Monday, September 30, 2019

Development of an Equation Essay

Purpose: Investigate a chemical reaction using lab procedures and observations. Then, find a pattern of reactivity and explain the findings using a chemical equation and particle diagram. Procedure: Refer to: Department of Chemistry, The Ohio State University. â€Å"Development of an Equation.† General Chemistry 1210 Laboratory Manual. Vol. 2013-2014. Plymouth: Hayden-McNeil. 32-35. Data/Results: Part A: In the potassium iodide solution, I think there were potassium atoms as well as iodine atoms. In the lead nitrate solution, I think there were lead and nitrate ions. The potassium atoms and the lead atoms can be classified as cations, since they are metals. The iodine atoms and the nitrate ion can be classified as anions since they are nonmetals. Upon mixing, the solution turned into a cloudy yellow color. Evidence that a chemical reaction occurred was that the two solutions created a new color because the two solutions were originally colorless. There was no gas formed. Part B: (Testing the Anions) Iodide reaction with hydrogen peroxide observations- The precipitate at the bottom turned into a red solid and the liquid solution was a dirty yellow color. Nitrate reaction with hydrogen peroxide observations- A colorless precipitate formed at the bottom and looked like a bubble. It was a relatively large bubble. The liquid solution was colorless and cloudy/fizzy. Since the reaction resulted in some fizzing and bubbles, this is indication that a gas was formed. (Testing the Cations) Potassium reaction with thioacetamide observations – No reaction occurred. Lead reaction with thioacetamide observations – A violet-black precipitate formed at the bottom of the test tube and the liquid solution was a cloudy grey color. It was about the same size precipitate as the nitrate reaction with hydrogen peroxide. Strong smell from the thioacetamide. Part C: Identification of ions in the precipitate that forms when lead nitrate solution is added to potassium iodide solution. (Testing for Anions) Reaction with hydrogen peroxide observations- A dark red precipitate formed at the bottom of the test tube and the liquid solution was colorless. There was not a large amount of precipitate formed and it sort of smeared along the inside of the test tube. Inferences: What anions are in the precipitate? -iodine (I-) When compared with results from part B to test anions, similar results were found. A dark red precipitate was formed in both. (Testing for cations) Reaction with hydrogen sulfide observations- A small, violet-black precipitate formed at the bottom of the test tube and the liquid solution was grey and cloudy. Inferences: What cations are in the precipitate? – lead (Pb2+) When compared with results from part B to test cations, similar results were found, A violet-black precipitate was formed in both tests. Exchange reaction- Positive potassium started off with negative iodine, and positive lead started off with negative nitrate. Potassium switched to combine with nitrate and lead switched to combine with iodine. Part D: Testing of Precipitate| Observations on Initial Precipitate Formed (relative amount, etc.)| Lead Nitrate: Potassium Iodide Ratio| Tube 1| Powdery, yellow precipitate formed at the bottom. Not very much precipitate. Little to no streaking. Clear liquid solution above precipitate. | 3:1| Tube 2| Powdery, yellow precipitate formed at the bottom. Equal to tube 1. Little to no streaking. Clear liquid solution above precipitate.| 2:1| Tube 3| Powdery, yellow precipitate formed at the bottom. A little more precipitate than tube 1 and 2. Little to no streaking. Clear liquid solution above precipitate.| 1:1| Tube 4| Powdery, yellow precipitate formed at the bottom. Much more than tube 3. Noticeable streaking of precipitate along sides of test tube. Clear liquid solution above precipitate.| 1:2| Tube 5| Powdery, yellow precipitate formed at the bottom. Most precipitate formed out of all test tubes. A lot of streaking of the precipitate along sides of the test tube. Clear liquid solution above precipitate. | 1:3| Testing of Supernatant| Observations| Inferences: Which ions were in the supernatant? List cations and anions.| Tube 1| The solution was clear with lead nitrate, but turned a yellow cloudy color with the potassium iodide. | Pb2+ (lead)-cationsNO3- (nitrate)-anions| Tube 2| The solution was clear with lead nitrate, but turned a yellow cloudy color with the potassium iodide.| Pb2+ (lead)-cationsNO3- (nitrate)-anions| Tube 3| The solution was clear with lead nitrate, but turned a yellow cloudy color with the potassium iodide.| Pb2+ (lead)-cationsNO3- (nitrate)-anions| Tube 4| The solution was clear with both the lead nitrate and the potassium iodide.| Pb2+ (lead)-cationsNO3- (nitrate)-anions| Tube 5| The solution was a little yellow with the lead nitrate, and a little less yellow with the potassium iodide.| K+ (potassium)I- (iodine)| Discussion/Conclusion: In part A, the first step was to obtain 5 drops of potassium iodine and 5 drops of lead nitrate and put them into a test tube and record observations. Then, to test the anions in part B, 5 drops of potassium iodine, 5 drops of nitric, 10 drops of dichloroethane, and 5 drops hydrogen peroxide to a new test tube. Then to a separate test tube, 5 drops of potassium nitrate, 5 drops of nitric acid, 10 drops of dichloroethane, and 5 hydrogen peroxide to a new test tube. Both should be stoppered and shook to produce two distinct layers. To test the cations, 2 test tubes would each get 20 drops of thioacetamide and 2 drops of nitric acid. One would get 5 drops of lead nitrate and the other 5 drops of potassium nitrite. Both test tubes were heated for 5 minutes and observations were recorded. In part C, the sample was used from part A and the test tube was centrifuged, then the clear aqueous layer was removed and discarded and the precipitate was washed with distilled w ater. This process was repeated once more. To test the anions, 5 drops of nitric acid, 10 drops of dichloroethane, and 5 drops of hydrogen peroxide were added to the solid precipitate and the test tube was stoppered and shook. These results were compared to the results from part B. To test for cations, the less colored aqueous layer was transferred to a clean test tube and the leftover layer was discarded. The solution was heated in a water bath until clear. 20 drops of thioacetamide were added, stirred then heated in a water bath and compared to the results from part B. In part D, to determine the ratio of  ions in the precipitate, 5 test tubes were labelled 1-5 and were filled according to table 3.1 on page 34 of the lab manual. The same medicine dropper was used for all drops and the test tubes were stoppered and shook, then centrifuged. The relative amounts and appearance of each precipitate were recorded. To test for potassium of iodide ions in the supernatant, 5 drops of lead nitrate were added to 5 separate test tubes with along with 5 drops from the appropriate test tube solution. The same was done to test for lead or nitrate ions, but potassium iodide was added instead. The perfect ratio for thi s lab was 2 potassium iodides for every lead nitrate. This ratio was found from balancing the equation and from comparing the results from part C to part B to match the observations of the precipitates. The ratio is the molar mass ratio of the balanced equation. The balanced equation was: 2KI(aq)+Pb(NO3)2(aq) 2KNO3(aq)+PbI2(s) and the formula of the precipitate was PbI2(s) based on the observations. In part B, the test for anions resulted in a dark red precipitate which was the iodide solution with hydrogen peroxide. In part C, the same results were found when lead nitrate and potassium iodide were added to hydrogen peroxide, therefore; the anions found were iodide ions because it has a negative 1 charge. In part B to test cations, the precipitate was a violet-black color for the lead solution reaction with thioacetamide. In part C, the same results were found when lead nitrate and potassium iodide were added to hydrogen sulfide. The cations found were lead ions since they have a positive 2 charge. Some inherent errors could have been while extracting the clear aqueous solution, some of the precipitate could have been extracted with the solution and transferred into another test tube. Upon heating, not all of the precipitate dissolved. Some of the drops with the micropipet varied also. The medicine dropper was more precise with the drops. Through this lab, a chemical reaction was used to find the pattern of reactivity which was an exchange reaction. This is known by finding the chemical equation and properly balancing it which is seen above. This lead to the ability to create a particle diagram and the findings of a perfect ratio of lead nitrate to potassium iodide.

Sunday, September 29, 2019

Persepolis

In the current international community, the issue of human rights had been one of the main issues that are faced by the different countries in the world. Topics such as the inhumane treatment towards women and children mostly in the Middle Eastern Countries and Islamic communities around the world are the problems that are still in being debated by my leaders today. Although many feminist say that there is inequality and inhumanity in the treatment of women in the Middle East, in reality, women are really torn between deciding to obey their culture or practice their right as a woman. In the past, Persian women are given the equal rights with men. These women have their own properties and are able to retain these even after their marriage. Most of them are given the right to their own freedom and are acknowledged as the most important people in the society given their ability to bear a child and such. In an article written by Massoume Price, he stated that based on historical facts â€Å"†¦the widowed wife inherited from the deceased even if she did not have children. A woman could not act as a witness in the drawing up of contracts, but she could act as a contracting party and have her own seal† (Price, n. . ). Women had the same power as men but as the years progress, female rights in Iran have lessened which led to repression and gender inequality. In the book Persepolis discusses such dilemma of a 9 year old child living in Iran during the Iran and Iraq war. The author of the book is Marjane Satrapi who actually is the lead character in the whole s tory and narrates her experiences as a child until now as an Iranian woman. The book is a graphic novel which looks like a comic strip. The book is filled with black and white drawings (The Creole Cat, 1) which I personally think as unique and cool. It is not like a typical book which is filled with words and serious topics that will turn out to be a boring book in the end. Although the book does not present is self as a serious and a complicated book to read, the issues raised in the book has became one of the most controversial concern in Iran and in various countries in the world. (Revolution, n. p. ) The graphic novel narrates the life of Marjane Satrapi who was then living in a chaotic world of politics in Iran. Her family is connected to the political branches of the government which makes her more exposed to the lifestyle of politics in Iran. Her family was communists who generally do not agree with the system of the Islamic Fundamentalists and its actions. Her family usually hosts under ground parties which was a form of rebellion in the government. These parties were not allowed by the government because they are believed to be a western practice which opposes the belief of the fundamentalists. Therefore heavy punishments could be held to them if they are caught participating in these activities. As Marjane lived in a family that was against the Islamic Fundamentalists, she also created measures that imitated the actions of her family. She got interested in punk and heavy metal music and often bought Nike shoes in the black market. Due to the bold actions of the young Marjane, her family decided that she must live in a different country to prevent her from being arrested by officials, â€Å"It would have been better to just go† (Eberstadt cited in Satrapi n. p. ). During her high school life, she was sent to Vienna Austria however, she felt like she was isolated and typically hated the people around her. She believes that Westerners do not put any value to the freedom that they have. After a few months of her stay in Austria she had a relationship with a young man. She became passionately in love with him but after a while, she discovered that he was cheating on her. Due to this, she had clinical depression and almost died of bronchitis. She went home to Iran with a broken heart (Revolution, n. p. ). By the time that she was in college, she went back to Iran. She was hopeful that changes in the society would be present because the war had already ended however; the problem in Iran seemed to have a much bigger issue to solve. Petty issues such as small differences in religion, and group executions due to political conflicts had been a source of bigger complications in the society which lead to a much chaotic Iran. The conflict made the lives of the people much more difficult most especially to the women living in the country. Iran had a much more conservative law which made life for Marjane much more complicated. Freedom of wearing make-up was prohibited. Marjane was almost caught wearing cosmetics but in the end, she got out of the situation for accusing the police for staring wrongly at her body. In addition she married her boyfriend just to avoid the police scrutiny. In the end, Marjane Satrapi separated with her husband after their three years of marriage. Other events happened and finally her parents decided that she must leave the country in order to prevent her from being arrested by the police. Marjane agreed to the plan of her parents however, after her departure from Iran her grandmother died. In the whole story, the role of women was one of the strongest and most evident participation. In some articles that critiqued the book has stated that the graphic novel is about feminism and women empowerment in the Middle East. The book highlights the role and responsibilities of women in a conservative and Islamic community such that of Tehran, Iran. When the Islamic Fundamentalist party one the most obvious changes that the women had to do was to change the way they dress. Women need to cover their hair in order to not entice the men. In the conservative belief of the Islam religion, women must not show of a body part because it might lead to something sinful for the part of the men. The veil became a mandatory outfit of every woman whether they may be young or old (Creole Cat, 1). Make-ups are also not allowed by the Islamic Fundamentalists for they believe that it is a Western belief and thus is should not be put on by any woman. In the story Marjane was almost arrested by the police but she was able to make an alibi. In addition, women in many ways had created actions in order to prevent men from being caught by the police while going against the action of the government. A scene in the graphic novel where in the police stopped their car for inspection. The police officer inspected her father and suspected that Marjane’s father had drunk wine. Upon inspection, the mother tried to negotiate with the officers pleading that her father just became surprised with the inspection. In the continuing scene, the grandmother excused herself through justifying that she has diabetes. She was understood by one of the officers and through this, the grandmother and Marjane were able to go up their apartment and sneak in. They were able to throw away the wines that they have kept in their apartment. Females in Iran were able to somehow cover up for the men because of their characteristic of being compassionate and patient with negotiations with other people. Marjane’s mother is specifically patient and calm during situations like these. She gives support to her husband but is more composed. Although she wanted to have justice and equality amongst everyone in Iran she does not act as violently as others would do. (Satrapi 107-110) The role of the maid in the story was also an important part of the novel. Although it is given small attention, the scene of the story is proclaiming that there is social construct of limiting oneself from interacting with other people due to the social class. A maid is not a high paying job compared to other jobs available. Maids are also seen as low class citizens and must not go out of their social class. They must not marry higher class people such as the middle class and the elites. It would be immoral and improper because in the Iranian society, any individual must not go out of their social class, like Marjane’s father said â€Å"In this country you must stay within your own social class† (Eberstadt cited in Satrapi n. p. ). Due to this belief and social construct, the interaction of the society becomes limited which creates in equality. However, Marjane stated a line in which makes the readers realize that there must not be boundaries with the relations of people â€Å"We were not in the same social class but at least we were in the same bed†( Eberstadt cited in Satrapi n. p. ). Her line expressed states that everyone is equal with one another, in terms of loving another person. The situation of the maid, demonstrated that class difference is one of the main issues faced by Iran. The main character, Marjane illustrates a child that was born in a family that wanted to have a just world. Just like her parents, she also employs her own belief system which led to many troubles which were narrated in the book. Her boldness and strong belief present a modern Iranian woman that wants to get out of her shell to explore other realities. Marjane advocates the openness to other new experiences such that of the western culture. As a young girl, she immediately had a different sense of desire for freedom and equality. When she was in her younger years, she was already out spoken about her ideas and her dreams. She wanted to become a prophet which is not really a dream for most the girls of her age. Her teacher even called her parents because she got disturbed by the idea the Marjane wanted to be a prophet. Her dream of becoming a prophet evidently makes her represent the female population that wanted freedom and equality from the Islamic Fundamentalists belief. Although Marjane was being bold and was acting against the principle of her belief, she still believed in a higher and stronger being which was shown in her graphic novel. Though, women were repressed and were forced to the will of the fundamentalists, Marjane’s role became an important in the book to show that she was a woman that pursued what she believed is right even though she was held back by the society. She did chase her dream in making the lives of women and other Iranians free from all the difficulties that she had in her past life. Marjane’s life became a symbol of courage and change for many women in the Iranian society. In conclusion, women in the book all have their own roles. The elderly women in the book such as the mother and the grandmother of Marjane played the role of protecting their families through peaceful means. As much as possible, these elders are fighting for what they believe is right however, they do not do the extremes unlike Marjane. They move with grace and caution to make sure that their family is well protected and at peace. The maid’s role in the story is being a woman less powerful than the normal one due to her status in the society. Being a woman and being poor held her back to the lower part of the social system. The Iranian conservative society does not allow a lower class female to marry or be in a relationship with a male who is in the higher social status or vise versa. On the other hand, Marjane’s role in novel changed the perspective of many of the characters. Her rebellion made gave her a little freedom which was needed by most of the women during her time. Marjane showed her strength and courage in battling the norms of her society to prove that women should be given more freedom than their culture allows.

Saturday, September 28, 2019

Internal Factors Essay

Parents strategies( W1+ T2)| a) SO strategy Eastern & Oriental has a good brand name and well- known product among Malaysians. Brand equity is the value and strength of the brand that decides its worth. E&O is a strong and familiar company with their brand like hotels where is give some favourable positive strong and distinctive brand association in the public’s memory. Eastern & Oriental Berhad should strengthen their promotion method by using advertisement through mass media. E&O can use Malaysian Tourism Sector to improve their brand equity. Malaysian Tourism Sector is the one way to promote product and let people know their products. Populations in Malaysia increasing everydays, it gives E&O more opportunities with increasing the number of branches. Besides that, E&O can expand their business with make a good relationship between employee. Great relationship with employee can motivate workers to do great tasks and jobs. b) ST strategy As we know nature disaster is not under our controlled. We cannot control when nature disaster can occur. Eastern & Oriental can take this threat as a strength, where E&O may build many station or branches as alternative options. So that, when disaster nature happens, only station for that location are damaged but then, there are anothers branches. E&O have to build a good relationship between customers. So that, indirectly, customers will help E&O promote their products to relatives, friends and others. Top management of E&O should emphasize about relationships between customers and employees. Success of a company not only depends on the operating solely but also the efficiency of employees in the company. For E &O Berhad, their employees are most valuable asset toward the success of business. Beside the incentives that already be given to the employee such as rewards, E & O incentives for workers who perform on their performances accordance to standards such as reward or bonuses is one of the strategic method to motivate workers give full commitment in completing their jobs. Natural of human being, people tends to do their best if they will be rewarded. By using this method of management, an organization could get benefit in their production and thus increase the profit. c) WO Strategy Placing a good strategic can affect the frequency number of customers’ consumption towards company’s products. This is one of the factors which the company should have to be concern regarding sensitivity of customers that is risk assessment. E & O can analyze and do research of the environmental scanning in terms of the location which has uncertainty risk that it will be threat towards company’s activity performance such as earthquakes, rainfall region, high land and any other places that have high possibility in risk. As we know, nowadays people tends to use technologies most of the time. Purchasing groceries, monitor children and others transactions with the technology. So that, E & O must take this threats of technologies as a opportunities where it can ease E & O more. d) WT Strategy In order to avoid competition in hospitality industry, E & O could use a parent procedure or guidelines to overcome those threats. Parents procedure usually was a successful strategy that already approved by the performance of parents company. Thus by using parents procedure, E & O just not able to overcome the threats but also able to increasing company performance toward company objective. Ratio Analysis. Ratio| Formula| Answer| Current Ratio| Current AssetsCurrent Liabilities| E&O Berhad’s rich history and heritage, infused by its namesake, the E&O Hotel in Penang form the cornerstone for the Group’s corporate social responsibility (CSR) initiatives. This is E&O’s guiding principle as they conduct their business in a manner that will enable them to contribute towards the preservation of the heritage, culture and arts within the communities they operate in. This is specially meaningful since George Town’s inscription as a UNESCO World Heritage Site in 2008 as well as the recognition of the 127- years old E&O Hotel as a Penang heritage landmark. Demonstrate they commitment to and belief in CSR by conducting their business in an economically, socially and environmentally responsible manner while simultaneously balancing the interests of their diverse stakeholders. Preserving culture, heritage and arts During the financial year, a significant portion of the E&O Group’s limited available resources were allocated towards heritage and cultural activities supporting George Town as a UNESCO World Heritage Site, consistent with the Group’s strong presence in Penang. This included supporting the month- long George Town Festival (GTF) which is organized by the Penang State Government, Municipal Council of Penang Island, George Town World Heritage Incorporated and Penang Global Tourism to commemorate the city’s inscription on the UNESCO World Heritage listing. The Group’s collaboration with The Actors Studio (TAS), Malaysia’s foremost performing arts group, to set up the Performing Arts Centre of Penang (penangpac) is seen as a positive step in providing penangites and the northern region with greater access to the arts. Other ongoing CSR initiatives include contributions to underprivileged communities, charities and non- governmental organisations as well as facilitating the Community Recycling Centre in their Seri Tanjung Pinang masterplanned seafront development as part of the â€Å"Green Our World† initiative where proceeds from the sale of recyclable items were donated to charity. The Group also contributed to the Chinese New Year Cultural and Heritage celebrations that were held Penang- state wide with the participation of local associations and schools in the core heritage zone. Transparency in the market place. In maintaining transparency and accountability to their stakeholders, the Group continually provides clear, transparent and timely information to the marketplace through regular press releases, roadshows, briefings, meetings and interviews with members of the media, investment community and analyst. Shareholders and invited participants like the Minority Stakeholder Watchdog Group (MSWG) are briefed directly on the company’s performance and plans at annual and extraordinary general meetings. Accessible in the public domain and regularly updated is the Group’s corporate information at www. easterandoriental.

Friday, September 27, 2019

Summarize and assess Essay Example | Topics and Well Written Essays - 1000 words

Summarize and assess - Essay Example In this note, Vattimo also emphasized that metaphysics have no place in this dialogue since metaphysics have already taken the path of interpreting their knowledge that is limited on scientific knowledge and approach—with it are very defined scientific system of belief and tradition i.e. objectivism. At the latter part of his discussion, Vattimo concluded that Christianity should not be tied down on just one entity—which is always is the stereotypical perspective, particularly with Roman Catholicism. The concept of harmonious living, of everything that is good, ethical, and moral must be a sense of charity we feel for one another. And when there is the presence of God, there is Charity (Caputo & Vattimo, p. 45). Thus, when we choose not to clash with one another, that means we are being charitable, thus we are being Christians. Ergo, we profess Christianity in a non-religious perspective. One of the many critical arguments that Vattimo presented in his premise, towards his discourse on proving his point of a nonreligious Christianity is the importance of knowledge and its subjectivity. â€Å"In anything I must choose a perspective.† Science deliberately limited their knowledge because they devoid themselves of their private interests that does not concern their science (p. 27). Though science’s claims of objectivity had help put a finite order in our daily lives, it is clear that Vattimo have efficiently excluded metaphysics in his discourse because Christianity as a philosophical discourse could not be pursued with objectivity. Another critical point that Vattimo made is that knowledge is culturally dictated, as well as the use of language. Therefore, interpretation is also culturally defined. The use of language as a part of a cultural system means that it has its own rules. As he cited, he could be praying the Lord’s Prayer, yet speaking on a spiritual language. Because Vattimo’s discourse is

Thursday, September 26, 2019

Oil Business - Advantages and Disadvantages Essay

Oil Business - Advantages and Disadvantages - Essay Example Typically, the entire oil business is divided into three main parts which are the upstream, midstream, and downstream sector. The upstream sector is concerned with the location and extraction of oil from various parts of the world while the midstream is concerned with the processing of extracted oil to marketable products as well as the transportation of such products. Both the upstream and the midstream sectors are concentrated only in certain parts of the world such as Russia or the Middle East while the distribution industry which is part of the downstream sector is spread throughout the world (Gary & Handwerk, 1994). Therefore, any changes in the global market of oil can either favorable or adversely affect the distribution industry significantly. The unpredictability of the global market can also lead to many changes inside of the distribution industry, and the rising cost of fuel has only put a strain on the already straining oil distribution industry.One of the industryâ€℠¢s strengths is that it is among the first in the line of industries affected by oil prices and therefore it can suffer minimally as compared to other industries when it comes to changes in oil prices. Because it is the first hit by the changes, it is also the first that can adapt and the first to be able to quickly overcome the changes to try to lessen losses based on the change in oil prices. Where other industries are affected conversely through the chain of order and sometimes have little room to do anything about the price of oil, the gas distribution is hit first and therefore can adapt most quickly with the other industries adapting around it.When less oil is mined and processed in the international market, independent distributors would have to compete to obtain what is available. This sort of competition can drive smaller distributors out of business. And for those smaller distributors, this can cause problems, and may at first look like an outright negative effect of gas p rices, and a negative effect of the whole of the industry. But this negative opportunity for the smaller firms soon opens up a larger one for the bigger firms, which can then flex their economic muscle a little bit. It is this versatility and adaptability that helps the oil distribution industry to survive at hard times when most other industries would fold upon themselves and crumble.

Audience Analysis Cover Sheet + Persuasive Letter on Surrogacy Assignment

Audience Analysis Cover Sheet + Persuasive Letter on Surrogacy Arrangements - Assignment Example Such as this is not a topic commonly discussed to them, reactions will be varied. Most would be interested in hearing the objective arguments on both sides of the spectrum before fully developing their own opinion. A number will already have a shaped opinion which may be for or against the issue. By the end of the speech, some may still be on the fence with their stand. It is important to note that their concern would be minimal unless they know of or are suffering from fertility issues. Those who may have a background which favors surrogacy motherhood would have a strong opinion in favor of it. While those who don’t will most likely yield reasonable attention on the speaker’s stand. It may not be avoided that there would be some bigotry surrounding the issue. Topics that would scrutinize and disparage gay people and gay relations should be avoided. A holier-than-thou voice in presenting the subject should also be evaded. These would simply exclude people and could even be perceived as ignorance and narrow-mindedness. It should not revolve around intolerance but rather an objective approach to presenting the most logical and preeminent debate on the issue. Approach should be firm from the beginning of the speech. When presenting the argument which is against surrogacy motherhood, there should be authoritativeness in stating your opinion. This is to be able to convince the audience on your conviction regarding the rectitude of your argument. They should feel your own personal adherence to the fact that the issue of surrogacy is wrong in a number of aspects and not just simply a stubborn belief. In presenting the data that let you come up in forming your own position, there should be a tone of seriousness to it. Because it is a sensitive issue, it would be difficult to add humor to your speech. Instead, fervor should always be present to persuade them to adapt to your stand. The speech

Wednesday, September 25, 2019

History of Design Essay Example | Topics and Well Written Essays - 250 words

History of Design - Essay Example Countries like Russia, USA and France, attended the exhibit. The palace was regarded as the first theme park offering education and entertainment. Ruskin questioned the paying of an artist on the basis of hours worked. Artistic work takes basis on very many perspectives. He stated that an artist should be paid in relation to their economically immeasurable quality of work. Artists have no power to determine their financial value but rather this depends primarily on the buyer. He postulated close monitoring of the worker through close supervision for better results. Charlie was born in Glasgow Scotland in the year 1868. He later joined Glasgow school of art in the year 1884. Having completed his studies in the year 1889, he became an architectural assistant. In the year 1890, Charlie won a scholarship in Italy which acted as a gateway to his success in the field of art. Charlie is highly regarded as a leading factor for the development of various designs. An excellent example is the textile designs and interior designs. He also brought the idea of modernism. Charlie was greatly influenced by the Japanese style due to its simplicity, style and use of natural materials. Some of these designs are’ Argyle Chair, High black chair, Hill House chair and Ingram chair. In conclusion, Charlie undertook great projects in Europe like; Hill house, Windy Hill, Former Daily Record Offices Glasgow, and Lighthouse Glasgow. Queens Cross church project was rated as one his

Tuesday, September 24, 2019

Multinational Enterprise Essay Example | Topics and Well Written Essays - 2250 words

Multinational Enterprise - Essay Example The organisation is known for daily output of 2 million barrels of petrochemical products (Luong and Sierra, 2013). The discussion will analyse the base of Petrobras, Brazil, as an emerging market while evaluating different emerging market multinational. The study will illustrate the internationalization path of the company. It will also detail various business concept and internationalization theories to evaluate the internationalization strategies of Petrobras. Emerging-market multinationals (EMMs) are the enterprises which are based in an emerging market and have operations in other countries as well. Emerging markets are the countries which have demonstrated some traits of developed countries but cannot be referred as fully developed country (Subramaniam, et al., 2015). Emerging market consists of all the newly industrialized economies of Asia as well as other developing and emerging countries. Most of the EMMs are belong from the leading developing countries like China, Brazil, India and Russia (Accenture, 2008). There are mainly five types of emerging market multinationals such as full-fledged globalizers, regional players, global sources, global sellers and multi-regional niche players (Accenture, 2008). The full-fledged globalizers are the established and old EMMs that have already attained geographic span that is similar to the biggest Western multinationals. Regional players are those organisations which are planning to break out of their domestic market to attain greater scale. These organisations are only concentrating on the neighbouring market due to geographical proximity and cultural affinity. Global sources tend to source internationally while their main focus is the domestic market. Global sellers primarily manufacture in their home country but seek consumers from different geographical locations. The last type

Monday, September 23, 2019

Dual-Court System Research Paper Example | Topics and Well Written Essays - 750 words

Dual-Court System - Research Paper Example State courts reserve the authority to hear criminal and civil cases related to state constitutional issues and laws (Neubaeur & Fradella, 2010). In various respects, the dual court system structure was designed to offer a certain degree of independence to local governments, and at the same time ensuring proper judicial checks and balance. Dividing-up administrative roles of justice and giving a number of responsibilities to the states is often regarded as both competent and a reflection of varied citizens’ diverse needs. Preserving an overarching federal system in the dual court system ensures that no single state legislates in excess of the standards required by the federal system (Neubaeur & Fradella, 2010). The constitution gives some supremacy to the federal government and set aside the rest for the states. State and federal governments both need their court system to interpret and apply the laws. The dual court system enables the two to spell out the control of their resp ective court systems. Court unification refers to the degree to which state and federal judicial systems in the United States establish one level of appellate and trial courts controlled from the top by a single individual or institution. The drive towards unification of the courts would not lead to a monolithic court system. This is for the reason that this would give the Federal court system excessive control while state legislative would make sound decisions on the matters concerning people’s needs and local affairs. The system is too complex and such a move will not result into a lasting solution. The state legislature performs better when making right decisions concerning local affairs (Cole &Smith, 2006). Further, courts are an important feature of the criminal justice system. It is logical to sustain separate systems inclusive of the court, corrections, and the police, locally at the state and federal levels depending on the circumstances. If there were solely one corr ectional organization and massive police force dealing with a monolithic court system, there will be minimal effectiveness (Cole & Clear, 2010). All criminal activity needs the presence of a judge and ruling after a person has been arrested. For this reason, it is far more effectual for each of the numerous locations in the entire nation to have a municipal court system. Judges have specified sentencing guidelines and philosophical rationales when presenting a judgment over presented facts. They include just deserts, that is, denunciation and retribution; incapacitation, restitution, rehabilitation, and deterrence (Rossi & Berk, 1997). If I were a judge, my sentencing goals and philosophical rationale would base on just deserts. This is for the reason that just deserts rationale imposes sentences and the amount of this sentence is established by the offense itself rather than any other reason, particularly not the offences to be made in future. Further, just deserts rationale and se ntencing goal simply justifies a sentence on the basis that wrongdoing deserves punishment that is equivalent to the wrongdoing. Basing on the fact, just deserts uses punishment for illegal behavior, the focus is on the offender himself; for the guilty alone, and only for the offence. I would choose on this approach because it covers both a retributive component if that

Sunday, September 22, 2019

Going home Essay Example for Free

Going home Essay This is a first person narration of a soldier in Iraq who had been victim to an evening ambush by offensive troops. The narration begins with the soldier already in the infirmary, months after the ambush incident, nursing a fractured right foot. At about this time, word also came out that President Bush was going to withdraw five thousand plus men from Iraq so that they could be home for the holidays. The soldier hopes that he is part of the list of men who would be recalled. In the meantime, the soldier recounts the events that led to his current situation. The soldier reveals that many had died in the ambush and he was merely one of those who survived. The ambush took place while they were on their way to the North US Detachment. While recounting the story of how he had become a wounded US soldier, the narrator also offers insights into how war can be patriotic and how it can change the course of events for the world at large. The soldier also mentions in his reminiscing that they were not the true heroes of war, rather the true heroes were the families they left back home. The narrator dwells on this topic and comprehensively explains how the families back home should be the real heroes in a war and not the soldiers who are actually in the war. The soldier also offers insights into how gruesome a war can be and how wasteful it is when it comes to lives wasted; but despite his views on the war, the soldier remains steadfast in his beliefs and holds on to the thought of his family waiting back home. The narration ends with the soldier being called to the mess hall along with many others for the announcement of the list of recalled soldiers. Find out if he is one of those who will return home. (YOUR FULL NAME) (PROFESSOR’S NAME) (COURSE AND SUBJECT) (DATE OF SUBMISSION) GOING HOME – A SOLDIER’S STORY Christmas is fast approaching and I am hoping to have an early Christmas gift as President Bust announced last September that about 5,000 plus of us would be home for the Christmas holidays. This was part of the limited troop reduction that was to be implemented on US troops before the military surge in March next year. We are still waiting for the final list of soldiers who would be sent home and I am hoping that I would be in the list. I am useless here in the field anyway. I have been in the infirmary tent for the past three months because my right foot suffered segmented fractures after an ambush attack on our team while we were driving to the North detachment. We were fifteen in the truck. I was one of the lucky seven who came out of the attack alive. I was in the back of the truck and as usual, I felt like I had to watch my own back as well as I was watching the backs of the other soldiers who were with me in the truck. It was about eleven in the evening. We all had to travel in the cover of darkness to avoid being detected by hostile troops. From a distance, the sound of mortar seemed as natural as the crack of thunder on a balmy evening. A false, red sunrise could be seen from the horizon as flames from explosives incessantly lighted up the horizon. It was cold – in the desert, the temperatures are extreme. Daytime is extremely hot and the evening can be as cold as it is hot during the day. We were all in our camouflage uniforms, but these were only flimsy fabric – weak protection from possible bullets coming our way or even stray shrapnel from distant explosions. I feared for my life but also thought of the country, and the world, and what it would be like if the US did not launch an offensive against hostile troops here in Iraq. In my heart I could not understand why I had to go through such horror and put my life on the line for such a cause; but when I think of my young wife waiting for me back home, and my three month old daughter, I understand why I have to be here. The weapons of mass destruction that Iraq may be hiding from the world may be cause for the destruction not only of the US but also of the world as we know it and this alone told me that my being here was worth everything I had; but then again, I can never deny the fact that there could have been better days. About an hour into the trip, the truck grinded to a halt; a co-soldier who was seated beside the driver saw something through his night vision binoculars. A group of armed men were stationed about half a mile away and it seemed that they did not notice our approach because they were huddled together in a close circle seemingly having a drink. We did not find this cause for alarm because sporadically, throughout the road, were friendly troops from the other side who were securing travel routes for civilians. However, since we could not identify them from a distance, there was no choice but to be on guard and move forward until we were close enough to identify them. The driver had turned off the headlights and slowed down to a crawl to prepare for our approach. When we were just a few meters away, I heard one of the men stationed at the road cry out a piercing yell that to me sounded like a death sentence. At that very moment a volley of gunfire punctuated the distant explosions and we all lay flat on the floor of the truck. In what seemed like forever, the truck turned around and sped towards the other direction back to the camp. The gunfire continued and it was at this moment that I felt warm liquid seeping into the fabric of my uniform from the back. I turned around to see one of my co-soldiers slumped on my back with blood streaming from his neck. I quickly stood to check on the other men with me in the back of the truck. Four of them had been badly hit, two were unharmed, and seven of us suffered minor injuries. Mine was a gunshot wound that pierced my right ankle. Later, it turned out that the driver had been badly hit as well, so it was the other army officer with him in the front seat who was already driving the truck. We made camp about three hours after the incident. We had already been halfway through the six hour trip that was supposed to take us to the North detachment. We were all brought to the infirmary and the dead immediately interred into shiny black body bags that reflected the red glare that rose up from the distant horizon. The camp chaplain said a prayer over the dead and another officer bend down to take out their dog tags, they name patches, and some of their personal effects. I imagined how difficult this was for the officer. I imagined how it would have been had I been one of them. The following day two or three officers from the US Military back home would be at the porch of our house delivering the sad news to my wife and my daughter. I imagined how they would feel, and how much they would hate the state for sending me to war; but I was lucky to be alive, or not. Now, I had to deal with the gruesome images that I had witnessed. I had to spend my life thinking of what is and what could have been. I would probably be found gazing into the blackness for many solitary hours trying to find a decent and even logical reason for this manslaughter – but I was determined to go home in one piece, if not for my wife and daughter, at least for a country and a world that was waiting for a glimmer of hope that could come out of this bloodshed. Logically, bloodshed is bloodshed and nothing good could come out of war. It was always like choosing between two evils – the lives of hundreds of men and women in exchange for the peaceful future of my country and the world. The choice was always easy and I found it an honor to be fighting for this cause, albeit momentary periods of questioning and reasoning and questioning again. I felt that I was not a hero here; the real heroes are the families we have left behind; mothers, fathers, wives, husbands, daughters, and sons. They are the real heroes for having to deal with our absence and having to live their lives every day with the knowledge that we may not even return alive. They are the real heroes for having to lie to the innocent ones about fathers and mothers who were out there fighting for the country because this was the only way to ensure the future – of course, there are other ways, but when some other ways seem bleak and unfeasible, war is often the method of choice. These people are the real heroes not because they sacrificed anything but because they refuse to just fade into the sunset and let go of the prospects of peace and unity for the whole world. They are there back home not for any reason, but for a reason that all of us in this world would one day recall and be grateful about. We, in the field, we are here because of them and their unfailing belief and hope in our cause; we are here because of their love and the fact that before we sleep at night our minds swim in oceans of faces – the faces of our real heroes. The bugle had been sounded. Our superior had called us all to the mess hall to announce who would be going home for Christmas and who wouldn’t. With my crutch in tow and a foot heavy with plaster dragging behind, I go to the mess hall. The superior went through the list. The lights have been turned out after the list was read. I was walking back to the infirmary. I was going home.

Saturday, September 21, 2019

Patients With Musculoskeletal Disorders Health And Social Care Essay

Patients With Musculoskeletal Disorders Health And Social Care Essay Jane Doe, a 22-year-old patient with no previous medical history, presents to the emergency department with complaint of low back pain after slipping on a wet floor at work and falling. The patient states that the pain is constant aching and radiates down both legs (sciatica). The MRI shows pulled muscles and ligaments surrounding the L4- L5 area. The emergency physician provides the following discharge orders: Bed rest with bathroom privileges for two days. Apply ice pack to lower back for 20 minutes several times a day for the first 48 hours, and then starting day three and on, apply a heating pad for 20 minutes on and 20 minutes off several times per day for the next several days as needed to relieve pain. Take 400 mg of ibuprofen every six hours and 5 mg cyclobenzaprine (Flexeril) t.i.d. After two days of bed rest, sit in chair three times per day for no more than 20 minutes. Ambulate around home and yard as tolerated, gradually increasing activity. Avoid twisting, bending, or re aching for objects. Avoid lifting anything more than 5 pounds of weight for one week. See physician in one week for further evaluation. Explain the rationale for the administration of ice for 48 hours followed by the application of heat. Explain the rationale for the administration of the ibuprofen and muscle relaxer. What are the expected patient outcomes for the patient in this case study? Case Study 2 John Tuliro, a 32-year-old patient, is admitted to the medical-surgical unit after a gunshot wound of the right lower leg infected with staphylococcus was debrided. The patient is diagnosed with osteomyelitis. The patients right lower leg is warm to touch and edematous, and the patient states that the extremity has a constant pulsating pain that increases with any movement of the leg. The patients sed rate and leukocyte rates are elevated. The physician orders the following for the patient: Admit to medical unit with vital signs every four hours Bed rest Elevate affected leg on pillows above the level of the heart Warm sterile saline soaks for 20 minutes t.i.d. with wet-to-dry dressing change Levofloxacin (Levaquin) 750 mg IVPB every day Renal profile, CBC with differential in A.M. Regular diet with high-protein supplement shakes Vitamin C 250 mg po b.i.d. Meperidine (Demerol) 100 mg po every four hours Docusate sodium (Colace) 100 mg b.i.d. The patient asks the nurse why he has to stay in bed. The nurse should provide what rationale for this measure? What nursing interventions should the nurse provide the patient? (Individual) DISCUSS INDIVIDUAL AND LIFESTYLE RISK FACTORS FOR OSTEOPOROSIS The following are the risk factors of Osteoporosis: Genetics Caucasian or Asian, Female, Family History, Small Frame Predisposes to low bone mass Age Postmenopause, Advanced Age, Low testosterone in men, decreased calcitonin Hormones (estrogen, calcitonin, and testosterone) inhibit bone loss Nutrition Low Calcium Intake, Low Vitamin D Intake, High Phosphate Intake, Inadequate Calories Reduces nutrients needed for bone remodeling Physical Exercise Sedentary, Lack of Weight Bearing Exercises, Low Weight and Body Mass Index Bones needs stress for bone maintenance Lifestyle Choices Caffeine, Alcohol, Smoking, Lack of exposure to Sunlight Reduces osteogenesis in bone remodeling Medications Cortocosteroids, antiseizure medications, heparin, thyroid hormone affects calcium absorption and metabolism Comorbidity Anorexia Nervosa, Hyperthyroidism, Malabsorption Syndrome. Renal Failure Affects calcium absorption and metablosim Hormonal variations are one of the reasons for gender differences when it comes to the development of osteoporosis. In women, estrogen has a role in relation to osteoporosis, while testosterone, estrogen and other hormones in men also relate to this. Also, menopausal period in women accounts for osteoporosis, low endogenous estrogen levels increases the risk. Lifestyle factors such as smoking, drinking alcohol and sedentary activities, also increases the risk for osteoporosis. Nutritional factors that increase the risk, includes the following: daily intake that is less than 1000 1500 mg of calcium and 400 600 International units of Vit. D. Eating high protein diet, drinking caffeine, sodium and phosphorus has negative effect on calcium balance in the body, therefore, increasing risk for osteoporosis. There are certain medications that can affect bone remodeling, and increase risk for secondary osteoporosis. DISCUSS THE DIFFERENCES IN MEDICAL MANAGEMENT FOR PRIMARY BONE TUMORS VERSUS METASTATIC BONE DISEASE. Primary bone tumors goal of treatment is to destroy or remove the tumor. It is accomplished by surgical exersion, radiation therapy if the tumor is radiosensitive, and chemotherapy. Limb-sparing procedures are used to remove the tumor and adjacent tissue. Replacement of the affected tissue is very important. This can be done through the following: customized prosthesis, total joint arthroplasty or bone tissue from the patient (autograft) or from cadaver donor (allograft). Surgical removal of the affected part may require amputation. To prevent metastasis of malignant bone tumor, chemotherapy is started before and continued after surgery, to eradicate micromestatic lesions. Palliative management is the treatment for metastatic bone cancer. Its goal is to relieve pain and discomfort while promoting quality of life. Structural support and stabilization is needed to prevent fracture, as the bone weakens. Prophylactic internal fixation helps strengthen large bones with metastatic lesions. DISCUSS CLINICAL MANIFESTATIONS OF PAGETS DISEASE, AND ITS PHARMACOLOGICAL TREATMENT FOR EACH. Pagets disease are initially asymptomatic. The bones that are commonly involved include the vertebrae, pelvis, cranium, sternum and proximal ends of the long bones. Diagnosis of this disease is made by reports of bone pain or deformity, through X-ray or by detection of elevated serum alkaline phosphate levels found though biochemical testing. The following are the most common complaints of patients who are suffering from Pagets disease such as pain. Skeletal deformity, and change in skin temperature. Joint dysfunction may result from damage to cartilage and osteoarthritis. Bone pain often occurs at night, which is a result of increased pressure on the periosteum or associated hyperemia. Other manifestations that can occur include diminished mobility and unsteady gait. Neurologic complications can also occur which is caused by nerve root compression or nerve entrapment. These structures are adjacent to pagetic bone near a nerve foramen or canal. Common clinical manifestation of Pagets disease is mixed sensorineural and conductive hearing loss. Low back pain can also occur because of vertebral body and facet enlargements, loss of lumbar lordosis, dorsal kyphosis, spinal impingement and altered gait dynamics. The short term objective in treating Pagets disease is to alleviate the associated bone pain, while the long term objective, is to alleviate the progression of the disease. The pharmacologic therapy includes calcitonin, plimamycin, and gallium nitrate, and the biphosphonates. The main goal of this therapy is to control the disease activity, normalize biochemical parameters and to improve the symptoms. LIST REHABILITATION AND HEALTH EDUCATION STRATEGIES USED FOR PATIENT WITH LOW BACK PAIN. A comprehensive rehabilitation should include a careful evaluation for a specific goal and treatments based on best evidence are exercise, cognitive behavioral treatment, health education and others. We should instruct the patient to avoid recurrence of the following: Standing, sitting, lying and lifting properly are necessary for a healthy back. Alternate periods of activity with periods of rest. Avoid prolonged sitting, standing and driving. Change positions and rest at frequent intervals. Avoid assuming tense, cramped positions. Sit in a straight-back chair with the knees slightly higher than the hips. Use footstool if necessary. Flatten the hollow back by sitting with the buttocks tucked under. Pelvic tilt decreases lordosis. Avoid knee and hip extension. When driving a car, have the seat pushed forward as necessary for comfort. Place a cushion in the small of the back for support. When standing for any length of time, rest one foot on a small stool or platform to relieve lumbar lurdosis. Avoid fatigue, which contributes to spasm of back muscles. Use good body mechanics when lifting and moving about. Daily exercise is important in the prevention of back problems. Do prescribed back exercises twice daily strengthens back, leg, and abdominal muscles. Walking outdoors is recommended. Reduce weight if necessary decreases strain on back muscles. IDENTIFY COMMON FOOT DISORDERS. IDENTIFY THE SPECIFIC STRUCTURE INVOLVED. Common Foot Disorders: Plantar Fascitis it is a plantar heel pain, which evolves from the bone (heel spur) or plantar fascia. Mortons Neuroma It is the irritation and degeneration of the digital nerves in the toes that produces a painful mass near the area of metatarsals. Hallux Disorders: Valgus, Rigidus, and Sprains Acute injury to the ligaments and capsule of the MTP joint. Lateral deviation of the first toe greater than the the normal angle of 15 degrees between the tarsus and metatarsus This may lead to a painful prominence of the medical aspect of the MTP joint. Degenerative condition of the first MTP joint leading to pain and stiffness. DISCUSS THE INVOLVEMENT OF VITAMIN D IN THE DEVELOPMENT OF OSTEOMALACIA. IDENTIFY TREATMENT RELATED TO CAUSE. Vitamin D deficiency is the most common cause of osteomalacia. Essential for calcium and phosphorus metabolism is Vitamin D, it is the critical elements in mineralization of the bone. The major source of Vitamin D is synthesis in the skin exposed to sunlight. Dietary modification is needed by eating food rich in Vitamin D, such as fatty fish oils, liver and egg yolks. Vitamin D supplement is also suggested. DEVELOP A PLAN OF CARE FOR AN ASSIGNED PATIENT WITH LOW BACK PAIN. Nursing Intervention for Low Back Pain: Relieving Pain Advise patient to stay active and avoid bed rest, in most cases. Keep pillow between flexed knees while in side-lying position minimizes strain on back muscles Apply heat or ice as prescribed. Administer or teach self-administration of pain medications and muscle relaxant. Promoting Mobility Encourage ROM of all uninvolved muscle groups. Suggest gradual increase in activities and alternating activities with rest in semi-fowlers position. Avoid prolonged periods of sitting, standing, or lying down. Encourage patient to discuss problems that may be contributing to backache. Encourage patient to do prescribed back exercises. Exercise keeps postural muscles strong, helps recondition the back and abdominal musculature, a and serves as an outlet for emotional tension. GIVEN A TEMPLATE, COMPLETE A DISEASE MAP ON A PATIENT WITH CARPAL TUNNEL SYNDROME. Picture1.png COMPLETE A THEORETICAL CASE STUDY ON AN ACTUAL CLINICAL PATIENT WITH OSTEOMYELITIS. http://www.scribd.com/doc/44830270/Osteomyelitis-Case-Study (Web Assignments) USING THE INTERNET, RESEARCH LITERATURE ADDRESSING MANAGEMENT OF OSTEOPOROSIS. IDENTIFY NEW MEDICATIONS ON THE MARKET TO TREAT THIS DISEASE. Links: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC493281/ http://www.webmd.com/osteoporosis/news/20100602/fda-approves-prolia-for-high-risk-osteoporosis As the basic objective of preventing the progress of osteoporosis to a patient is to minimize bone fracture, management of osteoporosis is discussed in this article through many ways varying on the patients level of fracture risk. Prevention in a non medical therapy was described as having good nutrition, healthy lifestyle and fall prevention. Exercise and the aid of vitamin D supplements can actually help in preventing or lessening the risk of osteoporosis. Medical treatment on the other hand comes in many forms; as it is to be administered based on the guidelines for commencing pharmacologic therapy. Medications for osteoporosis management are classified in to two, the antiresorptive agents and anabolic agents, both of which acting as agents to reduce fracture risk. In the next article, a newly approved treatment was released and approved for the management of osteoporosis. Prolia is a biological, lab-induced treatment that is said to have the ability to inactivate the body bones breakdown mechanism. It was approved under specified types of treatments though. It can only be administered to patients of post menopausal stage and has a high risk of bone fracture caused by osteoporosis. Or to patients who already had osteoporosis treatments but had failed. Or lastly, to patients who cant endure other osteoporosis treatments. What this treatment does is to slow down the process of bone breakdown, making the patient less susceptible to bone fracture. In spite of the advantages of the said treatment though, side effects to this treatment also has its downsides. Most common of which is the patients feeling back, muscle, and bone pains. It is through this reason that patients with low levels of calcium were also prevented to use this kind of treatment FIND A REASEARCH ARTICLE COMPARING PRIMARY BONE TUMORS TO METASTATIC BONE TUMORS. SUMMARIZE IN TERMS OF MANAGEMENT. http://www.merckmanuals.com/professional/sec04/ch044/ch044d.html Primary metastatic bone tumors basically differ from its origin. As primary tumor are defined as tumors which have started from the bone itself, metastatic tumors, also known as secondary tumors are defined as tumors which have originated from another parts of the body that had resulted to or affected the bone as well. As primary bone tumors are treated the same as with other tumors found in the other parts of the body. Patients also undergo radiation and chemotherapy as well as surgery. For painful vertebral fracture, Kyphoplasty or vertebraplasty are also considered as options to alleviate pain. Metastatic bone tumors on the other are treated the same as with primary bone tumors though since it has its origin from a different area, treatment are to be considered depending on how it will affect the entire body of the patient or all of which that is with tumor (breast, lung, prostate, etc.)

Friday, September 20, 2019

Quality Improvement Organizations For The Healthcare Sector Nursing Essay

Quality Improvement Organizations For The Healthcare Sector Nursing Essay The National Healthcare Quality report released by the Agency for Healthcare Research and Quality (AHRQ) found that healthcare quality in America is suboptimal and that the receipt of needed healthcare varies widely (Kneipper, 2009). A report published by the Institute of Medicine, To Err is Human, diagnosed the quality problem in health care caused by people struggling to perform within a system riddled with opportunities for mistakes (Buchbinder and Shanks, 2007). While it is recognized that even the most strenuous accreditation programs will never eliminate all the issues in the facilities and services being accredited; it is important that steps are taken to significantly improve quality and reduce risk. Pursuing accreditation demonstrates a commitment to improving quality in health care. Numerous accrediting bodies exist in the U.S. with each having their own particular area of focus. This paper will examine three that are responsible for monitoring quality in health care organi zations. Joint Commission, founded in 1951, is a health care accreditation agency known for its high-quality patient care standards. It develops standards for quality and safety and evaluates performance within healthcare organizations based on these standards. In addition, it strives to enhance the effect that performance measures have on improving health outcomes for patients. The duties of the Joint Commission are numerous. The Joint Commission assesses organizational compliance through unannounced surveys that include direct observations, data analysis and staff interviews. It accredits and certifies over 18,000 health care organizations and programs in the US. It has identified hundreds of performance standards that represent the highest in quality health care. It publishes quarterly reports that track performance on quality of care measures. It issues annual reports as part of its ongoing efforts to emphasize the health importance of accountability and continuous improvement. The Joint Commission monitors quality by continually reviewing the best practices that optimize patient care. It works with various subject matter experts to identify quality measures. Hundreds of performance standards guide health care providers in administering care and improving performance. Hospitals are expected to adhere to standardized processes for quality measurement, reporting and improvement. The Joint Commission requires annual periodic performance reviews. A health organization must conduct a self-assessment ascertaining its compliance with the Joint Commissions standards and submit a report to them. Joint Commission uses this information as part of its Periodic Performance Review. Joint Commissions efforts promote quality of care. Its annual reports identify the top compliance issues each year which include quality standards that were the most difficult for hospitals to meet. Joint Commissions collaborative efforts with clinicians, health care providers, hospital associations, performance measurement experts, and health care consumers identify quality measures that reflect the best evidence-based treatments for specific medical conditions. Through this collaboration, a set of standard national measures are created that allow comparisons across health organizations. To help hospitals make a significant impact on patient outcomes through performance measurement, the Joint Commission introduced an approach placing greater emphasis on an organizations accountability measures (measures of evidence-based care that yields the greatest the most favorable impact on patient outcomes) and less on non-accountability measures (suitable for secondary use). In 2009 it formed the Center for Transforming Healthcare that works on developing collaborative programs with leading health care systems to identify causes of breakdowns in patient care. The Joint Commission collaborates with other organizations, including the Centers for Medicare and Medicaid Services (CMS) and the National Quality Forum (NQF), to align quality measures with other measurement efforts to ease data collection efforts and ensure that the data is gathered and calculated consistently across all organizations. Another organization responsible for monitoring quality is the Commission on Accreditation of Rehabilitation Facilities (CARF) which has accredited programs in five continents. Founded in 1966, CARF accredits in the areas of behavioral health, aging services, child and youth services, employment and community services, and medical rehabilitation. Through a consultative accreditation process, CARFs attention focuses on enhancing the lives of the people with disabilities. Their consumer-focused standards help organizations measure and improve the quality of the programs and services that achieve optimal outcomes. CARF assists providers and organizations in improving the quality of its services and demonstrating value. It accredits providers for many specific programs and services that support rehabilitative health, with many providers seeking CARF accreditation in multiple areas. It publishes standards manuals that correspond to the fields served that relate to health and safety, risk management, and corporate compliance. These nationally and internationally recognized service standards are developed with input of key stakeholders such as professionals, organizations, surveyors, purchasers, and those served. They are reviewed and revised annually at a national and international level to ensure they exhibit standards for quality that are current, relevant, and practical. For monitoring quality, a quality improvement plan that matches the needs of the program or services is a critical part of the accreditation process. Rather than an inspective approach, a survey team employs a consultative methodology to conduct an on-site survey to evaluate its services. Once the report information has been reviewed the organization and survey team partner to develop a quality improvement plan to improve the operations and service delivery. An accredited provider participates in reviewing its practices on an annual basis. The organizations leadership sends a signed commitment to CARF affirming that it continues to their standards to guide their organization. To promote the quality of care, every year CARF creates standards that help programs monitor their services, quality, recovery and business. Surveyors are peers in the field with experience in the programs and services that are accredited. They are matched to organizations they survey based on the organizations characteristics and program types. CARF accreditation assures the public that the provider/organization is committed to improving the quality of services with a focus on service outcomes as well as customer satisfaction. A third organization responsible for monitoring quality in medical imaging and radiation oncology is the American College of Radiology (ACR). The ACR is the most recognized medical imaging and radiation oncology accrediting body that began accreditation in 1987. It continually promotes recognition for issues of quality and safety in radiologic procedures. ACR accreditation consists of a self-assessment and an independent external expert audit that assesses personnel qualifications, policies and procedures, equipment specifications, quality assurance activities, patient safety, and the quality of patient care. The ACR is involved in numerous undertakings. It has established over 150 practice guidelines and technical standards to improve how imaging, radiation therapy, and interventional services are delivered. Currently, eight accreditation programs have been established by the ACR and there are plans to add more. Over 160 sets of evidence-based guidelines have also been set up to assist referring physicians in making the most appropriate imaging or treatment decision. The ACR uses several methods to monitor for quality. Accreditation requires active participation in a physician-peer review program. Radiology exams must be systematically reviewed and evaluated for the appropriateness of the exam as well as for the accuracy of interpretation as part of the overall quality improvement program at that facility. Complications and adverse events must be monitored, analyzed and reported as required. They must also be regularly reviewed to identify opportunities for improving patient care. Imaging facilities must have documented policies and procedures for monitoring and evaluating the effective management, safety, and operation of equipment. ACR accreditation promotes quality of care in several ways. It focuses on factors unique to imaging that includes image quality, dose monitoring, phantom testing, equipment evaluation, calibration and maintenance, and personnel qualifications. The Appropriateness Criteria enhance quality-of-care decisions; contribute to the most effective use of radiology; help providers address issues of overutilization of radiological care, and in the near future, will provide information on appropriate radiation dose. In conclusion, people seek medical attention to improve their health. The economic pressures of spiraling healthcare costs and suboptimal health outcomes are intensifying the search for new approaches to health management. Accreditation helps to ensure that patients will receive adequate and appropriate health care according to nationally accepted standards and it demonstrates commitment to improving quality in health care.

Thursday, September 19, 2019

The Future Of The Race :: essays research papers

The title of Gates and West's book evokes nineteenth and early twentieth-century works: Martin Delayn's Past, Present and Future of the Negro Race (1854), William Hannibal Thomas's The American Negro:What He Was, What He Is, and What He May Become (1901)…….. Within all these titles lie two assumptions no longer so openly embraced: that it is possible to speak of African-Americans in the singular—as what used to be called 'the Negro'; and now most often appears as 'the black community';—and that the authors in question possess authority to speak for the whole African American race. Gates and West, two of our leading black intellectuals, cast themselves as the grandchildren of what Du Bois called the Talented Tenth. Perhaps, with the Du Boisian Vandyke beards and the DuBoisian three-piece suits, the grandsons of Du Bois himself. Certainly they are taking upon themselves the Talented Tenth's early twentieth century responsibility to lead the race. Who is the Talented Tenth? This time-bound phrase comes from Du Bois's 1903 essay, 'The Negro Problem,'; quoted in the Appendix of The Future of the Race, and begin: 'The Negro race, like all races, is going to be saved by its exceptional men.'; These exceptional men, and Du Bois did mean men, would "guide the Mass away from the contamination and death of the Worst.'; The Talented Tenth would shoulder the task of uplifting the race without succumbing to money-grubbing selfishness; their formal education signified their intelligence and enlightened character. In 1903, the Talented Tenth was broadminded and big-hearted by definition. The passage of forty-five years diminished Du Bois's assurance. By 1948 he had revised his appraisal, and that revision also appears in the Appendix. He confessed error of his assumption that altruism flowed automatically from higher education. The Best Men had not become the best men. He lamented that the Talented Tenth had mostly produced self-indulgent egotists who turned their training toward personal advancement. Meanwhile, Du Bois had been learning to respect the masses from reading Marx. Nonetheless, he still cherished a hope that a new, self-sacrificing Talented Tenth of internationally minded men—still men—would ally African Americans to the peoples of the Third World and uplift the colored masses universally. Gates and West, who teach at Du Bois's own Harvard University, accept his challenge with all its Victorian mission of uplift. Although they announce their essays as the fruit of long conversations in Cambridge, they do not enter into dialogue.

Wednesday, September 18, 2019

How Golding Presents the Decline from Civilisation to Savagery in Lord

How Golding Presents the Decline from Civilisation to Savagery in Lord of the Flies Lord of the Flies is the name given to the inner beast, to which only Simon ever actually speaks. As Simon's waits for the beast's arrival near the bloody sow's head on the stake (buzzing with flies), The Lord of the Flies speaks to him, warning him not to get in its way or else he shall be killed by the boys. The Lord of the Flies name comes from the sow's head and the countless flies buzzing about it, which soon move from the sow's head to swarm around the head of Simon as the Lord of the Flies tells him, "I'm a part of you." In biblical texts, the Lord of the Flies is the title of Beelzebub (a direct translation of his name), a demon of Hell. There is a clear distinction between this book and The Coral Island. There is no separation between boys and savages, good and evil, Christianity and cannibalism, British and savages in this book, where as in the Coral island this distinction comes out many times. Jack is the novel's primary representative of the instincts of savagery, violence, and the desire for power, which is shown from the beginning. When the idea of having a Chief is mentioned, Jack speaks out immediately. "I ought to be chief," Jack says with simple arrogance, "because I'm chapter chorister and head boy." He is furious when he loses the election to Ralph, which subtly begins their conflict, and continually pushes the boundaries of his subordinate role in the group. Jack and his compatriots are portrayed as militaristic and aggressive, with Jack's bold manner and the choir marching in step with one another. They are the first concrete entrance of civilization onto the island and a decidedly negative one; ... ... is the conflict between two competing impulses that exist within all human beings: the instinct to live by rules, act peacefully, follow moral commands, and value the good of the group on the one hand; and the instinct to gratify one's immediate desires, act violently to obtain supremacy over others, and enforce one's will on the other. These two instincts may be called "the instinct of civilization" and "the instinct of savagery," as one is devoted to values that promote ordered society and the other is devoted to values that threaten ordered society. Throughout the novel, the instinct of civilization is associated with goodness, while the instinct of savagery is associated with evil, and the latter prevails. It is only at the very end of the book that the group is drained of savagery, as the captain pictures these small, ragged, confused little boys.

Tuesday, September 17, 2019

Madly desirous for glory Essay

In the second letter Walton writes about his progress to Archangel. In the letter he describes his crew. Walton’s description of his ship’s master suggests that he is the embodiment of goodness. He frequently applauds the courage of his lieutenant. The lieutenant is ‘madly desirous for glory’. In this letter the theme of alienation arises. Like Victor, Walton’s ambitions isolate him from his family and friends: ‘But it is a still greater evil to me that I am self educated.’ Shelley’s choice of words are designed to anticipate Victor’s need of a friend. It does this by implying that Walton is annoyed that he had no one to teach him, and that he had no companions. The third letter that Walton sends simply expresses confidence in his quest: ‘I write a few lines in haste to say that I am safe – and well advanced on my voyage.’ Shelley may have decided to add a short letter to show that Walton maybe playing down the dangers of his voyage. He finishes the letter by saying: ‘Heaven bless my beloved sister.’ This clearly shows that Walton is a caring person.  The fourth letter is when Walton catches a glimpse of the creature. The crew take Victor on board. Walton believes that he has found a friend in Victor, and confides his ambition. This letter emphasises the admiration and affection that Victor inspires in Walton, who sees great nobility in this ‘divine wanderer’. In some ways Walton can be seen as a double to Victor Frankenstein. Walton rebels against his father’s decision for him to not go to sea. This is very similar to Frankenstein’s father, who dismissed Victor’s interests in science. Walton decides against the life of ease, he explains that ‘My life might have been passed in ease and luxury,’ he explains, ‘but I preferred glory to every enticement that wealth placed in my way.’ Shelley has added this to show a relationship between Victor and Walton. This shows that they have similar characteristics, and desire the same things from life. The fact that Walton is introduced before Frankenstein may show that Shelley was preparing the reader for Victor’s desire for knowledge. Although the two characters can be related to each other, they also have significant differences. Walton is not quite so alienated as Victor. Rather then rejecting companionship, Walton longs for an intimate friend to share his hopes and dreams. To add to this point, Walton is also is not so isolated in his search for knowledge, whereas Victor, whose ‘midnight labours’ and ‘secret toil’ keep him completely secluded. The fact that Walton had a crew around him prevented him from falling into the trap of Victor’s individualism. The first chapter begins in an embedded narrative, with Victor telling his story to Walton. Victor begins his story by describing his early life in Geneva, his tranquil domestic life and the young orphan Elizabeth, who becomes part of the household. Victor’s interest in science eventually takes him to university at Inglostadt. His experiments lead him to the discovery of a secret life force. He constructs a human form out of dead tissue and brings it to life. Horrified by his actions, Victor abandons the creature. One of the main themes portrayed by Shelley in this novel is that of birth and creation. When Victor gave life to the creature, he usurps the role of God. Victor imagines how, ‘A new species would bless me as its creator and source†¦ No father could claim the gratitude of his child so completely as I should deserve theirs.’ This shows that Victor’s main crime is not what he had done, but what he failed to do. He failed to ‘father’ his creation. Victor is an isolated individual. However, unlike Walton, Frankenstein’s isolation is self imposed. It is also ironic in the sense that Victor rejects his family and friends, whilst this is simply what the creature longs for. Victor claims that the rejection of his family is necessary in order to continue the quest for the secret life. Alienation is a key factor in this novel. Victor chooses to isolate himself from others, whereas the creature’s isolation is imposed upon him, due to Victor abandoning him, and people being generally scared of his appearance. However the creature does desire companionship, and he says that he becomes violent when he realises that he will never have this, ‘I am malicious because I am miserable.’ This shows that the creature is humane in the sense that all he wants is a companion, much like any human. So the fact that the creature only becomes ‘malicious because I am miserable’ represents that people become monstro us when the are isolated, and rejected from society. When Victor creates the creature, he is flooded with a huge feeling of anti-climax. Victor repulses the creature on first sight. He refers to the creature as ‘the wretch’ and is horrifies by the thing that he has given life to. This shows that Victor is only concerned with physical appearance. This shows intolerance of imperfection and a flaw in Victor’s character. Victor rejects the creation; this is like a father rejecting his child. When the creature came to life Victor may have realised the enormity of the monstrous deeds that he had committed. The passage in the novel shows Victor to be a monster, as he does not even try to understand the monster’s cries for help. He has forsaken any duties he is expected to perform as a father. When the creature ‘awoke’ from his ‘sleep’ he convulsed. When Victor awakes from his sleep, his muscles also convulse. This could be one of the first signs that the creature is a double of Victor. Victor even describes the monster as ‘my own spirit let loose from the grave†¦ forced to destroy all that was dear to me’ Victor has given a clear expression of the notion that he and the creature may be doubles, with the creature acting out Victor’s own aggressions. Shelley’s description of the creature is full of pathos. The first things that the creature desires are love and affection, as all newborn things want. However, Victor denies him this. When Victor awakes from his dream, he finds the creature reaching out a hand towards him. Victor rejects this appeal for help from the creature.  This passage from the novel may parody ‘The creation of man’ by Michelangelo, which shows God stretching out his hand to give life to Adam. The analogy of this is that Victor is playing God and that the creature is Adam. Another parody is the story of Prometheus, who stole fire from the Gods and gave it to the people on earth. The analogy of this is that Victor has stolen the power of life from the God’s and given it to the people. This is the reason for the book has the subtitle ‘The modern Prometheus’. Victor may be seen as monstrous in this passage, as he is usurping the role of woman, which goes against the laws of nature.

Monday, September 16, 2019

Consumer Buying Behaviour Towards Branded Milk Essay

Common application form for income schemes UTI – Bond Fund UTI – Floating Rate Fund STP (An open ended pure debt fund) The product is suitable for investors who are seeking*: l Regular returns for long-term l Investment predominantly in medium to long term debt as well as money market instruments l Low risk (Blue) (An open-ended Income Scheme) The product is suitable for investors who are seeking*: l Regular income over short-term l UTI – Credit Opportunities Fund Investment in floating rate debt / money market instruments, fixed rate debt / money market instruments swapped for floatingratereturn Low risk (Blue) (An open-ended Income scheme) The product is suitable for investors who are seeking*: l Reasonable income and capital appreciation over long-term l Investment in debt and money market instruments across different maturities & credit rating l Low risk (Blue) UTI – Gilt Advantage Fund LTP (An open-ended Gilt Scheme) The product is suitable for investors who are seeking*: l Long-term credit risk free return l UTI – Dynamic Bond Fund (An open ended income scheme) The product is suitable for investors who are seeking*: l Optimal returns with adequate liquidity over medium-term l Investment in debt/ money market instruments l Low risk (Blue) Investment in sovereign securities issued by the Central Government and/ or a State Government and / or any security unconditionally guaranteed by the Central Government and / or a State Government Low risk (Blue) UTI – G-SEC STP UTI – Fixed Maturity Plan (An close-ended Umbrella Income Scheme comprising of several Investment Plans) The product is suitable for investors who are seeking*: l Regular income for short term l Investment in Debt/Money Market Instrument/ Govt. Securities l Low risk (Blue) 1 (An open-ended dedicated gilt fund) The product is suitable for investors who are seeking*: l Short term credit risk free return . l Investment in Central Government Securities, Treasury Bills, Call Money and Repo Low risk (Blue) Please read overleaf July 1, 2013 UTI – Liquid Cash Plan (An open-ended income scheme) The product is suitable for investors who are seeking*: l Steady and reasonable income over shortterm with capital preservation. l Investment in money market securities & high quality debt l Low risk (Blue) UTI – Monthly Income Scheme (An open-ended debt oriented scheme) The product is suitable for investors who are seeking*: l Regular income over medium-term l Investment in equity instruments (maximum-15%) and fixed income securities (debt and money market securities) l Medium risk (Yellow) UTI – Mahila Unit scheme (An open-ended debt oriented scheme) This product is suitable for investors who are seeking*: l Reasonable income with moderate capital appreciation over a long-term horizon l Investment in equity instrument (maximum-30%) and debt/ money market instruments l Medium risk (Yellow) UTI – Short Term Income Fund (An open-ended income scheme) The product is suitable for investors who are seeking*: l Steady and reasonable income over short-term l Investment in money market securities/ high quality debt l Low risk (Blue) UTI – MIS-Advantage Plan (An open-ended income scheme) The product is suitable for investors who are seeking*: l Long-term capital appreciation and regular income over medium-term l Investment in equity instruments (maximum-25%) and fixed income securities (debt and money market securities) l Medium risk (Yellow) UTI – Treasury Advantage Fund (An open-ended Income Scheme) The product is suitable for investors who are seeking*: l Capital preservation and liquidity for short-term l Investment in quality debt securities/ money market instruments l Low risk (Blue) UTI – Money Market Fund (An open-ended Money Market Mutual Fund) The product is suitable for investors who are seeking*: l Current income consistent with preservation of capital over short-term l Investment in short-term money market securities l Low risk (Blue) UTI – Unit Scheme for Charitable & Religious Trusts & Registered Societies (UTI-C.R.T.S) (An open-ended income scheme) The product is suitable for investors who are seeking*: l Regular income over long-term l Investment in equity instruments (maximum-30%) and debt/ money market instruments l Medium risk (Yellow) *Investorsshouldconsulttheirfinancialadvisersifindoubtaboutwhethertheproductissuitableforthem. Note: Risk is represented as: (BLUE) Investors understand that their principal will be at low risk (YELLOW) Investors understand that their principal will be at medium risk (BROWN) Investors understand that their principal will be at high risk COMMON APPLICATION FORM FOR INCOME SCHEMES PLEASE FILL IN ALL COLUMNS IN CAPITAL LETTERS ONLY PLEASEUSESEPARATEFORMFOREACHSCHEME Sr.No. 2013/ Registrar Sr. No. (PLEASEREADINSTRUCTIONSCAREFULLYTOHELPUSSERVEYOUBETTER) DISTRIBUTOR INFORMATION (only empanelled Distributors/Brokers will be permitted to distribute Units) (refer instruction ‘h’) ARN NameofFinancialAdvisor SubARNCode SubCode/ Bank Branch Code MOCode EUINo. @ UTI RM No. BDA / CA Code ARN – 11770 E020436 UpfrontcommissionshallbepaiddirectlybytheinvestortotheAMFI/NISMcertifiedUTIMFregisteredDistributorsbasedontheinvestors’assessmentofvariousfactorsincludingtheservicerenderedbythedistributor. @I/We confirm that the EUIN box is intentionally left blank by me/us as this is an â€Å"execution-only† transaction without any interaction or advice by the distributor personnel concerned or notwithstanding the advice of in-appropriateness, if any, provided by such distributor personnel and the distributor has not charged any advisory fees for this transaction. 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ACKNOWLEDGEMENT (TobefilledinbytheApplicant) dated Sr. No. 2013 (scheme name) StampofUTIAMCOffice/ Authorised Collection Centre INVESTMENTDETAILS(Forâ€Å"DIRECT PLAN†Pleasetickhere UTI-BOND FUND UTI-MAHILA UNIT SCHEME UTI-CREDIT OPPORTUNITIES FUND UTI-MONTHLY INCOME SCHEME &tickScheme,Plan/Optiongivenbelow)(Referinstruction‘j’) UTI-CRTS UTI-DYNAMIC BOND FUND Dividend Payout UTI-G-SEC FUND-(STP) Growth DividendReinvestment(Default–GrowthOption) UTI-FIXED MATURITY PLAN Yearly Series (YFMP) HalfYearlySeries(HFMP) Quarterly Series (QFMP) Regular Plan Growth Dividend Payout Dividend Reinvestment (Use separate form for each series) Cheque/DDshouldbedrawninfavourofUTI-FixedMaturityPlan–YFMP(mm/yy)/HFMP(mm/yy)/QFMP(mm/yy-PlanNo.)(Default–GrowthOption) UTI-FLOATING RATE FUND (STP) Regular Plan UTI-GILT ADVANTAGE FUND-LTP UTI-LIQUIDCASHPLAN- Institutional UTI-MIS-ADVANTAGE PLAN UTI-MONEY MARKET FUND Institutional Plan UTI-SHORT TERM INCOME FUND – Institutional Option UTI-TREASURY ADVANTAGE FUND – Institutional Plan Unitholding Option Growth Daily Div. 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