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

Comparing Males in Brownings Porphyrias Lover and My...

Controlling Males in Brownings Porphyrias Lover and My Last Duchess The death of the female beloved is the only way deemed possible by the insecure, possessive male to seize her undivided attention. This beloved woman represents the reflector and guarantor of male identity. Hence, the male anxiety about the womans independence for her liberty puts his masculine self-estimation at risk (Maxwell 29). The jealous and controlling males in Robert Brownings Porphyrias Lover and My Last Duchess possess a fervent desire to fix and monopolize their unconstrained female beloveds. Due to a fear of death, both speakers attempt to achieve control and deny object loss; by turning their lovers (once subjects) into objects,†¦show more content†¦Brownings romantic setting--Porphyria has come to [the lover] out of a world from which he is foreclosed--implies that her darling one wish was something comparable to: I want to be with you forever. The speaker misreads her comment in order to escape being a loved object to be abandoned again. He states that Po rphyrias feminine position is one far too weak to break the vainer ties in a world of which he cannot be a part of. Torn between passionate possession of her and inevitable abandonment, he has murdered her in order to turn her into a fetishistic object which can never leave (Ingersoll 154). The lover confirms that he is in control. He is the observer; she, the silenced object. Even God has not said a word! (60), rendered silent in the face of the narrating of this masterful subject (Ingersoll 154). Through the power of his monologue, this lover successfully defies God and remakes Porphyria into his own object of desire. Like Porphyrias lover, the murderer in My Last Duchess also demands control in his relationship with the Duchess. The Duke begins his speech by exposing the exquisite portrait of his former wife to an initially unidentified guest. To him, this object is his wife. The language he uses in relation to the portrait seems deliberately confused:Show MoreRelated Comparing the two poems Porphyria’s Lover and My Last Duchess1371 Words   |  6 PagesBy comparing the two poems Porphyria’s Lover and My Last Duchess, explore how Browning deals worth the theme of jealousy. Jealousy is a theme that occurs quite regularly in Browning’s poems. This was particularly noticed in both of the poems ‘Porphyria’s Lover’ and ‘My Last Duchess’ where in both cases, the male protagonists were jealous of the extra attention that their lovers received from other admirers. When studying both poems, the reader can create in their mind a vivid picture ofRead More Comparing the Male Characters of Porphyria’s Lover and My Last Duchess1720 Words   |  7 PagesComparing the Male Characters of Porphyria’s Lover and My Last Duchess The creation of a plausible character within literature is one of the most difficult challenges to a writer, and development to a level at which the reader identifies with them can take a long time. However, through the masterful use of poetic devices and language Browning is able to create two living and breathing characters in sixty or less lines. When one examines these works one has to that they are quite the achievementsRead MoreEssay on A Comparison Between My Last Duchess and Porphyrias Lover2909 Words   |  12 PagesA Comparison Between My Last Duchess and Porphyrias Lover Works Cited Missing Robert Browning was one of the greatest poets of the nineteenth century and is still considered one of the major poets of the Victorian era. He was born in 1812 and married the privately educated poet, Elizabeth Browning, in 1846. They eloped to Florence, Italy, where his wife gaveRead MoreWilliam Shakespeare s Sonnet 182829 Words   |  12 PagesSonnet 18 too. Within My Last Duchess, love explores the submissive and possessive side effects of being completely infatuated, which similarly links with La Belle, however instead of patriarchal power, domination is shown through a woman. First Love is comparable to both Sonnets, in which love is portrayed passionately, presenting real love and the overwhelming feeling it can convey. Finally Porphyria’s Lover portrays unrequited love with a sinister background alike My Last Duchess. CONTEXT, READER

Baroque Vs. Baroque Era - 1495 Words

Baroque is a complex term used to describe what was thought to be a messy, vaguely disgusting style. Potentially coming from the Spanish words barrueco meaning a rough or imperfect pearl or â€Å"berruca† the term for â€Å"wart†, Baroque came to be a generalized term for art, architecture, music, and sculpture from the 16th century to the early 18th century (Klindt-Jensen 2015). Not only was the â€Å"Baroque period† long lasting, but it was far reaching as well. From Holland to Spain, Germany to France, the Baroque style began in Rome and Italy around 1600 and quickly spread to most of Europe, eventually reaching colonial South America in the 18th Century (Fargis 1998). Similar to terms such as Gothic or Mannerism, the term â€Å"Baroque† began in a†¦show more content†¦Second, planar to recession. Figures no longer purely stood parallel to the canvas, and instead had depth and spatial relations. Third, the change from closed to open form: the a cknowledgement of the viewer and the painting’s relation to the physical world with conflicting angles and the ability to be â€Å"out of frame†. Fourth, the idea of unity in a painting where no single image could be isolated due to lighting and significance. Finally, the change from absolute clarity to relative clarity, the potential for a subjective painting, one which could be read as a story. Painters such as Caravaggio presented their works as theatrical displays, with intense lighting bringing the figures to the stage. Styles such as Tenebrism, Chiaroscuro, and Leonardo De Vinci’s Sfumato used fine shading and the drastic contrast between light and darkness to bring dramatic elements to their works, as though they had their own personal spotlight. Eclectic of the High Renaissance, Baroque painting was an evolution of style, aggregating what were the preferred styles from the past and adapting them to the painter’s personal use. Peter Paul Rubens, a Flemish painter, was one of the best-known painters whom mastered the power of the Baroque. His works such as the â€Å"Raising of the Cross† portrayed Jesus as a heroic figure, with intense lighting and even more intense facial features (Scribner 2017.)Show MoreRelatedBaroque Art: Protestant vs. Catholic Essay1060 Words   |  5 PagesBaroque: Protestant vs. Catholic Before the purity of Neoclassicism, even before the carefree artists of the Rococo era, there was the dramatic and emotive Baroque. The term baroque is said to have been derived from the Portuguese word for an irregular pearl, and is certainly an adequate description. In the wake of what has become known as the Protest Reformation, the Catholic Church held the infamous Council of Trent. This eighteen year deliberation addressed several aspects of CatholicismRead MoreJohann Sebastian Bach Vs. Felix Mendelssohn1557 Words   |  7 PagesJohann Sebastian Bach Vs. 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This classical influence, along with a renewed devotion to religion in spired by the Counter-Reformation, usedRead MoreChap 15: Europe Transformed- Reform and State Building1520 Words   |  7 Pagesin society. 17. The Catholic Reformation * Catholic Church underwent a revitalization in the 16th century that gave it new strength * Counter Reformation (focus on the aspects that were a direct reaction against the Protestant movement) vs. Catholic Reformation (the elements of reform were already present in the Catholic Church) * Society of Jesus/ Jesuits- founded by Ignatius of Loyola. It is grounded on the principle of absolute obedience to the papacy, a strict hierarchial orderRead MoreMy Last Duchess by Robert Browning1795 Words   |  7 PagesVictorian society. At the heart of the poem is the question of changes to the traditional establishment, particularly in regard to women and sensuality. The first part of this essay will explore the manner in which the poem echoes the ornamentation and Baroque sensibilities of the Renaissance. The second section will analyze the notion of the Renaissance â€Å"mask†, the facade of civility that covers a deeper amorality and horror. The third section will examine the ways in which the Renaissance and the VictorianRead MoreMozart vs. Beethoven Essay1275 Words   |  6 PagesArts and Culture 2 Mozart vs. Beethoven Paper 3/21/12 Mozart vs. Beethoven In the 18th century, the middle class made a lot more money. During the Classical Period, the middle class had a tremendous influence on music. They wanted to hear concertos and symphonies. They wanted their children to learn great music and play instruments. The composers began writing music that was geared towards the middle class because they could make a better living if they enjoyed the music being played. TheyRead MoreEssay on Renaissance vs Neoclassicism1295 Words   |  6 PagesTrefren, D Renaissance VS Neoclassicism How could two periods such as the Neoclassicism and the Renaissance be so successful and be focused on very different things? Neoclassicism and the Renaissance are two major periods in the history of art during which different forms of art including architecture, painting, music and visual arts, significantly advanced. It was during these periods, different artists became very famous as a result of the masterpieces reflecting how the ideologies and artisticRead MoreThe Eighteenth Century : Age Of Enlightenment2647 Words   |  11 PagesEnvironment of Philosophes: -Where these meetings in secret or open to anyone? Culture and Society Enlightenment: Innovations in Art, Music, and Literature: The Development of Music: -Was music not a predominate part of the Baroque period before composers like Bach and Handel? -How did the different works travel to different countries? Was it also by trade and travel? -Why did Mozart die a poor man even though he was so successful? Development of the Novel:Read MoreNational Identity- A Semse of a Nation as a Cohesive Whole Essay1273 Words   |  6 PagesErased are the days of English Baroque and Georgian which Britain is so well known for and instead British architecture of today is in favour of this universal adoption of a single modern language. What remains to be seem is if anyone can break free of this new tradition in architecture? This brings in the problem of authorship in architecture. What is the architects role in cultural production? Is the architect an author or merely a service provider? A new era needs to begin were someone subvertsRead MoreEssay on Raphael Sanzio Inspired1449 Words   |  6 PagesRaphael Sanzio came about being one of the best of his time. Raphael took methods and ideas from his surrounding colleagues and then he would combine them with his own personality to create some of the best works from his era. Raphael Sanzios work of the Italian High Renaissance era is the result of influences and incorporation of techniques of Michelangelo Buonarroti, Pietro Perugino, and Leonardo DaVinci. Raphael Sanzio is most well remembered for his dynamic works from his time. Raphael was born

Clinical Handover Samples for Students †MyAssignmenthelp.com

Question: Discuss about the Clinical Handover for Clinicians and Managers. Answer: Introduction During the time of a disease or health care, a patient can be treated by two or more healthcare practitioners or professionals in different settings such as surgical care, primary care, intensive care and specialized outpatient care. Besides, patients may often move between places of diagnosis, treatments, and care on a regular basis. During this time, they might encounter multiple shifts per day, thus putting their safety at risk in every interval. The handover process between healthcares providers might lack some of the essential information about the patient hence lead to misunderstanding (Jorm et al. 2009). Such gaps in communication can result in serious breakdowns in a continuity of care as well as improper treatment or harm to the patient. This paper addresses the process of clinical handover in nursing practice. It looks at a case study of Mr. Smith, an 87-year-old patient with a colostomy in the sigmoid area of his bowel and ailing from diarrhea and vomiting. Since poor hand hygiene can be one of the leading cause of diarrhea, a medical professional can use the vital signs of his patient to monitor the ailment (see Appendix 2), use progress note to provide information about the patient condition or achievement as well as provide a food and fluid chart to help on a favorite diet program. Clinical handover Clinical handover is a method of sharing or transfer of patient information from one health officer to the other. During nursing handover, communications can be shared, via telephone, electronic means, written texts or one on one conversation (Jorm et al. 2009). In a health care setting, the technique of handing over depends on certain things such as the shift (morning, afternoon or night), patient as well as the mode of delivering the service (Johnson and Cowin, 2012).The Australian Medical Association has defined the clinical handover as the transfer of professional accountability plus responsibility for all the aspects of a patients care from one health officer to the other either on a permanent basis or temporary basis.Therefore, the primary purpose of the handover process is to transfer the relevant clinical information and continuity of patient care. Effective clinical handover reduces communication errors and improves patients safety. Inadequate or poor handover or failure to transfer information, accountability, and responsibility in nursing practice is a significant risk to clients safety plus a common reason for severe consequences for patients. Effects of poor clinical communication include issues such as incorrect treatment, adverse effects, and delay in medical diagnosis, patient complaints, increase in length of stay and an increase in expenditure (Australian Council for Safety Quality in Health Care 2005). The part of information about the Patient That Should Be Included in the Handover The information and level of details about the patients that is included in a nursing handover depend on several factors including the severity of the patients sickness and whether there are pending results of examinations that need quick follow-up. Clinical handover should include essential information such as patient background, date and time of admission, the reason for admission, any necessary medical history such as new referral, investigation, and treatments to mention just a few (Chaboyer et al. 2009). The introduction, situation, background, assessment plus recommendation (ISBAR) is a framework that can be used to present relevant information about patients in any clinical handover scenario. The introduction is the first element of ISBAR that include an introduction to the nurses plus the patient. The situation element explains the immediate condition of the patient including patient stability and complaints. According to Chaboyer et al. (2009), the background provides inform ation such as the date of admission, diagnosis, and treatment as well as test results up to the time a patient is in the hospital ward. The assessment provides the nursing examination of the patients conditions. The recommendation provides an outline of the recommendations and risk. Student Nurse Responsibility in Maintaining Confidentiality Confidentiality in health setting means preventing the release of health information given by or about an individual in the course of professional practice. Keeping patients information confidential is a requirement of the law as well as professional practice for every nurse (Griffith, 2015). This means every health professionals like nurses have a duty of confidentiality regarding patient information. The duty of confidentiality requires that nurses keep information about their patients secret. However, the nurse should release health information in a medical facility to improve patient safety or treatment. In this case, Nurse should pass patient health information on in sureness with the expectation that privacy/secrecy will be respected by the guarantee of confidentiality (Griffith and Tengnah, 2013). Colostomy When an individual has a problem with their lower bowel such as diseases and a case of bowelcancer, a colostomy is performed (Engida, 2016). A colostomy is a surgical operation that involves shortening the colon to allow for the damaged part to be removed and letting the cut end be diverted to the opening in the abdominal wall. However, the colostomy can be permanent or temporary. Some colostomies appear small, some large, some are on the right side of the abdomen, and some are on the left and others in the middle. A colostomy is one of the common life-saving emergency procedures done worldwide with the intention of either diversion of stool or decompression of obstructed colon to protect contamination of the distal large bowel segment by stool and to relieve obstructed large bowel (Engida, 2016).Therefore, a colostomy is performed to treat different condition and disease. These include perforated bowel, inflammatory bowel disease, colon or rectal cancer, diverticulitis, bowel obstru ction, ulcerative colitis, accidental injury or congenital disabilities. Healthy stoma appearance Stoma is a Greek word meaning opening or mouth. It refers to the part of intestine pulled through and attached to the skin (Dorman, 2009). When the abdominal wall is open, it creates a stoma, which is created by opening the skin and attaching a pouch to collect feces. The primary purpose of the stoma formation is to divert urine or feces away from disease or damaged track. According to Dorman (2009), some of the signs of a healthy stoma include red moist and shiny in color, when the stoma is above the skin level, and when it appears as if its inside the mouth, Cyrils colostomy stool characteristics The sigmoid colostomy is a very common type of colostomy. It originates in the sigmoid colon plus situated on the lower side of the abdomen. The stool of a sigmoid or descending colostomy is firmer than the other colostomy and does not have the caustic enzyme content (Abebe, 2016). In Cyril case, he has a colostomy located in the sigmoid section of the bowel. This means Cyrils colostomy would produce feces that are solid, regular and firmer. Contact Precautions in Managing Cyrils Colostomy Besides standard precautions, the nurse should use contact precautions when attending the patient to avoid direct contact with the patient. For the case of Mr. Smith, the nurse should wear gloves when coming into contact with Cyril as well as his belongings or immediate environment. The gloves should be removed after use plus prior to touching noncontaminated items or when attending other patients (Merboth and Barnason, 2000). Lastly, the hands should be cleaned right after removing the gloves. Another contact precaution that can be taken is to wear a gown that is fluid resistant. For safety to other patients, do not wear the same gown although. Other additional procedures that can be taken include placement of the patients in a private room to prevent the spread of the infection to other patients in the same ward. Also, you can instruct the patient to use separate washroom if available and disinfect it prior to using it again. Nurse action based on the vital sign score Merboth and Barnason (2000) states that nurses see their patients more often than any other medical officer. Therefore, they are in proper position to monitor the progress of their patients, know any issues early as well as judge what action should be taken for the patient. According to the vital score of the patient, it implied that the body temperature, pulse rate, blood pressure and respiratory rate were normal. After registering a vital sign score 3, the nurse should plan the care that includes; procedure ordered when communicating with the doctor using the ISBAR framework. The nurse should provide nursing measures to ensure comfort as well as boost recovery. This includes four-hourly observations, review oxygen requirement, manage fever, pain or distress, and reporting to the team leader. Most importantly, the nurse should provide three types of information. They are the care given to the patient, the patients response to the care, as well as any necessary background information about the patient. Lastly, if the measures havent been effective, the nurse may plan as well as take other measures to assist the patient (Engida, 2016). Communication using ISBAR Framework This is XXX, a first year nursing student in the medical section. The reason I am calling is that Mr. Cyril Smith has suddenly appeared pale and lethargic with trembling in his hands and has facial grimacing. He is also saying that he is not feeling very well; instead, he is feeling dizzy and nauseated and got abdominal pain. I find out that his respiration rate is 14 per minute, the pulse is 110, the temperature is 37.9, oxygen saturation is 95%, and blood pressure is 120/80. Mr. Smith is an 87-year-old man who was admitted last evening with diarrhea and vomiting. He has been unwell for past four days. He has a history of COPD, prostatic hypertrophy, and bowel cancer. He currently has a colostomy located in the sigmoid section of the bowel. On examination, he is alert, has no vomiting and his vital signs are a QADDS score of 3 but still has pain rate of 6/10, has abdominal pain, has nausea and dizziness. I am not sure what the problem is, but I am worried as Mr. Smith is deteriorating I think you probably need to come and see him. When are you going to be able to get here? Would you like me to ask for a consultant to see the patient now? Is there anything I need to do in the meantime? Conclusion This paper has pointed out that nurses are the most important people in the life of a patient. During the period of a disease, a patient can be treated by different medical professionals or practitioners in a single day. Besides, patients can be moved from one facility to the other during diagnosis, treatment, as well as care thus encountering different shifts of healthcare professional a day. Such change of shifts can introduce safety risks to the life of a patient. This is because of poor handover communication between the staff as well in different facilities that can result in poor treatment or harm to the patient. Besides, handover process should be done in a way that will ensure essential information, as well as background information of the patient is passed from one health officer to the other. To ensure the safety of the patient a health officer should make sure that the current condition of the patient, recent changes as well as ongoing treatments and any other possible cha nge of the patient are well documented and communicated from one medical officer to the other. For the health practitioners who are not sure about the precautions to put in managing their patient's safety, they should always communicate with a doctor to seek the way forward. References Aiello, A. E., Coulborn, R. M., Perez, V., Larson, E. L. (2008). Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. American journal of public health, 98(8), 1372-1381. Australian Council for Safety and Quality in Health Care (2005).Clinical Handover and Patient Safety Literature Review Report. Australian Council for Safety and Quality in Health Care, Canberra.Australia. Australian Medical Association (2006).Safe Handover: Safe Patients, Guidance for Clinical Handover for Clinicians and Managers. Australian Medical Association, Kingston, Australian Capital Territory. Chaboyer, W., McMurray, A., Johnson, J., Hardy, L., Wallis, M., Chu, F. Y. S. (2009). Bedside handover: quality improvement strategy to transform care at the bedside. Journal of nursing care quality, 24(2), 136-142. Dorman, C. (2009). Ostomy basics: a nurses introduction to care, counselling, and equipment. Modern Medicine Network Engida, A., Ayelign, T., Mahteme, B., Aida, Tilahun.,Abreham, B. (2016). Types and indication of colostomy and determinants of outcomes of patients after surgery.Ethopian Journal of Health Sciences, 26(2): 117-120 Griffith, R. (2015). Patient information: confidentiality and the electronic record. British Journal of Nursing, 24(17): 894-895. doi: 10.12968/bjon.2015.24.17.894 Griffith, R., Tengnah, C. (2013). Shared decision-making: nurses must respect autonomy over paternalism. British Journal of Community Nursing, Vol 18: 303-306.doi: 10.12968/bjcn.2013.18.6.303 Johnson, M., Cowin, L. 2012). Nurses discuss bedside handover and using written handover sheets. Journal of Nursing Management. 21 (1): 121-129. doi: 10.1111/j.1365-2834.2012.01438.x Jorm, C. M., White, S., Kaneen, T. (2009). Clinical handover: critical communications. Medical Journal of Australia, 190(11), S108-S109. McEwan, A. B., CLARK, P. (1973). The stoma of the ileal conduit. BJU International, 45(6), 600-605. Merboth, M. K., Barnason, S. (2000). Managing pain: the fifth vital sign. The Nursing Clinics of North America, 35(2), 375-383.

Movie Summary Selma Essay Example

Movie Summary Selma Paper The movie Selma was a fairly accurate representation of events that occurred in 1965. It portrayed Dr. Martin Luther King Jr. as he fought against the government in their constant pursuit to deny the African American of their God-given liberties and American rights. Sadly, well after the Civil Rights Act was passed, discrimination and unreasonable abuse were still being continued in the south. Blacks were still being denied their right to vote, constantly being discriminated at public places, and being abused by white officers for no apparent reason what so ever, with it all ending with them not being tried and held accountable for all their motives and actions. Martin Luther King Jr. had decided to go to Selma due to the civil unrest in the town; in hopes of getting the government to enforce the Civil Rights Acts of 1964. Even though the act was passed, it was not being enforced to any extent in the south. Officers would beat and terrorize blacks for anything if not everything at all possible, only because they were white cops and they knew they would be acquitted because of how the system in the south favored whites over blacks. As the story progressed Dr. Martin Luther King Jr. and his companions (members of the SCLC) and townsfolk went to the Selma courthouse, they kneeled down on their knees, with their hands behind their heads asking (nonviolently) for their rights to be enforced. Their rights were denied and they were beat and thrown in jail. This was only a small fraction of atrocities committed by the police department. We will write a custom essay sample on Movie Summary Selma specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Movie Summary Selma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Movie Summary Selma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Dr. King while in jail started to move and plot his next feat of resistance and that was to march across the Edmund Pettus Bridge with a group of people to Montgomery, Alabama, the capital of the state. Due to some accusations of Dr. King being made out to be a womanizer (in the movie) he decided not to attend the first march over the bridge and stood home with his family. Meanwhile, the march was still schedu

Bill Gates Research Paper free essay sample

Building a Billion Dollar Empire â€Å"People always fear change. People feared electricity when it was invented, didnt they? People feared coal, they feared gas-powered engines There will always be ignorance, and ignorance leads to fear. But with time, people will come to accept their silicon masters,†Bill Gates. The world’s youngest billionaire is the hard working, intelligent Bill Gates. This man independently started his own computer company and built it up to a 230 billion dollar empire. Bill Gates changed the way the world uses computers by building his company, Microsoft, from the ground up, enforcing that computer software is illegal to steal, and by making personal computers available for everyone to have in their own home. Bill Gates started his computer company,Microsoft, and worked relentlessly to make his company a success. Gates was fascinated with computers all of his life and started his first computer programming business with his friends when he was only in the eighth grade (Schuman 25). We will write a custom essay sample on Bill Gates Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When he first started his company he often worked 16 hour days and handled all of the computer software programming and all of the finances for his company (Lesinski 33). His round the clock working on his company eventually paid off. In 1981 Gate’s company’s revenues were up to 16 million dollars, however this was not enough for Gates. He desired and planned to run every other computer company out of business (Strother 76). Being a strong and fearless businessman helped Gates accomplish his goals of running his competitors out of business and building Microsoft into the company that it is today. Gates built up his company from a few employees in a small office to one of the worlds largest computer companies with his hard work and dreams of having computers available to everyone. With his company Gates created new computer software that improved how computers worked and made them easier for everyone to use. Building Microsoft contributed greatly to making technology as advanced as it is now. Not only did Gates build Microsoft but he also showed people that they would not get away with stealing computer software. Bill Gates and his company prosecuted many individuals and companies for software theft to show the world that intellectual property cannot be stolen without punishment. In 1998 Gates noticed that there was a huge gap between the number of computers being sold each year and the number of computer software. He quickly realized that many people were stealing computer software online. Gates knew that using computer software without paying was illegal and he intended to make everyone that stole their software pay the price for their crime. When Microsoft first discovered that their software was being stolen they decided that if people were going to steal software then they should steal Microsoft’s software and eventually Gates would find a way to collect money from his stolen property. Microsoft went after over 80 companies that they discovered were using their computer software without purchasing it and they pressed legal action and in the end got the money they had earned (Down to Earth). Before Microsoft prosecuted these companies for illegally downloading software, stealing intellectual property online was not considered important and legal action was almost never taken against those who committed the theft. Thanks to Bill Gates and his company intellectual theft is now taken much more seriously in the eyes of the law. While Gates pursued many people who wronged his company he continued to go after his dream of having a computer in every home. â€Å"Microsoft has spent its first 15 years blazing the trail to the personal computer. Its intent was to make the PC available and accessible to everyone† (Strother 84). Bill Gates dream since he was in college was to have a computer available to everyone in their home. Originally his idea seemed silly to his friends, the thought that uneducated ordinary people without special training in computers would have access to one in their home, but to Gates it was a very real possibility. His dreams are the reason that computers are now available at low prices and are easy to use and understand. Gates wanted this dream to become a reality so people could have easier access to information and to push the limits of technology further. Due to the nonstop efforts of Bill Gates and his co workers computers are available in the majority of homes and also in libraries and other public places like hotels and internet cafes. Making computers accessible to the general public has made Gates a well liked man around the world. Bill Gates is a very well respected man to almost everyone in the world. His hard work and dedication to building his company without having it handed to him has gained him respect from many. Although throughout the years there have been times when Bill Gates has appeared rude and arrogant for example in 1998 his company lost a legal battle over Microsoft having monopoly over computers which lost him popularity in the publics eye (India Today) but he has always recovered his reputation. Bill Gates has forever changed the way that people look at computers and has done the public a great service by improving technology which has improved the day to day lives of most Americans. Even though some many despise Gates because he is the most wealthy person in the world the general opinion of him is very positive. By building the his company, protecting intellectual property that belonged to him, and making computers available to everyone in their home Bill Gates has permanently changed the way the world uses computers. His never ending hard work and constant need to improve upon his work has made Bill Gates the wealthiest man in the world. Although in the beginning his dreams and ideas of the technology of the future seemed frivolous to most they have now become a reality because Gates never gave up and pushed through the hard times to make his dreams come true. Work Cited Lesinski, Jeanne. Bill Gates Minneapolis: Lerner Publications Company, 2000. India Today. Limits of Smartness General Onefile.Web. 9 May 2013. Schuman, Michael. Bill Gates Computer Mogul and Philanthropist Berkeley Heights: Enslow Publishers, Inc, 2008. Strother, Ruth. Bill Gates Edina: ABDO Publishing Company, 2008. Down to Earth. The Microsoft Way General Onefile. Web 9 May 2013.