Friday, December 27, 2019
Albert Hofmann and the Invention of LSD
LSD was first synthesized on November 16, 1938, by Swiss chemist Albert Hofmann in Sandoz Laboratories in Basle, Switzerland. However, it was a few years before Albert Hofmann realized what he had invented. LSD, known as LSD-25 or Lysergic Acid Diethylamide, is a psychoactive hallucinogenic drug. LSD-25 LSD-25 was the twenty-fifth compound developed during Albert Hofmanns study of amides of Lysergic acid, hence the name. LSD is considered a semi-synthetic chemical. The natural component of LSD-25 is lysergic acid, a type of ergot alkaloid that is naturally made by the ergot fungus, though a synthesizing process is necessary to create the drug. LSD was being developed by Sandoz Laboratories as a possible circulatory and respiratory stimulant. Other ergot alkaloids had been studied for medicinal purposes. For example, one ergot was used to induce childbirth. Discovery as a Hallucinogen It was not until 1943 that Albert Hofmann discovered the hallucinogenic properties of LSD. LSD has a chemical structure that is very similar to the neurotransmitter called serotonin. However, it is still not clear what produces all the effects of LSD. According to a Road Junky writer, Albert Hoffman deliberately dosed himself [after a milder accidental dose] with just 25 mg, an amount he didnt imagine would produce any effect. Hoffman got on his bicycle and rode home [from the Lab] and arrived in a state of panic. He felt he was losing his grip on sanity and could only think to ask for milk from the neighbors to counter the poisoning. Albert Hoffman's Trip Albert Hoffman wrote this about his LSD experience, Everything in the room spun around, and the familiar objects and pieces of furniture assumed grotesque, threatening forms. The lady next door, whom I scarcely recognized, brought me milkâ⬠¦ She was no longer Mrs. R., but rather a malevolent, insidious witch with a colored mask.â⬠Sandoz Laboratories, the only company to manufacture and sell LSD, first marketed the drug in 1947 under the trade name Delysid. Legal Status It is legal to buy Lysergic acid in the U.S. However, it is illegal to process Lysergic acid into lysergic acid diethylamide, the psychoactive drug LSD.
Thursday, December 19, 2019
Economic Decline Of The Zimbabwean Economy Essay - 1339 Words
In this paper I wish to evaluate the economic decline of the Zimbabwean economy as the result of IMF to be specifically from 1990 to 2000. I have based this paper on the research by Asad Ismi, Impoverishing a Continent: The World Bank and the IMF. I will focus much on what the IMF did to Zimbabwe whether Zimbabwe was really made to recover from the crisis or it was actually worsened. Many developing nations are in debt and poverty partly due to the policies of international institutions such as the International Monetary Fund (IMF) and the World Bank. Numerous studies for many years criticize their programs for resulting in poverty. Structural Adjustment Policies (SAPs) is one of the mentioned program the IMF is using in the name of financial aid, debt repayment, economic restructuring and developmental projects. But the way it has happened has required poor countries to reduce spending on things like health, education and development, while debt repayment and other economic policies have been made the priority. The World Bank and the IMF imposed SAPs on developing countries that needed to borrow money to service their debts. The World Bankââ¬â¢s SAPs, first instituted in1980, enforced privatization of industries ( including necessities such as healthcare and water), cuts in government spending and the imposition of user fees, liberalizing of capital markets (which leads to unstable trading in currencies) market based pricing (which tends to raise the cost of basic goods)Show MoreRelatedEssay The Zimbabwe Hyperinflation1454 Words à |à 6 Pages$20 Zimbabwean dollar was the largest currency domination and it was used in 95% of all Zimbabwean transactions. The weakening of Zimbabweââ¬â¢s economy began in 1999 when the economic activities started to decline and public debt started to rise. 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This definition allows us to categorise the nations of the world into three groups based on social, political, and economic distribution. These groups are; the First World, the Second world and the Third world. Political reasons for a lack of development- In the late 19th century, European imperial powers (such as the British Empire) ended up occupying most ofRead MoreWhat Are Poor Governance And Corrupt Leadership Affect The Development Of The Countries1844 Words à |à 8 Pagesthat are susceptible to such influence or control (Cain, 2015:6). Thus, poor governance is a major obstacle for the growth and development of economies, welfare and infrastructure in poor and developing countries (Moore, 2001:386). 3 What is the result of poor governance? Poor governance has many negative effects on a country including corruption, high economic loss and the deterrence of potential investors. The effects of poor governance are dire for a whole country but the results are most felt but
Wednesday, December 11, 2019
Infection Prevention and Control
Question: Discuss about the Infection Prevention and Control. Answer: Introduction The report demonstrates an overview regarding the Health and Disability Service Infection Control Standard (HDSS) (2008) in relation to its implementation of an infection control program regime. The roles and responsibilities of an infection control preventionist at the local district health board (DHB) offering care in a 500 beds hospital setting to devise an appropriate infection control protocol has also been discussed. The description, requirements and relevance of the Standard 3.1 of the HDSS (2008) in the hospital scenario has been specifically mentioned as well. Apart from these, two examples concerning evaluation of infection control program has also been critically discussed in this report. Health Disability Service Infection Control Standard (2008) The Health and disability Services (Infection Prevention and Control) Standards put forward by the New Zealand Ministry of Health proposes the infection control management as part of the Standard 3.1 that encompass a set of systems and structures to be followed by the concerned organization to ensure quality healthcare facility with enough scopes of improvement within the given hospital framework (www.health.govt.nz, 2016). The Standard clearly refers to a manageable environment with the minimum possibility of infections for the patients, service providers as well as the visitors. In order to achieve this desired level of outcomes, the relevant organization needs to fulfill the following criteria (www.health.govt.nz, 2016): Clearly defined duties for infection control and accountability for infection control issues leading to the hierarchic management including the senior authority and the governing body. Explicitly defined reporting lines and frequencies within the organization encompassing the procedures to promptly notify regarding the infection control related matters. Annual review of the properly defined and well documented infection prevention program in the organization. Improvisation of the infection control program in collaboration and communication with the prime stakeholders through proper risk assessment method, information procured through effective supervision and surveillance, trends and pertinent management strategies subjected to approval from the competent authority. In case of dearth of support from the concerned organization, clear instructions related to the availability of the necessary advice and support concerning infection control and prevention, combating outbreak of infectious diseases and microbiological pathogenicities. Depending upon the size and working modality of the organization, recruitment of an infection control team or personnel or committee accountable to the higher management authority and held responsible to monitor the progress of the infection control program. Clear cut defined duties and tasks of the engaged infection control team or personnel or committee. For cases requiring significant modifications related to recruitment of staff and provision of products, equipments, facilities, practices and implementation of novel services, strictly defined procedures for early consultation and feedback from the concerned team or personnel are essential. Patients, service providers and visitors exposed to or susceptible to contagious diseases are to be prevented from further spread of those infectious diseases. Requirement and Relevance of Standard 3.1 within 500 bed Hospital setting Within the set up of 500 beds hospital infrastructure, maintenance of a congenial atmosphere allaying the risk of spreading and contracting infection is imperative to safeguard the health and well being of the patients, care givers and the visitors and foster improved and updated healthcare facility. In this context, the competent authority occupying the management level administration for the smooth running of the hospital is pivotal to conduct and approve suitable infection control program by means of engaging thoroughly trained personnel or infection control team or likewise committee entitled to successfully carry out the proposed program through constant feedback and communication from all ends. Regular supervision and evaluation executed through proper risk assessment protocol, annual review of the undertaken program and identification of the chief stakeholders form the basis of such infection control programs. A 500 bed hospital setting accounts for quite a handful of diseased patients undergoing treatment of varied nature and interventional modes and therefore harbors the risk of contracting nosocomial infections of several types such as blood stream infection (BSI), urinary tract infection (UTI), ventilator associated pneumonia (VAP) and surgical site infection (SSI). Thus development of a suitable infection prevention and control program by the hospital authority in compliance with the established Standard 3.1 is necessary to tackle the situation and plummet the intensity of any possible contractible disease at its inception or outbreak. Role of Infection Control Preventionist in Infection Control Program In the Australian and New Zealand context, the roles and duties of the infection control preventionist has been amended corroborating with the existing policies and guidelines to successfully execute and implement several national strategies for infection combating. Study pertinent to this workforce considers the educational credibility, experience levels and scope of practice among the quintessential attributes to carry out their assigned jobs effectively (Hall et al., 2015). Further recent research in case of the New Zealand domicile suggest the potency of the active, prospective and continual hospital based severe acute respiratory infection (SARI) surveillance fully operational to mitigate the health concerns related to emerging influenza A virus infections and seasonal influenza pandemic (Huang et al., 2014). Moreover, in this regard efforts made by the World Heart Federation (WHF) to carry out a seamless transition from the position statement to a functional plan on the basis o f a foundation laid upon rigorous research, science and measurable improvement indicators to deal with the patients suffering from rheumatic fever (RF) and rheumatic heart disease (RHD) may be mentioned (Remenyi et al., 2013). However comprehending the tasks and duties designated to be performed by the infection control preventionist and professionals, the following jobs have been identified to be of prime importance (Henman et al., 2015). A teamwork oriented approach is generally followed for control and prevention of infection by the infection control preventionist that includes infection prevention and control doctor, infection prevention and control nurse in conjunction with adequate administrative and information and communication technology (ICT) support through following of proper evidence based device associated infection prevention practice (Parriott et al., 2015). Dissemination and Implementation The policy adopted to reduce the risk of acquisition of infection among the vulnerable population of patients, healthcare workers and anyone in contact with the healthcare setting need to be put into effectiveness through surveillance by means of detecting, monitoring and recording the infection in its different stages. In this matter, the competencies of the infection preventionist and nurses have been identified as crucial in performing their roles deftly and implementing strategies to deal with the situation (Gase et al., 2015). Monitoring Compliance and effectiveness of the adopted strategies Congruency in terms of roles and responsibilities performed by the infection control professionals demand frequent and thorough supervision by the concerned authorities of the relevant organization to assess the feasibility of the projected management strategies for infection control thereby ensuring further modifications and alterations as and when applicable. Quality and safety of the adopted measures can thus be safeguarded and timely reporting to the higher authorities of the concerned organizational framework will ensure timely and most appropriate action plan intervention for infection control (Huffaker, 2012). Updating and Review In keeping with the changing trends in the healthcare practice, the mode of information storage and retrieval to document the medical records have simultaneously undergone a rampant modification. Telemedicine and usage of electronic algorithm have gained prominence in the modern era to update the data obtained from various case situations in a periodic manner. At least annual review of the action plan devised in accordance with the data procured from a particular healthcare setting has been suggested as essential to optimize healthcare facility and bring out the best possible outcomes. Education and awareness impart knowledge and training to the infection control professionals to better the service offered by them (Leone et al., 2015). Equality and Diversity The legal obligation to protect against discrimination to facilitate the central theme of equal opportunities for all is propagated through the infection control preventionist roles by means of equality and diversity. The emphasis is laid on the electronic medical records to enhance the efficacy of the infection surveillance regime to ensure accurate documentation and subsequent actions to mitigate the contagious illnesses of varied types in a valid way (Shepard et al., 2014). Infection Control Program Evaluation The infection control program may be evaluated categorically in two distinctive manners including the internal evaluation and external evaluation. The embracing of the internal evaluation to assess the credibility and efficiency of a proposed plan undertaken to tackle the infection related hazards considers the reviews and data retrieved from surveillance. Intermediaries have been opined to be beneficial in promoting evidence based infection control practice under certain contextual situations. Internal evaluation carried out under the supervision of the members of the healthcare team function in a holistic teamwork scenario through data obtained in a passive manner and thus bear the possibility of inflicting biasness in assessing the outcomes of the proposed action plans to mitigate the infections (Williams, Burton Rycroft-Malone, 2013). The rates of occurrence of cross infections and other possible infections are to be detected impeccably by the internal evaluators. Ethical compliance and scientific methodology adoption are the key features of internal evaluation to control and prevent the infectious states and hence act as boosters to escalate the efficiency of the infection control program (Zimerman et al., 2013). External Evaluation The specific evaluation method of external evaluation is generally carried out by some third party healthcare professional who are not directly engaged with the infection control program thereby lessening the chances of bias due to familiarity or suppression of facts whatsoever pertaining to a definite infectious disease condition. The evaluator in charge offers new perspective and insight into the proposed plan, however the lack of involvement and deeper knowledge regarding the plan from its commencement has been found to be a major hindrance in assessing the given scenario. Timely reporting and intervention as a result of the surveillance brought about by the external evaluators culminate in improvising public health care programs, infection control programs and immunization protocols globally (Evans, 2013). Gathering of qualitative information through methodical observational approach achievable through consideration of both the participants and non-participants group through cond uction of interviews, rapport building, examination of the traces and the documents and exploration of more detailed information regarding the causative factor, time and frequency of occurrence and population susceptible to specific infection are the chief tasks of the external evaluators (Posavac, 2015). Conclusion The stringent following and compliance with the Standard 3.1 of the HDSS (2008) ensure a suitable and healthy environment with lesser chances of contracting infection within a given hospital framework for the consumers, health service providers and visitors. The pre defined tasks and responsibilities of the infection control preventionist working in harmony with other healthcare professional and practitioners play a considerable role in mitigating the health related issues due to infection borne out of hospital settings through improvisation and implementation of suitable infection prevention and control plan. Devising strategies to reduce the chances of infectious diseases through proper knowledge of the principles and practices may provide respite to the victims of the infections and ease the task of the healthcare providers (Bennett, Dolin Blaser, 2014). Simultaneous and effective assessment of the infection control programs may be attained through both internal and external eval uation pattern. Approval and monitoring from the competent authorities provide scope for betterment and assessing the effectiveness of the proposed and undertaken projects in case appropriate situations of infection outbreak within a hospital setting. Surveillance, education and training, reviewing and documentation of the available data ensure protection from further infection spreading and curb any possible existing infection. A holistic and collaborative approach from all healthcare professionals involved in the infection control program offers hope of effective infection management strategy through dynamic changes and modifications. Additionally studying of the distribution and the determinants of the diseases and infections through hospital epidemiology might be of surmountable importance in control and prevention of infectious disease (Mayhall, 2012). References Bennett, J. E., Dolin, R., Blaser, M. J. (2014).Principles and practice of infectious diseases(Vol. 1). Elsevier Health Sciences. Evans, A. S. (2013).Viral infections of humans: epidemiology and control. Springer Science Business Media. Gase, K. A., Leone, C., Khoury, R., Babcock, H. M. (2015). Advancing the competency of infection preventionists.American journal of infection control,43(4), 370-379. Hall, L., Halton, K., Macbeth, D., Gardner, A., Mitchell, B. (2015). Roles, responsibilities and scope of practice: describing the state of playfor infection control professionals in Australia and New Zealand.Healthcare Infection,20(1), 29-35. Henman, L. J., Corrigan, R., Carrico, R., Suh, K. N., Team, P. A. S. D., Review, P. A., Team, T. S. D. (2015). Identifying changes in the role of the infection preventionist through the 2014 practice analysis study conducted by the Certification Board of Infection Control and Epidemiology, Inc.American journal of infection control,43(7), 664-668. Huang, Q. S., Baker, M., McArthur, C., Roberts, S., Williamson, D., Grant, C., Mackereth, G. (2014). Implementing hospital-based surveillance for severe acute respiratory infections caused by influenza and other respiratory pathogens in New Zealand.Western Pac Surveill Response J,5(2), 23-30. Huffaker, C. B. (Ed.). (2012).Theory and practice of biological control. Elsevier. Leone, C., Gase, K. A., Snyders, R., Kieffer, P., Hoehner, C., Babcock, H. M. (2015). Agreement of Infection Preventionists(IP) Surveillance Assessments.American Journal of Infection Control,43(6), S4-S5. Mayhall, C. G. (2012).Hospital epidemiology and infection control. Lippincott Williams Wilkins. Parriott, A., Saint, S., Olmsted, R. N., Krein, S. (2015). Associations between Hospital Infection Prevention/control Program Infrastructure and Evidence-based Device Associated Infection Prevention Practices.American Journal of Infection Control,43(6), S3. Posavac, E. (2015).Program evaluation: Methods and case studies. Routledge. Remenyi, B., Carapetis, J., Wyber, R., Taubert, K., Mayosi, B. M. (2013). Position statement of the World Heart Federation on the prevention and control of rheumatic heart disease.Nature Reviews Cardiology,10(5), 284-292. Shepard, J., Hadhazy, E., Frederick, J., Nicol, S., Gade, P., Cardon, A., Madison, S. (2014). Using electronic medical records to increase the efficiency of catheter-associated urinary tract infection surveillance for National Health and Safety Network reporting.American journal of infection control,42(3), e33-e36. Williams, L., Burton, C., Rycroftà ¢Ã¢â ¬Ã Malone, J. (2013). What works: a realist evaluation case study of intermediaries in infection control practice.Journal of advanced nursing,69(4), 915-926. www.health.govt.nz,. (2016). (infection control and management) Standards- Ministry of Health. Retrieved on 30 October 2016, from https://www.health.govt.nz/system/files/documents/pages/81343-2008-nzs-health-and-disability-services-infection-prevention-and-control.pdf Zimmerman, P. A., Yeatman, H., Jones, M., Murdoch, H. (2013). Evaluating infection control: A review of implementation of an infection prevention and control program in a low-income country setting.American journal of infection control,41(4), 317-321.
Tuesday, December 3, 2019
Starbucks Csr free essay sample
Starbucks values and respects the diversity of its culture. [1] Starbucks partners (the employees) are sought out and engaged to create a business environment as diverse as the communities and customers they serve. 1 As evidence to their non-discriminatory practices, Starbucks has earned a 100% rating from the Human Rights Campaigns Corporate Equality Index for the past 4 year. [2] This rating assesses what companies are fair and non-discriminatory towards LGBT employees and potential employees. 2 In addition to non discriminatory acts towards employees, Starbucks is also working to develop diversity within its suppliers, trying to increase business with minority and women owned suppliers. 1 Accessibility Starbucks is working towards making its stores as well as its workplace accessible to all people with disabilities. [3] They are working towards removing all barriers through the lowering of hand-off counters where customers obtain their drinks, and by publishing a braille brochure that is currently only in distribution in US stores. We will write a custom essay sample on Starbucks Csr or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Starbucks is also looking to broaden the inclusion of disabled people into the workplace through the Starbucks Access Alliance, a forum of current partners looking at how operations can change to become more accessible. [4] Environmental Issues Recycling Most of the waste generated by Starbucks stores occurs behind the scenes in the form of cardboard boxes, milk and syrup jugs, and coffee grounds. [5] The success rate of recycling these materials relies heavily on the availability of commercial recycling, which are often less inclusive than residential recycling, or unavailable entirely. Starbucks is working with recycling providers, sorting centres, and local government in major cities to increase and improve the availability of recycling opportunities for commercial companies5, and providing interested customers with complimentary used coffee grounds to enrich the soil of their home gardens. 5 The success of reducing waste from Starbucks cups relies on two factors, customer use of tumblers, and the development of recyclable cup solutions. 5 Starbucks encourages the use of tumblers by offering customers a 10? iscount when they bring in their own reusable cup. 5 Starbucks is aiming to serve 5% of it s beverages in reusable mugs or tumblers by 2015, and is working toward that goal with an increase from 1. 5% in 2009, to 1. 9% in 2011. [6] Customers who plan on staying in store can also request that their beverage be served in a ceramic mug. [7] Customer initiative in the use of reusable options saved more than 1. 5 million pounds of paper from landfills in 2011. [8] Green Stores Beginning in 2011, Starbucks is aiming to build all company-owned stores to achieve Leadership in Energy and Environmental Design (LEED) certification. 8 The goal of obtaining LEED certification is in place to help the company reach its environmental goals and deliver long term operating cost reductions. 8 In the 2011 fiscal year, Starbucks was able to build 75% of new stores to achieve LEED certification. 8 During the construction of these stores 60% less construction waste was generated8 and contractors were required to use minimally toxic methods and practices to improve the air quality of the store. 9] Once open, these stores will require less water and energy to operate8 by using efficient lighting, heating, and air conditioning, Energy Star rated appliances, and water efficient fixtures. 9 While LEED certification only addresses new company-owned stores, Starbucks is continuously looking to improve environmental design practices in all of its stores. 8 Energy Water Consumption Starbucks is working to decrease the energy use and water use in its store by using more efficient practices, appliances, and lighting. Installing LED lighting in it stores, Starbucks is conserving and average of 7% of the energy used before the change. 8 They are working to convert their outdoor signage to LED as well, which would further reduce their electricity use. 8 Although the use of water in their products cant be minimized they are working to minimize the water filtered from their intake by using higher efficiency filter, as well as installing dishwashers and washroom fixtures that are utilize less water. 8 Starbucks is also taking a smaller step by landscaping with draught resistant plants to reduce the need for irrigation. Starbucks acknowledges that they will always require the use of electricity, and so they are also invested in the future of renewable energy. 8 In 2010, Starbucks established the goal of owning owning Renewable Energy Certificates (RECs) equivalent to the power used by all of their stores world-wide. 8 In 2011, the company reached was able to purchase RECs equivalent to 50% of the companies energy use, and also began research into the integration of solar energy to their stores. [10] Customer Relationsh ips Community Service Investments
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