Abstract This paper provides a review of the mid-Atlantic bed and breakfast industry through a survey of various bed and breakfast owners and a review of the success of bed and breakfast start-ups in the region. This review includes data on the general employment and unemployment rates in the mid-Atlantic region and a discussion of the reasons for displacement from the manufacturing industry. A review of the pros and cons of entering into a new bed and breakfast establishment, or entering into an established bed and breakfast, are then also presented. A short review of the skills and requirements that are necessary to run a successful bed and breakfast establishment is also presented. Finally, a discussion of the merits of entering into the trade is presented.
From the Paper "We have also seen, however, through a telephone interview with a high-ranking official at the United States Bed and Breakfast Association, that the number of bed and breakfast establishments in the mid-Atlantic region decreased by over 25% in the previous four years, and that the main reason he could see for the failure of this number of businesses was a failure on the part of the owners to devote themselves, wholly and efficiently, to the setting up and day-to-day running of their bed and breakfast establishment."
Abstract Loss of pregnancy before 23 weeks happens in 10 - 20 % of pregnancies. It is associated with chromosomal defects in about one half to one third of the cases. Many interventions are used, but bed rest is the most common. The objective of this review is to evaluate the effect of prescription of bed rest during pregnancy to prevent miscarriage in women at high risk. The paper concludes that although bed rest is widely used to reduce the risk for preterm birth, there is no evidence that this practice is beneficial. Further research evidence is needed to support or refute the efficacy of bed rest in women with high risk for miscarriage.
From the Paper "Currently there is not enough evidence to support the use of bed rest in multiple fetus pregnancies. Although there is a suggestion that fetal growth is improved, no other risk reduction is evident. For uncomplicated twin pregnancies, the risk is actually increased if bed rest is used. Further research evidence is necessary to be able to recommend this clinical practice."
Abstract In his poem, "Beds", Charlie Smith charts his journey through addiction, through a catalogue or 'heaping figure' of beds he has known throughout his life. The paper examines this technique and the importance of metaphor as tool for raking through challenging subject matter.
From the Paper "Whatever one chooses to call the technique, Smith's handling of it is masterly. He takes an everyday object and uses it as a vehicle through which to explore a situation and its accompanying emotions. He continually implodes the object through constant re-inspection, "heaping" one kind of bed upon the other, exhausts it, turning it over and over, examining it ever closer until it ceases to be merely a bed and becomes a metaphor for each step of his journey. Smith's catalogue of beds are the landmarks of his recovery."
Abstract The paper presents a research proposal that focuses on bed and breakfast (B&B) inns in seven U.S. southern states and seeks to understand the marketing techniques used by the owners of the B&Bs. The proposal also examines what led customers to choose the Bed and Breakfast in which they stayed over others in the area. The paper relates the methodology of the proposed research and provides a literature review.
Outline:
Abstract
Statement of Problem
Significance of Research
Introduction
Proposed Methodology
Literature Review
Findings of Study
Research Design
From the Paper "The Bed and Breakfast (B&B) operations are believed to have been the first form of accommodations available to travelers however, those establishments have historically been replaced by inns and hotels. The Bed & Breakfast (B&B) is however, making a comeback for travelers who prefer a "home-like" hospitality with breakfast served to begin the day. Because this business is making a comeback entering into this type of business is desirable however, requires an understanding of what makes the Bed & Breakfast operation marketable and thereby profitable. The origins of the Bed and Breakfast Inn is historic, based on the traditions of New England and Europe. Country inns, indigenous to New England, provided food and lodging to travelers and locals, and were often a focal point for a community."
Abstract This paper examines how the poem by Philip Larkin, "Talking in Bed" discusses alienation and isolation from humankind. It looks at how the poem can be compared to Franz Kafka's, "The Metamorphosis", because it deals with isolation and estrangement from one's own comfort. In this case, his home life. It discusses how both works deal with ontological issues- the state of being- and present themselves in a bleak, murky tone and how Larkin and Kafka both share experiences of isolation and alienation from their societies.
From the Paper "The sense of broken communication is well displayed through the structure and form of the poem. The iambic pentameter and the three-tercet rhyme scheme (aba, cac, dcd, eee) portray the absence of continuity and the broken-up nature of the couple's discourse. Each stanza in the poem, with exception given to the third stanza, contains end-stopped lines. This form displays the isolation of each stanza in relation to the couple isolating themselves from one another. "At the unique distance from isolation/It becomes still more difficult to find" (Larkin, 9-10) discusses the unique isolation the couple is faced with and contains no end-stop punctuation to separate the two verses. "
Abstract The paper explores a common problem in the control of diabetes, nocturnal hypoglycemic episodes. The paper explains how many people experience hypoglycemic (low blood sugar) levels during the night. As a remedy for this situation, many doctors have suggested a snack before bedtime to help get the patient through until morning. The paper discusses how there has been mixed evidence from clinical studies that indicates that a bed time snack may not always be able to control night time hypoglycemic episodes. The research examines the role of carbohydrate loading throughout the day as a possible solution to the dilemma. The paper concludes that this study will play an important role in the development of better guidelines to help patients control their diabetes.
Outline:
Introduction
Understanding Diabetes
Pathogenesis
Nocturnal Hypoglycemic Episodes
Study Aim and Hypothesis
Research Questions
Literature Review
Current Research on Nocturnal Hypoglycemia
Conceptual Framework
Study Design
Study Population
Sample Size
Variables
Data Collection
Data Analysis
Conclusion
From the Paper "Diabetes is a condition that affects millions of people on a global basis. It presents a major medical expense for insurance companies and if not controlled, can lead to serious side effects such as stroke or heart disease. In 2003, it was estimated that close to 194 million people suffer from diabetes around the world (IDF, 2003). In 1985 it was estimated that 30 million people had diabetes. The IDF estimates that by the year 2025 nearly 350 million people will have some form of Diabetes. Among the nations monitored by the IDF, North America has the highest percentage of diabetes in the world."
Abstract This paper discusses how malaria in Western Kenya, an increasingly serious disease, is responsible for more deaths in the area than HIV/AIDS. The paper reports that the advent and introduction of impregnated mosquito bed netting has raised hopes of a new method of combating malaria. According to the paper, numerous studies attest to the fact that impregnated nets significantly reduce the transmission and infection of malaria in the region; especially among very young children.
Outline:
Abstract
Introduction
Brief Overview
Literature Review
Recommendations and Conclusion
From the Paper "The literature also provides a wide range of studies that show that previous conventional methods of fighting malaria have proven in general to be ineffective. This aspect is concisely outlined in an article entitled, When Disease Resists; Malaria's Toll Rises in Tropical Regions As Effectiveness of Chloroquine Falls Off by David Brown ( 1994. ) This article refers to an aspect that has already been touched on; namely that the malaria parasite has become resistant to many previously effective agents. "...the microorganism that causes malaria had become resistant to chloroquine, the standard medicine used to prevent and treat the disease for the previous 40 years." ( Brown,1994) The study also refers particularly to the Kenyan situation."... researchers in Kenya - where chloroquine has been useless for a decade - reported that more than 25 percent of malaria cases in a recent study were resistant to the two more modern and expensive antimalarial drugs, mefloquine and doxycycline." ( Brown,1994) This again raises the central concern that modern drugs are proving to be less and less effective in the fight against malaria."
An examination of the theory of the "Braden scale" - a questionnaire and follow-up chart which helps caregivers predict and, therefore, prevent bedsores.
Abstract The sight of bedsores on a patient has often meant that the health care facility neglects its patients or has non-hygienic conditions. This paper looks at a theory called the Braden Scale which can be used by health care centers to assist in predicting and preventing bed sores. The cause of bed sores or pressure sores are discussed and prevention treatments are analyzed.
From the Paper "Bedsores are a difficult problem for patients who are in wheelchairs or immobile. Bedsores, pressure sores, and decubitus ulcers can be defined as meaning the same thing. "Pressure sores represent localized tissue death. They can occur in any individual and are triggered by a number of factors; some of which are external factors to do with the physical environment and some internal factors to do with a person general health status" (wmunro 2002).
It can be said that the only way to prevent these is no pressure, but that is impossible. These are difficult to treat and cause the patient severe pain. "However, decubitus implies bedridden, and many types of wounds with the same pressure-induced etiology occur in nonbedridden patients; thus, the more appropriate term is pressure sore or pressure ulcer" (Fonendo 2002). "Pressure sores are a serious problem. It has been estimated that 3% to 5% of all hospital inpatients will develop pressure sores either just before, during, or after admission" (wmunro.com 2002). "The pathogenesis of pressure ulcers consists of more than simply pressure-related necrosis. Skin is usually resistant to this type of destruction, yet these ulcers evolve to include the skin" Fonendo 2002). Factors that increase the risk of bedsores are age, skin thinning, weight loss, and vascular insufficiency."
Tags: hospital, patient, pressure, blood, ulcer, skin, health, care, tissue
Abstract This paper investigates pressure ulcers, also known as bed sores that are formed where skin and tissue are squeezed between bone and an outside surface for long periods of time, often due to immobility. It proposes scientific research aimed at discovering the development and underlying reasons that the illness is so common amongst elderly long term care patients.
From the Paper "Because PUs are so common, cause distress to the patient and their family, and can form the basis for litigation, it is important for the long-term medical care community to find ways to reduce their prevalence and incidence. Two commonly suggested solutions to the PU problem include identifying patients at risk using risk assessment methods and initiating preventive measures (Ayello & Braden, 2002). In order for long term care staff to identify patients at risk they must be educated in assessment of the risk for developing PUs. One risk assessment method used in this area is the Braden Scale, developed in 1987 by Drs. Barbara Braden and Nancy Bergstrom. The scale attempts to identify risk factors that increase the chance that patients will develop PUs in the future and assigns a numeric value to the risk for any particular patient (Bergstrom, Braden, Laguzza, & Holman, 1987)."
Abstract This paper introduces discusses and analyzes the topic of gastric bypass surgery. It incorporates the book, "Good in Bed" by Jennifer Weiner, with research into the surgery and continues with personal reasons why the writer chose to have gastric bypass surgery. It explains how obesity is becoming chronic in America, and the weight loss industry is one of the most profitable in the country. People try drugs, severe diets, and just about anything to lose weight.
From the Paper "Being fat in America may be more common than it was even ten years ago, but there is still a stigma attached to being fat, as anyone who is overweight clearly knows. In the book "Good in Bed," the protagonist, Cannie, is a "plump" heroine who struggles with weight issues her entire life. The book gives a little taste of what it is like to be fat in a thin world. "The scales at the University of Philadelphia's Weight and Eating Disorders Center looked like meat carts. The platforms were about four times the size of normal scales, with railings all around them. It was hard not to feel like livestock when you climbed aboard [?]" (Weiner 114). Just as this passage shows, the overweight in America live a different life and I know, because I was overweight for a substantial portion of my life."
Abstract In the form of a speech, this paper details the problems of smog, acid rain, and depletion of the ozone layer. The paper details major technology and regulations that have greatly reduced some of the pollution including, catalytic converters, alternative fuels, electrostatic precipitation, bag filtration, the Clean Air Act, fluidized bed combustion, and HCFCs. Discusses water problems, including lead and methyl mercury, and legislation like the Clean Water Act.
From the Paper "Dear Congresswomen and Congressmen, Our environment is a pressing issue in our society today. Due to societies' demand on governmental organizations to improve the condition of our environment, I am submitting to you today a 25-year program that will be effective in reducing pollution in the air and water. I urge you to look into the issues presented and make an informed decision that will help to improve the quality of our environment."
Abstract This paper examines Jonathan Swift's poems "The Lady's Dressing Room" and "A Beautiful Young Nymph Going to Bed", works which might inspire, from their nauseating subject matter, more than a mere blush to rise out of one's body. It looks at how both poems glory in the grotesque impurity inherent to humanity, and particularly to feminine humanity, which were apparently conceived as mutually exclusive. It also discusses how Swift employs nauseatingly graphic descriptions of women in his poetry not to denigrate women, but to mock a literary and social tradition that would place women in only one of two categories: that of the angel and that of the whore.
From the Paper "These categorizations of angel and monster become problematic in "The Lady's Dressing Room" and "A Beautiful Young Nymph Going to Bed" for several reasons, the first one being the unrelenting focus Swift puts on the physicality of both the women in the poems, which is obviously incompatible with the image of the angel. What makes these poems so interesting in juxtaposition is that they both scrutinize women to the same degree. In "A Beautiful Young Nymph Going to Bed", Corinna is most certainly not a lady; she is from its first lines established as the angel's antithesis, the whore. Unlike Celia, whose social status as a Lady makes her already quite angelic, Corinna is evidently of a low social class; there is no Betty to help her with her dressing. Instead, Corinna has only a bevy of stray animals who desert her "in a parodic reversal of the usual community of servants who attend to the dressing ritual" (Nussbaum 110). "
Examines the factors involved in the collapse of Enron, from its successful history of brokering to its unethical practices which ultimately led to its bankruptcy.
900 words (approx. 3.6 pages), 8 sources, 2002, $ 35.95
Abstract Enron is quickly becoming a 21st century equivalent of the 1950's game show scandals that inspired the film "Quiz Show". Both events involved a very large organization, an apparently active conspiracy to deceive the public and employees and touches a very broad section of our political and economic power structure. Enron had emerged from the smoke and mirrors associated with all scandals as a clearly unfathomable organization - Enron is an enigma. Before the bankruptcy, Enron enjoyed an enormously successful history of brokering energy to and from various points on the compass - from virtually blackmailing California during that state's energy crisis of the summer of 2000, to the general failure to meet energy contracts throughout the county. Enron's excesses, mismanagement, shady accounting, questionable ethics and its octopus-like hold on seemingly half of all the congressional politicians in Washington combine to lend credence to conspiracy theorists who assert that there are commercial forces at work behind governmental decisions that supercede concerns for the American citizenry. Like any scandalized person or organization, prior to exposure, everyone is ecstatic to be in bed together, but post-exposure, all the partners jump out of bed faster than roaches under a sun-lamp. Enron collapsed because it was a giant built upon a balsa wood foundation.
Abstract In this article, the writer notes that the Miami Valley Hospital (MVH) was founded in Dayton in 1890 as a 37-bed hospital in a private home and has since expanded to an 827-bed referral and specialty center with a reputation for personalized patient care and service. The writer points out that it offers a broad range of high-quality health services by a staff of sensitive and experienced doctors, nurses and employees. Further, the writer discusses that it has set the standard for the practice through its commitment to diversity in the workplace. The writer concludes that MVH is committed to the service and welfare of the diverse communities it serves and that the hospital takes into consideration Weber's view on social relationships wherein the organization's action is determined by the reaction or impact that action can have on its client and others in the community.
From the Paper "The Hospital consistently pursues excellence. In 2002, it received the seventh consecutive Consumer Choice Award from the National Research Corporation and the fifth consecutive Joint Commission on Accreditation of Healthcare Organizations. The accreditation placed the hospital within the top 10% of all surveyed hospitals, an unmatched distinction among hospitals for receiving consecutive commendation awards. It merged with Good Samaritan Hospital to form Premier Health Partners. The partnership aims at delivering high-quality health care at the best value for the Greater Dayton."
"Miami Valley Hospital or MVH mandates each of its employees to create an inclusive environment, which respects all individuals and provides them this opportunity through many Diversity initiatives."
Tags: patient, care, caregivers, treatment, doctors
From the Paper "The queen conch, Strombus Gigas, is a large, herbivorous marine snail found primarily in the shallow turtle grass beds and sandy bottoms of tropical Atlantic Ocean. It is classified under the Family Strombidae, Order Mesogastropoda, Class Gastropoda, and Phylum Mollusca. This particular species of snail is valued as nutritious and cheap seafood, high in protein and low in fats or carbohydrates, with a flavor similar to scallops, clams, or abalones, and it lacks that "fishy" taste most seafood has. In addition, their shells are used commercially to make cameos or curios. They are less common in more heavily populated areas, since people find many commercial uses for these animals. Each shell is incised with a 2-cm long hole just above the attachment of the columellar muscle. Once this is severed by a fisherman, the body falls from the shell. Though queen conchs are not yet on the endangered species list, the fishing industry is posing a threat to their existence as a species."
