Rural Education
Where a child grows up and which high school they attend greatly affects further education and employment. Higher education, including college and vocational schooling, factors into employment opportunity. Research has shown that schools in rural areas have far less resources for students interested in attending college, providing less opportunity for students pursuing higher education. Wilsonville High School, located the city of Wilsonville just south of Portland, Oregon, represents a typical urban high school in an upper-middleclass city. In contrast, Cottage Grove High School, located in the small rural town of Cottage Grove, southwest of Eugene, Oregon supports a much lower income community. Both schools differ greatly in regard to variables such as average income, test scores, availability of advanced and technical classes, architectural and technological resources, minority education, local junior college participation, and funding. The cities of Wilsonville and Cottage Grove also differ greatly in the lifestyles most citizens enjoy: Wilsonville supports a highly technological community, home to corporate offices of Xerox, Nike, Mentor Graphics, and Hollywood Entertainment, while Cottage Grove’s largest employers include Weyerhaeuser Company (the Northwest’s largest lumber supplier) and other lumber corporations, as well as industrial manufacturers such as Wright Machine Corporation. The two high schools present a tradeoff between providing educational opportunities for students in lower income, rural communities and the actual demand for higher education in an industrial and agricultural community.
Community income: free and reduced meals
One of the most evident disparities between Wilsonvill...
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...should not be looked down upon. But students should have the opportunity available to them to pursue whatever career they deem worthy. Even students who hope to become local doctors or lawyers must attend college, therefore Cottage Grove should provide as much assistance and preparation for students with intent to attend college as feasible. However, Cottage Grove is confined by location and resources. While the State of Oregon allocated more money to Cottage Grove than Wilsonville, Cottage Grove’s budget is still trailing Wilsonville’s. State spending is clearly a controversial issue now, though, as government money is limited. If rural schools like Cottage Grove are to provide the same educational opportunities that urban schools do, the local economies will need to support the school, and government will have to continue to bridge the remaining gap in resources.
Deep within African mines, elusive diamonds lay enveloped in the Earth’s crust. Possessing much influence, beauty, and tension, nature’s hardest known substance causes parallel occurrences of unity and destruction on opposite sides of the globe. Diamonds, derived from the Greek word "adamas", meaning invincible, are formed deep within the mantle, and are composed entirely from carbon. Moreover, only under tremendous amounts of heat and pressure can diamonds form into their preliminary crystal state. In fact, diamonds are formed approximately 150km- 200km below the surface and at radical temperatures ranging from 900-1300 C°. When these extremes meet, carbon atoms are forced together creating diamond crystals. Yet how do these gems, ranking a ten on Moh’s hardness scale, impact the individual lives of millions of people besides coaxing a squeal out of brides-to-be? These colorless, yellow, brown, green, blue, reddish, pink, grey and black minerals are gorgeous in their cut state, but how are these otherwise dull gems recognized and harvested? Furthermore, how and why is bloodshed and violence caused over diamonds in Africa, the supplier of approximately 65% of the world’s diamonds? (Bertoni) The environmental, social, and economic impact of harvesting, transporting, and processing diamonds is crucial because contrary to popular belief, much blood has been spilled over first-world “bling”.
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
Renal and hepatic function tests include creatinine test, blood urea nitrogen (BUN) test, alkaline phosphatase (ALP) test, bilirubin test, and others. Urinalysis includes urine osmolality tests and urine culture tests. The sooner one’s sepsis is diagnosed and managed, the better the chances are one has to survive. There are three identifiable stages of sepsis. The three stages are, in order, sepsis, severe sepsis, and septic shock. The stage of sepsis is achieved when an infection enters the bloodstream and enacts inflammatory responses throughout the body. This stage is not as life threatening as the next two stages but should be assessed and treated for as soon as possible. The stage of severe sepsis is achieved when an infection disrupts the flow of blood to the brain or renal organs resulting towards organ failure. There can be an occurrence of gangrene in the arms, legs, fingers, and toes exhibiting tissue death caused by blood clots. If treatment is not given quickly in this stage then septic shock is bound to occur. The stage of septic shock is achieved when the overall blood pressure drops drastically leading to respiratory, cardiac, or organ failure and likely death This stage demands
Daniels (2011) said that sepsis is one of the leading causes of death in hospital patient worldwide and severe sepsis causes around 37,000 deaths in the UK every year. Czura (2011) has defined it as a life-threatening condition that arises when the body’s response to infection injures its own tissues and organs and sepsis can be present in any patient and in any clinical setting. Based on the learner’s reading, she became aware of the importance of identifying the early inflammatory markers such as temperature less than 36 degrees or more than 38.3 degrees, heart rate greater than 90 beats per minute (bpm), respiratory rate greater than 20 breaths/minute, altered mental state, white cell count lesser than 4g/l or greater than 12g/l and blood glucose greater than 7.7 millimoles for non-diabetic patients. Presence of any two of these will follow further test and if sepsis is indicated then commence the sepsis six care bundle within the hour, contact the doctor and critical care outreach team. The sepsis six care bundle which was developed by Daniels et al (2010) has shown to improve delivery of reliable care across a range of clinical settings which is now used in many UK
Sepsis has gained much focus as a major global health problem. Since 2003, an international team of experts came together to form the Surviving Sepsis Campaign (SSC), in the attempts to combat an effectively treat sepsis. Although, diagnostics and protocols have been developed to identify high risk patients, the need for human clinical assessment is still necessary to ensure a proper diagnosis is made and appropriate treatment is initiated in a timely manner. The use of a highly efficient and experienced team, such as, the electronic Intensive Care unit (eICU) could close the gap from diagnosis to treatment.
In septic patients, increased levels of PAI-1 inhibit plasminogen activator (t-PA), which converts plasminogen to plasmin. Release of fibrin inhibits fibrinolysis by activation of thrombin-activatable fibrinolysis inhibitor (TAFI). In addition, the release of PAF causes platelet aggregation. This combination of inhibition of fibrinolysis, fibrin strand production and platelet aggregation contribute to a state of coagulopathy. This can lead to microcirculatory dysfunction with isolated or multiple organ dysfunction and cell death. Mr Hertz’s coagulation profile showed a fibrinogen level of 5.6 g/L, indicating that coagulopathies were underway in his system.
Many great historical figures of the scientific community have written on the subject of the same perplexing disease over the centuries (Angus, van der Poll, Finfer, Vincent 2013). Sepsis has been given many names, origins, and etiologies. In the 4th century, Hippocrates declared the disease the cause of organic decomposition, wound festering, and swamp gas (Angus et al. 2013). During the 19th century, Louis Pasteur theorized the disease was the outcome of a pathogenic microorganism in the bloodstream, which resulted in a body-wide infection (Angus et al. 2013). In the 21st century, the medical community made a breakthrough with the discovery of the disease’s link to the inflammatory response system and devised a plan of action to combat the high mortality rates among those infected (Angus et al. 2013). According to Hotchkiss, Monneret, & Payen (2013) the effects of sepsis are well documented, while the molecular processes it utilizes are still being explored; however, new studies are helping to expand our understanding of the centuries old disease.
The pathogenesis of septic shock is targeted within the blood vascular system. Bacteremia is the initial invasion, inciting an infection. During an infection, bacteria release endotoxins which “provoke a dramatic response by the body’s immune system” (Wexler). The endotoxins are the most toxic and once dispersed throughout the body, affects one’s arteries and arterioles. Dilation of the arteries and arterioles happen simultaneously with leaking blood vessels. Thus, tissues come in contact with this leaking fluid “lowering intravascular volume” (Wexler). Multiple organs are then vulnerable as a result of hypotension and impaired blood flow, caused by dilation and decreased intravascular volumes.
Sepsis is also called Septicemia and is a poisoning of the blood. This is an attack of bacteria into the bloodstream. Sepsis does not need blood poisoning to occur; it can affect multiple organs or the entire body without it happening. Sepsis is the body’s systematic inflammatory response to a bacterial infection (Jones, 2017). The infection can also have a wound or a chest infection or can be spread throughout the entire body. Sepsis’ definition is “a life-threatening condition that arises when the body’s response to infection injures its own tissues and organs” (McClelland, 2014). Sepsis is a leading cause of hospital admissions and can lead to death in hospital patients worldwide. The death rate associated with
It starts as sepsis then progresses to severe sepsis and then septic shock. In the United States alone there are 751,000 cases of severe sepsis a year with a hospital mortality rate of 28.6% or 215,000 deaths a year. For comparison there are 180,000 deaths a year from heart attacks and 200,000 deaths a year from lung or breast cancer (Nguyen et al). When compared to the numbers for diseases that are talked about every day, it is staggering the impact that sepsis has. Not only is it a lethal disease but it is costly as well. Sepsis took up $16.7 billion in national hospital costs (Nguyen et
Sepsis is defined as a systemic inflammatory response caused by an infective process such as viral, bacterial or fungal (Holling, 2011). Assessment on a patient and starting treatment for sepsis is based on identifying several factors including the infective source, antibiotic administration and fluid replacement (Bailey, 2013). Because time is critical any delay in identifying patients with sepsis will have a negatively affect the patients’ outcome. Many studies have concluded every hour in delay of treatment mortality is increased by 7% (Bailey, 2013). Within this assignment I will briefly discuss the previous practice and the recent practice including the study based on sepsis. I will show what enabled practice to change and I will use the two comparisons of current practice and best practice.
The perception layer includes a group of Internet-enabled devices that are able to perceive, detect objects, gather information, and exchange information with other devices through the Internet communication networks. Radio Frequency Identification Devices (RFID), cameras, sensors, Global Positioning Systems (GPS) are some examples of perception layer devices. Forwarding data from the perception layer to the application layer under the constraints of devices’ capabilities, network limitation and the applications’ constraints is the task of the network layer. IOT systems use a combination of short-range networks communication
The Internet of Things (IoT) is the network of physical objects accessed through the Internet. The Network of interconnected objects harvests information from the environment (sensing) and interacts with the physical world (actuation/command/control), uses existing Internet standards to provide services for information transfer, analytics, applications and communications (Jiong et al. 2012).
The value of diamonds lies on their physical properties that make them suitable for many applications. Natural diamonds are only of high value if they are scarce in nature. Realizing this, De Beers Consolidated Mines was formed to control the supply of diamonds from mines across the world. The diamond market is influenced by mine production, rough diamond distribution, preparation/cutting, and retail markets. The project will be concentrating on the retail markets for diamonds and other high end jewelry.
There are many factors that can affect the management in globalization of business, which are the multinational corporations, the difference in cultures, ethical issue, fair trade and the managerial styles.