Alexandria Healthcare Essay

Alexandria Healthcare Essay Alexandria Healthcare Essay Alexandria Neighborhood Health Services, Inc. Making a Difference at the Arlandria Health Center OUR MISSION ANHSI, a 501(c)(3) not-for-profit organization, manages the Arlandria Health Center to provide accessible, coordinated, community based primary health care, including behavioral health and oral health, to people in Alexandria and surrounding communities. OUTCOMES FOR CALENDAR YEAR 2011 12,998 individuals received services 42,938 health care visits were held 2,658 unduplicated children, ages 0 to 19, were served through 8,670 visits 10,340 unduplicated adult patients were served through 34,268 health care visits 961 patients received dental care through 1,417 visits 593 patients received mental health counseling through 2,136 visits 907 individuals received family support services through 2,646 visits 921 children were enrolled in public health insurance 96% immunization rate for children 2 years of age 4,227 medication requests were processed for 1,456 patients with a value of $1,824,160 in Average Wholesale Price OUR VISION Everyone in our community has access to comprehensive and affordable health services resulting in a healthier population and improved quality of life. OUR SERVICES Newborn, Infant and Well Child Exams Pediatric Sick Visits Women’s Health and Gynecology Family Planning General Medicine Routine Physical Exams Immunizations for Children and Adults Acute Illness Care Chronic Illness Care Mental Health Counseling Family Support and Case Management Services Prenatal Case Management Dental Care Access to Discounted and Free Medications Health, Nutrition and Parenting Education Enrollment in Health Insurance (Children & Pregnant Women) Alexandria Neighborhood Health Services, Inc. Making a Difference in Our Neighborhoods! Board Executive Committee Gene Kendall, Jr., President Charles Konigsberg,

Why Acute Angles Are Less Than 90 Degrees

Why Acute Angles Are Less Than 90 Degrees In geometry and mathematics, acute angles are angles whose measurements fall between 0 and 90 degrees or has a radian of fewer than 90 degrees. When the term is given to a triangle as in an  acute triangle, it means that all angles in the triangle are less than 90 degrees. It is important to note that the angle must be less than 90 degrees to be defined as an acute angle. If the angle is 90 degrees exactly, though, the angle is known as a right angle, and if it is greater than 90 degrees, it is called an obtuse angle. The ability of students to identify the different types of angles will greatly help them in finding the measurements of these angles as well as the lengths of the sides of shapes that feature these angles as there are different formulas students can use to figure out missing variables. Measuring Acute Angles Once students discover the different types of angles and begin to identify them by sight, its relatively simple for them to understand the difference between acute and obtuse and be able to point out a right angle when they see one. Still, despite knowing that all acute angles measure somewhere between 0 and 90 degrees, it may be difficult for some students to find the correct and precise measurement of these angles with the help of protractors. Fortunately, there are a number of tried and true formulas and equations for solving for missing measurements of angles and line segments that make up triangles. For equilateral triangles, which are a specific type of acute triangles whose angles all have the same measurements, consists of three 60 degree angles and equal length segments on each side of the figure, but for all triangles, the internal measurements of the angles always add up to 180 degrees, so if one angles measurement is known, its typically relatively simple to discover the other missing angle measurements. Using Sine, Cosine, and Tangent  to Measure Triangles If the triangle in question is a right angle, students can use trigonometry in order to find the missing values of the measurements of angles or line segments of the triangle when certain other data points about the figure are known. The basic trigonometric ratios of sine (sin), cosine (cos), and tangent (tan) relate a triangles sides to its non-right (acute) angles, which are referred to as theta (ÃŽ ¸) in trigonometry. The angle  opposite  the right angle is called the hypotenuse and the other two sides  that form the right angle are known as the legs. With these labels for the parts of a triangle in mind, the three trigonometric ratios (sin, cos, and tan) can be expressed in the following set of formulas: cos(ÃŽ ¸)   adjacent/hypotenusesin(ÃŽ ¸)   opposite/hypotenusetan(ÃŽ ¸)   opposite/adjacent If we know the measurements of one of these factors in the above set of formulas, we can use the rest to solve for the missing variables, especially with the use of a graphing calculator which has a built-in function for calculating sine, cosine, and tangents.

American revolutionary era Essay Example | Topics and Well Written Essays - 1500 words

American revolutionary era - Essay Example Many colonists migrated from Great Britain to gain independence and to seek their own personal freedoms that the King George III clearly neglected. The desire to colonize the new world generally meant more liberation and strong urgency of independence. Undoubtedly, the American revolution has transformed American ideals and lives of ordinary Americans from many aspects. One of the first elements that have been transformed American lives is the concept of individuality and freedom. One of the main causes that initiated the revolutionary war was the geographic distance that separated the colonies from Great Britain. Many colonists migrated from Great Britain to gain independence and to seek their own personal freedoms that the King George III clearly neglected. The desire to colonize the new world generally meant more liberation and strong urgency of independence. This concept of liberation has been the focal point of Americans since the era of colonies to modern day America. The ideal s of democracy have been created from expressing individuality rather than conforming to a traditional mainstream society. America continues to take a great pride in individuality from many facets. Each American has the desire to have the prosperous in wealth and have a standard of life of luxury. This attribute can be traced back to the ideals of early colonists, who wanted to isolate themselves from the British rule on the first place. The expression of individuality and liberalism has been consistent element for all Americans and what makes America unique. Another element that has been derived as a result of the revolutionary war that has transformed America to be exceptional is the fact that Americans are conditioned to change and clash against status quo. Unlike other countries that continue to be dictated with status quo, Americans are quick to embed rapid changes to accommodate their country. Throughout history, America is known to embed these changes with the age of progress ivism and revolution. For instance,    John Locke once stated in his writing Second Treatise of Government, â€Å"Where there is no law, there is no freedom.† Every society makes and enforces laws that govern the individuals, businesses, and other organizations that function within. Since the American revolution, individuals have celebrated and enjoyed their God-given rights. This has manifested itself in America throughout the years, even in isolationism has managed to maintain its focus in domestic affairs to propel itself against other nations. Furthermore, America’s firm belief in its capitalism democratic principles has propelled it compared to other nations. In order to truly understand the influence that the Revolutionary war had on America, it is crucial to understand the root causes of these changes. One of the root cause the American Revolutionary War was the colonial legislatures that were enacted by the King. The enactment of these laws meant that that th e colonies continued to be pass laws and pay taxes to atone the sins of the Great Britain. King George III clearly had a safety net to protect himself when he was in trouble. In order to fund his financial burdens, the King would impose illogical taxes to the colonists. His behavior was brilliantly captured by Thomas Paine. In his literary work the â€Å"common sense† described King George as a â€Å"

Mentoring Children with Learning Disabilities Essay

Mentoring Children with Learning Disabilities - Essay Example ns those children who have a disorder in one or more of the basic psychological processes involved in understanding or in using language spoken or written, which disorder may manifest itself in imperfect ability to listen, think, read, write, spell or to do mathematical calculations. The term includes such conditions as perceptual handicaps, brain injury, minimal brain dysfunction, dyslexia and developmental aphasia. The term does not include a learning problem which is primarily the result of visual, hearing or motor handicaps or mental retardation, or emotional disturbance, or of environmental, cultural or economic disadvantage† (U.S. Office of Education, 1977, p. 65083) "Gifted and talented are those ... with demonstrated achievement and/or potential ability in ... (a) general intellectual ability, (b) specific academic aptitude, (c) creative or productive thinking, (d) leadership ability, (e) visual and performing arts, and (f) psychomotor ability." (Cooper, 1995). This definition now included skills which are not easily manifest, and to successfully and credibly label someone as â€Å"gifted† many processes are necessary than mere parental observation. Benjamin J. Lovett and Lawrence J. Lewandowski (2006) did a thorough research on the identification of students who are gifted and at the same time have learning disabilities. It attempts to pin down a concrete system of screening of the population of the gifted with learning disabilities (G/LD). Children who manifest both giftedness and learning disability often get frustrated due to the duality of their abilities. Although they may have a vast knowledge of certain themes, they still manifest an inability to demonstrate academic achievement. They have feelings of inadequacy because of inner conflicts of knowing how smart they are yet they cannot perform at par to their intelligence (Shevitz et al, n.d.). It is specifically for these cases of children that the Wings Mentor Program was established. A

Concert Review Essay Example for Free

Concert Review Essay The rhythm, which was continuously steady seemed to get faster like a heart beat by the climax of the song. It was also at this point that the dynamics of the song were increasingly getting louder until all instruments met at the top with a bang and then changed the dynamics again to a moderate level until the song concluded. â€Å"Waltz for Debby†, written by Bill Evans and arranged by Don Sebesky, was a consonant, slow-beat waltz. The texture of this piece remained the same through its entirety and the 1,2,3 pattern was also very noticeably throughout the piece as well. The saxophone, trumpet and electric guitar took turns at the melody and did so through this performance in the form of solos. The dynamics throughout this song were soft and then increased to a moderate level before a decrescendo to a softer level once again. The ensemble did a fabulous job of keeping with the beat. â€Å"Ancient Memories†, by Fred Hamilton and arranged by Paul Ferguson, was played the night of the concert by guest trumpeter, Darryl White. Mr. White played this song because it is the title track on his 1999 album, also called â€Å"Ancient Memories†. Mr. White is a professor of trumpet at the University of Nebraska. This piece began by having very dissonant tones within the harmony with the introduction of a piano and drums. The song then changed into a more consonant harmony, which remained throughout the rest of the song. The texture of this song was polyphonic between the trumpet and the piano. The melody of this song was bright and happy in some places within the song and more cool and relaxing in other parts as the tempo changed and the notes of the trumpet were held for emphasis. There were many dynamics used within this song. The song began with a crescendo from very soft to very loud and then remained in this pattern until the end when the pattern was reversed. â€Å"Fly Me to the Moon† was for me a song of romance from the time the first note began. The song was passionate and sexy and displayed dialogue without using any words. The ensemble played this piece with steadiness and the solo by Cassi Lee provided the extended dialogue that sounded like dancing and twirling in the moonlight. This song reminded me of â€Å"My Heart Will Go On† in that the instrumental nature of it tells a story, just as much as when Celine Dion is singing the lyrics. I found listening to this song a worthwhile experience and it was a fantastic beginning to the jazz concert in that it was familiar to the audience. â€Å"Waltz for Debby’ made me wonder who Debby was and why someone would write such an old-sounding song for someone they loved. The song was very pretty, but it was of a different genre than that of the other pieces within the concert. It is honestly hard for me to recommend this song to anyone, for I thought it was dull and lacked the depth of the other songs throughout the evening. â€Å"Ancient Memories† was a beautiful piece. I am not sure what I enjoyed more, the fact that Mr. White played with such passion and made the song his own life force or that this piece reminded me of my childhood. This piece reminded me of something Bill Cosby would have on the Cosby Show in one of the jazz clubs. The song was fun and although the song had a lot of repetition, I loved listening to the changes over and over again. The Jazz Ensemble concert at Tarleton was an enjoyable evening full of great music and intellectually stimulating experiences of music that I would not have listened to if not for this assignment. Diversification is an important lesson to learn when viewing music because all music has roots from another genre and recognizing this makes you more diversified as an individual.

Law Enforcement Intelligence Processes :: essays research papers

LAW ENFORCEMENT INTELLIGENCE PROCESSES   Ã‚  Ã‚  Ã‚  Ã‚  The fundamental key for any successful intelligence mission is the ability to access information from the different intelligence disciplines: Imagery Intelligence (IMINT), Signals Intelligence (SIGINT), Measures and Signals Intelligence (MASINT), Human Intelligence (HUMINT), and Open Source Intelligence (OSINT). These five disciplines are in essence the only way for the analyst to gather information, short of actually traveling the world to investigate hands on.   Ã‚  Ã‚  Ã‚  Ã‚  The development of intelligence within the law enforcement field began in the early 20th century as a collection method during the investigation of organized crime organizations. The Sicilian crime families across the United States were the focal point from the 1940s to the 1980s, which were known as the La Cosa Nostra or the Mafia. During the 1980s, law enforcement realized that other organizations were sprouting up into a new era in organized crime. Today’s analysts are responsible for investigating and analyzing information on other non-traditional crime organizations like drug cartels, outlaw motorcycle gangs, street gangs, and various other non-Sicilian Mafia organizations.   Ã‚  Ã‚  Ã‚  Ã‚  The common denominators in all organized criminal activities are violence, corruption, and organization. The problem of dealing with the new non-traditional organizations is that there is not an extensive amount of information on each organization spanning over the last couple of decades. New information must be acquired, recorded, and filed. Modern technology has been crucial in the latter for creating databases.   Ã‚  Ã‚  Ã‚  Ã‚  One of the most imperative pieces to completing any organized crime scenario are the day in and day out facts of how the organization was ran, what people were contacted, and the different types of activities that were illegally preformed. The analyst must be able to obtain information in order to make an analysis of what or who may or may not be at the root of a crime(s). This type of information can be found in law enforcement files, which are now moving towards electronically storing information. The analyst must be especially computer literate in order to research criminal activity and association. One device that the analyst has available is the Internet. Although this is not the only open source information-collecting device, it is one of the most commonly used open source methods. The problem of the â€Å"wheat versus chaff† can be realized very easily at any search engine. The Internet can be a very valuable tool for the analyst, but can also be a very time-consuming and an overwhelming obstacle if the analyst does not know how to overcome the problems of over-information.

New Heritage Doll Essay

Introduction Emily Harris is the Vice president of New Heritage Doll Company’s production division. In mid-September of 2010 she was trying to decide on project proposals for the company’s capital budget meeting in October. Of the proposals presented to her, two of them stood out based on their innovation and ability to strengthen the division’s product lines. The first project, Match My Doll Clothing Line Expansion (MMDC), would extend the warm weather products to an all-weather clothing line. The second project, Design your Own Doll (DYOD), would start with a website where customers would choose the doll’s features, color, etc. and then the dolls will be made to order. The firm could decline both of the proposals because of managerial and financial resource constraints. Other divisions in the company are also expected to promote projects of their own. Because of these factors Harris has to choose to promote one of her division’s projects over the other. The fo llowing questions will help Harris make the best decision for her division and help support her recommendation when communicating back with the divisions executives. 1. Set forth and compare the business cases for each of the two projections under consideration by Emily Harris. Which do you regard as more compelling? The Match My Doll Clothing Line Expansions (MMDC) Project involves expanding the existing successful Match My Doll Clothing line. This clothing line originally consisted of a few sets of matching doll and child clothing for warm weather. Given its current success, there is a consideration to expand it to include all season clothing line. Since it is an expansion to existing product line, investment in operating capital, pricing structure and product cost can be based on historical information. The company should be able to use current sales channels like selling to retail divisions or private labels. New Heritage should be able to outsource manufacturing of this product line expansion to Asia, similar to other existing products. The Design Your Own Doll (DYOD) Project involves creation of new customized dolls to customer’s specification. This project will require new web-based doll-design software. Due to lead time constraints, the company will have to consider manufacturing this made-to-order product line in-house or outsource it to contract manufacturers in USA instead of Asia. This would be a new manufacturing channel for the company. Product cost is expected to be high due to low volume and customized set up. New Heritage Doll Company will have to be thorough when they calculate product cost and price structures for this new product line. This new product will probably be sold through on-line channels only. Without any financial information, the Match My Doll Clothing Line Expansions (MMDC) looks more attractive because it involves less risk and less capital investment and utilizes existing infrastructure and well established sales channels. 2. Use the operating projections for each project to compute a net present value (NPV) for each. Which project creates more value? We assumed that the Match My Doll Clothing Line Expansions (MMDC) Project is a medium risk project since it is an extension to existing successful product line so we used risk-adjusted cost of capital of 8.4%. We believe that project 2 (DYOD) is a much higher risk project since it is a completely new product line for the company and requires an information technology component, so we used risk-adjusted cost of capital of 9%. According to Exhibit 1, the Match My Doll Clothing Line Expansions (MMDC) Project has a Net Present Value (NPV) of $7,150 and Exhibit 2 shows that the Design Your Own Doll (DYOD) Project has a Net Present Value (NPV) of $7,058. Both projects have positive NPV and would create value for the company. However, the Match My Doll Clothing Line Expansions (MMDC) Project has a slightly higher NPV so it would create more value for the company . 3. Compute the internal rate of return (IRR) and payback period for each project. How should these metrics affect Harris’s deliberations? How do they compare to NPV as tools for evaluating projects? When and how would you use each? The internal rate of return (IRR) for the Match My Doll Clothing Line  Expansions (MMDC) is 24.0% based on the NPV calculated above ($7,150). The IRR for the Design Your Own Doll (DYOD) project is 17.9% based on the NPV calculated above ($7058). The calculated IRRs of the two projects do not eliminate either from consideration. Both projects IRR’s are above their individually assigned discount rates, 8.4% for MMDC and the higher (riskier) 9.0% for DYOD. The MMDC Project has an IRR=24%, MIRR=21%, payback of 7.4 years and discounted payback of 9.1 years. The DYOD Project has IRR=17.9%, MIRR=16.4%, payback of 9.1 years and discounted payback of 9.4 years. The MMDC Project has a higher NPV and better internal rate of returns (both IRR and MIRR) than DYOD Project. The MMDC Project has a shorter payback and discounted payback period than DYOD Project. So based on financial analysis, the MMDC Project is more attractive than DYOD Project. The DYOD Project is more capital intensive and even though it might potentially generate higher revenues, it would take longer to generate free cash flow. The NPV is lower for the DYOD Project in this case because it uses higher risk-adjusted cost of capital than the MMDC Project. One point to mention is that the payback period is less sophisticated than IRR or NPV. The payback period looks at the cash flows and determines when the money paid out will be recovered by the benefits of a project. The payback period looks at a project only until the costs have been recovered. This analysis tool is often ignored because it does not take into consideration the time value of money. The time value of money limitation of the payback period can be modified by using the discounted cash flows of a project for the analysis of when the outflows will be recovered. To make the most informed decision the IRRs and payback periods of the projects should be compared in conjunction with the NPVs of the two projects. The NPV analysis of the two projects under consideration indicates that the MMDC Project is the better of the two projects. 4. What additional information does Harris need to complete her analyses and compare the two projects? What specific questions should she ask each of the project sponsors? When comparing the two projects other than comparing the NPV and IRR of each project Harris will need to look at other factors as well. Among the factors that should be considered along with the NPV and IRR, are the manufacturing capabilities, the company’s core competencies, and ensuring that the project aligns with the company’s corporate strategy. With this being said the DYOD Project is at a disadvantage because the MMCD Project is already a successful operation which allows Harris to analyze the historical data as opposed to the project projections of DYOD. Using the factual data provided by MMCD is a less risky option for Harris to choose. In order to ensure that Harris is making the correct decision on which project to select she should ask the following question of each of the project sponsors: Is manufacturing children’s clothing part of the core competencies of New Heritage? Is your project aligned with the mission and long term strategies of the company? What are the differences in New Heritages current market and the doll market? How will scaling up production affect operating and overhead costs? What is the level of risk of the Design Your Own Doll project? Did they consider all hidden labor costs in the MMDC Line Expansion, which are similar to the extra labor costs in the DYOD project? Additionally, it would also be helpful if Harris had information about projects submitted by other departments to make sure that proposed production department projects are in-line with other department projects and an overall company strategy. Even though financially the MMDC Project is more compelling, maybe there is a good reason to pick the DYOD Project. For example, if one of the other divisions is submitting a complimentary project to the DYOD, maybe that would lower the overall risk of the DYOD Project and make it more appealing strategically. 5. If Harris is forced to recommend one project over the other, which should she recommend? Why? Since Harris can only promote one project during the capital budget meeting we would recommend that she support the MMDC Project. Of the two projects presented by her division it has the highest NPV. Financial Management authors Brigham and Ehrhardt state often ‘‘whenever conflicts exist between mutually exclusive projects, use the NPV method†. The NPV method tells us how much a project will add to the value of the company. This is a stated  goal of the New Heritage Doll Company. Also, this project would seem to further solidify relationships with strong customers and gain new ones by broadening the brand and leveraging existing infrastructure.

Being a Gentleman – Great Expectations

Great Education Many describe Charles Dickens' Great Expectations as a Bildungsroman † a novel tracing the education and spiritual growth of a young hero, in this case Philip Pirrip, better known as Pip. Pip's thoughts on education change throughout the course of the story, beginning with idealistic views of becoming a gentleman and ending with a deeper, more intellectual perspective of being a gentleman. After meeting the wealthy and once elegant Miss Havisham, Pip becomes ashamed of his life as a lowly peasant and son ofa blacksmith. He believes MissHavisham and Estella are better than he is, and he yearns to be a member of the elite. This commences his longing for an education. At first, he attempts to learn on his own, but realizes It Is a useless effort. Then, on the day young PIP Is told he will be moving to London so that he may become a gentleman, he dreams start to become reality. During PIP's childhood and adolescence, he believes that the sole purpose of his educatio n Is to become an intelligent social elite. According to Pip, the distinguished members of society with education are perhaps better than the less fortunate.Sadly, that belief becomes a part of his personality. On his Journey toward nobility, he disregards his immediate family and closest friends. He ignores his beloved Joe and Is even embarrassed to be in his presence. Every time Joes Insists on vlsltlng his old pal, Pip attempts either to sabotage the trip completely, or to shorten Joe's stay with him as much as possible. In the midst of it all, he becomes more and more obsessed with the beautiful, coldhearted Estella. As PIP matures, he slowly loses his boastful attitude. He helps his best friend,Herbert Pocket, start a business, even obtalnlng money from Miss Havisham to Invest in Herbert's business, without Herbert's knowledge. In addition, he gradually loses interest in Estella, realizing Biddy is the right woman for him. He goes home only to discover that Joe and Biddy marrie d. However, the evolved PIP feels happiness for them, while he silently suffers for himself. By the end of the novel Pip learns that there is much more to life than social rank. He is aware that family and friends are more significant than money and power.In he closing chapters as Pip is planning Magwitch's escape, he knows the Inheritance from his benefactor will cease to exist If Magwitch's Identity Is exposed. Yet, he still fights to help the old convict who insured his quest to become a gentleman. After the plan fails, Pip becomes overwhelmed with sickness, and it is Joe who arrives to nurse the disease-stricken Pip back to health. It is at this moment where Pip realizes what constitutes being a gentleman, and what does not. Joe, the person who cares for PIP the most, hsd the least amount of education roves to be the true gentleman all along.

Science in politics essays

Science in politics essays Thursday October 24 1929 is a Day that was later known as Black Thursday. Black Thursday was the day a small crash occurred at the New York stock exchange. However Black Thursday Would turn out to be nothing compared to what awaited America and its economy on the following Tuesday. America was about to enter her darkest days the Great Depression. Sena Peterson my great grandmother was just an eighteen-year-old young lady living on her fathers corn farm in Iowa. Far away from New York and the economic problems on Wall Street. Nevertheless, the depression and the falling prices of her farms product would soon affect her in drastic ways the depression would be a hard time for Americans. Monday October 28, 1929. Was a very dark and gloomy day. Thousands of Black Birds landed on Wall Street. The thousand plus birds began to devour any thing they could find to eat. Nearly half of the birds never took flight again. Many of the birds died of exhaustion. This was an ominous sign of the dark and desperate times ahead. America was about to enter its lowest and darkest point in its short history. My great grandma lived on her farm in Iowa oblivious to the fact that her life would soon be changing in drastic ways. She had know idea of what was going on at Wall Street. She had no idea that she was going to have to move. Her family would soon have to start all over in a new place. Tuesday October 29, 1929. This dark day would soon be remembered as Black Tuesday. The day Americas economy would crumble. The day some investors lost everything even there will to live and jumped out the windows of high rise buildings. Many people believe that the stock market crash was the cause of the depression but that is not entirely true. Although the two events where closely related. By Americans attitude during the 1920s also known as the jazz age. Americans emphasis on having the newest thing o...

The Best Way To Practice ACT Reading

The Best Way To Practice ACT Reading SAT / ACT Prep Online Guides and Tips At last, the time has come when you must tackle the ACT Reading. How can you practice for the ACT Reading? Where can you find ACT Reading practice questions? Is it even possible to practice for the Reading section? Read on for the answers to these questions. feature image credit: Insomnia by Lauren Hammond, used under CC BY 2.0/Cropped from original. A Brief Breakdown Of ACT Reading To start off, I’m going to do a quick runthrough of the structure of ACT Reading. Feel free to skip over it to the Important Tips (â„ ¢) (alas, not actually trademarked, unless I can trademark things just by typing the symbol...in which case I just trademarked that). Also, a quick disclaimer: all of this information is for the current ACT. If there are any significant changes, we'll be sure to update this article accordingly. Currently, the ACT Reading section consists of 40 passage-based multiple choice questions (each with four answer choices) which you must answer in 35 minutes. ACT Reading is always the third section of the test, and contains passages in four different content areas: Prose Fiction or Literary Narrative, Social Science, Humanities, and Natural Science. The 40 questions are divided up equally among all the content areas. Historically, there were only four passages on the ACT, with one passage in each content area; since June 2014, however, ACT, Inc. has begun to incorporate paired passages (two short passages with questions ask you about each passage and to compare the two passages in several ways) into the exam, which means that you may face up to 5 passages (across 4 subject areas) on the ACT. Unfortunately, there aren't really any good study materials for these paired passages out there yet - but more on that in an upcoming article. If you want to read more about the ACT (and the Reading section in particular), look into our articles on the length of the ACT and what's actually tested on ACT Reading. Now that you have a better idea of what exactly is on ACT Reading, let’s segue into tips for how to practice the ACT Reading section in the most effective way. ACT Reading Practice Tip 1: Use Official ACT Tests When you are practicing for the ACT, you MUST use official ACT questions. Why? Because only official ACT questions will test you the same way the real test does. Part of what is difficult about the ACT is that it takes concepts everyone knows (since it's standardized, it has to stick to standard knowledge) and then asks about them in weird ways. Therefore, the best way to insure you get used to the weird ways of questioning is to do actual ACT questions. As PrepScholar co-founder Allen Cheng has said, â€Å"If you train yourself on questions that aren't anything like what the ACT writes, you're going to learn the wrong patterns.† So where can you find official tests? Well, to start out with, we've compiled a complete list of all the available free complete ACT tests. You can also buy The Real ACT (3rd edition) as well as ACT Inc's online prep program to gain access to additional official tests (more about where you can do that in this article). Finally, the PrepScholar test prep platform integrates up to 5 offical ACT tests as part of your customized study program. ACT Reading Practice Tip 2: Practice Under Realistic Conditions When you take the ACT, you’ll be constrained not only by the amount of time you have to answer Reading questions (35 minutes), but in when you take the Reading section. What do I mean by this? Only that on test day, you'll be taking the Reading section third, having already spent the first two hours or so on the English and Math sections. In all likelihood, your brain will be tired, and you won't get a break from Reading questions partway through - you must do all 40 at once. If switching back and forth between sections sound like it might be more up your alley, try reading our article on the differences between the SAT and ACT to see if the SAT might be a better match for you. Bottom line: I recommend not only practicing Reading questions in isolation, but also doing Reading questions as part of at least one full-length timed practice test so you can get used to what it will feel like to have your brain possibly liquefied by the time you get to Reading. Additionally, make sure to take at least one practice test at the same time of day you would be taking the ACTual ACT (I will never stop doing this) so that you'll have a good idea of how tired you might be. For example, if you're not a morning person, an 8 am test might mean you don't pay as much attention when reading a passage, as compared to studying and practicing Reading questions and passages in the afternoon. snoozy 260515 by Daemyeong Middle School, used under CC BY-SA 2.0/Cropped from original. If this is you in the mornings, then a practice Reading section done in the afternoon may not be the best gauge of how you'll do on test day. ACT Reading Practice Tip 3: Review Your Mistakes Effectively The most important part of studying that many students skip over is EFFECTIVELY reviewing mistakes. Learning from your mistakes isn’t just a saying - it’s the single most useful tool for improving your test score. Yes, it’s tempting to just look at a question and go â€Å"oh, I made a stupid mistake† and just move on (I mean, what person wants to dwell on what she/he got wrong?). KLAXON! KLAXON! Failing to review your mistakes is the biggest mistake of all. To see real improvement in your score, you really need to get down into the nitty gritty of WHY you made the mistake. For example, what kinds of QUESTIONS or PASSAGES do you struggle with? Do you tend to have problems with Prose Fiction passages, no matter what the question is asking? Maybe you struggle when answering inference questions on passages (Line 42 primarily suggests that†¦), or finding the main point of a paragraph. Identifying the types of questions you struggle with most is necessary for creating the most helpful study plan - there's no point in wasting precious prep time practicing questions you already know how to answer. If your problems are with particular types of passages, you're in luck - we have an article with detailed explanations of each of the types of ACT passages. Have problems with passage-based questions? Go through our skills articles on vocabulary-in-context, big picture,little picture/detail, function and development, and inference questions. You can also brush up your passage reading skills with our article on the best way to approach the passage on ACT Reading. What about the kinds of MISTAKES you tend to make? Why did you make them? Don't just stop at surface explanations. Surface reason: oh, I just ran out of time for this question because it was at the end of the Reading section. I totally could have gotten it since it was asking about a detail that was really easy to find. This response is not helpful, because it doesn't make you learn from what you did wrong (and if you don't learn from your error, there's nothing to stop you from continuing to mess up). Nitty gritty:I ran out of time because I spent too much time on the Prose Fiction passage and ran out of time by the time I got to the Natural Science questions. How can I avoid this in the future? I should figure out which passages are easiest for me and which are hardest, then make sure I start with the easiest ones (since I don't have to do the section in order). I also need to make sure that I really only skim on my first readthrough or read the questions first and do all the detail ones that don’t rely on having to read the whole passage. Here's another example of possible reactions to getting a question wrong: Surface reason: There were two answers that seemed like they were kind of right, and I went with the wrong one. Oh well. Nothing I can do about that. A good start, but WHY did you go with the wrong one? You must look deeeeeeeeper. Nitty gritty: I didn’t read the question carefully enough to get what it was really asking. Because of this, when I went back to the passage I wasn’t able to eliminate three wrong answers. Next time, I'll really focus on exactly what the question is asking and make sure I answer the question based only on the information in the passage, not based on my outside knowledge. For even more detailed advice and suggestions on how to make sure you review mistakes in a way that improves your score, read my article here. Action Plan 1. Get official tests to practice from. Learn the way the ACT asks you about concepts to avoid tripping up on questions you know the answer to. 2. Practice under realistic conditions. Don't neglect to do timed reading sections as well as full-length practice tests, so you can get used to switching from Reading to other subject areas and back to Reading again. 3. Mark questions you are unsure of when you are taking the test. This way, you’re not just reviewing questions you got wrong - you’re also reviewing questions you were shaky on. 4. Review your mistakes so you can pinpoint your higher level weaknesses and drill them. If there's a particular type of question you tend to mess up on, focus your studying on that skill type. 5. Do it all over again: never give up [your test prep], never surrender. As you study, your weak areas may shift, so don’t hesitate to adapt your studying plan to fit your current skill level. For instance, if you had planned to spend a week studying each type of question, but find that after a couple of days you’ve already got the hang of answering questions that ask you to search for details in the passage, don’t waste your time spending five extra days on it - reallocate that time to an area that needs your attention more. For more guidance and suggestions that might work for you, try reading our articles on how to get a 36 on ACT reading and tips from a 36 full scorer. If you're really struggling with your prep, consider getting a tutor to help you structure your study and learn missing content. Contrary to what ACT Inc claims, the Reading section is much more about critical thinking skills than it is about knowing a particular curriculum, which means content-focused tutoring isn't necessarily helpful. However, it can still be helpful to get a tutor to help you create a structured study plan. On a completely unrelated note, one magnificent option for online tutoring can be found right here. Curitiba future bus stops by Sasha Aitkin, used under CC BY 2.0. Get off the struggle bus and taxi to success with these strategies! What’s Next Want more tips on the best way to study for the ACT? Read our guide to improving your ACT score by 4+ points. Go to the PrepScholar blog for articles targeted to each type of ACT Reading Question as well as articles about answering paired passage questions. Interested in adding some tutoring to the mix? PrepScholar Tutors might be right for you! Want to improve your ACT score by 4 points? Check out our best-in-class online ACT prep program. We guarantee your money back if you don't improve your ACT score by 4 points or more. Our program is entirely online, and it customizes what you study to your strengths and weaknesses. If you liked this Reading lesson, you'll love our program.Along with more detailed lessons, you'll get thousands ofpractice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step program to follow so you'll never be confused about what to study next. Check out our 5-day free trial:

Nursing and Leadership Assignment Example | Topics and Well Written Essays - 1250 words

Nursing and Leadership - Assignment Example Despite that, there are a few challenges which are faced in the department. The interviewed Director of Nursing (DON) stated that the lack of LTC taught courses/classes to new graduate students is one of the challenges that they do face and that has to be resolved with immediate effect. This is due to the fact that the ratio of individuals at the centre who need LTC is higher than the staffs that are available to offer it. As a result, some inconveniences and hitches do occur while propagating for effective LTC. In a bid to counter the LTC problem, the leadership that is prevalent in the nursing department matters a lot. If the leadership is based on morale and productivity, then that will yield success in offering LTC to patients else more challenges are prone to be faced on a daily basis. With that, there are a number of leadership styles that can be practiced in the nursing department. However, these depend entirely on variables such as people and the environment. Some of the lead ership styles include: Democratic: This is one of the best leadership styles that a nursing department can incorporate. It advocates for the inclusion of the nurses in the decision making process. This makes them feel motivated as well as part and parcel of the health care facility committee. However, the senior nurse makes the final decisions; Authoritative: This style of leadership is stricter as compared to the democratic leadership style. The senior nurse makes all the decisions without the inclusion of the other nurses. Additionally, the senior nurse gives orders to be done and there is very close supervision of the nurses in the department. This is not the best approach to implement in a nursing environment. The nurses may feel de-motivated, neglected and they may lack innovation in their line of work; Affiliative: This leadership style is focussed on people (nurses). It ensures that the nurses have a satisfactory working environment so that they can deliver superior care serv ices to patients. This style is best to boost morale in the nurses. However, the senior nurse may lack their authoritative figure. Based on the response of the DON, the most effective and efficient leadership styles that ought to be incorporated are the democratic and affiliative leadership styles. In a bid to support this, Goleman (2000) suggested that leaders should incorporate a variety of leadership styles and focus on those that are fruitful. Some of the leadership skills that go hand in hand with good leadership styles include: Interpersonal skills - Which incorporate the aspects of managing the different and unique cultural diversities in the department. It is important for a leader to have the right knowledge while dealing with different cultures since a health care centre is a home to all types of people regardless of their ethnicity background; Democratic skills; Listening skills, Problem solving skills – Which help to solve problems without encountering big risks, Time management skills and Motivational skills. If a leader has a number of the mentioned skills,