Wednesday, October 30, 2019

Panama Canal Lock Case Study Example | Topics and Well Written Essays - 1500 words

Panama Canal Lock - Case Study Example The whole of the Guton Lock system works in three steps. The ship enters the first chamber at the Guton lock which is at the sea level on the Atlantic side. The water tight gates are closed after the ship get in to the first chamber. A valve is the opened to allow water from the second chamber into the first chamber until both chambers the water levels up. Following this equalization of the levels of water, the valve is the closed and the gate between the first and second chamber is opened for the ship to move to the second chamber (Sherman 35). The first operation is repeated between the second and third lock to move the ship into the third lock which raise the ship to the Guton Lake water level. After closing of the final valve and opening of the final gate, the ship will have been raised up to 85ft to the Pacific Ocean water level. The forces that act on the first lock on the pacific side are majorly from the water in the Pacific Ocean that exerts pressure on the first gate. In the subsequent locks, forces act from both sides of the gates due to the water that is held inside the chambers. The Key factor in the design of the Guton lock was the water. The lifting of the ships in the lock to the level of the Guton Lake is done by water (Ulrich 9). The water in the lock lifts the ship up to 85feet and floats the ship across the divide. After crossing the continental divide, the water is again used to lower the ships to the sea level in the opposite side of the ocean. This therefore means that water was the major important consideration in the construction of the Guton Lock just like in the other three locks of the Panama Canal. In the design therefore, it was important to consider the force that the water exert on the locks. As more water is allowed inside the chamber of the lock, it exerts pressure to the walls. Another source of force on the walls of the lock chamber is the weight of the ship that is being raised by the lock up to 85 feet above sea

Saturday, October 26, 2019

Oliver Twist Essay -- essays research papers

Charles Dickens wrote Oliver Twist, in 1883, to show the reader things as they really are. He felt that the novel should be a message of social reform. One of its purposes was to promote reform of the abuses in workhouses. In no way does Dickens create a dream world. His imagination puts together a bad place during a bad time; an English workhouse just after the Poor Law Act of 1834 (Scott-Kilvert, 48). In the first chapter of Oliver Twist, Dickens moves from comedy to pathos and from pathos to satire. He takes us from the drunken old woman to the dying mother to the hardened doctor. Such rapid switches help in all the later novels to hold together disparate effects, to provide variety and unity, and to give that double opportunity for comedy and pathos that Dickens admired in stage melodrama (Scott-Kilvert, 47). In this first chapter, Dickens also captures life and death in a single sentence, "Let me see the child, and die." (Dickens, 2). This sums up the mother's will to see the newborn baby, and takes a short stride from birth to death. Dickens seems to create his characters to open the reader's eye's to the true characteristics of their nature. One of his subjects are conditioned human nature and the relationship of the individual to his environment (Scott-Kilvert, 47-48). In Oliver Twist, Dickens attempts to free his characters of any influence of their environment. He muddles the message of the novel by making Oliver immune to an environment which is denounced as necessarily corrupting (Price, 86). Dickens created Oliver's character to be virtuous and innocent. He put many stressed tests on him in the course of the book. Dickens comes close to endangering Oliver's idealized virtue, though; in the great temptation scene in Chapter 18 (Scott-Kilvert, 49). This is where the child is being carefully brainwashed, first cunningly cold-shouldered and isolated, then cunningly brought in the deadly warmth of the thieves' family circle (Scott-Kilvert, 49). Oliver was but too glad to make himself useful; too happy to have some faces, however bad, to look upon; too desirous to conciliate those about him when he could honestly do so; to throw any objection in the way of this proposal. So he at once expressed his readiness; and, kneeling on the floor, while Dodger sat upon the table so that he could take his foot in his lap, he applied himself to... ...uous are prosecuted by the rich and corrupt (Gerould, 287). The motive force of melodrama is the villain. The dynamic and sinister figure recognized by the audience as the embodiment of evil (Gerould, 287). The result is usually a happy one for the sympathetic character, resulting in just rewards and punishments and affirming the laws of morality and the benevolent wakings of providence (Gerould, 287). This is so true of the literary work of art of Oliver Twist. Dickens allowed virtue and good prevail over crime and evil. This book was clearly made to show the reality of the world. Dickens does not create a dream world that captures the optimism of readers. He is truly showing things as they really are; how hte world really is. He carefully planned his setting and his description of places so theat he could capture every detail of the hard life. As Martin Price put it in Dickens, "Oliver Twist is not a satisfying novel-it does not liberate us" (Price, 84-385). Dickens' purpose was to spark a sense of rage through peoples hearts towards the English workhouses. He was promoting reform by getting the people "involved" in the melodramatic novel of Oliver Twist.

Thursday, October 24, 2019

In the arms of sleep

It happened again last night. Just like before. It began slowly, with little things. Then it got worse. Much worse. I suppose this is your way of punishing me. If it is, it's working. If it's not when I'm awake, it's when I'm asleep. Mad isn't it? That's what most people think anyway. Sometimes I think I'm going mad. Am I? No. I can't be. It's so real. I can feel it. It is more than a nightmare. Trapped. Trapped under the hideous black carpet that chokes the sky. Darkness complete. Shadows begin to move, writhing, with an eerie shrill sound of the sucking of the air. Unmoving, I watch. Without breathing. Without thinking. The wind pounds against my face like a thundering waterfall. My breath illuminates the sky in a vivid cloud of white smoke. A trail of ivy cradles gravestones like newborn babies. An ominous feeling of dread seeps through my bones. I am in a churchyard. This is no ordinary churchyard. This is where it happened. He was standing over there. I remember now. Right next to that cross. I shouldn't have done it should I? But I had no choice. There was no way out at the time. I can feel him now. Watching me like a hawk. His hot breath creeping up my neck. Hark! What was that? Did you hear it? There it is again. I turn my head slowly to locate the sound. It's coming from the church. The sound is distant and musical – almost menacing. The organ! It plays on like an instrument of torture. I hold my breath. It stops. One . . . two . . . three. There it is again. Calling me. Calling me so softly at first; so softly it could be the blood rushing to my ears. I can hear the words. Katherine . . . Katherine. Come and find me. You know you want to. I'm walking. Walking. My feet have a mind of their own. Uncontrollable. Eyes glued in front of me. I feel like a ventriloquist's dummy. The church door lies in front of me, like the gateway to hell. My hand trembles violently as I push the heavy iron handle forward. Then the door slams behind me with a metallic slice, like a falling guillotine. Silence. Nothing can be heard except the soft pit-pat of rain. The stillness is worse than noise. I know he's in here. I can feel his eyes – watching me. Stalking me. I can smell him. The smell of decay and dried blood wafts up my nose like rotten eggs. I feel sick. A thin hot trail of sweat runs down my temple. I need to get out of here. I need to get out of here now! But where is the door? It was behind me. That noise. There it is again. That faint tune. Sheer black terror is sweeping though me, every hair on my body erected. It is dark. So dark. Too dark. My entire body goes cold with terror. Something is watching me. Something is hunched over the organ. Something is there. No. It can't be. Can it? Just one yard away from me. On my feet, skin crawling and body washed with adrenaline. He plays on. Back turned, but I know he is aware of my presence. My neck prickles as I edge away. The music stops. I walk backwards. Away. Going nowhere. My eyes afraid too – open painfully wide, then narrow – struggling to focus. My eyes close in the terrifying reality of it, lips mouthing frantic prayers, teeth clenched. I dare not look upon his face. I can smell his breath; making me feel nauseated. Heart banging like a drum. I can't stand much more of this. I've got to get out of here. I must open my eyes. I must go. He breathes hard, and a raging movement disturbs his limbs. His yellow skin has sunk into his body, showing the crevices of his bones. His hair, of a lustrous black, reminds me of a beetle. These features only form a more revolting contrast of his eyes. They glow in their own light, like fire fox. They are cold, ravenous. So different. Every shred of decency, kindness, forgiveness and passion, is gone. Replaced by the unmistakable look of a predator. His jaw opens, saliva dripping down his chin. He breaks into a fiendish grin. He cackles loudly, echoing across the hollow room. Stop! Make him stop. Make it go away. Make him disappear. I never could've imagined . . .never dreamed of such a foul creature. The devil of devils. I've never looked him directly in the face before. His gaze is hypnotic, mesmerizing. He lifts his arm up, his long knifelike fingers pointing towards the ceiling – clenches his fists, so tight – a trail of blood slowly trickles down, like a falling raindrop. He thrusts his arm down in anger; causing a sickening crack as it hits the organ. I shudder violently. He wants to punish me. He's going to do it properly. Whimpering, I move away. I can't watch this wretch lead me to my merciless death. I'd rather die with my dignity left alone. A scorched, rotting smell fills my lungs. I can't breathe. Gagged. I am going to die. No! I will run. I will save myself. I can't. He is too strong. He throws back his demon head, and lets out a howl of laughter. I look away. Trying not to look upon his face. I can feel fear ripping; opening my chest. Can he not see that I have suffered enough? Can he not see I am sorry? I can feel a surge of dizziness rush through me as my eyes rush in and out of focus. I stand still, very straight, as if paralysed. He rests his cold, lifeless hands on my cheek. My heart contracts with sorrow and pain. My knees buckle. I grab the organ to stop me from falling. This is not happening, I'm thinking. Why? Why are you doing this? Have you no heart? No soul? You did . . . once. But now it is long gone. Buried forever. Now leaning over, to kiss me goodbye – lips purple and cracked, flesh peeling off his face like the petals of a rose. His eyes glittering. A gust of wind whips my hair, stinging some feeling back into my cheeks – some coherence back into my brain. He puts his hands round my neck. Gasping for breath. I feel like a stuffed animal. Like a balloon about to pop. He is angry. He is not going to let go. Please . . .God no! I wake up. Neck throbbing with pain. Sucking in every ounce of air. Relieved. The wind wails as it bangs against the cold glass window. A faint knocking on the door, a gentle rattle of the knob. My door creaks. I stare into oblivion as my life flashes before me. I can feel him. Watching me. Trapped.

Wednesday, October 23, 2019

Personal practice related to ANA scope of practice Essay

As a nurse, one must follow a scope of practice, what is expected of them within their role of the nursing profession. These guidelines shape the responsibility of the professional nursing organization and serve to protect the public. According to, Nursing’s Social Policy Statement: The Essence of the Profession (American Nurses Association, 2010, p. ) defines contemporary nursing: â€Å"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. † I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also strengthens my knowledge and skill in providing the best evidence based practice to an individual and their families. Being a resource nurse for my unit allows me the opportunity to share my knowledge with the staff and actively participate in mentoring young nurses build a strong foundation and develop critical thinking skills. Education is critical in the nursing profession. Lifelong learning must be an ongoing process due to the rapidly growing population and technology advancements in our society today. I believe it is the responsibility of the nurse to facilitate this process and collaborate with other nurses in their field to continue to work together to strengthen the role of the nurse in an environment that requires continuous education and competencies. â€Å"Registered nurses must continually reassess their competencies and identify needs for additional knowledge, skills, personal growth, and integrative learning experiences† (American Nurses Association, 2010 p. 13). State legal regulations and professional standards of nursing The Ohio Board of Nursing defines nursing and the scope of nursing practice. Rules and regulations are in place to determine compliance set in motion by the Nurse Practice Act. Responsibility is outlined by establishing standards for nursing education programs, eligibility to sit for the state licensure exam, renewal criteria of that license, and setting standards for continuing education to meet renewal criteria. The Board is also responsible for defining the standards of delivering safe nursing care for registered nurses and protecting the community with these standards. Another role the Board is responsible for is reviewing and investigating violations of this Nurse Practice Act and determining if a nurses license is to be denied, revoked, suspended, or restricted in any way (Ohio Nurses Association). It is essential that nurses maintain an understanding of the legal regulations within their nursing practice. The Ohio Board of Nursing requires all Ohio nurses to have continuing education on Ohio law with a total of 24 continuing education hours every two years for license renewal (Ohio Board of Nursing). As a professional, I feel it is my primary responsibility to understand the law and regulations defined before me, this knowledge allows me to safely practice nursing care and deliver the best care to my community. I have worked in other states as well, and of those states I have worked, Ohio is the only one requiring a continuing education credit with a focus on state law and regulations. I feel every state should have continuing education credit requirements for renewal and at least one of the required credits have a focus on law. It is important as a professional to have knowledge of this. To have a check and balance system in place to make sure one is justly maintaining these standards and expectations in delivering a safe competent nurse to our community is vital to the population as a whole. Provisions 7, 8 and 9 â€Å"Provision 8 describes the nurse’s moral obligation to society. Provision 9 describes the responsibilities of the nursing profession to both the individual nurse and society in general. Provision 7 provides the necessary linkage between individual competence and evolving professional standards of practice, in addition to giving nurses a responsive and collaborative role n health policy for the overall advancement of the profession† (Fowler & Association, 2010, p. 91). Initially, these Provisions were never intended to be carved out of stone, but historically, they have been a guide and continue to be a guiding force of moral and ethical standards to follow. I pride myself on working for a hospital that fosters an environment on ethical integrity and professionalism. Because of this strong thread, it motivates me to do more, achieve more, and be more than I am today. I want my patients and my community to feel that they are receiving the best nursing care. An example I recently explored was implementing a grid to follow based on patient’s diagnosis and treatment pathway prior to admission to the floor. I work in the hospital’s rapid admissions unit. My goal is to have the patient to their room in 30 minutes or less. Of recent, we have received a lot of admissions for pancreatitis, however, I have noticed that the patient arrives to my unit without pain management options, i. e. PCA pump. This has delayed the patient’s comfort and care prior to arrival to HRAU leaving me scrambling to get pain orders, equipment and recover any customer service issues. This grid allows a framework to use as a guide of anticipated orders and outcomes. I presented this grid to my nursing manager, our staff and the ER manager and charge nurses for their collaborative input and suggestions. So far it has been effective, and we are working on additional areas to cover as well. Nursing is continually evolving and as a professional it is our job to facilitate education within our community of nurses so we can better serve our patient population. Philosophical forces influencing practice Philosophy is an attitude toward life and that attitude evolves from every nurses belief system. One’s attitudes are shaped by their environment and an accumulation of life experiences, I define nursing as a way to give back. Giving good nursing care doesn’t stop at being knowledgeable about medicine and having the very best in technology. It goes beyond, by reaching that individual on a spiritual level and connecting with them. I have always believed that one cannot be taught how to show compassion, an individual either possesses that ability or they do not. I have always believed that that is one of my strongest qualities, and this has been reconfirmed back to me by my patients through the years. To truly interact with a person you need to gain their trust, once that has been achieved through a therapeutic environment, healing is then possible. Ethical principles influencing practice There are standards in place to dictate the need to protect patient’s values, beliefs, culture and safety. It is difficult at times, when dealing with challenging patients and having to handle the stress of our jobs to remain open and unbiased. It is nice to have a reminder that our patient’s values come first and respect their choices. Our role is to educate them about their treatment plan and make sure they are well informed, while letting go of our own attitudes. Determining, nursing practice are essential for dealing with day-to-day ethical issues (Jormsri, Kunaviktikul, Ketefian & Chaowalit, 2005). I recently had an Asian woman who presented with abdominal pain and requested to have cupping performed by a healer specialized in the field. I was initially at a loss, how was I going to find someone to perform cupping. I wanted to help this woman and when I asked my colleagues and manager they had no suggestions. So I contacted the department that handles cultural awareness and was able to get a lead on whom to call. After, two hours of my day spent looking for someone to call, I finally had my answer. I came back to give my patient an update on the progress and she was so relieved. It was like you could see the anxiety drain out of her. By the end of the day, the therapist arrived to do cupping with her and she was relaxed and expressed that she truly felt like I heard her. It was not easy and I did find myself getting frustrated with the process of trying to make something work that I knew very little about. I’m happy I followed through with it, because in the end every patient has a right to believe what they believe, even though her values and attitude toward medicine is very different than my own, I was able to put aside my own views and attitude and really help someone else. Conclusion Many might say nursing is a science and some might say nursing is an art. I believe it is both. To be a successful nurse one must have the passion to continue their education and apply their knowledge through the science of nursing, and have the efficacy and compassion to provide the art of caring. Without caring the nurse is unable to connect with the patient and if the nurse cannot connect, trust will not develop between the nurse and the patient. I have always believed nursing is a calling and it is one of the most challenging jobs to have, but by far it has been the most rewarding.