Love and Hate Research Paper Example | Topics and Well Written Essays - 1250 words

Love and Hate - Research Paper Example At long last an end is given about the paper. Theory Statement: In this exposition, a connection among ‘Love’ and ‘Hate’ is stressed. An enlightening critique is given in the kindness of the presence of connection among Love and Hate. Accounts of ‘The Storm’ by Kate Chopin, ‘Eveline’ by James Joyce, ‘Araby’ by James Joyce and ‘The Cask of Amontillado’ by Edgar Allan Poe are additionally talked about as references to demonstrate the presence of connection among Love and Hate. There are various convictions about ‘Love and hate’. Individuals consider these two passionate languages as per the appearances of their own personalities. Along these lines, in this position it very well may be said that the individual implications of Love and Hate may vary from individual to individual. In like manner, the connection between these two extraordinary feelings may fluctuate as per the conditions. It has been seen that there is a connection among ‘Love and Hate’, despite the fact that they appear to be in opposition to one another. It has been seen that practically all the Love stories have huge number of harmonies and they very clone. To demonstrate this, there are numerous things which are should have been mulled over. Numerous journalists and artists have composed heaps of lumps about ‘Love and Hate’. Spot light should be put on concentrates of those scholars and artists. Exacting implications of ‘Love’ and ‘Hate’ in isolation must be regarded. ... t can be seen that, in actuality, also ‘Love’ spans to the skirt of extraordinary force and the darlings, regularly called as affection winged creatures don't appear to think about this power. The genuine encounters may likewise demonstrate the exacting significance of ‘Love’. Presently, on the off chance that we see the exacting importance of ‘Hate’, at that point it implies that ‘an serious and solid abhorrence or antagonistic vibe, which is regularly gotten from outrage, feeling of injury or fear’ (Webster). Essentially as ‘Love’ can be confirm from the various instances of handy life, ‘Hate’ can likewise be demonstrated to be giving a similar importance in the reality, as the writing clarifies. An individual despises some other individual in the event that the person is having some feeling of injury or dread from other individual. This can likewise be called as a passionate trouble since this dread/feel ing of injury makes the ‘Love’ dissipate noticeable all around. Evidently it appears that ‘Love’ and ‘Hate’ don't have any relationship with one another. Notwithstanding, a profound idea is should have been provided so as to break the shell and think other path round. An unclear thought regarding ‘Love’ and ‘Hate’ is probably not going to turn into a wellspring of conviction to demonstrate that ‘Love’ and ‘Hate’ are necessary to one another. There are numerous basic things among ‘Love’ and ‘Hate’. The most well-known thing is that both are exceptional and outrageous sentiments which cause a hearty passionate bond and cause a compelling enthusiastic excitement. Both are identified with immaterial sentiments of feelings. At the point when we take a gander at the connection between the ‘Love’ and ‘Hate’, in the viewpoint/setting of science, at t hat point researchers likewise concoct a thought that ‘Hate’ and ‘Love’ have a slight line in the cerebrum. (Journalist). As per the researcher energy of loathe is equivalent enthusiasm to the sentiments of

Kobe Bean Bryant Essay

Kobe Bean Bryant nicknamed the â€Å"Black Mamba† is an expert ball play who plays in the National Basketball Association (NBA). He was conceived on August 23, 1978. He was drafted directly out of secondary school to play for the Charlotte Hornets, yet before long was exchanged to the Los Angeles Lakers, never playing in Charlotte. Bryant is a five-time champion with the Lakers and a double cross Olympic gold medalist with the USA national group. Bryant was conceived on August 23 in Philadelphia. Bryant was named after a Japanese steakhouse. He is child of a previous NBA player Joe â€Å"Jellybean† Bryant. After the senior Bryant completed his NBA vocation he took his family abroad where he played in an Italian alliance. Experiencing childhood in Italy where soccer was the most well known game Bryant grew up cherishing two games. He would remain the entire day playing soccer on the asphalt handle throughout the day, at that point after all the children returned home he dealt with idealizing his mid-run jumper. Kobe later came back to Philadelphia where he played in secondary school with Lower Merion High School. Peering toward the NBA he exercise with the close by NBA group the Philadelphia 76ers. Kobe chose to skip school and head directly to the NBA. He was drafted by the Charlotte Hornets and along these lines exchanged to the Los Angeles where his vocation lighted. (Biography.com/Kobe Bryant). Kobe Bryant vocation didn't take long to begin in a decent way. In his second year in the NBA as a shooting monitor, at 19 years old, he was casted a ballot to play in the NBA’s top pick game, turning into the most youthful player to show up in the game. Later with the assistance of Shaquille O’neal the Lakers won three successive titles in 2000, 2001, 2002. As he arrived at the prime of his profession without Shaq he had some dreary season as his group didn’t even almost contend at the level Kobe was. He was exceptional on January 22, 2006 he scored 81 focuses and accomplishing the second most elevated scoring game in NBA history, just second to Wilt Chamberlain’s 100 point game. In spite of the fact that his race for a title was not yet over in 2008 he connected up with seven footer Pau Gasol coming to the NBA finals. They didn't win that year however the next year they did in 2009. In 2010 their season was similarly as incredible coming to the NBA fin als for a third consecutive time as Kobe was driving the way. They met their main adversaries again in the games most significant stage. They beat the Boston Celtics in an exciting seven game arrangement. Kobe was named Finals MVP for both of the seasons that they had won the NBA title. He is presently a five-time NBA champion is as yet looking for additional titles. In the 2013 season he turned into the most youthful player to arrive at 30000 focuses at 34 years old. Kobe Bryant is one of the best ball player to ever play the game and will one day be a Hall of Famer. Kobe Bryant has an establishment, â€Å"The Kobe and Vanessa Bryant Family Foundation†, that is devoted to improving the lives of youth and families out of luck, both locally and all around. By giving money related assets and creating one of a kind projects, the establishment endeavors to fortify networks through instructive and social advancement openings. Kobe Bryant is respected by the NBA fans everywhere throughout the world. They love the fervor he carries to game with his unfathomable grip shots and stunning plays. Kobe is likewise appreciated for the assistance he brings to the less lucky. By aiding the monetarily or instructively. By and large Kobe Bean Bryant is somebody you could turn upward to on and off the court.

Essay Topics For Catcher In The Rye - Choosing The Right Topics

Essay Topics For Catcher In The Rye - Choosing The Right TopicsWhen choosing essay topics for catcher in the rye, you need to know what he's trying to achieve. Since this can be seen in many ways, your job is to find out what his project is all about and what his specific goals are for the project. And it all starts with the writing sample that you give him.Be sure to choose topics that coincide with his primary goals. If you're trying to teach him about how to catch a fly ball, make sure to explain to him the meaning of the word catch. Once you've done that, you have to first understand what the meaning of catch really is. Then, try to bring the two together to get to the right meanings.When writing about your children, ensure that the topic matches the primary goals. For example, when you want to teach your son how to catch a fly ball, then you need to start with the meaning of the word catch. After that, you can move on to how to catch a fly ball.In fact, this is exactly what essa y topics for catcher in the rye must do. This is why the first thing you need to do is know what the kids' goals are. They are your kids after all. And if they want to know how to catch a fly ball, they must learn about the meaning of the word catch first.Now, you must also consider that your children don't know the concept of catch. They will likely be having difficulties when learning the basic words. When you give them a subject that will help them learn what the word means, they will be more likely to grasp the concept of catching a fly ball.You must also know that some children will not learn things on their own. This is why you need to use a skill. That's why you need to make sure that you give them examples of what they can do when they catch a fly ball. There are tons of examples that you can use. The one you choose can depend on what your kids want to learn.And finally, you must be sure that you have included things about how the body moves when you catch a fly ball. Kids w ill be able to learn this from the examples you gave them when they learn the concept of catch. There are many ways to train them in this regard.Article writing isn't easy but it can be easy if you know what to do. Try to include topics that coincide with the goals of the project to which the catchers are assigned.

Multisystem Case - Free Essay Example

Sample details Pages: 12 Words: 3515 Downloads: 4 Date added: 2017/09/22 Category Advertising Essay Type Argumentative essay Tags: Study Essay Did you like this example? Running head: MULTISYSTEM CASE Multisystem Case Scenario Demis Russu Section Instructor: Josanne Christian Florida Hospital College of Health Sciences July 22, 2010 Abstract Mr. Jones presents to the ED with a complex combination of symptoms. Clinicians must swiftly evaluate and treat his conditions. Air way protection as well as hemodynamic stability is extremely important. Mr. Jones’s case requires rapid intervention as his condition has been worsening for the past week. Pathology and treatment options are explored to enrich the educational component. Emotional support and long term treatment options must be discussed with Mr. Jones in order to meet his needs. Multisystem Case Study Heart failure (HF) is approaching epidemic levels. The statistics are staggering. Approximately 5 million people are currently diagnosed with HF in the U. S. with 550,000 being diagnosed yearly; health care cost is approaching an exorbitant $28 billion annually (Rasmusson Renlund, 200 6). Chronic obstructive pulmonary disease (COPD) is presently the fourth leading cause of death world wide (Kara, 2005). As nurses it is imperative that we educate patients and their family members on risk reduction, identifying early signs and symptoms and latest treatment advances made towards controlling chronic conditions such as HF and COPD. Scenario Mr. Jones 68 y/o male arrives at the Emergency Department (ED) with complaints of increased dyspnea with exertion for the past three days, weight gain of 6 lbs in the last week, swelling to legs and feet and a noticeable decrease in urination. Mr. Jones does have a history of congestive heart failure (CHF), emphysema, hypertension, Type II diabetes nd rheumatic fever as a child. The patient admits to a long history of cigarette smoking having decreased his smoking to ? a pack daily since being diagnosed with emphysema five years ago. On initial assessment Mr. Jones appeared stated age but fatigued, was alert and oriented to time , place and situation, pupils 3 equal and reactive. Blood pressure 156/94, heart rate 102, rhythm sinus tachycardia, heart tones includes S3 gallop, denies chest pain and peripheral pulses were palpable with weak bilateral post-tibial and dorsalis pedis. Lung sounds were clear upper lobes with crackles in bilateral lower lobes, patient is dyspnic on exertion. Pulse oximeter 88% on room air, oxygen was applied at 2 l/m via nasal cannula which improved oxygen saturation to 94%. Abdomen obese had positive bowel sounds in all four quadrants, non-tender, non-distended, last bowel movement was yesterday morning. Mr. Jones reports a decrease in urinary frequency as well as amount, recalls urinating very small amount twice daily in the past two days. Skin was intact, has 3 + bilateral lower extremity edema. Mr. Jones reports the following medication regime: Altace 5mg PO twice daily, Toprol XL 25mg PO daily, Aldactone 25mg PO daily, Advair Diskus 250/50 mcg inhaler twice daily and Spi riva 1 cap inhaled daily. Mr. Jones reports that he has not taken his medications in the past 7 days because he did not have the money to purchase them. The ED physician orders the following tests: complete blood count, complete metabolic profile, thyroid level, lipid profile, homocysteine levels, Troponin I every 8 hrs x 3, BNP, HGBA1C, ABG, EKG, CXR, 2D Echo and a Cardiology consult. Order for Lasix 40 mg IV every 8 hrs with the first dose to be given stat was written. A urethral catheter was inserted in order to maintain strict IO and 1500 ml fluid restriction was ordered. Chronic Disease Review: Congestive Heart Failure Definition According to Brashers heart failure affects 10% of the population over the age of 65 and is the most frequent reason for hospital admission in this age group (2008). HF encompasses several types of cardiac malfunction which results in insufficient blood supply to the body’s tissues and organs. The most common cause of HF results from left ventricular dysfunction which includes both systolic and diastolic heart failure. Right ventricular dysfunction (also known as cor pulmonale) in the absence of left ventricular dysfunction can be attributed to pulmonary disease such as emphysema which is also referred to as COPD. Signs and Symptoms Signs and symptoms of left heart failure result from pulmonary vascular congestion and insufficient perfusion to tissues and organs. Brashers describes patients experience fatigue, edema, decreased urine out put dyspnea, orthopnea, and frothy sputum (2008). Physical exam will reveal pulmonary edema, hypertension or hypotension, S3 gallop and possible evidence of acute or chronic CAD. Mr. Jones did present fatigued with dyspnea on exertion, crackles bilaterally, he does have an audible S3 gallop, and blood pressure is 156/94. Edema of the bilateral lower extremities is evident at 3+ as well as Mr. Jones reports a 6 lb weight gain in the past week as well as decreased urine output. Pa thophysiology Systolic heart failure (SHF) is the inability of the heart to produce a cardiac output sufficient enough to perfuse major organs and tissues. Cardiac output depends on the heart rate and stroke volume. Stoke volume is affected by contractility, preload and afterload (Brashers, 2008). Contractility is affected by disease processes such as myocardial infarction, myocarditis, cardiomyopathies, myocardial ischemias, and inflammatory, immune or neurohumoral changes. According to Brashers preload increases due to excess in vascular volume which can result from intravenous fluid administration, renal failure and mitral valvular disease (2008). Frank-Starling’s law states that increasing the ventricular end-diastolic volume will cause a stretching effect of the myocardium causing a stronger contraction which results in improved cardiac output; however prolonged increased preload will ultimately lead to decreased contractility as this myocardial stretching will cause sarcomere dysfunction. Aortic valvular disease or hypertension is responsible for increases in afterload. Persistent increased peripheral vascular resistance leads to ventricular hypertrophy. Brashers explain hypertrophy results in deposition of collagen between myocytes, causing ventricular remodeling consequently reducing the contractility properties of the myocardium resulting in a dilated and less compliant ventricle (2008). The vicious (in this case) rennin-angiotensin-aldosterone system gets activated by poor cardiac output and decreased renal perfusion. Our body’s natural instinct to maintain homeostasis is stimulated. Barrow receptors which detect a decrease in perfusion stimulate the sympathetic nervous system to cause further vasoconstriction and antidiuretic hormone is release by the hypothalamus causing the kidneys to hold on to fluid. Mr. Jones fits the above criteria exhibiting symptoms of dyspnea, edema, has the classic HF murmur S3 gallop, is hypertensiv e and reports decreased urine out put with weight gain. Diastolic heart failure (DHF) is associated with delayed relaxation and increasing left ventricular rigidity which prevents adequate filling and decreases the ability to properly eject blood (Redderson, 2008). DHF occurring singly is described as pulmonary congestion with a normal cardiac output and stroke volume. Brashers describes DHF as the causative condition of 40% to 50% of all cases of left heart failure with a higher incidents in women (2008). Increased pressure at the end of diastole in the left ventricle is reflected back within the pulmonary circulation causing pulmonary congestion. Causes of DHF include myocardial ischemia, left ventricular hypertrophy induced by chronic hypertension, valvular diseases, cardiomyopathies and pericardial diseases. During exercise individuals with DHF are not able to compensate for the increased demands, therefore the heart is not able to increase cardiac output since the left ve ntricle is hypokinetic. Signs and symptoms include dyspnea on exertion, fatigue, evidence of pulmonary edema, hypertension coronary disease and valvular disease (Brashers, 2008). Mr. Jones could have DHF as he does present with appropriate symptoms however his symptoms are more indicative of SHF and the test results will help differentiate between the two. Right heart failure may result from left heart failure due to increased pressures in the left ventricle which reflects back into the pulmonary circulation. The right ventricle is not designed to cope with high pressures therefore it hypertrophies and fails. In the absence of left heart failure the cause is related to hypoxic pulmonary disease such as COPD, ARDS and cystic fibrosis causing pulmonary hpertension. Cardiac related conditions which affect contractility include pulmonic valvular disease, myocardial infarction, and cardiomyopathies (Brashers, 2008). Sings and symptoms include decreased cardiac out put during exerci se; EKG shows right ventricular hypertrophy, jugular venous distension, peripheral edema and hepatosplenomegalaly. Mr. Jones has a long history of smoking and he continues to smoke despite being diagnosed with emphysema five years ago. Tobacco use is the primary risk factor for developing COPD. Mr. Jones’s symptoms as well as his history and risk factors support a combination of left heart failure as well as right heart failure. Diagnostic Screening and Evaluation: Radiographic Laboratory Diagnostic blood work is ordered in order to support the condition suspected and rule out other conditions that may mimic HF, as well as to determine the severity of HF. EKG will identify the heart rhythm, right ventricular hypertrophy as well as conduction abnormalities or myocardial infarction. BNP level is an indicator of B-type natiuretic peptide which is secreted by the heart in order to maintain fluid balance, elevated levels support HF. CBC will rule out anemia and infectious proc esses. CMP will give us an indication of electrolyte status, renal, hepatic and pancreatic function. Thyroid profile will show thyroid function, as it can also affect cardiac function, lipid profile will show good and bad cholesterol levels. HGBA1C shows glycemic control for the past 3 months, ABG will demonstrate respiratory and metabolic status. Cardiac enzymes will determine if Mr. Jones is actively experiencing a myocardial infarction. CXR can support pulmonary congestion along with cardiomegally infiltrates, pleural effusion as well as differentiate COPD. A 2D Echo will show valvular function, kinesis of the myocardium as well as ejection fraction. Cardiology consult is requested because cardiologists are specifically trained to treat HF. Mr. Jones’s results were as follows: CBC, thyroid levels are normal; CMP shows elevated creatinine which indicates renal insufficiency. Lipid profile supports hyperlipidemia. Cardiac enzymes are negative, BNP is grossly elevated, and HGBA1C shows very poor glycemic control for the past three months. ABG shows a compensated pH with a PaO2 of 69. CXR reveals cardiomegally, and gross pulmonary congestion, EKG sinus tachycardia, right ventricular hypertrophy. Echo cardiogram confirms an EF of 30% and right and left ventricular hypertrophy and mitral valve stenosis. In 2001 and again in 2005 the American College of Cardiology (ACC) and the American Heart Association (AHA) collaborated to create a frame work which allows providers to understand the progression and HF. Heart failure progression is defined in four stages A, B, C, and D, beginning with at risk patients all the way to end-stage disease (Rasmusson, 2006). Treatment Interventions Rationale Dr. Heart reviews all the available information and places Mr. Jones in Stage C class of HF. Mr. Jones exhibits acute decompensated symptoms such as dyspnea, lower extremity edema, pulmonary congestion, remodeling of the left ventricle from chronic hypertension resulting in structural changes. Also important to mention are the co-morbidities, such as Diabetes and COPD. According to Rasmusson treatment options must focus on reduction of morbidity and mortality. Pharmacologic agents include ACE inhibitors, ARBs, beta-blockers and aldosterone antagonists, as well as diuretics and digoxin. Treatment goal is to block neurohormones preventing the cycle of decreasing contractility, increasing preload and afterload, and relieving pulmonary congestion (2006). In the acute treatment phase emphasis is placed on stabilizing hemodynamics, correcting fluid volume, determination of etiology, and reversing conditions that can be reversed. Long term care includes vital patient and family education, appropriate titration of pharmacologic agents, salt restriction, and possibly cardiac resynchronization therapy (CRT). CRT refers to bi-ventricular pacing which allows synchronization of the left ventricle consequently improving the ejection fraction (EF) which is normally 55%-70% (Brashers, 2008). Patients with an EF . 12 seconds are at a high risk for arrhythmias and sudden cardiac death therefore an implantable cardiac defibrillator is recommended (Rasmusson, 2006). Treatment for DHF focuses on improving ventricular relaxation, and prolonging diastolic filling times in order to reduce diastolic pressure. Inotropic drugs are not indicated in isolated diastolic heart failure since contractility and EF are not affected although digoxin may be used in patients with atrial fibrillation in order to achieve rate control (Brashers, 2008). Prevention Mr. Jones presented to the ED with exacerbation of HF related to non-compliance with medication regime. In this case patient education is of up-most importance. Hospitalization prevention is important due to the exorbitant costs. Patient education will focus on medication compliance, and signs and symptoms of exacerbations. Having the ability to recognize early symptoms will allow Mr. J ones to visit his physician, which could adjust the medication regime, impose a fluid and salt restrictions, as well as provide aggressive diuresis at the office in order to prevent a hospital admission. A social worker consult should be arranged in order to provide assistance with indigent issues. Chronic Disease Review: COPD or Emphysema Definition Chronic obstructive pulmonary disease includes pathologic lung changes consistent with emphysema or chronic bronchitis (Brashers, 2008). There is a permanent enlargement of gas exchange airways in conjunction with destruction of alveolar walls with out apparent fibrosis. Loss of elastic recoil is the causative factor of airflow limitation. The major cause of COPD is cigarette smoking even though childhood respiratory infections and air pollution are known to be contributing factors (Brashers, 2008). Signs and Symptom Clinical manifestations of COPD include, dyspnea, wheezing, and prolonged expiration. Individuals will have a classic barrel chest appearance. Late in the course of COPD patients will experience chronic hypoventilation, polycythemia and cor pulmonale also known as righ heart failure. Fatigue, weight loss, poor appetite as well as sleep disturbance may occur. Mr. Jones does have dyspnea, however it is unclear if it is related to the HF or COPD, nonetheless his history and test results do support a combination of conditions all exacerbated by his non-compliance with the prescribed medication regime (Kara, 2005) Pathophysiology The irreversible process begins with destruction of the alveolar septa consequently increasing the volume of air in the acinus. Pollutant particles stimulate inflammation resulting in alveolar destruction and loss of elastic recoil of the bronchi. This destruction produces bullae and blebs which are not effective in gas exchange resulting in hypoxemia due to ventilation – perfusion mismatching. The loss of elastic recoil reduces the volume of air that can be expire d making expiration difficult and causing air to become trapped in the lungs. Hyperexpansion is the result of trapped air, which stresses the muscles of respiration, therefore late in the course of disease hyperventilation and hypercapnia develops (Brashers, 2008). In non-smokers and individuals who develop the diseases before the age of 40 the causative factor is a rare genetic condition, which involves a deficiency of ? 1- antitrypsin which does not inhibit proteolysis in the lung tissue (Kara, 2005). Diagnostic Screening and Evaluation: Radiographic Laboratory Pulmonary function testing, arterial blood gas, high-resolution computed tomography and chest x-ray are used for diagnoses. Pulmonary function measurements, such as vital capacity (VC) and particularly forced expiratory volume (FEV1) are helpful in determining the stage of the disease. In 1998 the Global Initiative for Chronic Obstructive Lung Disease (GOLD) was established to generate recommendations for COPD manage ment based on the latest scientific evidence available to date (Kara, 2005). COPD can be classified into four stages Stage I – Stage IV, from mild where the individual is not even aware the condition exists to very severe where essentially respiratory failure is present based on the results of FEV1 and patient’s symptoms. Mr. Jones appears to be in Stage II to Stage III due to fatigue, shortness of breath and recent exacerbation. Again important to mention is that Mr. Jones has multiple processes involved therefore his symptoms are caused by a cumulative effect. Treatment Interventions Rationale Treatment for COPD is based on primary prevention, relieving symptoms, improvement of over all health status and exercise tolerance, diligent treatment of exacerbations and complications (Kara, 2005). Educating on smoking cessation and ensuring immunizations are up to date is crucial. Acute and chronic symptoms will be managed with bronchodilators such as ipratropium and B2 -agonists, in severe cases the use of methylxanthines, intravenous, inhaled or oral steroids and home oxygen may be required. Adequate nutrition is also very important. Lastly pulmonary rehabilitation is aimed at improving functional capacity and quality of life (Kara, 2005). Mr. Jones exacerbation of symptoms is related to medication non-compliance and continued smoking. Nebulizer treatments with DuoNeb (albuterol/ipratropium) every 4 hrs and prn via nebulizer and steroids would decrease the severity of symptoms. In the event that tachycardia persists a switch to Xopenex/ipratropium would be beneficial, as Xopenex has less incidence of inducing tachycardia. Supplemental oxygen was applied upon pulse oximetry reading. Antibiotic therapy would be considered if there were signs of infectious processes. Prevention Prevention focuses on patient education and medication compliance. Assessment of Mr. Jones’s cognitive status is important to facilitate educational conversation that he would understand. Indigent support in order to encourage medication compliance is important although realistically not always available. Chronic Disease Review: Rheumatic Fever Definition Rheumatic fever is an inflammatory disease caused by the group A ? -hemolytic streptococcus, characterized by inflammation of the joints, nervous system and heart. When not appropriately treated, rheumatic fever will cause scarring and deformity of cardiac structures (Brashers, 2008). Signs and Symptoms Rheumatic fever often exhibits symptoms that are common to other conditions such as nausea, vomiting, abdominal pain, fever, arthralagia, lymphadenopathy and epitaxis and fever. According to Kara the American Heart Association and the World Health Organization developed the following criteria for diagnosis purposes: carditis, erythema marginatum, acute migratory polyarthritis and chorea (2005). Pathophysiology Rheumatic fever occurs as a consequence to a pharyngeal infection by group A ? -hemolytic streptococcus which causes an abnormal humoral and cell-mediated immune response. Brashers explains; the immune response cross-reacts with molecularly similar self-antigens on brain, muscle, heart and joints resulting in an autoimmune response that inflames and potentially scars these tissues (2008). The inflammation may subside before treatment; however damage to the heart valves remains. Individuals with CHF and pericarditis suffered significant damage. Endocardial inflammation can cause swelling of the valve leaflets and aggregation of clumps of vegetations containing platelets and fibrin become deposited on valvular tissues causing stenotic valves. If the inflammation is able to penetrate the myocardium it may cause carimegally and left heart failure due to fibrin deposits also known as Aschoff bodies (Brashers, 2008). According to the test results Mr. Jones has mitral valve stenosis, cardiomegaly and HF. Unfortunately Mr. Jones had rheumatic fever as a child w hich may be the causative factor of his HF. Diagnostic Screening and Evaluation: Radiographic Laboratory In the acute phase rheumatic fever is diagnosed based on clinical symptoms plus by positive throat culture for grop A ? -hemolytic streptococci, antistreptolysin O antibody titers 250 Todd units, elevated values of anti-DNase B, antihyaluronidase, antistreptozyme, WBC, ESR, and CRP (Kara, 2005). Treatment Interventions Rationale Therapy is focused on eradicating the streptococcal infection trough appropriate antibiotic therapy. Other pharmacologic agents include NSAIDS, cardiac glycosides, corticosteroids, and diuretics (Brashers, 2008). In the event that there is significant hemodynamic instability related to damaged valves than surgical intervention may be required. Conclusion In conclusion Mr. Jones presents with an intricate combination of symptoms requiring a systematic approach with focus on alleviating symptoms, and educating the patient on preventative measures. I s the history of rheumatic fever a key factor in the patient’s extremely poor condition? It may very well be a component of Mr. Jones’s issues. Risk factors such as poor glycemic control, smoking, and poor nutritional status in addition to the co-morbidities associated with COPD, Diabetes, hypertension, hyperlipidemia and HF certainly add to the severity of the situation. Serious consideration needs to be given to quality of life issues, at this point a Living Will and Code Status should be discussed with Mr. Jones. Frequent hospitalizations and chronic conditions can place a big burden on resources as well as emotional well being. Mr. Jones may requires rehab prior to discharge home, or even decide to try a long term placement facility for better medical management of his condition. Mr. Jones may require a surgical consult for valve replacement and/or a cardiology consult for a bi-ventricular pacer / automated implantable cardiac defibrillator. Much emphasis nee ds to be placed on education; most importantly smoking cessation, identifying early signs and symptoms of HF and COPD exacerbation and medical regime compliance. As nurses we have to quickly identify educational opportunities and provide our patients the necessary tools for them to actively accomplish positive and therapeutic change. As nurses we are often the first and last row of defense for our valuable patients. References Brashers, V. L. 2008). Alterations of cardiovascular function. In S. Huether, K. McCance, (Ed. ), Understanding pathophysiology (4th ed. ) (pp. 606-675). St. Louis: Mosby Elsevier. Brashers, V. L. (2008). Alterations of pulmonary function. In S. Huether, K. McCance, (Ed. ), Understanding pathophysiology (4th ed. ) (pp. 693-713). St. Louis: Mosby Elsevier. Kara, M. (2005). Preparing nurses for the global pandemic of chronic obstructive pulmonary disease. Journal of Nursing Scholarship, 37(2), 127-133. Retrieved from CINAHL database. Rasmusson, K. , Hall, J. , Renlund, D. (2006). Heart failure epidemic: boiling to the surface. Nurse Practitioner, 31(11), 12. Retrieved from CINAHL database Redderson, L. , Keen, C. , Nasir, L. , Berry, D. (2008). Diastolic heart failure: state of the science on best treatment practices [corrected] [published erratum appears in J AM ACAD NURSE PRACT 2008 Nov;20(11):576]. Journal of the American Academy of Nurse Practitioners, 20(10), 506-514. Retrieved from CINAHL database. Roodpeyma, S. , Kamali, Z. , Zare, R. (2005). Rheumatic fever: The relationship between clinical manifestations and laboratory tests. Journal of Paediatrics Child Health, 41(3), 97-100. doi:10. 1111/j. 1440-1754. 2005. 00557. x. Don’t waste time! Our writers will create an original "Multisystem Case" essay for you Create order

A Research Plan For A Business Strategy - 935 Words

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Morality and Social Policy - 1205 Words

Morality and social policy According to ADDIN EN.CITE Noonan1970705Noonan (1970)7057055John T. NoonanJohn T. Noonan, JrAn Almost Absolute Value in HistoryThe Morality of Abortion: Legal and Historical Perspectives51-591970CambridgeHarvard University Press HYPERLINK l _ENREF_2 o Noonan, 1970 #705 Noonan (1970), anyone conceived by a man and a woman is human and by recognizing this fact, it is inhuman to kill the fetus despite its imperfections. He also presents the argument that by limiting humanity to exclude certain groups which comes from allowing abortion as a result of imperfections in the fetus risks creating precedence in allowing certain groups to be excluded in society. The author also states that the moral analysis conducted in his essay comes from the perception of the fetus humanity and the weighting that is given to the fetal rights against other fundamental human rights. He presents the argument that if any other human beings life should be spared despite their imperfections, the rights of fetus es should also be upheld. The author states that this can be put as a commandment in the sense that one should not injure your fellow man without reasons. He continues his argument by stating that the only condition when the humanity of the fetus can be put aside and abortion upheld as a moral decision is in self-defense. Here, the author refers to the situation where the life of the fetus must be ended in order to save the mothers life reason aloneShow MoreRelatedEssay on The Death Penalty:Social Ethics: Morality and Social Policy1737 Words   |  7 Pagesrational and just to offer aid to the innocent than â€Å"to those who are guilty of squandering aid† (Mappes, Zembaty, and DeGrazia 141). Works Cited Mappes, Thomas A., Jane S. Zembaty, and David DeGrazia. The Death Penalty. Social Ethics: Morality and Social Policy. 8th ed. New York: McGraw-Hill, 2012. 105-53. 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Small Business Management Question Tips With Answer Solution

Questions: 1. Frank Rainsford has been, in effect, the CEO of Franks All-American BarBeQuesince its inception. His major role has been that of restaurant manager, receiving support from his assistant manager Ed Tobor for the last fourteen years. Frank has two children, a son and daughter, who both worked in the restaurant as teenagers. His daughter has worked periodically at the restaurant since she graduated from high school. Franks son, who recently lost his job, has returned to work for his father. The son produced several plans to expand the business, including the opening of a second restaurant and the extensive use of social media. After careful consideration, Frank has decided to open a second restaurant, but this has presented him with a major problemhow to assign responsibilities to personnel. His son wants to be designated the restaurant manager of the second restaurant and made the vice president of marketing. Ed Tobor also wants to be the manager of the new restaurant. His daughter has expressed an interest in being the manager of either restaurant. How should Frank resolve this problem? 2. One night after the restaurant had closed, Frank Rainsford sat down with his son, Robert. Frank had finished reading his sons business plan for a third time. Robert sensed that his father had some sort of reservations. Whats the matter, Dad? Didnt you like the plan? Frank paused and said, Bobby, from a technical standpoint I think you have done a very, very credible job, but you are right. I do have some concerns. Disappointed, Robert asked his father to lay out his concerns. Frank told him that opening another restaurant was a huge and expensive undertaking. He knew that Robert understood the financial risks, but he was not sure that his son understood the problems associated with getting people to come to a new restaurant. Frank was straightforward and told his son, I have been at this for thirty-plus years. It took me years to build up my client base. I really know my customers and what they like. Up until this year the only marketing I did was flyers and a few ads in the local paper and the church bulletin. How are we going to understand our customers at the new location? We are going to have to fill itup quickly if we are to pay the bills. I know Ive had some good success with selling the sauces during the last few years, but remember that Im selling them from Harrys grocery store. His customers already know me and my product. Your plans for ramping up sauce sales are great, but again, how are we going to get people to know who we are and interested enough to by a six dollar bottle of barbecue sauce? Frank went on to tell his son that he knew that Robert was extremely knowledgeable about marketing and the use of the Internet. He reminded Robert that he had given him a greatly enlarged marketing budget in 2010. If you were Robert, how would you go about alleviating your fathers concerns? (You may want to consult Chapter 16 "Appendix: A Sample Business Plan" and review Roberts business plan for a new restaurant.) Answer the question from a marketing persp ective. 3. Locate the average values of these values for the restaurant industry and comment on how well or poorly Franks All-American BarBeQue appears to be doing with respect to the industry. Answers: 1. In the given case scenario, Frank Rainsford, the CEO of his BarBeQue restaurant had Ed Tobor as an assistant manager for the last fourteen years. Evidently, he qualifies for the post of manager at Franks new restaurant as he has gained exquisite experience. Also, he knows the business inside out as he has worked for Frank as a substantial support. Franks children have been away while Robert was working for another organization and not at the restaurant. He holds a BS degree in marketing and lost his job after which he decided to contribute to his fathers business. Franks daughter Susan worked at his restaurant as a teenager during summer vacations. It is observed that both the kids, Robert and Susan want to be designated as the manager of Franks new restaurant. Under functional organizational structure, the organization has different groups or functional areas such as marketing, operations and others (Karatepe and Kilic 2015). Ed Tobor who has contributed his fourteen years expres ses his interest in being the manager of either restaurant. It is argued that Ed Tobor knows the business inside out and must be made the manager at the new restaurant. In a new restaurant, Frank requires a qualified professional who could successfully delegate tasks to the personnel. Susan must be made the assistant restaurant manager where she can gain experience and qualify for a higher position. Robert must be made the vice president of marketing that would help Franks All-American BarBeQue in reaching new levels (Martin et al. 2012). 2. As stated in the given scenario, Frank is concerned about the marketing standards for attracting customers at the new location of restaurant at Connecticut. So far, the customers at the previous location have known Franks product at Harrys grocery store. However, from the marketing perspective, Frank needs to be explained about Roberts business plan. Frank needs to understand that thirty years back when he started the business of selling sauces, he needs to compete through the modern methods of communication. Robert must enlighten Frank with the benefits of internet and web marketing. For selling the sauce at six dollar per bottle, the advertisements can overcome the barriers of reach through internet. Online marketing shall also help in targeting the suburban population where the market needs to be divided into various demographic regions (Annunziata and Vecchio 2013). The customers can express their concerns or interests which can be addressed by Robert at a later stage. The eas e of marketing through internet is enhanced as the products can be browsed at any time. The details of the products can be viewed by the customers without having them visit the store. Campaigns may be generated for attracting the customers. Internet is a platform for building relationship with the customers which would also help in improving retention. Emails can be made to customers for maintaining relationships using personalized offers. Robert must further explain about the tracking results for growth, leads and sales conversions from the marketing search campaigns (Hidayanto et al. 2012) 3. There are different values which can be used to measure the wellness of Franks All-American BarBeQue restaurant with respect to the restaurant industry. They are: Asset Approach- According to the asset approach, the method seeks to determine the business value on the basis of valuation of assets. It is analyzed that Franks business is doing well because the long-term assets have a fair value. Also, the company has substantial cash, inventory and other assets to maintain a positive balance (Wu 2013). Market Approach- The market approach or the pricing multiples help in determining potential selling price, revenue or profits. According to the market analysis, the potential customers have a significant market share when it comes to buying sauces. Frank is doing well as the barbecue food is served at a reasonable price and is sold in a family-friendly manner (Ha and Jang 2013). Income Approach- This approach helps in determining the value of a business based on the ability for generating desired economic benefit for the owners. This approach helps in determining the business value as a function of profitability or economic benefit. Based on the data and figures given in the case study, both 2009 and 2010 were crucial for the restaurant industry. There would be stiff price competition and the level of personal income was estimated to grow in both 2011 and 2012. Therefore, the value in terms of income approach falls on the positive side as the people shall spend for eating at Franks restaurant or buying the barbecue sauce (Ha Jang 2013). References Annunziata, A. and Vecchio, R., 2013. Web marketing strategies of food producers in Italy: a competitive analysis.International Journal of Internet Marketing and Advertising, 8(1), p.1. Ha, J. and Jang, S., 2013. Attributes, consequences, and consumer values.International Journal of Contemporary Hospitality Management, 25(3), pp.383-409. Hidayanto, A., Adha, M., Jiwanggi, M. and Melia, T., 2012. A study of impact of search engine optimisation to internet marketing strategy.International Journal of Services, Economics and Management, 4(4), p.298. Karatepe, O. and Kilic, H., 2015. Does Manager Support Reduce the Effect of WorkFamily Conflict on Emotional Exhaustion and Turnover Intentions?.Journal of Human Resources in Hospitality Tourism, 14(3), pp.267-289. Martin, R., Muls, M., de Preux, L.B. and Wagner, U.J., 2012. Anatomy of a paradox: Management practices, organizational structure and energy efficiency.Journal of Environmental Economics and Management,63(2), pp.208-223. Wu, H., 2013. An Empirical Study of the Effects of Service Quality, Perceived Value, Corporate Image, and Customer Satisfaction on Behavioral Intentions in the Taiwan Quick Service Restaurant Industry.Journal of Quality Assurance in Hospitality Tourism, 14(4), pp.364-390.

Tobacco And Kids Essay Example For Students

Tobacco And Kids Essay Tobacco Ads Target YouthEveryday 3,000 children start smoking, most them between the ages of 10 and 18. These kids account for 90 percent of all new smokers. In fact, 90 percent of all adult smokers said that they first lit up as teenagers (Roberts). These statistics clearly show that young people are the prime target in the tobacco wars. The cigarette manufacturers may deny it, but advertising and promotion play a vital part in making these facts a reality (Roberts). The kings of these media ploys are Marlboro and Camel. Marlboro uses a fictional western character called The Marlboro Man, while Camel uses Joe Camel, a high-rolling, swinging cartoon character. Joe Camel, the smooth character from R.J. Reynolds, who is shown as a dromedary with complete style has been attacked by many Tobacco-Free Kids organizations as a major influence on the children of America. Dr. Lonnie Bristow, AMA (American Medical Association) spokesman, remarks that to kids, cute cartoon characters mean that the product is harmless, but cigarettes are not harmless. They have to know that their ads are influencing the youth under 18 to begin smoking(Breo). Researchers at the Medical College of Georgia report that almost as many 6-year olds recognize Joe Camel as know MickeyMouse (Breo). That is very shocking information for any parent to hear. The industry denies that these symbols target people under 21 and claim that their advertising goal is simply to promote brand switching and loyalty. Many people disagree with this statement such as Illinois Rep. Richard Durbin who states If we can reduce the number of young smokers, the tobacco companies will be in trouble and they know it (Roberts). So what do the tobacco companies do to keep their industry alive and well? Seemingly, they go toward a market that is not fully aware of the harm that cigarettes are capable of. U.S. News recently featured a discussion of the smoking issue with 20 teenagers from suburban Baltimore. The group consiste d of ten boys and ten girls between the ages of 15 and 17. When asked why they started smoking, they gave two contradictory reasons: They wanted to be a part of a peer group. They also wanted to reach out and rebel at the same time. When you party, 75 to 90 percent of the kids are smoking. It makes you feel like you belong, says Devon Harris, a senior at Woodlawn High. Teens also think of smoking as a sign of independence. The more authority figures tell them not to smoke, the more likely they are to pick up the habit (Roberts). The surprising thing is that these kids know that they are being influenced bycigarette advertising. If these kids know that this advertising is manipulating them, why do they still keep smoking? The ads are everywhere, especially in teen-oriented magazines, such as Rolling Stone and Spin. The ads also fuel some of the reasons the children gave for starting. They represent rebellion, independence, acceptance and happiness. These are all the things a young p erson, between childhood and adolescence, needs and desires. This type of advertising, on top of peer pressure, is the mystery behind therise in adolescent smoking. How do we stop the future of America from smoking? Here are three things that the experts recommend. Try to convince your children that smoking is not cool. Talk to your kids at a young age about the dangers of smoking. Identify family members who smoke and ask them to stop (Thomas). Children are the most valuable commodity we are given in life. Lets try to educate them while theyre young to be independent thinkers and to not be swayed by the tobacco companies who are trying to take advantage of their mind and body. Works CitedBill Clinton vs. Joe Camel. U.S. News World Report. 2 Sep. 1996: 12. Infotrac. Online. 27 Oct. 1996. .u21a764785db7955e86cff04ca0aa40b0 , .u21a764785db7955e86cff04ca0aa40b0 .postImageUrl , .u21a764785db7955e86cff04ca0aa40b0 .centered-text-area { min-height: 80px; position: relative; } .u21a764785db7955e86cff04ca0aa40b0 , .u21a764785db7955e86cff04ca0aa40b0:hover , .u21a764785db7955e86cff04ca0aa40b0:visited , .u21a764785db7955e86cff04ca0aa40b0:active { border:0!important; } .u21a764785db7955e86cff04ca0aa40b0 .clearfix:after { content: ""; display: table; clear: both; } .u21a764785db7955e86cff04ca0aa40b0 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u21a764785db7955e86cff04ca0aa40b0:active , .u21a764785db7955e86cff04ca0aa40b0:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u21a764785db7955e86cff04ca0aa40b0 .centered-text-area { width: 100%; position: relative ; } .u21a764785db7955e86cff04ca0aa40b0 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u21a764785db7955e86cff04ca0aa40b0 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u21a764785db7955e86cff04ca0aa40b0 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u21a764785db7955e86cff04ca0aa40b0:hover .ctaButton { background-color: #34495E!important; } .u21a764785db7955e86cff04ca0aa40b0 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u21a764785db7955e86cff04ca0aa40b0 .u21a764785db7955e86cff04ca0aa40b0-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u21a764785db7955e86cff04ca0aa40b0:after { content: ""; display: block; clear: both; } READ: Blance DuBois Essay We will write a custom essay on Tobacco And Kids specifically for you for only $16.38 $13.9/page Order now Selling Tobacco to Kids. America. 17 Feb. 1996: 3. Infotrac. Online. 27 Oct. 1996. Roberts, Steven. Teens on tobacco; kids smoke for reasons all their own. U.S. News World Report. 18 Apr. 1996: 38. Infotrac. Online. 27 Oct. 1996. Thomas, Roger E. 10 steps to keep the children in your practicenonsmokers. American Family Physician. Aug. 1996: 450. Infotrac. Online. 27 Oct. 1996. Breo, Dennis L. Kicking Butts-AMA, Joe Camel and the Black Flag war on tobacco. JAMA, The Journal of the American Medical Association. 29 Oct. 1993: 1978. Infotrac. Online. 27 Oct. 1996.

To Grade Or Not To Grade, That Is The Problem Essays - Free Essays

To Grade Or Not To Grade, That Is The Problem Essays - Free Essays To Grade or Not to Grade, That is the Problem - What?s your GPA (Grade Point Average)? - Have you taken this course before? What did you get? In his essay The Farce Called "Grading", Arthur E. Lean questions the use of asking these kinds of questions. Grades have become part of our lives as students. People need a grading system and "seem to assume it to be necessary and intrinsic to the process of formal education"(Lean 131). He refers to the grade as "a symbol purporting to express a measurement of academic achievement-an evaluation of the quality and quantity of learning"(Lean 132). There are two main arguments Lean has suggested. First, there is an inconsistency from the graders. Second, he sees the grading system as being unfair and even harmful for students? attitudes toward education. He points out that grading system should be eliminated. To backup the fact that many people are challenging the necessity of the grading system, Lean provides two examples: "A sustained effort should be made to throw out false inducements to learning. In one way or another most of these refer to our obsession with grades?. As a system for evaluating attainment of broad educational aims, it remains a failure. Few teachers have any systematic idea of how to grade fairly. Grading is also the chief villain behind the scandal of college cheating," said Louis T. Benezet (Lean 130). "I have long ago reached the conclusion that the marking system itself is damaging in its impact on the education of our children and youth, and that it should go the way of the hickory stick and dunce caps. It should be abandoned at all levels of education," said Ernest O. Melby (Lean 130). I agree with Lean to some extent that there are some inconsistencies from the graders and perhaps some unfairness occurred to many students. On the other hand, I am not sure that the system is totally harmful for students? attitudes toward education. Also, given the fact that the grading system is a very useful instrument for both motivating and measuring students? academic abilities, the system is still essential to be kept. There is an inconsistency between markers for grading term papers or open questions that I agree with Lean. On his example of several teachers marking the same paper, "invariably the assigned grades on the same theme ranged all the way from A (excellent) to E (failure)" (Lean 132). Although many professors might say that point of view would not be graded while they try not to be biasing, there is no guarantee that a professor would not give a lower mark to a paper because s/he may disagree with some parts of the essay. As a former English class student in grade 12, I notice that my teacher tended to be prejudicing on non-native English writers? papers. The reason I said that was because there is a big grade difference if our papers were marked by another who had not met the writers before. A professional marker who was hired by the English department graded one of our term papers every term. Generally, the non-native English writers received significantly higher marks than th! ey do when our class teacher is marking. The average differential marks for non-native English are about ten percent. As for native English writer, the differential marks are not very much. It is true that the grading system can hardly be absolutely fair. Actually, "most teachers try to be fair and accurate in their estimate" (Lean 133). One teacher who grades a work accurately doesn?t suggest that the other teachers would do the same. However Lean claims that "all the time they knowat least, those who are honest with themselves know-that they are attempting the impossible. No self-respecting teacher ever rests peacefully the night after turning in a set of grades, for he knows that the "system" has made a charlatan of him and he goes to bed and hating himself for it" (Lean 133). I don?t agree with the way Lean is questioning the teachers since their role is to act as a "judge" on student?s work. There is a difference between being unfair and conforming with the system. A teacher

HRM Book Summery Essay Example | Topics and Well Written Essays - 1750 words

HRM Book Summery - Essay Example logy-driven, fast changing business world where every corporation must compete for skilled talent, be able to influence its employees to provide the best products, be able to train and provide educational programs and be able to control and monitor personnel costs to maintain cost competitiveness Job analysis methods produce acceptable to high levels of reliability. Particularly high levels of liability can be demonstrated for methods that rely on structured questionnaires such as worker-oriented questionnaires, job inventories, or checklists Competence is a standardized requirement for an individual to properly perform a specific job. It encompasses a combination of knowledge, skills and behavior utilized to improve performance. More generally, competence is the state or quality of being adequately or well qualified, having the ability to perform a specific role. When it comes to executive incentives, human beings are both finite and creative; that means that the people offering incentives are often unable to predict all of the ways that people will respond to

Balanced Reading Program Essay Example | Topics and Well Written Essays - 500 words

Balanced Reading Program - Essay Example Such issues have been addressed and overcome by the introduction of a balanced literacy program. The balanced reading approach offers effective techniques for enhancing reading, writing, listening, viewing and speaking skills of the students through its literacy program. According to Cohen and Cowen (2007): â€Å""The primary goal of a balanced literacy program is to teach reading, not as a skill broken into isolated steps, but as a lifelong learning process that promotes higher order thinking, problem solving and reasoning† (Pp. 37). The basic components of a Balanced Literacy Program include: Reading Alouds, Shared Reading, Guided reading, Independent Reading, Modeled/ Shared writing, Interactive Writing, and Independent Writing. The essential components of a Balanced Reading Program, on the other hand include: explicit instruction and practice in essential academic learning requirements which includes phonemic awareness, vocabulary, fluency, comprehension and thinking skills and strategies etc; Response to reading through writing, discussion and drama; Classroom environment i.e. conducting activities individually or in small groups, focusing on thinking and learning and problem-solving, as well as student interaction; High expectations, clear standards and continuous evaluation; Use of variety of materials such as fiction, non-fiction, and other popular genres; and Daily Reading which includes shared reading, reading to students by teachers, guided reading, and independent reading practice (Holcomb, 2004). This article on â€Å"IQ, Phonological Awareness and Continuous-naming Speed Related to Dutch Poor Decoding Childrens Performance on Two Word Identification Tests" by Kees van den Bos deals with the word identification variables and reading-related variables of intelligence, phonological awareness and continuous naming speed. For the purpose of this study, a series of experiments were conducted on children aged between 10 and 12 years who had poor

Competitors in the market Essay Example for Free

Competitors in the market Essay 1. Name: Stork Removals www.storkremovals.co.uk Address of Competitor: Stork Removals 15 Hazelwood Road Enfield EN1 1JG Products Offered By Competitor: Removals, Storage, Packing (full packing, part-packing and materials only service) Features of Customer Services: 0800 number, Free Insurance cover, Free Estimates, Free expert advice, Contact via telephone, fax or email. Quality of Service Offered By Competitor: Member of Road Haulage Association. A representative of Stork Removals will visit the customer at home in order to provide an accurate quotation. Stork Removals estimators visit at a time convenient to the customer, including evenings and at the weekends. Customers goods are automatically covered during loading, unloading and transportations. All staff employed by Stork Removals, are fully trained. All staffs wear the companys uniform and are easily recognisable. Stork Removals has a modern fleet of vehicles ranging from 3.5 Tonnes Luton vans to large furniture vans to cope wit any size of removals. Marketing and Promotion: Provides testimonials on their website, has name of business and contact details on their removals vehicles listed in the yellow pages with details of their services. 2. Name: Falcon Move www.falconmove.co.uk Address of Competitor: Falcon Move 135A, Town Road, London, N9 ORL Products Offered By Competitor: Removals, Storage, Light Haulage Services, Packing. Features of Customers Services: Provide consultants to work with customers to design and implement a relocation plan customized to their individual needs that is cost effective, efficient and stress free. Provide a free quotation page on their website where customers can fill in their details of what they are moving and where they want to move. The company will email the customer with an estimate. Provide an online form for customers to send a message to Falcon Move or make enquiries. Customers can contact by phone or email. Quality of Service Offered by competitors: Use state-of-the-art equipment to provide a truly exceptional service, the mission of Falcon Move, through quality, reliability, consistency of services and innovation, to achieve the goal of customer satisfaction. Aim to provide the best possible removal and storage service that ensures all customers obtain value for money. They offer full packing service with trained packers to help customers wrap and protect their precious items ready for removal. The staffs at Falcon Move have specialist knowledge to pack everything. Falcon Move uses purpose made plywood storage containers for maximum protection of customers possessions. Everything will remain safe in their warehouses because all the warehouses are under 24-hour security surveillance utilizing CCTV technology. Marketing and Promotion: Listed in the yellow pages with details of their service. 3. Name: Smart Removals www.smartremovals.com/index.htm Address of Competitor: Building 8 Argon Road London N18 3BW Products Offered By Competitor: Domestic Moves, Commercial Moves, Storage, Overseas Moves, Excess Baggage, Packing (complete or part packing) Features of Customer Service: 0800 number, free insurance cover, free no obligation quotation can be done online or over the phone, free expert advice, contact via telephone, fax or email, full range of packing options to meet customers needs, open-ended contract on storage. Quality of Service Offered by Competitor: Members of the British Association of Removers (BAR), Members of the National Guild of Removers and stores (NGRS) staff are efficient and courteous. A representative will visit the customer at home to discuss what the customer require, Office removals teams consists of experienced furniture removers and IT packers Modern 24 hour manned secure storage units Marketing and Promotion: Listed in the yellow pages with details of their service 4. Name: Easy Shift www.Easyshift.co.uk Address of Competitor: 106, Priory Rd, London, N8 7HR Products Offered By Competitor: Removals, Self- Storage, Packing Features of Customers Services: Free quotes. Either personally, over the phone or via email. Free goods in transit insurance with all work performed to à ¯Ã‚ ¿Ã‚ ½10,000. Easy payment methods, Contact via telephone or email, free word robe boxes for all moves, free advice, Weekend and bank holidays office relocation, boxes can be provided on a sale or return basis and any unused boxes collected on the day of moving. Customers can pack all or some of their possessions and Easy shift will part-pack on request. Open-ended contract on self storage. Quality of Service Offered by Competitor: Reliable, honest and punctual staff, Trained staff, professionally maintained and insured vehicles, wide range of packaging materials to protect customers goods whilst in transit. Flexible solutions to individual relocation requirements, provides top 10 tips on removals on their website, terms and condition are clearly stated on their website, can cater for moves of all sizes to all locations within Greater London, UK and Europe. Customers can check packaging price list on their website or ask staff to recommend how many boxes the job will require. All goods are safely stored and fully insured whilst in storage. Marketing and Promotion: Provides testimonials on their website, has name of business and contact details on their removal vehicles, listed in the yellow pages with details of their service. Part B What Falconi Removal Need to do to be more competitive: Productive/Service Storage Packing Options: Full or part packing Light Haulage Domestic Move Overseas Moves Excess Baggage Commercial Moves Easy payment methods Open-ended contract on self storage Marketing and Promotion Set up a website Put Testimonials on website contact details on their removals vehicles listed in the Yellow Pages Quality of Service A representative to visit customers homes in order to provide an accurate quotation. estimators visit at a time convenient to the customer Customers goods are automatically covered during loading Trained Staff All staffs wear the companys uniform and are easily recognisable plywood storage containers for maximum protection of customers The warehouse are under 24-hour security surveillance utilizing CCTV technology Show association that their part of Office removals teams consists of experienced furniture removers and IT packers Modern 24 hour manned secure units Customers can check packaging price list on their website or ask staff to recommend how many boxes the job will require All goods are safely stored and fully insured whilst in storage Flexible solutions to individual relocation requirements, provides top 10 tips on removals on their website. Customer Service Free Insurance cover 0800 number Free expert advice Contact via telephone, fax or email Provide consultants to work with customers to design and implement a relocation plan customized to their individual needs that is cost effective, efficient and stress free Provide a free quotation page on their website where customers can fill in their details of what they are moving and where they want to move. Free quotes Free goods in transit insurance with all work performed to à ¯Ã‚ ¿Ã‚ ½10,000 Weekend and bank holidays office relocation Price Falconi Removals have to find this information themselves e.g. Mystery shoppers

Thomas Jefferson Essays -- essays research papers

Thomas Jefferson was born on April 13, 1743 on his family’s plantation in Shadwell, Virginia. The third of six children his parents raised him modestly and his father schooled him to be a gentleman. The young Jefferson suffered an emotional shock, when at the age of 14 his father Peter Jefferson died. The young Jefferson was the first male of the family and so he received the bulk of his father’s assets, leaving him with a sizable fortune. He received his early education along with his sisters and cousins near the family farm, and later was sent away to be tutored by a professional teacher in foreign languages and more advanced sciences and math. Beginning in 1760 Jefferson began attending the College of William and Mary in Williamsburg, Virginia. While there he began studying such enlightenment thinkers as Sir Francis Bacon, Sir Isaac Newton, Jean Jacques Rousseau, and John Locke. His admiration for these men became even greater as he began to make his way in life. Once he finished his college education Jefferson decided he wanted to pursue a career in law. To achieve this he began studying for the bar exam under a practicing lawyer George Wythe. After completeing his studies he began establishing a law practice out of his home in Shadwell. Then in 1768 he was elected to the Virginia House of Burgesses where from the very start he made his presence known. If first proposal to the body was to establish procedures for the emancipation of slaves, an idea quickly shot down. He remained a member of the house until its dissolution in 1774 by the colony’s British Governor Dunmore. The same year plans were made to hold a continental congress of all the colonies. In preperation for this meeting Jefferson wrote an essay called A Summary of the Rights of British Americans, in which he voiced his thoughts on the rights of men. Due to illness he was unable to attend this meeting, but its widespread publishing lead to his nomination to the second Continental congress. During the 1776 meeting of the second Continental Congress Jefferson wrote one of the most famous documents in American history, the Declaration of Independence. This document would become the basis for the writing of the Articles of Conferderation and eventually the United States Constitution. Another document written by Jefferson that would become an integral part of the federal Constitution would be ... ...umed the office of vice-president. Jefferson’s first act as president was to tell Secretary of State James Madison to withhold the midnight appointment of William Marbury to the office of Justice of the Peace of the District of Columbia. Marbury sued for the appointment President Adams had given him and Chief Justice John Marshall ruled in his favor. The case Marbury vs. Madison set the precedent of the courts right to judicial review of the other branches of government. Jefferson went against his belief in strict Constitutional interpretation several times during office as president, the first time was when he authorized the Louisiana Purchase in 1803. Though the power to purchase the land was not given to him as president in the Constitution he went ahead with it because he felt that it was in the best interest of the nation. He went against his beliefs two other times when he went along with the 1804 impeachments of Federal district judge John Pickering and Supreme court judge Samuel Chase. The constitution states that â€Å"treason, bribery, or other high crimes or misdemeanors† must be committed to warrant this, but both men were impeached by the Senate due to erratic behavior.

Zuma Project

For Part B of the MS Project Assignment, complete the Zuma Project – Parts 3, 4, 5 and 6 described at the end of your textbook (pp. 630-634). Answer the questions, following the directions below, and submit your MS Project files in the dropbox. Use the following coding for your filenames – start with your initials, such as XYEM660ZumaP3. mpp. Submit answers to the questions as an MS Word file, with a file name starting with your initials, such as XYEM660ZumaPB. doc. Also save your work to disk as a backup record.Note: Additional tutorials with video files on how to work with MS Project are given in the Student CD that came with your textbook and are also on the publisher’s website. Worth watching! Part 3 (20 pts. ) 3. 0 Top management is not happy with the resource-constrained schedule generated at the end of Part 2. Robin Lane, the president, has promised retailers that production of the new scooters would start on February 1, 2009. Answer the questions below in a word file document with a name starting with your initials, such as XYEM660ZumaPB. doc: 3. 0. 1. Q#1) What options are available to meet this new deadline if the project is not resource constrained? (1 pt. ) If the project is not resource constrained, then the finish date of the project will be 12/22/2008, Since the project duration is 250 days from 1/2/08. It would meet the promised 2/1/2009 deadline. 3. 0. 2. (Q#2) What options are available to meet this new deadline if the project is resource constrained? (1 pt. ) If the project is resource constrained, then the finish date will be 2/18/09, since there was an additional 40 days added to the project duration.Additional personnel should be added in order to meet the desired new deadline. 3. 1   Dewey Martin, director of product development, has managed to make the following personnel available to work on specific activities on the project. Since there is an acute shortage of personnel at ARC he requests that you only use addit ional manpower that will help meet the new deadline. Your objective is to develop a schedule which will satisfy the deadline with minimum additional resource usage. The available personnel and impact on activity duration are presented in Table A2. . 3. 1. 1   Based upon your Part 2 MS Project file, XYEM660ZumaP2. mpp, assign additional personnel as needed to complete the project before Feb. 1, 2009, but minimize the cost. 3. 1. 2   Develop a schedule that meets the time and resource allocation constraints. [You cannot go back and re-level resources. These new resources are only available for the stated specific tasks according to the schedule created at the end of Part 2. ] 3. 1. 3   Save and submit your MS Project file with a filename starting with your initials, such as XY EM660ZumaP3. mpp. (12 pts. ) 3.   Ã‚  Ã‚  Ã‚   Answer the questions below in your project word file, XYEM660ZumaPB. doc: 3. 2. 1 (Q#3) What is the new project complete date after assigning additional per sonnel? (1 pt. ) After additional personnel were added, the new project duration is 281. 67 days. 3. 2. 2   (Q#4) Which additional personnel assignments would you choose to complete the project before February 1st deadline at the cheapest cost? (Q#5) Explain your choices. Also, (Q#6) explain the reasons for not choosing specific options. (3 pts. ) 3. 2. 3  Ã‚   (Q#7) How have these changes affected the sensitivity of the network? 1 pt. ) 3. 2. 4 (Q#8) What is the amount range for the slack on non-critical activities? (1 pt. ) Part 4 (13 pts. ) 4. 0 Robin Lane and top management have approved the schedule generated at the end of Part 3. Save the file containing this schedule as a baseline schedule starting with your initials as XYEM660ZumaP4. mpp. (5 pts. ) 4. 1 Answer the questions below in your project word file, XYEM660ZumaPB. doc: 4. 1. 1. (Q#1) How much is the project estimated to cost? (1 pt. ) 4. 1. 2. (Q#2) What activity is estimated to cost the most to complete? (1 pt. ) 4. 1. 3. Q#3) What resource commands the greatest total cost? (1 pt. ) 4. 1. 4. (Q#4) During which month of the project are the highest and lowest costs expected to occur? What are those costs? (1 pt. ) 4. 1. 5. (Q#5) What likely costs are not contained in this budget? Include a table containing the estimated costs for each activity and a cash flow schedule for each month of the project. (4 pts. ) Part 5 (14 pts. ) 5. 0 Today’s date is August 16, 2008. Table A2. 8 summarizes the information regarding activities accomplished to date. Robin Lane has requested a written status report for the Blue Zuma project.Enter August 15 as the status report date since you are preparing your report on the 16th. Save your project file as XYEM660ZumaP5. mpp (5 pts. ) 5. 1. Your status report should include a table containing the PV, EV, AC, BAC, EAC, SV, CV, and CPI for each activity and the whole project. The report (see example report on p. 474) should also address the following questions. Save your report as XYEM660ZumaReport. doc (8 pts. ) a. How is the project progressing in terms of cost and schedule? (1 pt. ) b. What activities have gone well? What activities have not gone well? 1 pt. ) c. What do the PCIB and PCIC indicate in terms of how much of the project has been accomplished to date? (1 pt. ) d. What is the forecasted cost at completion (EACf)? (1 pt. ) What is the predicted VACf? (1 pt. ) e. Report and interpret the TCPI for the project at this point in time. (1 pt. ) f. What is the estimated date of completion? (1 pt. ) g. How well is the project doing in terms of its priorities? (1 pt. ) Try to present the above information in a form worthy of consideration by top management. Include a tracking Gantt chart with your report. 5. 2.While preparing your report you receive a phone call from Jim Keltner, a fellow project manager. He is calling to see if one of the industrial engineers assigned to your project would be available to work on his project from Augu st 22 to 27, 2008. What would you tell him? Save your file as XYEM660ZumaPB. doc. (1 pt. ) Part 6 (19 pts. ) 6. 0   Robin Lane has authorized using Management Reserves to expedite the shipping of components at an additional cost of $50,000. She has asked you to update completion and cost estimates for the Blue Zuma project. Table A2. 9 presents the revised estimates generated by the Blue Zuma project team.Save and submit your MS Project file with a filename starting with your initials, such as XYEM660ZumaP6. mpp. (12 pts. ) 6. 1   Based on the new information, answer the questions below in your project word file, XYEM660ZumaPB. doc (7 pts. ): 6. 1. 1   (Q#16) When will the project be completed? (Q#17) How does this compare with the baseline completion date? (2 pts. ) 6. 1. 2   (Q#18) What is the new estimated cost at completion (EAC)? (Q#19) What is the new VAC? (Q#20) How does this compare with VAC based on the FAC generated in Part 5? (Q#21) Which of the two VACs would you have the greatest confidence in and (Q#22)why? (5 pts. ) Related article: Conveyor Belt Project

The Ones Who Walk Away From Omelas And The Lottery Analysis

Many people possess a naturally healthy tendency to see faces in randomness. This phenomenon, known as pareidolia, is the idea that humans are prone to find patterns in chaos. Similarly, as curious creatures, we strive to develop a guide in a life of uncertainty. An inherent aspect of human nature is the desire to establish a purpose for every action and a creed for existence. In addition, we remind ourselves of the flaws that we must abstain from. Such reminders are often found in religions such as Christianity and Hinduism and dystopian literature. Ursula Le†¦show more content†¦Dystopian societies starkly resemble our own. They emphasize the idea that if preventive measures are not taken now, there will be turmoil later. They serve as a reminder t hat if the weakness and passions of man are pursued, disorder will be fostered. Ursula Le Guin’s dystopian city of Omelas pursues human weaknesses in which exploitation, greed, and selfishness are the foundations of the story. Le Guin describes the citizens of Omelas celebrating guiltlessly during the Summer Festival as they indulge in religiously undesirable activities. As they roam freely without a cautionary behavioral boundary, they exhibit the chaos and a lack of control that could result from devotional irresponsibility: â€Å"If an orgy would help, dont hesitate...Surely the beautiful nudes can just wander about, offering themselves like divine souffles to the hunger of the needy and the rapture of the flesh† (Le Guin 2). Along with promiscuity, Le Guin also implies an influence of drugs, â€Å"drooz†, in the citizensâ€℠¢ daily lives. The Omelasian society displays an absence of structure and form.Show MoreRelatedLiterary Analysis : The Bible 1735 Words   |  7 PagesLiterary Analysis Paper The bible portrays Jesus our lord and savior as one who commits no crime and breaks no law yet suffers a horrendous torture in the name of love and gratitude for all of humanity. In similar ways both The Ones Who Walk Away From Omelas and The Lottery relate to the Christian faith which is based on the presumption that one person can free the rest from anarchy and hell. All three of these human sacrificing ritualistic ideals conform to the system which kills or tortures one personRead MoreThemes Of `` The Lottery `` By Shirley Jackson And The Ones Who Walk Away From 1861-18651553 Words   |  7 Pagespaper. The theme of equality is present throughout many of the dystopian short stories, novels, poems and films we have studied in class. The three stories I feel this theme is most present in are â€Å"The Lottery† by Shirley Jackson, â€Å"Harrison Bergeron† by Kurt Vonnegut and â€Å"The Ones Who Walk Away From Omelas† by Ursula Le Guin. In these stories society tries to make everything orderly and just. Their methods to promote equality are flawed. The goal in these stories is to perfect society but in each story