turistas o para un asunto de negocios. Si llegan por avià ³n o barco necesitan solicitar antes una autorizacià ³n electrà ³nica que se conoce como ESTA. Para las personas que estn en esta situacià ³n el tiempo mximo de estadà ­a es de 90 dà ­as. No hay excepcià ³n. Tampoco es posible pedir una extensià ³n. Asimismo tampoco funciona salirse a un paà ­s fronterizo, como Canad o Mà ©xico, con la idea de ganar otros 90 dà ­as.   Si se sale a uno de esos paà ­ses, se reingresa con el mismo periodo de tiempo que ya se tenà ­a, sin que se inicie otro nuevo y si ya est agotado el oficial del paso migratorio puede denegar la entrada por considerar que se est jugando con los là ­mites legales de estancia. Un segundo caso es el de los turistas que ingresan a Estados Unidos con una visa lser, tambià ©n conocida como tarjeta de cruce. Pueden tenerla los mexicanos o los ciudadanos de otros paà ­ses que residen legalmente junto a la frontera entre Mà ©xico y Estados Unidos. Las lser tienen sus propias reglas para solicitarlas, millas que se puede ingresar en el paà ­s y tiempo de estadà ­a.  Como norma general, con la visa lser sà ³lo se puede permanecer en Estados Unidos un mximo de 30 dà ­as. Si se desea ingresar por ms tiempo solicitar el permiso I-94 en el paso fronterizo. Por à ºltimo, est el caso de los turistas que ingresan a Estados Unidos con visa de turista, tambià ©n conocida en algunos paà ­ses como de placer o de paseo o como B2 o la combinada B1/B2. El tiempo mximo de estadà ­a lo fija el oficial de la CBP en el puesto fronterizo terrestre, puerto o aeropuerto.   Aunque es muy comà ºn que se permita el ingreso por 180 dà ­as, eso no es siempre asà ­ y puede ser por mucho menos. Este dato hay que tenerlo claro. Y si no se sabe, consultar el registro de ingreso y salida en la pgina de la CBP. Asimismo, no se debe confundir jams el tiempo de autorizacià ³n para permanecer legalmente en Estados Unidos con la fecha de expiracià ³n de la visa, ya que son dos cosas muy distintas.   Conveniencia de quedarse en EEUU todo el tiempo autorizado Frecuentemente los turistas se plantean si es buena idea permanecer en Estados Unidos hasta agotar el plazo legal de estancia. Lamentablemente, a esa pregunta no hay una respuesta à ºnica, ya que va a depender del caso de cada uno. Lo importante es que el oficial de inmigracià ³n en el punto de ingreso a los Estados Unidos no tenga ninguna razà ³n para sospechar que la estancia en el paà ­s ha sido o va a ser por motivos distintos al turismo. Hay que evitar dar la impresià ³n de que se estn desarrollando actividades no permitidas con la visa, como por ejemplo estudiar, trabajar o, simplemente, residir. Antes de quedarse ms tiempo del permitido es necesario saber las consecuencias, ya que pueden ser muy serias. Asimismo, conviene saber con quà © frecuencia se puede ingresar al paà ­s para evitar ser parado por las autoridades migratorias y ser regresado al paà ­s de origen. Cunto tiempo se puede permanecer en USA con la visa J-1 Las visas J-1 de intercambio comprenden una gran variedad de programas. La regla general para las personas que tienen estas visas es que se pueden ingresar a Estados Unidos un mximo de 30 dà ­as antes de iniciar el programa y se pueden quedar durante la duracià ³n regular del mismo, que est seà ±alado en el DS 2019.   Una vez que se termina se tienen 30 dà ­as de periodo de gracia para dejar Estados Unidos. Durante ese mes se puede viajar, si asà ­ se desea, pero no se puede seguir participando en ninguna actividad relacionada con el programa.   Estas reglas aplican tambià ©n a los familiares de las personas con visas J-1 y que estn en USA como dependientes. Tiempo de permanencia visas F-1 y M-1 de estudiante Con cualquiera de estas dos visas de estudiante se puede ingresar a Estados Unidos un mximo de 30 dà ­as antes al comienzo del programa. Sin embargo siguen reglas distintas para el periodo de gracia. Los titulares de visas M-1 deben salir del paà ­s en un mximo de 30 dà ­as desde la finalizacià ³n regular del programa mientras que los de la F-1 tienen un mximo de 60 dà ­as desde la fecha de finalizacià ³n regular del programa. Tiempo de permanencia para los titulares de visas H En esta categorà ­a entran las H-1B para profesionales y modelos, las H-2A para agricultura, las H-2B para trabajos temporeros no agrà ­colas, las H-3 para formacià ³n profesional y las H-4 para familiares de los titulares de otras visa H y que estn en Estados Unidos como acompaà ±antes. Todas estas personas pueden ingresar a Estados Unidos un mximo de 10 dà ­as antes de comenzar su trabajo y el periodo de gracia para permanecer en el paà ­s una vez que se acaba el trabajo es de 10 dà ­as. Incrementar el tiempo que se puede permanecer legalmente Si se ha ingresado con una visa no inmigrante es posible solicitar una extensià ³n de la estadà ­a o un cambio a otro tipo de visa no inmigrante, como por ejemplo, un turista pasarse a estudiante.   Si la fecha de la estancia autorizada llega a su fin antes que la aprobacià ³n de la extensià ³n se considera que no hay problema siempre y cuando la peticià ³n se hubiera realizado de buena fe.   Si se ha ingresado con visa, se ha pedido extensià ³n y no es aprobada, entonces con carcter general se conceden 30 dà ­as para salir de Estados Unidos. Los dà ­as se cuentan a partir de la fecha que aparece en la carta en la que se notifica la denegacià ³n. Pero hay que tener en cuenta que cada caso es un mundo, y que en la carta se puede notificar un periodo ms corto, que es el que habrà ­a que respetar. Sin embargo, un caso muy distinto al anterior es el de las personas que ingresaron sin visa como turistas o para hacer negocios por pertenecer a los paà ­ses del Visa Waiver Program. Estos extranjeros no pueden bajo ninguna circunstancia extender la estadà ­a ni solicitar ningà ºn tipo de visa mientras estn presentes en Estados Unidos. Si bien en casos muy concretos podrà ­an quedarse mediante un ajuste de estatus como por ejemplo en los casos de matrimonio con ciudadano y cumpliendo todos los requisitos. Pero son casos muy delicados y es siempre aconsejable asesorarse con un buen abogado de inmigracià ³n.  Finalmente,  en algunos casos muy especà ­ficos es posible pedir una restauracià ³n de estatus que es lo que se conoce por la expresià ³n del latà ­n nunc pro tunc. A tener en cuenta cuando se est en un periodo de gracia Hay que pensarlo dos veces antes de salir de USA y volver a ingresar, ya que puede suceder que no se permita el regreso. Quà © sucede cuando se sobrepasatiempo mximo de estancia Quedarse ms tiempo del permitido tiene importantes consecuencias migratorias que conviene no ignorar, asà ­ sea por sà ³lo un dà ­a el exceso. Lo primero, es que la persona se coloca en situacià ³n de indocumentada y, por lo tanto, puede ser detenida y dependiendo de las circunstancias de cada caso, puede ser expulsada o deportada. En algunos casos puede ser posible arreglar los papeles, pero en otros la situacià ³n de indocumentado cierra esa posibilidad por lo que antes de hacerlo conviene informarse bien con un abogado de migracià ³n reputado. Adems, la visa serà ­a revocada ya que es una de las causas de cancelacià ³n de la visa. En el caso de haber ingresado como turista sin visa por ser de un paà ­s del Programa de Exencià ³n de visados, se pierde ese privilegio. Finalmente, es posible incurrir en el castigo de los 3 y de los 10 aà ±os que podrà ­a complicar enormemente el regreso a Estados Unidos. Puntos clave Los turistas sin visa pueden permanecer 90 dà ­as, sin cambios ni extensià ³nLos turistas con visa B2, generalmente 180 dà ­as, pero verificar con el I-94Los estudiantes con visa F-1 y derivadas: 60 dà ­as desde fin de programaEstudiantes con visa M-1 y derivadas: 30 dà ­as desde fin de programaPrograma de intercambio J-1 y derivadas: 30 dà ­as desde el fin del programaVisas de trabajo H y derivadas: cuanto antes, mximo 10 dà ­as desde fin de trabajo Este es un artà ­culo informativo. No es asesorà ­a para ningà ºn caso concreto.

Poetry books Essay Example | Topics and Well Written Essays - 1500 words

Poetry books - Essay Example The â€Å"Short Charter of Christ† employs a number of imageries which centrally focus on the development of the grand-imagery of crucified Christ. This imagery of the crucified body of Christ further conveys a holistic abstraction of Christ’s physical sufferings in exchange for the salvation of humanity. On the contrary, the image of the charter visualizes this grand metaphor through the triadic relationship among â€Å"signs†, â€Å"interpreters† and â€Å"ideas† which those signs are intended to convey to the audiences or readers. The scribe of this image has effectively employed a number of signs of physical sufferings such as five wounds, the nails, the â€Å"scourges of his attackers†, stains of blood, bones and skulls, etc. to conjure up Christ’s sufferings and to convey his pains to the readers. Through these symbols, he has attempted to visualize spatiotemporal settings of Jesus’ crucifixion in the mage, while the poem uses various imageries develop the traditional Christian concepts of humankind’s salvation and liberation through Christ’s suffering on the Holy Cross. Indeed, during the medieval period, it was a literary tradition of referring to Christ’s Last Will in Manuscripts. But some of the charters of Christ had been produced in the form of legal documents. In these charters, the scribes would make sincere effort to convey a sense of legality of the documents to the readers. Therefore, the scribes had to apply a number of techniques in this regard. These techniques include literary-visual binary techniques of presentation of the theme. While presenting the theme of the documents they would attempt to instill the spatiotemporal dimension of their subject matter. Necessarily, they had to assume the persona of Christ in their manuscripts. While Christ’s persona was worked out through linguistic strategy of using the first person perspective in the presentation of th e literary content, images were used to illustrate and visualize Christ’s figure. These pictorial presentations of Christ would more or less commonly uphold him in the posture of delivering sermon to his disciples. In this regard, it can be said that the pictorial presentation of Christ’s persona in the â€Å"Short Charter of Christ† is somewhat different from this tradition. Instead, the scribe of the â€Å"Short Charter† has adapted and elaborated the image of crucified Christ to visualize the theme of the poem. The â€Å"Short Charter of Christ†, had been written as a legal document in which Christ grants humankind the liberation and redemption from sins. This charter has a root in the medieval practice of writing religious documents in parchments. More specifically, this is the imitation of Christ’s Last Will and Testament. In order to work out the spatiotemporal dimension of Christ’s physical sufferings, the scribe has endeavored to convey the sense of Christ’s physical sufferings through the images of the cross, crucified Christ and other elements needed in the process of crucifixion. These symbols and images of crucified Christ nailed on the cross are sufficient enough to work out the realities which Christ himself faced. But in order to validate the legal dimension of the texts, those medieval script-writers would manipulate the imagery of Christ’s skin extended to serve as a parchment on which Christ’

Discuss the IOM(institute of medicine) reports and how the reports Assignment

Discuss the IOM(institute of medicine) reports and how the reports apply to your specific practice area. Do you agree with the recommendations - Assignment Example The report also discusses the education of the nurses and their views to enhance their education. The nurses should be allowed to work along with the physicians and health care professionals in designing health care (Davis, Davis, & Williams, 2010). Registered Nurses (RN) are qualified and trained to perform an initial assessment of the patients. It is a part of their job to make health care plans for the patients. They are not allowed to do so in various states of US. The report also discusses the barriers that the nurses face in carrying out their duty. It is a reality that nurses are not given equal rights to practice their duty, and IOM and RWJF has joined hands and taken initiative to transform the nursing profession (Muehlbauer, 2012). The recommendation provided in this report is fair and just. The regulations of the state and its conflicts with APRNs must be resolved, so that the nurses can practice what they are trained to do during their education. If the nurses are trained to perform some task, which is a part of their course, then, they should be allowed to apply that part of the training in her professional life (Baljekar & Malet, 2014). Davis, S. P., Davis, D. D., & Williams, D. D. (2010). Challenges and Issues Facing the Future of Nursing Education: Implications for Ethnic Minority Faculty and Students. Journal of Cultural Diversity, 7 (4),

Business Plan for Progressive Consulting Essays -- Marketing Technolog

Business Plan for Progressive Consulting What follows is a complete business plan for a hypothetical company. Please copy or save to your disk and use as an example in developing your own business plan. If you would like to read a series of articles jump to Web Marketing . For additional business aids click on The Practical Tools of Consulting 1. 0 Executive Summary Progressive Consulting will be formed as a consulting company specializing in marketing of high technology products in international markets. Its founders are former marketers of consulting services, personal computers, and market research, all in international markets. They are founding Progressive Consulting to formalize the consulting services they offer. 1. 2 Mission Progressive Consulting offers high-tech manufacturers a reliable, high quality alternative to inhouse resources for business development, market development, and channel development on an international scale. A true alternative to in house resources offers a very high level of practical experience, know how, contacts, and confidentiality. Clients must know that working with Progrssive Consulting is a more professional, less risky way to develop new areas even than working completely in house with their own people. Progressive Consulting must also be able to maintain financial balance, charging a high value for its services, and delivering an even higher value to its clients. Initial focus will be development in the European and Latin American markets, or for European clients in the United States market. 1. 3 Keys to Success †¢Excellence in fulfilling the promise completely confidential, reliable, trustworthy expertise and information. †¢Developing visibility to generate new business leads. †¢Leveraging from a single pool of expertise into multiple revenue generation opportunities: retainer consulting, project consulting, market research, and market research published reports. 2. 0 Company Summary Progressive Consulting is a new company providing high-level expertise in international high-tech business development, channel development, distribution strategies, and marketing of high tech products. It will focus initially on providing two kinds of international triangles: †¢Providing United States clients with development for European and Latin American markets. †¢Providing E... ...7% 85.81% 84.90% Net profit margin 4.57% 11.25% 14.92% Return on Assets 12.38% 20.64% 25.49% Return on Equity 50.05% 61.73% 51.37% Activity Ratios: AR Turnover 6.30 7.77 6.66 Collection days 29 45 45 Inventory Turnover 0.00 0.00 0.00 Accts payable turnover 7.67 7.06 7.35 Total asset turnover 2.71 1.83 1.71 Debt Ratios: 1995 1996 1997 ____________ ________________________________________________________ Debt to net Worth 3.04 1.99 1.02 Short-term Debt to Liab. 0.70 0.82 0.83 Liquidity Ratios: Current Ratio 1.91 1.83 2.39 Quick Ratio 1.91 1.83 2.39 Net Working Capital $104,050 $191,250 $340,450 Interest Coverage 4.15 5.90 9.38 Additional Ratios: 1995 1996 1997 ____________ _________________________________________________________ Asset

Developing Early Warning System for Peace and Security in Nigeria Essay

1. Brief Demographic Background of Nigeria: The demographic characteristics of Nigeria set the platform for an understanding of the case for conflict based National early warning system. A historical analysis of major conflicts in Nigeria since independence points to strong linkages to its demographic composition. It has been unarguably regarded as the most populous country in the Africa and also accounts for half of the entire population of West Africa. The last census exercise in 2007 conducted by the Nigeria Population Commision (NPC) put the country’s population at over 140 million.(NPC, 2006). Politically, it practices a three tier federal system of government comprising the Federal, State and Local Government Councils which implies relative levels of autonomy in governance as well as oversight and control which many political analyst has attributed as a mixture of British Parliamentary and U.S Presidential system of governance. It has 36 states with a Federal Capital Territory at Abuja. These are further sub-divided into 774 semi-autonomous local government councils. For political and economic exigencies of governance and development, it is segregated into what is referred to as six geo political zones which include the North Central, North East, North West, South East, South South and South West. With over 240 ethnic groups spread across the country, the challenges of representation, equity in political representation as well as economic accessibility has been the bedrock of many diverse conflicts in the country. This is further complicated by the heterogeneous mixture of Christian and Muslim religion greatly polarised between the Christian south and Muslim Northern region. (op cit.)The population of traditional religion is sparsely located across the six geo-political zones of the country. Despite the immense rich natural resources in the country, crude oil located at the south south, south east and south west geo political zones of the country remain the major revenue source for the country and also the major source of various causative factors of conflict in Nigeria which has led to its reference in many social science research cycles as the ‘resource curse’ to the extent that the country is now considered one of the 20 poorest countries in the world. Over 70% of the population is classified as poor, with 35 percent living in absolute poverty. This is especially severe in rural areas, where social services are limited or non existent. 2. The Peace and Security Dimension in Nigeria: In contrast, Nigeria’s complex political, socio-cultural and economic diversity has been a source of varied and multiple levels of conflicts and humanitarian crises with implication to sustainable peace, security and development within the country and the West Africa sub region. A retrospection of these conflicts highlights six basic conflict types that have pervaded the country in the last two decades. These include communal conflicts, chieftaincy conflicts, ethno-religious conflicts, oil related conflicts, election related conflicts and agro-pastoralist conflicts. These conflicts are the outcome of the deep rooted causal factors of poverty, poor/bad governance and inequitable distribution of resources and development across the country. Between 1999 to 2010 for instance there has been an estimated death of 14,000 people from various levels of these conflicts across the country and about 750,000 – 850,000 Internally displaced persons.(Internal Displacement Monitoring, 2007†¦) Based on the lack of mechanisms to address the root cause of these conflicts, it has continued to reoccur, intensify and impact negatively in Nigerian societies to the extent of creating viscious cycles of violence and complex humanitarian crises. Communities experiencing these conflicts have remained vulnerable and usually face the risks of further conflicts and distablity. Based on the recurrence of these conflicts,the communities have been tagged, ‘flashpoints of conflict’, unusually disaggregated across geo political lines or constellations. 3. The concept of Early Warning for Peace and Security: Based on the negative impact of conflicts to development and human security, there is increasing paradigm shift from conflict resolution mechanisms regarded as reactive to conflict prevention mechanisms which is seen as more proactive and has the capacity to prevent or mitigate destructive conflict or humanitarian crises globally. As core element of conflict prevention, early warning has increasingly gained prominence, credibility and efficiency as a preventive mechanism and solution to conflicts in societies. By definition, Early Warning has been described as a process of communicating judgements about threats early enough for decision-makers to take action to deter whatever outcome is threatened; or failing that, to manage events in such a way that the worst consequences are mitigated† (WANEP: 2008). Dmitrichev Andrei defined it as organizational procedure or mechanism for the structures and systemic collection and analysis of information, and the subsequent communication of results of this analysis to policy makers in a form that would be easily recognized and understood. The recognition and appreciation of the opportunities inherent in this system resulted in the first organised platform for the systematic development of the early warning system led by the Forum on Early Warning and Early Response (F.E.W.E.R.) in 1997 in response to the Rwandan genocide of 1994. It blossomed to become the largest global network of over thirty five (35) organisations across the world that catalysed the creation of the early warning and response networks in the Caucasus (led by EAWARN/Russian Academy of Sciences), Great Lakes Region of Africa (led by the Africa Peace Forum) and West Africa(led the West Africa Network for Peacebuilding) WANEP. Further impetus to the adoption and institutionalisation of the early warning system was boosted by the former Secretary General of the United Nations, Kofi Annan when he stated that, â€Å"For the United Nations, there is no larger goal, no deeper commitment and no greater ambition than preventing armed conflict. The prevention of conflict begins and ends with the protection of human life and the promotion of human development. Ensuring human security is, in the broadest sense, the United Nations’ cardinal mission. Genuine and lasting prevention is the means to achieve that mission. (Koffi Annan: 2001) This further gave rise to the UN Security Council Resolution 1624 of 2005 with the following core declarations: 1. Reaffirms the need to adopt a broad strategy of conflict prevention, which addresses the root causes of armed conflict and political social crises in a comprehensive manner, including by promoting sustainable development, poverty eradication, national reconciliation, good governance, democracy, gender equality, the rule of law and respect for and protection of human rights; 2. Recognises the need to strengthen the important role of the United Nations in the prevention of violent conflicts, and to develop effective partnerships between the Council and regional organisations, in particular the African Union and its sub regional organisations, in order to enable early responses to disputes and emerging crises; 3. Affirms the UN commitment in â€Å"supporting regional and sub regional capacities for early warning to help them in working out appropriate mechanisms to enable prompt action in reaction to early warning indicators; 4. Recognises the important supporting roles played by civil society, men and women, in conflict prevention and the need to take into account all possible contributions from civil society; 5. Supporting regional and sub regional capacities for early warning to help them in working out appropriate mechanisms to enable prompt action in reaction to early warning indicators; 6. Promote coordination with regional conflict management machinery in Africa which provide the Security Council with additional reliable and timely information to facilitate rapid decision-making; 7. Strengthen the capacities of civil society groups, including women’s groups, working to promote a culture of peace, and to mobilise donors to support these efforts (UN: 2005) 4. Developing Institutional Platform for conflict Early Warning System: Reflecting on WANEP-Nigeria’s Experience: The participation and commitment of the West Africa Network for Peacebuilding (WANEP) to the FEWER platform strengthened its capacity and hands on skill for civil society based analysis and response mechanisms towards the prevention or mitigation of conflict especially within the great lake region following the post Sierra Leone and Liberian Conflicts of 90’s. This deepened its regional expertise as the reference point for early warning system in the West Africa sub region and subsequently the network of choice for the Economic Community of West Africa States (ECOWAS) in the implementation of the regional based ECOWAS Early Warning and Response Network (ECOWARN). The system principally works through three basic components of reporting/data gathering, analysis and information dissemination utilised to facilitate response to issues of peace and security within the ECOWAS sub region. WANEP became the civil society partner with ECOWAS in the implementation ECOWARN since 2006. As part of the WANEP regional network, WANEP-Nigeria was mandated as the national civil society focal point to report into the online ECOWARN system. Its task was to provide weekly and daily reports to the incidence and situation reporting template as designed into the online system. This was to give ECOWARN an up to date civil society perspective of the peace and human security threats and opportunities in Nigeria. With the participation of Nigeria in this process came ominous challenges. 1. The first was the pressure from the focal points at Lagos secretariat of WANEP-Nigeria to deliver credible reports in relation to the size of Nigeria 2. With the size of Nigeria, the focal point concentrated in getting information from national newspapers, television and radio For the focal points who were staff of WANEP, it was included as part of their job responsibility. They relied on making phone calls to members of WANEP at the state levels for local or peculiar peace and security information that was not reported in the national media. However, these information were reluctantly or half-hazardly given and also cost intensive to the staff as they often bore liability for these calls. This challenge was partially cushioned when ECOWAS resolved to pay reporters communication allowance in 2007/2008. Inspite of this, the feedback from member organizations providing information at the state level was still half hazard and questionable. To redress this challenge, the program team at the national secretariat organized a brainstorm meeting to develop a framework for a workable national early warning system that not only ensures commitment of member organizations to support the system but also is both functional and cost effective. The first trial system was developed for the Nigeria 2007 elections. An Information, Communication and Technology (I.C.T.) consultant was engaged that worked directly with the program team to capture specific indicators to monitor election related conflicts in what was referred to as the ‘election barometer’. The cost of developing the barometer was wholly borne by the secretariat while the election monitoring was performed by staf f who volunteered to report into the system as an experiential learning process to enhance their understanding of the EW system. The experience motivated the secretariat to consciously plan for a conflict intervention proposal which includes an aspect of a sustainable/operational national early warning system. The submission and approval of the proposal by international partners led WANEP-Nigeria to develop the first locally designed and operated conflict focused National Early Warning system.