Patriot Act Essay -- essays research papers

The â€Å"Patriot Act† In the wake of the terrorist attacks on September 11, 2001, Congress sprang into action. Within a month, U.S. lawmakers overwhelmingly approved the USA Patriot Act of 2001, giving law enforcement and intelligence agent’s broader authority to fight terrorists operating in the United States. Signed into law by the President on October 26, the Patriot Act is designed to fight terrorism on several fronts. First, it gives the U.S. government authority to hold foreigners suspected of terrorist activity for up to seven days before charging them with a crime. The legislation also gives investigators the legal right to tap any phone a suspected terrorist might use. The Act also gives complete access to financial records, medical records, and even library records. In addition to tracking cellular-telephone communication, agents can now subpoena Internet providers to surrender records of e-mails that they judge suspicious. This component of the law was significant, given that the men who hijacked the four planes on September 11 had communicated extensively about their plans via the Internet. The Patriot Act also sanctioned funds to triple the number of border-patrol agents and Immigration and Naturalization Service inspectors along the northern border. Some of the major areas of contention are as follows†¦ Conducting "sneak and peek" searches, which allow law enforc...

Political and social changes in Rome as a result of the wars

The most obvious were the increased role of the senate, the influx of wealth that arrived in Rome and the introduction of Hellenize. It is believed that these changes were not just the beginnings of the downfall of the republic, but of the entire Roman Empire. Indeed, Assault, writing in the first century BC states that although â€Å"every land and sea lay open to her. It was then that fortune turned unkind and confounded all her enterprises. The senate was already a powerful body in Romeos government, these events, forever greatly increased its power. Constitutionally, the senate was an advisory body; the Alex Horniness, passed in 287, gave the power to make decisions to the Continuum Plebes. In practice, however, the senate was the governing body of Rome and It ruled unchallenged throughout the second century. This power was obtained through Its successful control over Romeos wars of expansion. In fact, the crisis caused by the Second Punic War helped the senate's rise to power m ore than any other single factor.The senate consisted of ex-magistrates who had an enormous amount of experience in government. These senators took control of Rome and showed real leadership, particularly after Canaan. They provided loans, slaves for the army and food and arms, thus ending the war successfully and increasing their prestige. The Influence the senate held over the magistrates was another factor In their Increased power. Even though Roman magistrates were not obliged to seek or follow the senate's advice, they would usually submit all important issues to the senate before showing them to the assemblies.The senators would have been able to keep a tight control on the actions of the magistrates even if they didn't volunteer heir plans. The senate could find another magistrate to veto any unsatisfactory motion they put forward. The Alex Villa Annalist was passed in 181 as a check on any over-ambitious magistrate, It gave the senate the power to control the actions of cons uls and procrastinates such as Gossip Africans who ruled unchallenged in Spain for 10 years.The influx of wealth that arrived in Rome led to the deterioration of traditional values. The booty and riches from the successful wars against Hannibal and Macedonia allowed the upper classes to spend lavishly on food, houses, works of art and other expensive goods. This led to a gradual decline In morals as their wealth led to increased greed and laziness. The upper classes â€Å"treated their wealth as a mere plaything† according to Assault.There were attempts from the conservative faction of the senate, specifically from Coat the Elder, to limit the extravagance of the ruling classes. The laws they put in place were, however, very difficult to enforce and, unsurprisingly, quite unpopular. An example of this is the Poplar law which was passed In 215. It attempted to restrict the amount of Jewelry and expensive clothing o the civilized society he expected of Rome, especially during o ne of the most taxing wars in Romeos history.As the nobles of Rome competed for popularity among the masses, they poured more and more money into the public games. This is another example of the deterioration of the moss moratorium as the new events became more violent and brutal, this had an adverse affect on the character of those who watched them. The money that flowed into Rome as a result of these wars was therefore a huge factor in the deterioration of the traditional Roman way of life. The wars with Greece exposed the Romans to the cultural influences of the Hellenic world.Perhaps the most important outcome of the wars of expansion was the introduction of Hellenize to Rome, the extent to which the Romans were affected by the Greeks is shown in the writing of Horace who states that â€Å"captive Greece had captivated her barbarous conqueror†. Greek culture influenced many things about Roman daily life but the most predominant aspects were religion and education and the reaction to those changes was twofold. Plutarch says that many upper class citizens were happy to see their sons educated in Greek culture and religion, two of these philistines were Gossip Africans and Flamingos.The conservatives, such as Coat, were worried that the ambitions of the younger generations were tainted by Greek learning and that their new ideas would undermine the existing customs in Rome. The result was a widespread blend of traditional Roman values and the new Hellenic ideas which produced a Graces-Roman society. The wars of expansion were a massive event in shaping the political and social structure of Rome. This is shown through the increase in the power of the senate, the influx of wealth that flowed into Rome and the introduction of Hellenize to Roman society.

Respiratory Case Study

Respiratory Case Study The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose.The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag reflex and responded to pain. Pt had a blood pressure of 63/41 and a 02 saturation of 50% on room air and a heart rate of 108. We put the patient on an oxy mask at 14 liters and his saturation improved to 90%. The Physician then administered Narcan which in return raised the respiratory rate. The physician then eventually intubated with Etomidate.He is then diagnosed with Acute Renal Failure, Acute Lung Injury with possible aspiration and CHF with Atrial Fib. The patient has had no prior history of drug overdose. The patient did, however, have a brother that recently committed suicide and was recently released from jail. The patient does drink alcohol and takes multiple street medications and methadone for pain. For this patient with my initial thoughts would be to order an ABG to test for acidosis and see if there is an electrolyte imbalance, then a possible scan of the brain.An EKG test would also be ordered to see how the heart has dealt with the stress. Giving him Narcan would help block the receptor sites to stop the action of the OD. What ended up being ordered is the ABG, a CT of the brain, EKG, NG tube, Catheter, Glasgow Coma Scale, Chest X-ray and the lab drew blood. The ABG showed severe metabolic and respiratory acidosis, g lucose of 72, potassium of 4. 9, calcium of 7. 9 chloride of 105, C02 of 24, creatinine of 2. 6. The EKG showed atrial fibrillation with rapid ventricular response and signs of CHF.The lab results showed an electrolyte imbalance, sepsis, and no alcohol. The CT scan showed a hypoxemic brain injury and the x-ray showed infiltrates which are assumed to be from aspiration pneumonia. From this we know that the patient will stay intubated until further improvement of acidosis, help to reduce possible development of ARDS, Sepsis and until the patient will be able to breath on his own. The settings on the vent I would have chose would have been SIMV, Vt of 550-600, a rate of 15, pressure support of 10, Cpap of 5, at a 100% Fi02 with the ABG reading Ph 7. 1, Pco2 58, P02 56, and sating 76%, Hco3 18. 4. Physician ordered vent setting, SIMV, 100% Fi02, Vt of 550, rate of 12, pressure support of 10, Cpap of 5. The idea behind these settings is to allow the Pt to ventilate and to breathe off the access co2 and to oxygenate the blood. I would like to have seen a rate of 16 to help with the release of co2. 1 hour later the ABG read Ph 7. 13, Pco2 65, P02 66, Hco3 at 15. 6 and sating 85%. The settings for the Pt as far as respiratory seem to be fine for now unless the Pt develops ARDS.It is more of a metabolic concern at this time now that the Pt is ventilated. Blood gases go as follows: in the ER for initial assessment on the vent at 2130 a critical of Ph- 7. 11, Pc02- 58, P02- 56 Hc03- 18. 4 and a saturation of 76% on 100% Fio2 while on SIMV with a rate of 12, Vt of 550, pressure support of 10 and Cpap of 5. The Pt at this time has no spontaneous breathing while on the vent. Due to the drug overdose the Pt is showing both respiratory and metabolic acidosis with Moderate Hypoxemia. A follow up ABG, 20 minutes later, results in a Ph of 7. 3, Pco2- 47, Po2- 66, Hco3-15. 6 and sating 85% on 100% Fio2. The Pt is now breathing 21 BPM and a Vt of 605 in addition of the vent settin gs. The results of the latest ABG have shown small improvement, but still critical Ph and moderate hypoxemia. Another follow up ABG at 0100 shows a small improvement on the Ph to 7. 18, the Pco2 became more acidotic moved to 53, the Po2 improved to 77 which shows he is oxygenating better but still hypoxic, his Hco3 acidosis is improving at a change to 19. 8, and sating 91% now.The Pt is now breathing at a rate has come down to 10 BPM on his own above and beyond the vent. After consulting with the physician we changed the Vt to 600 and the pressure support to 20 and Cpap to 15. The Pt continued on these settings till 0415. The physician then made the change to Bi-level with the settings of a rate of 14 pressure support of 25, and an H/L pressure of 35/15. The Pt at this time is pulling a Vt of 745 and a spontaneous rate of 17 and still at 100% Fio2 and sating 92%. This is the point when the Pt makes the turn.The Bi-level or APRV was the proper setting for this Pt. He continued to imp rove over the next several days with his peek pressure climbing to 40. The Pt continues these settings and slowly improves and eventually weaned from the ventilator till the Pt no longer needs support. Pt received AP diameter X-ray to confirm tube placement and to see if there were any kind of infiltrates because of possible aspiration and to eliminate possible pneumothorax and pleural effusion. Findings included mild patchy infiltrates in the right upper to middle lobes.The left lower lobe also has some similar findings but less concerning. This may either be due to lung infection or pulmonary edema. The placement of the ET tube was confirmed at 2 cm above the carina. The NG tube was also confirmed to correct placement. The heart silhouette was not enlarged and stable. No pleural effusion was ever confirmed. Pt will be treated for minor Pneumonitis. X-rays continued throughout his stay and infiltrated were slowly diminished and tube placement was confirmed and never changed. The La b reported sodium at 142 to be within normal range, potassium 5. also with in normal range. Chloride at 105 also with in normal range, glucose levels at 169 also within normal range, calcium at 7. 9 is low. The Pt received ionized calcium through his central line. The Hematology reported the WBC at 4. 4 is at the lower spectrum of normal, the RBC at 5. 70 is within the normal limits, and HCT is 51 which are also in the normal spectrum. Blood work came back good. Sputum sample was taken and results were negative for any growth. The Pt is urinating well and color is yellow/clear with trace amounts of protein.No PFT’s were performed. Medications the Pt received in the ER: Dextrose 5% delivered intravenous to hydrate Pt, Sodium Bicarbonate was given intravenous because of the severe acidosis, Nor epinephrine given intravenous to raise the BP to a more stable condition, Dopamine also given for a vaso pressers, Etomidate was given to sedate the Pt for intubation, Clindamycin given due to the allergy of Penicillin to help with any anaerobic infection, Doripenem and Vancomycin other antibiotics, Propofol to keep Pt sedated during his intubation.Medications given while in the ICU: Clopidogrel (Plavix) given to prevent clots, Symbicort given to help prevent bronchospasm and improve lung function, Digoxin given for the CHF and slow the heart rate for Atrial Fibrillation, Famotidine to inhibit the production of stomach acid, Lisinopril given in case of hypertension, Sodium Chloride to treat his hyponatremia, Levophed (Nor epinephrine) given when the HR or BP drops, Phenylephrine also a vaso presser or to relive nasal decongestion, Pitressin also another vaso presser, Dobutamine to prevent cardiogenic shock, Dopamine for another presser, Fentanyl given to reduce pain, Haloperidol (Haldol) to help with his mental heath, Lorazepam also given to treat his mental heath or anxiety, Morphine to treat pain, and Reteplase given for anti-clotting factor.

How Great Companies Think Differently Essay

This article highlights principles that leading companies employ to differentiate them from other companies that focus only on profits. These leading companies attempt to transcend the short-term bottom line mentality and aim at social involvement that will produce longevity and sustained profits over the long haul. Part of making money in the long term is longevity, and the way to longevity is to build an â€Å"enduring institution†. This is done through being more socially conscious and planning for better quality of life for employees including a healthy work life balance, and to provide a meaningful life purpose for workers that build people and society. The point is to remain financially viable for the long term because that’s the best way to serve society, the employees, and consumers. Key Takeaways 1. Businesses must invest in employee empowerment and engagement, and must adopt the attitude that employees are interested in more than just a paycheck. Companies must balance public interests with financial concerns, and attempt to improve the lives of consumers. Viewing the company as a societal institution and communicating a common purpose provides an identity for employees and helps protect against uncertainty. A larger purpose and vision inspires employees to think bigger and beyond the four walls of the company. 2. Business should have a clear, long term focus on a higher purpose than just financial achievement. This is achieved by investing in â€Å"the human side† of the organization. Listening to the interests of employees and possibly offering opportunities to pursue those under a sort of corporate sponsorship. Doing so should lead to deeper emotional connections to the company, which again supports longevity. 3. Moods are contagious. Moods can transmit institutional values, inspiring positive emotions about the company. It is therefore vital that leadership model the behavior that supports the long term corporate/social vision. If values are clear and well understood, they can be appealing to employees. Having employees who are emotionally engaged with the values gives them a sense of purpose greater than corporate goals, and feeds longevity because employees are bought in to the corporate values rather than a personality. 4. Globalization detaches the company from a single specific society. The global markets require purpose and vision that goes beyond a single company or societal group. This is positive because it feeds innovation and cultural sensitivity to the markets the company serves.

The growing role of PM Essay Example | Topics and Well Written Essays - 2500 words

The growing role of PM - Essay Example Project management is the planning, organizing, directing and controlling of company resources for a relatively short-term objective that has been established to complete specific goals and objectives. For planning and organizing the resources, Program evaluation and review technique(PERT) and Critical Path Method (CPM) are widely used techniques for better planning and control in project management. It forms the basis for all planning and predicting and these techniques provide the management with the ability to plan for the best possible use of resources to achieve a goal within the stipulated time and allotted budget. These techniques which were used for defense during the World War II, are now used by business managers across the world to get a visibility of the activities involved in the project so that repetition of activities is reduced. It helps the management to handle the uncertainties involved in the program by analyzing how much time is required for each activity and which activity is crucial for the timely completion of the project. It is useful for the management to collect all the relevant information for making decisions. The major deficiency of other methods such as the Gantt, milestone or bubble chart is the inability to show the interdependencies between event s and activities, which is overcome in the network analysis. The foremost advantage of PERT is that it requires planning in detail to create a network of activities. Network development and critical path analysis reveal interdependencies and problem areas that are not very clear if other methods are used. The technique lays its focus on determining where the greatest effort should be made for a project to stay on schedule. The next greatest advantage of network analysis is that the business manager can know about the probability of meeting specified deadlines by development of alternative plans. Another advantage of this analysis is that we can evaluate the effect of changes in the program. For example this

The Importance of effective communication to quality nursing care Coursework

The Importance of effective communication to quality nursing care - Coursework Example While communicating, the nurse should always pay attention to both verbal and non-verbal communication to get the right information required for the patient care (Harrington & Terry, 2009). For effective communication, various techniques have to be utilized to ensure proper communication with the patient. For instance, the nonverbal communication is important. The nurse should ensure that there is agreement between the non-verbal and the verbal communication. Some of the nonverbal communications to note as the process of communication goes on is facial expressions, posture and gestures among others. Listening is important in the process of communication. By paying keen attention to the patient, gives the nurse a chance to mobilize all the perceiving sensory organs to allow for picking of the messages emitted both verbally and non-verbally. At the same time, the self-esteem of the patient is raised hence allowing the patient to open up even more. God interpersonal relationship is important for gaining the confidence of the patient. The patient feels secure and respected with the appropriate use of kindness when asking questions. The patient feels accepted as the nurse s hows interest on the patient. Hence, by use of the good interpersonal relationships, the nurse can get the necessary information that will go a long way in efficient patient care (Harrington & Terry,

Final Exam Essay Example | Topics and Well Written Essays - 500 words - 9

Final Exam - Essay Example The second speech talks intensively about the second largest wide celebrated international football, The Asian Cup. It explains the onset of the Asian Cup and their frequency of holding their sporting activities that happens every two years. The main aim of the speech is to address the soccer audience who are mainly the fans and the organisers of the Asian Cup football the benefit of holding their games at different times with the FIFA World Cup organisers. This in their view attracts more countries to take part in the competition thereby enhancing the football. This is noted as over the years, the number of countries participating in The Asian Cup competition increases. The strategy used in the speech is descriptive in nature. This is because the speaker clearly describes the origin of The Asian Cup competition, its expansion and the present stage and status of the competition as a unifying factor of many Asian countries which had been at wars with each other (King Lee 2004). The third speech focuses on the Asian Football Confederation, comparing its strength with other soccer confederation of the world. The speaker here illustrates the necessary requirements of taking part in the AFC Champions league tournaments. The main objective of the speech is to give clarity on the importance and position of the AFC Champions league in the world football. This is evident from the speech when he notes that the qualifiers in the AFC Champions league take part in the FIFA World Cup competitions, which is the worldwide celebrated football. The strategy employed in this speech that helps achieve the speakers objective is explanatory mode of speech delivery. This is noted in the way the speaker explains the necessity of participating in the AFC Champions League (King Lee 2004). The fourth speech clearly illustrates the challenges facing