American poet Jack Kerouac Essay Example for Free

American poet Jack Kerouac Essay American poet Jack Kerouac has been classified as the originator of the Beat Generation. He is known for his spontaneous confessional style, as well as his connection to Buddhism, Allen Ginsberg, and American self actualization. His rejection of mainstream 1950’s society is his trademark, and the core ideal behind the beat-nick culture he helped spawn. Jack Kerouac was born Jean-Louis Lebris de Kerouac, to French-Canadian parents, in Lowell, Massachusetts. Kerouac was raised fluent in French, and didn’t start learning English until he was six years old. While attending Boston College and Columbia University, he demonstrated extraordinary athletic ability in the game of football, until he broke his leg. After losing his football scholarship, Keroauc moved to New York. There he met the makeup of the group that would later be known as The Beat Generation poets. This group consisted of: John Clellon Holmes, Allen Ginsberg, Neal Cassady, William S. Burroughs and Herbert Huncke. He left the company of these men to join the United States Navy in 1943, from which he was discharged during WWII, for the psychiatric measure of having an indifferent disposition. This is suspected by many to be the spark that inspired him to write his first work The Town and City, as well as On The Road. Many of Kerouac’s works were often rejected upon first submission to publishers. He was often overlooked, due to his experimental style, and socially conscious views. Not to forget, his excessive tendency towards drinking. This obsession with alcoholism is eventually the cause of his death in 1969, when he dies of internal hemorrhaging due to cirrhosis. Jack Kerouac has a very distinct and original style. Upon first evaluation of his style, his work might be deemed as cliche, or showy self loathing libation; but it must be remembered that, Kerouac was one of the first to adopt his free flowing form of poetry. He is also noted for connecting his poetry to the beat-nick poets. Kerouac is most commonly referred to as the King of the Beats and the Father of the Hippies. This is largely due with the fact that his poetry is most immediately inspired by Jazz music, specifically bebop by Thelonius Monk, Dizzy Gillespie, and Charlie Parker. He compiled this Jazz influence with a love of Buddhist studies, specifically Gary Snyder. The name he dubbed his new found form is Spontaneous Prose. It is often compared to the literary technique known as stream of consciousness, which is often deemed as a literary mirror of a writer’s thought process. While writing, Kerouac took the first thought or line that came to his mind and went with it. This technique is most recognizable in his novels Visions of Cody, Big Sur, Visions of Gerard, On the Road, and The Subterraneans. The core concept this method revolved around is a breathing technique very similar to that of Jazz, or Buddhist meditation. It is most evidently represented by a dash mark in place of a period. The practice of improvising words based on implied or inherently inferred meanings was another aspect of Spontaneous Prose. . The core concept this method revolved around is a breathing technique very similar to that of Jazz, or Buddhist meditation. In his statement on Belief Technique For Modern Prose, in his top five pieces of advice Kerouac says, 1. Scribble secret notebooks, and wild typewritten pages, for yr own joy 2. Submissive to everything, open, listening 3. Try never get drunk outside yr own house 4. Be in love with yr life 5. Something that you feel will find its own form (Kerouac) This is more the literary technique of an experimental thinker than actual literary scholar, or poet, during this era. Despite this, his style later becomes the format taught to most contemporary writers aspiring to be professional. Kerouac never really edited his poetry. In fact, the majority of his work was edited by fellow Beat Generation pioneer Donald Merriam Allen, who also served as an editor for Ginsberg. Acclaimed photographer Robert Frank made a short film personifying many Beat ideals called Pull My Daisy, in which Kerouac is scene reading his work in the films opening. The film itself is also based a play written by Kerouac. The Beat Generation is an uprising that formed mostly on some of America’s best-known college campuses in the mid to late 50’s. It influenced students in the early 60’s to seek hard hitting answers to some of the complex questions posed to their generation. Addressing ideas like the coexistence of wealth and poverty, along side with racial prejudice resulted in the beat-nicks forming what would be considered the American New Left. An example of this is the Students for a Democratic Society (SDS); which founded at the University of Michigan in 1960, it became one of the key organizations formed in reaction to Beat ideals. The core belief of this student body was that Americans should practice direct democracy as apposed to representative democracy. This stemmed largely from the strict nature of Universities during that time in which students felt they were just numbers in a system dictating their existence. These students were also known for being supporters of the Black Power movement. These groups are also historic for being the most visible resource for developing protests against the Vietnam War. This New Left was the child that the Beat Generation gave birth to, and its influence on American culture can be credited for many of the sociological changes in our society today. Jack Kerouac, along with the rest of the beat-nick poets, can be credited as well. They were the flame that sparked this generational chain reaction. In sum, when I read Kerouac’s work, I can’t help but notice that many ways his style has been adopted by American culture. The ideal of the creative minded young artist bathing in libation and pondering death and social inadequacies is the main image adopted by the majority of Rock n Roll groups today. The majority of these bands probably don’t even know of Jack Kerouac. I’m not saying he was the first poet, or artist, to get drunk and create; but, I do acknowledge the ability of his free will to inspire so many others around him to create the cause to social change. He is pioneer and a leader, because he is fallowed beyond the grave. Work Cited Anderson, James C. Robert Frank. Microsoft Encarta 2006 [CD]. Redmond, WA: Microsoft Corporation, 2005. Jack Kerouac. Wikipedia, The Free Encyclopedia. 30 Jan 2007, 22:03 UTC. Wikimedia Foundation, Inc. 2 Feb 2007 http://en.wikipedia.org/w/index.php?title=Jack_Kerouacoldid=104426491

Central Giant Cell Granuloma (CGCG) Case Study

Central Giant Cell Granuloma (CGCG) Case Study ABSTRACT: Central giant cell granuloma (CGCG) is an intraosseous lesion which occurs as an uncommon benign condition in jaws. WHO defines this intraosseous lesions as â€Å"a lesion that contains multiple foci of haemorrhage, consisting of cellular fibrous tissue and there is trabeculae of woven bone. It may become aggressive leading to expansion and perforation of the cortex. Mobility and displacement of the involved teeth and root resorption are often observed. Here is a case report of an 18 year old female patient who is diagnosed with an aggressive type of CGCG. KEYWORDS: Central giant cell granuloma, granuloma, giant cell granuloma, giant cell lesions. Introduction Central giant cell granuloma (CGCG) is a benign proliferation of fibroblasts and multinucleated giants cells that almost exclusively occurs within the jaw. It commonly occurs in young adults showing a female predilection.1 CGCG rarely occurs in areas elsewhere other than the jaws, like maxillary sinus, temporal bone, cranial vault and other bones of the craniofacial complex.2 It was thought that CGCG is a reparative lesion as it develops in response to intrabony hemorrhage and inflammation secondary to trauma. However, it can be considered as an aggressive lesion because of its aggressive behaviour as seen in the present case. Case report A 18 year old female patient, presented with a painful swelling over the lower border of mandible of 3 months duration. The patient had a history of trauma 6 months back with fractured 31. On extra oral examination, gross asymmetry of face was seen with a diffuse swelling of approximately 34 cm size on chin. Lymph nodes were not palpable. Local examination revealed a diffuse swelling extending mentolabial sulcus, inferiorly below the lower border of mandible and antero-posteriorly extending from the midline to the level of corner of mouth both side extending 1.5cm size. Colour over the surface appeared normal; no ulceration or discharge from the swelling was seen. Surface of the swelling was smooth, consistency was hard. The swelling was non – fluctuant; No rise in temperature, no pulsations were felt. The swelling was tender on palpation. On intraoral examination, tenderness on palpation was evident in relation to left mandibular canine and first premolar. No lingual expansio n. Based on the history given by the patient and the clinical examination, a provisional diagnosis of traumatic bone cyst in relation to anterior lower border of mandible was given. However, radiographic examination was suggested to confirm the provisional diagnosis. Orthopantomographs demonstrated normal anatomic hard tissue structures with a diffuse radiolucency seen in the mandibular anterior region crossing the midline , measuring approximately 3 cm x 3.5 cm, extending medio-laterally from 34 to 44 and supero-inferiorly from the apex of mandibular anterior extending to 1.5 cm below the level of inferior border of mandible suggestive of expansion of inferior border of mandible with sclerotic border on superior aspect and no sclerotic border inferiorly. Based on the clinical and the radiographic examination, differential diagnosis of odontogenic keratocyst, ameloblastoma, osteosarcoma and central giant cell granuloma were considered. Histopathological evaluation of the excisional biopsy specimen showed the presence of connective stroma containing numerous young fibroblasts as well as multinucleated giant cells. Trabeculae of osteoid and woven bone were also seen in the periphery. Numerous extravasated RBCs were present within the connective tissue stoma. These findings are suggestive of CGCG, but in order to differentiate this from brown tumor of hyperparathyroidism, we carried out blood investigation, to find the serum calcium, serum phosphorus and alkaline phosphatase levels, which are found within normal limits. Based on the above histological and investigational findings, a diagnosis of CGCG was given. Discussion Central giant cell granuloma is a benign intraosseous lesion of the jaws. Jaffe in the year 1953, described this intraosseous lesion as â€Å"central giant cell reparative granuloma†.1 Since there is not reparative process, the name â€Å"reparative giant cell granuloma† was denominated. The etiology and pathogenesis of CGCG is unknown, but the granulomatous process is induced by an exacerbated reparative process due to trauma and haemorrhage.3 Giant cell granuloma is considered as a benign proliferation of fibroblasts and multinucleated giant cells that occurs almost exclusively within the jaws. It is seen in all age groups ranging from 2 to 80 years, but more than 60% of the cases occurs under the age of 30 years.5 Although Sex distribution varies in different reviews, CGCG show female predilection with a prevalence of almost twice that of males.4 It commonly occurs in mandible ,anterior to the first molar ,often crossing the midline. It occurs in the short tubular b ones of hands and feet and also in the other bones of facial skeleton and cranial vault but rarely occurs in craniofacial bones. 6 It may be peripheral or central. The peripheral lesions occur as pedunculated or sessile lesions where the central lesion is endosteal. Females, children and young adults have more predilection since the female male ratio is 2:1.7, 8 The main etiological factor for this lesion is trauma. The lesion progresses by accumulation of tissue which due to slow and continuous haemorrhage of multicentric nature as a result of trauma and defect in the capillaries. 9 Though the CGCG is a benign lesion, it occurs as aggressive and non-aggressive types. The aggressive type shows painful and rapid growth occurs in younger patients and often involves cortical perforation and root resorption and may recur. The non-aggressive type is of slow growing, asymptomatic, without any resorption or perforation of the involved teeth and it never recurs.10 The signs of CGCG are a painless swelling, which causes facial asymmetry, where the radiological investigations reveals that there is unilocular or multilocular radiolucency, which is well or ill-defined with variable expansion along with destruction of cortical plate. Since the radiological appearance of this lesion is not pathognomonic, it is usually confused with the other lesions of the jaws. But the final diagnosis is based on its histopathology, though the clinical and radiological features are not specific.11 Histopathological features reveal that it is comprised of dense proliferation of oval or spindle shaped cells with varying number of multinucleated giant cells containing 20 nuclei. There is a deposition of hemosiderin, extravasted RBC’s, foci of osteoid material dystrophic calcification around the periphery of the lesion.12 Though multinucleated giant cells are in more in number, they cannot be considered as proliferative cells, since the macrophages, mesenchymal cells and fibroblasts are accountable for the growth of the lesion. Hence these cells release cytokines that stimulate the proliferation and recruitment of blood monocytes to become osteoclast like cells.13 The multinucleated giant cells may be large or small in number and they may be irregular or round cells that contains more than twenty nuclei which are responsible for bone resorption and local progression of lesion.14 The giant cells containing more nuclei and dese cellular stroma are found to be more aggressive and may relapse after surgical treatment.13 Some studies reveal a significant difference in the number of giant cells in aggressive and non-aggressive lesions where other studies reveal only few differences in the cell size in histomorphic analysis. Some of them found that the aggressive lesions show the higher number of giant cells with more irregular shape, where the giant cells are larger. There is a an increase in the mitotic activity along with a difference in histomorphic analysis which indicates increase in the fusion of resident macrophages and recruitment of monocytes and also there is higher metabolic activity of multinucleated giant cells that shows an aggressive clinical behavior.15 According to the differential diagnosis of the central giant cell granuloma , based on radiological investigation, being a small unilocular lesions it may be confused with granulomas and periapical cyst and the large multilocular lesions it may be ameloblastoma or lesions the resemble PGCL ,aneurysmal bone cyst, central odontogenic fibr oma, brown tumor of hyperthyroidism, giant cell tumor. The CGCG and brown tumor of hyperparathyroidism resembles each other histologically, in having an intense endogenous brownish pigmentation of hemosiderin. The additional test that help in diagnosis are serum calcium, phosphate, parathyroid hormone and alkaline phosphatase levels which are normal in CGCG, but increased in brown tumor of hyperparathyroidism. The CGCG usually occurs in both maxilla and mandible but the giant cell tumour more commonly occurs in the epiphyses of long bones. But both the lesions appear as osteolytic defects radiographically but can be differentiated histologically. Evidence reveals that the giant cells are larger, numerous and more round in giant cell tumor in CGCG, with a higher number of nuclei and eventually dispersed. There is fewer foci of osteoid material, areas of haemorrhage and there is deposition of hemosiderin and fibrosis and the stroma contains large and oval cells. The aneurysmal bone cyst can be differentiated from CGCG in having a network of multiple cystic cavities fill with blood within thin walls. Depending on the clinical and radiographic findings, if there is a well-defined lesion, curettage can be done where there is low recurrence, but if it is extensive lesion with perforated cortex, the radical excision is mandatory. Sometimes even partial maxillectomy or mandibulectomy and jaw reconstruction plates or placement of bone grafts can be done. Conclusion Based on the clinical, radiological, histopathological features, it is considered as an aggressive variant of CGCG, which is rare in occurrence. More clarification is needed regarding the pathogenesis and nature of giant cell lesions.

No Child Left Behind is Beneficial Essay -- Education, Politics

Political Influences that Helped to Determine the NCLB Act The publication in 1983 of A Nation at Risk Report, flung education into the political ring as the Reagan Administration reasoned the state of education to be a national security risk (Reutzel, 2009). This report caused the public and politicians to start to examine education and the state of reading readiness of the kids of the United States (Reutzel, 2009). By 1994, President Bill Clinton started the course of rallying the National Governor’s Convention with legislation entitled Goals 2000: Educate America Act. This act was the start of countrywide testing in reading and math to demonstrate responsibility for public education. At the same time, the National Assessment of Education Progress (NAEP) was put out by a congressionally funded testing service, showing that reading scores amid the nation’s fourth graders was going down (Reutzel, 2009). And consequently began the downfall of literacy education without political influence The next ten years would see prosperity of data funded both publicly and privately, showing the collapse of a nation and the social difficulties that would result if education was left to educators and the educational system. Federal funding would be given to schools of poverty or underachieving schools. Research standards comparable to those utilized by other professional fields like engineering and medicine would be used to decide on the reformation of literacy education (Reutzel, 2009). Literacy reform now became the rallying call of the U.S. Congress. The Elementary and Secondary Education Act of 1964 was revised in the No Child Left Behind legislation of 2002. This legislation relied heavily on the scientific reading research th... ...ely disadvantaged and racial minorities. There is experimental evidence that shows that these philosophies are indeed effective (Ravitch and Chubb, 2009). There appears to be good and bad things in regards to No Child Left Behind. There is a quantity of evidence that the basic concept is working but there are many that question the implementation of the policy in achieving maximum effectiveness. The Obama administration has put out a plan that will hopefully close some of the gaps that currently exist in the implementation of this policy. What the program is trying to achieve is a good thing, there just needs to be some tweaking done in order to ensure successes in the end. Children are not necessarily learning what they need to but measuring their learning accomplishments solely by testing are not the most effective measure of accomplishment that there is. No Child Left Behind is Beneficial Essay -- Education, Politics Political Influences that Helped to Determine the NCLB Act The publication in 1983 of A Nation at Risk Report, flung education into the political ring as the Reagan Administration reasoned the state of education to be a national security risk (Reutzel, 2009). This report caused the public and politicians to start to examine education and the state of reading readiness of the kids of the United States (Reutzel, 2009). By 1994, President Bill Clinton started the course of rallying the National Governor’s Convention with legislation entitled Goals 2000: Educate America Act. This act was the start of countrywide testing in reading and math to demonstrate responsibility for public education. At the same time, the National Assessment of Education Progress (NAEP) was put out by a congressionally funded testing service, showing that reading scores amid the nation’s fourth graders was going down (Reutzel, 2009). And consequently began the downfall of literacy education without political influence The next ten years would see prosperity of data funded both publicly and privately, showing the collapse of a nation and the social difficulties that would result if education was left to educators and the educational system. Federal funding would be given to schools of poverty or underachieving schools. Research standards comparable to those utilized by other professional fields like engineering and medicine would be used to decide on the reformation of literacy education (Reutzel, 2009). Literacy reform now became the rallying call of the U.S. Congress. The Elementary and Secondary Education Act of 1964 was revised in the No Child Left Behind legislation of 2002. This legislation relied heavily on the scientific reading research th... ...ely disadvantaged and racial minorities. There is experimental evidence that shows that these philosophies are indeed effective (Ravitch and Chubb, 2009). There appears to be good and bad things in regards to No Child Left Behind. There is a quantity of evidence that the basic concept is working but there are many that question the implementation of the policy in achieving maximum effectiveness. The Obama administration has put out a plan that will hopefully close some of the gaps that currently exist in the implementation of this policy. What the program is trying to achieve is a good thing, there just needs to be some tweaking done in order to ensure successes in the end. Children are not necessarily learning what they need to but measuring their learning accomplishments solely by testing are not the most effective measure of accomplishment that there is.

Hamlet’s Minor Characters :: GCSE Coursework Shakespeare Hamlet

Hamlet’s Minor Characters Hamlet It is reasonable to wonder what Shakespeare had in mind while writing Hamlet. After all, Shakespeare wasn't a philosopher or historian, or even a literary critic. He was a playwright. He didn't leave us critical essays examining his work. It is left to us to examine his work and decide for ourselves, if we care to, what Shakespeare was thinking. Did he know that he was writing a drama of deep psychological significance, a play which would eventually be viewed and read the world over, produced many times over hundreds of years, taught in schools, and thought of as one of the world's greatest plays? I, for one, imagine him crossing the "t" in the last word of the play, putting down his pen, and saying "I hope it runs a year." Yet Hamlet is an extremely complex play. To appreciate the imagination which went into the creation of this tragedy, let's first delve into what is putatively Shakespeare's most complex tragedy, King Lear. Lear has three daughters: Cordelia, who is faithful and unappreciated by Lear, and Regan and Goneril who receive everything at his hands and betray him. These themes of misplaced love and filial betrayal are mirrored in the subplot of the play, the relationship between the Earl of Gloster and his two sons, Edmund, who is supported and approved by Gloster and betrays him, and Edgar, who unjustly becomes a fugitive from his father's wrath. The mirror is whole. In it we view Cordelia's reflection and see Edgar, while Regan's and Goneril's reflections, which are of one face, show us Edmund. In the main plot of Hamlet, Hamlet's father has been murdered. Hamlet swears revenge, but feign's madness and delays. In the subplot, the chamberlain, Polonius, is murdered by Hamlet. One of Polonius's children, Laertes, swears revenge, while the other, his daughter Ophelia, goes mad. Here, the mirror is cracked. Hamlet's reflection is splintered. We see one part of him, his revenge motive, in Laertes' action, and we see his pretended madness in Ophelia's piteous condition. More than this, Hamlet's image is dimmed compared to those of his counterparts. Hamlet speaks of revenge, but procrastinates; Laertes instantly raises and army and attacks the kingdom, but he must be satisfied over his father's murder. Hamlet only acts mad; Ophelia's madness is too real. Besides production, full-house ticket sales, and royalties-the playwright's typical goals, what was Shakespeare reaching for?

Leadership and Organizational Culture Essay -- Leadership Theory, Powe

House et al. (2007) discovers that leadership and Organisational culture are closely linked together as leaders influence the culture of their organisations. Researches talk about a range of leadership definitions but it is not easy to define. (E.g. Western, 2008; Yukl, 2010). However, Cohen (2009) critically analyses definitions from Dracker (1996), Eisenhower (1969), Northouse (2004) and finally summarised the definition of leadership constitutes five elements. First of all, ask question to set direction, which means effective leaders need to listen to followers’ voice respectfully and then share the common goals and ideas with them. In addition, leaders need to seek insights and allocate resources optimally; act ethically; allow their employees to work in a conformable and most effective way. This essay will explain different leadership styles and how they influence the organisations with examples of organisations and leaders with main focus on well-known entrepreneur: Sir Alan Sugar. He grows from nothing to incredible success ( £ 730 million), is a legend in the UK business history; his reality TV show â€Å"The Apprentice†, a great entertainment for recruitment appeals to the public without reasons. However, he as a person is controversial amongst people, probably due to his leadership style as bullying or harassment (destructive). There are four schools of leadership styles: Trait, behavioural, contingency and transformational. Nevertheless, in the case of Alan Sugar, trait and transactional styles match him which will be illustrated following in detail. As Yukl (2010) indicates, such factors (e.g. personality, values and capacities) attributed to a leader. Normally it is widespread acknowledged that someone is born to be a lead... ...l man who enables others to think and do in his way (role model) and his employees work him for unconditional loyalty (e.g. his PA), also, adopt a fair system of rewards and punishments; however, as a leader sometimes he just needs some transformational styles which respect and communicate with followers equally rather than forced them to shut up rudely. As for organizational culture, the article obtains further understanding that some factors attribute to detect cultures existed in an organisation, communication system, for example. As a result, it can be identified that his culture not only can be classified as power but task. Moreover, due to the changeable outside environment, compounded and flexible cultures seems to be a better way for an organisation’s sustainable development. Therefore, leadership is tightly related to organizational culture.

Plans for Recruitment and Retention

There are many major challenges facing the nursing shortage environment today. One of those challenges includes the facility recruitment of registered nurses and then the facility retention of the registered nurses that they have recruited. Factors to consider would be as to why a registered nurse chose to accept a particular job and will they choose to stay at the facility after being given an employment opportunity. A facility’s reputation, union status, autonomy and salary are among some of the factors that influence recruitment.Factors that influence retention includes the inclusion in decision making, practice autonomy, workers, work load, management’s respect of the workers, and shifts worked. It is expensive for any facility to recruit a registered nurse. According to a recent study by CB Jones, it costs between $62,100 and $67,100 to replace one registered nurse. (Jones, 2005) The cost of human turnover and subsequent recruiting often is not discussed. When ther e is a nurse vacancy, that particular nurses’ workload has to be incorporated into the workload of another nurse. The nurse or nurses that take on the workload are not necessarily going to be paid more.It’s a grin and bear it type of situation where everyone has to work together as a team. When a new nurse has finally been recruited, they have to go through an extensive orientation for the culture of the particular unit they are assigned to. Then retention comes into place. Now we have the new nurse in place, how do we go about keeping her? Retention can also be a major challenge for a facility. So how do we recruit and retain these nursing staffs? Define the Problem It has been projected that the U. S. will experience an intensified shortage of registered nurses as the baby boomers age and the need for health care grows.(AACN, 2012) To add intensity to the problem, the nursing schools are struggling with recruiting students to meet the demand for this new healthcare r eform that arising. This has become a major healthcare concern. Between 2009 and 2030, it is projected that the shortage of nurses will spread across the country most intensely in the South and the West according to the â€Å"United States Registered Nurse Workforce Report Card and Shortage Forecast. † (AJMQ 2012) The American Association of Colleges of Nursing (AACN) is currently working with nursing organizations, policy makers, the media, and various schools to address this growing concern.Literature Review The fact is that there is definitely a shortage of nurses, and the numbers are going to grow in the years forthcoming. The statistics on the shortage are constantly changing. The Bureau of Labor Statistics states that registered nurses make up approximately 2. 6 million of the U. S. jobs. These jobs are in arenas such as hospitals, doctor’s offices, home health services, nursing care facilities, employment services, and government and social assistance agencies/e ducational services. That number is expected to grow to approximately 3. 2 million by the year 2018.In the year 2010, the United States faced a shortage of about 275,000 nurses. It is projected that by 2015 that number will have grown to approximately 500,ooo, and 800,000 by 2020. As the population gets older, more nurses are expected to retire. There are many reasons given for the shortage of nurses ranging from the demographics of the population, the employment patterns of women, nursing work, and the health care system itself. Some of those reasons include: Increased demand as the population ages. Eighteen percent growth overall and 54 percent growth overall for those with more health care needs. Other career options.There is a range of other career opportunities that are being considered, especially for those born after the 1950s. Work environment and workload. Hospitals have reduced their staffing and mandatory overtime policies have been implemented for the registered nurses t o ensure coverage for the unexpected increase of patients. Image. The media diverts the attention of the young adults who may be interested in nursing by focusing on the challenges that nurse’s face rather than the aspects of the career that are rewarding. Problem Analysis With a shortage of nurses, the care and safety of patients may becomecompromised. The nurses themselves may be having feelings of dissatisfaction, overwhelm and distress. Nurses who may become overwhelmed with the high number of patients may become frustrated and burnt out. And inadequate staff of nurses may lead to a negative impact on the patient’s outcome. The quality of care the patients may receive in facilities with low staffing may be poor. There are a number of factors that contribute to the impact of the nursing shortage. Low nursing school enrollment. The projected demand for nursing services is not being met with the low enrollment.In 2011, the AACN reported there was only a 5. 1% increase in enrollment in entry-level nursing programs. Faculty shortage in nursing schools. With not enough faculty teaching in the nursing schools, it restricts the number of program enrollments. Nursing schools turned away 75,587 qualified applicants from their baccalaureate and graduate programs in 2011 because of insufficient staffing, classroom space, budget constraints, clinical sites and clinical preceptors according to a report issued by the AACN. The average age of nurses is climbing. The average age of nurses reported in 2012 was 44. 5 years of age.The largest segment of the nursing workforce is expected to be nurses in their 50s. Changing demographics. As the baby boomers get older, their health care needs are expanding, which will impact the future demand for more nurses. Elevated stress levels. With the insufficient staffing, the current nurses are overwhelmed with responsibilities, therefore, resulting in high stress levels, poor job satisfaction, and no motivation to stay on the job. This also limits the amount of time that the nurses can spend with the patients and impacts the quality of care given to the patients. Possible SolutionsEncouragement is needed for the deployment and development of the nursing personnel with the appropriate skills. Regardless of the pressures that relate to the short-term demand for nursing services, there must be ongoing long-term workforce planning by the policy makers, public and the profession. Measures must be put in place to reverse these trends; otherwise, we are in danger of experiencing some serious health care system breakdowns. It is costly to develop strategies for recruiting and retaining nurse personnel. The Tri-Council members of The American Association of Colleges of Nursing (AACN), The American Nurses Association (ANA), TheAmerican Organization of Nurse Executives (AONE), and The National League for Nursing (NLN) suggested the following recommendations: Education Develop career progression initiatives to accelerate the nursing graduates through their studies; Identify available options beyond entry-level such as administrator, researcher or faculty; Establish a system of education and practice to promote more compensation in the community of health care; Assist health care employers in creating and sustaining staff development programs and continuous growth; Use counselors, schools, and youth organizations to reach out to the youth for future possibilities.Work Environment Retaining the experienced nurses by implementing strategies such as: Allowing for more flexibility; Give recognition to the experienced nurses who serve as mentors for the new nurses; Implement appropriate salary and benefit programs. Advance the practice of nursing by creating a partnership environment: Establish appropriate management structures; Ensuring adequate nurse staffing; Offering the nurses independency. Redesign the work to enable the current nurses who are aging to stay active in their direct care rol es. Legislation and RegulationSuggest an increase in the funding of nurse education for improving the capacity and resources for education; Within Medicaid, Medicare and other systems of reimbursement, propose for better identification for the registered nursing services. The National Student Nurses’ Association has a nursing breakthrough project that I think is a great tool that informs juniors and seniors in high school about the nursing opportunities that are available. To attract the attention of these students, they use tools such as live videos and pamphlets.The videos show other high school students who have taken an interest and made a decision to enter into the nursing world. They tell their testimonies about the values of the profession and the reason they chose to go into nursing. The pamphlets explain what nursing is, how to apply to nursing school, what nursing school is actually like, the paths of education to becoming a nurse, the salary, benefits and license r equirements, and then lists other resources where information about nursing is available.These recommendations are going to take the work of many people and organizations coming together and supporting one another. One specific institute cannot implement all that is needed alone. Team work will be become very important. Strategies for retaining the nursing workforce are also needed. Implementing policies that will rebuild the nursing leadership roles will be necessary. Higher satisfaction and better patient care may also be gained by involving the nurses in the design of the staff and overtime policies.Policies that improve the overall hospital or facility work environment are among the most important considerations. Justification The nursing shortage of today is very real and very different from anything in the past. The shortage is evident by the few nurses that are entering the workforce. There is an acute shortage of nurses in certain geographic areas, and there is a shortage of nurses who are properly trained or prepared to work in certain areas to meet the needs of the patients in this changing healthcare environment.The growing realization is that there is inadequate supply of prepared nurses to meet the needs and demands of the population requiring health care attention. This problem will become more serious over the next 20 years if something is not done. The largest number of health care professionals is currently comprised of nurses. Within the nursing profession, statistics indicate that there has been a steady increase in nurses who are entering the profession. The problem still lies in retaining them in the profession. Much work is still needed and will be ongoing now and well into the future.

Corruption Essay

Corruption Today’s world problems are revolved around corruption. One of Brazil’s biggest problems is the corruption. According to annual data â€Å"Assuntos de Governanca,† (Govern Discussion), published in 1996 by Banco Mundial, there is an upward trend in the index that measures the efficiency in combating corruption in Brazil. This data which assesses 212 countries and territories has shown that the corruption in Brazil has grown discontinuous since 2003. It reached its worst level in 2006. When it reached 47. on a scale of 0 of 100 (being 100 an evaluation more positive). Even when Brazil is compared to other countries from South America such as Chile, Costa Rica, and Uruguay, Brazil is still leading country in corruption. Another study made at the University of Fiesco, has shown that corruption in Brazil has cost around one to sixty-nine billions of Reals (Brazil’s currency). In order to solve those problems, we would need three main facts to try to solve this situation, or at least try to settle down since it’s a huge problem. So the first main point is â€Å"severe impunity to our politics corruptors†. The most important problem that difficult the combat of corruption is the â€Å"culture of impunity,† which is still very visible in Brazil. Brazilian’s justice works to whoever has the most money to pay the best lawyers. This means that it does not matter what damage you have done to Brazil’s society, you will not be persecuted. In some cases, most of violators will not stay in jail for their full amount of time sentenced. Moreover, the fact that our politics has privilege at the forum and are judge differently from ordinary citizens, also contributes to impunity. To combat corruption, we need a different govern; we need a new reform administrative. Our law has to be made to protect our society equally, everybody as well as being judged exactly the same way. Proven corruption needs to be punished by death or life imprisonment, besides of course the immediate return of public coffers values. Only in five years, Brazil has already tallied a misuse of public funds of almost 100 billion dollar, which would be allowing investments of national reflection. This problem has to be solved immediately. A second important point to mention is how our society acts about our government. Since we already know that our government works for themselves, our society needs to start doing something too. There are several projects that have been mentioned at the government to be accepted, but our society has an important role at this time. In order for these projects to be accepted, our population needs to work together by making protects everywhere around the country. So this way our government will feel the pressure of the population, and will know that the whole population has a â€Å"voice†. That they will still contribute to improve our country. Brazil’s population has to believe that they can do something to help, but do more than just believe they have to do it! Brazil’s population is tired of people working for themselves, and are also tired to see that the majority of our laws do not work for everybody equally. Another aspect to look at is education. While our government is too busy stealing money from our population, our kids feel this impact at the schools. The largest chunk of the money that should be used in our kid’s education is going to the government’s pocket. Of course who is going to suffer this situation? Our next generation of youth. With no education there is no knowledge. Whenever these kids achieve enough age to vote they will be lost and without knowing their rights. Not knowing their rights there is no way they will be able to criticize, or even claim for something in the future. Where would this world be without education? Talk about real corruption right there. But in order to solve the money issue in Brazil we need to get our priorities straight on what the money goes to, and not in our government’s pockets. The education of the youth in Brazil should be the most important thing to the government, because one day they will be the leaders of this country. They need to be taught their rights and laws. To know how to be treated equal as well as be punished equally too. If the government realizes this, Brazil would not be such a corrupt place.