The And The Revolution Of America s New On Our Children...

There’s an issue where the underlying science remains a political football, and scientists are regularly challenged and called out personally. Where energy needs and short-term economic growth are set against our children’s health and future. Where the consequences of bad, short-sighted decisions may be borne primarily by a small subset of under-served and undeserving persons. And where the very descriptive terms in the debate are radioactive, words spun as epithets. We’re not talking here about global warming, and â€Å"deniers† versus â€Å"warmists.† We’re talking about the game-changing new set of unconventional oil and gas extraction technologies and techniques collectively known as hydraulic fracturing, or â€Å"fracking.† Ask the most hardcore†¦show more content†¦The stench of unknown – even secret – chemicals, sickness, and looming illnesses, and death. Refereeing these confrontations is no easy thing, and unlike the â€Å"settled science† of climate change and its causes, the science of fracking is far from settled. But a review of the research can help clarify some of the chief points of contention. If there’s a single source plausibly seen as the fairest, most comprehensive, and cogent assessment, it might be the 2014 literature review published in Annual Reviews of Environment and Resources. It’s titled â€Å"The Environmental Costs and Benefits of Fracking,† authored by researchers affiliated with leading universities and research organizations who reviewed more than 160 studies. Below are the arguments and synthesized evidence on some key issues, based on the available research literature and conversations with diverse experts. Air quality, health, and the energy menu ISSUE: The new supply of natural gas reachable by fracking is now changing the overall picture for U.S. electricity generation, with consequences for air quality. PRO FRACKING: Increasing reliance on natural gas, rather than coal, is indisputably creating widespread public health benefits, as the burning of natural gas produces fewer harmful particles in the air. The major new supply of natural gas produced through fracking is displacing the burning of coal, which each year contributes to the

Who Else Is Misleading Us About Toefl Integrated Writing Essay Samples?

Who Else Is Misleading Us About Toefl Integrated Writing Essay Samples? New Ideas Into Toefl Integrated Writing Essay Samples Never Before Revealed The examiners wish to observe how well you may organize your ideas and express them in English. If a letter should be translated, employ a skilled translator. Like a personal essay, a great recommendation letter is tough to write and demands a particular level of mastery over the English language. As you're reading, take note of the principal points and key provisions, but don't be concerned about writing down everything, since you'll receive the reading passage for a reference as you write. Then you'll have to write about both passages. You'll begin with the reading passage. On the true TOEFL, you will have the reading passage for reference as you write, so it'll be displayed again here. The Definitive Approach for Toefl Integrated Writing Essay Samples Below are a couple of the very best. Sample answers for both tasks are included so that you can acquire an idea about what a fantastic essay appears like. The lecture might incorporate information that isn't regarding the reading. Don't forget to show exactly how it responds to each point it discusses in the reading selection. After reading the passage, then you will listen to a lecture on the identical topic. Then you are going to listen to a lecture regarding the exact topic. For the Independent Writing task, you will get a question on a specific topic or issue. To start with, your focus ought to be on summarizing the principal points of the lecture. Another portion of the test is they offer you a topic or a problem and they make you compose an essay about it. The objective of the TOEFL Integrated essay is to think about the way the reading and listening passages connect to one another. The TOEFL Integrated Writing Task doesn't need to be scary. Integrated means that you want to obey a lecture, than read a passage, then compose a summary what you have learned. For the Integrated essay, you wish to abide by the points you've heard or read. A great prep book can be absolutely the most important study tool you use, and we've got information on all the ideal TOEFL prep books you need to consider. This list of questions appears right on the TOEFL practice website and can show up on your real TOEFL writing test. There are not many full-length mock tests that, to a massive extent mimic the true GRE, and that means you won't wish to waste them. You're able to still get a great score with minor errors. Toefl Integrated Writing Essay Samples Secrets That No One Else Knows About You are going to have access to the reading passage as you do the writing task, and that means you always have the option to look at it one more time while you're writing. Since the Writing section demands multiple abilities, you're going to want multiple study tools to be able to be totally prepared. The following two sections will explain the format and requirements of every one of the writing tasks together with how they'll be scored. Additionally, machine learning can offer predictive campaigns which are most likely to trigger optimistic responses. AI and machine learning can be employed to analyze the massive amounts of information. Whenever you do the writing task, you're the person who decides what things to include. There you go, the TOEFL integrated writing task is really a great deal simpler than it looks, it only takes a little practice If you'd love to get another practise, take a look at the hyperlink below. Toefl Integrated Writing Essay Samples Secrets 1 large thing the graders are trying to find is effective transitions. To find the proper pencil grip for your son or daughter, you can should check in internet catalogs. Some people think that university students should have to attend classes. Many students have trouble thinking of certain examples, but it's a significant part of superior writing. Both are crucial as they function as a foundation for licensure, scholarship programs and even ut ilized in some government bodies. Lots of people who need to attend colleges in the USA take the TOEFL. Others believe that it is always preferable to have a teacher. Students lead busy lives and frequently forget about an approaching deadline. The Good, the Bad and Toefl Integrated Writing Essay Samples Your target will be to present convincing evidence to the reader your position is the proper stance to. Just note the subject, claim and reasons as best as you are able to. The topic is going to be a comprehensive surprise. You should have your reasons, and our principal concern is that you wind up getting a great grade.

Professional Role/Code of Ethic Free Essays

Codes of Ethis on the case of Mr. E Professional Roles and Values Western Governor University State Regulations and Nursing Standards Nursing, as other medical profession, aims at helping and saving the life of other. As much as nurses and physician wants to intervene to prolong a patient life, it’s important to consider patient’s wishes. We will write a custom essay sample on Professional Role/Code of Ethic or any similar topic only for you Order Now Ethically, intubating Mr. E without proper discussion and consideration of his wishes is against his living will. It’s a violation of Provision I of ANA Code of Ethics in respecting patient’s dignity. The nurse also fail to meet the Standards of Competent Performance based on California Code of Regulation, Article 4, code 1443. 5, which stated â€Å" [nurses] acts as the client’s advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the client [†¦]† (p. 70) Implication. According to code 2. 1 â€Å"Primacy of patient’s interest† from American Nurses Association, it’s the nurse’s commitment to respect the uniqueness of each patient, and respect patient’s wishes. Therefore, the nurse is responsible to seek for a solution if patient’s wishes are conflict with others (p. 5). Based on the above codes, the nurse in the scenario must inform Mr. Y about Mr. E’s wish. The nurse also need to assess Mr. Y understanding of risk and benefit of the procedure, so he would have all the neccesary information to make decision. Code of Ethics The Code of Ethics was developed by the American Nurses Association as a framework for ethical guideline. The work serves as a standard in assisting nurses making ethical decision. According to the ANA Code of Ethics,(2001), provision I stated that nurses must treat patient with compassion and respect the patient’s dignity, worth, and uniqueness, regardless of social and economical status, nature of health problem, and person’s attributes (p. 1). In specific, the interpretive statement 1. 4, in which the focus is on patient’s right to self-determination, is appropriate to apply in this scenario. (p. 4) Impact of Code. Code 1. 4 stated that nurses respect patient’s dignity by honor his or her own wishes. Thus, it’s important to inform Mr. Y of Mr. E’s wish as â€Å"do not resuscitate† (DNR). Although Mr. E is mentally challenge, he has his own feeling and perspective on his health status. Moreover, the patient’s mental condition when he signed Advance Directive and Power of Attorney is unclear; therefore, ignoring his wishes is a false assumption and an understatement to his decision-making capabality. As a nurse in this scenario, I would inform Mr. Y of his brother wish on Advance Directive. Ethics of Putting Patient on Ventilator. Putting Mr. E on ventilator based on the niece’s permission is unethical. The decision didn’t make based on patient’s best interest due to Mr. Y unawareness of Advance Directive. In addition, the niece made the decision instead of Mr. Y; therefore, the patient’s Power of Attorney was not followed completely. As the nurse, I would call Mr. Y to explain the situation and the decision of his niece. I would also inform him of the patient’s wishes in the Advance Directive. As an advocate for patient, I would also bring up the patient’s wish to the physican’s attention, and discuss the need to inform both Mr. Y and his niece of the Advance Directive. Although Ms. H doesn’t have Power of Attorney, she plays a role in assisting Mr. Y decision-making since Mr. Y called her for suggestion. Ethics of Authorizing Ventilator. Mr. Y should considers his brother’s wish based on the Advance Directive. Mr. Y should also ask for the risks and benefits of putting his brother on ventilator. As his brother, Mr. Y would want to prolong his brother’s life; however, Mr. Y should take in account of his brother’s desire, quality of life, and the extend of suffering. If Mr. Y doesn’t agree with the Advanced Directives, Mr. Y’s authorization is valid since the Advanced Directives is not fully completed. Analysis of Mr. E’s Advanced Directives Because of Mr. E mental health status, his capabality to make decision is unclear when he signed the Advanced Directives. Moreover, according to EmedicineHealth, â€Å"it’s important that the designated power of attorney knows and understands your [the patient] wishes† (Nabili, 2012). However, family member didn’t sign the Advance Directives, and the involvement of family is unclear. Thus, the appointed Power of Attorney may not know and understand the patient’s wish. The patient and family might not discuss patient’s decision. In addition, when the decision of Mr. Y conflicts with the decision of Mr. E in Advance Directives, the situation becomes very complicated. HIPAA Aside from Mr. E complicated situation, there are major Health Insurance Portability and Accountability Act (HIPAA) violations in the scenario. The physician violated patient’s right to privacy protection by discuss his medical condition and situation to Ms. H in the waiting room, a public place. The information was disclosed to other patients, to Ms. H’s boyfriend, and other non-related health care staff. Moreover, discussing Mr. E condition to Ms. H should be questioning because Ms. H, although she’s the patient’s niece, is not the appointed power of attorney. One of the nurse role is advocate for paient. By not protecting patient’s privacy, a nurse also violate HIPAA. The nurse, although aware of the physician violation, did not intervene to protect Mr. E’s information. Therefore, she could be hold accountable for violation of HIPAA. In this scenario, a nurse commented on ignoring HIPAA. The nurse is not only violated patient’s privacy legally, but also ethically according to ANA Code of Ethics. Besides physician and nurse, the facility is also accountable for HIPAA violation, for the facility did not reinforce the importance of HIPAA with its staff and physician. Professional Conduct As the above paragraphs discuss, the nurse fails to conduct the standard of nursing by ignoring patient’s rights for privacy protection. By stating â€Å"forget it†¦no one pays attention to HIPAA anyway,† the nurse is at risk for violating HIPAA. Beside HIPAA, the cafeteria nurses fail to act as patient’s advocacy by stating â€Å" What difference does it makes? The guy’s got diabetes, ir retarded, and is already in a nursing home. † This nurse violated Provision I in Code of Ethics by ANA in which a nurse cares for patient with compassion and respect regardless of social and economical status, personal’s attribute, and nature of health problems (p. 1). Futhermore, lack of knowledge of Advance Directives is a misconduct of Provision II in Code of Ethics by not â€Å"primacy patient’s interest† and respect patient’s wishes. Steps. To avoid misconduct of professional standard, the nurse in this scenario should talk to the physician in private about disclosing patient information. The nurse first suggests to call Mr. Y and obtain permission to discuss care with Ms. H; then the nurse must inform Mr. Y the Advance Directives as well as assess Mr. Y understanding of risks and benefits of the procedure. Obtaining informed consent from Mr. Y is also a crucial step. If Mr. Y can’t be reach in a time sensitive manner, the nurse should contact the agent that helped Mr. E with the Advance Directive; she can then obtain information related to Mr. E decision-making ability at the time, and inform doctor and charge nurse for decision-making. However, in this scenario, the nurse should notify charge nurse and higher chain of command about the situation and the violation of HIPAA. Ethical committee should be notified to consult for appropriate actions. Regarding her colleagues, the nurse should inform her supervisor, without naming name, the need to orient staff regarding HIPAA, Advance Directives, and reinforce in Code of Ethics. By taking appropriate interventions, the nurse ensures dignity in patient care and maintain respect in work environment. References American Nurses Association. (2001). Code of ethics. Retrieved from http://nursingworld. org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics. pdf California. (2005). California nursing practice act: With regulations and related satutes. Matthew Bender Co. , a member of the Lexis Group. Nabili, S. (2012). Advance directives. Retrieved from http://www. emedicinehealth. com/advance_directives/page2_em. htm How to cite Professional Role/Code of Ethic, Essay examples