medical condition, delirium, and its relationship to the nursing profession. The paper is partially a literature review as well as a literary comparison. The Journal of Gerentologic Nursing defines delirium as "a syndrome characterized by the rapid onset and fluctuation of altered mental status, primarily involving the domains of attention and cognition." (Waszynski & Petrovic, 2008, 49) The material provided suggests that detection of delirium very early is important in the prognosis of the patient who experiences delirium. The American Journal of Critical Care (AJCC) states, "delirium is associated with higher mortality, prolonged ICU stay, and greater health care costs." (Devlin et al., 2008, 556) The articles to be examined make critical connections between the roles that nurses play in the diagnoses and treatments of delirium, but they each approach the subject from a different perspective. McCarthy, for example, focuses upon the various perspectives of nurses that impede the…...

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References:

Devlin, J.W., Fong, J.J., Howard, E.P., Skrobik, Y., McCoy, N., Yasuda, C., & Marshall, J. (2008). Assessment of the delirium in the intensive care unit: nursing practices and perceptions. American Journal of Critical Care, 17(6), 555-565.

Inouye, MD, S.K., Foreman, PhD, M.D., Mion, PhD, L.C., Katz, K.H., & Cooney, Jr., MD, L.M. (2001). Nurses' Recognition of Delirium and Its Symptoms. Arch Internal Medicine, 161, 2467 -- 2473.

McCarthy, M.C. (2003). Detecting Acute Confusion in Older Adults: Comparing Clinical Reasoning of Nurses Working in Acute, Long-Term, and Community Health Care Environments. Research in Nursing & Health, 26, 203 -- 212.

Ramaswamy, MD, R., Dix, PharmD, E.F., Drew, J.E., Diamond, PhD, J.J., Inouye, MD, S.K., Roehl, MD, B.J.O. (2010) Beyond Grand Rounds: A Comprehensive and Sequential Intervention to Improve Identification of Delirium. The Gerontologist, 51(1), 122 -- 131.

Treatment for Emergency Medical Conditions and Women in Labor
The objective of this study is to complete a policy analysis on examination and treatment for emergency medical conditions and women in labor. Arising from the policy analysis will be three to five options to present to the client, a representative in Congress. K

This study is challenging because it is necessary to identify some type of added value to the health care services provided at a medical facility that treats women in labor for emergency medical conditions while at the same time adhering to regulations and standards of treatment both legally and ethically speaking. The costs of treating patients with non-insurance are extremely high and there are regulations barring the transfer of individuals to other facilities until they have been stabilized. In the case of the women in labor treated at this facility, the span of time that the facility might…...

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Bibliography

Mind, Body, Sprit Research Education (2013) Penny George Institute for Health and Healing. Overview and Outcomes Report, 2010. Retrieved from:  http://www.allinahealth.org/ahs/anw.nsf/page/ANW_PGIHH_Outcomes_FNL-1.ForWeb.pdf/$FILE/ANW_PGIHH_Outcomes_FNL-1.ForWeb.pdf 

Zastrocky, G. (2013) Healthcare Reform "No Birthday" For Holistic Medicine. Holistic Primary Care Vol 13 No. 4. Winter, 2013. Retrieved from:  http://www.holisticprimarycare.net/topics/topics-h-n/news-policy-a-economics/1443-healthcare-reform-no-birthday-for-holistic-medicine 

Overgaard, C. Fenger-Gron, M> and Sandall, J. (2011) Freestanding midwifery units vs. obstetric units: does the effect of place of birth differ with level of social disadvantage? International Journal for Equity in Health. Retrieved from:  http://www.equityhealthj.com/

Teeth Enamel and Teeth, Generally
The hardest part of the human body is the tooth. Teeth help to chew and break down food particles into smaller units for easier digestion down the system. Teeth also help humans to articulate language ((Hoffman)). The enamel is the hardest part of a tooth. Calcium phosphate is its primary composition compound.

Enamel Formation and its Strength, Durability

The tooth crown constitutes a cellular material known as enamel. The enamel happens to be the hardest body tissue. The thickness of the material on the tooth depends on the part of the tooth and its shape. The thickest enamel is usually found at the cusp crest and incisal edges. The sloping part, the fissures, the cervix of the tooth, and the various pits of cuspid teeth have the thinner layers. The enamel on an adult human's teeth is high in energy and is home to significant intermolecular forces.…...

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References

(2015). Dentist in Glendale AZ | Phoenix Arizona Family Dentists. The Truth about Tooth Erosion: How to repair tooth enamel? Retrieved February 19, 2017, from  http://www.arizonafamilydental.com/blog/weak-enamel-truth-about-tooth-erosion/ 

Hoffman. (n.d.). WebMD - Better information. Better health. The Teeth (Human Anatomy): Diagram, Names, Number, and Conditions. Retrieved February 19, 2017, from  http://www.webmd.com/oral-health/picture-of-the-teeth#1 

Terry, Trajtenberg, Blatz, & Leinfelder. (2008). DentalAEGIS. A Review of Dental Tissue Microstructure, Biomodification, and Adhesion | special-issues | dentalaegis.com. Retrieved February 19, 2017, from  http://www.dentalaegis.com/special-issues/2008/02/review-of-dental-tissue-microstructure-biomodification-and-adhesion 

(n.d.). WebMD - Better information. Better health. Tooth Enamel: Erosion and Restoration. Retrieved February 19, 2017, from  http://www.webmd.com/oral-health/guide/tooth-enamel-erosion-restoration#2

Medical care at Home Vs. Medical Care at the HospitalAround 4.5 million people in the United States require end-of-life or long-term care annually. Also, the United States has, in a pretty big way, changed healthcare delivery perspectives within the last few years (Bentur, 13). Though there are significant changes in how healthcare payments are made, where the healthcare is delivered has equally undergone substantial changes as more care continues to shift to various outpatient settings (Foust et al. 24). Also, elderly citizens cannot increasingly perform primary activities by themselves due to medical conditions or advanced age (Balatbat, Celynne, et al. 5). As a result, they need extra care to continue benefiting their quality of life. They, therefore, need professional care providers to give necessary care. The place of care, which can be Hospital or home-based, chiefly determines which options are best for the loved one. Nonetheless, according to this paper,…...

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Works CitedBalatbat, Celynne, et al. \\\\\\\\\\\\\\\"No place like home: hospital at home as a post-pandemic frontier for care delivery innovation.\\\\\\\\\\\\\\\" NEJM Catalyst Innovations in Care Delivery 2.4 (2021).Bentur, Netta. \\\\\\\\\\\\\\\"Hospital at home: what is its place in the health system?\\\\\\\\\\\\\\\" Health Policy 55.1 (2001): 71-79.Foust, Janice B., Nancy Vuckovic, and Ernesto Henriquez. \\\\\\\\\\\\\\\"Hospital to home health care transition: patient, caregiver, and clinician perspectives.\\\\\\\\\\\\\\\" Western journal of nursing research 34.2 (2012): 194-212.

Geriatric Diagnosis
The author of this report has been asked to assess the medical condition and prognosis for John Smith. John is a sixty-eight years old and has a pretty good array of medical problems. He has had psoriasis for more than a generation and the ointments he has been using to treat it have become ineffective. Beyond that, the psoriasis is spreading to parts of his body that have not been trouble areas before. His son Patrick asserts that he believes that the psoriasis is to the point that it is contagious. While John is facing some challenges, there are things that can be done and this includes properly education both John and Patrick.

Straight off the top, the assertion by Patrick that the psoriasis is "contagious" is patently and absolutely false. Psoriasis is never contagious and there is not a chance that anyone around John will "catch" it. Further, the…...

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References

WebMD. (2015). Adult Vaccines TOC. WebMD. Retrieved 8 October 2015, from  http://www.webmd.com/vaccines/default.htm 

WebMD. (2015). Causes of High Blood Pressure. WebMD. Retrieved 8 October 2015, from  http://www.webmd.com/hypertension-high-blood-pressure/guide/blood-pressure-causes 

WebMD. (2015). Heart Disease Health Center. WebMD. Retrieved 8 October 2015, from  http://www.webmd.com/heart-disease/default.htm 

WebMD. (2015). Lung Disease & Respiratory Health Health Center - Symptoms, Causes, Treatments. WebMD. Retrieved 8 October 2015, from  http://www.webmd.com/lung/default.htm

Medical Home Model and Health Disparity
Nursing esearch Proposal

The Impact of the Medical Home Model on Health Disparities

The Impact of the Medical Home Model on Healthcare Disparity

Medical homes are primary care practices where a physician or NP establishes a long-term care relationship with patients and provide patient/family-centered, coordinated, and culturally-sensitive care (AANP, n.d.; Strickland, Jones, Ghandour, Kogan, & Newacheck, 2011). The benefits include improved healthcare access, quality, and safety. A number of states have enacted statutes supporting the medical home model after research findings revealed health disparities for racial and ethnic minorities were reduced (NCSL, 2013).

As a nurse practitioner I am interested in how effective a medical home model would be in reducing healthcare disparities, especially for racial and ethnic minority children residing in underserved communities. Nurse practitioners have traditionally practiced in underserved communities and will continue to do so; therefore, any strategy that could improve the quality of care with…...

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References

AANP (American Association of Nurse Practitioners). (n.d.). Medicare legislation: Fact sheet: The medical home -- What is it? How do nurse practitioners fit in? Retrieved from:  http://www.aanp.org/legislation-regulation/federal-legislation/medicare/68-articles/349-the-medical-home .

Abrams, M., Nuzum, R., Mika, S., & Lawlor, G. (2011). Realizing health reform's potential: How the Affordable Care Act will strengthen primary care and benefit patients, providers, and payers. The Commonwealth Fund. Retrieved from:  http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf .

NCSL. (2013). Health disparities: State laws. Retrieved from:  http://www.ncsl.org/research/health/health-disparities-laws.aspx .

Strickland, B.B., Jones, J.R., Ghandour, R.M., Kogan, M.D., & Newacheck, P.W. (2011). The medical home: Health care access and impact for children and youth in the United States. Pediatrics, 127(4), 604-11.

Medical Use of Marijuana
Increasing use of medical marijuana

Having looked at the various areas that medical marijuana has been brought into use and the various forms in which marijuana is administered, it is also important to take note of the various challenges that come with it. There have been various researches that have been conducted that covers the medical as well as the ethical side of the medicinal marijuana, and there have been a dilemma in the balance of the two sides on whether to institutionalize the drug or to stop it, and even on whether the medicinal use can be made to work without the proneness to abuse as is the case at the moment.

Medicinal marijuana has neither medical nor ethical standing within the contemporary society where drug abuse is one of the biggest worries of governments across the world and the alternative medicines that medical research can appropriately come…...

In this case, that power dynamic was only exacerbated by the fact that the entire MSICU nursing team had never received training in management of the type of clinical issues presented and by the fact that they were excluded from any consultation in connection with a post-operative management plan.
Therefore, it is recommended that the institution immediately implement a policy of "see something, say something" according to which all members of healthcare teams are encouraged to speak up irrespective of power differentials. Furthermore, that protocol must include a statement of policy insulating any member of a healthcare team who does voice a legitimate concern in good faith from any retaliation or other negative response that could conceivably deter such diligence. Finally, the record of this case also indicates the immediate need for protocols requiring all members of the healthcare team to identify themselves to other members of the team, especially…...

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References

Bosk, Charles L. (2003). Forgive and Remember: Managing Medical Failure.

Gawande, Atul. (2008). Better: A Surgeon's Notes on Performance.

Groopman, Jerome. (2008). How Doctors Think.

Timmermans, Stefan. (2003). The Gold Standard: The Challenge of Evidence-Based

Medical Case Study
Florence (F) is a 43-year-old woman who is two days post-operative, following an appendectomy. She has a history of arthritis, and currently takes 10mg of prednisone daily. She is allergic to penicillin. She weighs 46 kg (101.5 lbs.) and is 168cm tall (5'6"). This puts her slightly underweight for her age and height, at least 18-25 pounds (Height and Weight Chart, 2010). While doing a route in dressing change, nurse notice a yellow discharge emanating from the wound.

Identify and discuss the importance of obtaining information during a nursing admission in relation to post- operative assessment. In modern healthcare, a nurse must first and foremost try to understand and utilize a systematic and synergistic model of data collection and assessment. Human beings are complex creatures, and the more data one has, the easier it will be to ensure that a proper diagnosis is made. A systematic assessment provides a…...

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REFERENCES

Height and Weight Chart. (2010). HealthCheck Systems. Retrieved from:

 http://www.healthchecksystems.com/heightweightchart.htm 

Prednisone and Other Corticosteroids: Balance the Risks and Benefits. (2011). The Mayo

Clinic. Retrieved from:  http://www.mayoclinic.com/health/steroids/HQ01431

These examples highlight that technology is always a tool, a way of enhancing human judgment -- we must not mistake it as a replacement for good nursing practice.
After all, the use of a computer is no substitute for a medical education. Anyone who works in a hospital can see this -- the increased accessibility of information through the Internet also means that patients often come in, convinced that they are suffering from a serious illness, allergy, or condition, based more upon a diagnosis Googled on WebMD, rather than upon the fact that they saw a doctor! If a computer alone was required to diagnose, everyone would have a degree!

Don't get me wrong -- I use technology every day in my life, and thank my lucky stars, and my patient's lucky stars, that it is so ubiquitous. When health care providers wish to communicate, the use of cell phones is…...

Medical Assessment
Initial Patient Analysis

Chief Complaint

Discomfort in lower back.

HPI

Patient is a 78-year-old woman presented as disheveled, with bug bites throughout her body, and exuding a foul odor. Cognitively, she orients only to her name with a BMI of 30 and a minimal understanding of the English language. She is able to nod "yes" or "no" to questions, but calls the nurse "Mother." She is unsteady on her feet, and has a fine "pill-rolling "tremor in her left hand. He legs are quite cool to the touch, hairless, and toe capillary refill is greater than 2 seconds.

Past Medical History

Unknown, but patient appears to be in distress both physically and psychologically.

OBJECTIVE

General App.

Poor, disheveled, may not be receiving adequate care or living in an environment with enough food or warmth. BMI of 30 is technically obese, which also may indicate the patient is not receiving adequate hygiene.

Bug Bites

Patient may be suffering from a toxic…...

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Works Cited

Hypoglycemia. (2012). Web MD. Retrieved from:  http://symptoms.webmd.com/#./conditionView 

Michael, K. And Shaughnessy, M. (2006). Stroke Prevention and Management in Older

Adults. Journal of Cardiovascular Nursing. 21 (55): 521-26.

Mohr, J., et al. (2004). Stroke: Pathopshyciology, Diagnosis and Management. New York: Churchill Livingstone.

Medical/Nursing Education
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."

As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing activity is…...

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References

Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science

Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.

Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):

Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.

As mentioned earlier, the desired outcome of nursing care is comfort and there are many articles in which the researchers have talked about the needs of the patients and the things that alter the comfort of the patients. Kolcaba suggested that the cancer patients who are terminally ill can benefit from comfort care as it pays attention to the perspective and needs of the patients. Through such kind of care, the patient is not only provided with pain relief, but the depression of the patient is also addressed adequately. As she said that patients who are not in pain but are depressed seek comfort in the transcendental sense as well as in the psycho-spiritual sense (Kolcaba, 1992 p 4). In some of her works, she has explained the use of the instruments and their application by the nurses. Kolcaba reckons that the instruments presented by her to evaluate the…...

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Bibliography:

Kolcaba K. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing, 19(10): 1178-1184.

Kolkaba, K. (1992). Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome..Advances in Nursing Science, 15 (1), pp. 1-10.

Kolkaba, K. (1997). The primary holisms in nursing..Journal of Advanced Nursing, 25 pp. 290-296.

Kolkaba, K. And Fisher, E. (1996). A holistic perspective on comfort care as an advance directive..Critical Care Nursing Quarterly, 18 pp. 66-76.

Above all it has followed the delibeate maketing of health cae (in association with touism) as medical cae has gadually moved away fom the public secto to the pivate secto, ensuing that a gowing majoity of people, especially in the ichest counties, and paticulaly in the United States, must pay -- often consideably -- fo health cae. Finally, gowing inteest in cosmetic sugey, involving such elective pocedues as hinoplasty, liposuction, beast enhancement o eduction, LASIK eye sugey and so on, o moe simply the emoval of tattoos, have ceated new demands. Vaious foms of dental sugey, especially cosmetic dental sugey, ae not coveed by insuance in counties like the UK and Austalia; hence dental touism has become paticulaly common. In Asia these tends ae 'the unlikely child of new global ealities: the fallout of teoism, the Asian economic downtun, intenet access to pice infomation, and the globalisation of health sevices'…...

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references because the family vetoes it, in part because they were never made known. For a grieving and bereft family, a request for organ donation is difficult to agree to because they can only guess at the wishes of the deceased and if there were any doubt at all, would not the natural answer be a rejection? If relatives had severe objections, they should be taken into account for to do otherwise raises the spectre of the swastika, but the point remains that by changing the default position of organ donation it is a veto clearly against the deceased's wishes, which would be rather more unlikely to take place than the current veto due to a simple lack of information. It is not that the PC system is ethically unsound (Hatfield and Walker 1998).

It can be argued that presumed consent is superior to the opt-in system because it truly ensures autonomy by giving effect to choices each person makes. It gives legal effect to individual autonomy and it ensures truly informed consent when accompanied by public education and information, instead of intuitive responses to organ donation. But one has to question how comfortable the deceased family will be when they come to realise that their relatives' kidney is being placed into someone who is HIV positive. This is likely to be an ethical and morale matter rather than a discriminatory one (Williams, 1999).

Nonetheless, some problems with presumed consent have been pointed out. Patient autonomy lies at the very heart of modern medicine and medical research. This is partly a reaction against medical paternalism and an increasing awareness of the integrity of the individual. It may be argued that a presumed consent (PC) system is paternalistic - but it concomitantly reinforces individual autonomy and preserves the dignity and integrity of the individual especially in comparison to, for example, an organs market. (Brooks).

McLean points out that underpinning the system of organ donation is the fundamental view that organ transplantation should be a gift relationship and should not be based on the type of disease a person has. This underlines that HIV sufferers are just as entitled to a kidney transplant as those who are looking for a heart transplant. John Morris doubts that proposals to change legislation to allow presumed consent to be introduced are likely to be publicly accepted. However, why is presumed consent any less a gift? It does not mean widespread harvesting of major organs. It means greater public awareness and individual choice that is made concrete.

In today's modern, the reality is that HIV / AIDS is at a crossroads where the economic and political niches of the contemporary modern condition provide both the possibility to raise scientific research in order to create a means of effective pandemic or the new religion of globalize capital may only serve as to extend HIV / AIDS to become the biggest social issue of all history. There is a huge issue with regards to donor transplantation and especially kidney transplantation. Unfortunately, some patients with Human Immunodeficiency Disease are denied equal access to kidney transplantation and the same priorities of other people who are suffering from other serious diseases. Therefore, in this research, evidence will be provided to proof HIV patients have the same rights as others to get a kidney transplant regardless if they appear completely diseased.

For example, because different etiologies require corresponding therapeutic designs and mechanisms (Spector, 2000; Steefel, 2002), specific support group makeup must consider the need to develop different strategies and methodologies for the following types of patients at a minimum if support groups are to provide equal benefit to all patients:

Elderly Patients and Lifelong Laborers - This group typically presents with psychological issues in the realm of a direct link between their sense of purpose and self-worth and their ability to continue to function productively in their community. Their need for acute medical and ancillary services, particularly in the Longview/East Texas community are often precipitated by chronic physical deterioration from a lifetime of relatively hard labor. Therefore, support group rehabilitation services must address the issues of self-esteem as a function of vocational productivity and lifestyle changes necessitated by medical conditions.

Prime-of-Life Victims of Traumatic Injury - This group typically presents with psychological issues…...

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References

Clark, C., Robinson, T. (2000). "Multiculturalism as a Concept in Nursing" Journal of the Black Nurses Association, 11(2), 39-43.

Spector, R. (2000). Cultural Diversity in Health and Illness (5th ed.). New Jersey: Prentice Hall.

Stanhope, M., Lancaster, J. (2004). Community and Public Health Nursing (6th ed.)

St. Louis: Mosby.

Anytime that you are writing an argumentative essay, the first thing that you want to do is basic research about the topic.  This will help you decide which position you want to take.  You may automatically assume that you should argue the position that you genuinely feel.  However, it can be more effective to choose a position that you do not actually hold.  Keep that in mind while doing your research about designer babies. While the term designer baby gives a high-end label to the process, and it is possible for people....

1. "Delving into the Marrow: Exploring the Profound Significance of Bone Marrow": This title emphasizes the importance and complexity of bone marrow, piquing the reader's curiosity and setting the stage for an in-depth exploration of the topic.

2. "Bone Marrow: The Lifeline Within - Unraveling the Vital Functions and Therapeutic Potential": This title highlights the crucial life-sustaining functions of bone marrow and introduces the concept of its therapeutic applications, hinting at a deeper exploration of its significance in medical treatments.

3. "Bone Marrow: A Microscopic World of Cells and Tissues - Unveiling the Complexities of Hematopoiesis": This title delves into the microscopic....

The stigma of mental illness affects people during their healing process by:

- Making them feel ashamed or embarrassed about seeking help
- Causing them to internalize negative beliefs about themselves and their condition
- Leading to feelings of isolation and loneliness, as they may fear judgment from others
- Preventing them from receiving necessary support and understanding from friends, family, and society
- Adding an extra layer of stress and pressure, which can hinder their recovery progress.
As individuals are trying to heal from mental illness, the stigma surrounding it can also hinder their progress by:

- Creating barriers to accessing proper treatment and therapy due....

1. The long-term psychological effects of childhood abuse on adult mental health
2. The link between childhood abuse and addictive behaviors in adulthood
3. Exploring the relationship between childhood abuse and intimate partner violence
4. The role of childhood abuse in shaping attachment styles and relationships in adulthood
5. Examining the societal impact of childhood abuse and neglect on future generations
6. Understanding the cycle of abuse and its perpetuation through generations
7. The intersection of childhood abuse and poverty: Breaking the cycle of violence and neglect
8. The impact of childhood abuse on academic achievement and educational outcomes
9. Exploring cultural and societal factors that contribute to....