THROUGH THE AGES

THROUGH THE AGES-THEN AND NOW Essay . Dana ZwolinskiThe BeginningEducationThis decade was loaded with changes in the training zone. The firstelementary school was framed by John Dewey. Paying special mind to humankind, somepeople supported the tutoring and instructing of Afro-Americans, yet theSouth, and parts of the North despite everything stayed under their approach of racialsegregation. Yearly educators pay was around $325. Mary McLeod Bethunestarted the main school for Negro young ladies. Secondary schools were well known, andjunior secondary schools were sooner rather than later. We will compose a custom exposition on THROUGH THE AGES-THEN AND NOW explicitly for you for just $16.38 $13.9/page Request now Home LifeIn 1925, a law was passed requiring all sanitized milk plants toobtain a permit from the Department and to submit to least gauges. The normal futures of individuals were genuinely low. Mens lifeexpectancies were about 53.6 years, while womens were around 54.6 years. There were 106,521,537 individuals living in the United States right now. Ofthem, 2,132,000 were jobless, and the joblessness rate was at 5.2%. The absence of education rate arrived at a low of 6% of the United States populace. ClothesIn the 1920s, ladies cherished short skirts and dropped waistlines. Inthe prior long periods of the decade, the skirt fell 7-10 beneath the knee. Theskirts and dresses of the time were extraordinarily point by point. Indeed, even the mostinexpensive chain-store lines were incredibly careful. Bounced haircutswere extremely well known in the time, and were advocated by Irene Castle, justafter World War I. Silk, cotton, material, and fleece were enormous textures beingused in the attire business as of now. Garments were being cut tocling more tight on a womans body, and the term flapper came to fruition in thisera. FoodThe 1920s was an exceptional time for the food business. Outside food,such as Chinese food, was extremely well known at that point. It was likewise the timeof the Prohibition, where there was no selling, manufacturing,transporting, ownership, or utilization of mixed refreshments. Some ofthe nourishments of the time were as per the following: Jell-O, oats, Swiss steak, hash,chiffon pies, Caesar serving of mixed greens, and Cobb, plate of mixed greens. JobThe 1920s was the finish of the Great War. Following this was a period ofspending, modest vehicles, and new buyer items. At that point in 1929 came thecrash. The securities exchange smashed, and the Great Depression followed formany reasons. There was about a 25% joblessness rate in the United Statesduring the 1920s. The normal yearly income were $1368. Educators werebeing paid about $970. DatingMarriage is one part of sexual life in which there was continuitybetween ages. Youthful and unmarried ladies overall by the 1910sand 1920s liked to take an interest in a shopper arranged, heterosocial (ormixed-sex) culture arranged in the open circle and soaked withheterosexuality, however they would in general subside into family life upon marriage,much as prior ages had. In contrast to their forerunners, notwithstanding, thesewomen could tease and date in the realm of modest diversions, which cateredto arousing delights and little wallets. In the interim, the femalesolidarity of nineteenth-and twentieth-century womens change movements,clubs, and schools the late Victorian new womans domain of action declined in popularity(http://www.people.memphis.edu/~kenichls/2602NewWoman1920s.html).Health and LongevityLaws are passed requiring all purified milk plants to gain alicense from the Department and to submit to least gauges. In 1922,Morgan County, Illinois, set up the primary ful l-time district healthdepartment. SummaryThrough the years, as time went on, costs rose because of higher costsof fabricating. Vehicles, harking back to the 1920s expense by and large, $2550, presently, mostcars cost around $20,000. You could purchase a portion of bread in 1924 for $0.10,but now a portion costs about $1.89. .u5fc592ff87442a0969507f315efdb464 , .u5fc592ff87442a0969507f315efdb464 .postImageUrl , .u5fc592ff87442a0969507f315efdb464 .focused content region { min-stature: 80px; position: relative; } .u5fc592ff87442a0969507f315efdb464 , .u5fc592ff87442a0969507f315efdb464:hover , .u5fc592ff87442a0969507f315efdb464:visited , .u5fc592ff87442a0969507f315efdb464:active { border:0!important; } .u5fc592ff87442a0969507f315efdb464 .clearfix:after { content: ; show: table; clear: both; } .u5fc592ff87442a0969507f315efdb464 { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; darkness: 1; change: haziness 250ms; webkit-progress: obscurity 250ms; foundation shading: #95A5A6; } .u5fc592ff87442a0969507f315efdb464:active , .u5fc592ff87442a0969507f315efdb464:hover { mistiness: 1; change: murkiness 250ms; webkit-progress: obscurity 250ms; foundation shading: #2C3E50; } .u5fc592ff87442a0969507f315efdb464 .focused content zone { width: 100%; position: relative; } .u5fc592ff87442a0969507f315efdb464 .ctaText { fringe base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: intense; edge: 0; cushioning: 0; text-improvement: underline; } .u5fc592ff87442a0969507f315efdb464 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u5fc592ff87442a0969507f315efdb464 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; outskirt: none; outskirt sweep: 3px; box-shadow: none; text dimension: 14px; textual style weight: striking; line-tallness: 26px; moz-outskirt span: 3px; text-adjust: focus; text-enhancement: none; text-shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/straightforward arrow.png)no-rehash; position: total; right: 0; top: 0; } .u5fc592ff87442a0969507f315efdb464:hover .ctaButton { foundation shading: #34495E!important; } .u5fc592ff87442a 0969507f315efdb464 .focused content { show: table; tallness: 80px; cushioning left: 18px; top: 0; } .u5fc592ff87442a0969507f315efdb464-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u5fc592ff87442a0969507f315efdb464:after { content: ; show: square; clear: both; } READ: The Life Times of Alexander the Great EssayConclusionI would prefer to live during the 1970s-1980s since it was a period whenfashion was amazing, costs were still genuinely low, future waspretty high, and you could coexist with pretty much eeverybody.

Violation Of Code Of Ethics Construction Essay

Infringement Of Code Of Ethics Construction Essay Kuala Lumpur Middle Ring Road 2 highway 28 was worked by Malaysian Public Works Department to associate neighborhoods close to the limit of Kuala Lumpur. The whole roadway framework comprises of Federal Route 28, from Sri Damansara to Sunway Interchange and from Sunway Interchange to Sri Petaling Interchange. MRR2 is for the most part alluded to Route 28 since Route 28 involves around 66% of the framework. Development on this ring street would isolated on 3 stage. These segments incorporate Kepong-Gombak, Gombak-Ampang and Ampang-Sri Petaling. The agreement time frame is three years and was finished in 34 months (May 1999 to March 2002). CONTROVERSAL ISSUE First conclusion The Kepong Flyover was accounted for to be broken in light of the fact that 31 of 33 columns supporting the flyover were accounted for to have clear breaks. Open worry about the wellbeing issues at Kepong Flyover was because of the dangers looked by in any event 4,300 drivers utilizing the flyover at once. Examinations were held by the administration and thus, Kepong Flyover was shut to traffic and afterward Starting discoveries by PWD proposed that the transitory lifting crane mounted on the lasting RC auxiliary docks to dispatch the precast pillars to the scaffold decks could have applied weight on the solid crossbeams and caused the breaks. It is discovered that the structure at the eleventh bundle of the MRR II was seen as insecure in view of the strain and made the bars split at three areas. The PWD, which did its own test, uncovered that the MRR IIs Kepong Bridge, was not steady because of inside redistribution of powers and elective burden ways because of yielding of support brought about by over the top hot temperature there was no homogenous drying, remotely and inside, as a result of differential (lopsided) drying of cement. English Halcrow Consultancy Ltd said the splits that have showed up on 31 of the 32 crossbeams since 2000 nothing to do with the structure. Halcrow has discovered an uncommon phenomenonthe development of a synthetic compound, ettringite, had caused genuine breaks. The compound contains calcium, aluminum, oxygen, sulfate, and water. Halcrow prescribed to JKR to waterproof the scaffold quickly, so that the postponed ettringite development (DEF) would not bring about further breaks. Ettringite is found in concrete. For the most part, it does no mischief. Yet, under uncommon conditions, for example, during solid solidifying, temperature coming to more than 70 degree Centigrade within the sight of sulfate and a lot of water, ettringite is framed, growing hazardously. On the off chance that all the breaks are not waterproofed, more water saturates them, exasperating the circumstance. The Sun Dailyâ reported that the MRR2 splits because of configuration defect and inappropriate harbor of crossbeams that should be the decision of Halcrow. The plan likewise didn't show the best possible dock of the pillars and the segments. Halcrows report was set up by its extension designing executive Roger J.Buckby and submitted to the Works Ministry. The fundamental driver of unreasonable splitting in the crosshead to the T-molded dock is an insufficiency in the plan and the safe haven of the segments strengthened into the crosshead. There is likewise a lack in the plan of the transverse fortification in the highest point of the crossheads to oppose parting powers between heading. The level splitting in the crosshead straightforwardly over the sections is an immediate aftereffect of the lacking dock of the segment bars into the crosshead. Second conclusion On 4 February 2006, the Kepong Flyover was shut to traffic from 10:30 a.m. after genuine harms on the flyover was affirmed. Congested driving conditions additionally has rose because of the deficiency of the MRR2 on 8 December 2006; the Kepong Flyover was revived to all traffic. Third conclusion On 3 August 2008, Kepong flyover was shut to all traffic after three of the eighteen carbon fiber boards on column 28 had stripped off. Column 28 is the place the German advisor Leonhardt Andrã ¤ und Partner (LAP) did the fix fills in as an example for Malaysian contractual worker to follow. Mishap ANALYSIS Infringement of Code of Ethics Area II (2)(a) Engineers will attempt assignments just when qualified by instruction or involvement with the particular specialized fields included. The Kepong Flyover was accounted for to be flawed on the grounds that 31 of 33 columns supporting the flyover were accounted for to have evident breaks. The designers and contractual workers were mindful for this situation. The primary driver of exorbitant breaking in the crosshead to the T-formed dock is a lack in the structure and the safe haven of the sections fortified in the crosshead. There is likewise an inadequacy in the plan of the transverse fortification in the highest point of the crosshead to oppose parting powers between orientation. The even splitting in the crosshead legitimately over the sections is an immediate consequence of the lacking port of the segment bars into the crosshead. Area II(1)(a)- If engineers judgment is overruled under conditions that imperil life or property, they will tell their boss or customer and such other authority as might be fitting. For this situation, open worry about the security issues at Kepong flyover was because of the dangers looked by at any rate 4,300 drivers utilizing the flyover at once. Regardless of various fixes and a lot of citizens cash spent, individuals are scrutinizing the security and state of the extension in spite of the affirmations by the pertinent specialists. Clients or customers were denied of utilization of the scaffold making them utilize other blocked streets, getting up ahead of schedule to travel and getting back late, utilizing more petroleum and diesel, additional time squandered on streets and making clients progressively drained. The expense here is political expense. Area II (3)(b) Engineers may communicate freely specialized sentiments that are endless supply of the realities and capability in the topic. As indicated by British Halcrow Consultancy Ltd that has looked for the administration of Glascow University, ettringite is found in concrete. For the most part, it doesn't hurt. In any case, under uncommon conditions, for example, during solid solidifying, temperature coming to more than 70 degree Centigrade within the sight of sulfate and a lot of water, ettringite is shaped, growing hazardously. In the event that all the splits are not waterproofed, more water saturates them, irritating the circumstance. Segment II (3)(a) Engineers will be objective and honest in proficient reports, articulations, or declaration. They will remember all applicable and relevant data for such reports, explanations or declaration which should bear the date demonstrating when it was current. Works Minister Datuk S.Samy Vellu forced a muffle request on his officials saying that only he will deal with any questions on the Middle Ring Road 2 (MRR2) Kepong flyover fixes. Be that as it may, he was hesitant to address question on the flyover which had been shut for fixes to splits on 30 columns which had pulled in the Anti-Corruption Agencys consideration. Avoidance Safety Guidance The designing society codes of morals, NSPE (National Society of Professional Engineers) has given direction in dealing with or keeping the occasion from occurring, as examined underneath. Segment III (9)(e) Engineers will proceed with their expert advancement all through their vocations and should keep current in their claim to fame fields by taking part in proficient work on, taking an interest in proceeding with instruction courses, perusing in the specialized writing and going to meeting and classes. In view of an announcement by the Public Work Departments specialist, Kohler Seitz, they have demonstrated that flawed plan had caused the mainstays of MRR2 flyover to break. This implies the split may be brought about by broken structure by the designers. Alluding to the code of ethic over, the MRR2 architects ought to be up to dated towards the most recent structure. The expression of flawed plan ought to have not happened at all in light of the fact that the MRR2 is cost up to RM 238.8 million. Along these lines, the MRR2 configuration architects ought to improve their plan expertise with the goal that their structure won't have significant issue later on. Area III (1)(a) Engineers will recognize their blunders and will not contort or modify the realities. The specialists will acknowledge reality with respect to their flawed work on the MRR2. Specialist Company, Kohler Seitz have demonstrated that defective plan had caused the mainstays of MRR2 flyover to split. For this situation, they with the assistance of government were denying that announcement. At that point, government needed to choose British Halcrow Consultancy Ltd to contemplate the breaks that have showed up on 31 of the 32 crossbeams since 2000. This was an enormous misuse of cash and times. They ought to be capable if the splits happened is a direct result of their missteps. Area II (1) Engineer will hold foremost the wellbeing, wellbeing, and government assistance of people in general. In structuring and development procedure of MRR2, the specialists should hold principal the security, wellbeing, and government assistance of general society. They should comply with the standard affirmed by the experts in picking the material utilized. This is on the grounds that, on the off chance that they utilize modest and low quality materials to increase most extreme benefit, they may jeopardize open that will utilize the thruway later on. Area III (1) (f) Engineers knowing about any supposed infringement of this Code will report subsequently to suitable expert bodies and, when important, additionally to open specialists, and help out the correct experts in outfitting such data or help as might be required. For publics security, wellbeing and government assistance, architects ought to do whistle blowing. Whistle passing up a representative of illuminating people in general or higher administration regarding dishonest or illicit conduct by a business or director. In MRR2 case, in the event that they have qualified all the 4 conditions to do whistle blowing, they are committed. It is satisfactory to blow the whistle to ensure the open intrigue. Moral THEORIES PROBLEM SOLVING TECHNIQUE Utilitarianism Meaning of utilitarianism is balance among acceptable and awful outcomes of an

The Federal Reserve Essay Example for Free

The Federal Reserve Essay The Federal Reserve is a national government division that is free from political impact, with the goal that they can direct, and award protection to the individuals of the United States. It likewise works as a benefactor of banks with the goal that individuals don't lose their cash. What's more they direct the educational programs particle of the cash stream and set prerequisites that banks must follow. In the accompanying we will investigate the elements of the twelve Federal Reserve banks, and the explanation that the Federal Reserve is viewed as the investors bank. Likewise the job of the Federal open Market board of trustees will be investigated in their job in financial strategy. Likewise there will be investigation into why government would need to diminish the cash flexibly. The twelve Federal Reserve banks have three fundamental capacities that they should do, to keep the economy and cash stream right. The first is examination of neighborhood banks inside their locale to guarantee they are satisfying the guidelines set by the Federal Reserve. There second fundamental capacity is to implant or take out cash from course with the goal that the roundabout stream is kept up at an appropriate level. Also they process a great many checks, and guarantee that charge and credit exchange experiences easily [ (smale, 2010) ]. These fundamental activities are basic in guaranteeing the economy and cash stream works accurately without issues. The save banks are viewed as the investor banks since; they store cash and bring in cash accessible for the part banks. They likewise processâ the checks and charges from the part banks. They are ruler of banks and control the financial business all the while. They additionally control the progression of cash, with the goal that the estimation of it remains reliable and doesn't drop. This is basic in controlling the cash stream and financial success of the United States Economy. [ (education.org, 2012) ] The Federal open market panel is a council that is comprised of seven part leading group of governors, and five Federal Reserve Bank presidents. There job in money related arrangement is that they figure out what is best in everyday guidelines of both the save banks and their individuals. Moreover they set certain strategies that influence the economy in various manners. They decide the measure of cash and credit that will be accessible in the United States economy. There is to keep up soundness and development in the United States economy. They attempt to guarantee enough hold of cash to support development of cash and credit to the banks in their system. [ (board, 2012) ] The Federal Reserve would consider slicing the cash flexibly to sure up the economy. In the event that there is a lot of cash out there and insufficient need to utilize that cash, it isn't useful for the economy. They control the cash flexibly with increasing or falling of loan fees. Higher loan cost bring about less acquiring, this takes care of the cash gracefully and permits the economy to try and out over the long haul. In the event that they need to place more cash into the economy they would bring down financing costs and accordingly more individuals are happy to obtain more cash. They would need to cut the gracefully when they need and need to acquire cash isn't high. They would do this is the economy was beginning to slow, and would keep the cash flexibly brought down till the need and need for that cash is conceded once more. Before the Federal Reserve was made there was times when individuals would not utilize banks, in such a case that the bank bombed they would lose all their cash they had in the bank. This would bring about individuals being terrified to place cash in the bank during monetary difficult situations in view of their dread of losing there life’s investment funds. The production of the Federal Reserve gave individuals a protection that there cash would not be lost on account of a bank going under. The Federal Reserve would vow to repay this to them if that occurred. The Federal Reserve would likewise settle on financial choices in the economy that would keep it more steady than previously. The Federal hold is a liable for guaranteeing that the economy and cash flexibly remains stable, and guarantees that part banks approach government guidelines. The primary elements of the open market advisory group are to direct the progression of cash and keep available for later of cash with the goal that it makes a stable United States economy and government guideline. Individuals were reluctant to place cash in the banks before the formation of the Federal Reserve banks. This would change after the production of the government banking framework. At certain focuses the Federal Reserve’s needs to restrain the measure of cash in the economy to guarantee monetary gracefully and request. Works Cited board, T. f. (2012). The structure of the central bank. Recovered January 15, 2012, from federalreserve.gov: http://www.federalreserve.gov/bars/frseries/frseri2.htm education.org, F. (2012). The structure of the central bank. Recovered January 15, 2012, from Federalreserve education.org: http://www.federalreserveeducation.org/about-the-fed/structure-and-capacities/smale, P. (2010, Novemeber 10). Congressional research administration. Recovered January 15, 2012, from www.fas.org: http://www.fas.org/sgp/crs/misc/RS20826.pdf

Taboo No More Depression Burnout in the Medical Field

document.createElement('audio'); https://media.blubrry.com/admissions_straight_talk/p/www.accepted.com/hubfs/Podcast_audio_files/Podcast/IV_Elisabeth_Poorman_2018.mp3Podcast: Play in new window | Download | EmbedSubscribe: Apple Podcasts | Android | Google Podcasts | Stitcher | TuneIn | Spotify Interview with Dr. Elizabeth Poorman,  Internist at Cambridge Medical [Show Summary] There’s a lot of talk (and only that) about burnout and depression among medical students, residents, and physicians, but Dr. Elisabeth Poorman is attempting to do something about it. Listen in to today’s episode and understand a bit more about the realities of working in a field where you can’t always save your patient from suffering, and how important it is as a doctor to take care of yourself first, so you can then effectively take care of others. Taboo No More: Depression Burnout in the Medical Field [Show Notes] Our guest today, Dr. Elisabeth Poorman, is an internist at Cambridge Medical. She grew up in Chicago, attended medical school at Emory, and did her internal medicine training at Cambridge Health Alliance where she now works in Everett, Massachusetts. Her primary patient population is immigrants and those dealing with addiction. In her spare time, she also writes, movingly and well about the challenges facing physicians and physicians in training. Her writing has appeared in Doximity, Kevin MD, and other sites on the web. Can you tell us about your background? Where you grew up? What do you like to do for fun? [1:57] I was one of those weird kids who always knew she would be a physician. I loved to rush to people who were injured, take care of them, was always fascinated by the human body, and being a doctor was always something I wanted to do. I will admit I did feel less sure for a brief period in college. Much of the path to medical school has nothing to do with medicine. I was taking chemistry, organic chemistry, physics, etc., and I enjoyed the contents of the courses, but they more served the purpose of weeding people out of medicine as opposed to opening up your mind to the possibilities. I was looking at the people around me who seemed very sure of their path and didn’t feel like I fit in with them. The ironic thing is that most of them ended up going into investment banking anyways. In retrospect they were very high achieving students who saw medicine as a good financial decision at the time but then made a different choice to make more money and ended up washing out of medicine. After a little bit of working after college, with non-profits and doing international work, I realized I really did want to pursue this path so I found my way back. Can you talk a little bit more about your project in Brazil? [4:43] I did my undergrad thesis on leprosy in Brazil. I was so fascinated with it, and continue to be with the ways patients were treated and mistreated. The experience has repeated itself in different countries in different ways. Patients have been separated from their families, experimented on, had their children taken away. I was incredibly lucky to spend so much time living in the colonies, seeing many who have been cured of it but with long-lasting effects. I am fascinated with the ways science and medicine were manipulated for political reasons. Leprosy is not a very contagious disease, actually, and being in close contact isn’t necessarily going to give you leprosy no one who worked in the colonies got it. By creating these colonies it was an easy way to say they were doing something about the problem but also having full dominion over patients to experiment on them. It is a really dark chapter in medical history, but what was heartening was that people I worked with didnâ⠂¬â„¢t tell me not to go to medical school. They said, â€Å"Remember our experience and how wrong things can go, and be a doctor because it’s in your heart, not just your profession.† How long was the gap for you between graduation and medical school? [9:03] It was a two year gap. I worked on the leprosy project and one at Harvard Medical School studying cultural competency in medicine. What did you like best about your medical school experience at Emory? [9:26] I was lucky enough to work a lot at Grady, a very large public hospital that like all public hospitals has the mission of serving everyone regardless of who they are. Because the need is so great in a hospital like that, there are a lot of opportunities for medical students to advocate for patients, and expand support that the team is offering. I was really lucky in that way. If you are working with a wealthier population there is more observing and not seeing the extremes of poverty you see in a large county hospital. How did you decide to focus on Internal Medicine? Addiction? [10:34] I decided on Internal Medicine because I wanted something that was really broadly focused on the pathological basis of disease. It deeply satisfied the nerd inside of me! With addiction I am responding to the great scourge of our time what is killing my patients oftentimes is addiction. For me it’s been mostly on the job training working with people, though my history of science background is quite helpful. You talk about paradigm shifts, and there is no better example of this than the opioid crisis. Initially it was thought continuing to prescribe painkillers was the right way to go, but now there is so much death and suffering you need to think about where this idea came from to keep prescribing, and whether or not we are practicing sound medicine. Are you happy you made the professional choice you did? [14:00] Yes. We are at a really unique time period that I am still trying to wrap my head around. What is the way forward? I consider the American healthcare system to be deeply immoral, promoting suffering in search of profit. Unfortunately medicine has traditionally been incredibly conservative and we’ve been taught to keep politics out of the exam room and not engage with advocacy, but then we end up aiding and abetting a system that doesn’t treat people in a humane fashion and continues to get worse for both patients and providers. The short answer is yes, I am happy with my choice, but the longer answer is yes, but now what? How do I use my training and outrage and sense of injustice on behalf of my patients and colleagues? Was there ever a time either in either medical school or since when you really wondered if you had made a mistake and thought about leaving medicine? [15:31] I had a very severe episode of depression my intern year which I’ve written a lot about. At the time it felt like a very individual experience. Everyone around me seemed to be thriving and doing so well. I was failing, taking longer to take notes, overwhelmed by patient suffering, and feeling like I didn’t measure up. I was so lucky to have people that supported me, particularly people who were further along in the program than me who told me they had experienced depression as well, it’s not an uncommon thing, and said they got better and I’d get better, too. The really terrible thing about depression is you lose perspective and insight, so I am forever grateful to those people who were vulnerable with me. Once I got better I was very vocal about it based on some very public suicides during my intern year. Unfortunately they were not the last. Then people started coming to me to ask for advice. It kind of shows how few people are willing to talk about this . When I started digging into it, depression is actually so common as to almost be a rite of passage. Why is it that medical school students seem to completely miss depression in themselves? Do you have any theories on that? [18:43] I think stigma is the most important thing. Depression in physicians is seen as a sign of weakness, and is associated with the larger stigma of mental health in society. There is a larger cultural issue such that we like to think of ourselves as being hero physicians during premed courses in college. I was intimidated by people who stayed up all night to memorize facts to get a good grade. I thought maybe I didn’t have what it takes. Any sign of vulnerability is a sign that you might not make it. Then ultimately you are faced with a problem that is unsolvable. We are all going to die. There is a certain amount of that process which is necessarily heartbreaking. Honestly, if you are not depressed at some point in your training you aren’t paying attention. As I mentioned, a system that treats people deeply unequally to be at the crux of that yet not given an opportunity to advocate for a better system – is deeply disturbing. There is also so much fear that in acknowledging you could be suffering from depression you could be punished for it. I feel very stuck because there are a lot of advocates that don’t want to discuss this. You need to disclose any kind of mental health treatment (as if it’s a bad thing) which is so bizarre to me. What they should be saying is, â€Å"If you haven’t had mental health treatment you’re probably in trouble, and here is where you should go.† Medical students will rationalize away what they are fee ling and continue through their career. I can’t tell you how many times I’ve been cornered at an event by an older physician who says, â€Å"Maybe you aren’t as resilient as we were.† I can guarantee that by the end of that conversation that same physician will be saying, â€Å"Wow I guess I was really depressed in training, too.† Do you think that the problem of physician depression has increased or is that just a perception, perhaps due to more reporting of depression? [23:31] I think there is certainly more discussion, but I also think it is getting worse. I think it is getting worse because the complexity of medicine is increasing at an exponential rate, but we are still training like it is the 1950s. We are asking people to memorize things on notecards and use systems and ways of thinking through problems that don’t apply anymore. On top of that the productivity requirement and simultaneous dysfunction are spiraling out of control with no end in sight. I find the work rule to be a very disingenuous response to a real crisis. 80 hours a week is unreasonable then you have to go home and study! Programs did complicated redesigns with people doing more overnight shifts, and with certain parts of hospital having less staff. Residents are doing way too much work, more and more paperwork, and there is more stuff to know. The conversation has been stuck on work hours, which should be a done deal. It’s not safe, and is not dealing with the problem . It is also driving a wedge between generations, with the older generations saying, â€Å"I went through it, and so can you,† not, â€Å"Is this the best way to make a physician?† Several of your articles deal with the issues of burnout and depression among physicians. You distinguish between the two. What’s the difference? [27:42] I’ll say first of all I don’t like the term â€Å"burnout† since it’s not particularly clear what the definition is. The larger issue with the term burnout is that researchers mean one thing and the public hears something different. Researchers mean compassion fatigue – so the sicker, poorer, needier the population you work with the more likely you are to experience it, as there is a limit to what human beings can process. For the public burnout means my physician doesn’t care. I tend to avoid the term and instead focus on depression because 1) It is incredibly under-recognized, and 2) I’ve had several physicians say to me they are burned out and me say, â€Å"No, you are suffering from depression and need treatment.† I think people use burnout as a euphemism for their own condition which prevents them from getting necessary and effective care. You recently wrote â€Å"Congrats, Med School Grad! Now Its Time To Find A Therapist.† Do you make that recommendation for all med school grads? [30:53] Absolutely. For the fundamental reason I said before: death always wins. Even if you are supported, have adequate sleep, and eat healthy, there are still days you will have a lot of difficulty with the terrible things that happen to your patients and things you are unable to stop. As a performance issue, to stay healthy enough to treat patients the way they deserve to be treated, everybody needs a therapist. We have incredibly high rates of suicide in our profession and it is very difficult to navigate and find a system and provider when you are already feeling terrible. Not everyone is ready to do that. For me everything came to a head, and once I named my own depression, because of my training I recognized it’s a medical problem and that with treatment I am going to get better. What do you think medical schools and residency programs should do to reduce the incidence of physician depression? [33:57] There are so few advocacy organizations willing to speak openly about physician suicide, instead always wanting to label it burnout. I say to any organization working with physicians concerned with issues of burnout that they need to have comprehensive mental healthcare support in place. We see our colleagues suffering and they try to seek care and are treated in ways that stigmatize them and make their situation worse, which discourages everyone else from seeking care. I work with a psychiatrist who said when he treats physicians in his practice on average they have been suffering for seven years, so there is definitely a lot of intervention that can be done on that side. A lot of people become depressed because our work conditions continue to deteriorate, and I don’t see a lot of solutions on the other side. One committee for interns and residents has done some really effective interventions at different programs focused on decreasing administrative burden for residents so t hey can spend more time with patients. Individually I look for ways to do that. When I look at a screen I don’t feel as engaged with the patient, so instead I bring a notebook and pen. We make an agenda together, I take notes, and then I go hide wherever I can to get the info on the screen, but I am not willing to go home to 6-7 hours of charting. It is tough to figure all that out, and I am amazed we have allowed a system to be created this way to make it impossible for us to do our jobs. How do you see your career evolving now that you are a practicing physician? [44:08] I want to keep working with physicians, physician assistants, nurses, and other healthcare workers to create a system where you feel you can advocate for your patients. I try to do that on an individual level. In the larger sense, continue writing about what we experience and in the future maybe doing more research. What would you have liked me to ask you? [45:10] If people are listening and wondering what to do about this, feeling like you’re suffering and need help or it may become an issue, I would first reach out to your colleagues and ask them about their experiences because support systems are highly local. A lot of people will have experienced what you’re experiencing. Not everybody will respond positively, but a lot of people will be really grateful for your openness and vulnerability. I would also encourage people to look for mental health providers outside of their system, as it gets rid of the fear of confidentiality and also is nice to get away. If you are going into medical school and all of what we’ve talked about today seems overwhelming, what I would say is you have to remember you are your most important patient. Your health and wellbeing has to be number one always. If you can’t take care of yourself you are not going to be operating in a way you can take care of your patients. Make sure you have family and friends and healthy food, and to the extent you can, exercise and sleep and see a mental health provider, whatever is necessary for you to do well because this is a tough job. Try to maintain balance and realize you might be susceptible to depressive episodes and seek care. Also, find ways to channel your sense of injustice, grief, and sadness. Give yourself room for that. Related Links: †¢ Dr. Poormans website †¢ What I Wish My Family Had Known About Medical Residency †¢ Congrats, Med School Grad! Now its Time to Find a Therapist †¢ Medical School Admissions Action Plan: 6 Steps to Acceptance, a free guide †¢ Accepteds Medical School Admissions Services Related Shows: †¢ Endocrinologist, Writer, and Bollywood Critic Tells Her Story †¢Ã‚  All About Duke Medical School’s Unique Curriculum and How to Get In †¢ Yoga Instructor, Holistic Health Coach, M4: Clare Brady Fits it All In †¢ Med School Uncensored: A Realistic Perspective on Medical Training †¢ Be a Happy Doc! Subscribe: Podcast Feed

Interim Internship Report - 34088 Words

CHAPTER -1 INTRODUCTION 1.1 ABOUT THE COMPANY Cosmo Tradex Pvt. Ltd is an introductory broker of Kerford Fx of UK, in India. It was started in the year 2002 and is spread all over the states in India. It has opened 246 branches all over India with 500 agencies and more than 1000 franchises. Cosmo offers specialized trading and execution services to individuals and institutional clients. It works as a brokering and consulting house of Kerford Fx for Indian clients and helps in carrying out its full-fledged operations in the following three trading platforms: 1 1. International Commodity Market- It is a 24-hour market. There is no lock-in period for funds invested in this market. It is a two-way market i.e. the market may†¦show more content†¦The Project work involves a critical analysis of the historical data relating to Euro (EUR) and Great Britain Pound (GBP), with the use of advanced technical tools, retrieved from creditworthy sources. Thus, the Project work is being accomplished under the purview of Forex Marke t and involves regular monitoring of the currency pair EUR/GBP. Forex Market is known for its volatility and uncertainty. The Euro/GBP has always been a stable pair but the last month has been turbulent for the EURO as it has declined against the pound due to the Greece Debt crisis. Viewpoints of market critics have been used to determine what future trends are expected for Euro/GBP. The paramount goal of the project is to study the market movements carefully so as to determine the entry points. In line with the achievement of this goal, various Trend as well as Range analysis have been used to determine the most profitable points for taking a position (long or short). 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Organizational Assessment Helps Businesses Evaluate The...

In recent years, greater significance has been put on the value of organizational assessments. Organizational assessment helps businesses evaluate the health of areas essential for growth and improvement. This summary will discuss past goals, present goals, strengths, weaknesses, opportunities, and recommendations for the future. After addressing such areas, we will be able to better utilize strengths, eliminate weaknesses and clearly understand how opportunities can preserve our mission. Computer Repair Family Business Background and culture: Founded 1959, we have been dedicated to provide the best possible experience to all our business partners and clients. The internal culture is akin to that of a small family. All our employees are partners in the business, share our success, and help us sustain the core values that make us successful. Mission Statement: To ensure that each customer receives prompt, professional, friendly, and courteous service. 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The Media (Books, Film, Music, Television, for Example free essay sample

If to create value means to create totally new value that never exist in its current society, media is impossible to create value. \Media is always derived from our society, so it always reflects and display the value already exist in our society. But, some profound works will not Just simply reflect value, but extract values from our society, strengthen it and then can affect the value of our society, which will make people consider this works create value. One innate reason that make media always reflect the value of current society is, their authors come from the current society, who are already deeply affected by the alue around them. One example is what people like and feel in different times reflect in the music. 100 years ago, when more people live in the countries, life is more peaceful, and people more like quiet and simple life, country music are popular. At time that, the lyric of the country music reflect the peaceful and simple life people enjoy. We will write a custom essay sample on The Media (Books, Film, Music, Television, for Example or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page But nowadays, in our modern life, more and more people live in modern city, crowded, noisy and stressful, which make people more easily feel angry and yearn for release. So todays pop music, reflecting our modern life, are more dynamic and quick, and most of them more noisy. Some lyric of the pop music will describe a people crying for his/her dissatisfaction and pressure from the society. Another good example that media reflect value of society is how people in different areas treat sex that affects their media. In some religious countries, people consider sex as a taboo. People tend to not talk about it in public. So it is not easy to see authors describe sex explicitly in their works, no mention that public media will advertize this topic. But in western countries, sex for their people, is Just a common and regular need in their value, so it is common to see that the medias come from estern countries will even describe sex. Simply to say, books, music and all kinds of different works and value always reflect the value of the current society in their time and area. If value totally never exist in the society, new value in media cannot be created or spread there. Although all works reflect the value of the current society, the profound works would extract and highlight the value, and apply it to affect the society where it comes from. For example, in renaissance times, lots of philosophers, thinkers and sociologists created works to diffuse their value, like people are all equal, people have the right ince their birth. This value has long and deep effect on the public people that incited people to stand up and resist the privileged class. But these great philosophers, thinkers and sociologists can put this value into their works and spread it because this value nas already existed in the society But this value is not so strong and well-known, what this works do is to strengthen and deepen it into the society. In sum, all media come from society so reflect the value where they are derived. But in some degree, some profound works can strengthen the value and affect the society.