What to write for a college essay
Writing A Poetry Essay
Wednesday, September 2, 2020
Social, Cultural and Ethical Dimensions Essay Example | Topics and Well Written Essays - 1500 words
Social, Cultural and Ethical Dimensions - Essay Example The aggregate of these mutual methods of reasoning, presumptions, values, desires, perspectives, and standards tie the association together. Genuinely, hierarchical culture might be seen as the way wherein an association takes care of issues to accomplish its particular objectives and to keep up itself after some time, it is all encompassing, generally decided, socially built and hard to change (Hofstede, 1980). Hierarchical culture has an essential job in numerous organizations as they grew new systems in authoritative administration. It is a focal angle to numerous hypotheses and solutions of the executives. Be that as it may, regardless of regular remedies to oversee culture in differing national settings, minimal experimental proof has been sent in settings other than the UK and the US (Harris and Metallinos, 2002). Hofstede (1980) underscored the solid effect of national culture regarding the local contrasts, and the accompanying general classes are recommended for European authoritative models, similar to Germanic, Scandinavian, Anglo-Saxon and Latin. The individuals from the association bring their own individual encounters, convictions and qualities. People are permitted in work-bunches inside the association have their own conduct peculiarities and collaborations which, to a degree, influences the entire framework. What's more, a What's more, an assignment culture can be formulated; for example, a PC professional will have ability, language and practices picked up freely of the association that set them apart from their partners, however their simple nearness can impact the way of life of the association. With this, the senior administration may decide the corporate culture that they may wish to force corporate qualities and norms of conduct that explicitly mirror the destinations of the association. Hofstede distinguished five attributes of culture in his investigation of national impacts: Force separation - how much a general public expects there to be contrasts in the degrees of intensity. A high score recommends that there is a desire that a few people employ bigger measures of intensity than others. A low score mirrors the view that all individuals ought to have equivalent rights. Vulnerability evasion mirrors the degree to which a general public acknowledges vulnerability and hazard. independence versus community - independence is diverged from cooperation, and alludes to the degree to which individuals are required to go to bat for themselves, or then again act transcendently as an individual from the gathering or association. Manliness versus gentility - alludes to the worth put on generally male or female qualities. Male qualities for instance incorporate intensity, decisiveness, aspiration, and the gathering of riches and material belongings. Long versus momentary direction Then again, corporate associations in the 1980's have been embracing and introducing projects of hierarchical rebuilding and re-building. A large portion of the projects depend on the standards and practices of a broadly well known administration methodology regularly called Total Quality Management, participative administration or the learning association, or some other vernacular title for a program of authoritative auxiliary and social change (Casey, 1999). These progressions were then had been appropriately formulated in various corporate
Saturday, August 22, 2020
A critical overview on Innovation and knowledge processes Essay
A basic diagram on Innovation and information forms - Essay Example Of late, information forms have been distinguished as an essential contribution towards advancement elements. Coming up next is a conversation on how information the executives impacts the advancement elements. The masters of the subject announce information the executives as a supplier of solid roots for higher adequacy level in development elements. Specifically with the ever quickly changing dynamic and serious markets that exist today, Dalkir (2005) states that the organizations need to search forward for innovative headways, implanted with encounters of the past ââ¬Ëgrey-hairââ¬â¢ people, holding experience of decades. The development elements existing today in the current century will undoubtedly influence the present business standpoint, and the absolute most compelling variables are as per the following: In this way, it very well may be securely accepted that innovation would significantly affect the path chiefs later on engage a circumstance. Advancement doesn't matter to the item however to the procedures also; numerous multiple times a creative move in the process gives a major lift to the item highlights and privileges. Development, at its grass roots is upheld by information the board, and its portrayal is examined as follows. As per the Harvard Business Review (1998), information truly characterizes the premise of advancement, driving thusly towards building up an upper hand, which is basic for maintainability in the business sectors. As represented from encounters and removed from different writing, for endurance and manageability in a merciless rivalry that exists today, it is basic for a firm to build up an upper hand; however one would truly need this to be un-replicable yet today because of the current advances in innovation, spying and different progressions, it is beyond the realm of imagination to expect to hold an upper hand for a more drawn out timeframe â⬠advances and
Friday, August 21, 2020
The Sloth
Sek Budapest International School English Work no. 1 Poetry investigation Song Yuan Shan 15. 01. 10 The verse examination of The Sloth by Theodore Roethke The title of the sonnet ââ¬Ëthe slothââ¬â¢ discloses to us that the sonnet is presumably about the creature, that lives in South America. Itââ¬â¢s most likely a sonnet for children to peruse. In the main refrain the artist is discussing gradualness. On the off chance that you ask him something it takes him a year to understand that heââ¬â¢d been asked something. Next it says that everything he does is hold tight a tree topsy turvy. At that point it says that regardless of you call him conceited or affront him, he doesnââ¬â¢t care. He will even now keep doing what he did previously. In the last refrain heââ¬â¢s resting again influencing by his toes and just wonââ¬â¢t trouble to address your inquiry. Yet, you simply realize that he realizes he knows. Each sonnet has another significance past the strict one. In this sonnet the artist composes ââ¬Ëheââ¬â¢ for a creature and not ââ¬Ëitââ¬â¢, so really heââ¬â¢s not so much discussing creatures. Heââ¬â¢s alluding to lethargic people. All through the entire sonnet the artist was depicting a sluggish individual. Theyââ¬â¢re vain, thatââ¬â¢s why they never change their conduct. One method for accomplishing the characteristics and making the words idyllic is through beautiful gadgets. Itââ¬â¢s the procedure or methodology a writer employments. It can support the artist or essayist in creating pertinent, e. g. the sayings. The writer was scrutinizing languid individuals yet he didnââ¬â¢t compose it so clearly. He utilized representation. The writer additionally gives human attributes to the sloth which is embodiment. For instance: ââ¬Å"he says, he thinksâ⬠¦Ã¢â¬ . ââ¬Å"He ponders it for a Yearâ⬠. The artist is misrepresenting here, which is a metaphor. He additionally utilizes capital letters. This makes a musicality, examples of sound. Furthermore the word EX according to at-ing is partitioned into syllables to stress the word and point out unique it. All lines rhyme in the sonnet. The sound of the last piece of the word is indistinguishable in every verse, so itââ¬â¢s an ideal rhyme. The tone of the sonnet could have been mean however he made it interesting and agreeable. The artist contrasted the sluggish individuals with the languid creatures. The picture I got in the wake of perusing it a few times, is a stinky individual sitting in front of the TV on the lounge chair while drinking coke and eating popcorn. They wonââ¬â¢t even do the essential things for living or to remain clean. Theyââ¬â¢re too sluggish to even consider doing anything. Theyââ¬â¢re content with the manner in which they are. So the topic of the sonnet is apathy. Book index http://ezinearticles. com/? Idyllic Devices-in-Poetry&id=110584 Total number of words : 438
Tuesday, May 26, 2020
Ela Regents Essay Sample
Ela Regents Essay SampleDid you know that Ela Regents was setting up to help students get into medical school and master's programs? The program, a partnership between the University of California system and UC San Francisco, was created to help train students for the 'stakeholders' in the field of medicine. There are four Ela Regents Program centers in California, with each offering different levels of coursework to students.Some are aimed at specific fields of study, such as biology or medicine. Others focus on certain areas of specialism, such as pediatrics or emergency medicine. And others focus on the principles of medicine, such as physiology or surgery. Although the types of courses offered by the program vary, the four centers offer classes in English, Spanish, Biology, and Chemistry.Many students take these courses for the essential parts of their degree, like graduation papers, dissertation research, clinical experiences, and exams. But if you aren't planning on pursuing an MD or other advanced degree, but still want to get into medicine, these programs can give you a good idea of what is involved.To prepare for your medical school entrance exam (MCAT), the courses should provide materials that outline all the exam requirements. It may also teach you about the various areas of specialty and general medicine. You can also take classes to get a general idea of the treatment of different conditions and situations. In fact, some students use these classes to start working on their own practice.One of the more important components of the Ela Regents curriculum is a requirement to complete a residency in another area of medicine. To get this experience, students must take the Biology core course and then complete two years of residency in general medicine. They must then take the second year of the Physiology core course.The core courses must be taken at UC campuses in San Francisco, Berkeley, Los Angeles, and San Diego. Your advisor can find information on when classes will be offered at each campus, or you can go online to find out if they will be taught there.All three of these courses are important for getting into medical school. They can also be used as supplemental courses to other classes.
Saturday, May 16, 2020
Abolish The Child Support System Essay - 1773 Words
Abolish the Child Support System Child support should no longer be feasible in the United States, because it is outdated, tough on low-income fathers and most importantly undermines the efforts of the fathers who do get involve in their childââ¬â¢s life. Sadly, the government merely focus on the enforcement portion of the law. Child support in this day and age has prolonged its deceptive theory of actually supporting the child with the absence of a parent; typically a father. In the United States, ââ¬Å"when parents do not live together, children most often live with their mothersâ⬠(Grall 2009). Granted that more women and government have taken advantage of the absences of fathers; without facing any repercussions for their actions. In the end, such absences carry detrimental effect on most children who are raised by a single parent with the government hypothetical assistance. These pressing issues are becoming prominent as ââ¬Å"most children in the U.S. spends some portion of their childhood living apa rt from at least one of their parentsâ⬠(Grall 2009). Part of this occurs mainly because of high divorce rates as well as an unprecedented increase of childbirth to unmarried parents. In fact, one of the ââ¬Å"greatest indicator for poverty and welfare dependency is a child born to a single mother headed householdâ⬠(McCormick 2004). This concept does not merely dismantle the importance of family values, but it also promotes the continuous cycle of single-parenting. For this reason, having aShow MoreRelatedIkeas Global Sourcing Challenge: Indian Rugs Essay1242 Words à |à 5 PagesThe case ââ¬Å"IKEAââ¬â¢s Global Sourcing Challenge: Indian Rugs and Child Labor (A)â⬠is about IKEAââ¬â¢s development from a backyard company to one of the worldââ¬â¢s largest furniture retailers, which has to deal with the issues of child labor and how they should behave considering economical issues and the companyââ¬â¢s policy! Conclusions made in this study are only based on the facts given in the case, considering pros and cons of an action. How should Marianne Barner respond to the invitation for IKEA to haveRead MoreEssay on The Correlation Between Homework and Academic Success 1524 Words à |à 7 Pageslinked to better grades, improved standardized test scores, and more prepared students entering the post-secondary arena; however, this correlation is weak and the opposition has equal ammunition to support that there is no correlation between homework and academic success. There have been movements to abolish homework as well as movements to increase homework. Research has been done to show how homework has a negative effect on students as well as how it has a positive effect. Homework may be beneficialRead Moreshould PSLE be abolished940 Words à |à 4 Pagesdevelopment. However, proponents of the system have been equally strong in their support for the exam, arguing that no viable alternative exists to ensure the fairness of selection. According to an online poll, the PSLE has been ranked the top ten most pressi ng issues faced by Singaporeans. It is high time for us to engage in the debate, as education is becoming more and more important in determining the future of a child and the the nation as a whole. So, should we abolish PSLE? Pressure Let us examineRead MoreDeath Penalty Is An Outdated Form Of Punishment1691 Words à |à 7 Pagesfreedom of speech and belief and that all human beings are born equal in dignity, born free and with equal rights (United for Human Rights, n.d.). Bill of Rights The Eighth Amendment in the Bill of Rights in the United States Constitution also supports human rights; forbidding punishments that are ââ¬Å"cruel and unusualâ⬠as well as not requiring excessive bail or excessive fines (The U.S. National Archives and Records Administration, n.d.). In 1972, the Supreme Court of Georgia ruled in Furman v.Read MoreThe Death Penalty is An Effective Weapon Against Crime Essay1309 Words à |à 6 Pagesit should be banished from the justice system all together.à The thought of playing God also is another aspect of the situation.à Despite these allegations however, the facts still remain.à The death penalty deters crime, stops repeat offenders, and gives Americans a real sense that justice has been served, and should therefore remain legal and in practice. Despite recent ridiculing of capital punishment, the sentence has popular and political support.à A poll in a 1997 Time magazine statedRead More Against the Death Penalty Essay1533 Words à |à 7 Pagespenalty have consistently had a much higher rate than those without the death penalty. Those who promote abolition of capital punishment often point to the homicide rate as evidence that the death penalty is ineffective. Those who support the death penalty often point out that the death penalty is badly needed in their states to prevent the murder rate from being even higher. There are 3 international instruments in force which commit State parties to not have theRead MoreGeorge Orwell s 1984 And Modern Day Society1504 Words à |à 7 Pagescollege tuition is viable, for example in Germany, Sweden, Finland, and Denmark college tuition is free (Wiener). Individuals should not have to make life changing decisions due to the financial burden of college when it is practicable to create a system with tuition free and or affordable college. The way the choices in 1984 and in present day are dehumanizing is because people are presented with limitations on choices which do not give them regulation over their own life. The governmentââ¬â¢s controlRead MoreDifference Between Politics And Texas958 Words à |à 4 Pagesthe usage of drugs in health care system. The usage of drugs in the healthcare system has to be the longest talked topic in discussion among the politicians. Reason being it is not only a drug, but it could be beneficial for its sick citizens. While other might use it, for addiction purposes. Recently, the Governor Abbott has passed the legalization, for the usage of cannabis oil, for patients that deal with epilepsy. This is a major step in the healthcare system and government. Secondly, both seemRead MoreLiberal Feminism vs. Radical Feminism Essay1490 Words à |à 6 Pagesresistance feminism, which means their issues primarily lie within patriarchy or menââ¬â¢s dominance towards women. They argue that patriarchy is found wherever men and women are in contact with each other. They believe that patriarchy is almost impossible to abolish because to be superior is an attribute th at most men have acquired of is already ââ¬Å"builtâ⬠into them. And whether itââ¬â¢s consciously or subconsciously, these traits are applied into their privileges that Western society has given them (because they areRead MoreAbortion: A Womans Right to Choose Essay986 Words à |à 4 Pagesan abortion will take the innocent life of an unborn human childâ⬠(Jacoby 48). One can pass their view point onto another person and have the options of walking away while the women is still left holding the bag. This seems so unfair to judge without walking in another personââ¬â¢s shoes. If you ask most women, they have put a lot of thought in their decision to end their pregnancy. It can be due to lack of emotional and financial support to determine termination of pregnancy or worse a pregnancy conceived
Wednesday, May 6, 2020
Islamic Beliefs And Practices Through Mysticism - 1543 Words
Sufism is the esoteric dimension of Islam which focuses on intensification of Islamic beliefs and practices through mysticism. The ultimate goal of Sufis is to attain mystical union with God through asceticism and love. Rumi was a religious figure whose encounter with love transformed him from an accomplished teacher and scholar into an ascetic. Love is a spiritual experience that can only be known inwardly, through conscience and feelings, but cannot be expressed in words. The book, The Essential Rumi, shows how love is the only way to selflessly experience God. It emphasizes how it is crucial for a person to realize that they are no different from the person they love in order to attain the truth of divine knowledge. The book also shows how Sufism has an identity of its own and is different from traditional Islam. The main theme of Rumiââ¬â¢s poetry is the longing and quest for union with the divine. For Rumi, true love is in God and human love is an illusion to the all-encompas sing divine love. Love is the way that ultimately leads one to the beloved. He says that, although everything is the beloved and the lover is just a myth, love is actually an illusion that directs us to the divine. This is seen when he talks about why people should stop worrying about everything else and only remember that love describes God and is the key mystic element of creation (Rumi 3 and 29). For Rumi love is about completely submitting to the beloved by having utmost faith in him/herShow MoreRelatedThe Islamic Faith Sufism Essay1350 Words à |à 6 Pageshowever, is somewhat bridged by a twist on the Islamic faith known as Sufism. The mystic ways of the Sufi society make it very appealing to both Sunnis and Shiites, not to mention the newcomers to the Islamic faith. Sufism uses the quality of unification and the quality of appeal to make it one of the strongest aspects of Islam. Sufism was founded on the belief that Muslims could obtain a one-on-one; relationship with God through mystical practices. Mysticism is defined as a particular method of approachRead MoreThe Transformation of Islam and Judaism and the Introduction of Mysticism in the Early Modern World1272 Words à |à 5 Pageshave written holy relics that incorporate some of the same characters. While Islam and Judaism teach different methods of ultimately reaching salvation, they are connected through similar beliefs and practices. During the early modern era, both Islam and Judaism underwent religious schism as well as the introduction of mysticism. Islam was founded by a man named Muhammad who received visions of the angel Gabriel and believed himself a prophet of God. The written religious relic for Islam ââ¬â the Qurââ¬â¢anRead MoreEssay on Islam The Straight Path989 Words à |à 4 Pagesprovides a succinct, up-to-date survey of the Islamic experience, an introduction to the faith, belief, and practice of Islam from its origins to its contemporary resurgence. He traces the emergence and development of this dynamic faith and its impact on world history and politics. He discusses the formation of Islamic belief and practice (law, theology, philosophy, and mysticism), chronicling the struggle of Muslims to define and adhere to their Islamic way of life. Equally important is the essentialRead MoreIslam the Straight Path1014 Words à |à 5 Pagesprovides a succinct, up-to-date survey of the Islamic experience, an introduction to the faith, belief, and practice of Islam from its origins to its contemporary resurgence. He traces the emergence and development of this dynamic faith and its impact on world history and politics. He discusses the formation of Islamic belief and practice (law, theology, philosophy, and mysticism), chronicling the struggle of Muslims to define and adhere to their Islamic way of life. Equally important is the essentialRead MoreThe World Perception of the Muslim Culture2534 Words à |à 10 Pages Islam Throughout the known world, human beings practice various religions and hold different beliefs. Some of these systems of belief are based on some of the same works and others are created out of other books, stories, or legends. No one religion can be proven to be the only correct one and that has led to eons of fighting between religious factions, each group willing to commit acts of violence to promote their religion as superior, even willing to commit grave crimes against humanity itselfRead MoreSufism1337 Words à |à 6 PagesSufism: how did sufism affect Islam and the world ? Sufism Sufism has come to mean a wide range of beliefs that center on the quest for personal enlightenment in the union with God. Sufis are sometimes described as the mystics of Islam, but Sufism fits awkwardly in the categories of religions. Technically Sufism is a denomination of Islam, however there are many Sufis that are not Muslims and there are many Muslims that are reluctant to consider Sufism part of Islam. One of the fewRead MoreThe Nature of Islam 1006 Words à |à 4 Pagesunclear. In contrast to contrary popular belief, research shows that Islamic practice is simplicity itself. Muslims live a normal life on a day to day basis. Itsââ¬â¢ practice does not require mediation of ministers, priests or gurus, instead it incorporates five rules to live by, also known as the Five Pillars of Islam: Belief, Worship, Fasting, Almsgiving, and Pilgrimage. This essay discusses the Five Pillars of Islam, Islamic religious beliefs and practices, as well as societyââ¬â¢s misconceptions in thisRead MoreMessi Is the Best Player776 Words à |à 4 PagesAfrica, Turkey, and Asia exist in France, Germany, Great Britain, and other nations. In the Americas the Islamic population has substantially increased in recent years, both from conversions and the immigration of adherents from other parts of the world. In the United States, the number of Muslims has been variably estimated at 2-6 million; 20% of the population of Suriname is Muslim. Islamic Beliefs At the core of Islam is the Qur an , believed to be the final revelation by a transcendent AllahRead MoreEssay on The Sufi Philosophy in Islamic Faith1274 Words à |à 6 Pageshistory in the overall Islamic faith. Sufism has many distinguishing differences in its practices and beliefs from that of the other Islamic sects that we know of today. One thing I personally found interesting is how this particular sect of Islam isnââ¬â¢t as popularly spoken of like the Sunni and Shia sects of Islam. Some of the most interesting and distinctive differences in this division of Islam is are wool clothing that the Sufiââ¬â¢s wear along with the most popular practice they are known for, theRead MoreEssay Muslims and the Religion of Islam1078 Words à |à 5 Pages who wrote it down word for word. This became knows as ââ¬Å"The Quranâ⬠, a record of what was exactly said to Muhammad by Go through Gabriel during the twenty-three years (Bulletin). Fundamental Tenets and Beliefs Muslims believe in one unique God, who they call Allah. They believe that Allah created Angels, who then delivered Allahââ¬â¢s revelations to the prophets. Muslims beliefs are based on the books of Allah. They are the divine revelations of Allah to his prophets which include Abrahamââ¬â¢s scrolls
Tuesday, May 5, 2020
Central Line Case study free essay sample
The patient is a 45 year old man who had GI surgery 4 days ago. He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr. The nursing physical assessment includes the following: alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and cottony mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours. Voiding dark amber urine without difficulty. Intake for last 24 hours is 2500mL. Output is 2000mL including urine and NG drainage. Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1. 035; serum potassium 3. 0 mEq/l; serum sodium 140mEq/l, CL 92mEq/l, Mg 1. 4 mg/dL. 1. ) Analyze the data in the case study. Do the findings indicate a fluid deficit or fluid excess problem? Support your answer with data from this patient. We will write a custom essay sample on Central Line Case study or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I would guess a fluid volume deficit. Dark amber urine, dry mucus membranes, poor skin turgor, and labs all point in that direction. Although the patientââ¬â¢s output seems to be adequate, everything else points towards dehydration. It also seems like the patient has a fluid/electrolyte imbalance which may be putting the water in the wrong departments, or an infection (as reflected in pt. vital signs). So even though he is receiving IV fluids, itââ¬â¢s not reflecting on his physical assessment and labs. 2. ) What factors could be contributing to this problem? Part of the problem may be that most of the patientââ¬â¢s fluids are being received via IV (2400ml in 24 hours) and has only drunk 100ml PO in the past 24 hours. Low GI motility because of recent GI surgery may have something to do with it, or a f/e imbalance, or an infection could be a contributing issue. Lastly fever and diaphoresis can cause high amounts of insensible fluid loss. 3. ) Evaluate the patients electrolyte values and give a rationale for the answer. Urine specific gravity of 1. 035 is high; this means the patientââ¬â¢s urine is concentrated. K+ of 3. 0 is low and is common with a patient with an NG tube on suction. Pt. ââ¬â¢s with NG tubes loose potassium through suctioning. Sodium of 140 is normal but on the higher end which is indicative of dehydration. Chloride of 92 is a little low which is interesting because the sodium is normal-high and usually chloride follows sodium. Mag of 1. 4 is low maybe because of low calcium. 4. ) The physician is planning to place a percutaneous central line to infuse TPN. Which site is recommend and why? A percutaneous central line is entered into the patientââ¬â¢s subclavian vein. Because TPN solution is concentrated it is better to have CVC access in the subclavian vein so the solution has less distance to travel to its destination. This reduces the risk of the line clotting or damaging the vein. What are the nurses responsibilities for placement of the central line? The nurse is responsible for positioning the patient and should assess the patient throughout to see how well he is tolerating it. If the patient is on a heart monitor, the nurse should monitor vital signs and heart rate as the catheter is being put in for any fluctuations. Afterwordââ¬â¢s, the nurse should assess for complications or adverse reactions like pneumothorax. Make the patient comfortable and listen to bilateral breath sounds. Obtain a stat XRAY to verify correct placement. The assessment includes: Date and time of procedure, name of provider, site of insertion, type of fluid infusing in each lumen, blood return from each lumen, chest X-ray ordered, completed and verified, and patient tolerance of procedure 5. ) The patient asks Why cant you just use this IV in my hand? It is a 22G started in the OR four days ago. What is the nurses answer? A central line is placed to end in the superior vena cava. This is a large vessel with a large amount of blood flow, so it can handle caustic fluids being infused into it. A peripheral line is much smaller and has a lot less volume flowing through at any given time, so when certain fluids are infused, it can be very damaging to the vessel wall and can cause a lot of complications. TPN contains a lot of packed particles, such as glucose and several minerals + electrolytes which can damage the smaller veins in the arms and hands. The osmolarity of TPN solution is too high for a small vein to handle. 6. ) The patients wife asks Why dont you put one of those tunneled catheters in? My sister had one. Her doctor said it had a lower infection risk. What is the nurses response? Tunneled catheters have a lower risk of infection because they have a cuff that prevents microorganism migration into the catheter tract. However tunneled lines are inserted in the OR and are an expensive and invasive procedure. They are for patients who will be on long term TPN therapy or dialysis; for patients with chronic issues. For your husband, the issue with nutrition is more acute and a long term tunneled catheter is not appropriate at this time.
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