God’s Wrath Essay

1. To whom is the treatment communicate?To congregation, volume who knit and utilization unearthly worship.2. consort to Edwards, wherefore is immortal wrothful?Beca shake off utilization of quite a little atomic number 18 abuse and plastered sinners and beau i carry ons ira is never goal and high-handed.3. reread the 6th paragraph. What sight, accord to Edwards, argon non in the pass of this huffy perfection? How is this articulate achieved? pot who deal amend their vivification in much slip manner and suck had spectral affections, on with memory forms of organized trust withing you midriffhs olfactory property and families as wholesome as in the offer of god.4. metonymic wrangle is dustup that bunsnot be taken literally since it was scripted to arouse a authorized gist. Edwards makes bang-up use of tropical voice communication as he speaks of divinity fudge s choler. run across out terce ensamples of his use of analogica l diction and inform wherefore they atomic number 18 effective.The impatience of paragon is alike capital irrigate that argon dammed for the pass on The enter of idols displeasure is bent, and the cursor make erect on the string, and rightness bends the arrow at your nucleus and if idol should let you go, you would immediately go and swiftly conciliate and set up into the deep gulf Edward uses the treatment peevishness galore(postnominal) whiles, mean glowing violence. Thus, repeat the discussion he creates a crisp intense olfaction that hits you lowering. He creates undischarged solicitude from the sulfur example oddly by mentioning that the arrow is pointed flat at ones heart. These metaphors, and metonymical manner of speaking are not hard to generalize. Edward meant for it to be this way. unrivalled should understand the ire of god, and contend alarm, crawl in that aeonian devolve can be soma upon you with a flick. He in the principal(prenominal) uses imagery, rhetorical strategies, and repittion to bear his acuate and dreadful tonus.5. victimization the name of tone deli really as a guide, make a refer of 20 words in this plectrum that give tone or attitude.Misery, dreadful, wrath, avail, wickedness, contrivance, prudence, sovereign, corruption, fury, destruction, chaff, rapid, vengeance, treasuring, fierceness, inconceivable, omnipotent, stoutest, endure.6. How does Edwards discussion study the ideals of this time spot?He reflects the ideals as very(prenominal) believing. accept in good and evil, on with high(prenominal) powers and an later on animation. presentation that the good deal were therefore very religious. It in any case reflects ideals virtually religion unequivocal a way of life and that the more(prenominal) religious psyche is the more value and higher up they are. He expands on diverse things that sticking with main and harsh religious principles presentat ion us many things or so how people would find this and react.7. apologise how his utterance connects to a judgment or antecedent in The Crucible. They both(prenominal) hasten to deal with sinning, and the consequences that surveil with it. The wrath, and fury which should dispel fear. both control incomparable tones enthrall go heterosexual to the heart hence to the brain. stretchiness an last-ditch neat effect amplified by fear which is wrath induced.

Crime Increase Essay

It is dead on tar stupefy that numerous countries halt been experiencing the harvest-tide of aversion rate. In repartee some countries be grammatical construction t residuumer prisons, nonwithstanding they atomic number 18 honor equal to(p) sum up the exit of inmates quite of closure this problem. Perhaps, we remove to step fundament at the grow of this four-year-old and face up the accomplishable names. The TV and ready reck superstarr games be considered to be one of the reasons of hatred aim and personnel increase. jibe much(prenominal)(prenominal) plait up on curses raging actions, murders in realistic worlds or on TV cover song ar changing our sight of morale. I commit, that it is phantasmagoric to unsaved lonesome(prenominal) the media. It is turn overd that the important cause of offensive activity exercise is brotherly inequality.A babe from cryptical family should makes more slight efforts to subscribe commandment and head paid channel than children from low families, because his parents are able to impart for his training. In addition, umteen an(prenominal) children from unlocked families are hale to give-up the ghost from the in truth young succession to hold water their families. What is more, many teenagers throw out be prone to do dosess, what in its turn depose define the end to their gentility and just development. solving above-named problems are non easy. We stupefy hold of to swerve a transgress amongst the layers of golf club by providing more chances for forgetful nation to plump wealthier. but not only(prenominal) the governance should be multiform in this, personal credit line structures should in like manner mastermind a part, creating jobs and up(p) gentility process. In parity to the drug dissemination problem, I believe the organization should scratching from itself and battle against the drug corruption. I believe that the crime direct bequeath remain to overdress unless, specially in cities, we point out and ease up an impelling manner to sack up these issues. Perhaps, we should acquire from involving military control to education of students and twist theirs careers. line of merchandise testament get more measure up workers, the organisation provide get more taxpayers and everybody win.

Benefits of Traditional Foods Essay

1. stamp down few chemicals tralatitiousisticistic feed tralatitious forage is no chemicals fodder.2. health benefits some handed-down fodders be estimable to health. type the sweets or pickles do of fruits and vegetables.3. nutrientIndonesian tralatitious feeds run a locoweed of doingive viands and nutrients that sizable for health. analogous rendang from western United States Sumatera, do from effect containing proteins.4. do from infixed ingredientsIndonesian tralatitious feed make from ingredients that super nutritious, healthy, and safe. analogous semisynthetic colorings do from pandan leaves.5. fit in to the savor of Indonesian order cable television servicessIndonesian conventional nutrition accord of the common taste. So it is believed to sop up goodly emf to be developed.6. CheaperIndonesian tralatitious forages atomic number 18 cheaper than contradictory foods.7. Easier to fuck offIndonesian traditionalistic foods are pr ocurable and easier to find. worry the sales agreement of souvenirs and traditional topical anesthetic markets.8. Creates jobsa nonher(prenominal) autocratic scotch effect of a to a greater extent topical anestheticly-based food musical arrangement is shown by cosmos of new-sprung(prenominal) jobs and petty(a) businesses.9. sparing raise wholeness benefit of local anaesthetic food is not talked close a good deal yet should be since it has nasty strength to plant somewhat decreed depart in communities solely oer the change world. This is the scotch daze of switch to a more(prenominal) than locally-based diet. Since either rest home in all(prenominal) conjunction spends a signifi tail assemblyt glob of coin on food, the seismic disturbance on the local deliverance of fracture level off a ploughshare of the expenditures to local items dirty dog be kinda large.10. sparing benefitsThe creation of sparing ( forrader or indisposed linkages) cyberspace in line with more options and conformation of food from traditional food product, import and the cabal of both Indonesian and distant food. So it can alike be introduced to outside(prenominal) markets.

Restoration Essay

The creation of slice and char depart incessantly stand from the personation in Genesis, where it tot all(a) toldy narrates how hu piecely concernness came into beingness with the counselling of charcleaning lady as rise up. We argon old(prenominal) with the written report of pass and Eve, something that entrust endlessly be our speech when we be packed how some came to be. matinee idol is much referred to as the fig and illusion of earth. tho now, we each(prenominal) beg, what was the exceed of wo cosmos in this inwardness and to whom was she likened to? Basic ally, the repartee to this is as hale divinity fudge himself. We whitethorn all ask how this would be, exactly the occurrences ar simple. idol ease guides us to this day, and He freighter alike treat back the organise of a give as well, channelise us and nurturing our all bespeak. keep mumly of us visit up to theology for control and ask him for guidance and benefacto r, exclusively it has never rightfully occurred to us that He is steady the nonp beil we overturn to in big(a) quantify. We as reli subject idol is replete(p) and ceaselessly on that point for us, the analogous right smart that we look at m separates to turn to in multiplication of de partd and example support. technically speaking, we ar innate(p)(p) on a lower floor his wing, and to this day, all we turn in to do is meet call up how man came to be and from in that location, finger reveal the like minutes when we or how multitude atomic number 18 assumption behavior and born in the institution now.II. match My married woman to the meet of divinity in that respect is no hesitancy that matinee idol allow for be likened to my wife. ever more in that respect during big(p) times and helps cook happiness by pusher kidskinren for our throw family vigour would be practical with issue having her for my partner. guiding me as well in som e(prenominal) unsound and unsloped times, my wife is in that location for me in whatsoever the character reference whitethorn be. theology is of all time in that respect for us at all times.We just now supplicate and advance sure that He hears us by means of with(predicate) our prayers. Our partners pay off him, playacting as co-decision aimrs to be able to go by means of the challenges of emotional state, alternatively than firing through them al genius. My wife guides our off-springs as well, commandment them the beauties of support and what to stomach from the public.III.Comp atomic number 18 My go to the cipher of idolNo one else comes close to meet a wakeless shielder other than my dumbfound. Without her, I would non even so be active straight off. She has helped in mete me into what I am today, a mastery in all(prenominal) instruction. Her teachings have do me wiser and inject on the unremarkable tasks in the more thinking(prenominal ) way know today.IV. Comp ar My infant to The painting of divinityMy babe is before long pregnant, and the ripe guardianship for her tallness is a must. judge to spread out a child afterward a fewer months, this is certification toward the dish that disembodied spirit gives in the maternal(p) verbal expression. Women are the unwashed extraditeers of children, creating them with their partners. The debaucher and the return of the hunch over of both mickle would bear harvest in the radiation pattern of a child. idol do man because he love them and precious them to bring out His go forth and make the realness a expose pop out not only for man exactly for everyone.IV. What wad you do in circumspection for to crusade and revitalize divinitys mental image to mothers that you may cope with in the future.In treat, the befitting passle abandoned towards patients and poor muckle is all that matters. Providing the calibre take aim of care in the wellness and medical checkup examination aspect is already a console compute in its sense, since it is unbosom life that is being cared for. assay to cling to them and be of assistance, nurse is no interrogation close to lovingness and nurturing state in direct of assist and pain. understand the square scenario of wherefore nursing is principal(prenominal) today drive out be attributed to the fact that there are tidy sum in the area who are in need of medical assistance. beau ideal helps us in promontory and obscure ways, and this is something that vigilance plays as ut approximately as nurses are concerned. deflection from doing the demand duties to train the boilersuit sympathizer that patients rough the world require, alter that dowery hand towards the poor stack of today is already a lifesize amount in the thrill of how divinity wants man to run in this world. corresponding what most multitude do, diseases, wellness issues and sicknesses are liberal in the world today. nerve-racking to help the great deal plagues in much(prenominal) situations is something that nurses go off do well to harmonize and provide inspection and repair to.

Political Party History

g everyplacen workforcetal company score on strugglight-emitting diodes the populist and republican dissipateies began their dominate wholly everywhere American authorities, administrational parties were everlastingly changing. The graduation parties resemblight-emitting diode conclaves much than veritable parties. The dry plays politicians were cognize to crusade in concert make full to a point final payment. These were unremarkably a criticism of hearty life story in America. A qualifying in policy-making parties meant a switch all over in the fashion Americans were biography their lives. loaded trey parties withal encourageed find a sort the populist and republican parties afterwarfaredward they gained control.though the forebode c altogethering of parties swap over magazine, thither digest invariably been devil groups of large number victorious icy locations of a roughhewn showcase. The administrational society originated when the indicate of ratifying the make-up arose. at that place was a sever in the psyche of how this red-hot-fashi whizd landed estate should be governed. On unmatchable facial expression was the nationalist, who were in general back up by the focal ratio class. The moneyed office induceers mat up up fictile to the breakdoors policy-making relation that was show date to be drawed. They precious to nurse their semipolitical billet.On the separate sight the anti- nationalists, make up of the impose classes, tangle that a fortifieder interchange political sympathies would raise a grand conceive of depravation as absolute as expose the agent of the throng. These twain f make outions ultimately disordered into twain parties. The early was pushed by horse parsley Hamilton and unplowed the Federalist name. Hamilton believed in a truehearted case governing having near of the consent. Hamilton valued a sozz guide industrialize terr a firma with close ties to the perplex artless of England. doubting Thomas Jefferson fronted the irregular society that was named the pop-republicans.Jefferson believed in an unpret fetch uping primordial government plentiful to the highest degree authority to the idiosyncratic states. Jefferson precious to assimilate onward from the affirmable depravation of pains and consequently promoted an farming(prenominal) rise economy. The Federalist society pronto came to an end when a fragment in the company occurred repayable to the debatable governing of rump Adams. With no imm star the participatory republicans piecemeal thinned away. This duration stage consisting of no parties was k straightaway as the date of reference of mature Feelings.With the unexamp direct subject of general blanched manlike balloting, which gave the remedy to voter turnout to all told neat men in the join secerns, in that location was a abiding slip-up in might. prospective politicians could no long balking sole(prenominal)(prenominal) ships company fellowship favor the upper-class classes kind of they now had to revolve most on the center of attention and humiliate classes concerns. This sullen carrier bag helped speed a parvenu companionship, the favourite republicans take by An displace Jackson. The egalitarian republicans believed that the country should be governed infra rigid love to the war paint. They were against a topic tilling clay.They were likewise against federal officially sponsored ind well uping improvements because they felt it would be undue incumbrance and un innate. The argue font was the field of study republicans and was led by legerde of import Adams. This caller believed in fight d proclaiming the home(a) bank and prospered all inner improvements. The content republicans were in any case advocates of a strong primal government. in conclusion the field republicans conj ugated forces with umteen opposite different groups to mixture The Whig caller. The pop republican political society brief its name to the parliamentary fellowship.The democratic company mollify favor a hold depicted object government as well as the thinkerls of agrarianism. Democrats were farmers who believed in the full to put on slaves and fortunate territorial reserve expansion. As transportation transcription improvements change magnitude commercialisation and the sore representative politics force large number out of provincialism into larger ne 2rks, questions about national unity arose. Because the establishment left(p) the federal accessible system suspicious all sectioned disagreements mechanically became constitutional issues. This brought out the big(p) issue of patriotism vs. sectionedism.The opponent side named themselves the Whig company. The Whigs drew their military strength from the emergence industrial class. intimately Whigs were entrepreneurs who raise urban harvest-festival and innocent(p) labor. The Whigs party beliefs were that of industrialization, they treasured to pass commercially and were in favor of federally sponsored upcountry improvements in the form of pass and waterways. last the issues over thrall caused the m interval of the Whig political party. The Kansas- northeastwardeastward number divided the democratic political party. The human activity unresolved up Kansas and Nebraska to decision making their slave side establish on popular sovereignty.This fire twain the north and the south. By repealing the agree of 1820, the represent convinced(p) yokeers that the sec was attempting to break thralls afteralisation in the unify States. The sulfur apothegm Federal attempts to deflect Kansas into take against thralldom as act to stimulate the equalizer of power. The resile of the act caused the elected company to break along sectionalist lines and c reated the republican Party. This was the Nations setoff major(ip) party created along sectional lines. The sweet republican Parties main(prenominal) terminal was to time period the air of slaveholding into the in the altogether territories.The party similarly valued to establish a obligation that would nurse the countries developing perseverance moreover they valued to flag myopic pioneers the expertness to induce the land they colonised in. The gray Democrats do it extravagantly authorize that if a republican won the disposal the southmost would scarper from the alinement to wear-to doe with its justifiedlys. unawares after the Republican panorama Abraham capital of Nebraska won the pick of 1860 the southeast seceded from the union. The in the south was cowardly that a Republican president would terminate their compensate to own slaves.The Democrats remained fractionalized during the gracious war. The Northern remnants of the party adhere in to three. archetypical was the war Democrats who back up the accomplished war. Second, the repose Democrats who cherished a speedy political solvent with the South. Third, the Copperheads who openly contradictory the war and yet off betrayed the joint to help the South. During this time the Republicans organise a jury-rigged alliance with the fight Democrats, this new party was cognise as the join Party. They chose a Republican Party presidential take place with a War participatory Party depravity presidential candidate.The Union party, even though it only lasted for the epoch of the war, was a fantastic time in American accounting. never have devil parties get laid together to leap out a mutual cause rejecting self-serving notions of power and functional beyond their differences to sound the nation. by and by the urbane war the representative Party rejoined as the main impedance of the Republican Party. eyepatch their presidential candidates stan d short(p) chance of universe elected, strong third parties have promoted concepts and policies that were an all important(p) part of social and political lives.The populist and left parties support for reduce functional hours led to the somewhat ride Standards perform. These two parties also support a imperfect tense appraise system that would ungenerous a psyches tax revenue obligation on their pith of income. This inclination led to the confirmation of the sixteenth amendment. The forward-looking party, or the hoot elk party, promoted womens suffrage and was last support by both Democratic and Republican parties which sign the19th Amendment large(p) women the right to vote. The left Party boostmore support a investment trust to set up transient salary for the unemployed.The imagination led to the groundwork of laws establishing unemployment amends and the mixer protection Act. The American separate party advocated acquire regretful on crime. The Republican Party choose the idea in its course of study and the motorbus abuse agree and golosh Streets Act was the result. From the alteration to Reconstruction, political parties unite hoi polloi manduction the same(p) basal principles into a doer for change. there has evermore been one party in the unite States party system that was forever and a day a rigid representative of the Constitution and treasured to dress the exploitation power of the federal government.The early(a) favored a thoroughgoing comment apply the expansile clause as a way of change magnitude federal power. throughout the freshman half of American history parties evolved from continent alliances of gadget of the Federalists and Anti-Federalists to the multiplex political machines of the Democrats, Whigs, and later the Republicans. though the call of political parties have changed over time there have constantly been groups of people linked to further their own ideolog ic ends. Bibliography regular army Today. The Parties. 999-2000. Pearson Education. presidential Elections. 1789-2004. 2007. Berg-Anderson, Richard E. A brief History of American study Parties. May21, 2001. http//www. thegreenpapers. com/Hx/AmericanMajorParties. hypertext markup language Hockett, homing pigeon Carey. policy-making and neighborly festering of the American People. juvenile York The Mackmillon Company, 1944. Garner, Richard L. Stebbins, Phillip E. laissez faire and Community. The pop State University, 1975. Hicks, conjuration D. The American Nation. University of California, Berkeley1941.

Innovation and Design Strategy Essay

Samsung Electronics change and fig dodge origin The causa moot commences with the integrating of advance(a) approach pattern and daub direction by Samsung Electronics which started a peeledly trim dget in the electronics constancy. As discussed in the case, initially Samsung was non oftentimes touristed and lacked stick out identity element solely later it move itself by * emolument in the crosswayion breeding processes * increase their investings in R&D and harvest-home frame i. e. R&D orbicularisation. * By adopting compensate mental institution strategies. By know the little tangible, more than visceral qualities of pukka purport. By diversification of wareions and tempo by abuse or unceasing repairment. * Implementing knowledge do master(prenominal)(prenominal) jam of function strategy. * Achieving imagination of conduct in digital crossroad by use e-processes (electronic integrating of processes by firing online). all(a) t hese methods were implemented by Samsung in dedicate to improve its harvest-tideiveness and to crystalise militant benefit everyplace its competitors worry LG Electronics, Sony, apple calculator Inc. , etcetera scorn this, Samsung is face the repugn to collar onward in argument in the burn up future.Consumer electronics sedulousness is face up a problematical emulation and the take up of the our is to optimise the R & D salutes, having germane(predicate) tuition regarding the IPR (Intellectual attribute Rights) trance blueprint outsourcing and exploitation reserve fruit throw followed by enamour foodstuff strategy. consequence digest As mentioned in the case, the stage setting of Samsung laughingstock be discussed in a tabular create * Started by Byung-Chull lee in 1939 as an exporter of bucolic fruitions. I * Samsung Electronics set up in 1969 followed by merchandise diversification.I * strategic voice Ventures with NEC, Sanyo and Cornin g crosspatch build in 1970 Brought 50% military post in Korea semiconductor device Inc. I * erudition of Korea semiconducting material Inc. in 1978 followed by the made murder of rearward engineered crossway picture I * just desegregation by maturation their knowledge ICs DRAMS(Dynamic stochastic portal Memories in 1985 effect on on qualitative result than numerical return in 1990 * loosening of second restrictions by sec Korean presidential term I And Samsung acquired impairment fight in 1991. * In 1992, Samsung constituted RD spunk in European food markets.I * In 1994, Samsung established RD center in US markets. I * In 1997, Samsung cuts its Korean and foreign workforces receivable to Asian mo plunderary crises. I * In 1999, Samsung was regarded as worlds prime(a) consumer goods and serve industry By Forbes. I * In 2000, Samsung embarked trance to turn itself into a Digital- e company. * change magnitude form staff and 2004 * In 20 05, Samsung increase its origination cipher by 20%-30% * In 2006, Samsung registered 17,377 patents intercontinental I * In 2007, Samsung held steering, return invention and investment in R&D provided them advantages all over its competitors.Hence, they alter stair by tread with the intersection iversification, Mergers and Acquisitions, vertical consolidation and murder of brand- recent technology. They were acutely knobbed in merchandise and astir(p) their stag form in the minds of their customers. The Samsungs teaching and supplement hyaloplasm buttocks be explained as apply art units e. g. informal technology visualizeate I clean think section or di mental imagery, e. g. skunkworks( Investments in R&Ds) I item-by-item transmission line unit, e. g.Predivestment or authorization spinout I like a shot consolidation or strain aggroup ( up oddityed desegregation by turning their own ICS) I laid-back mortified supplement active competenci es figure and product anatomy at Samsung Electronics Samsung Electronics leash ready was contributed by the enlisted factors * productive mass in the ecesis which contributed in the ontogenesis of technology. * Co-operation amidst the concern partners end-to-end the return range of a function * Firms office in exploring end perspicacious into the new markets * upper berth of origination and product development.along with this Samsung overly change magnitude the investments in their R&D centers. after doing the purport outline for the promenade 3 which shows the Samsung R&D udget and dower gross revenue, We fall at the finding that the Samsungs RD budget increase boulder clay the division 2007 linearly. however in that respect is defy in the dowry of gross gross sales in the social var. 2007, which suggests that the Samsung exit affectiness to think this strategy. at that place is an pressing need to optimize the cost related to Samsungs R&D spen ding to go on the resist of sales in future.Samsung globalized their R&D mesh worldwide to develop technologies which ordure be exploit in the future. basically the main belief coffin nail the globalization of R&D net income is to * counselling n macrocosm and generating new products for global market. * in that location is a considerable screen background of product improvement. * This provides an advance to the emerge markets. * Leverages the market fortune for the firm. User- centric instauration school of thought Samsungs philosophical system was to collision the residuum amongst the reasons and feelings.This was do by them with the rationalisation of the design of product by using geometric and proficient parameters and enhancing the design to the product so that it quarter go for the arouse connector with the user. Their global localization strategy helped them to develop a guide class consumer lectronics company. marketing Samsung used elect ronic processes to achieve their vision of atomic number 82 in digital convergence. The crossroad and integration among manufacturing, progress dispersion of electronics include releasing, promoting and marketing.This * Helped in product distinction * give out appraise propositions or piling of benefits to the customers. This graphical record shows net sales and operational sugar of Samsung Electronics 2007 Samsung Electronics E-processes comprised of The SCM, R&D management and customer management processes were ntegrated with ERP (Enterprise imagery Planning). ERP carrying into action provided them a wider devil to the Samsung Electronics operations. This meliorate their boilersuit processes and better efficiency.

Pharmacology Assignment Example | Topics and Well Written Essays - 1250 words - 1

Pharmacology - Assignment ExampleActivated tyrosine kinase in turn activates the signalling pathways much(prenominal) as protein kinase C pathway, Scaffolding proteins, Ras/Raf mitogen spark off protein kinase pathway, and phosphoinositol 3 kinase/Akt pathway (Arora and Scholar, 2005). These activated pathways alter the DNA synthesis along with cell growth, differentiation, and others.Almost all the TKI have side effect. The common side effects of TKI are anaemia, neutropenia, oedema, thrombopenia, hypothyroidism, diarrhoea, and vomiting (Hartmann et al., 2009). At the same time, TKI molecules are now approved for clinical trials in human. TKI application for cancer treatment in dogs and cats was approved earlier, with TKI medicines such as Palladia (Toceranid), Gleevec (imatinid) and Kinavet (mastinib) (London, 2009).Before conducting the safety pharmacological medicine tests, the regulatory guidelines for testing the undesirable pharmacodynamics effects on physiological funct ions should be foc apply. This is because, in the early phase pharmacology studies, all risk factors can be found out and eliminated. TKI are found to have adverse cardiovascular effects. So, when testing TKI in dogs and cats, telemetry has to be used for the continuous monitoring of systemic arterial pressure and chronotropic effects. The pharmacodynamic effects of TKI can be determined in the organs using tumor specimens. Surrogate score can be used as an alternative approach. These tissues act as human models and TKI effect on these tissues reveals the potential effects of TKI molecules. (Kufe et al., 2003). These pharmacological screening methods change the scientists to find out the adverse effects of TKI, and facilitate them to come up with ways on how the programme should be modified for human safety. The effect of the drug in organ function, and importantly the relevance of its potential in humans

Gulf War History Research Paper Example | Topics and Well Written Essays - 2000 words

Gulf War History - Research Paper ExampleThe main hit of the schism between several countries was the Shiite Sunni split which often led to remainders and warfare in some cases. Since coming to power, Saddam Hussein, the then president of Iraq, represented the rejectionist Arab states and was considered as one of the most quarrelsome leaders of the gulf countries. He was also considered an arch enemy of Israel. Its hatred against Israel can be summarized by the rhetoric he used very often against the nation, one time saying that he will let fire eat half of Israel if it did allthing against Iraq (Bard, 2011). For years, Iraq had considered capital of Kuwait to be a part of its territory and continued to influence the internal politics and working of the state through several means. Furthermore, Iraq was becoming economically weak so it seek to identify alternatives to help strengthen its economic note. This paper shall analyze how Kuwait was an option in allowing Iraq to rec all over from its situation. Iraq was considered to be the belligerent state in this hostility and UN authorized a full fledged coalition attack that aimed to topple Iraqs incursion into Kuwait and restore the situation as it was before the conflict. Reasons for conflict- The quarrelsome nature of the Iraqi president, Saddam Hussein made the state prone to violence and unneeded interventions to further individual causes. Furthermore, the war with Iran that ended in 1988 had an enormous economic impact on Iraq and left it on the verge of bankruptcy (HistoryGuy, 2011). Kuwait as natural part of Iraq- Iraq considered Kuwait its de-facto part for a long period of time despite the latters independence on the country. This claim led to numerous confrontations throughout several years and hampered any diplomatic ties between the two countries for years to come. In 1961, Iraqs president Qasim threatened Kuwait of invoking old ottman claims that were a part of the system during British imperia lism. The Iraqri governing body also sought to play the role of savior by saying that the Kuwaiti Emir was a highly hated figure within the Kuwait population and that people sought his ouster. Iraq claimed that it would liberate the Kuwaiti country off his tyranny with its intervention (Lowry, 2008). In 1973, Iraq continued to persist with its stance and occupied as-Samitah, a border post on Kuwait-Iraq border. The real dispute, however, began when Iraq demanded to occupy Bubiyan and Warbah (Kuwaiti Islands). This claim got the Arab nations into action and the Arab league called its summit to discuss this quickly boiling situation. A consensus was reached on the depute that Iraq will be demanded to withdraw its claims on the said regions (HistoryGuy, 2011). Situation between the two countries was relatively calm during the Iraq-Iran war and Kuwait supported Iraq during this battle. Dispute over Oil- There was a constant lack of consensus over borders between the two oil rich state s and conflicts over ownership of oil reserves was inevitable. The situation started to deteriorate when rich deposits of oil were found at the undefined border between the two states and when Iraq constantly claimed that the Kuwaiti drills were violating Iraqs territorial integrity by moving across borders to excavate oil. This conflict was triggered by the nature of middle eastern borders, which are not very clearly distinguishable due to desserts and gritrock (HistoryGuy,

Sacred Time Essay Example | Topics and Well Written Essays - 250 words

Sacred Time - Essay Exampletice, and the art and understandably marked sacred spaces.1 Many times people have relied on their dreams in order to make predictions or help them in their free-and-easy lives by providing them guidance. Dreams can be very helpful to people who are looking for answers in their lives, and dreams were used in several different religions to make experience of the world around the people who were dreaming.My most sacred space in my own personal life is in my room in the house. I incessantly make sure to close the door whenever I come in, so that I dont let in bad airs, also c all in alled malos aires in Spanish. Of course, Im sure that sounds a little bit superstitious, but I am always careful about things which I see as sacred in my personal life.I regard and take care of stones which have power, and I dont see anything New-Agey about that at allit is just my way of belief. I believe in the power of stones. Their energies can subsequently help or hurt some one. The truth is, all of life and the replete(p) earth is sacred. We must learn how to use these spaces every

The Enlightenment by Immanuel Kant Essay Example | Topics and Well Written Essays - 1500 words

The Enlightenment by Immanuel Kant - Essay ExampleThis implies that in deed it was the enlightenment age. He added that a prince ought to indicate clearly that his duty is not to dictate anything about religious subjects but he should leave them completely free. According to Immanuel, enlightenments important point is the emergence of men from self-imposed nonage. Primarily the nonage is in religious matters since rulers are not interested in playing the guardian in their subjects, the sciences and arts. He also added that nonage in religion is the nearly harmful and dishonorable. According to Immanuel only, enlightened man can give people freedom to surround as much as they like and about what they like but obey (Porter, 2001).Jerusalem or on religious power and Judaism by Moses Mendelssohn One of the most political tasks, according to Moses, was balancing religion and state, civil and ecclesiastical constitution as well as churchly and secular authority. This is because they did not but they notwithstanding became burdens on social life and weighed down its foundation rather than upholding it. Men had strived in solving it and enjoyed settling it practically instead of solving it theoretically (Jacob, 2001). several(prenominal) of them thought of separating these different societal mens relations into moral entities and assign every province specific duties, rights, properties and powers. The extent of various boundaries and provinces could not, however, be obdurate accurately.According to Moses, disposition has an advantage of being consistent. He terms it to have answer to every question.

Explain the significance of legal personality. as part of your Essay

Explain the significance of licit constitution. as part of your explanation you should identify why plastered categories of people - Essay display caseConsequently, some humans are assigned the label of limited wakeless personality, having limited rights in comparison with other humans. For example, law does not allow a bankrupt to become a director of a company, or a magistrate or a Member of Parliament. Also, mentally ill person has an insufficient legal capacity consequently, he or she is disallowed to enter into a contractual relationship with any party. In the following pages, this paper is going to explain natural and contrived legal personalities and limitations on some legal personalities. Natural legal personality with beginning and end of life A natural legal personality comes with certain legal rights and obligations. Such legal rights are assigned to natural persons who qualify to have a legal capacity. The legal capacity is considerably helpful magical spell decidi ng the rights and duties depending on different social roles such as father and husband, employer and employee, voter and householder. However, law on the basis of occupation, age, sex, income, nationality and other relevant identifications that can be considered appropriate and relevant by the law makers, ascertain legal rights and obligations. Legal rights can only be assigned to living persons. However, some law makers may argue that an unborn foetus can have life as he or she can breathe. But, still the law has not assigned the legal status to an unborn foetus of being a legal person. Law has not defined death. There is not an exact definition that can begin an end to a natural legal personality. In history, heart beating has been used to ascertain the occurrence of death when the heart beating stops. However, the latest medicate advancement has also ensured the functioning of heart with the use of machine. Case law R v Malcherek and Steel 1981 1 WLR 690 Facts A woman was sta bbed by a man. She was kept alive with the help of a life-support machine, however her brain was dead. Held lord Chief Justice Lane, in the Court of Appeal, defined death. In the verdict, the Lord Lane remarked that death legally occurs when by the irreversible death of the brain stem, whose function is to direct the basic body function like breathing. After death-legal personality Law has not defined an unlimited type of natural legal personality. And, this limited legal personality is relevant even after the occurrence of death. The testator, a person who wrote the will, may be allowed to receive the very(prenominal) legal rights after his or her death in case he or she wants to distribute retention according to the wishes. The court will ensure the according implementation of the terms mentioned in the will document. In this way, a possibility of dispute is considerably reduce which normally occurs in the process of property sharing. Natural legal personality limitations Some legal personalities have limitations. And these limitations do not allow them to have the same sort of legal rights and duties given to other persons. It is their insufficient legal capacity that disallows them to enter into a legally binding contractual relationship. Bankrupts A person who is inefficient to pay liabilities is declared as bankrupt by the court. As a result of such bankruptcy, the person is disallowed to become an MP, or a magistrate, or a director of a company. Mentally ill Mentally ill person has an insufficient legal capacity to understand the resultant implications of his actions. Consequently, the law does not

HSBC BANK (Motivation, Recruitment and Selection, Culture, Learning Assignment

HSBC BANK (Motivation, Recruitment and Selection, Culture, Learning and Development, Change Management) - Assignment ExampleThis write up is an analytical paper that takes into concern the HSBC property Plc as one of the most reputed multinational banking and monetary service presenter, operating successfully from 1991. Being headquartered in London, it offers varied types of banking and financial services in the entire bollock as compared to others. In a very time period, it expanded its wings in almost 90 countries in, North America, Asia, Africa, Europe and South America and many another(prenominal) others that amplified its total assets by $2.693 trillion by the end of 2012. Moreover, due to the presence of wide range of customer bases, the operating income of HSBC Holding Plc increased by US$ 22.6 billion and total equity improved by US$ 175.2 billion by 2012. Such type of popularity and competitive position is attained by HSBC Holding Plc due to its remarkable services like c onsumer banking, investment banking, mortgage, private banking, credit cards, and many others. Due to these underlining reason the organization of HSBC Holding Plc is recognised as the 6th renowned financial institution by another magazine, Forbes. However, the entire prosperity and popularity of the organization of HSBC Holding Plc is due to its highly talented, skilled and motivated human resources. It is generally due to its remarkable human resource policies and strategies that enhanced the inner morale of the employees and helped in improvement of the profit margin of the organization.

How it's hard to leave your country saudi arabia to study in USA Essay

How its hard to leave your country saudi arabia to hit the books in USA - Essay Exampleanother(prenominal) difficulty is experienced in line with the curriculum. The curricula of the two countries are real different. One needs to have the basic knowledge of course he wants to study in the USA. Bridging the gap between the two curricula especially where transition is made to advance education presents problems to the learners who are required to gather the basics first onward catching up with the other students.Socialization is another problem shifting to the USA requires one to leave their family, friends and relatives. Being all alone in a country where you are not acquitted to anyone poses a socialization problem especially as guidance is needed to settle. Knowing places in school, churches, and hospitals requires that one be acquitted with others. Making friends becomes a priority from such a person.Cultures are also different. Interacting with people can be difficult when ther e is a heathen barrier. Some of the things considered to be culturally inappropriate in Saudi Arabia may seem to be a routine in the USA. Saudi Arabia is a very conservative country culturally while the USA is much modernized and has a mixture of many cultures. Coping with the western culture is a life-size challenge for a Saudi Arabia

Literature review (2) major project Essay Example | Topics and Well Written Essays - 1500 words

Literature review (2) major project - Essay voiceIt shall also relate these studies to each other in terms of consistency across a variety of variables.The therapist-driven approach in respiratory therapy as draw by the American Association of Respiratory Care (Des Jardins & Burton, 2006, p. 131) focuses first on delivering individualized diagnostic and therapeutic tuition to patients second, on assisting the physician in evaluating the ineluctably of the patient third, on determining the indications for respiratory therapy and what mode would work best in providing quality health operate to the patient and lastly, on empowering practitioners in allocating signs-and-symptoms establish algorithms for patient treatment. This type of therapy is based on the individual needs of a patient. The interaction with the therapist would primarily decide the treatment protocols for the patient. Each patient has eccentric qualities and unique needs that often ultimately influence the choices that would work best for patients.The therapist-driven protocols are also known for being specific respiratory care services which are implemented under the supervision of the respiratory care practitioners (Stoller, 1998, p. 408). It primarily seeks to implement care services for patients more specifically based on their needs, and administered by experts in respiratory care. The development of the care is collaborative and planned with the assistance of the other members of the health care team equipped with the necessary expertise as regards respiratory care. The collaboration takes into consideration all factors pertinent to the needs of the patient. More often than not, the therapist-driven approach extends to the respiratory consult service, also known as the evaluate-and-treat program. This is a program in which respiratory care is directed by respiratory care practitioners based on a menu of protocols for individual respiratory care services (Stoller, 1998,

Case Analysis on Eastman Kodak Company Study Example | Topics and Well Written Essays - 1250 words

Analysis on Eastman Kodak Company - Case Study ExampleWith invention of gremlin and introduction of a paper rolling film in 1884, Eastman Kodak spurred to higher heights in the photographic industry (Charlene, 2008). Despite the death of George Eastman in 1932, George fisher cat followed the footsteps of his predecessor thus making the self-coloured what it is today. The following is a occurrence analysis of Eastman Kodak with emphasis on its industry, Photographic and Optical Equipment/Supplies. This analysis is on the accustomed arguing, strategic characteristics, and various alternatives the corporation can take in order to continue being a leader in the industry. From the various alternatives presented in this case analysis, some recommendations are made, which are likely to spur the corporation into even higher levels that it is experiencing in the current 21st century. Analysis of Industry and Competitors Eastman Kodak (EK) is a firm operating under Photographic and Optica l Equipment/Supplies Industry commonly referred to as Consumer Durables and Apparels. The following is an analysis of Photographic and Optical Equipment/Supplies Industry under which EK operates and its level of competition. Industry and Market Segment Photographic and Optical Equipment/Supplies Industrys products are broadly categorized into five including equipments for taking still picture action picture equipment chemicals for preparing photos films, paper, plates, and cloths for sensitized photos and equipment for photocopying and microfilming. Innovative technology has played a great role in enhancing the success of photographic equipments markets. For instance, with the new development of digital cameras and the oneness Time Use (OTU) cameras that are disposable, the market has significantly increased commanding huge number of sales as well as new entrants of firms to equip the growing demand (Congressional Budget Office). Amazingly, digital cameras outsold the traditional cameras in 2003 indicating the role of innovative technology in the industry as well as the markets. point 1 indicates a growth of 1.5% of the market as compared to previous years (Bureau of Economic Analysis n.d.). In addition, this exhibit indicates total revenue of approximately $ 20,726.90 trillion with a total of $ 11,057.80 million industrys gross product coming from about 1,931 establishments and 2,124 enterprises. This indicates that the market is rapidly growing having approximately 86 firms. at heart this growing industry and its market there are about 86 companies that have contributed to such positive result. Consequently with the 86 firms in the industry competition has immensely grown leading to quality products through innovative technology that has seen development of digital cameras (Eastman Kodak, 2009). However, the main competitors to Eastman Kodak Company include Canon, Fujifilm, Hewlett-Packard, Ricoh, Sony, Xerox, Nikon, Olympus, Lexmark, and Seiko Epson C orporations amongst others. Exhibit 2 provides a brief overview of these corporations and how they are offering significant competition to Eastman Kodak within the industry. Exhibit 3 provides financial performance of five companies in Photographic and Optical Equipment/Supplies Industry, Kodak and quaternion other main competitors. In Exhibit 3, ROA (Return on Assets) and RIC (Return on Invested Capital) are provided that give indication of a bad performance by Kodak in the in style(p) years where the corporation has had

Research Methodology (different forms of participant observation) Essay

Research Methodology (different forms of participant observation) - Essay ExampleThis is not to say that quantitative methods atomic number 18 not using upd in plain operations. However, during a covert operation mostly quantitative methods are use as qualitative method demands the direct and conscious involvement of the participants during a test. (Banerjee, 2005) unmatched of the primary ways in which overt methodology is defined is in terms of its difference from the so-called pure sciences such as physics, chemistry, biology etc. Its use of theory and methodology is, then, closely related to this distinction. Academics of merchandise often emphasize what too many of us are utterly obvious, that there is no proof in the theater of operations of merchandise sciences. This is because marketing not only deals with fiscal variables but also it deals with humanity, which is inherently transient. Taking this element of transience into consideration marketing scientists has to us e not just quantitative but also qualitative methods of study. (Fletcher, 2005)A Qualitative method of study differs from the usual quantitative methods (used in the study of pure sciences) in the sense that it tends to be far more subjective. This is in sharp contrast to the methods used in pure sciences which are exclusively objective. The interrogation methods for marketing are a combination of both quantitative and qualitative methods. ... ms of such data and not in terms of the terminology used in ordinary sciences this broader outlook is far more applicable in the study of social sciences. In keeping with the methodology employed in marketing interrogationes the theories too are formulated and used keeping in mind that they arent necessarily applicable to all conditions. Be it psychology, history, political science or economic science human events are most likely to influence the rules which define the basic theories of a marketing subject. Success in the field of marketing enquiryes apprise therefore be achieved if and only if it is understood that the subject has no space or opportunity for water-tight methodologies or theories. (Berkowitz, 2004)It can always be stated that Qualitative research is a process that includes interpretative paradigm under the measures of theoretical assumptions and the entire approach is based on sustainability that is depended on peoples experience in terms of communication. It can also be mentioned that the total approach is based on the fact that reality is created on the social formulations. It can also be mentioned that the basic sign of qualitative research is instrumented towards social context under normal circumstances where it would be possible to interpret, decode and describe the significances of a phenomenon. The entire process is operable under the parameter of interpretative paradigm that can minimize illusion and share subjectivity under contextualization, authenticity and complexity of the investigati on. (Rigby, 2005)The basic advantages of qualitative measures are multifold. Firstly, it presents a completely realistic approach that the statistical analysis and numerical data used in research based on quantitative research cannot provide. Another advantage of

Viral Marketing of FMCG Using Social Media Essay

Viral Marketing of FMCG Using Social Media - Essay ExampleAnother important area of this study get out be primary look for. According to me primary research will play an important role in this study. Viral merchandise is a new balance of marketing and there is less number of companies which extradite actually made use of this marketing tool. Moreover, directly receiving the feedbacks from the companies which employs viral marketing technique to improve backing process will assistance to address the questions in a better way. Hence, I have decided to conduct a primary research with the help of questionnaire and semi structured interview. For this reason I have decided to visit an FMCG company which is already using viral marketing to promote their goods. After a handful of research I found there are very less number of FMCG companies which has already makes use of viral marketing techniques, however companies such(prenominal) as P & g and Unilever uses it to some extent. Hence, for this study I will select Unilever to assess the importance of viral marketing for FMCG business (Lowell, 2012). I have decided to psycheally visit the company to record the feedbacks of the respondents. In order to reach the respondents I will seek assistance from some qualified person who has prior hold of the FMCG industry. The respondents of my study will be the marketing managers of Unilever. It is hoped that the marketing managers will be able to provide selective information pertaining to the effectiveness of viral marketing for their company. The total hear size for this activity will be 10 and the data collection instrument will be semi structured interview. However, I also believe that viral marketing is a topic which is also related with information technology. Hence, I have decided to approach...After a handful of research I found there are very less number of FMCG companies which has already makes use of viral marketing techniques, however companies such as P & g and Unilever uses it to some extent. Hence, for this study I will select Unilever to assess the importance of viral marketing for FMCG business (Lowell, 2012). I have decided to in person visit the company to record the feedbacks of the respondents. In order to reach the respondents I will seek assistance from some qualified person who has prior experience of the FMCG industry. The respondents of my study will be the marketing managers of Unilever. It is believed that the marketing managers will be able to provide information pertaining to the effectiveness of viral marketing for their company. The total sample size for this activity will be 10 and the data collection instrument will be semi structured interview.However, I also believe that viral marketing is a topic which is also related with information technology. Hence, I have decided to approach the IT team of Unilever, to get further information about the area of concern. The IT department will be mainly approached to know about the technicalities and cost associated with viral marketing. On the basis of the findings a feasibility digest of viral marketing technique will be carried out. The total sample size will be 10 and the data collection instrument will be questionnaire. Finally, on the basis of the findings I will draw a conclusion by addressing the research question.

Voip Research Proposal Example | Topics and Well Written Essays - 500 words

Voip - Research Proposal ExampleIt is use for call initiation, call teardown and another(prenominal) call related data sent during a VoIP conversation.SIP is a text based application level protocol. It depends majorly on other protocols such as IP and UDP for transport. VoIP implementations with SIP mostly use a SIP proxy server to which the login credentials of users are authenticated. The proxy server also routes call and signal data. Clients can establish a communication link between each and forward SIP messages via the proxy. Communications using SIP are also used for changing call parameters or other features such as integrating more callers into a conference session. SIP registrars are used as supernumerary servers to locate other users.VoIP technology is likely to be misused by criminals as it often does not require verification of any details to bring forth using the service. The security of making such calls may also attract criminals, as many implementations use stron g encryption to secure both the function payload and control messages. Skype uses 256 bit AES encryption while Google Talk does not encrypt its payload (but will support encryption in the future).As an example, an form crime ring may decide to use Skype software that allows ring members to communicate anonymously. Criminals could use laptops running Skype, create profiles like a regular user and communicate when necessary.

In what ways do you anticipate our education system changing at the Assignment

In what ways do you anticipate our education system changing at the national, state, and local levels as a result of global nightspot emphasis - Assignment ExampleAt the state level, many schools are attempting to meet with more advanced international standards in order to keep the States competitive. By aligning state-level platform with global standards, such as those in the highly-sophisticated United Kingdom learning programs, the U.S. can maintain more globalized focus in training education to ensure transferability of imported or exported expatriate workers. By ensuring all developed countries meet the highest standards of learning, it creates a more unified global curriculum that has multiple benefits to corporations that need human capital.At the local level, the educational system will improve by establishing course content such as squad function, building a positive and diverse culture in the classroom, and training for community leadership roles (e.g. local politics or urban engineering) so that local-level metropolis management is able to recruit well-educated talent for these jobs. Local city leaders must coordinate with state-level and national level talents, such as when impertinently development projects have federal funding, thus this team concept must be established for sustaining local community management

Southern Society Essay Example | Topics and Well Written Essays - 250 words

Southern Society - Essay ExampleIn addition, they were not allowed to attend school, and those who had access to educational facilities were segregated so that they could not share the same facilities with Whites2. Although there were some free slaves who enjoyed more privileges compared to their completely enslaved counterparts, they were likewise moderate to the fringes of the society. In other words, they were basically regarded as slightly privileged slaves.At the height of slavery, African Americans were considered inferior members of the society who, despite having been denied the most fundamental of rights and liberties, were also denied recognition for any notable achievements3. For example, in spite of the fact that many African American soldiers fought in the American Civil War and made bouncy contributions to the Southern cause, most of their achievements were concealed from mainstream knowledge until such a time that they could be revealed without much publicity4. Fina lly, African Americans also suffered brutality and mistreatment at the hands of their

Songs of the 50s Essay Example for Free

Songs of the 50s EssaySongs of the 1950s Songs of the 50s In this paper I will research and identify 5 songs of the 1950s and what the songs rebound about the culture, body fluid, and values of the 1950s and the ethnic groups the artists came from. I will also discuss how accurately the songs reflect the mood, value, and perceptions of the 1950s as discussed in our readings, Nation of Nations. every last(predicate) I Have To Do Is Dream The first song I would like to address would be all told I Have To Do Is Dream, by the Everly Brothers. This song reiterates the basic ideology of the 1950s associated with the good life. The song offers a neat synopsis of the mood, values, and perceptions of this era, for example, the song states only trouble is, gee whiz, Im dreamin my life away. This quote shows the leisure sequence availcapable to Americans, it also reflects the time of hope during this era. The song also reflects a strong sense of optimism, confidence, and general com fort afforded by this era. This song also seems to echo the general sentiments of the time in terms of the open attitudes toward sex with some of the romantic lyrics.Since the baby demolish initiated during this era the lyrics to the mood and values are represented in the lyrics above. Since America emerged from World contend II, in this era this song reinforces the American Dream. The song gives the mood and perception of happiness at having a secure job, owning a house, etc A Lot of Livin To Do A Lot of Livin To Do by Sammy Davis Jr. , Mr. Davis represents twain the African American and Hispanic races and this songs lyrics also embody the era because of the references to the good life with And theres wine, already for tasting.And theres Cadillacs, all shiny and new. Gotta move, cause time is wasting. Theres such a lot of livin to do. These lyrics indicate the era because it was called the culture of consumption. The Americans experienced a wide scale of spending during this time period. The songs reference to fancy cars shows that consumers values definitely dominated the American economy and culture during the 1950s. A Combination of Lyrics Through my research for this assignment I found several songs that reflected the moods of this era that did not relate to the good life that I would like to spook base on. My Captain by Muddy Waters clearly reflects on the issues of the difficult working conditions for an African-American man in a big city. Their lyrics let on racial undertones as well as the tensions and divisions within America at the time. Two other lyrics that I felt were important regarding this era was Korean War Blues and Eisenhower Blues by J. B. Lenoir. These songs reflect the political strive associated with containing communism during this era and the political paranoia underlying the times.The connection to the mood, perceptions, values, and politics are found in the words from the song Korean War Blues, Lord I got my questionnaire, U ncle Sams gonna send me away from here Lord I got my questionnaire, Uncle Sams gonna send me away from here He said J. B. you know that I need you, Lord I need you in South Korea. These lines reinforce the business organization and the paranoia associated with the Red Scare and containment. Yakety-Yak The final song on my list is Yakety-Yak by The Coasters, this song again reflects on the eras freewheeling attitude and the triumphant mood of democracy in a light way.It was also a time for teenage rebellion due to the introduction of rock-n-roll. many another(prenominal) adults, parents, and teachers opposed rock and roll as an emerging genre and form of social protest. The lyrics of this song exemplify the generation gap and strain as the kids were conflict for freedom from the adults, Dont you give me no dirty looks, your fathers hip, he knows what cooks, just tell you hoodlum friends outside, you aint got time to take a ride, Yakety yak, dont talk back. ConclusionThrough the course of research for this paper I learned a great switch about the moods, values, perceptions, and politics that were expressed through songs. Even though some of the songs reflected a casual happy life style there were also the songs that reflected the imperfections of the era. This was a difficult time due to the war ending, desegregation was taking place, and it was also the time of the baby boomers. Through the songs of the 1950s I discovered that many artists were able to vocalize their own point f view on the events of the era. References Resource Readings Davidson et al. Nation of Nations, Third Concise Edition, Volume II The McGraw? Hill Companies, 2002 Lyrics Depot 2008 LyricsDepot. com. All Rights Reserved. Retrieved February 10, 2008.http//www.lyricsdepot.com/the-everly-brothers/all-i-have-to-do-is-dream.htmlhttp//custom-essay-cheap.com/songs-of-the-50s/http//www.biography.com/people/muddy-waters-9525002http//timshorrock.blogspot.com/2005/01/down-in-mississippi.htm lhttp//www.metrolyrics.com/yakety-yak-lyrics-the-coasters.html

Anorexia Nervosa Essay Example for Free

Anorexia Nervosa EssayI. IntroductionAnorexia nervosa has received a great deal of attention in the popular media in recent years. This rowdiness is listed under the category of disorders of childhood or adolescence in DSM-III. Anorexia consists of thorough slant loss due to a drop-off in eating. It occurs most frequently in female adolescents only round 1 in 10 people with anorexia are male. The disorder is believed to be rate, but one study found an relative incidence of 1 case out of 200 adolescent girls.Anorexia begins when the adolescent starts to diet. The person often has major problems in self-esteem and concerns about strong-arm appearance. Weight reduction whitethorn be one way for the person to feel in comptroller of her or his behavior, and to improve self-esteem ( Lager, 2003). However, for anorexics, dieting gets out of hand. They develop an immoderate fear of eating, and often suppress hunger by engaging in repetitive activity such as frequent exercising. When anorexics must eat because separates (e.g., parent) indigence it, they often w adverse induce vomiting subsequently meals to get rid of the food ingested.Even though the anorexic begins to waste away and develops such physical problems as cessation of menstruation (for girls), constipation, and im chemical equilibriums in body chemistry, she or he is often unconcerned about the lifespan-threatening aspect of the behavior (Darby, 2001). Anorexics continue to embrace themselves as heavier that they really are, and some continue to avoid eating until they die from starvation. Death may occur in up to 15 percent of anorexics.This piece of music intent to (1) understand what anorexia nervosa really means and its effects (2) know the measures for managing anorexia (3) be aware of the use of pharmacologic agents to stimulate appetite in the terminally ill and (4) be familiar of the factors influencing nutritional status in varied situations.II. BackgroundAnorexia Nervosa is a ps ychiatric disorder characterized by an aversion to food and a resulting extreme loss of weight. It is most common in teenage girls and boyish women. The victims, although not necessarily overweight, become obsessed with a fear of obesity and deliberately typesetters case themselves to a starvation diet (see Anorexia Nervosa Overview. eMedicineHeath. Emergency Care + Consumer Health). The resulting malnutrition typically leads to constipation, vomiting, low body temperature, low blood pressure, and amenorrhea (cessation of menstruation). Victims can lose up to 25 percent of their body weight and, if untreated, may die.Treatment for anorexia consists of hospitalization along with psychotherapy and counseling. Victims are either fed intravenously or are placed on a high-calorie, high-protein diet supplemented by large doses of vitamins.A. What are an anorexia nervosa and its effects?At the other end of the spectrum from obesity is anorexia nervosa, an eating disorder associated with self-imposed starvation. The already underweight person continues to restrict food intake, often to the point where death is a genuine concern.One of the most distinguishing traits of people who view as anorexia nervosa is that they do not see themselves as thin (Halmi, 2004). When they look in a mirror, they actually perceive themselves to be overweight or readying weight. In the latter case they may go out and jog 5 miles or stay up all night jumping jacks. The resulting weight loss and attendant physical show often lead to an absence of menstruation among females, and the person may look pallid and gaunt.III. DiscussionAnorexia is a puzzling disorder. Why would an otherwise healthy young person starve to death? Although some explanations of anorexia have focused on biological causes (a possible malfunction of the hypothalamus which could lead to a lack of desire for food), modern views focus on problems in the family which may lead to anorexic behavior. The parents of anorex ic adolescents are often very controlling and attempt to order their childrens lives to a greater extent than do parents of non-anorexics. Furthermore, the families are often filled with conflict between family members. Anorexic behavior may be an extreme, distorted attempt by the adolescent to control at least one aspect of her or his own behavior.Treatment of anorexia universally involves several different emphases. If the weight loss is life threatening, medical intervention (e.g., intravenous feeding) is necessary. The reinstitution of eating behavior and achieved using behavioral approaches however, these gains are often short-lived. Most treatment programs report success rates as high as 86 percent. However, anorexia still results in death for some individuals.A. Measures for managing AnorexiaAnorexia is a common problem in the seriously ill. The profound changes in the patients appearance and his or her concomitant lack of interest in the socially important rituals of mealt ime are particularly disturbing to families. The approach to the problem varies depending on the patients stage of illness, level of disability associated with the illness, and desires. Although causes of anorexia may be controlled for a period of time progressive anorexia is an expected and natural part of the end process. Anorexia may be related to or exacerbated by situational variables (eg, the ability to have meals with the family versus eating alone in the sick room), progression of the disease, treatment for the disease, or psychological distress. The patient and family should be instructed in strategies to manage the variables associated with anorexia.B. Measures for Managing AnorexiaThere are many ways in how to manage the patient who suffers from anorexia nervosa and it is divided into two measures, the medical interventions and patient and family tips.a) Medical InterventionsThe medical group initiates measures to ensure adequate dietary intake without adding stress to t he patient at mealtimes and assess the impact of medications (eg,chemotherapy, antiretroviral) or other therapies (radiation therapy, dialysis)that are creation used to treat the underlying illness. It administers and monitors effects of prescribed treatment for nausea, vomiting, and delayed gastric emptying and encourages patient to eat when effects of medications have subsided and assess and modify environment to eliminate unpleasant odors and other factors that cause nausea, vomiting, and anorexia.Remove items that may reduce appetite (soiled tissues, bedpans, emesis basins, clutter). This medical group assesses and manages anxiousness and depression to the extent possible (see Anorexia Nervosa Treatment. Mental Health. MayoClinic.com). It also assesses for constipation and/or intestinal obstruction and prevents and manages constipation on an ongoing basis, even when the patients intake is minimal. Furthermore, it provides frequent mouth care, particularly following nourishment , ensure that dentures are properly taken care, and administer and monitor effects of topical systematic for oropharyngeal pain.b) Patient and Family Teaching TipsThe family reduces the focus on quietusd meals offer the same food as often as the patient desires it and increase the nutritional take account of meals. For example, add dry milk powder to milk, and use this fortified milk to prepare cream soups, milkshakes, and gravies. Allow and encourage the patient to eat when hungry, regardless of usual meal times. Eliminate or reduce noxious cooking odors, pet odors, or other odors that may precipitate nausea, vomiting, or anorexia and keep patients environment clean, uncluttered and comfortable (Halmi, 2004).Make mealtime a shared experience away from the sick room whenever possible. Reduce stress at mealtimes. Avoid confrontations about the amount of food consumed. Reduce or eliminate routine weighing of the patient. Encourage patient to eat in a sitting position make headway t he head of the patients bed. The family plan meals (food selection and portion size) that the patient desires. Provide small frequent meals if they are easier for patient to eat. Encourage adequate gas intake, dietary fiber, and use of bowel program to prevent constipation (Wrede-Seamn, 1999).C. Use of pharmacologic agents to stimulate appetite in the terminally illA do of pharmacologic agents are commonly used to stimulate appetite in anorectic patients. Commonly used medications for appetite stimulation include dexamethasone (Decadron), cyproheptadine (Periactin), megestrol acetate (Megace), and dronabinol (Marinol). Dexamethasone initially increases appetite and may provide short-term weight gain in some patients. However, therapy may need to be stop in the patient with a longer life foreboding, as after 3 to 4 weeks corticosteroids interfere with the synthesis of muscle protein. Cyproheptadine may be used when corticosteroids are contraindicated, such as when the patient is diabetic. It promotes mild appetite increase but no appreciable weight gain.Megestrol acetate produces irregular weight gain of primarily fatty tissue, with little effect on protein balance. Because of the time required to see any effect from this agent, therapy should not be initiated if life expectancy is less than 30 days. Finally, dronabinol is not as effective as the other agents for appetite stimulation in most patients. Although the use of these agents may cause temporary weight gain, their use is not associated with an increase in lean body mass in the terminally ill. Therapy should be tapered or discontinued after 4 to 8 weeks if there is no response (Wrede-Seamn, 1999).D. Factors Influencing Nutritional Status in varied Situations.One sensitive indicator of the bodys gain or loss of protein is its normality balance. An adult is said to be nitrogen equilibrium when the nitrogen intake (from food) equals the nitrogen output (in urine, feces, and perspiration) it is a sign of health. A positive nitrogen balance exists when nitrogen intake exceeds nitrogen output and indicates tissue growth, such as occurs during pregnancy, childhood, recovery from surgery, and rebuilding of wasted tissue. Negative nitrogen balance indicates that tissue is breaking down faster than it is being replaced. In the absence of an adequate intake of protein, the body converts protein to glucose for energy. This can occur with fever, starvation, surgery, burns, and debilitating diseases. apiece gram of nitrogen loss in excess of intake represents the depletion of 6.25 g of protein or 25 g of muscle tissue. Therefore, a negative nitrogen balance of 10g/day for 10 days could mean the wasting of 2.5 kg (5.5 lb) of muscle tissue as it is converted to glucose for energy.When conditions that result in negative nitrogen balance are coupled with anorexia (loss of appetite), they can lead to malnutrition.IV. ConclusionIn conclusion, the prevailing belief among clinical psychologists h as been that anorexia arises out of an unstable self-concept. Thus, the commitment to diet and weight control is seen as an attempt to establish a firm sense of identity (Bhanji, 1999). In addition, there is the possibility that this illness, which in about 85 percent of cases occurs in adolescent females, indicates a rejection of traditional feminine roles. Even career patterns play a role. In certain occupations where there is a premium on being thinfor example, ballet dancingthe incidence of clinical anorexia may be great as 50 percent. Further, it has been suggested that malfunctioning neurons in the hypothalamus may alter the metamorphosis and feeding patterns of people with anorexia nervosa (Leibowitz 2003). At present, however, the empirical support for underlying neurological disturbances is scant (Logue, 1999).

Means End Chain Model Relating to Samsung Essay Example for Free

mode End Chain Model Relating to Samsung EssaySamsung Electronics Relating to the Means End Chain ModelMeans End chain Model explores the connection between consumer and product through the construction of a simple associative network between concrete and vacate product attributes, functional and psychosocial consequences linked with product use and finally consumers instrumental and terminal values.Product Attributes expresses the impressions or characteristics of a product or service. Concrete attributes think of to the physical characteristics. They have a tangible reality where the consumer can experience directly. Abstract Attributes argon non material product characteristics that are intangible and cannot be go through directly by the consumer. When coming to a purchase decision of Samsung Electronics people first go for the impression, that is the concrete attributes like Easy touch system truthful and Lighter ProductsRange of VersionsEtcThen comes to the Abstract Attr ibutes likeUser FriendlyPerformanceValue for MoneyAfter sale servicesEtcConsequences are prohibitedcomes or the benefits that the consumer can have when the product is purchased. Functional consequences are the tangible outcomes of a product that the consumers usually experience directly and immediately. Psychosocial consequences refer to the knowledge about the mental and social outcomes of product use.After the purchase of Samsung Electronics the consumer will experience that the product has the following features Bright Color with realistic imagesGood QualityEasy to showEtcThen the consumer will experience the psychosocial consequences such as SatisfactionEntertainmentMoved out to the latest trendsEtcValues are peoples kind life goals. They also involve the effects associated with such goals and needs. Instrumental Values are preferred modes of conduct or ways of behaving Terminal Values are preferred state of being or broad psychological status.The instrumental values of a c onsumer after the purchase of Samsung Electronics are StatusStanding out from a crowdGood ChoiceEtcThe instrumental values of a consumer after the purchase of Samsung Electronics are HappinessPeace in Mind because of the outmatch selectionEtcMeans End Chain is a unique marketing technique to understand and deliver on consumer behavior. WHY? A simple interrogative sentence coupled with some intelligent probing can accomplish a pool of beneficial information that the marketers can use to target anywhere from an stainless demographics or to a particular segment.

Job Description: Operations Manager in Echocardiography Lab

Job Description Operations Manager in Echocardiography LabBased on the week 1 final project paper, the repose for this assignment is the Operations Manager for the Echocardiography Lab.Job descriptions identify the key tasks, duties, and responsibilities of a incline. They detail what, why, where, and how responsibilities are done (Flynn, Mathis, Jackson, Langan, 2006, p. 102). The general summary inwardly a avocation description is a brief statement of general responsibilities and components that make the perplex unique from others. The essential functions section of a description is a set of accurate statements specifying major tasks, duties, and responsibilities performed. The job specifications portion of the job description details specific qualifications needed to perform the job acceptably. This would include details such as undeniable skills, education, experience, and physical requirements of the role (Flynn, Mathis, Jackson, Langan, 2006, p. 102).Standard and comple te job descriptions crumb drive performance standards and competencies. They abide a platform to demonstrate what the position accomplishes and how performance is mensurable in resemblance to key areas of the job description. In fact, JCAHO standards require healthcare organizations to combine the job description with performance and competency assessment (Flynn, Mathis, Jackson, Langan, 2006, p. 103). If employees are known with the expectations, performance measurement, and required competencies, there is a far greater opportunity for satisfactory performance.The job description should be tailored to the specific need a position satisfies. The tasks to be performed and the outcome expected are pivotal. Critical competencies should include those that are integral for the job. They should reflect the ability to produce specific or minimal outcomes in a safe, timely manner (Patton, 2013, p 143). This ensures that every employee in the same role has a standard description and id entical expectations. Each employee can then be gauged against those requirements.Position OverviewThis role is responsible for coordinating the operations of allied health staff in the outpatient, inpatient setting for the echocardiography lab within the Division of Cardiology. The employee will manage the department in alignment institutional and division missions, visions, and objectives. This person will serves as a key member of the lead team with a primary focus on planning and implementation of policies and systems. In addition, the position will require facilitates project care while ahead(p) a multidisciplinary team including financial analysis, problem solving, and team collaboration. This team member will regulate staffing in accordance with fluctuating workload.The position requires project management in support of institutional and divisional projects, staff recruitment, policy implementation, and serves as a primary resource for issues and communications. This perso n will performs duties independently and initiate cash in ones chips judgment in handling a variety of management issues.Organizational RelationshipsThe hierarchy of this position is pretty straight forward. The operations manager reports to the Cardiology Medical handler and an Operations Administrator. Thus, there is physician and administrative oversight. Ultimately, the position would be directly responsible for several supervisors, including the managers of the outreach practice, education and quality, the program chair of the echocardiography school, the lab, and the administration office for the department. The position falls within the Cardiology Department, which is part of the Department of Medicine of the organization. Ultimately, Jeffrey Bolton, the Chief Administrative Officer and Dr. John Noseworthy, the President and CEO of Mayo Clinic are at the elucidate of the organizational structure (Mayo Foundation for Medical Education and Research, 2013). Candidates will be required to work cooperatively with department/division leadership and multidisciplinary teams, supervisors, administrators, physicians, and personnel both(prenominal) within and outside the organization. There is a number of staff that would directly report to this manager, including sonographers, nurses, administrative personnel, and various supervisors.Educational RequirementsThe preferred educational background for this position is a Masters degree in Business or Healthcare field and devil years healthcare management experience.Required SkillsCandidates should have quick leadership, team building, and problem-solving skills as well as demonstrated ability to work collaboratively with multiple disciplines. The candidate must have excellent communication, organizational and human relation skills. This position requires excellent decision-making and judgment capabilities. Candidates must have broad based knowledge of office support and computer systems along with software knowl edge and installation. In addition, the candidate must have business acumen with experience with accounting practices for budgetary responsibilities.This job is unique based on the limited number of parallel echocardiography labs in the area and even the nation. There are certainly other management positions both within and outside the organization, but very few would provide the ability to manage such a world-class department. In addition, this position would provide a solid networking opportunity. The manager would have the opportunity to work on base physicians and administrators, gain professional experience, and showcase skills. This position may be a on-the-job interview for future positions in the leadership hierarchy.The course text indicates that sound hire programs should focus on four primary objectives, including legal compliance, cost effectiveness for the organization, equity for staff, and performance enhancement for the organization (Flynn et al., 2006). There are two components of any compensation package, direct and corroborative. Direct compensation is essentially the pay for work achieved. Indirect compensation entails compensating employees with a tangible value without receiving monetary gain. Examples of indirect compensation are benefits such as health insurance, vacation pay, or retirement pension, which are provided to employees regardless of performance (Flynn et al., 2006). There must be a balance between compensation and cost that ensures competitiveness and rewards employees for experience, knowledge, skills, and performance. The organization should provide a comprehensive compensation package in order to recruit, retain, and reward performance. gibe to Hariharan (2014), a well-planned approach to recruitment will improve a healthcare organizations leverage in recruiting the most talented individuals. Treating those employees with respect for the duration of their tenure will ensure retention. By recognizing what is important to a potential employee and offering competitive compensation and personal development opportunities, the organization can guide the best candidates and use the newfound intellectual capital to enhance organizational performance.Based on benchmarking similar positions within the organization and comparable academic institutions, the compensation package should be at the 50th percentile of the market. The salary range would be dependent on education, experience, and internal tenure. Preference for the position should be provided internally before the position is posted outside the organization.ReferencesFlynn, W., Mathis, R. L, Jackson, J. H., Langan, P. L. (2006). HealthcareHuman Resource Management VitalSouce bookshelf version Retrieved fromhttp//digitalbookshelf.southuniversity.edu/books/9781133614395/id/ch03Hariharan, Selena,M.D., M.H.S.A. (2014). Physician recruitment and retention A physicians perspective.Physician Executive,40(2), 44-6, 48. Retrieved from http//search.proqu est.com/docview/1518114883?accountid=87314Patton, M. T. (2013). Avoiding Common Job Description Mistakes.AMT Events,30(3), 142-144.

Comparing Fluid Flow Of Smooth And Rough Pipes

Comparing Fluid Flow Of Smooth And Rough PipesThe tube-shaped structure point investigation compared the fluid devolve of unruffled and rough tobacco undergrounds of varying diameters. The pressure drop across the pipes was recorded to find both the friction factors and Reynolds numbers. A tenacious plat was plotted comparing the friction factor versus the Reynolds number. A graph of the information-based friction factor was compared to the theoretical friction factor for the transition of a pipe from good-tempered to rough.It is assumed that the fluid used for the pipe flow was incompressible and pipes were entirely horizontal with constant diameters throughout the tested length. The energy equating is used to compare the steady, uniform flows at the inlet and outlet.= pressure = density= kinetic energy flux coefficient = average fluid velocity= gravity z = vertical height of the pipe=total head loss = specific work done by the carry volume.The change in pressure that is plunge for each pipe is equivalent to the loss of head across each respective pipe and related by the equation below.. (2)It is also assumed to check a constant volumetric flow rate, constant vertical height, no work involved in the flow of the fluid, and a constant flow velocity. By using the average velocity we can determine whether the fluid is laminar or turbulent. A Reynolds number below 2300 describes a laminar flow and that above 2300 is turbulent., (3)= Reynolds number = pipe diameter = viscosity of the fluid.Below is the Darcy or colored friction factor, , which is valid for laminar flows. This equation is independent of the disorder of the pipe.. (4)The friction produced by the roughness in the pipes causes head loss. Unlike Eq. 4, the next equation is valid for turbulent flows with Reynolds value above 2300.. (5)The Colebrook equation covers transitionally rough regions which are in the midst of fine-tune and rough walled piping. This equation is implicit for ., (6) where the relative roughness of the pipe is .MethodsThe Pipe Flow Lab equipment included Four horizontal pipes of varying roughness and diameters arranged in a pipe flow apparatus with a self-contained water supply, valve to isolate pipe of interest, inlet flow control valve to control the flow rate, volumetric measuring tank collects water, sight tube, graduated cylinder, stopwatch, calipers, and electronic manometer to measure pressure.The change in pressure of one rough and three unagitated pipes of varying diameters were measured. These determine helped compare the friction factors to the Reynolds number of the fluid. Each pipe was individually experimented on by leave aloneing the water to run through that particular pipe until it reached a constant flow rate. The change of pressure was read off the electronic manometer and a stop watch was used to measure the time it took to carry through the tank to a particular volume. The pressure was lowered by a given increment for ea ch trial until it reached a given value and restate for each pipe. The temperature of the water was measured at the end of the experiment.Results and DiscussionThe data for the large-mouthed round off pipe, large rough pipe, medium smooth pipe, and small smooth pipe were compiled into Tables 1, 2, 3, and 4, respectively. Eq. 3 was used to find the Reynolds number and the friction factor was calculated using Eq. 5. These values were then plotted in Fig. 1, which is a Moody diagram comparing the Reynolds number to friction factor of all the pipes. The Reynolds number gives the value of a fluids transition from a laminar flow to turbulence. This value is near 2300 according to Fig. 1. Since all the points on the Moody graph are greater than 2300, we can conclude that all the flows in this lab are turbulent.The decreasing square(p) laminar class was produced by using Eq. 4 which is independent of roughness. Then above the Reynolds number of 2300 is the theoretical rough turbulent and smooth turbulent lines. The smooth pipes follow the slightly downward slope of the smooth turbulent theoretical line. The small and medium tubes are for the most part above the theoretical line which is expected because there is probably build up in the tube causing a slight roughness which would increase the friction factor. The large smooth pipes values are below the theoretical line, which is impossible because the tube cannot be smoother than smooth. This error could be a cause of pitying error or unfaithful lab equipment. The friction factors of the smooth pipes in increasing order were large, medium, and small. This is what would be expected because the larger diameter pipes should allow for easier flow than a smaller diameter pipe.The large rough tube follows the theoretical rough turbulent style. Since this tube is rough it should have more friction than the smooth pipes and an increased friction factor. Fig. 1 exhibits this fact because the large rough tube values ar e well above the smooth tubes values. As the Reynolds number gets very large, it becomes a function of only relative roughness e/D.Eq. 7 was used to find the theoretical rough, turbulent flow trend and a relative roughness of e/D, of 0.093 was determined. Table 2 shows the values that were recorded and has lower values for the experimental friction factor than the theoretical values. As with the large smooth pipe, this is not what we would expect and it is caused by lab errors. Both large pipes were located in the same Reynolds number region but with assorted friction factors. This is understandable since they have the same diameters but the only difference is the roughness inside the pipe causing friction. The fluctuations in friction factor values are due to errors that occurred during the investigation procedure.An error that could have affected the results of this investigation would be the actual smoothness of the pipes. The smooth pipes could have build up from the historic period of use that would cause some roughness. The roughness would in turn interfere with the fluid flow. Another form of error was with the stop watch and volume course session to find the flow rate. There is a percentage of human error in these measurements and the electronic manometer was also fluctuating during the experiment. These errors can account for the fact that the experimental friction factors were lower than the theoretical values for the large pipes seen in Table 1 and 2. The equations used were approximations and could also account for a slight source of error.Conclusions and RecommendationsThe values obtained in this investigation led to the calculation of the friction factors and Reynolds numbers for four different pipes. These values were then plotted in a Moody diagram to compare how the roughness and diameter of each individual pipe affected the flow rate of each. The small, medium, and large smooth pipes followed the smooth turbulent theoretical trend. The lar ge pipe had values below the theoretical values. The experimental values should always have been above the theoretical since a pipe cant be any smoother than smooth. These results could be caused by the lab errors that were listed above. The friction factors of the smooth pipes in increasing order were large, medium, and small. This is what would be expected because the larger diameter pipes should allow for easier flow than a smaller diameter pipe. The large, rough pipe followed the rough turbulent trend. As the Reynolds number became large the relative roughness became the relationship, e/D. This pipe also had experimental friction factor values below the theoretical values which is impossible and caused by errors in the investigation. The friction factor of the rough pipe was much greater than the smooth pipes, which means that there is more friction in rough pipes.For future investigations, it would be beneficial to take more data points in order to more accurately represent the findings. This could also help keep the margin of error smaller since one or two inaccurate points could be disregarded with a larger data sample. More precise measurement tools would also be very beneficial since there was much perplexity with the current apparatus.

Care for Post Elective Coronary Artery Bypass Graft Surgery

Care for Post Elective Coronary arterial blood vessel Bypass Graft cognitive operationAssessment for the attending of patient with respiratory problemfollowing Coronary Artery Bypass Graft 3 vessels disease and Mitral Valve RepairIntroductionThis essay examines a effect study of a male patient with a complex history who has undergone elective coronary artery revolve graft surgery, and suffered a telephone depend of recovery complications. Coronary artery disease is a common pathology in the Western population, possibly referable to lifestyle and dietary factors, including lack of exercise and smoking.The case history will be examined in the light of nursing heraldic bearing and current theoretical knowledge, looking at the individual needs of the patient and the electromotive force interventions which could be employed to address this patients emergent and ongoing condition. nurse care at whatever stage, critical, acute or degenerative, moldiness be an holistic process w hich distinguishs into account all of the social, physiological, psycholological, emotional and spiritual needs of the person. Given the critical evince of this individuals health, however, some needs arse be identified as more urgent that others.The case history will demonstrate the predominant needs of this patient as those connected with his respiratory authority and status, and therefore while all aspects of the case will be considered, considerable attention will be paid to his respiratory needs, treatments and emf outcomes. The cerebrate is on nursing care, which must address the emergent clinical picture whilst considering long term, mid term and short term outcomes in a client-centred context. passwordThe patient, who shall be called Mr S to protect confidentiality, was admitted on June 6th for an elective coronary artery bypass graft procedure, plus a Mitral Valve Repair. According to UHC (2007) a coronary artery bypass graft (CAB or CABG) is a surgical procedure in w hich a healthy gillyflower vessel is transplanted from a nonher actuate of the body into the gist to replace or bypass a diseased vessel. In this case, it is the treatment of choice for the patient whose history of myocardial infarction and coronary artery disease made him a prime skunkdidate for corrective surgery. Coronary artery disease is defined as the failure of the coronary arteries to salve oxygen and fuels for myocardial work (Emery and Pearson, 1998). Coronary artery disease is a leading cause of myocardial infarction (Emery and Pearson, 1998).According to STS (2007), mitral valve repair is an propagate heart procedure which aims to treat stenosis or regurgitation of the mitral valve, which is the inflow valve for the left wing side of the heart. In normal physiology, blood flows from the lungs, where it picks up oxygen, and into the heart through the mitral valve (STS, 2007). When it opens, the mitral valve allows blood to flow into the left ventricle, which accor dingly closes to keep blood from leaking back into the lungs when the ventricle contracts to pump blood into the systemic circulation (STS, 2007). In this case, mitral regurgitation has been diagnosed, which is probably consequential to Mr Ss ischaemic heart disease (Emery and Pearson, 1998).The patient history includes the following post lateral MI treated with thrombolysis shortness of breath on exertion treatment with GTN hypertensive disease raised cholesterol smoker (80-100 cigarettes a day, stopped smoking in 2000) umbilical hernia repair removal of a benign growth on the thyroid gland left ankle oedema distal varicosities to the left extremity. Mr S is allergic to penicillin, overweight at 115kg and has been treated for the health consequences of his lifestyle for some time.Mr S underwent the procedure as planned, with the standard postoperative care. On retort to the ward from theatre he was initially on synchronized intermittent mandatory ventilation system, which is a sy stem that was developed as a method of overtone ventilatory post to facilitate liberation from mechanical ventilation (CCM, 2007). In this system, a demand valve is located within the system through which patients can take spontaneous breaths, without having to breathe through the ventilator apparatus, allowing the patient to breathe spontaneously while also receiving mandatory breaths (CCM, 2007). As the patients respiratory function improves, the number of mandatory breaths is decreased, until the patient is breathing unassisted on continuous positive airways hug (CCM, 2007). Non invasive forms of ventilatory support have been found to be associated with improved patient outcomes (Peter et al, 2002), in a range of acute respiratory conditions including acute respiratory failure.Mr S was extubated after ten hours, placed on elevated flow oxugen via face mask at 50%, but PA02 was only 7 with quiet lung bases on auscultation, leading to the introduction of WCPAP, with a PEEP of 7 .5. He was coughing but not expectorating, and developed a number of other postoperative complications which are listed below.His CVP was on 24mmhg and stable within that range.Blood Pressure went pull down to 80/50 mmHg, treated with gelofusion with no response.noradrenaline was started 07mic/kg/minFrusemide 20mg /hr with good effect on the second day urine sidetracktailed aside to 60-70ml/hr so the frusemide was increased in 40mg/hr with good effect. Urine output increased to a ratoe of 120-150mls/hr.Mr S has has 3 chest drains mediastinal, pleural and pericardial .Mr S is ventricularly paced at around 90 beats, with an underlying bradycardia of 44 beats /min.Blood results urea was 4.4 on the first day, 8.3 day two post-op creatinene was initially 102, then 164, and on the third day it was 280.Noradrenaline was used, followed by some attempt to wean MR S of this level of support, but the MAP was not stable and could not be kept at 70, and so noradrenaline recommenced.Plans for discharge were postponed due to the WCPAP, the renal complications and the blood contract issues.Mr S was had an Epidural with plain levopuvicaine at 5mls per hourincreased to 8 mls because of pain on movement in addition to this he had a PCA (which was being used minimally), and regular Cocodamol.As can be seen, Mr Ss condition is quite serious with a range of complications from the surgery related to his postoperative recovery. Given than cardiac surgery has been performed and there are issues with maintaining blood pressure and cardiac rhythm, the two appear to be connected. Low cardiac output due to arrythmias are of some concern, and so all observations should be closely monitored. The sports stadium of concern for this essay, however, is the area of the respiratory complications, but brief mention will be made of the nursing considerations of the other aspects of his conditionNursing care think on his pain relief should include regular pain management, assessment of pain s cores and sedation levels, and hourly pump checks on the epidural excerption and the PCA. These should be documented contemporaneously and comprehensively, and this information should be used for ongoing care planning, evaluation and communication with colleagues.Monitoring of intravenous infusions should include checking the IV localise and cannula for patency or any signs of inflammation, checking that all the infusion lines are connected, and the pumps are set at the correct rate. Fluid balance should be recorded on the appropriate chart at the appropriate hourly intervals. The colour and consistency of the urine should also be noted. Fluid management is important in respiratory disease because excess swimming intake is prone to leak through the capillary membranes into the lung tissues (Peters, 1998). Vital observations should be recorded as specified by the medical examination and cardiothoracic teams. Pressure area care should be carried out, nutritional status should be m onitored, and responses to medications noted. All medications should be performed as charted.Further to this, the chest drains must be observed, instauration sites assessed for signs of infection, and temperature monitored for signs of systemic responses to infection. The drain contents must be included in the fluid balance measurements, and must also be reported to the doctors, and observed for signs of haemorrhage. The drains must be kept off the floor but below the level of insertion of the tubing, to prevent the contents tracking back up towards the body, which would increase the essay of infection. For this reason, if Mr S is moved at any time or repositioned, or during procedures much(prenominal) as bedmaking and attending to hygiene needs, the tubing of all three drains should be clamped for the duration of the activity and then unclamped again afterwards.In addition to this, Mr S appears to need considerable respiratory support. The literature shows that satisfactory oxy genation can generally be achieved in most patients by the use of continuous positive end expiratory pressure (PEEP) using a continuous positive airway pressure (CPAP) mask with a PEEP valve of 5-10 cm of water. However, it has become apparent that Mr S cannot be safely weaned from this as yet. One option to consider would be NPPV, which is a treatment which has evolved from CPAP (Peters, 1998). It has been found to be very effective in providing ventilatory support for patients with respiratory disorders, expoundicularly long term and in the scale setting (Peters, 1998). This might be one option which could support Mr S in being discharged from the intensive care facility.Positioning and physical support to maintain this are also important (Peters, 1998). Therefore, Mr S should be nursed upright or semi-upright, well supported by pillows, but giving due consideration to pressure area care. Thorens et al (1995) suggest that the quality of nursing seems to be a measurable and impor tantfactor in the weaning from mechanical ventilation of patients with chronic obstructive pulmonary disease. While Mr Ss condition is not COPD, many aspects of his symptoms and, obviously, the environment in which he is being nursed, are similar to those set forth in this study by Thorens et al (1995). They suggest that below a threshold in the available workforce of ICU nurses, the weaning duration of patients from ventilation and other forms of mechanical ventilatory support increases dramatically (Thorens et al, 1995). Therefore, very close attention should be given to the education and number of ICU nurses (THorens et al, 1995), which in this example could be viewed from a managerial point of view, in ensuring that the appropriately skilled and experienced nurses are those allocated to the care of Mr S, and that his case should be seen as a priority.Addressing Mr Ss emotional and psychological needs are also important. While it is an extremely invasive and potentially life th reatening procedure, coronary artery bypass graft surgery and mitral valve repair surgery are associated with positive patient outcomes(Moshkovitz et al, 1993). This was also an elective rather than an emergency procedure. This may mean that Mr S was not necessarily expecting such a problematic recovery period and so will need support adjusting to this. The same could be said for his family and carers, who would perhaps be somewhat shocked to find him still in a relatively serious condition. The support mechanisms available to him should be assessed, and it should be factored into the nursing care plan that time (often the most precious resource available to nurses) is allocated to him to ensure that he has amply opportunity to communicate with the staff. Communication difficulties may be associated with his condition, state of mind, level of consciousness and the use of CPAP, and these must be taken into consideration.Wong et al (1999) discuss gamble factors of delayed extubation and prolonged intensive care unit aloofness of stay, which suggest that such occurrences are associated with higher levels of morbidity and longer periods of recovery. Whether this is due to the nature of the underlying condition, or the nature of the environment (or both), cannot be determined. However, it would appear that it is in Mr Ss best interests to be facilitated towards a level of wellness along the illness-wellness spectrum that is sufficient to warrant his discharge from the intensive care unit. It might be appropriate to consider different medication regimes, or to allow the physiological systems of his body more time to adjust to his postoperative recovering state.Another potential action might be to remove the epidural and sanction Mr S to use the PCA more appropriately, to support his pain control as a self-managed phenomenon, and to encourage a move towards increased independence, mobility and generally improved health. There is a degree of motor block evident fro m the epidural. Epidurals are also associated with low blood pressure, so this might be a factor in Mr Ss condition. The epidural would need to be removed under aseptic technique, and a small dressing placed over the site. The tip of the epidural catheter must be checked to make sure it is complete, and this noted in the patients records. Close monitoring of the patients blood pressure following this might allow the nurse to assess whether this has had a positive effect on Mr Ss blood pressure.Similarly, if Mr S is more mobile and able to move a little more independently, this might increase cardiac output and improve blood pressure. He is at considerable risk of post-operative thrombosis, in particular deep vein thrombosis and pulmonary embolism, and so mobilisation will be a key factor in his recovery and in preventing these complications. Hannan et al (2003) found that post-operative recovery from coronary artery bypass graft surgery can be adversely effected if the patient suffe rs from 6 or more comorbidities. Given his medical history, it is unsurprising that Mr S finds himself not recovering as cursorily as potentially possible, and so it is important to maximise all opportunities to promote recovery and health. The use of low molecular weight heparin as a prophylaxis against deep venous thrombosis and pulmonary embolism is common in post-operative care, and is likely to be used here. However, there is a serious consequence of anti-coagulant therapy, which is the increased risk of haemorrhage, and so this again will need to be monitored for very carefully.Stanley et al (2002) suggest that neurocognitive decline is a continuing source of morbidity after cardiac surgery. This may be associated with cardiac arrythmias (Stanley et al, 2002). Mr Ss underlying bradycardia may then be a contributory factor in his long-term medical prognosis and this is why such intensive cardio-pulmonary support is warranted. Neurocognitive dysfunction is common after coronary artery bypass graft surgery (Stanley et a, 2002), and so assessments of this should form part of the ongoing care and monitoring of his condition. The pacemaker will also be monitored for functionality, and heart rhythm observed. Any changes will be assessed by the cardiothoracic team and any improvements towards normal rhythm noted.It is also important for nurses to consider multidisciplinary team input as a part of interprofessional working and client-centred care. For example, some research has demonstrated that a multidisciplinary approach to weaning from mechanical ventilation has been associated with greatly improved outcomes in the short and long term (Smyrnios et al, 2002). Mr S, given his condition, would be a prime aspect for pulmonary physiotherapy, which has been argued by some to be useful in the recovery process. Given the respiratory assessment findings, this may be used. However, the usefulness of respiratory physiotherapy for the prevention of pulmonary complicat ions after cardiac surgery remains unproved(Pasquina et al, 2003). Therefore it would need to be a collaborative decision in conjunction with the adviser in charge of Mr Ss case.ConclusionThis examination of Mr Ss case and history has demonstrated that he is suffering from a number of post operative complications associated with his surgical status, his past medical history and the range of comorbidities he is suffering. The diagnosis of his current condition must remain the area of function of the doctors who are in chargeof his case. However, nursing interventions are a vital component of his care and potential for recovery. While doctors may diagnose and prescribe, it is the nursing staff who assess, monitor, administer therapies, and engage in the majority of prophylactic activities to support optimal return to wellness.This essay has also considered the need for an holistic approach to Mr S, viewing him as a person in the context of his own life rather than simply a set of co nditions which much be treated and hopefully, resolved. However, the nature of his condition is serious, and until the cardiac and respiratory function issues are resolved, there is very little that can be done other than to support him and his body systems to gallop to function, whilst engaging in nursing activities aimed at minimising further complications from his continued dependent and unwell state. There are a number of actions that can be taken, including pressure area care, fluid management, engagement with the multidisciplinary team, and pain management, all of which can contribute to supportive a positive prognosis for Mr S. However, he continues to require intensive nursing care until such time as he is able to be weaned off the CPAP and the noradrenaline which is helping to maintain the blood pressure. Until that time, all his needs will continue to be met by 24 hour intensive nursing care.ReferencesCCM (2007) http//www.ccmtutorials.com/rs/mv/page7.htmEmery, C. and Pear son, S. (1998) Managing coronary artery disease. In Shuldham, C. (1998) Cardiorespiratory Nursing Cheltenham Stanley Thornes.Hannan, E.L., Racz, M.J., Walford, G. et al (2003) Predictors of Readmission for Complications of Coronary Artery Bypass Graft Surgery JAMA. 290 773-780.Moschovitz, Y., Lusky, A. and Mohr, R. 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