Wednesday, November 6, 2019

Profile of Serial Killer Richard Angelo

Profile of Serial Killer Richard Angelo Richard Angelo was 26 years old when he went to work at Good Samaritan Hospital on Long Island in New York. He had a background of doing good things for people as a former Eagle Scout and volunteer fireman. He also had an out-of-control desire to be recognized as a hero. Background and Early Life Born on August 29, 1962, in West Islip, New York, Richard Angelo was the only child of  Joseph and Alice Angelo. The Angelos worked in  the educational sector - Joseph was a high school guidance counselor and Alice taught home economics. Richards childhood years were unremarkable. Neighbors described him as a nice boy with nice parents. After graduating in 1980 from St. John the Baptist Catholic High School, Angelo attended the State University of Stony Brook for two years. He was then accepted into a two-year nursing program at the State University at Farmingdale. Described as a quiet student who kept to himself, Angelo excelled in his studies and made the deans honor list each semester. He graduated in good standing in 1985. First Hospital Job Angelos first job as a registered nurse was in the burn unit at the Nassau County Medical Center in East Meadow. He stayed there a year, then took a position at Brunswick Hospital in Amityville, Long Island. He left that position to move to Florida with his parents, but returned to Long Island alone, three months later, and began working at Good Samaritan Hospital. Playing Hero Richard Angelo quickly established himself as a highly competent and well-trained nurse. His calm demeanor was well fitted for the high stress of working the graveyard shift in an intensive care unit. He gained the trust of the doctors and other hospital personnel, but that wasnt enough for him. Unable to achieve the level of praise he desired in life, Angelo came up with a plan where he would inject drugs into patients at the hospital, bringing them to a near-death state. He would then show his heroic capabilities by helping to save his victims, impressing the doctors, co-workers and the patients with his expertise. For many, Angelos plan fell deathly short, and several patients died before he was able to intervene and save them from his deadly injections. Working from 11 pm to 7 am put Angelo into the perfect position to continue to work on his feeling of inadequacy, so much so that during his relatively short time at the Good Samaritan, there were 37 Code-Blue emergencies during his shift. Only 12 of the 37 patients lived to talk about their near death experience. Something to Feel Better Angelo, apparently not swayed by his inability to keep his victims alive, continued injecting patients with a combination of the paralyzing drugs, Pavulon and Anectine, sometimes telling the patient that he was giving them something which would make them feel better. Soon after administering the deadly cocktail, the patients would begin to feel numb and their breathing would become constricted as did their ability to communicate to nurses and doctors. Few could survive the deadly attack. Then on October 11, 1987, Angelo came under suspicion after one of his victims, Gerolamo Kucich, managed to use the call button for assistance after receiving an injection from Angelo. One of the nurses responding to his call for help took a urine sample and had it analyzed. The test proved positive for containing the drugs, Pavulon and Anectine, neither of which had been prescribed to Kucich. The following day Angelos locker and home were searched and police found vials of both drugs and Angelo was arrested. The bodies of several of the suspected victims were exhumed and tested for the deadly drugs. The test proved positive for the drugs on ten of the dead patients. Taped Confession Angelo eventually confessed to authorities, telling them during a taped interview, I wanted to create a situation where I would cause the patient to have some respiratory distress or some problem, and through my intervention or suggested intervention or whatever, come out looking like I knew what I was doing. I had no confidence in myself. I felt very inadequate. He was charged with multiple counts of second-degree murder. Multiple Personalities? His lawyers fought to prove that Angelo suffered from dissociative identity disorder, which meant he was able to disassociate himself completely from the crimes he committed and was unable to realize the risk of what he had done to the patients. In other words, he had multiple personalities which he could move in and out of, unaware of the actions of the other personality. The lawyers fought to prove this theory by introducing polygraph exams which Angelo had passed during questioning about the murdered patients, however, the judge did not allow the polygraph evidence into the court. Sentenced to 61 Years Angelo was convicted of two counts of depraved indifference murder (second-degree murder), one count of second-degree manslaughter, one count of criminally negligent homicide and six counts of assault with respect to five of the patients and was sentenced to 61 years to life.

Monday, November 4, 2019

GLOBAL ISSUES &INST Essay Example | Topics and Well Written Essays - 1750 words

GLOBAL ISSUES &INST - Essay Example If the U.S. leads the pack in hunting for cleaner energies then surely we would save face for our previous misdeeds. But global warming transcends merely saving face. The reality of the abnormal and harmful weather patterns is something we must live with today. Scientists have linked our current explosion of weather related tragedies to the global warming increase. Hurricane Katrina ravaged New Orleans and heat strokes have become a feature of summers are but to name a few of the extremes of weather. Statistically, the hottest years were experienced in the last decade (ESS, 2008). Other health risks have also been cited due to the continued depletion of O-zone, caused by global warming. Cancer of the skin caused by UV-radiations, cataracts and decreased immunity are some of the health risks you face as a result of depletion. The environment, especially animal live suffers from the same and this causes extinction of some species. Failure to recognize the role of organic fuels, chiefly oil, would lead to unprecedented weather and calamity increase, disease and massive financial strains in the efforts to repair (Jackson, 94). Another benefit of clean energy is the reduced dependency on foreign oil. The USA consumes the most amount of oil globally and is the biggest importer of the same. This has led to many problems including exploitation by the oil cartels, the biggest being OPEC. Oil has become an instrument of political and diplomatic exploitation, especially with matters concerning the Middle East. This has been so especially after the 6 Day War. A country bearing oil has become a major voice in international affairs as they can cause the destabilization of world markets practically overnight (Zycher, 2008). The last few weeks have borne witness to this fact where the impact of the oil fields of the remote Arabian deserts cause tremors at the very pinnacle of Wall Street. Reducing dependency has very obvious advantages in this light: it would reduce the bargaining power of these countries at the international and domestic front. Humanitarian issues such as modern day slavery, women emancipation and g ross abuse of democracy by these countries are very difficult to handle since they have oil power. They can refuse to sell if they perceive you as hostile causing an energy crisis of great magnitudes. Mr. Obama is on the long term strategy road to finally rid them of their bargaining platform and allow them to be subject to the rules of humanitarianism. The third benefit as cited by the President-elect is the revival of the economy. This statement seems like an oxymoron bearing in mind that clean energies require expensive infrastructure. Though this is true, the long term benefits of this investment would pay off. Imagine having hybrid automobiles that run on electricity and hydrogen drawn from water. The electricity would be generated from nuclear energy and other forms. We would use solar energy to light our houses. Create proper insulation so that we cut down on heating costs and harness wind energy for various other chores. This dream of an oil-free energy sector would result in the saving of billions of dollars incurred in buying and importing this resource. This would result in savings from government, household and business levels. These savings from the household could be channeled to increase domestic demand or saved. Both of these options are good for the economy. The

Drama Research Paper Example | Topics and Well Written Essays - 1750 words

Drama - Research Paper Example The theatrical form requires that even the audience in the last row catch the emotion expressed by the actor without it being rendered awkward due to the element of exaggeration involved. This is the context where physical acting can save the occasion. Also, physical action involves movement that can be weaved into the movement of the plot of the play itself to bring about a kind of doubled impact. Simon McBurney categorized human behavior into seven levels of tension, namely, coma, relaxed, neutral, alert, suspense, passionate and explosion so that there can be a level of standardisation on how the actor can express emotions in the form of physical actions on stage. Stanislavski on the other hand had much earlier developed the method of physical actions by which an actor supplements his/her emotional acting with corresponding physical actions. Both these approaches to physical acting have been lauded as systems that immensely help methodical acting yet criticized as well as constrictive to the real spirit of the total emotional experience involved. This has been a criticism raised against all kinds of physical theater. Yet, even the critics will agree that relying on facial expressions and internal feelings alone will render theater motionless and boring. While Stanislavski has more or less tried to provide just a physical actions-based loose framework corresponding to emotio nal states, the McBurney method prescribes specific physical actions for different emotions and thereby faces the risk of reductionism. Hence, Stanislavskys method of physical actions can be said to be imparting more freedom to an actor than McBurneys method. Method of physical actions was not merely a directive of physical training for Stanislavsky but the the psychological aspects of any physical action was also accounted for in this method (Chushkin, 1998, p.16). It was acknowledged by this theater maestro that the actor necessarily needed to have an â€Å"inner

Friday, November 1, 2019

Quality Management and Accountability Essay Example | Topics and Well Written Essays - 750 words

Quality Management and Accountability - Essay Example Key to the success of the implementation of Total Quality Management (TQM) programs are seven characteristics namely, the amount of influence exerted by the change agents, their responsibility and autonomy in specific areas of assignments, space for innovative ideas, adaptability to change, satisfaction, teamwork and shared vision coupled with a benchmarking criterion towards the objectives (Weeks, Helms & Ettkin, 1995). These characteristics rest upon a common a propellant perception of agents concerning the needed change. The new millennium heralded a phase of new challenges in many sectors, and so healthcare organizations haven’t been spared either. With the expectation of taming escalating costs, pressures to modernize, harmonize and reconcile quality with the former have force their way to accreditation boards, the media and concerned agencies. Embracing partnerships becomes unavoidable under these circumstances. Quality improvement, therefore, becomes more of a â€Å"te am sport† that engages individual centered processes into a comprised common vision. Precisely, teams are collaborative integral components of quality improvement efforts involving persons operating either from the same or different disciplines but with a shared vision of optimizing patient-service outcomes (Ovretveit, 1999). Notably, success within healthcare organizations operates more or less like powerful sport cars whose quick movements depends on the engine inexistence and the control mechanics applied. Employee engagement is the hallmark of connectivity within any organization. An engaged personnel gives an organization the power it so requires to make tangible moves towards its mission with an accelerated propensity in compared to those of the competitors. From the top management down the apex of leadership role, a synergetic approach with results concerning the work load only comes with prior and proper understanding and agreement on the course taken (Weeks, Helms & E ttkin, 1995). Accordingly, success comes with assured, climatic readiness for change. The relationship between physicians directly responsible for matters of healthcare and hospital executives charged with administrative responsibilities spanning from regulatory obligations to resource control is critical to any aspect of quality improvement process. The real enemy to the process of change lies in a dysfunctional healthcare system (Fawcett, et al., 1995). As mentioned above, there needs to be commonality in values and concerns share by both physicians and healthcare executives as the basic framework for successful communication bridging the hierarchical gap towards a collaborative, as opposed to confrontational/competitive relationship (Bero, et al., 1998). A functional workforce-engagement criterion holds the key to clinical priorities with regards to useful new technologies required as well as essentiality of scientific methodologies in tandem with evidence-based decision making. Further, understanding and agreement are important planning, implementation, and assessment tools. According to the case study done by Weeks, Helms, and Ettkin (1995), the degree of understanding and agreement of the course taken by healthcare entities lacks uniformity with wide discrepancies over perceptive responses touching on matters of change. Whereas the need for change is plausible in the responses from the executive wing

Critical Thinking Assignment Example | Topics and Well Written Essays - 500 words - 3

Critical Thinking - Assignment Example This paper analyses whether Nancy Cantor, who were once a Syracuse University chancellor, used critical thinking in a piece of work that she wrote in reply to the filing of affirmative action cases with U.S. Supreme Court. Cantor is rational and objective. Her argument does not portray emotional or subjective perceptions. Cantor developed her argument on justifiable reasons. In her first sentence, she recognizes the existence of collective fears, sins, and stereotypes between races. In the fourth paragraph, Cantor points out that race, is an essential aspect of life in America. The existence of Asian-American, Hispanics, Native Americans, Whites, African –Americans, and Native Americans in American society, support the view of Cantor. Students thus have historical and cultural experiences associated to their races. Cantor recognizes the existence of inequality and the need to factor in the issue of inequality in College admissions. Cantor is honest in her argument. She does not argue for a particular race. According to her, the decision of Justice Lewis F. Powell, urged the educator to create a truthfully integrated community of learners. Even though, the decision was aimed at helping students of color, Cantor looks at it as a benefit to the different races in Americans. Cantor sees the use of race-consciousness as way to build a positive society. According to her, the recognition of race as a factor in America would help solve the mistake made by racially segregated public districts schools that failed to recognize American history and possible impacts of race. In this way, Cantor recognizes the weight and extent of evidence and thus shows her use of judgment. Cantor’s consideration of President Bush’s argument shows her open-mindedness. The former president had earlier labeled the use of affirmative action program at the University of Michigan a quote system. Cantor responded by claiming that all students

Wednesday, October 30, 2019

Is Rim Destined to eventually Fail Essay Example | Topics and Well Written Essays - 1500 words - 1

Is Rim Destined to eventually Fail - Essay Example The growth is witnessed in terms of output, staffing and the manufacturing infrastructure. The consistent increase in volume of the company’s products ensures its competitiveness in the marketplace by confirming that the products it supplies are market-friendly and adequate to the ever-increasing number of customers. The increase in production is fueled by the adequacy of staff. Adequate staff ensure that work is concluded on time hence meeting the company deadlines. Manufacturing infrastructure on the other hand facilitates invention and innovation resulting in originality of the company products (Palmatier & Crum, 2003). Externally, there is the ever-rising pressure from the rapidly expanding consumer base; RIM products experience a short lifecycle. Therefore, they have extended manufacturing contracts to likeminded firms to help them in production to meet the ever-rising customer demands. This has extended the decision making chain resulting in complexity when it comes to market efficiency and decision-making in terms of enhancing supply chains. The software makeup of the organization is also not up to the task prompting the implementation of a decision support system for the company to ensure it continues its operations successfully (Chopra & Meindl, 2001). In the recent past RIM has been quite successful and because of this success a crop of challenges have come up threatening the success of the corporation. The company introduced seven new models of their products within the last 18 months. The challenge with these products is their shortened lifecycle that has reduced further from 2 years to a mere 1 year. Reports show that the company’s product portfolio has become very complex ranging from 18 to 100 possible end combinations of the models with only seven lines of products. This has the challenge of easily creating what we call an

Hip Replacement Surgery Research Paper Example | Topics and Well Written Essays - 1000 words

Hip Replacement Surgery - Research Paper Example However, pain refractory to pain medications and severe arthritis restricting the daily activities of life do require a hip replacement surgery (Kennon, 2008). Hip replacement may be total, with a ball and socket type of implant or partial, as in case of a hemiarthroplasty, depending upon the extent of damage present (Kennon, 2008). Once the decision is made, the patient is thoroughly examined locally as well as systemically, radiological and other investigations are obtained depending upon various patient related factors and if the surgeon deems fit, a preoperative physiotherapy program is initiated (Kennon, 2008). Total hip replacement is a major surgery. The cost of surgery depends upon the health care facility, the kind of implants used and the status of medical insurance of the patient (Kennon, 2008). Surgical as well as related expenses can add up to 20000 US Dollars or more (Kennon, 2008). Tendinitis Tendinitis is the inflammation of the tendon which is the part of the muscle that attaches to a joint. It is clinically evident as pain, tenderness, redness and swelling (Kennon, 2008). Tendinitis is caused due to trauma or overuse and misuse of that specific muscle or joint. As in the case of hip joint, ilio-psaos tendinitis can cause persistent chronic pain in the joint even after hip replacement surgery (Kennon, 2008). Treatment of tendinitis is aimed at reducing pain and inflammation by measures such as resting the affected site, ice packs, pain medication, steroids and ultimately surgery for tissues with extensive involvement (Kennon, 2008). What to expect after surgery In the immediate postoperative period, patient’s vital parameters are observed till effect of anesthetic wears off and patient is clinically stable (Kennon, 2008). Medications for pain and prevention of infection and blood clotting are continued (Kennon, 2008). Early ambulation and application of compression stockings is encouraged (Kennon, 2008). Gradually, physiotherapists work with the patient and help him resume walking and weight bearing on the operated hip with the aid of a walker for the first few days (Kennon, 2008). After that, specific joint exercises are taught at discharge along with certain modifications in posture, body movements and positioning of the joint (Kennon, 2008). Recovery after hip replacement is a continuous process incorporating regular checkups and visits to the physician and physiotherapist, occupational physiotherapy, exercises and care of the artificial joint (Kennon, 2008). Living with hip replacement   In most of the cases, hip replacement surgery successfully alleviates the symptoms and allows the patients to resume their daily activities. Mild to moderate level of stress can be applied to the prosthetic joint. However, high impact activities which are likely to cause dislocation and loosening of the prosthesis or cause fracture at the adjacent bone sites are not allowed (Kennon, 2008). It is of utmost importance that to m aintain the function of the joint and to maximize the life of the implant, the instructions regarding