Health system management

Institution TVET
Course DIPLOMA IN NURSING
Year 1st Year
Semester Unknown
Posted By stephen oyake rabilo
File Type pdf
Pages 168 Pages
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Download full notes on health management system for your course . ADMINISTRATION: It is a combination of labour in the form of clerical duties with the capital for environment, equipment in proper proportion which if properly controlled achieves the purpose intended in the most efficient way. STRATEGY: This is a plan of action designed to achieve a particular goal. Tactics. ETHICS: Ethics also known as moral philosophy is a branch of philosophy which seeks to address questions about morality; that is about such concepts as good and bad, right and wrong, justice and virtue. Major branches of ethics include: Meta-ethics, about theoretical meaning and reference of moral propositions and how their truth value [if any] may be determined; Normative ethics, about the practical means of determining a moral course of action; Applied ethics, about how moral out-comes can be achieved in specific situations; Moral Psychology, about how moral capacity or moral agency develops and what its nature is; and Descriptive ethics, about what moral values people actually abide with. Within each of these branches are many different schools of thought and still further sub-fields of study.
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Reactions of Alkyl halides
In this type of reaction, a nucleophile reacts with haloalkane (the substrate) having a partial positive charge on the carbon atom bonded to halogen. A substitution reaction takes place and halogen atom, called leaving group departs as halide ion. Since the substitution reaction is initiated by a nucleophile, it is called nucleophilic substitution reaction
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Substitution and Elimination Electron Flow Pathway
Path Limitations There are three requirements for the S N 2 reaction. In order to be pushed out, the leaving group must be at least fair, usually good. The nucleophile also must be reactive enough to push out the leaving group. Finally, the back side of the tetrahedral carbon attacked must be accessible to the nucleophile and not blocked by other groups.
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The SN2 reaction
The hydroxide ion is a good nucleophile since the oxygen atom has a negative charge and a pair of unshared electrons. The carbon atom is electrophilic since it is bound to a (more electronegative) halogen, which pulls electron density away from the carbon, thus polarizing the bond with carbon bearing partial positive charge and the halogen bearing partial negative charge. The nucleophile is attracted to the electrophile by electrostatic charges. The nucleophile attacks the electrophilic carbon through donation of 2 electrons. Carbon can only have a maximum of 8 valence electrons, so as the carbon nucleophile bond is forming, then the carbon-leaving group bond must be breaking. Iodide is the leaving group since it leaves with the pair of electrons that once bound it to carbon.
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