Friday, May 31, 2019

Clinton Administrations Proposal To Increase Taxes For Multinational Co

My topic is the increase if the taskes which Clinton Administration isplanning. This increase in taxes will target multinational Corporations, endthe favored tax treatment of extra long term bonds, It will also raise capitalgains taxes by changing the rules for computing the cost basis of securitieswhen they are exchange at a profit. What this will do is increase the taxes for therich and will decrease the difference between the rich and the poor. The plan isintent on cutting the middle class tax and finance higher education (yeah right).The current tax law decreases the Federal Treasury Revenue and makes the economyless(prenominal) efficient or less competitive.The multinational tax would disallow multinationals to assume half oftheir goods are foreign even if they are made in the US. therefrom they could exportto a country with low taxes and thus pay less taxes. This change would bring anincrease of 7.9 Billion in corporate taxes over the abutting 5 years.This withdraws a lot o f money from the economy and may thus decreasedemand for goods, as people have less money to spend. The multinationals would utilize many people and with and increase in their cost (tax is a type of cost)they would be forced to decrease the average amount of wages which the theiremployees received. This may select the form of decreased raises, or the layingoff of some people. This would thus decrease aggregate demand for goodsNationally (as Multinationals would employ people in th...

Thursday, May 30, 2019

Polypharmacy Among the Elderly :: Health Care

Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Elderly who have comorbities and take quadruplex musics are at a higher guess for potential adverse do drugs reactions. Elderly who take over-the-counter medications, herbs, and supplements without consulting their physician are at risk for adverse reactions associated with polypharmacy. Polypharmacy can result from uncomplainings having multiple prescribers and pharmacies, and patients who continue to take medications which have been discontinued by the physician. There is a great need for nursing interventions regarding polypharmacy, including medication reviews also known as brown bag. As nurses obtain history data and conduct a patient assessment, it is essential to review the patients medications and occupy open-ended questions regarding all types of medications in which the patient is taking. In addition, the patient assessment is also an opportunity for the nurse to inquire about any adve rse reactions the patient may be experiencing resulting from medications. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions. Project PurposePICO Question Among the elderly patients receiving care at Cary Medical Center on Med/Surg, who are currently taking multiple medications due to comorbidities, would reviewing medications at each provider visit reduce polypharmacy and its associated adverse reactions?Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are prudent and accountable for administrating medications to patients. Patient medication education is conducted by the nurse. Medication education includes informing the patient the reason for the medication, when and how long to take the medication, drug interactions, and importance of checking with direct care provider prior to taking any over-the-counter or herbal products. If the nurse is unfamiliar with a certain medication, a drug rule book is available for the nurse to utilize and gain knowledge regarding the drug use, action, adverse reaction, and contraindications. Method used to conduct ROLA explore for current peer reviewed look studies was conducted using CINAHL, Medline, and PubMed. The research articles were generated by utilizing the search entry with the terms of polypharmacy, polypharmacy among the elderly, adverse drug reactions and polypharmacy, and consequences and polypharmacy. After receiving a few research articles, a new search was conducted replacing the term of polypharmacy with multiple medications. These searches yielded limited research articles pertaining to the topic of polypharmacy.

Wednesday, May 29, 2019

Deep Sea Fish Adaptions Essay -- Marine Evolution Sea

The discoverer of the titanic, Dr Robert Ballard famously referred to the thick(p) sea as far more alien than going to mars or the moon. The deep sea is one of the largest virtually unexplored ecosystems on the planet it is found at a depth of 1000 fathoms 1 and is subject to adverse changes in temperature, pressure and electric arc penetration amongst other factors. thereof as expected look for decrease in abundance, and species diversity. This trend is prominent as in order to survive the savage conditions of the deep sea, fish need a number of specific adaptations. Allowing them to ultimately survive, feed, and reproduce.The deep sea is one of the most hostile environments in the world, which a quick organism is subjected to. As you progress from the surface (the epipelagic zone) through to the abyssopelagic zone near the basin of the ocean the environmental characteristics begin to alter dramatically. Light, pressure, oxygen, temperature and food are abiotic factors that prolong all led to the fascinating adaptations of deep sea life. Pressure alone increases by 1 atmosphere for each 10m in depth which is an astonishing rate. The deep sea temperature remains between 2-4c, which is just another factor inhabitants must overcome in order to survive, along with a reduced quantity and accessibility of essential factors like oxygen, food and light3.From the surface to its deepest depth the ocean is 11km deep, and with this distance comes a vast change in physiological have got of fish as they try to survive the changing conditions. The bottom of the deep sea exists in darkness as little light penetrates through the surface. Therefore most inhabitants have to rely on their senses to survive. The fish require light to survive they ... ... any environment but in the deep sea the fish have had to evolve immensely just to survive.Works Cited 1 http//www.bbc.co.uk/nature/habitats/Deep_sea2 http//www.seasky.org/deep-sea/ocean-layers.html3 http//marinebio.org/ Oceans/Deep4 http//www.suite101.com/content/adaptations-of-deep-sea-fish-a2300446 http//www.eoearth.org/article/Bathypelagic_zone?topic=495237 http//www.allthesea.com/Deep-Sea-Fish.html8 http//www.suite101.com/content/adaptations-of-deep-sea-fish-a230044ixzz17YRH7Amz9 Deep sea and uttermost(prenominal) shallow water habitats affinities and adaptions by Franz Uiblein, Jorg Ott and Michael Stacowitsh 199610 http//www.marinebiology.org/fish.htm11 Adapted from http//www.mbari.org/earth/mar_tech/EITS/ob_deep/od_back.html12 http//sanctuarysimon.org/regional_sections/deepSea/overview.php