Leading Innovation At Kelvingrove (A), Case Study Essay...

Kelvingrove Art Gallery and Museum in Glasgow, Scotland; a Victorian era museum established in 1901 to express the pride, wealth, and cultural ambitions of the industrial city of Kelvingrove, was in need of change in the late 1980’s to be more relevant to modern audiences. Starting in 1990, when Mark O’Neil joined the Kelvingore Museum, Mark was tasked with bringing innovation to the entire museum by the then director Julian Spalding. After an initial start by O’Neil into implementing some of Spalding’s radical innovative ideas, O’Neil was side tracked into a separate project at the St. Mungo’s Museum of Religious Life and Art. The St. Mungo’s work provided some insight and allowed experimentation with some of the innovative ideas†¦show more content†¦After closing for three years from 2003 to 2006 for the renovations to the building and to fully implement the storytelling approach Kelvingrove Museum has become the most pop ular touristy destination even surpassing Edinburgh Castle. What makes something innovative? In the context of the Kelvingrove Museum innovation the innovations employed took the traditional course of innovations similar to the typewriter, â€Å"how an innovation often draws from existing technologies and models for its application but uses these elements creatively in combination with new ones to form a uniquely different product.† (Utterback, 1996, p. 2) O’Neil used this concept at his first museum at Springburn rather than doing the history of locomotive building, for example, the staff created an exhibition on the history of work. â€Å"It covered all the important history, but it came right up to date and engaged with unemployment and training and what work meant where so many were unemployed,† (Liedtka Salzman, 2009, p. 4) O’Neil and his staff at Springburn did not throw out the traditional museum model of locomotive building history but used in packaging together with the current issues of unemployment in the community for a more differe nt but richer museum experience that is relevant to today. Using the experience from Springburn O’Neil then continued this similar innovative process at Kelvingrove Museum where he applied Spalding’s desire of using

Crohn Disease Patient Care for Pethidine - MyAssignmenthelp.com

Question: Discuss about theCrohn Disease Patient Care for Pethidine. Answer: Priority Nursing Responsibilities and associated rationales related to the administration of pethidine to Harry. Pethidine (meperidine hydrochloride) is an opioid agonist analgesic. It acts as an agonist at specific receptors in the CNS to produce analgesia, euphoria and sedation. Its therefore used as preoperative medication, support of anesthesia and obstetric analgesia. Nurses have the responsibility to watch the use of other medications when pethidine has been administered, this include medications (depressants) that affect the central nervous system i.e. anxiolytics, hypnotics antidepressants, alcohol, general anesthetics and other analgesics. They should also note respiratory rate, depth, and rhythm and size of pupils in Harry (Lewis et al., 2015). If respirations are 12/min or below and pupils are constricted or dilated or breathing is shallow, or if signs of CNS hyperactivity are present, the physician shold be informed; Monitor vital signs closely. Heart rate may increase markedly, and hypotension may occur. Meperidine may cause severe hypotension in postoperative patients and those wi th depleted blood volume; Chart patient's response to drug and evaluate continued need.the nurses shold be aware of other effects as follows.CNS: Light-headedness, dizziness, sedation, euphoria, dysphoria, delirium, insomnia, agitation, anxiety, fear, hallucinations, disorientation, drowsiness, lethargy, impaired mental and physical performance, coma, mood changes, weakness, headache, tremor, seizures, miosis, visual disturbances, suppression of cough reflex. CV: Facial flushing, peripheral circulatory collapse, tachycardia, bradycardia, arrhythmia, palpitations, chest wall rigidity, hypertension, hypotension, orthostatic hypotension, syncope. Dermatologic: Pruritus, urticaria, laryngospasm, bronchospasm, edema. GI: Nausea, vomiting, dry mouth, anorexia, constipation, biliary tract spasm, increased colonic motility in patients with chronic ulcerative colitis.GU: Ureteral spasm, spasm of vesical sphincters, urine retention or hesitancy, oliguria, antidiuretic effect, reduced libido o r potency.Local: Tissue irritation and induration (subcutaneous injection).Major hazards: Respiratory depression, apnea, circulatory depression, respiratory arrest, shock, cardiac arrest. Other: Sweating, physical tolerance and dependence, psychological dependence (Bright et al., 2003). Describtion of the structural and functional changes that occur in the pathogenesis of Crohns disease that led to Harrys weight loss and the development of the stricture and fistula in Harrys ileum. Crohns disease can have several patterns of involvement: jejunoileitis, ileitis, ileocolitis and colitis. Each subtype has a distinct clinical presentation and typical course. Patients with inflammation of the jejunum and ileum often present with cramping abdominal pain after meals and eventually develop diarrhea. These patients, many of whom are teenagers or young adults, may have prominent extraintestinal manifestations including arthritis, fever, skin lesions, and delayed growth. Ileitis causes discomfort 12 hours after meals. Patients lose weight because they eat less to avoid discomfort, thus Harrys weight loss (Karamanakos et al., 2008). The inflammation in the ileum can extend transmurally into adjacent structures as tracks or fistulae, or can cause perforation of abscesses adjacent to the bowel. This form of Crohns disease is known as fistulizing or perforating. It has the worst prognosis of all the forms and often requires surgical resection after three or four years. Other patients with ileitis develop intestinal obstruction 810 years after the onset of disease because muscle hypertrophy and fibrosis narrow the lumen of the bowel. This form of Crohns disease is known as stricturing or stenosing. This explains the presence of stricture and fistula in Harrys ileum (Cosnes et al., 2013). Crohns disease in the colon causes diarrhea and may be difficult to distinguish from ulcerative colitis. Characteristics of the intravenous fluid that was ordered for Harry, and the rationale, related to Harrys specific fluid balance status, for the administration of this intravenous fluid to Harry. In vitro measurements of the net transport and simultaneous bidirectional flux rates of water and electrolytes across the human colonic epithelium demonstrates that in CD there is a reversal of Na+ and water flux, and K+ secretion was increased (Barkas et al., 2013).Notable seasonal variations in vitamin D status and bone turnover markers have been reported in CD patients. Specifically, the 25-hydroxyvitamin D becomes significantly lower (up to 65%) in CD patients compared to healthy people, potentially due to reduced intestinal absorption, disturbed enterohepatic circulation and reduced nutrient intake of vitamin D. Infliximab is an intravenous fluid used in tretment of Corhons disase.It works by targeting a protein called tumour necrosis factor-alpha (TNF-alpha), which is believed to be responsible for the inflammation associated with Crohn's disease. Infliximab can be used for children over six years old and adults.Infliximab is given as a drip into a vein in your arm (known as an infusion). Treatment with tumor necrosis factor (TNF)- antibodies is very successful as it helps in downregulating the inflammatory process (Sands et al., 2004). References Barkas, F., Liberopoulos, E., Kei, A., Elisaf, M. (2013). Electrolyte and acid-base disorders in inflammatory bowel disease. Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology, 26(1), 23. Bright, E., Roseveare, C., Dalgleish, D., Kimble, J., Elliott, J., Shepherd, H. (2003). Patient-controlled sedation for colonoscopy: a randomized trial comparing patient-controlled administration of propofol and alfentanil with physician-administered midazolam and pethidine. Endoscopy, 35(08), 683-687. Cosnes, J., GowerRousseau, C., Seksik, P., Cortot, A. (2011). Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology, 140(6), 1785-1794. Karamanakos, S. N., Vagenas, K., Kalfarentzos, F., Alexandrides, T. K. (2008). Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Annals of surgery, 247(3), 401-407. Lewis, S. L., Maltas, J., Dirksen, S. R., Bucher, L. (2015). Study guide for medical-surgical nursing: Assessment and management of clinical problems. Elsevier Health Sciences. Sands, B. E., Anderson, F. H., Bernstein, C. N., Chey, W. Y., Feagan, B. G., Fedorak, R. N., ... Rachmilewitz, D. (2004). Infliximab maintenance therapy for fistulizing Crohn's disease. New England Journal of Medicine, 350(9), 876-885.

The Indolence of Filipinos Essay Example

The Indolence of Filipinos Essay When we talk about indolence it’s being about the laziness of Filipinos. We all know that many Filipinos are now indolence here in our society. But most of them are hardworking persons. And in my opinion I do not think that Filipinos are lazy because we are hardworking and independent group of people. And some of us are working in abroad just to raise our family in poverty especially to provide the basic needs of family the clothing, shelter and food.And because of that many Filipinos who strived hard just to give their children a decent life and proper education. But there are some who are indolence to reach their goal and lack of self-determination. With this, many Filipinos who are lazy to simply follow the rules and regulations in our society. Like the proper disposal of garbage and the traffic laws. This means that, by this simple instructions we tend to be independent, in other words lazy. Filipinos are sometimes tend to be lazy because of the low economy of our country. They are lazy finding solutions to their problems. That’s why many of us were influenced to do negative actions such as kidnapping, drug addiction, teenage pregnancy and not pursuing education trying to fit in and becoming part of a circle, not standing with the negative influences is truly the miserable thing that a Filipino with encounter. However, the thing that I must be proud of being a Filipino is that being hospitable to the other people and also they work hard under the heat of the sun like the farmers. Without them we are nothing because we don’t have nothing to eat.Also to the Overseas Filipino Worker or OFW they endure to leave their family and suffer the consequences to the other country. Even though there are others who are molested by their employee because to them we are just nothing, nothing but a low educated person. There are some who stand strong and not affected of what the foreigners treated the Filipinos. They have the strong determination that wi thout the Filipinos they are nothing, they only depend on us because we’re hardworking and most of them don’t know how to facilitate their own living. That’s why I’m proud to be a Filipino.

White Privilege Essays

White Privilege Essays White Privilege Essay White Privilege Essay Data Analysis Investigation Introduction Research Question: Do individuals in the Midwest experience the affects of white privilege? During this investigation I seek to explore the differences in privilege that males and females, of different race and ethnic backgrounds, experiences in their daily lives. My fellow Sociology of Race and Ethics classmates and I will conduct Peggy McIntosh’s White Privilege survey, in hopes to find any differences in privilege felt by individuals of varying age, gender, race or class membership. My hypothesis is: According to Peggy McIntosh’s White Privilege survey, she suggests that white people are privileged with what she describes as â€Å"an invisible package of unearned assets, which I (Peggy McIntosh) can count on cashing in each day, but about which I was ‘meant’ to remain oblivious. White privilege is like an invisible weightless knapsack of special provisions maps, passports, code books, visas, clothes, tools, and blank checks† (McIntosh, 1988). I suggest that with the changing of times, and ever growing equality that this distinct idea of white privilege is no longer prevalent. I believe that, McIntosh’s view of white privilege is no longer applicable in today’s Midwestern society and culture. I hypothesize that age will have more of an effect on responses to the survey than that of gender or race. I predict that younger people (below 20) are at a greater risk of feeling â€Å"underprivileged†. For my second hypothesis, I suggest that overall people in the Midwest feel privileged versus not. I believe this because I feel that the social stratification in the US, especially in the Midwest, has declined creating a more equal environment for all. Data Collection I will receive my data though the use of Peggy McIntosh’s White Privilege survey. First I will take the survey, while recording my answers, and then give the survey to ten other individuals, recording their answers in the same format. My fellow classmates will do the same, then all of the information will be then collected and charted accordingly into cross-tabulation tables. Each survey participant will be asked to rate their responses on a 1-4 scale: 1 = Strongly Agree, 2 = Agree, 3 = Disagree and 4= Strongly Disagree. The date responses can than be interpreted as answers of Strongly Agree, and Agree indicating a greater response of â€Å"privilege† – which McIntosh believes suggests members in a majority group. The data will then be organized into cross-tabulation tables. Each table will contain only two variables – one independent variable (gender, age, race, member of the class or not) and one dependent variable (each statement from the survey). After collecting the data a few changes were made: age was recoded into groups of ages, while also recoding all responses of ‘Disagree’ and ‘Strongly Disagree’ into one value for each variable, both to make analysis easier. Race was also recoded into ‘White’ and ‘All Other Races’ to expedite analysis. Also the ethnicity variable responses were found to be unreliable, so that variable was removed before running the data. When reading a cross-tabulation table it is important to remember that in order to interpret the data response, you must look for the differences in the percentages of responses not in the difference in the number of responses. Also, the needed information is, if the independent variable (gender, age, race or class membership) seems to make a difference in how a person responds to the dependent variable (the questions). After all the data has been gathered and charted, I will then compare the findings to my hypothesis. In order to discover whether my hypothesis is true or false I will evaluate the cross tables of age, gender, race and class completed from the collected data. Exploring the Data Younger ages (less than 20) have a larger affect than old age in feeling â€Å"underprivileged†. After analyzing the data, I believe my hypothesis that the ages 18-19 feel underprivileged as compared to the older ages, was correct. This is represented in the findings, that of the en questions surveyed, exactly one half the questions (five of ten) the age group 18-19 had the highest disagreement percentage compared to the other age groups. No other age group had close to the equivalent outcomes, the closest age group being groups 24-34 and 45-50 both with two. The findings show that in one half of all situations this age group is presented with, they feel as though they are underprivileged as compared t o other age groups, but by examining just the 18-19 age group or age as a whole, the majority feel as though the ‘Agree’ they are privileged. This finding is universal through all independent variables. While comparing all independent variables, of the 10 survey scenarios no matter what the independent variable is 70% of the time the participants feel they ‘Agree’ to being privileged. Exploring Data – Midwesterners overall feel â€Å"privileged† versus â€Å"underprivileged† no matter the independent factor. After analyzing the cross-tabulations, I feel as though my hypothesis about the Midwestern society is spot on. The data show’s that across any independent factor (age, gender, race and lass membership) a large majority of the participants surveyed feel as though they ‘Agree’ to being privileged. This is an overwhelming statistic that is constant throughout all independent variables; of the ten surveyed scenarios people agree 70% of the time to feeling privileged. In only, one scenario do people as a whole feel as though they are underprivileged. Overall Analysis and Personal Findings I found the collective results very interesting, especially in the age category. I thought it was interesting that older adults feel less privileged more than or equal to that of middle aged adults. I had assumed, that in our society much like that of the Native American societies that respect and privilege comes with age. I found the data surprising that the age group that tended to feel most privileged was ages 20-21. In four of the ten scenarios, the 20-21 year olds surveyed felt the most privileged or ‘Strongly Agreed’ to the situation as compared to all other age groups. I did not expect this, as the previous age group had felt the most nderprivileged in half of the scenarios, and in only an addition 1-2 years, the surveyed participant went from feeling the most underprivileged to the most privileged. I had guessed that the feeling of privilege would gradually increase with age groups, leaving the oldest age group (50 and older) with the highest feeling of privilege. I thought this, not only because society often deems wisdom with age, but also because the older participants surveyed may have grown up in a more dominant white privilege society, and those same feelings and thought processes would still be relevant to the way they feel they fit in society. All in all, I found very interesting facts from the data collected in every category. Things that I had thought would hold true, often did not. Such as, when considering the independent variable of gender, I assumed that women would primarily feel as though they were underprivileged as compared to men, but the data shows other wise. From this survey, men felt more underprivileged as compared to their female counterparts 100% of the time. Another fact that I found shocking was that when considering race as the independent variable. My hypothesis that white privilege was no long prevalent in the Midwest was incorrect. Participants of the ‘Other’ race felt underprivileged in half of the scenarios, and the other half they only ‘Agreed’ to feeling privileged. As compared to their ‘White’ counterparts, feeling privileged 100% of the time. I do believe that in the Midwest, things are moving close to equality as this is seen in at least half or more of the situations both the ‘White’ and ‘Other’ race group feel as though they ‘Agree’ to being privileged. No one group stands out as ‘Strongly Agreeing’ to be privileged for the majority. This tells us, that although there are still instances of white privilege, the Midwestern society is moving away from that and more towards social equality. : McIntosh, Peggy. Daily effects of white privilege. White Privilege: Unpacking the Invisible Knapsack. Wellesley College Center for Research on Women, 1988. Tues. 19 Feb 2013. .

Tourism Policy of West London Essay Example | Topics and Well Written Essays - 1000 words

Tourism Policy of West London - Essay Example At the same time, the sustainable tourism policy says local people are partners in the revenue of tourism because they have to maintain the culture and heritage of the place to make it an attraction. Developmental policy focuses on the ecological and financial development of the society. It is necessary to take this perspective while forming the policy as a socio-economic factor, development, tourism, and sustainability are all interlinked. In London, tourism supports the economy, and generates jobs. The important tasks detailed by the Mayor say it all. He reiterates that London's economy should continue to be successful and only then, could it be distributed. It is a long term sustainable success dealing with the climate change and its necessities. "All Londoners must participate in this success. Not only for social justice but because without it the quality of life in the city will deteriorate and the consensus for London's internationalisation will break down" http://www.lda.gov.uk/server/show/ConWebDoc.1886 It is possible to present a vision with the right perspective of development, cultural atmosphere and socio-economic parameters because they are the main factors that govern tourism and its development. Cultural background is necessary to develop, retain and to present as an attraction, while socio-economic parameters are necessary for benefit and improvement. Development of London with the impending Olympics cannot develop without a vision of its own. What is tourism visioning Provide an example of a vision statement from your policy document. (Note it may be necessary to read between the lines if this is not immediately obvious) Why is it necessary to undertake such an exercise Tourism visioning has the social and economic conditions of the region in mind, while keeping the cultural perspective intact. It is more of eco tourism that sustains the tourism industry, but maintains the eco balance of the state, by not harming the tourist attractions or the region in any way and it will also combat the global warming. The Mayor's vision of London tourism says: "To develop London as an exemplary sustainable world city, based on interwoven themes: strong and diverse, long-term economic growth; social inclusion to give all Londoners the opportunity to share in London's future success; fundamental improvements in London's environment and use of resources. A Prosperous City: Making London a more prosperous city with strong and diverse economic growth. A City for People: Making London a better city for people to live in. An Accessible City: Improving London's transport and making it accessible to disabled users, women, children and the elderly; making the most sustainable and efficient use of the space in London; encouraging intensification and growth in areas of need and opportunity" A Fair City: Promoting social inclusion and tackling deprivation and discrimination A Green City: Making London a more attractive, well designed green city" . It is necessary because London must have better economic growth to remain a prosperous city and it has to remain eminently habitable without any adverse effects of tourism. It should be internally and externally suitably linked for all

Treatment for gout arthritis and development of research study design Proposal

Treatment for gout arthritis and development of study design - Research Proposal Example Currently, there is no long term well-coordinated research works that can show how people with knowledge about purine containing foods and keep specific purine diets low and get acupuncture is more successful in reducing contraction of gouty arthritis break outs as compared to colchicine and NSAIDs for male of ages 18-40 tested over a period of 24 moths. A number of doctors have come out to point out the effectiveness of low purine diet in treatment of gout out breaks. In their handout about purine diet, doctors from Pittsburgh Medical Center describe that low purine diets can reduce contraction of gouts. It is explained that purine containing foods are broken down to form uric acid that is responsible for arthritis. They recommend that low consumption of purine foods lowers the amount of uric acid produced by the body hence this can reduce gout arthritis infections (Pittsburgh Medical Center, 2008). Since medications are not so effective, reducing the gout arthritis cases. It is recommended that prevention is more effective than cure. In their essay Preventing Gout Attacks, Palo Alto Medical Foundation doctors write that consumption of low fat foods and those with low levels of purine is more likely to reduce accumulation of uric acid. This in turn reduces chances of gout attacks (Palo Alto Medical Foundation, 2011). This research seeks to give proof that long term maintenance of low diet on purine foods and acupuncture treatment over a period of 24 moths is more effective than the mainstream cures, for instance, patients being administered with NSAIDs and colchicine to reduce break outs of gout arthritis in males aged between 18-40 years. Most of the works done regarding low diet in purine foods is just experimental and more theory. This research seeks to implement the treatment of gout arthritis through diet regulation on purine

A Review of Bathing Beauties Essay Example for Free

A Review of Bathing Beauties Essay Anna Schnur-Fishman presents a compelling argument for teaching healthy body image and self esteem in her article â€Å"Bathing Beauties†. Set in the communal shower of a summer camp, Schnur-Fishman described how she and her friends developed their positive body image. Through group support and open conversations, the girls who showered in the communal shower and learned that beauty was not what they saw on TV or on a billboard. In fact, they learned that no one really looked like those images. And through this communal showering the girls learned to love their bodies and all their imperfections. These experiences and lessons were such that Schnur-Fishman and her friends have carried then throughout their lives. Anna Schnur-Fishman makes several interesting and valid points in favor of the communal showering in the BIK. First she discussed the idea of community support. According to Schnur-Fishman, everyone had to shower together, so no one was judgmental of another’s bodies. In fact, Schnur-Fishman, discussed one conversation where all the girls said out loud one thing they did not like about themselves. As a friend of the author’s stated, she never noticed the flaws the other girls. The realization showed her that if she was not paying attention to others flaws, others were not paying attention to hers. This exercise instilled in them that girls can feel beautiful no matter what they may think is wrong with their bodies. This is a beautiful idea because, as Schnur-Fishman notes, outside American culture often does not provide young girls this type of support. Instead, our culture, more than any other, pushes an unrealistic image of female beauty. Schnur-Fishman continued to discuss the idea of multigenerational exposure. At peak shower times, the age range in the shower could be from 8-25 years old. This allowed for the older girls to really be role models for the younger girls. In today’s culture, young girls look up to actresses and models, these images do nothing but further warp a girl’s sense of self and body image. Following in line with this idea, the author stated that the BIK was â€Å"a reality check†. Again, no one is perfect. The only way for a young girl to learn this is to see that others have flaws and no one really pays them any attention. Schnur-Fishman also stated that she believed the communal shower was a way to â€Å"push back against American culture†. By feeling good about oneself and not being ashamed, a girl has power over what the mainstream culture is trying to teach her. She mentioned that how good they felt should have been criminal. Schnur-Fishman made a valid point here because it often does seem very unacceptable for a female to feel good about herself. Find a group of females and listen to their conversation. Chances are you will hear them complain about how bad they look or how fat they feel. You can almost guarantee that if one of the females said something positive about themselves, she would get the cold shoulder or some negative response from the others (eyes rolling, fake, shallow agreement, talking behind her back when she goes to the bathroom, etc). The last point the author discussed was the joy she felt in the BIK. She stated that it was liberating, being free and remembering what is was like before she cared about her body. It gave her and the other girls the chance to relax and let loose. They did not have to try to up hold any type of image. I think the Schnur-Fishman made some very good points. It is unfortunate that even in today’s culture, were we say we promote healthy living and encourage self esteem, so many girls suffer. The images we show our young girls and the words we say contradict each other, only confusing ours girls into personally insecurities. We tell them to love them selves no matter what they look like. Then we show them that beauty is comes in tall and skinny package, with clear skin. This unrealistic body image is causing more emotional and health related problems among our young girls than sometimes we care to realize. Giving our young girls opportunities to feel good about them self is only the first step to reclaiming their own personal power.