College essay service
Sunday, November 3, 2019
Managing a multicultural workforce and multicultural customers Essay
Managing a multicultural workforce and multicultural customers - Essay Example Managing a multicultural workforce and multicultural customers The functions of human resource management become more varied and complex when the customers and employees are located around the world. Apart from the factors such as technology, economic systems, legal frameworks and industrial relations, the cultural factors also assume great importance in the managing of a global workforce. And the most prominent manifestation of the cultural challenge is the diversity of modern workforce. Thus the human resource in all transnational business endeavors has become increasingly diverse in terms of age, gender, ethnicity, culture, political views, physical abilities and psychological orientation. This essay aims to explore the thesis that efficient management of a multicultural workforce can serve as a pool of opportunities for businesses that cater to a multicultural customer base. The concept of culture is difficult to define in explicit terms. On a broad and generalized level, culture refers to the set of characteristics and features that defines a group and separates it from other groups. The famous social psychologist Florence Kluckholn has defined culture as ââ¬Å"a patterned way of thinking, feeling, and reacting, acquired and transmitted mainly by symbols, and constituting the distinctive achievements of human groups, including their embodiments in artifacts.â⬠The expert organizational scholar Geert Hofstede has described culture as ââ¬Å"the collective programming of the mind that distinguishes one human group from anotherâ⬠.
Thursday, October 31, 2019
Law of Evidence. write of silence Essay Example | Topics and Well Written Essays - 1250 words
Law of Evidence. write of silence - Essay Example However, as observed in R v Beckles, such inferences cannot be used to establish guilt. The House of Lords in R v Webber of 2004 that pursuant to Section 34 facts may include any fact that is an issue at the trial and tendered by the defendant in his or her defence. Moreover, facts will include any explanation or fact that the defendant would have logically raised at an earlier stage of the criminal proceedings. According to the ruling in R v Ali, the only recourse a defendant may have is to either deny culpability at the police station or to prepare a statement setting out his or her defence so as to preserve the right to raise the defence at trial. The right to a fair trial guaranteed by Article 6 of the ECHR demands however, that prosecutors bear the burden of proof. It was ruled in R v Condron that directions to the jury must be given with caution emphasizing the right to silence. The Judicial Studies Board established 6 points intended to ensure that adverse inferences contained in section 34 do not contradict Article 6. The 6 points correspond with the 6 requirements for adverse inferences as laid doing in R v Argent and are: There must be proceedings. Failure to mention a fact must predate the charge or when being charged. The omission must have occurred while being questioned under caution. The questions must have related to determining who committed the offence. The omitted fact must be one subsequently used in defence at the trial. The omitted fact must be one that accused was logically expected to mention. The courts have tried to set limits to what amounts as a new fact and to preserve the defendantââ¬â¢s right to remain silent. For example in R v McGarry, the defendant was charged with causing grievous bodily harm. In a written statement taken by the police, the defendant claimed that he acted in self-defence and did not answer police questions. At his trial, the defendant testified to facts substantiating and building on his claim of self-defen ce. The trial judge said that he was not inviting the jury to draw an adverse inference since D had not raised a new fact but did state that it was up to the jury to determine whether or not they wished to draw an adverse inference. The defendant was convicted and appealed. The appeal was allowed because the trial judge had a duty to direct the jury that they were not at liberty to hold the defendantââ¬â¢s failure to answer police questions since he did not rely on a new fact. R v B (MT) partially deals with circumstances in which a defendant may not be aware that a new fact may provide him or her with a defence. In this case the defendant was accused of sexual raping his stepdaughter, a minor and another girl under the age of 16. When questioned by the police, the defendant could not identify a motive for the girls to lie. However, at trial, his stepdaughter testified that she resented the defendant and did not want him to live with her mother. The defendant used this informatio n in his defence. The trial judge directed the jury that they could draw an adverse inference from this if they felt that it was reasonable for the defendant to raise the issue of motive while being questioned by police. The defendant was convicted and upon appeal, the Court of Appeal allowed the appeal on the grounds that the fact relied on was not a fact that the defendant could have known when questioned by the police. Likewise in Murray v UK before the European Court of Human Rights it was held
Tuesday, October 29, 2019
Democracy and an Age of Democratization Essay Example | Topics and Well Written Essays - 2000 words
Democracy and an Age of Democratization - Essay Example Two of the characteristics include competitive political parties and an independent judiciary. The presence of competitive political parties in the American democracy influences its ability to function effectively throughout the political system of the country. Political parties are so essential because they offer means through which citizens can be mobilized to support the vision of society. Mobilization happens during elections where the competing political parties, sell out their agendas and seek support from the public. During this process, the parties offer citizens with meaningful choices in the leadership of the country, and opportunity for participation in shaping their future nation. Within the political parties, the citizens interact freely to contest for public offices, express their vision for the society, and demonstrate their needs and interests (Gizzi et al 210). In an effective democracy, political parties develop a common vision for a significant group of the population so as to exert pressure on the political system of the country. This help to place the citi zensââ¬â¢ local interests on a national context. In the United State of America, citizens are usually divided on the basis of interests, policies, and leaders. This makes it easier for political parties to provide grounds for compromise as well as uniting the society. The political parties nominate leaders to assume leadership of the country and support them during the election period. They, therefore, form the main linkage between the government and the cultural, religious, ethnic, economic, and many other societal groups. Political parties also support certain legislation in an attempt to improve the welfare of the society and act on citizensââ¬â¢ interest (Gizzi et al 199).Ã
Sunday, October 27, 2019
Child Nutrition Act Analysis
Child Nutrition Act Analysis Mamadee Kamara The social policy that this writer chose to write about is the Child Nutrition Act (CAN)/school lunch program. The Child Nutrition Act is one of the most dynamic social policy program in United States social welfare history. The program designed to benefit millions of low-income families and their children across the nation, it helps children the ability to strive their full potential in getting a better accumulated education when they do not have to worry about getting their next meal. It also helps the small businesses owner like for farmer, for instance, to help them grow more products and expanding their distribution in the marketplace. According to the school nutrition association, consuming a healthy diet is critical for first child development and academic achievement, (Bergman et al., 2014). The Child Nutrition program has come from way before it has even existed here in the United States, the very first country that implemented the idea of feeding children at school was in Germany from Munich in 1790, followed by French and British in the 1880s. Ellen H. Richards, the first women who introduced school feeding to the United States as she started it off as a charity work in Boston Massachusetts was in 1894. On October 11, 1966, President Lyndon B. Johnson signed the bill of Child Nutrition Act. It enables hundreds of young unemployed men to be employed, feeds the underfed and hungry children across the country, and an outlet for the enormous surplus of agriculture commodities, Martin, J., Oakley, C. (Eds.). (2008). In 1966 Child Nutrition Act, the alternative program was created to help build the program stronger. The school breakfaster program (SBP), This was initially designed to help the low-income youth and their families in the poor areas where students had to travel a great distance to get to school, (Ross L. Anderson, 2010). Eating a healthy nutrition food and supplement help individuals grow stronger, mentally, physical and psychological. For instance, most people that want to stay on the healthy life consistently control their eating right nutrition and supplement for them to stay focus. Post University athletics teams have a unique diet program designed for athletics. During the men soccer season, some rules and programs help athletics stay off eating junk foods and drinks that may have possible effect their abilities to stay fit. At school cafeteria in post-university, the chief would make sure they contain healthy nutrition menus weekly throughout the fall season because of the ath letics. According to (Ross L. Anderson, 2010), proper nutritional support is necessary. It allows the brain to function at its highest ability and enhance learning. Healthy dietary habits in early life help ensure normal physiological, and development. Another strength is that the policy helps children in general, to adopt healthy life nutrition, and prevent a disorder such as obesity.Ãâà As parents, one should incorporate healthy nutritional food and supplement as part of the childrens diet. There are multiple issues with child nutrition act, for instance, society and parents may consider this policy as a bad reflection on them, when a person start to feel that the system is feeding his/her children, they view that as bad parenting. According to my research, society is easy to utter that kids experience issues in school because of poor parents neglecting their childs early development needs. Therefore, most parents would have a second thought about child nutrition act program due to the society view, (Framework Institution, 2008). Furthermore, other potential issues in child nutrition bill policy are that the policy differentiates among youth in school system, needy and worthy children. The issue with that is, kids are easy to become ashamed of themselves when the peers stigmatize them. For instance, the school lunch program is designated to help low-income individuals, therefore if they begin to feel embarrassed eating school lunch, there will be no actual effects on th e program.Ãâà The third potential problem is how much the government is too involved in the policy; this policy should be an open discussion between parents and the government sectors. At least the government should form a standard where it involved parents in determined what the kids needs. It is saying that, nor leaders in Congress or the formal 1st lady Michelle Obama should think that they know what it is that is good for the kids, they should consider involving parents because parents know whats best for their children, (Tribune, 2014). Policy/policy description is a composed advance of action that is required; its established to safeguard and decide the current and future decisions. Based on the reading, there are numerous advantages to having child nutrition policies; there is public funding for all institution meals and nutrition program. Part of the system descriptions is that it sketches a plan for schools, parents, officials, staff the quality nutrition care for the childrens. The policy helps teachers parents and institutions staff about the health and way of healthy lifestyle, preventing child obesity and low meal plans. This system also helps the poor and needy family in many capacities, such as children eating healthy food every day and not spending the little incomes of the family money, mentally and physically shape at school. The policy also educated mothers individually and groups on how to prevent nutrition difficulties in children life. Moreover, to qualify or continue to receive this system, the app licant must meet the minimal requirement. For example, for those that have household incomes below 130 percent of poverty guideline qualify for free meals, and those that are above 130 percent pay reduce price meal. Also, for those that receive public benefits such as food stamp, and temporary assistance for needy families (TANF) automatic qualify for child nutrition program, (Model Policies for Creating a Healthy Nutrition, n.d.). The Child Nutrition Act policy goals are educated individual with primary health care system, develop different eating behaviors as well as to help parents and institutions the guideline of dietary. According to (Vermont, 2006), one of the primary goals of the child nutrition act is to have a satisfactory place, location, space for the kids to have a pleasant meal, and suitable time to enjoyed their meal and relax. Which remind me of my high school years, nowadays most schools in the nation incorporate physical education program (PEP) as part of the required or elective credit to encourage students to participate. After school activities had also been available for all students if they have any interested in staying after school, this was and is the way to improve healthy lifestyle for children around the globe. The national school lunch program was formed and addressed by the U.S. Congress in 1946 through the national school lunch act. The program is the largest and the oldest of all child nutrition law, this program was measured of national security because, during the second war world, most soldiers were unfit for the job due to the lack of nutritional and healthy lifestyles. The program also helps U.S. economy and small businesses to stay in business, (S. Sims Citrin, 1974). For, instance, the (USDA) U.S. Department of Agriculture increase nutrition commodities and other healthier foods. The WIC program helps smallest business to stay in business by receiving government funds. The NSLP is available to all public school as well as some private school; all these institutions benefits through this program. I believe that the child nutrition act program was formed with the proper intention, to help and benefits all people. References Bergman, A. A., England, T., Taylor, K. W., Watkins, T., Schepman, S., Rushing, K. (2014). The Journal of Child Nutrition Management. Retrieved January 15, 2017, from School Nutrition Association, https://schoolnutrition.org/uploadedFiles/5_News_and_Publications/4_The_Journal_of_Child_Nutrition_and_Management/Fall_2014/SchoolLunchBeforeandAfterImplementationHealthyHungerFreeKidsAct.pdf Frame Work Institution. (2008, October). Retrieved January 23, 2017, from http://www.frameworksinstitute.org/assets/files/child_nutrition/catalogpotentialreframeschildnutrition.pdf Martin, J., Oakley, C. (Eds.). (2008). managing child nutrition programs: Leadership for excellence. (3nd ed.). Boston, MA: Jones and Bartlett Publishers, Inc. Model Policies for Creating a Healthy Nutrition. Retrieved January 29, 2017, from http://health.mo.gov/living/wellness/nutrition/eatsmartguidelines/pdf/Model_Policies.pdf Ross, A., L. Anderson, D. (2010, July 28). Retrieved January 23, 2017, from https://www.nmu.edu/sites/DrupalEducation/files/UserFiles/Files/Pre-Drupal/SiteSections/Students/GradPapers/Projects/Ross_Amy_MP.pdf S. Sims, L., Citrin, J. (1974). Reinvesting School Lunch. Retrieved January 29, 2017, from https://gradschool.columbusstate.edu/cols/politicalscience/MPAC%207106%20School%20Lunch%20Case%20Study.pdf Tribune, M. (2014, November 30). Getting the kids to eat healthier school meals. Retrieved January 23, 2017, from http://www.richardscareeracademy.org/ourpages/auto/2014/12/9/49765820/11_10_14_SchoolLunchArticle.pdf Vermont, B. (2006, December 18). Retrieved January 29, 2017, from http://www.wssu.k12.vt.us/schools/BUHS%20E11%20Federal%20Child%20Nutrition%20Act%20Wellness%20Policy.pdf
Friday, October 25, 2019
Money Laundering :: essays research papers fc
Financial Accounting For Financial Services Assignment Money Laundering The word money laundering, according to the myth, is derived from Al Capone's practice of using a string of coin-operated launderettes in Chicago to disguise his revenues from gambling, prostitution and protection rackets. It's a nice story but not true, money laundering is so called because it perfectly describes the process of removing the stains and smells which money acquires when criminals earn it. In this report I will go on to discuss the topic of money laundering in the following order; firstly, I will begin by explaining what is money laundering?, why it is done?, and how it is done? I will then go on to explain the effects of money laundering and the institutions/organisations that are at risk from these activities. I will also be discussing the current situation in the UK regarding money laundering and whether anything can be done to prevent or restrict laundering activities, and will then go on to conclude my findings. Money laundering is the process by which criminals attempt to conceal the true origin and ownership of the proceeds of their criminal activities. If they are successful they can then maintain control over the proceeds and, so, provide a legitimate cover for their source of income. J.D. Mclean defined money laundering in the International Judicial Assistance as: "Although the proceeds of crime will be kept as capital for further criminal ventures, the sophisticated offender will wish to use the rest for other purposes. If this is to done without running a risk of detection, the money which represents the proceeds of the original crime must be "laundered"; put into a state in which it appears to have an entirely respectable provenance" It is important to bear in mind that money laundering is a process (often a highly complex one) rather than a single act. In an effort to expose and analyse this phenomenon it has become common to use a three-stage model which encompasses an ideal money laundering scheme. The three stages are as follows: * Placement Stage This is where cash derived directly from criminal activity (e.g. from sales of drugs) is first placed either in a financial institution or used to purchase an asset. * Layering Stage The stage at which there is the first attempt at concealment or disguise of the source of the ownership of funds. * Integration Stage The stage at which the money is integrated into the legitimate economic and financial system and is camouflaged with all other assets in the system.
Thursday, October 24, 2019
Historical Development of Nursing Timeline
Historical Development of Nursing Timeline Olga NUR/513 Historical Development of Nursing Timeline Nursing is an art and a science. This coexistence assists in the development and advancement of nursing to a higher level of professional practice. The art of nursing emphasizes interpersonal relationships between the nurse and the patient, empathy, and dedication to caring for a patient. The science is the foundation of nursing that guides nursing care based upon the latest scientific discoveries within the nursing and other related disciplines such as medicine, psychology, and social sciences (Walker & Avant, 2011).In biblical times, female members of societies were responsible for caring for ill. There was neither organized care, nor science behind the methods of caring: the approaches were passed among the women and were centered on their religious views on sickness and health. The people who provided care were untrained and often belonged to the lowest economic classes, such as sla ves. The first organized groups who performed nursing care were male nursing orders in 1300s, such as the Knights of St. John of Jerusalem (Anderson, 1981).During the 16th and 17th century, nursing jobs fell into ââ¬Å"dark agesâ⬠becoming synonymous with alcoholism, prostitution, and the waste of society (Anderson, 1981, p. 20). The first nursing school, the Deaconess School of Nursing at Kaiserwerth, Germany was established in 1836. Physicians instructed nursing students about bedside care and how to provide nursing care (Anderson, 1981). The development of nursing science is traced back to Florence Nightingale, whose initial study ââ¬Å"Notes of Nursingâ⬠(1859) represents the first nursing theory (George, 2011). Nightingale supported her nursing experiences with statistical data.Nightingaleââ¬â¢s analysis of the positive impact of a clean environment on decreasing morbidity and mortality among the soldiers during the Crimean War became the model for changing the n ursing practice from an art to a combination of art and science (Burns, Grove, 2007). Nightingale established nursing program at St. Thomas Hospital in London that correlate nursing theory and practice. This school became a model for nursing education. The medicine continued to provide nursing guidelines and influenced nursing practice. The nurses remained relegated to the status of obedience servant to the authoritarian doctors.The nurses were obligated to obey the physicianââ¬â¢s orders faithfully, ââ¬Å"never be guilty of making suggestions to the doctor,â⬠since ââ¬Å"she [nurse] is there to carry out his [physician] ordersâ⬠(Walker & Holmes, 2008, p. 111). The lack of preparation and education among the nurses was obvious. Universities began establishing nursing programs throughout the United States. The University of Texas (1894), the Columbia University (1899), the University of Minnesota (1908), and others opened schools of nursing (Anderson, 1981). In 1923, Teachers College at Columbia University offered the first educational nursing program at doctorial level.The first masterââ¬â¢s degree in nursing was established in 1929 at Yale University (Burns & Grove, 2007). During the 1940s, the nursing literature continued to emphasize the practical skills of the nursing. Most of the existing manuals viewed nursing as ââ¬Å"the handâ⬠and medicine as ââ¬Å"the head as its primary signifierâ⬠(Walker, Holmes, 2008, 114). In 1950s, the first nursing theorists were graduates from the Columbia Universityââ¬â¢s Teachers College educational programs. Their theories were based on practical nursing. The focus of these theories was the patientsââ¬â¢ needs.Peplau (1952/1988) presented interpersonal relations in nursing theory (George, 2011). In 1959, Hall presented care, core, and cure theory, where caring and nurturing for a patient were interconnected with patientââ¬â¢s ability to make decisions of ââ¬Å"therapeutic use of sel fâ⬠(George, 2011, p. 183). Many of the nursing leaders in this era recognized that nursing science and theory development were needed to change the status of nursing from a career to a profession (Walker & Avant, 2011). The theories developed during the 1960s focused on the relationships between the nurse and the patient.The theorists from Yale School, such as Henderson and Orlando, proposed their theories. Henderson in 1960, defined nursing as ââ¬Å"assistingâ⬠and ââ¬Å"helpâ⬠for the individuals, focusing on the individual plan of care (George, 2011, p. 89). Orlandoââ¬â¢s 1961 theory, The Dynamic Nurse-Patient Relationship: Function, Process, and Principles described nursing as an interactive process between the nurse and the individual patient within the immediate situation. Orlando shifted the focus of nursing from assisting the physician to assisting the patient, and promoted the independence of nursing (George, 2011). In 1965, the American NursingAssociat ion recommended two levels of nursing education, the baccalaureate and the associate, to distinguish the education for a professional nursing from that of the technical nursing profession. During the same time frame, the amount of nursing research was increasing. Nurses became involved in the development of frameworks for nursing practice guidelines (Burns & Grove, 2007). During the 1970s, many nursing theories were revised. Rogers, King, Orem, Neuman, and Watson symbolized this era of nursing theorists. Their theories provided the foundation for the nursing profession, integrating arts, science, and philosophy into nursing.They focused on human behavior and emphasized the complexity of nursing. The theorists presented the individual as the whole system of the physiological, psychosocial, developmental, cultural, and spiritual elements (George, 2011; Burns & Grove, 2007). The development of the nursing during 1980s was characterized by increased nursing research. Many theories were revised and new theories were proposed. The theories of Erickson, Benner, Leininger, Orem, Roy, King, Watson, Levine, and others represent this era (Burns & Grove, 2007).The 1990s was characterized by an increasing number of middle range theories that provided guidelines for evidence-based nursing practice. During this time the nursing theories took an international approach with publications and conferences (George, 2011). Throughout the decades, the development of nursing science was influenced by other disciplines, such as religion, philosophy, psychology, anthropology, and social sciences. Religion blamed diseases as a punishment for sins. Philosophy knowledge base of truth, mind, language, and values, widely affected nursing development.Conceptual models in nursing are the examples of the influence of philosophy on the nursing. For example, Rogerââ¬â¢s model explained the nature of the human beings (Burns & Grove, 2007). Watsonââ¬â¢s theory reflects philosophical beliefs of caring. Nursing ethics took its origins from the philosophy. Psychology as the study of mind and behavior was used by the nursing theorists. For example, Roy and Roberts (1981) created the theory of adaptation model by deriving it from the psychophysics theory of Helson (1964) (Walker & Avant, 2011). Florence Nightingale ushered in a new era in nursing.Prior to her, there was no science behind the methods of caring. Nurses were associated with alcoholism, prostitution, and the waste of society. The mid-19th century saw the beginning of nursing schools. Florence Nightingale was credited with writing the first nursing theory, but since the 1950s nursing theories have proliferated. Nursing science and knowledge has flourished ushering in a new era in nursing, changing the status of nursing from a career to a profession. References Anderson, N. E. (1981). The Historical Development of American Nursing Education. Journal of Nursing Education, 20(1), 18 ââ¬â 36.Burns, N. & Grove, S . K. (2007). Understanding nursing research: Building an evidence-based practice (4th ed. ). St. Louis, Missouri: Saunders. George, J. B. (2011). Nursing theories: The base for professional nursing practice (6th ed. ). Boston, MA: Pearson Education, Inc. Walker, K. & Holmes, C. A. (2008). The ââ¬Ëorder of thingsââ¬â¢: Tracing a history of the present through a re-reading of the past in nursing education. Contemporary Nurse, 30, 106 ââ¬â 118. Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing (5th ed. ). Upper Saddle River, New Jersey: Pearson/Prentice Hall.
Wednesday, October 23, 2019
Sickle Cell Plan of Care
Then, provide a brief description of the pathologically of sickle cell anemia and complete the nursing care plan by filling in the goals, outcomes, and nursing orders for the diagnoses provided in the table. SITUATION: Lavabo is a 30 year old, single African American who was diagnosed with sickle cell anemia when he was 4 years old. He works for a computer company and has been working 12 hour days to meet the deadline for a special project.Lavabo is complaining f fatigue and decided to relax by playing golf on a warm Saturday morning. After the seventh hole he experienced odyssey, tingling, and numbness in his legs. After the next hole, he experienced severe pain in his right ankle and knee. He was taken to the local medical center, where he was admitted. Lavabo rates his pain at 8 on a scale of 1-10. The physician ordered oxygen, IV fluids, and a PICA pump with morphine sulfate. Describe the pathologically that occurs in sickle cell anemia (4 points).Sickle cell anemia is the most c ommon form of sickle cell disease which is an inherited, autocross recessive disorder that causes an abnormal hemoglobin cell. The person with this specific disorder inherited hemoglobin S from both parents, also known as homozygous (Lewis, Drinkers, Hitchhiker, & Boucher, 2014, up. 644-647). This hemoglobin S results from the substitution of valise for glutamine acid on the B- globing chain of hemoglobin, and this ultimately causes the erythrocyte to stiffen and elongate taking a sickle shape in response to low oxygen levels (Lewis et al. 2014, up. 644-647). Due to the sickle cells elongated shape, and its stiff and sticky consistency it tends to get stuck in capillaries and vessels, and blocks blood flow to limbs and organs (Lewis et al. , 2014, up. 644-647). The major problems with sickle cell anemia is due to their sickles shape, reduced life expectancy and their ability to carry enough hemoglobin or transport it properly to the body to provide adequate oxygenation.Therefore a p erson who has sickle cell anemia has a lower number of red blood cells related to the shortened cell life that dies after only 10-20 days, compared to a normal red blood cell which lives about 120 days (Lewis et al. , 2014, up. 644-647). Bone marrow is unable to keep up with the demand for new red blood cells to replace the dying ones, making a person with sickle cell anemia left in a state of constant inadequate oxygenation (Lewis et al. , 2014, up. 644-647). Occlusion of capillaries and small vessels lead to acute or chronic tissue injury.This leads to further problems related to homeostasis which continues to perpetuate a cycle of local hypoxia, degeneration of more erythrocytes, and more suckling which continue to cause irreversible cell membrane damage (Lewis et al. , 2014, up. 644-647). Unless you're directly quoting you only need to address the authors once According to Lewis et al. , ASS is xx or write your summary and add to the end of the paragraph (Lewis et al. , 2014 up. 644-647) since all your information is from 1 source. If your quoting directly from the source you need to enclose in â⬠Nursing Diagnoses Pain related to occlusion of small vessel by sickle cells as evidenced by severe pain in art. Knee and ankle. Altered tissue perfusion related to a decreased number of Orb's and decreased oxygenation as manifested by odyssey, tingling/numbness in ankle and knees. Activity Intolerance related to imbalance between oxygen supply and demand, as manifested by fatigue, odyssey,
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