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According to Radio Free Asia, Ngawang Gyaltsen, a monk from Sog County, Nagchu Prefecture, TAR, was launched from prison in March. The image showed 35 separate monitors displaying different areas of the compound and the roads surrounding it. Sources stated authorities monitored all monetary transactions involving monasteries inside Tibet and entities abroad. In the video, the monks and worshipers waived Chinese flags and sang patriotic songs praising the CCP. The video confirmed monks hoisting a Chinese flag on the rooftop of the monastery and hanging thangkas with images of five Chinese leaders on the monastery wall. Students and monks throughout Tibetan areas were instructed to participate in national day occasions praising the CCP. NGOs reported a minimum of 5 Tibetans had been arrested for refusing to take part in official National Day occasions. 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Police regulations forbade some resorts and guesthouses in the TAR from accepting Tibetan visitors, particularly monks and nuns, and required different resorts to notify police departments when Tibetan visitors checked in. In October the PRC and the government of Nepal signed the Boundary Management System Agreement, which contained a provision that may require both countries handy over residents who have illegally crossed the Nepal-China border. In March the TAR Communist Party Committee printed a series of articles criticizing the Dalai Lama and accusing him of being a “loyal instrument of anti-Chinese forces” who was instigating violence inside Tibet. Sources acknowledged that during the year, native authorities elevated scrutiny of social media postings. According to human rights groups and native sources, authorities continued to put in overt camera surveillance methods at monasteries. On July 12, the ICT posted on its website a picture of surveillance cameras in a control room in Kirti Monastery in Ngaba TAP, Sichuan Province. A 2015 report on Xinjiang issued by the State Council Information Office estimates the total population was 23.2 million in 2014. The report states Uighur, Kazakh, Hui, Kyrgyz, and members of different predominantly Muslim ethnic minorities constitute approximately 14.6 million residents in Xinjiang, or 63 p.c of the whole Xinjiang inhabitants. The largest segment of the remaining inhabitants is Han Chinese, with additional groups including Mongols, Tibetans, and others. The Globe and Mail reported in September that based on sources within the region, Christians doubtless quantity within the hundreds. Satellite images taken August 24 obtained by Free Tibet and pictures from local sources obtained by Radio Free Asia each showed nearly half the residences of Yachen Gar destroyed since previous pictures were taken in April 2018. A native supply told Radio Free Asia that starting on July 19, within a couple of days authorities demolished no less than one hundred dwellings that had beforehand housed nuns. According to Radio Free Asia, authorities detained a Tibetan man recognized as Wangchen on April 29 after he recited prayers and shouted slogans calling for the release of the 11th Panchen Lama. Government officers often denigrated the Dalai Lama publicly and accused the “Dalai clique” and other “outside forces” of instigating Tibetan protests, stating such acts have been makes an attempt to “cut up” China. In May Zhu Weiqun, the previous head of the Ethnic and Religious Affairs Committee of the Chinese People’s Political Consultative Conference, stated government took the place that it was inconceivable to speak to the Dalai Lama without preconditions. Zhu criticized the Dalai Lama for being a “loyal instrument of worldwide anti-China forces.” In official statements, authorities officers usually likened supporters of the Dalai Lama to terrorists and gang members. Local sources reported Ngawang, arrested in 2015, was repeatedly crushed and disadvantaged of sleep and food whereas incarcerated on unknown charges. Following his release, he was forbidden to return to his monastery. Wangchen was accused of making “a conspicuous protest in public” and sentenced to 4 years and six months in jail. The Indian information outlet The Print reported on February 12 that satellite tv for pc imagery from September, October, and November 2018 showed what it stated have been three massive-scale reeducation centers beneath development within the TAR. The report said that the imagery confirmed that these facilities included high partitions, double-wire fencing, guard posts, and enormous barracks-type buildings. According to Radio Free Asia, Ngawang Gyaltsen, a monk from Sog County, Nagchu Prefecture, TAR, was launched from prison in March. The image showed 35 separate monitors displaying different areas of the compound and the roads surrounding it. Sources stated authorities monitored all monetary transactions involving monasteries inside Tibet and entities abroad. In the video, the monks and worshipers waived Chinese flags and sang patriotic songs praising the CCP. The video confirmed monks hoisting a Chinese flag on the rooftop of the monastery and hanging thangkas with images of five Chinese leaders on the monastery wall. Students and monks throughout Tibetan areas were instructed to participate in national day occasions praising the CCP. NGOs reported a minimum of 5 Tibetans had been arrested for refusing to take part in official National Day occasions. According to Tibet Watch, “In sure areas, officers go house to accommodate to verify which might be on the altar.” In January Free Tibet reproduced pictures initially posted on state media of house shrines displaying portraits of CCP leaders.

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Case study Questions Nursing Coursework - 1650 Words

Case study Questions: Nursing (Coursework Sample) Content: CASE STUDY QUESTIONS-NURSINGQUESTION 1Prioritization of care is an essential nursing process in the care and management of patients. In the five cases provided, I would prioritize my care plan according to the severity of the patientà ¢Ã¢â€š ¬s condition and the presence of other co-morbidities. The respiratory and the cardiovascular systems are the most important in the body, because the functionality of the other systems depends on adequate blood and oxygen supply (Zammit Liddicoat, 2010,p. 338). In prioritizing care, I would consider patients whose disease processes affect the two systems. In this case, I would begin by formulation nursing care plans for Philip, John and Melinda. Philip has an infective exacerbation of a log standing chronic obstructive pulmonary disease (COPD). This could worsen the oxygen supply to the rest of the body and the resulting physiological stress would further make the symptoms worse (Subotic, et al., 2007,p.1293). John, on the other hand, has a cardiovascular disease, precisely, a coronary artery disease. Coronary artery diseases are known to predispose to myocardial infarction and ultimately heart failure if not managed properly at the outset (Kessler, Erdmann, Schunkert, 2013,p. 368). Melinda, as well, has a cardiovascular disease, precisely, a ruptured aortic aneurism resulting into a subarachnoid hemorrhage. Aortic aneurism is a risk factor for stroke syndromes; therefore, early interventions may avert a potential cerebrovascular accident (CVA) (Sule, Aronow, Sateesh, 2008, p. 141). In terms of treatment, I would prioritize my care in lieu of medications that require close monitoring of their levels to prevent toxicity or adverse events. Philip is on oxygen therapy and so needs close monitoring of the saturation levels. Oxygen toxicity results in the production of reactive oxygen species that would damage multiple cellular organs leading to disrupted physiological function (Auten Davis, 2009, p.126). Jo hn is on heparin infusion and so will require close monitoring to prevent heparin toxicity. Heparin results in Heparin-Induced Thrombocytopenia (HIT) (O'Donnell, 2012,p. 25). Melinda, on the other hand, is on anti-hypertensive, Nimopidine. In lieu of an intracranial hemorrhage, she needs close monitoring of her neurological functions.QUESTION 2When reviewing Peter, I notice that his nausea is becoming worse. Peter had undergone an abdominal surgery to remove gall stones after an endoscopic retrograde cholangiopancreatography had been done. He initially presented with a history of epigastric pain for two days; however, hours later post-surgery, he complains of nausea and mild right shoulder tip pain. I review the medication chart and notice that no antiemetic had been prescribed. Anesthesia is known to cause nausea and vomiting. Nitrous oxide when used with other anesthetic agents in laparoscopic surgeries causes nausea and vomiting post operatively (Peyton Wu CY, 2014, p. 1138). Fi rstly, I would consult with the intensive care team and the surgical team about the worsening vomiting of peter. It could be he is not on antiemetic because of a possible drug reaction, or by clinical judgment, it would be wise not to administer anti-emetic. Excessive vomiting results into loss of important electrolytes, in particular potassium, chloride and hydrogen ions. The resulting hydrogen ion loss results in metabolic alkalosis precipitating an increased ventilation manifested by the patient breathing in a faster rate (Khanna Kurtzman, 2006,p. 19). Excessive vomiting causes an increased loss of water from the body. Sodium plays an essential role in the maintenance of total body water volume; therefore, in vomiting the excess sodium loss results in fluid depletion (Khanna Kurtzman, 2006,p. 19). In my care, I would consider a fluid replacement therapy. The fluid of choice is one that has a large amount of potassium ions in order to prevent hypokalemia. In addition, I would e nsure the patient is put on a nasogastric tube feed in order to replenish lost nutrients. After consultation with the intensive care team, Peter may as well be put on an anti-emetic to prevent further electrolyte losses.QUESTION 3While reviewing John, I notice that the last coagulation profile reads an APTT of more than 150 seconds. In the initial treatment regime, the APTT was to be maintained between 50 and 75 seconds. A quick background past medical history of John reveals that he has a history of angina and a chronic coronary artery disease. He is on intravenous heparin infusion and aspirin at a dosage of 100mg per day. Activated Partial Thromboplastin Time (APTT), in contrast to the Prothrombin Time(PT) is an indicator of the integrity of the intrinsic and the common pathways of the coagulation cascade (Kogan, Kardakov, Khanin, 2001, p. 300). In a normal coagulation process, calcium is essential for the formation of the fibrin clot which covers the defect on the blood vessel t o prevent further blood loss. APTT is the time taken after addition of calcium ions to the time the fibrin clot is formed (Kogan, Kardakov, Khanin, 2001, p. 300). Longer APTT means that the blood takes longer than normal to clot. In Johnà ¢Ã¢â€š ¬s case, this is attributed to the heparin intravenous infusion that he was receiving. The possible explanation is heparin over dosage. The blood is in an un-coagulable state. This condition is life threatening in case there is an undetected internal hemorrhage. The blood loss cannot easily be controlled and the patient can get into shock. In lieu of the ward protocol on intravenous heparin infusion, I would review Johnà ¢Ã¢â€š ¬s medication and adjust it by stopping the infusion for sixty minutes. Then, I would restart it at a dosage 1.0ml/hr less than previous rate for the next six hours. Stopping the infusion would provide time for the body to clear the heparin to lower blood levels. Depending on the type and molecular constitution, t he biologic half-life of heparin ranges from 23 minutes to 2.48 hours (McAvoy, 1979, p. 377). Therefore, stopping it for one hour will give the body enough time to clear heparin to lower levels before the dosage can be adjusted again.QUESTION 4Melinda complains of a feeling of fainting when she gets out to mobilize or when she gets to the bathroom. On assessing her blood pressure, the reading is 80/40. Melinda is definitely in hypotension and soon she may be in shock. Hypotension is a clinical condition in which the blood pressure is less than 90/60 (Ashton, 2013, p. 35). In very severe cases, very low blood pressure can be life threatening. It portends that organs in the body such as the heart, brain and the kidneys do not get enough blood supply (Gordon, 2009, p. 937). Some organs such a s the kidneys when exposed to such an acute shortage of blood supply begins to shut down. Eventually, this would lead to kidney failure (Couch, 2008, p. 9). In a hypotensive state, the heart pumps faster in order to supply the little blood to the vital organs. The resultant increase in the rate of metabolism results in excessive sweating, thereby reducing the blood volume further (Ashton, 2013, p. 37). This worsens the situation.On reviewing her history, Melinda had been admitted at the neurosurgery unit with complains of an acute onset of severe headache. She had undergone a neurosurgical procedure that involved coiling of a cerebral artery aneurism using an interventional radiological suite five days ago. The operation was successful. A CT scan done showed a subarachnoid hemorrhage from the artery that was coiled during the surgery. She also had been put on nimopidine, an anti-hypertensive, dosing at 60mg oral tablets. In my assessment, it could be blood loss in a defect at the initial interventional procedure that involved coiling of the artery. The possible cause is no-compliant to the antihypertensive medications. Rangel-Castillo, Shankar and Robertson (2008), observe t hat intracranial hemorrhage has two causes-primary and secondary. In this case, the important secondary causes are trauma, rupture of an aneurism, coagulation defect or a vascular malformation (p.528). Hypertension by far becomes the most prominent and prevalent cause of intracranial hemorrhages accounting for 60-70% of cases (Rangel-Castillo, Shankar, Robertson, 2008, p. 530). Chronic hypertension results into fibrinoid necrosis, fragmentation and degeneration of the small arterioles that supply the bran parenchyma. Eventually, the walls of the arterioles weaken and they undergo a spontaneous rupture (Ramandeep Weinberger, 2007, p. 705). Non compliance with antihypertensive medication increases the risk of developing an intracranial bleed and a controlled blood pressure reduces the risk of developing an intracranial hemorrhage (Freeman Aguilar, 2012, p. 223).My response to Melindaà ¢Ã¢â€š ¬s clinical situation is to inform the doctors on call about Melindaà ¢Ã¢â€š ¬s worsening signs. Melinda would require first...

Testing in Hong Kong - 844 Words

Introduction There are many different kinds of test, as Hugh (1989) stated that test could be regarded as proficiency tests, achievement tests, diagnostic tests and placement tests. In this article, we would like to have some simple analysis on the quality of the reading test in the Hong Kong Diploma of Secondary Education (HKDSE) Examination of 2013. This is a newly implemented public examination in 2002 which serve with different purpose and format as the former public examination: Hong Kong Certificate of Education Examination (HKCEE) and the Hong Kong Advanced Level Examination (HKALE). â€Å"Achievement tests are directly related to language course, their purpose being to establish how successful individual students, groups of students, or the course themselves have been in achieving objectives.† (Hugh, 1989) according to this definition, HKDSE should be an achievement test. Since it is a stepping stone to get into university in Hong Kong, the DSE examination paper should have relatively high quality. By using a high standard testing paper, the quality of the universities’ candidates can be guarantee. Bachman (1996) has said that test qualities include reliability, construct validity, authenticity, interactiveness, impact and practicality. In this paper we will focus on the construct validity, authenticity and interactiveness to see how well is the KHDSE. Section 1 – Reading paper Part A Background Reading paper Part A is a compulsory section, candidates need to attemptShow MoreRelatedAnalysis on New Drug Policies in Hong Kong1555 Words   |  6 PagesAnalysis on New Drug Policies: The drug policy in Hong Kong is a complete ban on drugs. While some statistics have shown lesser drug use in recent years, its probably due to more hidden use. (CSD FA1. Given the recent study showing the loss of productivity from incarceration, we shall analyze new policies towards drug use especially the proposed legislation involving legalization of Marijuana. Effects of proposed scheme of Legalization of Marijuana: Economic: Taxation of Marijuana are regulationRead MoreCorporate Firm s Officer s Responsibility1016 Words   |  5 Pagesthis hypothesis testing, non-executive directors and the existence of an audit committee representation have been more dominant in the Hong Kong companies. Over the period of this research that the writers have collected and serves more than 610 top personalities in the listed firms in the Hong Kong. On top of that, the writers further sent off additional questionaries 535 to the financial analysis in the top financial and brokerage firms in the Hong Kong. The main objective is testing and reliabilityRead MoreChina Sea And Pearl River Delta1432 Words   |  6 PagesBACKGROUND Hong Kong, is located on the southeast coast of China, the diplomatic location of Hong Kong on the South China Sea and Pearl River Delta helps it to become one of the world growing and worldly cities (Hong Kong Tourism Board, 2015). Before 18th century, Hong Kong was still an agricultural and manufacturing industries. In early 80’s to late 90’s, Hong Kong lost the comparative advantage in manufacturing as the opening up and reformation of the Mainland China, but the comparative advantageRead MoreHong Kong Is A Modern Fast Paced International City Saturated With Skilled Workforce1325 Words   |  6 PagesI. Background Hong Kong is a modern, fast-paced international city saturated with skilled workforce and a desired destination of many immigrants. Due to such nature of Hong Kong, it is a highly competitive society. 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By comparison between the definition of creativity provided by the Hong Kong Curriculum Development Council (CDC) and prior definitions provided by Guilford (1950) and Amabile (1983), the authors have stated at the end of the first paragraph of the article that â€Å"by seekingRead MoreChoi Fung Hong Company Limited Essay1332 Words   |  6 Pagesï » ¿Choi Fung Hong Company Limited with Activity Base d Techniques 1. Background of chosen Hong Kong Company Choi Fung Hong Company Limited (Choi Fung Hong) incorporated as private limited company since 1995. The main business Choi Fung Hong is wholesale or retail of their skincare products. At 1995, the company has invested on manufacturing factory and start the business from the telephone order only. As a well-known skincare brand in Hong Kong, Choi Fung Hong was successes to expand their businessRead MoreThe Development of Technology Negatively Affect Relationship between People700 Words   |  3 Pagesour smartphones at the same time; we are not just chatting with our friends in the gathering, all of us are bowing our head and using our own handy devices. According to Google’s research, the rate of mobile Internet usage in Hong Kong is the highest in Asia Pacific. In Hong Kong, 96% of the smartphone users use their phones in a daily basis. (Google, 2013) Moreover, according to the Pew Research, â€Å"Teens, Social Media, and Privacy†, People habitually use social media to interact with others. Though

Native American Self Determination Movement - 1441 Words

Indeed following on from this last point the Native American self-determination movement has achieved almost all of its victories without outside help. Indeed many organisations such as the National Congress of American Indians (NCAI), Native American Rights Fund (NARF) and National Alaska Native American Indian Nurses Association (NANAINA) are run by and for Native Americans and their interests. As with most civil rights movements but even more the case as Native Americans have their own sovereign citizenship, for real change to be affected there had to be self-organisation. To build on this point, the overarching aim for native activism is the abidance of treaties signed between tribes and the Federal government and the acceptance of†¦show more content†¦Hopefully this causes a ‘surge of wide-spread expressions of collective identity that challenges globalisation and cosmopolitanism on behalf of cultural singularity.’ (Castels, 1997, pp1). In which case the pr essure of wider American society to assimilate the Native Americans will subside. Although Clicktivism significantly changed Indigenous struggles over land and resources through protest and activism it is not responsible for introducing new concepts of the self and identity. The first true Native American nationalist movement was led by American Indian Movement in the 1960s and struck a different cord to the National Congress of American Indians. The first successful pan-Indian movement was the Society of American Indians (SAI) which stressed unity ignoring tribal affiliation as a factor causing division among Native Americans. Ironically this organization set up by and for Native Americans was in part caused by the education of Indian children in government run boarding schools to assimilate them. It had the reverse effect causing members of disparate tribes to become friends and allies and many of the leaders of the SAI came from these boarding schools. Indeed it is important to stress the point that in many tribes and in many reservations there is not a unified consensus regarding engagement with the United States or its culture. Many Native Americans are understandably worried about education, jobs, assimilation and healthcareShow MoreRelatedIndian Self Determination And Education Assistance Act Of 19751476 Words   |  6 PagesIndian Self-Determination and Education Assistance Act of 1975 The Self Determination era is defined as the revolution of perception, recognition, and assistance by the Federal Government towards the Tribal Community. This Era recognized that Native Americans ability to govern themselves and that the Federal Government should provide assistance through funding various programs such as education, reservation development, and cultural renewal(Castile 1998). Along with the financial support was anRead MoreIndian Gaming Regulatory Act Of 19881337 Words   |  6 Pagesgaming a significant part of tribal economic development. Gaming has brought about economic self-determination for Native Americans for the first time in over two hundred years (Neath, 1995). Over two hundred of the United States’ 544 federally recognized tribes have established gaming on tribal lands (Neath, 1995). However, along with the economic profits, Indian gaming has brought many Native Americans back to reservations after many years of living off-reservation. The IGRA, or Indian GamingRead MoreThe 1960’s: Decade of Disillusionment992 Words   |  4 Pagesfreedoms for minorities. In addition, an enormous movement began rising in opposition to the Vietnam War. It was a time of brutal altercations, with the civil rights movement and the youth culture demanding equality and the war in Vietnam put public loyalty to the test. Countless African-Americans, Native-Americans, Hispanic-Americans, women, and college students became frustrated, angry, and disillusioned by the turmoil around them. African Americans had been struggling to obtain equal rights for scoresRead MoreEssay on His/145 Native American Civil Rights724 Words   |  3 PagesNative American Civil Rights HIS/145 Native American Civil Rights Native Americans were the people of the land before English settlers claimed the United States as it is today. Throughout time they have been mistreated by white people and forced to be Americanized. Their culture has almost died with their people, and to this day their rights can be challenged as unjustified. Before the 1960’s, Native Americans were pretty much ignored by other groups of ethnicity, especially the whites.Read MoreAfrican American Studies : The Matrix Of American Ethnic Studies972 Words   |  4 Pageschange. 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The Harlem renaissance was a pivotal time for the recognition of black culture in the US, andRead MoreThe Fight For Civil Rights1061 Words   |  5 Pages The fight for civil rights was one of the most significant events of american history in the years of 1960. It was an era to struggle and to look forward for a better future. In that era American people witnessed the rise of the Red Power Movement. This movement was a way for Native American to get back some of their rights and pushing for more and more. There are two major aspects of the Red Power movement. The first one the political aspect which attempts to solve problems through the politicalRead MoreCommentary on Erez Manela’s The Wilsonian Moment 1081 Words   |  4 PagesErez Manela’s The Wilsonian Moment Self-Determination and the International Origins of Anticolonial Nationalism is a monograph that attempts to reconstruct the story of colonial world at the end of Wilsonian moment. The book’s title, The Wilsonian Moment is alluding to the crucial period that lasted from autumn of 1918 to spring of 1919, when the Allied victory were confident that President Woodrow Wilson’s ideas for a new world will become successful until the terms of the Treaty of Versailles becameRead MoreCapitalism And Colonialism’S Links As Pillars Of White1582 Words   |  7 PagesCapitalism and colonialism’s links as pillars of white supremacy contribute to the racial exclusion and exploitation of certain ra cial groups, such as Native Americans and Black people. This can be seen through the timeline of North American history, but also farther back in the history of European settler colonialism throughout Europe and into other nearby continents. The methods of decolonization employed by various racial groups affected by colonialism interact with one another in various waysRead MoreIndian Reorganization Act of 19341466 Words   |  6 Pagesor the IRA, had a major impact on the everyday lives of Native American Tribes that were scattered across the United states. The Indian Reorganization Act provided the means and tools for tribes to form their own governments and constitutions. The IRA stopped the general allotment act that was put into effect by the Dawes of 1887. The Indian Reorganization Act granted the Secretary of Interior a tremendous amount of power over Native American affairs ranging from land, livestock, employment, government