Saturday, January 25, 2020

Themes of Morality and Racism in Adventures of Huckleberry Finn Essay

The Adventures of Huckleberry Finn by Mark Twain is a novel full of racism and hypocrisy of the society that we know. Huck continually faces the many challenges of what to do in tough situations dealing with racism and what the society wants him to do. With the novel being written in the first person point of view gives us insightful information into the challenges the Huck is facing and gives us a look into Huck’s head. Huck uses many different techniques to deal with his problems and he gets through them with the end result always being what Huck believes is right. Through Huck’s perspective we see how he deals with all of the racism and hypocrisy of society to form him into the character that he is and to serve the themes of the novel. Huck in many instances has a conflict from the racism that society has put forth and he has difficulty deciphering what is right by his heart and what is right by society’s standards. In the novel you find Huck lying on many occasions to help protect his slave friend Jim. In one instance Huck poses as a girl in a town down the river to see the response to Huck’s fake death and Jim’s disappearance. Huck finds out that â€Å"Before night they changed around and judged it was done by a runaway nigger named Jim†¦ The nigger run off the very night Huck Finn was killed. So there’s a reward out for him-three hundred dollars† (86). With a reward being out for Jim’s capture Huck knows that people are going to be looking for Jim. Huck quickly created a story to protect his slave friend Jim from the feared slave catchers. Huck hides his identity numerous times to protect his friend Jim from danger and possibly death. It takes an extraordinary high moral person to take these kinds of personal risks to prote... ... could not stand such indecency and it bothered him to see that. "It made my heart ache to see them getting fooled and lied to so." (183). Huck in those passages shows a special person, almost a hero, that was uncanny for the time period, showing emotions towards slaves where the rest of the society either didn’t think anything of it or just thought of slaves as property with no feelings. With all the issues of right and wrong, Huck tries to do the right thing even though most people in the society around him wouldn’t view them as correct. Huck breaking Jim out of slavery and Huck’s feelings of sickness of slave trading, give the reader insightful information on the characters perspective. Through Huck’s perspective we see how he deals with all of the racism and hypocrisy of society to form him into the character that he is and to serve the themes of the novel.

Friday, January 17, 2020

Fever And Headache Case Study Health And Social Care Essay

Prior to parturiency, the client chows balanced repasts daily. He takes Multivitamins. He drinks 8-12 spectacless of H2O daily. He does n't hold any nutrient allergic reactions. His lesions heal fast. Complete set of dentitions, does n't utilize dental plates. The client is DAT ( diet as tolerated ) diet with no dark colored nutrients. Elimination Pattern The client does n't hold trouble extinguishing. He does n't utilize laxatives. His stool is formed. He defecates one time or twice daily. No jobs experienced when urinating. His piss is normal in colour and sum. Upon parturiency, the client defecates one time day-to-day. Still no trouble urinating. Activity and Exercise The client has sufficient energy to make the day-to-day activities he desired. He jogs around their small town sometimes. He likes to read books during his trim clip. He can to the full take attention of himself. While in the infirmary, the client walks around his room. He feels weak most of the clip, because he is merely lying down. He watches telecasting while in the infirmary. Cognitive-Perceptual The client does n't hold hearing troubles and does n't utilize hearing AIDSs. He does n't have on reading spectacless. He normally decides for himself but seeks advice from his older sister. Sleep/Rest Before parturiency, the client does n't hold trouble kiping. He makes certain to acquire adequate remainder for the following twenty-four hours ‘s activities. He does n't see incubuss. Now, the client said that he was non able to kip good because he is really concerned about his wellness. He sleeps a small late and wakes up early the following twenty-four hours. Self-perception The client describes himself as simple and determined. He feels good about himself. He does n't let petty jobs to acquire the best of him. Role-Relationship The client lives with his sister and her household. They portion with the family disbursals. Whenever they encounter jobs, they sit down and discourse them. Sexuality-Reproductive The client is sexually active but refuses to speak about his sexual life. Coping/Stress Tolerance When stressed, the client tries to loosen up himself foremost before confronting the job because he might do determinations he will repent. He talks to his sister or close friends whenever he has jobs. He does n't take any medicines or drugs. He handles jobs maturely. Values/Beliefs The client is spiritual. He prays frequently, though seldom attends mass. He has programs for himself in the hereafter and he says he will make his best to accomplish them.Family AssessmentName Relation Age Sexual activity Occupation Educational Attainment C.G Wife 31 F Gross saless Manager College GraduateHeredoMaternal: None Paternal: NoneDevelopmental HistoryTheorist Age Task/Stage Patient Description Erikson 36 y/o Generativity vs. Stagnation The patient is concerned about others. He makes the most out of his clip. Freud 36 y/o Genital Phase The patient is sexually active. Piaget 36 y/o Formal Operationss The patient thinks about how to cover and work out jobs encountered. Kohlberg 36 y/o Post Conventional The patient is concerned about his single rights. Fowler 36 y/o Conjunctive Faith The patient is cognizant of the truth and takes the enterprise to detect it.Physical ExaminationHeight: 5'5 Weight: 70 kilogram Volt BP: 130/90 mmHg RR: 26 cpm PR: 72 beats per minute Skin Light brown in colour Birthmark on upper part of arm Uniform temperature in custodies and pess Skin turgor & lt ; 2 secs No lentigos Nails Pink nail beds Integral tegument environing the nails Blanch trial or capillary refill & lt ; 4secs Head and Face Head is round in form Symmetric facial characteristics Symmetric facial motions No facial hair No tangible multitudes, lesions, cicatrixs Eyess Eyebrows symmetrical and equally distributed, equal motions Eyelashs equally distributed Eyelids are integral, no stains ; symmetrical motion Students are every bit circular and reactive to illume Ears Color same as facial tegument, symmetrical Pinna recoils after it is folded No discharge Nose External olfactory organ is symmetric, unvarying in colour, non tender, no lesions, no discharges Nasal septum integral Maxillary and frontal fistulas non tender Mouth and Pharynx Outer lips symmetric, unvarying in colour, can purse lips Inner lips are pink No losing dentition, pinkish gums Tongue is in the centre, pink in colour, moves freely Neck Muscles are equal, caput centered Can travel cervix with no uncomfortableness No tangible multitudes Spinal column Spine is straight, shoulders and hips are at same tallness Thorax/Lungs Skin intact, no tenderness, no tangible multitudes ( + ) wheezes Cardiovascular/Heart Jugular venas non seeable Symmetrical pulsing on peripheral pulsations Capillary refill trial: & lt ; 4secs Breast Symmetrical Abdomens Skin uniform in colour Symmetrical motions caused by respiration Audible intestine sounds No tenderness Extremities Uniform in colour, symmetric Symmetrical pulsing of peripheral pulsations Capillary refill: & lt ; 4 secs Genitalias REFUSED Rectum and Anus REFUSEDPersonal/Social HistoryHabits: He likes to read and travel to the promenade Frailties: Drinks on occasion Life style: Active Client ‘s usual twenty-four hours like: After acquiring off from work, he finds clip to rest and read a book. Rank in the household: 2nd kid Travel: Went to Bacolod for 10 yearss Educational Attainment: College Graduate III. Environmental History The client lives in a private subdivision in Malabon, Manila with his sister and her household. He describes their small town as quiet and peaceable. Few autos pass by their street. They segregate their refuse and maintain their milieus clean.IV. PathophysiologyA. Theoretical Based Dengue Hemorrhagic Fever Predisposing Factor: – Age – Sexual activity -Immunodeficiency Precipitating Factor – Aedes aegypti mosquito Bite of a virus transporting mosquito Mosquito injects fluid into victim ‘s tegument Virus enters in the host ‘s blood watercourse Infects cells and replicate in sufficient sum Platelet will supply a shield for the virus from exposure and binding to neutralize preexistent antibody. Novices immune system response Stimulates release of cytokines Activation of memory T-cell response during re-exposure Macrophages or monocytes engulfed the virus holding a thrombocyte ( phagocytosis ) Virus-antibody composite Cytokines destroy cell membrane and cell wall Cytolysis Complement activation system Fluid switching ICF to ECF Coagulopathy ( PT, PTT ) Thrombocytopenia Vasculopathy ( plasma escape ) Vascular endothelian cell activation High Fever, organic structure failing, concern, sickness & A ; purging, abdominal hurting, petechial roseola in countries of the organic structure, bloody stool ( sometimes ) B. Client Based Dengue Hemorrhagic Fever Non-modifiable Factors: – Age: 36 y/o – Sexual activity: Male Modifiable Factors: -Immunodeficiency Poor Environmental Sanitation Aedis Aegypti Mosquito bites Creates multiple lesions in the blood watercourse Increase phagocytic activity Virus multiply in blood stream After 2-3 yearss incubation, febrility appears Paracetamol given Excessive ingestion of thrombocytes Scheduled BT For replacing Hematologic studies reveal that patient has low home base count Dengue Titer Test Done( + )Which states that patient has grade 1 DHF with marks and symptoms manifestedV. Laboratory ResultsUrinalysis ( 7/14/10 )ExaminationConsequenceInterpretationColor Yellow Yellow in colour may bespeak concentration in urine Transparency Slightly Cloudy–pH 6.0 pH and specific gravitation is within normal bounds Specific Gravity 1.010 Glucose Negative–Protein++Transeunt lift due to infection Blood Negative–Ketone++More fats are being used for energy alternatively of glucose Nitrite Negative–Bilirubin Negative–Blood ( 7/14/10 )ExaminationNormal ValueConsequenceInterpretationHemoglobin 140-175 g/L 141 Normal Hematrocrit 0.42-0.50 0.44 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.92 Normal WBC Count 4.00-1.050 Ten 10^9/L 4.40 Normal Basophil 0.00-0.01––Eisonophil 0.01-0.04––Pang 0.02-0.05 0.01 Normal Neutrophil 0.36-0.66 0.69 Normal Lymphocyte 0.24-0.44 0.16 The patient is compromised because of immunodeficiency. Monocyte 0.02-0.12 0.14 Normal Platelet Count 150.00-450.00X10^9/L 125 The patient ‘s thrombocyte count is below normal scope which means that there no equal coagulating map.Blood ( 7/19/10 )ExaminationNormal ValueConsequenceInterpretationHemoglobin 140-175 g/L 140 Normal Hematrocrit 0.42-0.50 0.43 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.84 Normal WBC Count 4.00-1.050 Ten 10^9/L 7.37 Normal Basophil 0.00-0.01––Eisonophil 0.01-0.04 0.04 Normal Pang 0.02 0.02-0.05 Normal Neutrophil 0.36-0.66 0.53 Normal Lymphocyte 0.24-0.44 0.30 Normal Monocyte 0.02-0.12 0.11 Normal Platelet Count 150.00-450.00X10^9/L 215 NormalPotassium ( 7/17/10 )ExaminationNormal ValueConsequenceInterpretationPotassium 3.50-5.50mg/dL 3.7 NormalCurdling and Hemostasis ( 7/18/10 )ExaminationNormal ValueConsequenceInterpretationActivated Partial Thromboplastin- Patient 22.60-35.00 secs 32.6 Normal Activated Partial Thromboplastin- Control 22.60-35.00 secs 30.2 NormalUltrasound Result ( 7/17/10 )ExaminationConsequenceDoppler Scrotal/Testes The testicles are normal in size, echopatterns and constellation with no focal lesions noted. The right steps about 4.4 tens 2.6 s2.1 centimeter ( LWH ) . While the left steps about 4.0 tens 2.8 ten 2.1 centimeter ( LWH ) . No extratesticular mass lesion is noted. The epididumes are non unusual. Free fluid aggregation is seen within the left scrotal pouch. Impression: Left Hydrocoele. Normal Testiss and epididymes No grounds of varicocoeleVIII. List of Priority Problem1. Hyperthermia related to desiccation secondary to DHF phase 1 2. Deficient Fluid volume related to active fluid volume secondary bleeding 3. Activity Intolerance related to generalise failing secondary to DHF phase 1IX. Ongoing Appraisal7/14/10 – On DAT ( Diet as Tolerated ) with NDCF ( No Dark Colored Foods ) – Proctor VS q4, rigorous I & A ; O – Dx process: CBC, Platelet count, Potassium, Urinalysis – Dengue Titers – Master of educations: Aeknil 1 A IV q4 Nafarin 1 check TID Azithromycin 500 milligram OD 7/15/10 – Addition unwritten fluid intake – Dx process: Blood Typing ( Result: Bachelor of arts ) 7/16/10 – Facilitate station BT as ordered – Give antamin 1 amp 30 min prior to BT 7/17/10 – Warm compress over scrotal are TID 7/18/10 – WOF marks of shed blooding 7/19/10 – Cold compress 10 min BOD and displacement to warm compress 10 Command – Scrotal Support 7/20/10 – May travel placeTen. Discharge PlanMedicine: Celebrex 200 milligram 1 check 2x a twenty-four hours PRN for hurting Exercise: Avoid strenuous exercisings Treatment: Patient must take medicines for hurting as needed. Bed remainder. Increase unwritten fluid intake Health Education: Promote patient to hold a healthy life style. Practice good hygiene. Diet: Diet as tolerated. Eat balanced repasts daily, nutrients high in fibre.

Wednesday, January 8, 2020

Laws Regulating Federal Lobbyists

Federal lobbyists attempt to influence the actions, policies, or decisions of government officials, usually members of Congress or heads of Cabinet-level federal regulatory agencies. Lobbyists may include individuals, associations and organized groups, corporations, and other government officials. Some lobbyists represent a legislators constituencies, meaning a voter or bloc of voters within their electoral district. Lobbyists may volunteer or be paid for their efforts. Professional lobbyists—by far the most controversial lobbyists—are hired by businesses or special interest groups to influence legislation or federal regulations affecting those businesses or groups. In public opinion polls, lobbyists rank somewhere between pond scum and nuclear waste. In every election, politicians vow never to be â€Å"bought out† by lobbyists, but often do. Briefly, lobbyists get paid by businesses or special interest groups to win the votes and support of members of the U.S. Congress and state legislatures.   Indeed, to many people, lobbyists and what they do represent the main cause of corruption in federal government. But while lobbyists and their influence in Congress sometimes seem to be out of control, they really do have to follow laws. In fact, lots of them.   Background: The Laws of Lobbying While each state legislature has created its own set of laws regulating lobbyists, there are two specific federal laws regulating the actions of lobbyists targeting the U.S. Congress.   Recognizing the need to make the lobbying process more transparent and accountable to the American people, Congress enacted the Lobbying Disclosure Act (LDA) of 1995. Under this law, all lobbyists dealing with the U.S. Congress are required to register with both the Clerk of the House of Representatives and the Secretary of the Senate. Within 45 days of becoming employed or retained to lobby on behalf of a new client, the lobbyist must register his or her agreement with that client with the Secretary of the Senate and the Clerk of the House. As of 2015, more than 16,000 federal lobbyists were registered under the LDA. However, merely registering with Congress was not enough to prevent some lobbyists from abusing the system to the point of triggering total disgust for their profession. Jack Abramoff Lobbying Scandal Spurred New, Tougher Law Public hatred for lobbyists and lobbying reached its peak in 2006 when Jack Abramoff, working as a lobbyist for the rapidly growing Indian casino industry, pleaded guilty to charges of bribing members of Congress, some of whom also ended up in prison as a result of the scandal. In the aftermath of the Abramoff scandal, Congress in 2007 passed the Honest Leadership and Open Government Act (HLOGA) fundamentally changing the ways in which lobbyists were allowed to interact with members of Congress. As a result of HLOGA, lobbyists are prohibited from â€Å"treating† Congress members or their staff to things like meals, travel, or entertainment events. Under HLOGA, lobbyists must file Lobbying Disclosure (LD) reports during each year revealing all contributions they made to campaign events for members of Congress or other expenditures of efforts they make that might in any way personally benefit a member of Congress. Specifically, the required reports are: The LD-2 report showing all lobbying activities for each organization they are registered to represent must be filed quarterly; andThe LD-203 report disclosing certain political â€Å"contributions† to politicians must be filed twice a year. What Can Lobbyists ‘Contribute’ to Politicians? Lobbyists are allowed to contribute money to federal politicians under the same campaign contribution limits placed on individuals. During the current (2016) federal election cycle, lobbyists cannot give more than $2,700 to any candidate and $5,000 to any Political Action Committees (PAC) in each election. Of course, the most coveted â€Å"contributions† lobbyists make to politicians are the money and votes of the members of the industries and organizations they work for. In 2015 for example, the nearly 5 million members of the National Rifle Association gave a combined $3.6 million to federal politicians opposed to tighter gun control policy. In addition, lobbyist must file quarterly reports listing their clients, the fees they received from each client and the issues on which they lobbied for each client. Lobbyists who fail to comply with these laws face could face both civil and criminal penalties as determined by the Office of the U.S. Attorney. Penalties for Violation of the Lobbying Laws The Secretary of the Senate and the Clerk of the House, along with U.S. Attorney’s Office (USAO) are responsible for ensuring that lobbyists comply with the LDA activity disclosure law. Should they detect a failure to comply, the Secretary of the Senate or the Clerk of the House notifies the lobbyist in writing. Should the lobbyist fail to provide an adequate response, the Secretary of the Senate or the Clerk of the House refers the case to the USAO. The USAO researches these referrals and sends additional noncompliance notices to the lobbyist, requesting that they file reports or terminate their registration. If USAO does not receive a response after 60 days, it decides whether to pursue a civil or criminal case against the lobbyist. A civil judgment could lead to penalties up to $200,000 for each violation, while a criminal conviction —usually pursued when a lobbyist’s noncompliance is found to be knowing and corrupt—could lead to a maximum of 5 years in prison. So yes, there are laws for lobbyists, but how many of those lobbyists are really doing the â€Å"right thing† by complying with the disclosure laws? GAO Reports on Lobbyists’ Compliance with the Law In an audit released on March 24, 2016, the Government Accountability Office (GAO) reported that during 2015, â€Å"most† registered federal lobbyists did file disclosure reports that included key data required by the Lobbying Disclosure Act of 1995 (LDA). According to the GAO’s audit, 88% of lobbyists properly filed initial LD-2 reports as required by the LDA. Of those properly filed reports, 93% included adequate documentation on income and expenses. About 85% of lobbyists properly filed their required year-end LD-203 reports disclosing campaign contributions. During 2015, federal lobbyists filed 45,565 LD-2 disclosure reports with $5,000 or more in lobbying activity, and 29,189 LD-203 reports of federal political campaign contributions. The GAO did find that, as in years past, some lobbyists continued to properly disclose payments for certain â€Å"covered positions,† as paid congressional internships or certain executive agency positions provided as part of the lobbyists’ â€Å"contributions† to lawmakers. GAO’s audit estimated that about 21% of all LD-2 reports filed by lobbyists in 2015 failed to disclose payments for at least one such covered position, despite the fact that most lobbyists told the GAO that they found the rules regarding reporting covered positions as being â€Å"very easy† or  Ã¢â‚¬Å"somewhat easy† to understand.