Saturday, May 23, 2020

Comparing St. Augustines Confessions And Confucius

Madison Blakely Professor Fogleman History 110A/ Monday and Wednesday 7-8:15am 8 November 2017 History Term Paper Both St. Augustine’s Confessions and Confucius’s Analects are influential teachings that have a vast influence on people around the world in the ancient time and currently. Both doctrines discuss ethical values of society back during the time they were written and leads us to find some similarities between the two. There are substantial distinctions between Confucius and St. Augustine’s experiences and beliefs since they are living in different environments and time periods. Their insightful differences are the influences that contributed to mold the distinct philosophies and traditions between the West and the East today. I†¦show more content†¦Augustine financial support for his education, he did not care how Augustine’s character would advance through his education. St. Augustine’s dad paid more than a richer man would pay for their son’s education because he wanted to provide Augustine with the proper education. (Confessions, II , 5). Unlike the attitude toward his father, St. Augustine showed a great deal of respect to his mother, Monica, since she was a practicing Christian (II,60). In spite of this, Augustine criticized his mother for holding him back from his sexual desire (II,8). But his father arranged his marriage and encouraged him to have children (II,6). Unlike Confucius’s teachings of remaining reverent to your parent, Augustine openly criticized his family’s wrong doings because God was his heart and only truth (II,5). Another difference between Analects and Confessi0ons is the different believes about one’s self and the truth. Confucius believed that the Truth of life, ren, was the virtue and benevolence of human; while St. Augustine believed that God is the Truth, the heart of goodness (Confessions, II,5). In the teachings of Confucius, there was no specific God, instead, Confucius focuses on the men himself and as his character develops within the society, as he believed â€Å"it is Man who capable of broadening the Way† (Analects, XV, 29). Confucius believed in the importance of rites and ceremonies. A gentleman according to Confucius should be aware of his action and beShow MoreRelatedSt. Augustine And Confucius1340 Words   |  6 PagesBoth St. Augustine’s Confessions and Confucius’s Analects are significant teachings that have influenced people around the world not only in ancient times but in current history as well. Both doctrines provide discussion on the ethi cal values of society back in the ancient time they were written and lead us to discover similarities between the two beliefs. Although we find these connections, there are significant differences between St. Augustine and Confucius’s views on life and beliefs since they

Tuesday, May 12, 2020

Characteristics Of Culture In Kenya - 1896 Words

Kenya is located in southern Africa and included as one of countries in the Horn of Africa. The word Kenya brings to mind African safaris with elephants, giraffes, lions, tigers, and rhinoceros roaming the Serengeti with the sun setting on the horizon, great running athletes, beautifully carved masks, and ethnic people dressed in bright costumes while engaged in chants and dance to the beat of African drums. It presents itself as picturesque, happy, peaceful, and one can almost hear the music from The Lion King. Some of that is very true; however, Kenya has some complex interactions taking place and some challenges to overcome. Culture defines itself as the beliefs, customs, and traditions which form as different groups interact and are†¦show more content†¦Ã¢â‚¬Å"The Maasai and Samburu have remained two of the few cohesive and culturally authentic ethnic tribes of Kenya† and have resisted any type of modernization (Kenya tribes 2015). These two tribes, in particular, attract tourists because of their authenticity. In Kenya, there are many different tribes, each with different beliefs and cultural values (Guide to Kenya - etiquette, customs,culture, and business, 2014). In order to flourish as a nation, all of these various tribes with their own set of traditions and values are brought together, or integrated, â€Å"to form a new, multicultural society† (What does integration mean and why is it important, 2010). The symbolism of Kenya lies in the power of its flag. The flag represents unity among the people of the country and strength as a whole. The Kenyan flag has three horizontal stripes - red, black and green – separated by thin white bands. The black symbolizes the people of Kenya, the red stands for the blood shed in the fight for independence, and the green symbolizes agriculture. In the center of the flag is a red shield with black and white markings and two crossed spears, which stands for vigilance in the defense of freedom. (Stanford, 2006) Kenya is situated in East Africa where the equator bisects the country and is â€Å"bordered by Somalia to the northeast, Ethiopia to the north, Sudan to the northwest, Uganda to the west, Tanzania to the south, andShow MoreRelatedThe Effects Of Culture On Diversity Management Essay1393 Words   |  6 Pageschapter outlines the effects of culture on diversity management in organizations in Kenya. Secondly, it highlights the literature related factors that affect culture and in turn diversity management in organizations in Kenya such as technology, level of skilled workers, policies enforced by organizations in Kenya, and the level of resources available to them. The chapter also analysed literature related to other aspects that effect diversity management in organizations in Kenya. 2.2 To determine the extentRead MoreCulture And Identity : What Makes A Person Who They Are1351 Words   |  6 PagesCulture and identity could have numerous diverse definitions due to its nature of being â€Å"a composite of multiple integrated identities† (Samovar, Porter, McDaniel Roy, 2013, p. 216). As most would agree, culture is what makes a person who they are. The distinct relationship between identity and culture is one where they co-exist and correlate with one another. It is the assured characteristic that belongs to a person which makes them different from everyone else in the world. Like a gene, it distinctivelyRead MoreCulture Is Not Born Without Society Essay1396 Words   |  6 PagesINTRODUCTION A culture is not born without a society. A society describes a group of people who occupy a particular territory, thus through this interaction a culture is born. Therefore, culture is a group worldview; it is the way a particular society makes sense of themselves, their world and their experiences in that world. Moreover, a culture describes a set of behaviors that characterize or distinguish a set of people; therefore at the core, culture constitutes of beliefs, values and cultures. AdditionallyRead MoreDifference Between Formal And Informal Imperialism1721 Words   |  7 Pagesin place of the crown. For example, Kenya was directly administered by foreign administrators handpicked back in Britain to govern the country in the place of the crown. Apart from that, formal imperialism could be identified to be in a situation where one country applies direct control on another territory. Normally, the country exerting power would declare the other country as a protectorate . An example of this type of control is where the British ruled Kenya and India as its protectorate. DifferentRead MoreDeveloping A Country s Culture1783 Words   |  8 PagesKenya has a vast and diverse population all encompassing a rich variety of cultures and subcultures. The Army defines culture as â€Å"the learned and shared behaviors and perceptions of a group which have been transmitted from generations to generations through a shared symbol system† (QuinStreet Inc.) Developing a country’s culture happens through many years of subcultures combining into a common belief system ultimately providing an overall culture of the country. The definition of subculture is â€Å"aRead MoreEssay on Death and the Kings Horseman and A Grain of Wheat1 186 Words   |  5 Pageshave no respect for what you do not understand† (Soyinka, 2002: 41). This is an interesting point of departure as to whether the happenings of the text are agreeable or disagreeable. The first standpoint is the thorny issue of suicide in African culture. The ceremony is that of a social process. Elesin wishes to perform this act not for personal gain, but as a social experience that will involve his fellow countrymen as it is his duty to do so. The second standpoint is that of suicide from a WesternRead MoreSexual Identity And Gender Roles Essay1398 Words   |  6 Pages Cultures usually differ in nature and intensity of how the sexes, gender, gender roles and gender stereotypes are differentiated. Before we get to understand how they are differentiated, it s good to first understand the meaning of each term. Sex is the biological and physiological differences between men and women, sex roles are the behaviours and patterns of activities that the men and women may engage in which are directly related to their biological differences while gender are theRead MoreThe Importance Of Establishing The Compliance Of Amisom With International Laws Essay891 Words   |  4 Pagesproblems that have faced Somalia has been clans. Somalia is one of very few countries that speaks one language, has a single popular religion, and people with the same culture. With such a homogenous population, one would be quick to suppose that there is harmony. This has never been the case and the dividing demographic characteristic is one’s clan. There are currently four main clans which are spread widely across the country. These clans are Darod, Hawiye, Isaaq, and Dir. The battle for politicalRead MoreA Comparative Analysis of American and Kenyan Cultures790 Words   |  3 Pagesand Success: A Comparative Analysis of American and Kenyan Cultures In the history of human societies, geographic differences are considered to be a factor that led to different lifestyles, values and beliefs that prevailed and have been the distinct characteristic of specific societies in the world today. From a broader viewpoint, it can be said that Asian cultures differ from North American, European, South American, and African cultures. However, it can also be said that there are similaritiesRead MoreThe Dutch Flower Cluster1382 Words   |  6 Pagesratio    of    domestic    credit    provided   by   banking   sector   at   196%   of   GDP   as   compared   to   126%   in   Germany,   43%    in   Colombia,   17%   in   Ecuador,   and   40%   Kenya;    †¢ Per   capita   consumption   of   cut   flowers   in   The   Netherlands   was   the   third   highest   in    the   world.       Figure- ­Ã¢â‚¬ 1   GDP   Per   Capita   1990- ­Ã¢â‚¬ 2008   Ã¢â‚¬â€œ   The   Netherlands

Wednesday, May 6, 2020

Global Market Entry Modes Free Essays

Access to distribution network Contact with local suppliers and government officials Lack of control Lack of trust Conflicts arising over matters such as strategies, resource allocation, transfer pricing, 8. WHOLLY OWNED SUBSIDIARIES Greater control and higher profits Strong commitment to the local market on the part of companies Allows the investor to manage and control marketing, production, and sourcing decisions Risks of full ownership Developing a foreign presence without the support of a third part Risk of nationalization Issues of cultural and economic sovereignty of the host country 9. Strategic Alliances Greenfield Operations Offer the company more flexibility than acquisitions in the areas of human resources, suppliers, logistics, plant layout, and manufacturing technology. We will write a custom essay sample on Global Market Entry Modes or any similar topic only for you Order Now Types of Strategic Alliances Simple licensing agreements between two partners Market-based alliances Operations and logistics alliances Operations-based alliances The Logic Behind Strategic Alliances Defend Catch-up Remain Restructure Cross-Border Alliances that Succeed: Alliances between strong and weak partners seldom work. Autonomy and flexibility Other factors: Commitment and support of the top of the partners’ organizations Strong alliance managers are the key Alliances between partners that are related in terms of products, technologies, and markets Similar cultures, assets sizes and venturing experience A shared vision on goals and mutual benefits 10. Timing of Entry International market entry decisions should also cover the following timing-of-entry issues: When should the firm enter a foreign market? Other important factors include: level of international experience, firm size Mode of entry issues, market knowledge, various economic attractiveness variables, etc. Reasons for exit: Sustained losses Volatility Premature entry Ethical reasons Intense competition Resource reallocation 1 1 . Exit Strategies Risks of exit: Fixed costs of exit Disposition of assets Signal to other markets Long-term opportunities Guidelines: Contemplate and assess all options to salvage the foreign business Incremental exit Migrate customers How to cite Global Market Entry Modes, Papers

Saturday, May 2, 2020

Integrated Nursing Practice for Assessment-myassignmenthelp.com

Question: Discuss about theIntegrated Nursing Practice for Assessment and Treatment. Answer: Introduction The assignment deals with the case study of Frank James; 72-year-old man has been admitted due to acute exacerbation of his chronic heart failure. Based on the cardiogenic shock presented in the case study, the essay discusses the signs and symptoms as associated with the ABCDE pneumonic. The pathophysiology of the cardiogenic shock and the highlighted signs and symptoms are discussed critically. Shock is the state of inadequate oxygen delivery to vital organs of the body and insufficient perfusion throughout the body. It is the life-threatening situation and requires immediate assessment and treatment (Thiele et al., 2015). In the given case study, when Frank James was admitted with an acute exacerbation of his chronic heart failure. Observation showed he was mildly diaphoretic, slightly short of breath and complained of nausea. In the last three weeks the patient had experienced pain radiating to his back every hour, which is relieved with sublingual nitroglycerin (GTN). The patient has family history of heart disease. He was under medication of aspirin, atenolol, isosorbide, and lisinopril. On the next morning the patient complained of shortness of breath and restlessness with a chest pain score of 2/10 that is radiating to his left arm. Upon chest X ray, it was found that his cardiac condition was worsening with pulmonary oedema. On examination, he is confused, sweating, pale and centrally cyanosed. The common causative factors of cardiogenic shock are myocardial infarction, Cardiomyopathy, Valve disease, Structural defects and Cardiac arrthymias. The common cause of the cardiogenic shock is the failure of heart to pump which is the intrinsic factor (Thiele et al., 2015). The cardiogenic shock is manifested as increase or decrease in heart rate, increase in respiratory rate followed by dyspnoea, decrease in blood pressure and increase in urine output followed by oligouria. Initially there is an increase in temperature and then normal (Ostadal et al., 2017). Similar symptoms were observed in the case of Mr Frank where his blood pressure kept decreasing after admission (from 156/98mmHg to 96/50mmHg). There was an increase in heart rate from 124 to 128bpm. Respiratory rate was found to increase from 30bpm to 36bpm. The patient temperature was 37C and U/O 20mls/hr for the past 2 hours. The patients skin was found to be sweating, and pale. Using the ABCDE approach the chosen condition is discussed explaining the pathophysiology of the signs and symptoms. ABCDE stands for Airway, Breathing, Circulation, Disability and Exposure. The patients airway assessment showed signs of cardiogenic shock- dyspnoea. The assessment includes listening to the signs of airway obstruction. Pulmonary edema is caused by the back flow, increasing the airway resistance which was the cause of bat wings in chest x ray. The management includes ensuring that the airway is maintained. The aim of management should be to increase the oxygen saturation to 99%. Pulmonary congestion and edema is caused by the acute increase in the left arterial pressure. Oxygen can be given through facemask or mechanical ventilation (Vital et al., 2013).Pulmonary edema leads to profuse sweating as observed in patient. Breathing assessment includes checking the rate and pattern, depth of respiration, colour of patient, symmetry of chest movement and use of accessory muscles. In case of frank the underlying cause of low oxygen saturation, tachypnea, use of respiratory accessory muscles is due to increased extraction of tissue oxygen as a result of low cardiac output. According to Diehl (2017) lack of oxygen to heart destroys its left ventricle (pumping chamber). Left ventricular function can be managed by administering the Lisinopril 10mgs PO mane (Burkhoff, 2015). The heart muscles weaken due to poor oxygen-rich blood circulatingto that area which progress into shock. This is manifested as severe shortness of breath and rapid breathing. For the management the patient is laid in flower position, as it will decrease the shortness of breath by reliving the patient from pulmonary congestion. It may increase the venous return from the lower limbs and reabsorption of peripheral edema (Chyrchel et al., 20 15). Circulation is assessed through manual pulse and blood pressure, fluid balance and urine output, and temperature. The patients signs of cardiogenic shock showed weak pulse, low blood pressure, raised jugular venous, decrease capillary refill time and arrhythmias. As the patient is ischemic, his heart fails to generate adequate cardiac output. Systolic blood pressure due to Peripheral vasodilation. It may also be caused due to systemic arteriolar shunting.Narrow pulse pressure occurs due to reduced systolic BP and stroke volume. Generalised vasoconstriction increases diastolic pressure. The underlying mechanism of decreased urine output is the decreased renal perfusion (Levy et al., 2015). Administering the fluid may restore the input and output balance. Disability is assessed by pain score. Mr. Frank was found with altered level of consciousness. Since cardiogenic shock occurs in patient with severe heart attack, the symptoms of pain at the centre of chest that radiates back, beyond chest, to arms, and shoulders along with nausea and vomiting is observed. Aspirin constitute the first line of treatment for initial stabilisation. However, aspirin leads to nausea and vomiting as its side effects. It lowers the coagulation of blood and maintains normal flow through the constricted artery. Therefore, there is a need to adjust dosage. Atenolol can treat the angina and elevating chest pain. It also helps treats other complications of heart and blood vessels. Isosorbide mononitrate can also manage the angina as prophylaxis but side effects include exacerbation of cardiogenic shock (Paudel et al., 2016). All the three medicines results in side effects as confusion, head ache, vomiting and nausea. To overcome the side effects the IV dopamine can be administered to increase cardiac output and blood pressure (Kastrati et al., 2016). Exposure related to complete examination from head to toe that in patient showed pale cold and clammy skin. The skin of the patient with cardiogenic shock is initially flushed and warm, which later turns cool and pale due to low blood supply. Restless and anxious state of mind is observed during the cardiogenic shock. The confused state is related to arterial hypoxemia and Cerebral hypoperfusion. Improvement in blood supply to brain can decrease confusion. The side effect of Atenolol is confusion and cold extremities of hand, which was observed in case of patient (Mebazaa et al., 2016). Further management includes monitoring the vital signs and identify abnormal findings. At this stage, nursing intervention can be positioning of patient in flower or upright sitting position. The nurse can enhance safety and comfort by relieving pain and preventing infection arterial and venous lineinsertionsites (Moorhead et al., 2014). The clinical handover of the patient in shock is delivered in ISBAR format. ISBAR refers to identifying the deteriorating patient, situation, background, assessment and recommendations. Identify the client: Mr Frank, 72 year old admitted to ward with an acute exacerbation of his chronic heart failure Situation: He is positioned in a semi-high fowlers position He is mildly diaphoretic, mild shortness of breath, nausea Low blood pressure High score of chest pain Mental state-confusion BP 96/50mmHg, HR 128bpm, Resps 36bpm, U/O 20mls/hr for the past 2 hours ECG- reveals Q waves, ST depression and T wave inversion Chest x-ray reveals- diffuse infiltrates consistent with pulmonary oedema Background: Frank has a history of stable angina for an undetermined period For the past 3 weeks, he has been experiencing pain radiating to his back every hour sublingual nitroglycerin (GTN)- to relive radiating Pain Temperature- 37C, Resps 30bpm, HR 124, BP 156/98mmHg Family history of cardiovascular disease- death of older brother from myocardial infarction. His sister has had 3 MIs Smoking history- 30 years Administered with Aspirin 7mgs PO mane, Atenolol 50mgs PO mane, Isosorbide mononitrate 30mgs PO nocte, and Lisinopril 10mgs PO mane Assessment: Auscultate to detect heart sounds Electrocardiography- monitor MI, and ischemia Assess need of IV fluids Adjust the dosage of medicines to avoid side effects Maintain oxygen saturation between 88-92% Assess vital signs- blood pressure Monitor hemodynamic status Nursing intervention- prevent recurring of cardiogenic shock, administer medication and intravenous fluids, enhance comfort and safety of patient Recommendations: Smoking cessation as it exacerbates the cardiogenic shock symptoms (Rallidis Pavlakis, 2016) Adherence to treatment Diet should not be fat rich as it will increase the risk of stroke Follow up with nurse and physician for optimising treatment Healthy life style modification- physical activity, middle exercise References Burkhoff, D. (2015). Device therapy: Where next in cardiogenic shock owing to myocardial infarction?.Nature Reviews Cardiology,12(7), 383-385. Chyrchel, M., Dziewierz, A., Chyrchel, B., Dudek, D. (2015). Images in intervention-Transradial percutaneous coronary intervention for unprotected left main closure during acute myocardial infarction.Postepy w Kardiologii Interwencyjnej,11(2), 150. Diehl, A. (2017). Ischaemic cardiogenic shock.Anaesthesia Intensive Care Medicine. Kastrati, A., Colleran, R., Ndrepepa, G. (2016). Cardiogenic Shock. Levy, B., Bastien, O., Bendjelid, K., Cariou, A., Chouihed, T., Combes, A., ... Spaulding, C. (2015). Experts recommendations for the management of adult patients with cardiogenic shock.Annals of intensive care,5(1), 17. Mebazaa, A., Tolppanen, H., Mueller, C., Lassus, J., DiSomma, S., Baksyte, G., ... Masip, J. (2016). Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance.Intensive care medicine,42(2), 147-163. Moorhead, S., Johnson, M., Maas, M. L., Swanson, E. (2014).Nursing Outcomes Classification (NOC)-E-Book: Measurement of Health Outcomes. Elsevier Health Sciences. Ostadal, P., Kruger, A., Vondrakova, D., Janotka, M., Mates, M., Kmonicek, P., ... Skalsky, I. (2017). P2774Long-term outcomes of patients treated with mini-invasive mechanical circulatory support for cardiogenic shock or refractory cardiac arrest.European Heart Journal,38(suppl_1). Paudel, R., Beridze, N., Aronow, W. S., Ahn, C., Sanaani, A., Agarwal, P., ... Panza, J. A. (2016). Association of chest pain versus dyspnea as presenting symptom for coronary angiography with demographics, coronary anatomy, and 2-year mortality.Archives of medical science: AMS,12(4), 742. Rallidis, L. S., Pavlakis, G. (2016). The fundamental importance of smoking cessation in those with premature ST-segment elevation acute myocardial infarction.Current opinion in cardiology,31(5), 531-536. Thiele, H., Ohman, E. M., Desch, S., Eitel, I., de Waha, S. (2015). Management of cardiogenic shock.European heart journal,36(20), 1223-1230. Vital, F. M., Ladeira, M. T., Atallah, . N. (2013). Non?invasive positive pressure ventilation (CPAP or bilevel NPPV) for cardiogenic pulmonary oedema.The Cochrane Library.