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auto essay scoring Jeff Pence knows the best way for his 7th grade English students to white paper improve their writing is to do more of it. But with 140 students, it would take him at least two weeks to grade a batch of their essays. So the school psychologist cover letter Canton, Ga., middle school teacher uses an online, automated essay-scoring program that allows students to get feedback on their writing before handing in white paper writing, their work. It doesn't tell them what to do, but it points out where issues may exist, said Mr. Pence, who says the a Pearson WriteToLearn program engages the lead research paper students almost like a game.
With the technology, he has been able to assign an essay a week and writing, individualize instruction efficiently. I feel it's pretty accurate, Mr. Pence said. Thesis. Is it perfect? No. But when I reach that 67th essay, I'm not real accurate, either. As a team, we are pretty good. White. With the push for students to become better writers and meet the new Common Core State Standards, teachers are eager for new tools to help out. Pearson, which is based in London and New York City, is write about football essay one of several companies upgrading its technology in this space, also known as artificial intelligence, AI, or machine-reading.
New assessments to test deeper learning and move beyond multiple-choice answers are also fueling the demand for software to help automate the scoring of open-ended questions. White Writing. Critics contend the software doesn't do much more than count words and therefore can't replace human readers, so researchers are working hard to improve the software algorithms and counter the hegelian model naysayers. While the technology has been developed primarily by companies in proprietary settings, there has been a new focus on improving it through open-source platforms. New players in the market, such as the paper writing startup venture LightSide and edX, the nonprofit enterprise started by Harvard University and letter, the Massachusetts Institute of paper writing Technology, are openly sharing their research. Last year, the William and Flora Hewlett Foundation sponsored an open-source competition to spur innovation in automated writing assessments that attracted commercial vendors and teams of scientists from around the world. (The Hewlett Foundation supports coverage of deeper learning issues in Education Week .) We are seeing a lot of catchy lead paper collaboration among competitors and individuals, said Michelle Barrett, the director of research systems and analysis for CTB/McGraw-Hill, which produces the Writing Roadmap for use in white, grades 3-12. Letter. This unprecedented collaboration is encouraging a lot of discussion and white writing, transparency.
Mark D. Shermis, an education professor at hegelian essay writing, the University of Akron, in Ohio, who supervised the Hewlett contest, said the meeting of top public and commercial researchers, along with input from a variety of paper writing fields, could help boost performance of the technology. Write About Football Essay. The recommendation from the Hewlett trials is that the automated software be used as a second reader to white paper writing monitor the human readers' performance or provide additional information about writing, Mr. Shermis said. Letter. The technology can't do everything, and nobody is white writing claiming it can, he said. But it is a technology that has a promising future.
The first automated essay-scoring systems go back to the early 1970s, but there wasn't much progress made until the 1990s with the advent of the Internet and the ability to store data on hard-disk drives, Mr. Shermis said. More recently, improvements have been made in the technology's ability to evaluate language, grammar, mechanics, and style; detect plagiarism; and provide quantitative and qualitative feedback. The computer programs assign grades to writing samples, sometimes on a scale of 1 to 6, in a variety of areas, from word choice to organization. The products give feedback to help students improve their writing. Others can grade short answers for content. To save time and money, the technology can be used in various ways on football essay, formative exercises or summative tests. The Educational Testing Service first used its e-rater automated-scoring engine for a high-stakes exam in 1999 for the Graduate Management Admission Test, or GMAT, according to white writing David Williamson, a senior research director for assessment innovation for the Princeton, N.J.-based company. It also uses the technology in its Criterion Online Writing Evaluation Service for grades 4-12. Writing Thesis. Over the years, the capabilities changed substantially, evolving from simple rule-based coding to more sophisticated software systems. And statistical techniques from computational linguists, natural language processing, and writing, machine learning have helped develop better ways of identifying certain patterns in writing.
But challenges remain in paper, coming up with a universal definition of good writing, and in training a computer to understand nuances such as voice. In time, with larger sets of data, more experts can identify nuanced aspects of writing and improve the technology, said Mr. Williamson, who is encouraged by the new era of openness about the research. Writing. It's a hot topic, he said. There are a lot of essay about me researchers and academia and industry looking into this, and that's a good thing. In addition to using the technology to improve writing in the classroom, West Virginia employs automated software for its statewide annual reading language arts assessments for grades 3-11. The state has worked with CTB/McGraw-Hill to white paper writing customize its product and train the engine, using thousands of papers it has collected, to score the students' writing based on a specific prompt. We are confident the scoring is very accurate, said Sandra Foster, the lead coordinator of assessment and accountability in the West Virginia education office, who acknowledged facing skepticism initially from teachers. But many were won over, she said, after a comparability study showed that the thesis accuracy of a trained teacher and the scoring engine performed better than two trained teachers.
Training involved a few hours in how to assess the writing rubric. Plus, writing scores have gone up since implementing the white writing technology. Automated essay scoring is also used on the ACT Compass exams for write football essay, community college placement, the new Pearson General Educational Development tests for a high school equivalency diploma, and other summative tests. But it has not yet been embraced by the College Board for the SAT or the white rival ACT college-entrance exams. The two consortia delivering the new assessments under the Common Core State Standards are reviewing machine-grading but have not committed to it. Jeffrey Nellhaus, the director of policy, research, and design for the Partnership for Assessment of write essay Readiness for College and Careers, or PARCC, wants to know if the technology will be a good fit with its assessment, and the consortium will be conducting a study based on writing from its first field test to paper see how the scoring engine performs. Likewise, Tony Alpert, the writing chief operating officer for the Smarter Balanced Assessment Consortium, said his consortium will evaluate the technology carefully. With his new company LightSide, in Pittsburgh, owner Elijah Mayfield said his data-driven approach to writing automated writing assessment sets itself apart from essay about me, other products on the market. What we are trying to do is build a system that instead of correcting errors, finds the white paper writing strongest and weakest sections of the writing and where to improve, he said.
It is acting more as a revisionist than a textbook. The new software, which is available on an open-source platform, is being piloted this spring in districts in Pennsylvania and New York. In higher education, edX has just introduced automated software to grade open-response questions for essay about me, use by paper teachers and professors through its free online courses. One of the challenges in the past was that the code and algorithms were not public. They were seen as black magic, said company President Anant Argawal, noting the technology is in an experimental stage. Hegelian Model Writing. With edX, we put the code into open source where you can see how it is done to help us improve it. Still, critics of essay-grading software, such as Les Perelman, want academic researchers to have broader access to white vendors' products to evaluate their merit. Now retired, the former director of the MIT Writing Across the Curriculum program has studied some of the devices and was able to get a high score from catchy, one with an essay of gibberish.
My main concern is that it doesn't work, he said. While the technology has some limited use with grading short answers for content, it relies too much on counting words and reading an essay requires a deeper level of analysis best done by a human, contended Mr. Perelman. The real danger of this is that it can really dumb down education, he said. It will make teachers teach students to writing write long, meaningless sentences and not care that much about actual content.
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morality essay this irrepressible sense of freedom, where no one will pay attention of how embarrassing you make act in public. Many of moralities walls have been broken down to white, a point where even religion has any control of peoples behavior. Religion on the other hand as said defines this morality as by what is stated in about football, the ten commandments. He that has not religion to govern his morality, is white writing not a dram better than my mastiff-dog; so long as you stroke him, and please him, and do not pinch him, he will play. Morality can prohibit, encourage, allow, require and discourage actions that can either cause anguish or create gratification. These things are very important. If no one lived with the intention to do anything could for essay about me, anyone else rather than themselves, it would just be an white writing, unhappy place.
In “A Whole Lot of essay about me Cheatin’ Going On,” the author makes a point on how much people cheat for their own well being to make themselves look and feel good. Especially in colleges. No one wants a doctor operating on. focuses on right and wrong behaviour' (Eastwood et al.2006). White Writing? Morality is an individual's perception of right and wrong which may be in disagreement with another individual's perception. Nevertheless, every individual's morality influences the values of the society.
Ethics is the product of those collective moral values of all the individuals in the society (The oracle education foundation n.d). ?The distinction between ethics and morality can be demonstrated by using the analogy of a conversation. humans’ ability to draw their morals from within themselves; he believes that evolution explains morality. Darwin believed that humans are naturally asocial creatures, but through the evolution process, we evolved to be social creatures, which then allowed us to become moral (CITE). According to Darwin, becoming social creatures is the only way to catchy paper, discover our morality, instead of naturally possessing morality, as Christianity suggests. He also proposes the theory of natural selection which states that. here Plato writes a dialogue between Socrates and another person and Socrates solves the problem that Plato proposes. Knowledge plays an important role in paper writing, Plato’s works and it aids in discussing his view on morality and politics, as ultimately knowledge underpins his view of nature, morality and politics. Knowledge for Plato is not about belief or perception; it’s what we know is essay true, as Hare writes, ‘he thought that what we know has to be real.’ (Hare: 1996:p.33) Plato uses forms to understand.
people up to this point, society would not have been able to function, and because of that people would have been directly harmed, a fairly immoral result. Thus, it can be said that not helping is then not morally permissible. White Writing? So, although the essay writing morality of not helping when help has always been refused may in and of itself be open to moral debate, Essay on Everyman as a Morality Play. The Characters in this play are simple but effectively portrayed, and white paper, the play does not lack a noble pathetic quality. Everyman is somewhat different from other Morality Plays although the essay to a circus main features of paper writing these style of plays portrays the battle between virtue and vice there was however no such battle in the play. Catchy Paper? The origins of this play were obscure but it was believed that it resembled the Dutch play Elckerlyc (Everyman) first printed in 1495. Everyman was no doubt a popular play that was. Happiness as it Relates to Morality Essay.
act in an absolutely impersonal way to white paper, achieve the school psychologist cover common good. Through rationally, the philosophers will act to bring themselves and others as near as possible to a moral state, which in turn makes the society happy (Annas 322). The concept of morality, which was earlier defined as principals of right and wrong or conforming to a particular standard, excludes the appeal to self interest. With that in mind, most people are immoral, because we tend to do things that would benefit ourselves (also. I'll go to hell(206) and then rips up the white paper letter of confession. The fact that Huck looked back at write football, his times with Jim before deciding to tear up the letter shows that the decision was obviously made conscientiously through his morals.
Hucks morality has a major effect on the way he treats Jim at Jackson's Island and in his decision to tear up the confession letter to Miss Watson. The manner that these decisions are made shows that Huck does indeed have a good set of morals, which he uses to. The Effect of Morality and Justice on Law Essay. Again they reflect the white writing Ten Commandments. This is what many people will argue when told that morality is not the same as law. Law is concerned with right and wrong, it restrains evil and protects good, isn't this what most people understand morality as? Obviously people aren't going to thesis statements middle school, notice the difference between law and morality if morality is the foundation of many laws in our legal system. Even legal personnel allow their morals to influence them in cases, as was. Faustus as a Medieval Morality Play Essays. ambition can becomes sinful and provokes divine punishment. White Writing? It must be understood that Faustus lives in on a to a, a Christian universe that places limits on the pursuit of knowledge.
The theme of Fate Versus free-will in paper, Faustus is an influence of a medieval morality play by the portrayal of individualism in humans making their own choices which determining their fate. As a result, Marlowe transcends this with his absent God, while Satan’s presence is essay visit to a circus magnified through the impetuous will and desires of Faustus. Does morality need religion? Essay. separation between religion and writing, economics that appears to be a Biblical deviation. In the bible it states, “Good will come to him who is generous and lends freely, who conducts his affairs with justice” (Bible 112:5). This proverb indicates the essence of morality but if interpreted into an economic stand point, it still holds true. In Christianity, the Church provides an school psychologist cover, example of a religion that has been institutionalized and proves to be a powerful influence in white, moral values of many. Today’s society is. Essay Contextualism: Morality and Ethical Judgment. be abandoned if the specific situation calls for it (Christian, 2009, p 380).
With that in mind, a person can justify an assassination if that was the “best possible choice”. On A Circus? On the opposite side, the white paper foundation for the Formalism and Relativism is morality. The decisions we make are based on what the implied natural. Essay about Morality In A Clockwork Orange. experience the same oppression that they place on lead the victims of their acts. White Paper Writing? While in prison, Alex gets a feeling of oppression and lack of choice.
This lack of psychologist letter freedom can spiritually murderous and terribly wrong, and is the reason Alex never strives for morality. Writing? “When a man cannot choose, he ceases to about, be a man” (Burgess, 67) This was the jailer’s interpretation of paper Alex’s situation, and the reason why Alex expresses a feeling that he chooses to be evil, rather than being forced to be good. This is the natural. The Idea of Morality Cannot Work Without the hegelian Existence of God. other than God or the Church, namely society itself, can perpetuate morality. However, one could counter this by pointing out that society may not have been shaped without religion or the existence of God. Some groups argue that Morality does not come from any institution at all but from instinct- instinct to be be positive and instinct to writing, be constructive and not destructive (much of God's morality as we know it centres upon how to on a visit to a, treat others in a positive way but. Effects of War on Morality and Religion of a Person Essay. religious beliefs (Ausenda, 2002). Effects of war on morality The morality of war has become a hot topic in the modern world (Gert, 2005). This is because most people question the morality of war (Gert, 2005). Some nation in the modern society and ancient nations have viewed war as noble and as a form of defense.
Most people in the modern society see war undesirable and morally problematic. Several theories have been established to judge the morality of war (Gert, 2005). Some. David Hume#x27;s Argument on Passion and Morality Essay. Once Hume came to the conclusion that reason could not be the determinate of morality, he needed to convince the reader that passion was. He addresses this topic by reiterating that reason unable to determine morals, but it is white paper writing used to direct the passions that morality requires (Hume, PDF). Model Essay? But, if morals are not induced by reason, where do they come from?
Hume explains that morality must come from the relation of white writing objects, somewhere between internal and thesis middle school, external actions (PDF). Paper? If it was immoral to. Essay about Morality in Graham Greene#x27;s I Spy clandestine deals and surreptitious secrets, and this room is essay on a to a no different. The apprehension is almost as visible as the smoke in this room of shadowy transactions. Imagery, in addition to showing lack of morals, contrasts it by showing pillars of morality and fortitude, Social Contract Theory and writing, the Nature of Society, Rules and Morality. (Reese 534). John Locke said the social contract is made to stop the occasional transgression of natural laws (Encyclopedia 2).
In all its various forms, social contract theory reflects an attempt to understand the nature of society, rules and morality. Lead? http://www.utm.edu/research/iep/s/soc-cont.htm This site provides a good definition of the social. Whistleblowing and Ethics Helplines in the 1modes of Managing Morality Model. Johannesburg, South Africa Tel. +27-11-559-2073; Fax +27-11-559-2095; Mobile +27-82-300-8113 e-mail: email@example.com Based on the model developed by Deon Rossouw and Leon van Vuuren: Rossouw, G.J. Van Vuuren, L.J. (2003). Modes of managing morality: A descriptive model of strategies for managing ethics. Journal of Business Ethics, 46(4), 389-402. 1 2 Introduction World-wide actions for moral reform to moderate the effects of the dark side of white capitalism have been visible in last decade. Essay about Dr.
Faustus: A Morality Play Without a Moral? this struggle of conscience the essay about me Good and Bad angels enter, as they do when Faustus seems in white writing, most trouble or is doubting his decision. This indicates that they are in fact externalisations of writing thesis statements Faustus' conscience and paper, therefore not really part of the morality play structure. There is also ambiguity concerning Mephistopheles and hegelian model writing, the other Devils. Although the lesser devils who appear, such as Banio and Belcher and to a certain extent Lucifer, can be seen as representational, Mephistopheles certainly seems. Thesis and Outline: How Free-Will and Inborn Neurological Hardwiring Influence Morality.
be treated B. Myriad of interpretations C. Punishment—parents play pivotal role 1. Actions that cause it 2. Paper Writing? Types of retribution 3. Severity V. On A Visit To A? Upbringing/Education—decision-making ability (evaluation/thought process—can elucidate one’s morality) A. Ability to recognize concerning situations B. Develop strategy to overcome issue 1. Fully recognize implications a. Who/what is responsible for actions involved 2. Weigh consequences—use alternatives to predict outcomes a. Alternatives. normally applied to persons or actions. In a broader sense, it can be applied to groups or corporate bodies, beliefs, religions, and works of art. To say that, some act is immoral is to say that violates some moral laws, norms or standards. Since morality refers to things that are right, immorality has to do with things that are wrong — like stealing, lying, and murdering. This is a tricky word, because people have their own idea of what's immoral. Paper? We can all agree killing is an about, example of immorality.
Gould’s article is white writing about the ichneumon wasp and how it gets inside another organism and eats away at the inside until it is able to go out into the world and then it kills the organism. Some might argue that this is a moral issue because it deals with life and essay about me, death. White Paper? But in all actualities, the ichneumon wasp and the way it develops are nothing but acts of nature. People cannot control the wasp and about essay, what it does, it just does it in paper, order to survive and reproduce. This would be an example of Darwin’s. Famine, Affluence, and write football essay, Morality Essay. utilitarianism, which is a moral theory according to which welfare is the fundamental human good. This Welfare can be referred to the happiness or well being of individuals (Utilitarianism, 2007). I agree with Singer’s article, Famine, Affluence, and Morality. I think that it’s our moral responsibility to do more to help other. Charity should be our duty not our just something we do half hearted.
I believe that if we possess the power to effect change in the lives of paper writing other and we should do so to the best. The Relationship Between Religion and Morality Essay. religion correlates with morality, how can Gwen’s murder happened in a predominantly Christian community? For my research project, I would like to examine if religion correlates with morality and is religion necessary for morality. Throughout the age of humanity many people have come to believe that one cannot be moral without religion. Even though there is an overwhelming amount of evidence, studies, and research that denies the correlation between religion and morality; the religious community. Nietzche#x27;s Master and essay on a to a circus, Slave Morality Essay. self-denial, modesty, patience and paper, acceptance of one’s fate. Slave morality does not aim for self-ascension or self-gratification. On A Visit? Its aims centre on utility: the reduction of suffering for the greatest number of paper writing people.
It sees evil in the self-aggrandizement and the ruthlessness and violence of the master. Where master morality is for essay, the elite few, slave morality is a value system for the masses. The values inherent in white paper writing, slave morality, not coincidentally, are almost synonymous with Judeo-Christian. The Morality of Lord of the Flies Essay. He established a crude democracy, where everyone had a vote for their leader. This election by majority ensured that more than fifty percent of the boys would grant governance to catchy lead research paper, Ralph, and writing, they were willing to concede some of their freedom for the sake of the group. Like in most democracies, with a majority also comes a minority; minorities are necessary to keep the majority in check by essay about me a natural form of competition. Most were content with Ralph's leadership, but Jack despised him for it. As a.
Christian, Jews, Muslims and others have taken this exclusivist position. Paper? The underlying difficulty is essay about me there is white simply no rational justification for preferring one religion to another. All religions are based on faith, that is, a subjective feeling reflecting a personal preference. If faith is the basis for one’s religious beliefs, then no one religion has any greater claim to truth than another. But from the standpoint of the fundamentalist, articles of faith are magically transformed into universal. Morality and write about essay, Destiny in Othello Essay. Iago first voices his discontent for the general when Othello passes him up for promotion in favor of a more scholarly man, Cassio. His complaints do not fall on paper deaf ears in the character of Roderigo, for Roderigo's hatred of the general already exists.
He is already insanely jealous of this Moor who has captured Desdemona's heart. Iago's destruction of Othello thus begins as an statements middle, insincere bonding with Roderigo and continues to build throughout the duration of the white paper writing performance. . Essay on The Morality of Assisted Suicide. A prescription for a deadly overdose runs about thirty five dollars… the patient won’t consume any more health care dollars”(Marker 46). Whenever the economy was involved there was always a major hill to climb. Writing Thesis Statements? Not to long ago patients were told to come in to white paper, get check ups that were not necessary. All the hospitals and clinics got paid back for everything they did to the patient. Finally, people became smarter and started to say no the unnecessary treatments. Now their income relates to catchy lead research, the. Terrorists seek to achieve higher sensations to white paper, get as much of a public response as possible. “The more devastating the damage, the more inhumane, the more avidly is it sought by strategists, ideologues, and theologians of terror.” (p. 90) Suicide bombings are a life wasted for a cause – real or imagined.
With hostage taking and child warriors, our focus shifts from acts of murder and mass murder to acts that violate human dignity. As hostages and child warriors, human beings are transformed. Essay on Morality and Whistle Blowing. Richard De George argues that whistle blowing is a healthy thing that protects harm. De George restricts his argument to three specific types of whistle blowing: nongovernmental, impersonal, and external. De George states that there are basic moral considerations on when you may be required to blow the whistle (i.e., safety or prevention of harm). External whistle blowing you have to deal with the issue of loyalty versus the prevention of harm and know when to do one over the other.
According. The Morality of Capital Punishment Essay. A world in which each of us is permitted to judge guilt and execute punishment, in which revenge and blood feuds are permitted, is likely to be the one Hobbes described-in which the life of man is solitary, poor, nasty, brutish, and school psychologist cover letter, short(1). It will be a world given over to injustice. When, therefore, the writing state executes a convicted murderer, it is essential that we not think of this as responding to the desires of family or friends of the murderer's victim(s). Essay On A Visit? We are all aggrieved when. Essay on Macbeth: Changin in Morality. Once his. Lady MacBeth heard about the prophecy through MacBeth and wanted him to white writing, take action.In the psychologist cover beginning, MacBeth was skeptical about going out paper writing with the essay about me whole plan. Paper Writing? Lady Macbeth then proceeds to question his manhood by telling him “When you durst do it, then you were a man” (Braunmuller, 1997 2.2.34).Lady MacBeth just showed one of the immoralities she committed. They did not take the blame upon themselves, but instead they choose to lead research paper, smear Duncan’s blood on the chambermaids while they are.
Essay about The Morality of Torture. Therefore, could the topic of torture be seen through a utilitarianism perspective? According to paper, Alan Dershowitz, torture is right when executed through justifiable law, which exceeds completing the letter action unlawfully. Meaning, Dershowitz believes that there should be an writing, issued warrant when wanting to use torture amongst a human being. Dershowitz makes a valid point regarding the legal basis of torture being justified. Essay About Me? However, in my opinion looking at white paper, torture through a legal stance creates a skeptical. The Morality of Assisted Suicides Essay. Why is it accepted that an animal should be relieved of pain by euthanizing it but society still views it wrong to alleviate human suffering? Another argument for thesis middle school, physician-assisted suicide is a large number of citizens believe the right to have a physician-assisted death should be a personal choice and that is white paper writing why some states have already legalized it.
According to essay about me, the Associated Press (2007), More than 68 percent of Americans believe there are situations when a patient should be allowed to die Morality and Punishment of Criminals Essay. Therefore, those inducing punishment on individuals do not make an ethical decision to do so, but rather carry out a pre - determined action under the illusion of having free will. It is irrational to talk of our 'rights.' In a sense sociological and psychological studies support the white paper hard deterministic view by investigating the subconscious and looking for essay about me, motivations for our actions. However, such studies may be rejected as unscientific and white writing, subsequently unreliable. A counter argument to that could be that several couples as well are not responsible enough, do not have the maturity/financial means/family support, etc that are necessary to raise a happy healthy child, so they try to be ‘safe’ when engaging in sexual activities but end up pregnant and cannot ‘handle’ a child so they have an abortion. Some would believe that abortion is a better alternative than to give the essay on a visit to a child an improper upbringing. I can understand the logic behind such a statement, a concern. Essay on Power, Morality, and Terror.
There is little doubt that many Muslims have genuine grievances against the US and that our hands are by no means clean. Even well-founded complaints such as these do not justify the white paper taking of innocent civilian lives, but they do give us insight into what drives a person to catchy research, terrorism and, as we shall see later, may give us insight in paper writing, effectively fighting terrorism. A second question we must ask ourselves as we attempt to understand the mind of a terrorist is: could it be that the dominant state’s. Morality of Disobeying Laws Essay. However, now that he is on the other side of the laws, it doesn’t mean that it is time to essay to a circus, start disobeying them. After all the laws have done for him, why should he turn his back and defy them? After all, it wasn’t the laws that have wronged him, but his fellow men.
He finishes his arguments with the Laws speaking to paper, him explaining why he should obey them and not do as Crito requests. In “Letter from Birmingham Jail,” King is responding to a statement that called his actions, “unwise and. Morality in Uncle Tom#x27;s Cabin Essay. Many of hegelian writing Shelby's slaves on the plantation also risked their safety in accordance to assist Eliza and Harry. While retrieving the writing horse to write, be ridden by Mr.
Haley, a beechnut was placed under the saddle, so when sat upon, a great annoyance would be caused to the horse. The two slaves assigned to white paper, aid Haley in his search also did their part to essay, help the fleeing mother and child by leading him across stray paths that they didn't think Eliza and Harry would have traveled. Paper? Through this aid, Eliza was. Essay on The Ethics and psychologist, Morality of Eugenics in Society. Also, it will show that we have a semblance of eugenics already within our society that is subtly promoted by politicians. Source 1 and 2 have common ground in writing, that they show how certain groups are being affected by eugenics, with source 1 discussing the disabled and source 2 discussing minorities and the decrease in discrimination. Source 2 -Eugenics and Economics in the Progressive Era, written by Thomas C. Leonard. This source will be helpful in cover, my essay because it comments on race in the scheme. Morality of Animal Testing Essay example. That money could have been used to try to white writing, find treatments through another, more humane way.
Likewise, the military also uses animals for testing. Since 1971, the National Cancer act has wasted billions of dollars looking for the cure for cancer. The major reason they have not found the cure is because cancer in animals develops and progresses different from it does in humans. Apart from animal testing being expensive, the tests are often unreliable. Results from testing on an animal can not always.
Physician Assisted Suicide and Morality Essay. The United States federal government prohibits euthanasia because it is considered to school psychologist letter, be general homicide but there are no laws concerning assisted suicide because those are generally dealt with at a state level (ProCon.org, 2014). In the United States, only four states have legalized PAS – Montana has legal PAS via a court ruling and Oregon, Vermont and Washington have legalized PAS via legislation. The option is not open to the general public but the legislation has made eligibility requirements. Justice and Morality in writing, Plato#x27;s Republic Essay. However, Plato fails, throughout the dialogue, to explicitly justify this unusual and write essay, complex formula.
But he clearly believes that people do act against their own immediate interests for white paper, the sake of justice, and for essay, the sake of the good of the white paper civic community as a whole. He does not think that the only motive for acting justly is to increase one's own happiness. Plato recognizes that a tension between duty and self-interest is certainly conceivable; that duty and self-interest are two independent. Antigone: the Obedience of One#x27;s Morality Essay. It is human nature to catchy, fear death, and this overwhelmed Peter's desire to adhere to all godly laws.
Such was not Antigone's case; no doubt ever entered her mind as to what she was to do. Antigone is an almost superhuman example of writing steadfastness and hegelian writing, control. While someone under similar circumstances might decide to defy Creon, as Antigone did, few would not be unnerved by the barrage of obstacles hurled at paper, Antigone. The only catchy lead research person she let into her confidence, Ismene, her only possible source of. Essay on Justice and Morality in Plato#x27;s Republic. If we make errors of judgement with respect to white writing, justice and the collective good, then we will also be in catchy lead research, error when we make decisions about white how we ought to act in catchy, relation to other people, and it is this which comprises the foundation of the moral life.
Our moral judgements will be defective, precisely because those judgements are not grounded in writing, what is truly just. We may therefore act in accordance with only the essay about me appearance of justice unless we have a clear and distinct understanding of the reality. Terrorism and Morality by white paper writing Haig Khatchadourian Essay. In proving that terrorism is always wrong, Khatchadourian first eliminates the essay about me idea that ‘freedom fighting’ as a form of terrorism is morally ethical. Khatchadourian states that this form of terrorism, though it is for a suspected good cause, participates in the “maiming, killing or coercing of non-innocents,” as a non-innocent is a person who is white paper writing directly related to the injustice in writing statements, which the terrorist seeks to avenge (293). Therefore, if this type of terrorism is ethical then “considering political.
Morality in white writing, the Judicial Process Essay examples. Depending on psychologist cover the academic school they find convincing, a justice’s understanding of the paper same clause of the constitution might be starkly different. Another choice the writing thesis justice can make is to apply a legal philosophy. For example, a justice might choose to prefer upholding existing precedent rather than overturning it by a new argument – the doctrine known as ‘stare decisis.’ A justice might also show deference to white, the judgment of the legislature, applying a presumption of constitutionality to a questioned.
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Data Collection Toward a 100 Percent Knowledge Rate. Bless Vaidian, Director, Career Counseling for Pace Career Services – Westchester, and Founder, Career Transitions Guide. Is a 100 percent knowledge rate possible with a first-destination survey? That’s to be determined each year and paper with each effort. Due-diligence requires universities to extend maximum effort to try to achieve a 100 percent knowledge rate for all our students. The task of lead research, collecting and writing reporting data is a huge undertaking trusted to many career offices.
Whether you are trying to meet the NACE deadline for data collection or your own office deadline, creating a systematic approach and incorporating “best practices” into your labor makes capturing career outcomes more manageable. Its essential to be able to analyze data with ease, as well as know ahead of time what questions to include in your outreach attempts to students. Follow the suggestions outlined by NACE in your database fields and match it to school letter, your first destination surveys. Bring in your school’s technology department to help create the database, as well as the electronic surveys that capture the responses fed into writing, it. Once that’s done, a time line for when, where, and how you will collect data can be drawn out. Cap and Gown surveys, employer surveys, surveys to the campus community, classroom visits, social media searches, follow-up student surveys, calls and e-mails have to catchy lead research paper, be systematically laid out on a timeline. Learn assessment best practices by white writing, attending conferences and paper events to know how others are capturing information. Make sure you use the NACE links on the topic and talk to white, Ed Koc, NACE’s Director of Research, Public Policy, and Legislative Affairs or his great team if you have questions. Koc is offering a webinar on the first-destination initiative in early January for NACE members. A solid foundation and model essay plan of action will serve you well in the long run. If the white, college community knows that career outcome information has to be sent to a designated individual within their school, then more outcomes can be captured.
Often university staff members possess career outcome information and never pass it onto psychologist cover career services. White Paper Writing. The human resources and admissions departments within your school may have first-destination information on numerous students who were hired or went onto graduate school at your institution. The designated point person should monitor the first destination survey numbers, solicit information from university sources consistently, and create a strategy for letter follow-up with graduates. White Paper Writing. It takes many people, numerous efforts, and essay about me even call-centers to capture data for bigger schools. But designate an expert to white writing, manage the whole process, set the timeline, and be the school, “face” of the initiative in order to paper, drive the results. It’s Not a Career Services Issue, It’s a University Issue. Helping students find opportunities and creating a path for successful outcomes is not just a career services goal. Higher education is a partnership of many units working collaboratively to football essay, ensure retention and white paper capture every student’s career outcome. Long before first-destination surveys go out, building relationships with the campus community is where data collection really starts for essay about me career services. Meetings with the white paper, university community to build bridges, foster relationships, and school psychologist outline the process is crucial. White. Students share career outcome information with professors, academic advisers, financial aid representatives, leaders of student organizations, and college staff.
These sources become vital in the collection process and have to catchy research, be included in the journey. It is essential to make survey efforts and progress visible to white paper, the campus community. Every dean, faculty member, and university staff member should know what the career office does. Career outcome and knowledge rate information should be displayed in infographics, charts, and middle reports on a regular basis with college partners. If others understand what goes on writing behind the scenes and where the numbers are, then they will be more apt to assist with first-destination information. Thesis Statements School. It also keeps departments interested and looking forward to the next update. Universities that promote, encourage, or even mandate attendance at career service events and one-to-one meetings with a career counselor can create more successful outcomes. Students that have worked with career offices feel more comfortable sharing career outcomes, and white should be told that post-graduate follow-up will take place after graduation. Career services also helps students find pre-professional experience through internships that build resumes and essay about me lead to full-time offers. They offer networking opportunities with employers and alumni that have job leads every semester. Increased student engagement with career centers increases the “knowledge rate,” and also increases “outcomes.” Its a simple formula.
Multiple out-reach efforts to capture information throughout the white, year are made to essay on a, graduating seniors, college partners, and employers to track career outcomes. I would love to hear your school’s best practices and ideas to reach that “100 percent knowledge rate.” Wishing each of you success in white paper reaching your university’s goal and capturing outcomes. The Assessment Diaries: Quick and Qualitative. Some of the assessment activities I have shared take time to develop (like the Pre/Post Dining Etiquette Survey) and/or require staff buy-in, training and socialization (like the Resume Rubrics). On A Visit. Just last week, I decided super last minute that I wanted to white paper writing, assess a networking presentation for international students…last minute, as in, 20 minutes before the event. This exercise is proof that assessment doesn’t have to catchy research paper, take hours and hours of your time —sometimes a quick pre/post writing exercise can give you insight into what needs to be changed about a program.
I need to writing, invoke my earlier reminder that I promised to be honest when sharing my experiences with assessment, and psychologist letter this post is paper no different. I’d like to write football essay, say I was happy with these results, when instead I was disappointed to find that I probably assessed the paper, wrong learning goal . I started with the fact that I wanted students to gain a more nuanced understanding of networking. Write About Essay. Here’s what I did: Twenty minutes before the presentation I grabbed some colorful paper—yellow would be used for my pre-assessment and pink for white paper writing the post assessment. This color choice was not at all based on any carefully planned and research-supported theory that bright paper makes people happy; in middle fact, I did it to make sure I could keep the two “surveys” separate. At the beginning of the event, I asked the students to spend two minutes writing about networking. It could have been their definition of networking or just words that come to mind; grammar and complete sentences not necessary. I then did the same thing at paper, the end of the event. I could have just looked through and summarized key trends from hegelian model each sample, but I decided to get fancy, transcribe the white paper, text, and enter it into Wordle , a tool that generates word clouds. Here’s the Pre-Workshop Wordle.
While the results show that I focused on the importance of relationships, I don’t think I can claim that students gained a more in-depth understanding of networking. What I did learn is that it seems like students already had a handle on the definition of networking , so perhaps I needed to assess their comfort level actually knowing how to network! While this wasn’t the psychologist letter, most successful assessment attempt, I do think that it can be great when you are trying to paper writing, compare students’ knowledge of more difficult to assess topics (think professionalism, diversity, self-awareness). NACE Flash Poll: Is “Career” in essay about me Your Institution’s Curriculum? NACE Ambassador Kevin Grubb. One of the latest trends in career services is the establishment of a career or professional development class embedded into curriculum. Courses may be required, optional, for credit or non-credit bearing. With the importance of career outcomes rising for colleges and universities, this is a new possible solution for white paper writing providing career education to all students. NACE blog readers , is catchy lead “career” in your institution’s curriculum? Share your answer in this poll and writing tell us about your career course in a comment. What do you teach and how do you do it?
For more information on about football essay this topic, check out NACE’s Career Course Syllabi. The Assessment Diaries: Rubric Roundup. I recently wrote about the white paper, problem with asking students to assess their own learning. In a nutshell—studies show we are not able to accurately measure our own learning and that we even tend to overestimate what we have learned. This concept can definitely be applied to resumes. Even the best resume presentation or one-on-one review isn’t always enough to really teach students what makes an excellent vs. just an OK resume. We already know this anecdotally—when students come back for two, three, or four reviews and haven’t yet mastered some of the basics it demonstrates just how complex marketing yourself on paper can be.
Thus, we cannot use students’ self-reported learning after these events or meetings as evidence that they really learned. As career services professionals, we could critique resumes in our sleep. Catchy Paper. I know I’ve easily reviewed thousands of resumes in white writing my five short years working in about football essay career development! For this reason, when we want an accurate understanding of how well our students are marketing themselves via their resumes it makes more sense for us as experts to evaluate them. Enter resume rubrics. Rubrics are a way to standardize the writing, way we define and measure something. They also make our evaluation techniques more transparent and clear to students and can be a useful tool in essay writing training new staff members. When I started developing a rubric for NYU Wasserman, I found it extremely helpful to paper, look at examples from NACE and other schools. I then created a draft and essay writing brought it first to my assessment team and then to white writing, staff as a whole for feedback. Statements Middle School. Several revisions later, we had a document that made explicit what we look for in a resume. White. More specifically, we defined what makes an catchy lead paper, excellent resume vs. a good resume vs. one that needs improvement.
Once you have your rubric, you can track and white report on how your students are doing as a whole (or by class year, major, etc.). If you have enough time and patience, you can also follow a student’s progress over essay on a visit to a circus time or after a specific resume intervention. For example, evaluate a student’s resume before a workshop and then encourage them to come back with changes and evaluate it again. Did they improve? Which topics were still difficult to grasp? Might you need to white paper, spend more time addressing those during the workshop? Below you will find some examples of resume rubrics that I have found helpful, as well as the essay about me, rubric we use at NYU. Do you use rubrics at your institution? If so, please share them in the comments section! NACE ( Resume ), ReadWriteThink ( Resume and paper Cover Letter ), Amherst Career Center ( Resume ), Illinois State ( Resume ), Liberty University ( Online Resume ) Don’t miss “The Mystery of the catchy paper, Resume Writing Assessment” Part 1 and white paper writing Part 2. The Assessment Diaries: The Mystery of the Resume Writing Assessment (Part 2)
When we last left off, you were shocked at the fact that your post-resume writing seminar survey results could have been so misleading. Students reported to have learned the basics of resume writing but, when you followed up with an in-person meeting with one of your attendees, it was obvious that the tips and guidelines you provided were not applied. Have you ever created or taken a survey with a question or questions like the ones below? This seminar improved my understanding of hegelian writing, resume writing basics: Strongly Disagree/Disagree/Neutral/Agree/Strongly Agree. I learned something from this seminar:
As a result of this seminar, I now understand what employers look for in a resume: Strongly Disagree/Disagree/Neutral/Agree/Strongly Agree. What is the problem here? Well, if you are simply looking for evidence that students believe they have learned something from your event there is no problem at all. But, if you are trying to white writing, collect evidence that students actually learned something well then ….. Why? Because studies show* that students are not able to accurately measure their own growth or learning. Not only do they incorrectly estimate growth, they tend to overestimate it. It makes sense, right? If someone asks you after a presentation or a class if you learned something, how do you really know if you did?
As a result of this, we cannot use students’ self-reported growth as evidence of growth. Instead, we have to utilize other assessment methods to really prove they learned something. Writing Middle. How? By doing a pre- and white paper writing post-assessment of student knowledge (like I did for our etiquette dinner) and comparing results, or coming up with a standardized way to evaluate resumes (via a rubric) and look at the change over time. Last year, one of our learning goals was to ensure that students were learning career- related skills like resume writing.
We did away with our post seminar surveys and lead paper instead created resume rubrics to white paper, use with students. Football Essay. I’ll be sharing that experience in my next few posts, along with helpful resources if your office is look to white, create your own resume rubrics! *Thank you to Sonia DeLuca Fernandez, our Director of Research and write about essay Assessment for Student Affairs, for this article that can be found in Research and Practice in Assessment, Volume 8.
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10 Free Business Plan Templates for Startups. Business plans can seem daunting to someone who has never written one. The business idea itself might be fairly simple to explain, but if you want to apply for a loan, raise investor capital, or simply have a solid, documented direction for your company, you#39;re going to need to write a business plan. Luckily for entrepreneurs, there are templates out there that allow you to plug in all of the paper information, instead of school psychologist letter, struggling with formatting and figuring out what you need to include. There are web-based business plan tools, but you may find it easier to use Microsoft Word and PDF-based templates. Here are 10 free templates you can download and use to create your first business plan. [See Related Story: The Dos and white writing Don#39;ts of Writing a Great Business Plan] Bplans.com, known as the authority on business plans, offers a free Word business plan template, complete with instructions and a table of essay, contents.
It also offers standard business plan sections such as executive summary, company summary, products and services, market analysis, strategy, management summary, and financial planning. Once you register, you will be able to download the materials and choose from paper writing a wide range of businesses in different industries in writing middle, which to base your plan. Whether your business is online, service-based, or a food establishment, Bplan#39;s Word business plan templates are comprehensive and are a great option for beginners and new business owners. Entrepreneur.com provides business tools, with a collection of business plans free in PDF, PowerPoint and Word. The templates can be viewed can downloaded through the SeamlessDocs platform. The site includes a template for a variety of specific business types, a business plan model that outlines the white writing different parts of visit to a circus, a business plan, and customizable templates that allow users to white, add their logos and business information. Catchy Lead? If you need a guide to writing a business plan, Entrepreneur.com also provides a download for that. This step-by-step business plan builder, offered by Law Depot, covers structure, product marketing, SWOT (strengths, weaknesses, opportunities, threats), operations, and paper writing details specific to your business in about, their templates. Once the template is complete, you can download and print. White Writing? The plan builder asks specific questions to help focus your answers and write about football makes your business plan concise and comprehensive. MOBI, or My Own Business Institute, is paper writing part of Santa Clara University#39;s Center for Innovation and Entrepreneurship.
They offer a fifteen-section business plan template, including the business profile, licenses/permits and thesis location, which are available for free download in Word as individual templates, or as a larger all-in-one document. All download are compatible with current and older versions of white paper writing, Word (2003 and earlier). MOBI also covers topics associated with startups, but also provides information on how to school cover letter, run a business, including employee management, how to handle problems, and e-commerce. Office Depot#39;s Business Resource Center contains free business plan samples for retailers, manufacturers and service providers. The business tools include downloadable rich text format (RTF) business plan templates, which is Word compatible. Excel business plan financials are also available for white writing manufacturers and service providers, while the retailer business plan template is complete with forecasting and financial tables, but this requires Microsoft Word version 6.0 or later. Catering to thesis statements middle school, businesses owned by women, Oprah.com#39;s free one-page business plan templates can be used by white paper writing, anyone who wants to start a business. The PDF templates come filled in with example information for small consulting businesses, boutique clothing stores and nonprofit organizations, but you can delete that information to be left with a template that works for any business venture. School Psychologist? The template has space for information such as vision, mission statement, objectives, strategies and action plans. When you create a free business plan with Rocket Lawyer, you get the white advantage of an attorney#39;s advice to make sure your document is legally sound. The template is questionnaire-style and psychologist asks for key information about your business such as founders, structure and industry, marketing plans, financial projections, etc.
Rocket Lawyer not only aims at helping you create a blueprint for paper writing your business, but also for psychologist investors. Your completed document is available for download as a Word document for free with a trial subscription, which can be cancelled during the one-week trial period at no charge. Writing? The document is $10 on its own without a subscription. Model Essay Writing? SCORE is a small business resource website that aims to help entrepreneurs launch and grow small business across the United States. Their collection of business planning tools includes free Word business plan templates for startups and established businesses.
They also provide a sales forecasting template, competitive analysis charts to determine your business#39; strengths and weaknesses, and financial planning templates such as startup expenses, profit and loss projections, and financial statements. Paper? You can then use these business templates to meet with a Score mentor for expert business planning advice. The Small Business Administration (SBA) offers an online business plan template and guide to help you build your business plan, step by step. Once you create an account, you complete the cover page by school cover, filling in your company name, owner name and contact information, and then upload your logo. There are six business plan sections to white paper writing, choose from write essay (Executive Summary, Company Description, Market Research, Product/Service Line, Marketing and Sales, Financial Projections), and you can save and work on your file anytime you want. The $100 Startup#39;s One-Page Business Plan. Looking for a no-fuss business plan template that gets straight to white paper, the point? The $100 Startup, a New York Times and hegelian model writing Wall Street Journal best seller, offers the paper writing One-Page Business Plan, a simple form that asks several questions you can quickly answer to get up and running. This free business plan template covers everything from your business overview to write about, finances, marketing, goals and challenges. Other resources that The $100 Startup offers include a one-page consulting business plan, one-page marketing plan, product launch guide and more. Additional reporting by Sara Angeles and Marci Martin.
Editor#39;s note: If you#39;re looking for information to help you with business plan services, use the questionnaire below to white writing, have our sister site provide you with information from a variety of vendors for writing middle school free. White Paper Writing? Jennifer Post graduated from Rowan University in 2012 with a Bachelor#39;s Degree in Journalism. Having worked in essay on a visit circus, the food industry, print and online journalism, and marketing, she is now a freelance contributor for white paper Business News Daily. When she#39;s not working, you will find her exploring her current town of Cape May, NJ or binge watching Pretty Little Liars for the 700th time.
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Case Study: A Patient With Type 2 Diabetes Working With an Advanced Practice Pharmacist to paper, Address Interacting Comorbidities. Advanced practice pharmacists in the field of diabetes work collaboratively with patients’ medical providers, often in primary care settings or in close proximity to the providers’ practices. They help to integrate the statements middle school pharmaceutical, medical, education/ counseling, and direct patient care activities necessary to meet patients’ individual self-management and writing, diabetes care needs. Patient education and self-management behavioral change are underpinnings of pharmaceutical care, and not only essay about me as they directly relate to white, the use of medications. Lead Research Paper. Pharmacists, especially those who are certified diabetes educators (CDEs), frequently provide diabetes patients with education not only on medications, but also on the overall disease state, nutrition, physical activity, decision-making skills, psychosocial adaptation, complication prevention, goal setting, barrier resolution, and cost issues.
In addition to paper writing, these substantial education responsibilities, advanced practice pharmacists who are Board Certified–Advanced Diabetes Managers (BC-ADMs) play an expanded role that encompasses disease state management. This includes performing clinical assessments and psychologist cover letter, limited physical examinations; recognizing the need for additional care; making referrals as needed; ordering and white paper, interpreting specific laboratory tests; integrating their pharmacy patient care plans into patients’ total medical care plans; and entering notes on patient charts or carrying out other forms of written communication with patients’ medical care providers. Depending on state regulations and physician-based protocols, some advanced practice pharmacists can prescribe and adjust medications independently or after consultation with prescribing clinicians. The clinical activities of BC-ADM pharmacists are not carried out independent of on a visit circus referring, collaborative practitioners. Rather, they are complementary to and serve to enhance the diagnostic, complex physical assessment, and white, management skills of medical providers. The following case study illustrates the hegelian pharmacotherapeutic challenges of diabetes with other comorbidities, which can lead to potential drug-drug and drug-disease interactions. Although it does not offer detailed solutions to such problems, this case does describe the process of patient care and problem resolution as approached by advanced practice pharmacists. B.L. is a 58-year-old white woman who has been referred to the pharmacist clinician for paper writing pharmacotherapy assessment and diabetes management. Her multiple medical conditions include type 2 diabetes diagnosed in 1995, hypertension, hyperlipidemia, asthma, coronary artery disease, persistent peripheral edema, and longstanding musculoskeletal pain secondary to essay visit to a, a motor vehicle accident. Her medical history includes atrial fibrillation with cardioversion, anemia, knee replacement, and multiple emergency room (ER) admissions for asthma.
B.L.’s diabetes is white paper writing currently being treated with a premixed preparation of 75% insulin lispro protamine suspension with 25% insulin lispro preparation (Humalog 75/25), 33 units before breakfast and 23 units before supper. She says she occasionally “takes a little more” insulin when she notes high blood glucose readings, but she has not been instructed on the use of an football essay, insulin adjustment algorithm. Her other routine medications include the fluticasone metered dose inhaler (Flovent MDI), two puffs twice a day; salmeterol MDI (Serevent MDI), two puffs twice a day; naproxen (Naprosyn), 375 mg twice a day; enteric-coated aspirin, 325 mg daily; rosiglitazone (Avandia), 4 mg daily; furosemide (Lasix), 80 mg every morning; diltiazem (Cardizem CD), 180 mg daily (per cardiologist consult); lanoxin (Digoxin), 0.25 mg daily (per cardiologist consult); potassium chloride, 20 mEq daily; and fluvastatin (Lescol), 20 mg at bedtime. Medications she has been prescribed to take “as needed” include sublingual nitroglycerin for chest pain (has not been needed in the past month); furosemide, additional 40 mg later in the day if needed for swelling (on most days the additional dose is needed); and paper, albuterol MDI (Proventil, Ventolin), two to four puffs every 4–6 hours for shortness of breath. Essay On A Visit To A. She denies use of nicotine, alcohol, or recreational drugs; has no known drug allergies; and is up to date on her immunizations. B.L.’s chief complaint now is increasing exacerbations of asthma and the need for prednisone tapers. She reports that during her last round of prednisone therapy, her blood glucose readings increased to the range of 300–400 mg/dl despite large decreases in paper, her carbohydrate intake. She reports that she increases the frequency of essay about me her fluticasone MDI, salmeterol MDI, and albuterol MDI to white paper writing, four to hegelian model, five times/day when she has a flare-up. However, her husband has been out of work for more than a year, and their only source of income is her Social Security check. Therefore, she has been unable to purchase the fluticasone or salmeterol and so has only white paper been taking prednisone and albuterol for recent acute asthma exacerbations. B.L. On A. reports eating three meals a day with a snack between supper and bedtime.
Her largest meal is supper. She states that she counts her carbohydrate servings at each meal and is “watching what she eats.” She has not been able to paper writing, exercise routinely for several weeks because of bad weather and her asthma. The memory printout from hegelian model essay her blood glucose meter for the past 30 days shows a total of 53 tests with a mean blood glucose of 241 mg/dl (SD 74). With a premeal glucose target set at 70–140 mg/dl, there were no readings below target, 8% within target, and white, 91% above target. By comparison, her results from the same month 1 year ago averaged 112 mg/dl, with a high of writing 146 mg/dl and a low of 78 mg/dl. B.L. is paper writing well-appearing but obese and is in no acute distress. A limited physical exam reveals: Weight: 302 lb; height 5?1?
Blood pressure: 130/78 mmHg using a large adult cuff. Pulse 88 bpm; respirations 22 per essay about me minute. Lungs: clear to auscultation bilaterally without wheezing, rales, or rhonchi. Lower extremities +1 pitting edema bilaterally; pulses good. B.L. Paper. reports that on the days her feet swell the most, she is thesis active and in an upright position throughout the day.
Swelling worsens throughout the paper writing day, but by the next morning they are “skinny again.” She states that she makes the decision to take an extra furosemide tablet if her swelling is excessive and painful around lunch time; taking the diuretic later in the day prevents her from sleeping because of nocturnal urination. For the sake of brevity, only abnormal or relevant labs within the past year are listed below. Hemoglobin A 1c (A1C) measured 6 months ago: 7.0% (normal range: 5.9%; target: 7%) Creatinine: 0.7 mg/dl (normal range: 0.7–1.4 mg/dl) Blood urea nitrogen: 16 mg/dl (normal range: 7–21 mg/dl) Sodium: 140 mEq/l (normal range: 135–145 mEq/l)
Potassium: 3.4 mg/dl (normal range: 3.5–5.3 mg/dl) Calcium: 8.2 mg/dl (normal range: 8.3–10.2 mg/dl) • Total cholesterol: 211 mg/dl (normal range 200 mg/dl) • HDL cholesterol: 52 mg/dl (normal range: 35–86 mg/dl; target: 55 mg/dl, female) • LDL cholesterol (calculated): 128 mg/dl (normal range: 130 mg/dl; target: 100 mg/dl) Initial LDL was 164 mg/dl. • Triglycerides: 154 mg/dl (normal range: 150 mg/dl; target: 150 mg/dl) Liver function panel: within normal limits. Urinary albumin: 30 ?g/mg (normal range: 30 ?g/mg) Poorly controlled, severe, persistent asthma.
Diabetes; control recently worsened by asthma exacerbations and football, treatment. Dyslipidemia, elevated LDL cholesterol despite statin therapy. Persistent lower-extremity edema despite diuretic therapy. Hypokalemia, most likely drug-induced. Hypertension JNC-VI Risk Group C, blood pressure within target and stable. Coronary artery disease, stable. Chronic pain secondary to previous injury, stable. Status post–atrial fibrillation with cardioversion. Status post–knee replacement. Financial constraints affecting medication behaviors. Insufficient patient education regarding purposes and white writing, role of specific medications.
Wellness, preventive, and routine monitoring issues: calcium/vitamin D supplement, magnesium supplement, depression screening, osteoporosis screening, dosage for daily aspirin. Strand et al.1 proposed a systematic method for evaluation of and intervention for a patient’s pharmacotherapy, using a process called the Pharmacist’s Work-Up of catchy paper Drug Therapy (PWDT). The PWDT has been modified by subsequent authors,2–4 but the process remains grounded in the following five questions: What are reasonable outcomes for this patient? Based on paper, current guidelines and literature, pharmacology, and pathophysiology, what therapeutic endpoints would be needed to achieve these outcomes? Are there potential medication-related problems that prevent these endpoints from being achieved? What patient self-care behaviors and medication changes are needed to address the medication-related problems? What patient education interventions are needed to catchy lead, enhance achievement of these changes?
What monitoring parameters are needed to verify achievement of goals and detect side effects and paper, toxicity, and how often should these parameters be monitored? Clinical outcomes are distinctly different from therapeutic or interventional endpoints. The former refers to the impact of treatment on patients’ overall medical status and quality of essay about me life and should emphasize patient-oriented evidence that matters (POEMs) rather than disease-oriented evidence (DOEs). Therapeutic endpoints include the white paper writing anticipated and desired clinical effects from drug therapy that are expected, ultimately, to achieve the desired outcome(s). As such, therapeutic endpoints are used as surrogate markers for achievement of outcomes. Thesis Statements Middle School. Commonly, more than one endpoint will be needed to achieve an white paper writing, outcome.
For example, near-normal glycemic control and normalization of blood pressure (endpoints) would be necessary to significantly reduce the risk of visit to a circus end-stage renal disease (outcome). Therapeutic endpoints should be specific, measurable, and writing, achievable within a short period of time. Achievement of clinical outcomes usually cannot be determined except by long-term observation or retrospective analysis. Outcomes and endpoints for school cover letter any given patient should be determined collaboratively between patient and provider before selecting or initiating pharmacotherapy or nonpharmacological interventions. Taking the time to identify these components up front (and periodically revise them later on) helps ensure that subsequent medications or strategies are appropriately directed. It further ensures a common vision and paper, commitment for ongoing patient care and self-management among the essay about me care team (including the patient), thus maximizing the writing potential for optimal disease control and patient satisfaction. The outcomes and cover letter, endpoints for a patient such as B.L. Writing. are numerous and write about football essay, obviously would not be addressed or attained in a single session. Therefore, after desired outcomes and endpoints are determined, they should be prioritized according to white writing, medical urgency and patient preference. Essay About Me. Implementation and goal setting related to these priorities can then be undertaken, thus establishing a treatment plan for the eventual attainment of the full list.
During ongoing and follow-up visits, this care plan should be reviewed and modified as indicated by changes in paper writing, patient status, preferences, and medical findings. Examples of psychologist cover letter desired outcomes and endpoints for B.L. are given in Tables 1 and 2. For the sake of brevity, these tables are not intended to be inclusive. Medication-Related Problems and Proposed Interventions. With agreement between patient and clinician concerning desired outcomes and endpoints, the next logical step is to evaluate whether the current treatment plan is likely to achieve those goals, or, if treatment is to be initiated, which therapies or interventions should be selected. According to Strand et al.,1 a medication-related problem is any aspect of a patient’s drug therapy that is interfering with a desired, positive patient (therapeutic) outcome or endpoint.
The PWDT proposes a systematic and white paper writing, comprehensive method to identify, resolve, or prevent medication-related problems based on the following major categories: No indication for a current drug. Indication for a drug (or device or intervention) but none prescribed. Wrong drug regimen (or device or intervention) prescribed/more efficacious choice possible. Too much of the correct drug. Too little of the on a visit to a circus correct drug. Adverse drug reaction/drug allergy. Drug-drug, drug-disease, drug-food interactions. Patient not receiving a prescribed drug. Routine monitoring (labs, screenings, exams) missing.
Other problems, such as potential for overlap of adverse effects. Once problems are identified, resolutions must be developed, prioritized, and implemented. Patient or caregiver input is white especially helpful at this stage because the individual can describe subjective as well as objective data, expectations or concerns that may be affecting drug therapy, and deficits in drug knowledge, understanding, or administration. Resolutions may result from numerous strategies, including dose alteration, addition or discontinuation of medication, adjunct medications, regimen adjustment, complementary therapies, instruction on medication administration or devices, disease or medication education, development of “cues” as compliance reminders (e.g., pill boxes), and identification of model writing ways to avoid, detect, or manage side effects or toxicities. Needless to paper writing, say, the school psychologist cover involvement of white writing patients and writing, family or caregivers is critical for successful implementation of most resolution strategies and for optimal disease management. Because of the extent of B.L.’s medication-related problems and potential interventions (Tables 3 and 4), it was agreed to tackle first her asthma exacerbations and high blood glucose levels. White Writing. To this end, B.L. was counseled about the role of maintenance asthma medications versus rescue drugs. Writing. The root of her confusion between these agents was easy to white, understand—because the prednisone and fluticasone were both called steroids, it seemed likely that the tablets were a cheaper and easier way to take the medicine.
Likewise, since albuterol and school cover, salmeterol were both called bronchodilators, it seemed that the albuterol was the cheaper way to take the medicine. Having grasped the concept of asthma prevention, she was willing to convert to white paper, a product combining fluticasone and salmeterol (Advair Diskus) for maintenance/prevention and to reserve the albuterol for quick relief of acute symptoms. Free samples of the new product were dispensed, and B.L. was enrolled in school cover, the manufacturer’s indigent drug program for subsequent supplies. She was further instructed on the use of paper writing a peak flow meter and advised to monitor her readings and hegelian essay writing, symptoms. At the next visit, these data will be used to determine her maximal expiratory effort (“personal best”) and to construct an asthma action plan. B.L.’s insulin was changed to a basal-based regimen utilizing bedtime glargine (Lantus) insulin and premeal lispro (Humalog) insulin. Education was provided on writing, this dosing concept. She and the pharmacist discussed how this regimen can give greater flexibility in dosing, especially for responding to changes in diet, exercise, and disease exacerbations or medications. She was also given an initial supplementary adjustment algorithm (sliding scale) to catchy, correct for any temporary elevation of blood glucose.
She agreed to test four times daily and to white paper, record her blood glucose results, carbohydrate intake, and model writing, insulin doses. At the next visit, these data will be used to modify the adjustment algorithm and to construct a prospective algorithm for matching premeal bolus insulin to the anticipated carbohydrate intake (insulin-to-carbohydrate ratio). The final interventions for white writing this visit were to increase the dose of potassium chloride and change the essay about me fluvastatin to atorvastatin (Lipitor) to paper, further reduce B.L.’s LDL cholesterol. Writing Middle School. Medication education for atorvastatin was provided, and patient questions were answered. Other medication-related problems and interventions identified for B.L. are listed and briefly discussed in Tables 3 and 4. For the sake of brevity, these lists are not inclusive nor are all pharmacotherapy issues discussed.
Monitoring for Effectiveness, Side Effects, and Toxicity. The last step in the PWDT process is to develop a plan to evaluate the writing patient’s progress in attaining desired outcomes, therapeutic endpoints, and catchy lead research, behavior changes; to assess effectiveness of white pharmacotherapy; and to essay about me, identify side effects, drug interactions, or toxicity issues that need to be addressed. The monitoring/follow-up component is the most tedious aspect of the PWDT. For each medication or intervention, key parameters must be identified as markers for paper effectiveness, for side effects, for drug interactions, and for toxicity. In addition, the time frame and football, process for assessing those parameters must be determined. White Writing. Finally, the desired range for write about football the parameter must be listed or a “decision point” must be identified to white writing, signal that additional action will be required. It should be noted that only a limited number of thesis middle school parameters are selected for a given patient. For example, it is not necessary to list and monitor for every possible side effect with equal intensity and white writing, frequency. Selection of the lead research monitoring parameters is based on the positive effects (efficacy) that are most important to the care of that patient, as well as the adverse effects (side effects, toxicity, or drug interactions) that are most important to avoid for the safety of that patient or to paper writing, which that patient is most prone. Because the write football essay monitoring component is usually extensive, examples listed for B.L. in Table 5 have been limited to three of the medication or regimen changes that were made at the first pharmacist visit: switching from fluvastatin to paper, atorvastatin; switching from two shots of write about football premixed 75/25 lispro to bedtime glargine with premeal lispro; and substituting the combination inhaler product for white writing her fluticasone and essay on a to a circus, salmeterol MDI prescriptions.
Because atorvastatin and fluvastatin differ chemically, the monitoring parameters for this change are similar to those for initiation of a new medication. White Writing. Monitoring for the new insulin regimen (basal insulin with premeal bolus) focuses primarily on writing thesis statements middle, glycemic control patterns and hypoglycemic episodes. Because B.L. has previously used the white writing two ingredients of her new inhaler product (fluticasone and on a circus, salmeterol) without adverse effect, monitoring of paper writing her new asthma therapy is focused on effectiveness, tolerance of on a to a circus inhalation of its dry powder formula, and use of the administration device. Diabetes patients with multiple co-morbidities have concerns about all of their problems, not just the diabetes; therefore, BC-ADM pharmacists must comprehensively explore all the paper writing ramifications of school cover letter comorbidities as well as patients’ feelings, expectations, and concerns for total health. B.L. is a good example of this; even though her referral was for “diabetes management,” her greatest concern at this visit was her asthma exacerbations. As can be seen in this case, each coexisting disease or coprescribed drug has a domino effect, affecting other diseases or drugs and ultimately affecting quality of life. With input from B.L., the pharmacist clinician was able to develop a PWDT that addresses her diabetes as well as her other health care needs.
B.L. was able to leave the health center with a few achievable self-care goals and medication changes that address her acute concerns and with the paper knowledge and confidence that, at each subsequent visit, additional progress will be made toward her personalized health status goals. Examples of B.L.’s Desired Outcomes. Examples of B.L.’s Therapeutic Endpoints. Examples of B.L.’s Medication-Related Problems. Examples of B.L.’s Interventions (Prioritized and to be Implemented Accordingly)
Examples of B.L.’s Monitoring Plans. Peggy Yarborough, PharmD, MS, BC-ADM, CDE, FAPP, FASHP, NAP, is a professor at catchy lead research Campbell University School of white writing Pharmacy in about football, Buies Creek, N.C., and a pharmacist clinician at Wilson Community Health Center in Wilson, N.C. For information concerning POEMs and DOEs: a multitude of white literature on this topic is available through Internet sources. Essay On A To A. Search for “patient oriented evidence that matters” using a medical topic browser. 2017 by the American Diabetes Association. Diabetes Spectrum Print ISSN: 1040-9165, Online ISSN: 1944-7353 .
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