Tuesday, December 31, 2019

A Short History of the Toothpick

Thanks to the humble toothpick, taking care of your oral hygiene after meals has become somewhat of a ritual. With needle-like precision, it makes removing unseemly pieces of food debris, such as that stubborn sliver of shredded chicken, a thoroughly satisfying task. So who should we thank for it? DIY Origins   The toothpick is one of the few inventions being used today that predates the arrival of modern humans. Fossil evidence of ancient skulls, for instance, suggests that early Neanderthals used tools to pick their teeth. Scientists have also found tooth indentations indicative of teeth picking in human remains among Australian Aborigines, prehistoric Native Americans, and the earliest Egyptians.    The practice of teeth picking was not uncommon among early civilizations, too. Mesopotamians used instruments to keep dental crevices clear and artifacts such as toothpicks made out of silver, bronze and various other precious metals that date back to antiquity have also been unearthed. By the Medieval period, carrying a gold or silver toothpick in a fancy case became a way for privileged Europeans to distinguish themselves from commoners. The toothpick wasn’t always quite the lowly, mass-produced and disposable piece of wood that we’ve come to know today. Queen Elizabeth once received six gold toothpicks as a gift and would often showcase them. There’s even an anonymous portrait depicting her as an old woman wearing multiple chains around her neck, from which hung a gold toothpick or a case. Meanwhile, those who couldn’t afford such luxuries resorted to more creative ways of fashioning their own toothpicks. The Romans came up with a particularly clever method of pulling bird feathers, chopping off the quill and sharpening the tip. The technique was passed on to future generations in Europe and eventually carried over to the new world. Over in the Americas, native peoples carved toothpicks from deer bone. And just up north, Eskimos used walrus whiskers. Coincidentally, wood was generally considered unsuitable for the purpose of dislodging trapped food bits. Twigs from trees were inadequate because they tended to wear down when wet and had a propensity to splinter, which tended to be problematic. One exception is the mastic gum tree of southern Europe, with the Romans among the first to take advantage of the plant’s pleasant aroma and its teeth whitening properties. A Toothpick for the Masses With the ubiquity of tooth picking tools across the world, it was only a matter of time before an industry was built around them. As small businesses specializing in toothpick manufacturing began to pop up, demand for toothpicks also grew.  American entrepreneur named Charles Forster. The mass production of toothpicks can be traced to the Mondego River Valley in Portugal. It was there, in the small municipality of Coimbra, that the 16th century nuns of the Mos-teiro de Lorvà £o monastery began making toothpicks as a disposable utensil for picking up sticky confections that tended to leave residue on fingers and teeth. Locals eventually picked up the tradition, using only the finest orangewood and a jackknife to handcraft the toothpicks. The region would over time earn a reputation as the world capital of the toothpick industry where the finest toothpicks were made. Orders soon came in from all over Europe and shipment were sent out as far overseas as the Americas. The Portuguese were especially renowned for a special type of cocktail tooth called â€Å"palitos especiales† distinct for their carved involutes and curly shafts. In the U.S., some vendors seek to mimic the classy, festive aesthetic with toothpicks topped with colored cellophane. Toothpicks in America The American entrepreneur Charles Forster was particularly impressed by the high quality of the toothpicks in South America. While working in Brazil, he noticed that the locals often had impeccable teeth and credited it to the use of imported toothpicks from Portugal. Inspired by fellow American Benjamin Franklin Sturtevant’s shoe-making machine, Forster got to work on building something similar that would be capable of mass-producing millions of toothpicks a day. While he was ultimately able to come up with the goods, Americans simply weren’t interested. Part of the problem was that Americans were already accustomed to whittling their own toothpicks and doling out cash for something that can easily make themselves made little sense at the time. What was needed was a sea change in ingrained lifestyle habits and attitudes if there was any hope of generating demand. Forster just so happened to be crazy enough to take on such a seemingly insurmountable challenge. Some of the unusual marketing tactics he employed included hiring students to pose as store customers seeking toothpicks and instructing Harvard students to ask for them whenever they dined at restaurants. Soon enough, many local eateries would make sure toothpicks were available for patrons who somehow developed a habit of reaching for them as they’re about to leave. Though it was Forster who at the time nearly singlehandedly established a growing market for mass-produced wooden toothpicks, there were a few others jockeying to get into the game. In 1869, Alphons Krizek, of Philadelphia, received a patent for an â€Å"improvement in toothpicks,† which featured a hooked end with spoon-shaped mechanism designed to clean out hollow and sensitive teeth. Other attempted â€Å"improvements† include a case for a retractable toothpick and a scented coating meant to freshen one’s breath.  Ã‚   Towards the end of the 19th century, there were literally billions of toothpicks made each year. In 1887, the count got as high as five billion toothpicks, with Forster accounting for more than half of them. And by the end of the century, there was one factory in Maine that was already making that many.  Ã‚   Toothpicks Not Just for Picking Teeth With the commercialized ubiquity of disposable wooden toothpicks, the concept of the toothpick as status symbol, which stubbornly persisted well into 19th century, would slowly begin to fade. Silver and gold toothpicks, once immensely popular amongst society’s most well-heeled elites, were increasingly turned in as donations at fundraisers. But that doesn’t mean a toothpick’s usefulness was simply relegated to oral hygiene. Most people, for instance, are familiar with the use of toothpicks in social settings where eau doeuvres and other finger foods are served. Yet they’ve also proved capable of pinning down overstuffed deli sandwiches, cleaning dirt from underneath fingernails, and even picking locks. While the standard toothpick of today remains essentially unchanged from the ones Forster was cranking out over a century ago, entrepreneurs still seek to improve upon its very basic iteration. One early attempt by Forster and others to make them more appealing was the introduction of flavored toothpicks. Popular flavors included cinnamon, wintergreen, and sassafras. For a time, there were even liquor flavors, such as Scotch and Bourbon. Inventors have also tested other coatings such as imbuing sticks with zinc as a disinfectant. Another therapeutic approach involved combining a toothpick and a gum massager. Others have tried tinkering with the shape by making the center square as a way to prevent rolling when dropped while some newer ones claim to offer enhanced cleaning ability with the addition of brush-like bristles to the head. Though such efforts to build a better toothpick may arguably yield some advantages, theres something about the toothpick’s modest simplicity that makes it so users dont have much of a desire to deviate. A disposable, cheap object with a simple design that achieves its desired goal, you really couldn’t ask for more — as a consumer or as a manufacturer.

Monday, December 23, 2019

Elements of Negligent Tort Analysis and Remedies

Introduction The law of torts can be traced back to English Common Law and has become and integral part of Anglo-American Law for hundreds of years .These laws have been modified many times since the late 1800s by state legislatures and these changes have given plaintiffs more chance of success when bringing forth their claims. Original tort law included coverage for injuries suffered while in the workplace but this since has been removed entirely from tort law and replaced with the state administered workers compensation systems. In order for a plaintiff to utilize the law of torts certain elements need to be present so that a reasonable measure of success can be ensured in the outcome. Elements of Negligent Tort†¦show more content†¦Breach of Duty: In order for breach of duty to take place, there must be a duty owed to the plaintiff, and the defendant must be neglect of the duty that he owed. In order to test whether the duty was breached or not, there is a reasonable person test. This test is objective in two senses. First, it compares the defendant’s actions, with those that hypothetical person with ordinary prudence and sensibilities would have taken or not under the circumstances. Second the test focuses on the defendant’s behavior, rather than on the defendant’s subjective mental state. This test allows decision to be made on the facts of the case and for the prosecution, to determine whether there was reasonable foresee-ability of harm. According to Mallor even if the defendant has breached a duty, and plaintiff has actually suffered injury there is no liability for negligence without necessary causation link between breac h, and injury. Hence causation link involves three issues: 1) was the breach an actual cause of the injury? 2) Was the breach a proximate cause of the injury? 3) What was the effect of any intervening cause, arising after the breach to cause the injury? Thus both actual, and proximate, causes are necessary for a negligence recovery. 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Sunday, December 15, 2019

Health Leadership Theory Free Essays

Leadership Midterm Chapter 1 Introduction 1. Leadership- a process whereby an individual influences a group of individuals to achieve a common goal. 2. We will write a custom essay sample on Health Leadership Theory or any similar topic only for you Order Now Trait vs Process Leadership- innate characteristics that individuals are born with vs properties possessed that one is able to develop. 3. Assigned vs Emergent Leadership- based on occupying a position within an organization vs an individual perceived by others as most influential member of a group regardless of individuals title. 4. Power- capacity or potential to influence (beliefs, attitudes, actions) 5. Bases of Power: . Referent power- follower’s identification and liking for the leader b. Expert- based on followers’ perceptions of the leader’s competence. c. Legitimate- having status or formal job authority. d. Reward- having the capacity to provide rewards to others. e. Coercive- having the capacity to punish others. Real, Expert, Leaders, Reward Compliance (1st two are personal power while the ladder three are positional power) Chapter 2 Trait Approach * One of the first systematic attempts to study leadership. Early theories focused on innate qualities /characteristics. Major Leadership traits***: 1. Intelligence- verbal, perceptual, and reasoning capabilities 2. Self-confidence- certainty about one’s competencies and skills 3. Determination- desire to get the job done 4. Integrity- quality of honesty and trustworthiness. 5. Sociability- Leader’s inclination to seek out pleasant social relationships. Israel’s, security, defense, is, strong * Big Five Personality factors: 1. Neuroticism- tendency to be depressed, anxious, insecure,†¦ (don’t want) 2. Extraversion**- tendency to be sociable and assertive with positive energy. . Openness- informed, creative, insightful, and curious. 4. Agreeableness 5. Conscientiousness- thorough, organized controlled, dependable, and decisive. * Emotional Intelligence- ability to perceive and apply emotions to life’s tasks. The premise is that people who are more sensitive to emotions their impacts will be more effective leaders. Chapter 3 Skills Approach * Le adership skills- ability to use one’s knowledge and competencies to accomplish a set of goals and objectives. * Katz developed the Three-Skill Approach: 1. Technical- having knowledge about and being proficient in a specific type of work or activity. 2. Human skill- having knowledge about and being able to work with people. 3. Conceptual skill- the ability to do the mental work of shaping meaning of organizational policy or issues. Top management has high human and conceptual, but low technical. Middle management has high everything Supervisory management has high technical, high human, and low conceptual. * Chapter 4 Style Approach Style Approach emphasizes the behavior of the leader: 1. Task behaviors 2. Relationship behaviors Studies: 1. Ohio state studies developed a leadership behavior description questionnaire (LBDQ) and it resulted in leaders with initiating structure and consideration. 2. University of Michigan-results in leaders with two type of behavior: employee oriented and production oriented. Blake Mouton’s Managerial Leadership Grid focuses on concern for production and people. *Be able to draw this* Note that the first 4 chapters focused on the leader and his abilities. The next few chapters focus on the interaction with subordinates. Chapter 5 Situational Approach Leaders must match their style to the competence and commitment of subordinates. Leaders need to diagnose the situation and then adapt their style. **** Chapter 6 Contingency Theory Leader Match Theory Fiedler developed the Contingency model High LPCs are effective in moderately favorable conditions while low LPCs are effective in extreme conditionis. Chapter 7 Path-Goal Theory Centers on how leaders motivate subordinates to accomplish designated goals. Leadership generates motivation when it: 1. Increases rewards (payoffs) 2. Increases assistance by leader- clarifies defines goals 3. Removes obstacles 4. Makes work personally satisfying R,CD,O,S Chapter 8 Leader-Member Exchange Theory High quality leader member exchanges between leaders and followers produced multiple positive outcomes (less employee turnover, greater commitment, promotions,.. ) Quint Studer Introduction Managers create the best possible plan to deal with the changing external environment. And they do this in a quick fashion. â€Å"We are only as strong as our weakest link. † Chapter 1 Alignment Healthcare organizations must be aligned to provide excellent medical care. The difficulty here is that most organizations don’t have a uniform or seamless organization. It takes significant amounts of time for information/procedures to flow down through the organization from C-Suite leaders to supervisory personnel and this process needs to speed up. Chapter 2 Action How quickly and effectively leaders can drive action determines whether an organization lives or dies. As leaders we must be able to anticipate the outcome of changes in the external environment as they are occurring and respond appropriately. This is prohibited as the majority of leaders do need get prepared for their leadership role. Studer identifies that the training should cascade through an organization with leader taking ownership of training leaders below them. Chapter 3 Accountability Organizations require a system to be in place that holds people accountable for their actions. While top managers might say that their leaders are performing exceptionally when compared with yearly goals this doesn’t line up. The majority of time the managers results doesn’t match up with there reviews because there is a serious disconnect. Studer suggests that leaders take the lead in creating accountable organizations. Set specific goals, properly measure the data, and watch how results vary, act accordingly. Also, be able to change the system quickly as the environment changes. Chapter 4 Leader Consistency Best Practices All leaders in the organization need to be consistent with each other and adopt/implement best practices. Leaders often have difficult implementing best practices. Reasons for this include that leaders of one organization might not want their successful strategies being utilized in another company because they will no longer have the edge.. Current Events Hospital Partnerships Hospitals are now forming partnerships in an attempt to decrease expenses and increase quality of care. Understand what the term synergistic means. Ex. 1+ 1=3 Together something may be obtained, but individually this could never happen. Fraying Hospital Safety Nets While safety net hospitals receive less reimbursement for procedures they are still maintaining high quality of compare. This article demonstrated through studies that these less aesthetically pleasing hospitals have similar if not better readmission rates than others. Healthcare Reform Law Creates New Age of Consumerism If Obamacare gets implemented the 40 million uninsured individuals in the US will now have access to healthcare. This brings a new age of consumers accessing health services. Since a lot more people are coming into the system many companies are restructuring their services to make them more â€Å"digestible† said Karen ignangi CEO. Medi-cal recipients warned they could lose day healthcare benefit Medical recipients might loose ability to attend adult day healthcare center where they receive nursing care, social services, and meals. To continue receiving benefits these individuals must enroll in managed care programs. Cedars Sinai- UCLA cut from LA city health plan Because of increased cost cefars and ucla DOCTORS have been cut from anthem blue cross network. 60,000 employees are unable to attend these hospitals for future services. Because of research and public perception cost these hospitals are capable of charging higher rates. New system for patients to report medical mistakes â€Å"Currently there is no mechanism for consumers to report information about patient safety events. † Politicians and other officials state that it would be beneficial to implement a system where patients/consumers can give feedback regarding their experiences. This will increase the quality of care over time. Some officials are worried that patients may mischaracterize an outcome as an adverse event because they have a lack of medical knowledge. Patients would report these errors using a website and telephone interviews. What, when, where,.. Allergan drops bid for FDA approval to promote Lap-Band for teens The company sought permission from FDA to promote lap band for kids as young as 14. After a period of time they withdraw the permission and stopped asking for it. The company faces declining revenues and is likely trying to bring them up by getting into a new market of younger kids/adults. Allergan has yet to publish their clinical results which creates doubt in its effectiveness and may be the reason why they withdrew permission. Five people have died as a result of procedures and obesity is still a catastrophic problem in our society. We need to be pushing diet, exercise, and healthy eating habits rather than surgery.. Filipino nurses win language discrimination settlement $975,000 settlement was reached between the hospital and many philipino nurses that worked there and were prevented from speaking their native language. They claimed they were followed and harassed by security and other individuals. They were even threatened by the instillation of security cameras. All the while other individuals were aloud to speak their native languages like Spanish. Administrators don’t want them speaking other languages because it makes patients feel uncomfortable. Patients need to know what’s going on at all times since their health is at stake.. Doctor turns away obese patients Put staff at risk, office isn’t equipped to handle care of over weight patients, equipment costs are high. She is legally allowed to do this but ethically it is unsound. Where did Dr. Rubino go on vacation? St Petersberg, Russia KNOW THE TRENDS IN HEALTHCARE: 1. Cost cutting will be top of mind for CEOs: mergers/partnerships, outsourcing functions to less costly vendors,†¦ 2. IT will also be of importance; incorporating EMR, and health information exchange 3. Expect consolidation, mergers, and zcquisitions 4. Expect higher turnover in C-suite as redirection and early retirements occur. These positions are now more demanding and involve more conflict. KNOW THE CASE STUDIES WE DID IN CLASS (HINT) Study the case studies they will be reworded Introduction is included in Quint Studer When you permit you promote Draw the contingency model What would prevent a manger from preventing a best practice? Ego is one answer What word could you use to describe _______? Synergistic relationships*** Exam question His own article on the amount of money that is being wasted in the medical field. The budget for medical services per year in the US is $2. 2 Trillion of which $750 billion is determined to be wasted. There is groups like administrative waste (working on projects and things that are not necessary), physicians suggesting services not contingent with evidence based medicine, fraud,†¦ How to cite Health Leadership Theory, Essay examples

Saturday, December 7, 2019

Last supper Essay Example For Students

Last supper Essay The Last SupperThe Last Supper was a very powerful Biblical event, in which Jesus and his disciples gathered for one final dinner together. According to the Bible, important events took place during the Last Supper, including an announcement by Jesus that one of his disciples would betray him and the first communion. To artists in the fifteenth and sixteenth centuries, it was necessary to give proper deference to such notable occurrences. Both Leonardo da Vinci and Jacopo Robusti, known as Tintoretto, took upon the challenge of recreating the Last Supper. While Last Supper by da Vinci and Last Supper by Tintoretto are very similar in subject matter, they differ in composition, symbolism, and the choice of narrative moment. The Last Supper by Leonardo da Vinci is the first great figure composition of the High Renaissance and the definitive interpretation of its theme. Jesus and his twelve disciples are seated at a long table that is parallel to the picture plane. The room is spacious and peaceful, and Christ has his arms spread in disposed trust . The rest of the group is in intense and dramatic excitement, with their hands out in shock and question at Jesus words. The viewer can just feel the tense excitement sweeping through the groups of disciples. Jesus, the most important figure in the painting, has been placed in front of three windows that are in the back of the room, and he is framed by the center window with a curved pediment that arches above his head. His head serves as the focal and vanishing point of this piece, and your eye is immediately attracted to it. Da Vinci has arranged the disciples into groups of three and tied all the groups together through their hand motions giving this piece a symmetrically aesthetic feeling. Your eye is taken on a journey through the oval-shaped composition of the piece, but it is clear that Jesus serves as the vital magnet. The Last Supper by Tintoretto is a beautiful Mannerist-style painting in which the painter creates a revolutionary type of composition. The pieces surface plane now shoots in a diagonal motion and Jesus is noticeable only because of the light around his head. There is a feeling of unsure commotion throughout the figures as they lean into uncomfortable positions, such as the maid in the foreground. The figures also seem to blossom in light through a darkness of the background. The two brightest areas, Jesus and the light fixture, fight for the viewers attention and create a sense of uncertainty, perfecting what the Mannerists set out to accomplish. The use of symbolism in both Da Vincis and Tintorettos Last Supper is important to the interpretation of each piece. Da Vinci is the first known artist to place Judas, the disciple who betrays Jesus, on the same side of the table as Christ. This subtly symbolizes the trust that Jesus shared with his followers, and it is more realistic. By placing Christ in the center, as the focal point, with orthagonals leading towards him, Da Vinci creates a 3-D/pyramid effect with Christ that shows his still and stable calmness and poise amongst the distraught group. He also places Jesus inside the second window, symbolizing Jesus position as Christ, the son in the Christian trinity. The group of twelve is split into groups of threes, symbolizing the trinity, and supporting the symmetry. Tintorettos Last Supper uses symbolism very differently. He places genre figures throughout the painting, such as the waitresses, to ground the viewer in reality. This may act as his way of making the piece more realistic or closer to personal experience and therefore, more comfortable. Yet, he also places angels flying into the room, throwing off this grounded feeling but giving a nice balance of both heaven and Earth. These two accomplished artists, Da Vinci from the High Renaissance Period, and Tintoretto from the time of Mannerism, decided to paint the same event, but chose different narrative moments, exemplifying each of their purposes. Leonardo da Vinci chose to illustrate the moment in which Jesus proclaims that one of his disciples shall betray him, creating a sense of shock and question. .u137f79b4a6969f15458f7cfa4766c4e1 , .u137f79b4a6969f15458f7cfa4766c4e1 .postImageUrl , .u137f79b4a6969f15458f7cfa4766c4e1 .centered-text-area { min-height: 80px; position: relative; } .u137f79b4a6969f15458f7cfa4766c4e1 , .u137f79b4a6969f15458f7cfa4766c4e1:hover , .u137f79b4a6969f15458f7cfa4766c4e1:visited , .u137f79b4a6969f15458f7cfa4766c4e1:active { border:0!important; } .u137f79b4a6969f15458f7cfa4766c4e1 .clearfix:after { content: ""; display: table; clear: both; } .u137f79b4a6969f15458f7cfa4766c4e1 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u137f79b4a6969f15458f7cfa4766c4e1:active , .u137f79b4a6969f15458f7cfa4766c4e1:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u137f79b4a6969f15458f7cfa4766c4e1 .centered-text-area { width: 100%; position: relative ; } .u137f79b4a6969f15458f7cfa4766c4e1 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u137f79b4a6969f15458f7cfa4766c4e1 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u137f79b4a6969f15458f7cfa4766c4e1 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u137f79b4a6969f15458f7cfa4766c4e1:hover .ctaButton { background-color: #34495E!important; } .u137f79b4a6969f15458f7cfa4766c4e1 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u137f79b4a6969f15458f7cfa4766c4e1 .u137f79b4a6969f15458f7cfa4766c4e1-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u137f79b4a6969f15458f7cfa4766c4e1:after { content: ""; display: block; clear: both; } READ: Bottled water Essay Each of the followers of Jesus