How to Flavor Rock Candy

Step by step instructions to Flavor Rock Candy Ive been evaluating packs for instructive toys, similar to ooze and the synthetic well of lava, yet one unit I simply cant force myself to purchase and-attempt is the stone sweets unit. Why? Its around $12 and doesnt even accompany the sugar... only a stick, holder, and enhanced food shading. I can think of my own container and popsicle stick to make my own stone treats and I speculate you can as well. On the off chance that you need enhancing, there are couple of approaches. You can include a couple of drops of enhancing to your soaked sugar arrangement. These are concentrates or flavorings that you would purchase in the zest segment of a market. You utilize these by including food shading and two or three drops of enhancing to your precious stone arrangement. Cherry, lemon, lime, orange, mint, and cinnamon all function admirably. Another choice is to break down Kool-aidâ„ ¢ or other savor blend the precious stone developing answer for (strongly) flavor your stone candy.If you ha ve involvement in the stone treats pack and think its value the cash, let me know and Ill give it a shot, yet I presume you can spare your pennies and show signs of improvement results all alone. Investigate Problems Growing Rock Candy

Corporate Governance in Russia Dissertation Example | Topics and Well Written Essays - 5250 words

Corporate Governance in Russia - Dissertation Example An aggregate of 74 organizations was dissected, 34 organizations from LSE, 4 from NYSE and 36 recorded on RTS. The example size was determined from a Web-based example size adding machine utilizing the accompanying parameters : (1) a room for give and take of 7%; (2) a certainty level of 95%; (3) a populace size of 5,580; and (4) reaction dissemination of 10%. The populace size of 5,580 is the all out number of organizations recorded with the Russian Trading System (297), the New York Stock Exchange (2,317) and the London Stock Exchange (2,966). The base suggested test was 70 however for possibility, this number was expanded by 5%, henceforth the genuine example size utilized was 74. Organizations which were recorded with LSE and NYSE are classified as class recorded (CL). These are the organizations are recorded abroad, numbering 38. The non-class recorded organizations (NCL) are those organizations that are recorded distinctly with RTS in Russia. The rundown of the organizations an d a screen capture of the yield from the Web-based example size mini-computer can be found in the Appendix.... The test is rehashed until all the anomalies are erased. Grubbs test takes a shot at the rule that with the anomalies erased, information will in general be ordinarily disseminated (Thompson and Lowthian, 2011). In such manner, utilization of Grubbs test requires reasonability in evaluating typicality of the circulation in the dataset. Also, the test may not be applied for a little example size of six or less since rehashed emphasess modify the odds of distinguishing anomalies (Thompson and Lowthian, 2011). On account of this examination, CL and NCL informational collections utilized the Grubb’s test inconceivable, in light of the fact that it recognized an excessive number of anomalies, since CL firms will in general be huge and entrenched, likewise the particular condition where firms work would impact their board attributes and accessibility of information. Considering the enormous data accessibility contrast of the treatment and benchmark populaces examination between thos e autonomous examples can be hazardous. Log base 10 Further, logarithm was applied on working income and number of representatives. The most widely recognized depiction of log or logarithm of a number speaks to the example by which a fixed number, called the base, must be exponentiated to produce the fixed number (Bland, 2007). For the ebb and flow look into regular logarithms (logs to base 10) are valuable in a few different ways. Most importantly, they rearrange the information yield for additional estimations. Also, log change is appropriate to information in where the residuals will in general accept greater qualities as the estimations of the reliant variable increments. The peril in this kind of situation is that the mistake or change in the estimation of a result variable is a rate and not a flat out worth. Thus, comparable rate

Essay Topics For American Gods

Essay Topics For American GodsEssay topics for American Gods can vary widely. This show has a much broader focus than most other TV shows and it's a fun show to get into. It's not the traditional science fiction, but rather an ancient story told in new ways.Ancient mythology tells stories about gods and angels that have a lot in common with our modern mythology. For example, two people with advanced psychic abilities battling against each other, sometimes using powerful weapons or magical items that can change the outcome of the fight. These are themes you'll find recurring throughout the show.If you're looking for essay topics for American Gods, you need to start by picking a particular episode or point in the show's history. Remember that all of these episodes are part of the same story. It's more about the characters involved and the main characters that make up the story. So, before you write your essay on an episode, try to remember what led up to it.Did they have a similar them e? Was it an episode where something bad happened or even a season ender?By remembering these things, you'll get an idea as to what the episode was about and then write the essay around that theme. If you come up with several themes, choose one that fits and begin writing on the essay. Don't forget to include some parts that relate to this theme.There is no set formula for writing an essay on a TV show such as this. You can go through and give background information on each character and tell the backstory. This is a good way to avoid re-reading previous chapters to catch your breath.However, if you're writing for the Western world you may want to think about how the characters would interact in real life. There are elements of fantasy and reality that overlap between characters. Make sure you don't lose sight of what the overall theme is, though.The best essay topics for American Gods are the ones that concentrate on the characters. This will show that you have read all the books a nd know everything there is to know about these characters. By focusing on the characters you'll make your work more interesting and therefore more valuable.

The Depravity Of Humanity Global Human Trafficking

Zachary Rhoden Nita B. Wood ENG 111 11:00 December 3, 2015 The Depravity of Humanity â€Å"Global human trafficking is big business† (Gale, Cengage Learning). This quote in of itself warrants a deep seated fear and revulsion. But it is also true. Human trafficking is not exactly a new thing; it is as old as humanity itself. That is why Prostitution is considered the world’s oldest profession because it has been around since the birth of humanity. Also, the following sentence quote shows the age of human trafficking. â€Å"What may surprise those who think of trafficking as a recent phenomenon, however, is that the introductory quotes are actually from reformers at an international anti-trafficking congress in 1899 (Limonelli).† The 2000†¦show more content†¦Also, masturbation and homosexuality though wonderful in modern times was considered at the time to be morally debasing (Limonelli). The type of sexual outlet that was permitted were concubines. The colonists would take an indigenous woman for a false wife. This concubine would live with the male colonist and perform the wifely duties until the European woman could arrive and make legal wives and children for the male colonists (Limonelli). One of the causes of human trafficking is poverty. Poverty leads to human trafficking

Image Analysis of an Advertisement - Free Essay Example

Sample details Pages: 3 Words: 871 Downloads: 1 Date added: 2019/10/10 Did you like this example? Introduction Men’s magazines are always concerned about the interest of their subscribers. For one, they are most concerned about what men love doing most which are what they often do when they are on their leisure time. For instance, the topic of interest might include alcohol and beverages, hunting and fishing, politics, travel and tourism and most importantly dating. Don’t waste time! Our writers will create an original "Image Analysis of an Advertisement" essay for you Create order Also, an advert that has something about an interview with wealthy and famous men, then they might consider the advert to suit them since it is about something that has their interest. People might be interested in some comedy and cartoons that are mostly about sexual matters. These kind of magazines are not particularly meant for the reason of having fun, humor or fiction, some of these magazines the main stay is because they have photographs that have beautiful women that are wearing little or no clothing at all. This essay is to analyze how to sell men’s magazine at Che’ advertisement in the computer world magazine has always used a phrase to equate the product in a manner that it will be better in the dream world. The Che advertisement uses a phrase that is to associate the product that will lead to a better dream world. The text that is at the bottom of the poster has a significant meaning to most of the clients. Men always have the impression that they can contact the young woman whenever interested. Contrary to this, they are always fantasizing that they can make a call to the lady. To quote, â€Å"Let us keep on dreaming of a better world.†Ã‚   The advertisement always emphasizes or campaigns for the â€Å"better world† which gives the impression that it will be fun to be in that particular world. Also, men always believe that the fun will be close or near the near the person that they see in the picture. At the reasonable print there is the logo that identifies the product that the advertisement is selling, and in this case, it is Che, and this is a men’s magazine. The model is featuring a young lady on the routine basis which will lead to the benefit of the company. Whenever a customer buys or subscribes to this magazine, then they can easily access the â€Å"better world† for there is a guarantee. The female model that appears on the advertisement is always shown from behind which makes the viewer see the lady as an object and not a person in a real sense. The primary emphasis is on her body, and that is why her face is not revealed at any cost. People are after viewing her body since that is what they are interested in and not her face. The body will be used in attracting more men in buying the magazine for most of them are anxious about what is inside. The lady should be dressed in a way that all her body will be exposed.  Ã‚   The lady should be the leading figure in the picture forgetting the rest of the features.   The major attracting thing that will be the eye of the town is the dress code. She is to wear a short skirt that should show some parts of her buttocks. The fact that there is the display of the number, it means that the viewer has the chance to get the phone. The model approaching a trolley is a clear symbol that there is a linking that she needs to bring about with the train that will be used to take her to her destination.   The train is the opportunity that men have for reaching the magazine. They have to grab the chance that is being given to them for them to arrive at the destination and know the place where they can quickly locate and get the magazine.   It means that if the viewer was present, then they might have met her which will lead them to the destination that they both wanted to get to earlier on. The text, â€Å"don’t miss the train† tells men that they should take action which is the language of trading this magazine to the people interested.   There should be a particular means of transport that will be used in transporting the two to the destination that they intend to have fun. So, there being the lady and the train on the advertisement picture is a clear emphasizes for the means of transport to be u sed. Conclusion Men and women are interested in different things and especially when it comes to reading the news from the magazines. There is the kind of news that women are interested in and men too which bring out the difference between the two genders.   If there is an advertisement about women, apparently we should be expecting something like kitchen utensils, about their health and the way they should dress. Men’s magazines always advertise something to do with food, sex, business careers, travel, and tourism, etc. from the advertisement for Che’s men magazine; it makes it clear that most people are interested in the â€Å"better world.† For this particular ad, it means that to men, life will not get better than it is now.

Maslows and Murrays theories - 1064 Words

The organismic theory in psychology is based on the idea that the individual is composed of elements making up a system, and that one element cannot be separated from its system in order to study it. Two of the organismic theorists have developed theories to understand humans’ psychological developments through their needs: Abraham Maslow, with his hierarchy of needs theory; and Henry Murray, and his psychogenic needs theory. They both focused on developing their theories to understand human personality and its development. However dissimilarities are found between the two theories, they both share the concept of having steps of developments that should lead to the human goal, or potential. The Hierarchy of needs theory, by Maslow, shows†¦show more content†¦(ch. 7. Allpsych.com) Power and affiliation and achievement were the most studied psychogenic needs. Studies also showed how cultural and gender differences affected the way people dealt with these needs. In Ameri ca people are more likely to be high in their achievement needs, however, in other, collectivistic cultures, the need for affiliation is higher. Also, men and women differ in the way they show these needs. Researches have also showed that other personality traits may influence the way people expressed their needs. For example, an introvert would fulfill his needs for affiliation by having small groups of friends, but an extrovert would do the same by having a large group of friends. One difference between Maslow and Murray is that the latter believed that all the needsShow MoreRelatedThe Between Public And Private Sector1030 Words   |  5 Pageshigh level of productivity from them. There are many theories that lead us to believe that an employee’s motivation level is directly related to the employee’s level of productivity and engagement. So then what motivates a workforce as a whole, each individual, and does employee motivation vary between public and private organ izations? Common Theories of Motivation Murray’s Theory of Needs American psychologist Henry Murray developed a theory of personality that was organized in terms of motivesRead MoreThe Theory Of Psychogenic Needs1256 Words   |  6 Pages Murray’s Theory of Psychogenic Needs can be interpreted as processes of satisfying motives and needs and is influenced by Freud’s Theory of Psychoanalysis . The first principle in Murray’s theory, is based on the personality being rooted in the brain while cerebral physiology is guiding and governs every aspect of the personality. 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The next level would include safety needs, personal and financial security health and well being. As you move up the pyramid the needs increase to love and belonging, self –esteem and the highest level would include self-actualization, reaching one’s full potential. The theory is that you canRead MoreSentence Completion Test5817 Words   |  24 PagesPersonality Inventory–2 [MMPI–2]), not by category (e.g., inkblot and storytelling technique). Despite the recognized popularity of SCTs, what is not known is which ones practitioners are using, whether they score these instruments according to any theory or guideline, why the tests are so popular, or why they are lumped together as if they all provide the same psychological information. This informati on is important to academicians who are charged with preparing future psychologists to perform appropriatelyRead MorePsychology14463 Words   |  58 Pagessocial-psychological theories and research. Rather than providing a thorough literature review of all research using constructs proposed to represent the operation of basic human needs, we instead review much more selectively the current state of theories about basic human needs, with a little historical context. We have chosen six theories for comparison. All of these theories have been given extensive explication and review elsewhere, so we will focus particularly on how these theories are structured

Clinical Psychology and Gerontology Vaccination Against Measles

Question: Describe about the Clinical Psychology and Gerontology for Vaccination Against Measles. Answer: 1. It has been found from the paper of Ozawa et al., (2014) that almost all the children receive vaccination against measles, diphtheria, polio but very few adults attempt for vaccination for protection against pneumococcal and influenza disease despite they have the potential to save or reduce their sufferings. The literature review shows slow adoption of the vaccines in the elderly. SteelFisher et al., (2015) highlighted that in Singapore the schedule of vaccination for adults is not offered comprehensively when compared to other countries such as Australia, Europe, and the United States. Therefore, several studies have been conducted to understand the reasons for slow adoption of vaccines in the elderly. Ang et al., (2013) believes that the importance of the vaccinations in enhancing the immune system of aging is unknown to many. There is a lack of awareness about the ability to protect against infections even in chronically ill patients. Currently, MOH recommends adult vaccines for people in high-risk groups or severe chronic illness to protect against Influenza and Pneumonia. In spite of the newly set national guidelines very few adults are vaccinated. According to the specialist of infectious disease, Mr. DrLeong Hoe Nam at Mount Elizabeth Novena Specialist Centre the slow adoption of vaccines in the elderly is due to lack of awareness among health care providers, patients and their families (Low et al., 2015). Studies conducted by Eng et al., (2014) showed that few proportion of patient are aware of the fact that influenza leads to death in individuals who are already suffering from other diseases such as Diabetes, Asthma, lung disease as well as those with weakened immune system . There is also the lack of awareness that the recent tetanus vaccine, which includes a booster for a whooping cough, renders protection to the adults as well as their grandchildren. There is varying rate of effectiveness for the adult vaccines unlike children vaccines, which are found to be 100% effective for polio and measles. The shots for pneumonia and flu are not successful which another reason for lagging adult immunization rates. In 2014, the rate of infection by flu reduced by only 19% after receiving flu vaccines in Singapore, which made difficult to persuade the older adults to get vaccinated (Ang et al., 2015). In addition, many physician dot not recommend vaccines more often or incorporate them into routine care and many physicians do not consider vaccinations a priority for adults (Tan et al., 2016). According to Tomczyk et al., (2014) new vaccine pricing owing to its complexity is leading to medical, scientific and public health ramifications. This pricing system has slowed down the adoption of the vaccination, as such vaccines do not reach the market to their full potential. The cost of one influenza jab is $35, and that about pneumococcal vaccine is about $80 in privatized health clinics. The high cost is the biggest hurdle for the care providers and patients. The shelf life of shingles vaccine is very short which makes its storage difficult in personal offices of physicians and therefore patients themselves has to get it from health clinics or pharmacy. Consequently, this extra step deters patients (Fatha Goh, 2014). The private insurances cover vaccines in addition to preventive services, but then the same deal is not applicable in the case of Medisave or Medicare where in one part the Flu and pneumonia shots are free, but shingles and tetanus vaccines may be covered in other part or require the copayment. In Singapore, Medisave does not pay for vaccinations (Tan et al., 2016). There is a need of enhanced effort to strengthen these areas to improve the speed of vaccine adoption among the elderly and prevent life-threatening ailments. The government of Singapore must develop measures and policies for improvement in vaccination programs for adults. 2. Vaccination is the cornerstone to control infectious disease and reduce the rate of mortality and morbidity. Since Singapore is a compact city, it is easy to administer vaccines to the large population quickly with systematic and good monitoring of adverse consequences. Singapore can improve adult vaccination in elderly by various ways, which are discussed in subsequent sections. Thein et al., (2013) Stated that there is an increase in efforts from the doctor to introduce more vaccines for the adults in Singapore. Currently, MOH recommends adult vaccines for people in high-risk groups or severe chronic illness to protect against Influenza and Pneumonia. Public hospitals should start programs to increase the adult vaccine rates. In addition, Singapore can implement pre-discharge vaccination as a standard of care similar to US and Canada (Natarajan Shankar, 2015). In every hospital, a significant proportion of inpatients suffer from conditions, which demands them to be immunized against chronic diseases. Therefore, offering these vaccines to them before the discharge would be a good opportunity. The patients on the other hand can lump the cost of vaccination within the hospital bill. The MOH should ensure the viability of paying for vaccinations using Medisave. It will reduce the cash outlay for the patients. Hospitals must hold "annual vaccination exercise" f or the patient who has undergone Kidney transplantation. This has been found to be successful in UK in immunizing 89% of the patients with Kidney disease against pneumococcal, hepatitis and influenza disease (Thein et al., 2013). Since these patients are immunocompromised, such interventions are helpful to reduce long-term complications. Vaccination education programs should target adult population to create awareness about how aging drops the immunity, the level of risks and complexity associated with infections after the age of 50 years. There is a need to educate about the deadly "lockjaw" condition caused when not immunized against tetanus. That may increase the immunization rates of tetanus (Nguyen et al., 2015). The education programs should target at promoting health changing behavior in elders by enhancing self-efficacy and motivation. It is essential to increase the awareness in elderly about the need to take preventive health steps by updating them about the recommended vaccines and the terrible condition, which can be prevented (Natarajan Shankar, 2015). Physicians should be instructed to strictly follow the national guidelines that should mandate them to recommend vaccines to all the older patients with weakened immunity. These will increase the awareness and adoption of vaccines by older patients. The M OH in Singapore can implement a multifaceted quality improvement initiative in all the health organisations to increase the prescription of the influenza and pneumococcal vaccines in elderly and diabetics. Since such methods have shown improvements in some health institutes, it appears to be effective. However, there is a need for measures to evaluate its sustainability and applicability in all the primary care settings as well as safe reporting system (Tomczyk et al., 2014). According to Nguyen et al., (2015) this method in Singapore have increased the influenza vaccination from 9% to 47.1% and Pneumococcal Vaccine from 6% to 47.1% in a 5-month period. Singapore government can offer drive-through flu shots to the patients in their cars, or the Uber service providers can use a cell phone app to allow the customers to get free vaccines (Said et al., 2013). There is need of implementing e-health technology in Singapore owing to it multifunctional benefits. The health systems can identify the seniors who are in urgent need of vaccination through a quick search of electronic health records. Providing telehealth services is more advantageous as it brings care into a home (Bonten et al., 2015). According to Muhammad et al., (2013) the best way to increase the speed of the immunization in elderly is by engaging every staff in health organization right from the front office to back office in vaccinations. This is an effective method, as it does not lay the entire burden only on the physicians. The policy maker should incorporate training programs for health care professionals to provide intense care to the older patients. It must develop pilot community-based care services for older patients. The MOH must implement policy-directed program evaluation and National Seniors framework for improving the vaccination rate (Ang et al., 2013). Further, the insurers, payers, policymakers should make enhanced efforts to improve adult vaccination coverage rates. According to the theory of generativity by Erik Erikson, older people must expand their care beyond oneself (Ozawa et al., 2014). They should pass their wisdom and knowledge towards other in broader societal contexts to promote better health. Therefore, the community programs or service centres in Singapore must implement similar theories and concepts. The stakeholders must be presented with the data of the deaths due to lack of immunization in elderly to promote such programs in hospital and communities. The supporting evidenc e should be based on randomized control trials and other studies. The stakeholders and the health authority must collaborate internationally to implement vaccination success strategies of other countries such as Canada, US in Singapore (Bonten et al., 2015). 3. Pneumococcal disease is third leading cause of death associated with infection in children as well as in adult in Singapore (Thein et al., 2013). In Singapore, there were 380 cases of invasive pneumococcal disease per year during 2000-2008. More than 50% of them were older patients with 21% of fatality rate. However, in the year 2014, the number decreased to 164. Patients above 65 years of age are highly susceptible to this invasive disease. Vaccination is the cornerstone to control infectious disease and reduce the rate of mortality and morbidity. A pneumococcal vaccine has a potential to prevent life-threatening ailments and can prevent the global health problem. However, there is a slow adoption of pneumococcal vaccine in elderly in Singapore (Tan et al., 2016). Pneumococcal vaccine is vital for the older patient both at individual and at the community level because of deadly complications associated with the infection once developed (Muhammad et al., 2013). The causative organism of this disease is Streptococcus pneumonia, and its pathogenicity is mainly due to capsular polysaccharides. It can be manifested as- Bacteraemia- characterized with non-specific signs of illness and high fever Meningitis- presents with a severe headache, fever, stiffness of neck, nausea,vomiting, and pain when exposed to bright light Bacteremic pneumonia- is presented with rapid breathing, chills, cough, fever and chest pain (Said et al., 2013) There are several complication due to pneumococcal pneumonia such as lung abscess and pericarditis, pneumococcal meningitis leads to significant learning disabilities, paralysis, speech delays and even death (SteelFisher et al., 2015). Lack of pneumococcal immunization may kill a huge number of people owing to the slow adoption of this vaccine. The vaccine is necessary both at individual and community level due to its transition from asymptomatic carriage to invasive form. It is highly infectious and can quickly spread to various parts of the body such as lungs, middle ear, blood, coverings of the brain and spinal cord. It can spread from person to person through direct contact or droplets from an infected person while coughing or sneezing or articles contaminated that with infected droplets (Tomczyk et al., 2014). This implies the safeguard against this deadly disease both at the individual and at a community level. Infection to one person can reach a hundred others and increase the death and disability rate. However, effective intervention can stop the invasive chain of infection. Untreated patients can suffer septic shock, acute respiratory failure, multiorgan failure, and within several days can lead to death after its onset (Ozawa et al., 2014). The rationale for highly targeting elderly population (above 65 years) for this intervention is their weakened immunity and fragility. Older people with diabetes, lung disease are highly prone to this disease. The other risk factors in older adults that facilitate the development of the disease include chronic heart disease, alcohol consumption, smoking, and previous hospitalization for pneumonia. Singapore has been reported with increasing elderly population and hence decreasing pneumococcal disease is an important priority. Across the world the incidence of pneumococcal disease increases with age and the mortality is disproportionately high in an older group of population (Natarajan Shankar, 2015). Also, there is an increase antibiotic resistance among various strains of S. pneumonia, and these are highly found to infect older patients with comorbidities (Fatha et al., 2014). In conclusion, there is a need for herd immunity to eliminate or minimize the death due to PD. The Health Sciences Authority (Singapore regulatory body) has approved the use of 23-valent pneumococcal polysaccharide vaccine (PPSV23) and PCV13 for the prevention of PD in adults (Tan et al., 2016). The former is highly effective for patient above 65 years of age and with comorbidities. However, a combination of both is best for high-risk adults. References Ang, L. W., Cutter, J., James, L., Goh, K. T. (2013). Seroepidemiology of hepatitis B virus infection among adults in Singapore: a 12-year review.Vaccine,32(1), 103-110. Ang, L. W., James, L., Goh, K. T. (2015). Prevalence of diphtheria and tetanus antibodies among adults in Singapore: a national serological study to identify most susceptible population groups.Journal of Public Health, fdv011. Ang, L. W., Tey, S. H., Cutter, J., James, L., Goh, K. T. (2013). Seroprevalence of hepatitis B virus infection among children and adolescents in Singapore, 20082010.Journal of medical virology,85(4), 583-588. Bonten, M. J., Huijts, S. M., Bolkenbaas, M., Webber, C., Patterson, S., Gault, S., ... Patton, M. (2015). Polysaccharide conjugate vaccine against pneumococcal pneumonia in adults.New England Journal of Medicine,372(12), 1114-1125. Eng, P., Lim, L. H., Loo, C. M., Low, J. A., Tan, C., Tan, E. K., ... Setia, S. (2014). Role of pneumococcal vaccination in prevention of pneumococcal disease among adults in Singapore.International journal of general medicine,7, 179. Fatha, N., Ang, L. W., Goh, K. T. (2014). Changing seroprevalence of varicella zoster virus infection in a tropical city state, Singapore.International Journal of Infectious Diseases,22, 73-77. Low, S. L., Lam, S., Wong, W. Y., Teo, D., Ng, L. C., Tan, L. K. (2015). Dengue seroprevalence of healthy adults in Singapore: serosurvey among blood donors, 2009.The American journal of tropical medicine and hygiene, 14-0671. Muhammad, R. D., Oza-Frank, R., Zell, E., Link-Gelles, R., Narayan, K. V., Schaffner, W., ... Harrison, L. H. (2013). Epidemiology of invasive pneumococcal disease among high-risk adults since the introduction of pneumococcal conjugate vaccine for children.Clinical Infectious Diseases,56(5), e59-e67. Natarajan, V. S., Shankar, B. H. (2015). Challenges in the Management of Pneumococcal Disease in Older Adults.The Journal of the Association of Physicians of India,63(4 Suppl), 13-16. Nguyen, M. H., Chen, L. L., Lim, K. W., Chang, W. T., Mamun, K. (2015). Vaccination in Older Adults in Singapore: A Summary of Recent Literature.Proceedings of Singapore Healthcare,24(2), 94-102. Ozawa, S., Privor-Dumm, L. A., Nanni, A., Durden, E., Maiese, B. A., Nwankwo, C. U., ... Foley, K. A. (2014). Evidence-to-policy gap on hepatitis A vaccine adoption in 6 countries: Literature vs. policymakers beliefs.Vaccine,32(32), 4089-4096. Said, M. A., Johnson, H. L., Nonyane, B. A., Deloria-Knoll, M., Katherine, L. O., AGEDD Adult Pneumococcal Burden Study Team. (2013). Estimating the burden of pneumococcal pneumonia among adults: a systematic review and meta-analysis of diagnostic techniques.PloS one,8(4), e60273. SteelFisher, G. K., Blendon, R. J., Kang, M., Ward, J. R., Kahn, E. B., Maddox, K. E., ... Ben?Porath, E. N. (2015). Adoption of preventive behaviors in response to the 2009 H1N1 influenza pandemic: a multiethnic perspective.Influenza and other respiratory viruses,9(3), 131-142. Tan, K., Wijaya, L., Chiew, H. J., Sitoh, Y. Y., Shafi, H., Chen, R., ... Lim, T. (2016). An outbreak of Group B Streptococcal CNS infection in Singapore: unusual clinical and MRI findings (P1. 330).Neurology,86(16 Supplement), P1-330. Thein, T. L., Leo, Y. S., Fisher, D. A., Low, J. G., Oh, H. M., Gan, V. C., ... Lye, D. C. (2013). Risk factors for fatality among confirmed adult dengue inpatients in Singapore: a matched case-control study.PloS one,8(11), e81060. Tomczyk, S., Bennett, N. M., Stoecker, C., Gierke, R., Moore, M. R., Whitney, C. G., ... Centers for Disease Control and Prevention (CDC). (2014). Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine among adults aged 65 years: recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR Morb Mortal Wkly Rep,63(37), 822-5.

Hodgkins Disease Essays - Anatomical Pathology, RTT,

Hodgkin's Disease Hodgkins Disease Cancers arising from the lymph nodes or other sites of lymphoid tissue are broadly termed lymphomas. This group of diseases is divided into Hodgkins disease and non-Hodgkins lymphoma. In both conditions, there is a replacement of normal lymphatic tissue by collections of abnormal lymphoma cells. The lymphatic system are a complex network of specialised cells and organs that defend the body against infection. Lymphatic organs include the bone marrow, spleen, thymus gland, lymph nodes, tonsils, adenoids, appendix and clumps of tissue in the small bowel. A function of the lymphatic system is to nurture and mature the B and T-lymphocytes (white blood cells vital to immune function). Cancerous changes can take place when mutation leads to failure of the cells maturing of the lymphoid cells. Lymphomas are regarded as cancers of lymphocytes. The process which lymphoma occurs consists of a series of events where normal lymphocyte cells cease to mature and develop in an orderly fashion. The genetic make-up of the lymphocyte is altered, resulting in the formation of altered lymph tissue (tumours) or altered lymphocyte secretions. Typically, patients present with a painless swelling of lymph node, with or without fever and night sweats and weight loss. How Hodgkins Is Caused. The exact cause of Hodgkins disease isnt known. However, different of how it is caused. 1. Viruses The Epstein-Barr virus is a herpes virus that causes infectious mononucleosis (also known as glandular fever). Epstein-Barr virus genes have been identified in tissue samples of approximately 20-50% of individuals with Hodgkins disease. However, it is yet to be established whether the Epstein-Barr virus can cause Hodgkins disease. The most of people who develop glandular fever will not develop Hodgkins disease. 2. Genetics Hodgkins disease is associated with a number of rare immune disorders. Chronic inflammatory disorders such as rheumatoid arthritis and systemic lupus erythematous have also been associated with Hodgkins disease. Further, the recipients of heart, kidney and other organ transplant have been found to be at an increased risk of developing the illness. There is some evidence suggesting that first degree relatives of individuals with Hodgkins disease is at a small, but increased risk of developing the disease. However, Hodgkins disease is not directly heritable. Involved nodes in the neck, groin and armpits tend to be painless, firm, and rubbery. In some instances, the nodes may spontaneously increase and decrease in size. Because Hodgkins disease is associated with a defect in the maturation of the lymphocyte, the immune system may be impaired. As such repeated infections may occur. Symptoms The symptoms of Hodgkins disease frequently depend upon the stage of disease. Staging defines the extent to which the disease has spread throughout the body. Moreover, it often determines which treatment(s) will be required. Hodkins has 4 distinct stages of Hodgkins disease, these being stages 1-4. Each stage is further defined as exhibiting either A or B symptoms. These symptoms refer to either the absence of A or presence of B unexplained weight loss in the preceding 6 months, fever greater than 38?C, and or night sweats. Tumour suppressor genes: In health this family of genes usually act as a counter balance for oncogenesis. It is thought that they may be responsible for repairing gene damage in cells, or are growth inhibitor genes. In Hodgkins disease, there are often evidences of mutation in tumour suppressor genes as well as other genes. Stage 1. Stage 1 Hodgkins disease affects a single lymph node or lymph node region. The lymph nodes most commonly affected are the nodes in the neck, armpits or groin. Stage 2. Stage 2 disease is associated with lymph node involvement in 2 or more regions. However, the nodes must be involved in only one side of the diaphragm. The diaphragm is a muscle lying beneath the lungs. It moves up and down allowing air to move in and out of the lungs. Stage 3. Stage 3 disease is associated with lymphoma involvement on both sides of the diaphragm. The spleen is frequently involved at this stage. If the spleen is involved the abdomen may become tender or enlarged, with or without symptoms of abdominal fullness and distension. Stage 4. When Hodgkins disease enters stage 4, disease can spread through the body to area outside of the lymphatic system.

internal and external negoitating essays

internal and external negoitating essays Internal and External Negotiating .... The Pie Contradiction. When the discussion on this type of topic comes up, it is important to understand several key points. First is the fact that negotiations of this nature are done by one group (or institution) to another group. Now, knowing this it is also safe to assume that groups of people are not a collective of one mind and one thought, and thus the group will not act as one. Inside these groups, many different and sometimes conflicting ideas and interests are bound to hinder a straightforward negotiation. These internal problems creeping into the wood work before the other party has even made in to the table will ultimately create new layers in the bargaining process. This is not to say all internal negotiations are bad. In my opinion if a group will argue between them to smooth out all the potential internal interests and concerns; then it can also be sure that as a group the entire entity was come to the bargaining table with the knowledge that all of its main views have already been addressed. Then as a result the bargainer knows what as a group they would accept and decline. As it was briefly covered in the article the internal bickering within one group does have its downfalls which in the long run hinder the group more then promote it. If certain people within the group have personal agendas such as personal wealth or influence in mind, these views of the few that can go against the optimum deal for the entire group. Then as these people fight to have their views and solutions pushed forward the group may lose more in the long run. (Albeit the few people in the group may come out even stronger.) I believe the key to getting beyond the internal negotiations and out onto the bargaining table with the other party is to as a group not bicker over 1 or 2 minor things, but to look at these deals one pie which may have many different ingredients within it. The pi...

Navigation Incident NO.1 Essay Example | Topics and Well Written Essays - 1000 words

Navigation Incident NO.1 - Essay Example The buoy however was unharmed. DISCUSSION MV â€Å"Calamity Jane† was proceeding at a speed of 15 knots along the course of 170o (T). Visibility was determined to be good and with an excess of 10 nautical miles. The tidal stream was estimated to be setting 178o (T) at a rate of 1.4 knots. Even all of the bridge equipments such as the radar were fully functional. With everything working in top form, MV ‘’Calamity Jane’s’’ route was fully planned and she was on schedule, passing her first way point ‘’Mew Island Lighthouse’’ and enroute to the second way point ‘’South Rock Lighthouse’’. The distance between the previous way points was 18.3 nautical miles. The plan of passage was marked up on the chart (No.2093) and it determined that the ship was to proceed at a course of 170o (T) at 15 knots so that to pass between the South Rock Light Vessel, until South Ridge buoy. On passing the previous w ay point the ship was scheduled to alter her course to 210o (T) and follow up this course for 7.5 nm so as to reach ‘’Strangford Narrows Leading Lights’’, her third way point. Things began to get out of hand about 18 minutes prior to midnight, which was scheduled to be the time for switching watches between the two navigators. The 1st navigator fixed the position of the ship at 2342 and 2348 but found that the ship was 2 cables east of track while the South Rock Light Vessel was ahead of the track. This led to him altering 5o to starboard and then following up a new course of 175o (T). Subsequently, the 1st navigator took a third fix right before switching watches at 2354 and found that the ship was back on track. This incident is said to have occurred mainly due to the faults by the first navigator, who first took two fixes in a 6 minutes interval, which is good. He noticed that the ship was in the port side of the track and so made alterations to the sta rboard to a course of 175o (T) to regain the track. However, he did not consider the effects of the tidal stream that was estimated to be setting 178o (T) at a rate of 1.4 knots. Considering the course and the direction of the tidal stream together, it is understood that the ship will drift most towards the east because of the lack of resistance between the tidal stream and the ship flow. Thus, this lack of consideration of this aspect could have resulted in a largely misleading from the planned track and beginning to drift off the course. Then, less than 6 minutes before midnight, the 1st navigator tried to correct things by taking a last fix and found that the ship was right on track while navigating at the same course at 175o (T). Now, the ship was momentarily on track but not following the correct course since it was drifting towards the west. The navigator’s timing for takinf the fix was quite bad and turned out to be unfortunate for the ship. Had the fix been made even a few minutes later, the 1st navigator would have noticed that he was proceeding on the wrong course and that the ship was wrongly drifting towards the west. This is considered wrong since the east coast plays a better home for ships than the west due to the west having more hazards such as shallow water, wreck and unlit buoy which are almost impossible to notice in the dark. The 1st navigator did not consider all this while making the decision and this accident was caused due to his lack of attention.

Ancient and MEdieval Political Theory Essay Example | Topics and Well Written Essays - 5000 words

Ancient and MEdieval Political Theory - Essay Example Furthermore, it is evident that the US, possesses negative relation with certain countries that has led towards ineffective foreign policy and decision-making. On the other hand, there are also many nations having positive relation with the US and hence, lead to effective development of foreign policies and decision making regarding the elimination of terrorism from the world. Thus, from the evidences and the arguments of the research, it is asserted that the states’ identity in foreign policy and decision-making has led to limited efficiency in demolishing terrorism from the world. The objective of the research emphasizes identifying the identity of the US with regard to its active participation in the fight against terrorism. More elaborately, it intends to discover the role of the US in combating terrorism. The report also focuses on discovering the importance of foreign policies and decision making along with the international relationship in soliciting global power for combating terrorism. It is expected that by accomplishing these objectives, the report would lead to the development of a comprehensive understanding regarding the role of the US and correspondingly, its identity in designing foreign policies and decision-making. Hence, the discussion would lead towards soliciting global support, which would be further effective in combating terrorism. Several studies have been conducted with regard to the research topic, as elaborated in the following sections of the paper. These studies were highly successful with regard to the identification of state identity in fighting against terror groups. Research studies have also been concentrated on extensively considering the foreign policies and decision-making in soliciting global support to combat terrorism from the world. However, there are very little evidences of research studies that consider both these aspects. Therefore, the rationale behind the study is to grasp the opportunity of

Supply Chain Strategy Essay Example for Free

Supply Chain Strategy Essay What recent changes have caused supply chain management to gain importance? 2. With so much productive capacity and room for expansion in the United States, why would a company based in the United States choose to purchase items from foreign firm? Discuss the pros and cons. The use of foreign firms can provide a U. S. firm more alternatives in selecting a supplier. The pros are more choices, potentially reduced costs in the areas of materials, transportation, production, and distribution, and potentially moving closer to a foreign market. The cons are the distance is generally increased, communications problems are increased due to distance, culture, and technology. There may be problems with customs, government regulations, political stability, etc. 3. Describe the differences between functional and innovative products. Functional products are staples that people buy in a wide range of retail outlets. Typically, they do not change much over time, have low profit margins, stable predictable demand and long life cycles. Innovative products, on the other hand, give customers additional reasons to buy. Fashionable clothes and personal computers are examples of innovative products. Innovative products have short life cycles, high profit margins, and volatile demand. 4. What are characteristics of efficient, responsive, risk-hedging and agile supply chains? Can a supply chain be both efficient and responsive? Risk-hedging and Agile? Why or Why not? As a supplier, which factors would you consider about a buyer (your potential customer) to be important in setting up a long-term relationship? The financial stability and credit worthiness of the company is of primary importance. The reputation of the company visavis their supplier is also very important. For example, is this a company that is fair with its suppliers and honors its payables in a timely fashion? Is the technological match between supplier and customer sufficient? Will delivery schedules and quantities be stable, facilitating smooth operations? For the value density example in Exhibit 10. 9, what would the effect be if a competing firm offers you a similar service for 10 percent less than Federal Express’s rates? 7. What are the advantages of using the postponement strategy? Process postponement delays the process step that differentiate the product to as late in the supply chain as possible. The advantages of this approach are that lower levels of inventory, and fewer models are needed to match customer requirements. This results in higher levels of customer satisfaction at a lower cost.

The Passing of the Crown by Shakespeares Henries Essay -- Henry IV He

The Passing of the Crown by Shakespeare's Henries      Ã‚  Ã‚   In his histories from Richard II through Henry V to Richard III, Shakespeare depicts the English monarchy as a game between family and friends of vying for a gold ring -- the crown. Shakespeare gives his reader a central metaphor through which to see this equation in King Henry IV part one. The prank Prince Hal, later King Henry V, and his friend, Poins, play on their friends, particularly Falstaff, parallels the plot's focal passing of the crown.    In the first act, Poins outlines his plan to play a prank on Falstaff and their other friends to Prince Hal, "They [Falstaff and others] will adventure upon the exploit [of stealing money from travelers] themselves, which they shall have no sooner achieved but we'll set upon them" (I.ii.169-71). This exactly represents the larger action that takes place in this same piece. King Henry IV, previously Bolingbroke, usurped the crown from King Richard II in Shakespeare's play of that title, and now, in this King Henry Hotspur is trying to take from "Bolingbroke," the name he contemptuously insists on using for the king, the crown which the king 'rightfully' stole already. Hal's prank can, in fact, be seen as the summarizing play within the play so popular in Elizabethan drama. Not only does Hal's light-hearted game sum up the events of this history, it also works as a microcosm of the events in King Richard III, a tragedy wherein Richard steals the throne from his brothers, Ed ward and George, who, in turn, stole it from Henry VI. The metaphor becomes even more obviously applicable when we hear Falstaff's self-defense for giving up the stolen money so easily, "Was it for me to kill the heir apparent?"... ...taining the position and participating in its ceremonies is a game. However, I don't think this means that the role is an impossible one to actually possess, that it's always simply an unreachable construct that everyone pretends at. I think it just means that Shakespeare sees the crown as not being as serious a thing to possess as is commonly thought. It's a joke, a gag, a prank, always a gold ring made of cardboard. Where there's "a kingdom for a stage," so too can there be 'a stage for a kingdom' (Henry V, prologue line 3). Being King means playing.    Works Cited Shakespeare, William. Henry IV: part one. Ed. P. H. Davison, New York: Penguin Books, 1996. Shakespeare, William. Henry IV: part two. Ed. P. H. Davison, New York: Penguin Books, 1997. Shakespeare, William. Henry V. Ed. A. R. Humphreys, New York: Penguin Books, 1996.   

Examine the theme of deception in Much ado about nothing Essay

The theme of deceit is apparent throughout the whole play and it helps to propel the plot forward. At the start of the play we are introduced to the idea that there is a gap between illusion and reality when Claudio is described as having â€Å"the figure of a lamb, the feats of a lion.† Despite being youthful, he is deceptively strong. Furthermore, â€Å"Lady Disdain† is presented to the audience as a contented maid, cynical about love â€Å"I would rather hear my dog bark at a crow than a man swear he loved me.† And Benedick is presented as a man who values his freedom and independence and proclaims that he would never succumb to marriage, he claims if he does his friends are free to â€Å"pluck off the bull’s horns and plant them in my forehead.† Both of these claims are false, as ironically, the two marry at the end of the play. The feuding pair, Beatrice and Benedick form a platform for the theme of deception as beneath the antagonism and mockery lies deep rooted emotions for each other. Their hatred is simply and illusion as a â€Å"false face† is presented to the world. Later in the play their love blossoms and Benedick’s views are ironically transformed â€Å"get thee a wife† Deception is further highlighted where Don Pedro offers to woo Hero on Claudio’s behalf. â€Å"I will assume thy part in some disguise.† Don Pedro’s dominance leaves the reticent Claudio no choice but to accept his offer and under a â€Å"mask† he woos the unsuspecting Hero. Deception is used here to form relationships. Masks are used to confuse illusion and reality in the ball Beatrice speaks openly about her thoughts on Benedick â€Å"why he is the prince’s jester† It is debatable whether Beatrice knows that Benedick is the stranger behind the mask but if she does happen to know this then she is deceiving him to make a fool out of him. In a lighter manner, Benedick and Beatrice are deceived into love by their matchmaking friends. In frivolous Messina the joy of courtship and matchmaking helps to highlight the trivial society in which they exist. Through eavesdropping they listen to false claims about love. Claudio claims that Beatrice is sick in love with Signor Benedick and â€Å"baits the fish† as they reel him in with intrigue and swelling pride. Similarly, Beatrice’s friends hope that â€Å"her ear lose nothing of the sweet bait we lay for it†¦Ã¢â‚¬  and both characters are tricked into love as their friends orchestrate a cunning plan. The most prevalent form of deception is used when the malevolent Don John uses deception to break the fragile relationship between Claudio and Hero at the climatic point of the play. He uses the male fear of cuckoldry to forge and administer his plan. Through claiming, †the lady is disloyal† he deceives his brother and encourages Claudio to believe the innocent Hero is â€Å"soiled† deceit is used here to slander an innocent maid. Rather that fall foul to the shame of infidelity, Claudio publically shames Hero and refuses her on the basis that she is a â€Å"rotten orange† again suggesting that outer appearances can be deceptive and she is rotten at the core. This sparks a catalyst for further deceit where Hero â€Å"fakes† her death. False friendships between Claudio and Benedick are exposed â€Å"I must discontinue your company.† and the calm, tolerant Leonato is unveiled to reveal a more aggressive and violent character who fears dishonour and public shame. â€Å"hence†¦let her die!† he would rather his daughter die than face the public humiliation. The tangled web of deceit continues where Leonato insists that Claudio marry his niece who is infact the â€Å"re-born† and cleansed â€Å"Hero† of the story. Claudio is deceived into thinking that his bride is dead. His willingness to accept the unknown, â€Å"Which is the lady I must seize upon?† shows that marriage for social grace is more important than love but also shows his commitment to show remorse. Finally, the very language of Much Ado about Nothing helps to illuminate the key theme of deception as the pomp of the aristocracy and the use of elaborate language encourages the audience to assume a moral and ordered society; yet lurking beneath this lies sinister and deceitful behaviour often born out of jealousy and desire.

George Orwell s The Perils Of Indifference Lessons...

Actions Define the Human Condition Philosophical issues have been debated for centuries. One of the more recent dilemmas in philosophy is the â€Å"Trolley problem† (Foot). The basic premise is, a runaway train going straight will kill five people, if it is diverted, it will kill one person, which do you choose? George â€Å"Orwell’s Shooting an Elephant† (Orwell 407) and Elie Wiesel’s â€Å"The Perils of Indifference: Lessons Learned from a Violent Century† (Wiesel 289) both examine the effect of human actions. Wiesel’s speech is the more persuasive due to the emotional element as well his plainly stated view upon indifference, whereas Orwell’s narrative leaves the reader questioning his action. Elie Wiesel born in 1928 is a Jewish holocaust survivor, who later in life won the noble peace prize and published over 40 different books. The speech The Perils of Indifference: Lessons Learned from a Violent Century was given at the white house during the Millennium Evenings. He expressed his gratitude to the president, the army that saved him and the country that sent them. Wiesel is descriptive in his recollection of his time spent in the camps as well as bold in his statements about all of humanity. At one point he is even critical of the country that saved him from Auschwitz. But in the end he speaks of hope for the future. George Orwell, who used the pen name Eric Arthur Blair, was born in India in 1903. A British man, who after his education returned to India and became an Imperial