Anaesthetic Practice Appendectomy At Second Trimester Of Pregnancy Nursing Essay

Anaesthetic Practice Appendectomy At foster Trimester Of Pregnancy Nursing EssayThis is a contemplative essay base on my personal experience as a student anesthetic agent practitioner which happened during in one of my clinical placements in an nifty hospital. This is a case of a 42 year old at her 24 weeks gestational maternal quality who underwent an emergency appendicectomy under a cosmopolitan anaesthesia with ambitious cannulisation. I will refer to affected role as Mrs. G in prescribe to keep her confidentiality (NMC Code of Conduct 2008). The Gibbs reflective cycle will be the framework of my reflection (Jasper 2003) which is shown in concomitant A.Mrs. G. had been admitted due to nausea, vomiting, fever, right abdominal pain, and mild elevation of her white telephone circuit cell count which are the presenting symptoms of appendicitis. She underwent ultrasonography of abdomen and confirmed an acute appendicitis, thus, an urgent booking for an open appendicectomy wa s done. The patient proceeded to the operating orbit with little delay to minimise the while to perforation. Such occurrences are uncommon, however, sightedness that most cases of appendiceal perforation occur earlier to surgical assessment as expound by MacMahon (1991). The theatre team ga at that placed to do a preoperative briefing. The Operating Department Practitioner (ODP), anaesthetist, surgeon, obstetrician, neonatologist, midwife, circulating, scrub nurse and myself were present (WHO 2008). later doing all the routine checks of anaesthetic agent equipments and drugs as advised by the AAGBI 2004, I went to check the patient (AfPP 2007), the informed consent (DOH 2009) then accompanied her into the anaesthetic fashion. Markedly, Mrs. G looked dehydrated, due to fever and reduced oral intake, hence, intravenous fluids was initiated, and pulse, line of reasoning pressure, ECG, oxygen saturation and urine output was monitored nearly. A Foley catheter was inserted in the atres to check adequate urine output. Electrolyte deficiency should be corrected before the knowledgeableness of commonplace anesthesia (Shields Werder 2002).As a health care passkey and a student, I felt pity on Mrs. G because of the painful pain she was having, but what I could only give is to support her. Mrs. G and her husband were in the holding bay and while waiting there to be brought inside the anaesthetic room, apparently, they looked very upset. I stayed with them. I remembered that I should always be present especially when the surgeon, anaesthetist and the whole checkup staff discuss the diagnosis and prognosis with them. This action will ascertain that someone who will have also heard the discussion talk will support the patient, family or carer. We should be aware of the need for covert when giving information and moldiness endeavour, where the physical environment allows using a concluded door environment to ensure absolute confidentiality. We also put f orward appropriate support to relatives by accompanying them and the patient into the anaesthetic room and to keep them regularly updated and should be condition the opportunity to speak to the aesculapian staff especially for relatives of critically ill patient and unconscious patients. We must listen to the patients and carers. Their input should be actively sought and not rebuffed. fit in to Wicker ONeil 2006, we are expected to communicate and give information in a caring, sensitive, friendly and considerate manner and should endeavour to create an melody of confidence and trust when communicating with patients and their families.Careful attention to the evaluation of the flight path, stomachic antiacid pre-treatment and all required preparation for a potentially concentrated airway was done for Mrs. G in the preoperative period. It is recommended that from 16 weeks gestation patients undergoing common anaesthesia should be abandoned prophylaxis against aspiration pne umonitis. This usually includes a non-particulate antacid such(prenominal) as sodium citrate 30ml and an H2 receptor antagonist e.g. ranitidine 50mg intravenously (Yentis et al 2007). Whilst arrangement Mrs. G on the operating table, a left lateral inclination of between 15 30 degrees was made. Otherwise, a wedge under the right buttock may be utilize to minimise aortocaval compression as stated by Aitkenhead Smith (1990). Pre oxygenation was given as it is crucial and should be with a firm fitting cloak for at least 3 minutes. As said by Pinnock et al (2003), General anaesthesia involves administration of drugs with possible effects on the foetus. Drugs with slap-up safety records during pregnancy were utilize like Thiopen tone up, an induction agent, Suxamethonium which is a fast-acting muscle relaxant, Phenylephrine, a vasopressor to increase blood pressure and Metaraminol which is a sympathomimetic used to prevent and treat hypotension (Ponte Green 1994). Drugs that mig ht increase uterine tone like Ketamine and beta-blockers should be keep offed (BNF 2010). Obstetricians would request perioperatively, prophylactic tocolytic drugs such as Magnesium Sulfate, Terbutaline and Nifedipine, in order to prevent premature labour. Beta-adrenergic agonists such as Terbutaline are commonly used although their efficacy is vague and may continue maternal tachycardia and pulmonary oedema as stated by Campbell Spence (1997). new-fashioned evidence suggests that calcium-channel blockers like Nifedipine may be effective with a better safety report in line with Simpson Popat 2002. In general, the less drugs used overall the better. Drugs such as non-steroidal anti-inflammatory drugs or NSAIDs given near to labour may cross the placenta thereby averting the ductus arteriosus to close in relation to Moules Ramsay (2008). I explained to Mrs. G that a rapid instalment induction will be done for her safety and this is by applying a gradually increasing pressure on her neck specifically on the cricoids area. This is also known as Sellick manoeuvre. Intubation might be difficult and so adjuncts for a difficult intubation have been prepared. The operating discussion section practitioner stood behind me whilst coaching me. Suction apparatus was available close at hand, laryngoscope and endotracheal tube was prepared, lubricated and a syringe was attached to the cuff. I did a careful cricoid pressure whilst handling the bougie with the endotracheal tube, but she could hardly satisfy the airway hence, the anaesthetist asked for a guedel oral airway and ventilated her. later she asked for an Airtraq, which is a disposable laryngoscope with a built-in camera for easy calculate of the airway. Again, it was difficult. Finally, a fibreoptic scope was used until a successful intubation was achieved. Once the airway was secured, ventilation intended to keep the PCO2 in the sample range for her pregnancy. The MAC or minimum alveolar concentration o f vaporizable anaesthetic was reduced. The foetal heart rate was monitored preoperatively and postoperatively but intraoperatively, it has been difficult as the surgery was abdominal.Along with Allman Wilson (2006), the main concerns of the anaesthetist caring for Mrs. G are the physical response relating to the cardiovascular, respiratory, central nervous and gastrointestinal governances. Stoelting milling machine 1994 pointed out that physiological and anatomical changes arise in the respiratory system all throughout pregnancy is due to hormonal and mechanical factors. In accordance with Drain (2003), dyspnoea is always common in pregnancy and oedema of the mucosal airway makes the view at laryngoscopy poor. According to Avidan et al (2003), cardiac output is increased roughly by 40%, and as early as 12-13 weeks, the gravid uterus constrict the lower vena cava when the woman rests flat on her back. Obstruction of the aorta may occur and response in diminished placental blood break away. This is very important when positioning a pregnant patient on the operating table as it can lead to profound hypotension. In severe hypotension and foetal bradycardia patient is turned to the left lateral position Yentis et al (2007).Increased in gastric regurgitation and aspiration might happen during induction of general anaesthesia as stated by Davey Ince 2000 therefore, a rapid sequence induction is obligatory when inducing general anaesthesia. Primarily, blood and oxygen flow must be given to both mother and foetus in order for surgery to be safe Gwinnut (2004). Accurate monitoring, recording and indication of any baseline mensuration and any subsequent physiological measurement that fall outside of normal limits should be observed. Any fall in blood pressure, oxygen saturation, pulse, respiration, and foetal heart rate should cause affright for the team. Doctors and anaesthetists must be cautious when operating on pregnant women because of the adventure of a preterm labour which should be observed postoperatively. The surgery has finished and went salutary. Mrs G was extubated awake and on her side to cut the risk of aspiration of gastric contents. She was transferred immediately to the Recovery and her husband was informed.I think having both myself and Mrs. G and her family a greater understanding of their condition, treatment, care and the risks of treatment will athletic supporter alleviate their fears and anxieties. The patient will be satisfied as she understands what is be done to her, therefore, there will be improvement in the overall outcome, speed of recovery, health, and patient experience. The whole team has done their part well and everything for the safety of both the mother and foetus.Pregnant women assumed of having appendicitis are ofttimes misdiagnosed and undergo un unavoidable appendicectomies which result in early delivery or loss of the foetus. After careful reflection, I strongly believe that there is a need t o require more precise diagnosis to avoid needless operations and unfavorable fetal loss. One straightforward stem that I can say is the use of advanced imaging tools, such as ultrasound and magnetic resonance imaging in order to increase diagnostic accuracy. Mrs. G was lucky not because of having a sure-enough(prenominal) inflamed appendix which has not ruptured so far but the diagnosis was accurately and immediately made through an ultrasound. Preterm labour was also prevented because of the necessary precautions that the whole team has contributed.Number of words 1, 592

Managing Communications, Knowledge and Information

Managing Communications, Knowledge and disciplineTASANIA BANTONBUSINESS PROFILEFounded in (2014) and located at 123 Bridgeview avenue nonpareil-half way tree, Miracle Obsession Cosmetic is a smart set that specializes in some a nonher(prenominal) different types of cosmetic products. The attach to offers products and services ranging from concealers, foundation, finishing powder, lipbalm , lipstic, peeup removal, mascara, eye-brow-pencil, and many other products. The company was established by two individuals who thought they could be a undecomposed competition for the MAC cosmetic line. Hence they partnered in concert and created this growing cosmetic company and hope to deliver the goods its goals and objectives finished good management, good merchandising and having a good promotion body.Miracle Obsession is a company that promotes their products and services through different medias such as (social medias) Facebook chirp and other medias such as brand-newspaper, telev ision, and magazines. The company chooses these methods of promotion and advertisement because it testament aid and helps in attracting the interest of cosmetic lovers. Miracle Obsession biggest goal is to claim as many branches as possible throughout Jamaica and the company excessively looks at going international in spite of appearance the next two to triad years.Miracle Obsession hopes to achieve one of its major goal which is to higher as much un use uped Jamaican that argon pass oning to make the company benefits which intern get out be of spectacular important for them to benefits excessively. The cosmetic company faces simple difficulties such as employees not creation able to patch up the brand company as they should. nevertheless the management body seeks to employ persons with experience within the customer service industry.To conclude miracle Obsession railway line profile the company works towards saying competitive advantage over it competitors and continu es to be one of the acquiting cosmetic companies in Jamaica.CONSULTING PROFILEA Brighter future tense and Intelligence consulting riotous is located in St Andrew Jamaica. This consulting unwaveringly was established in the year (1999), by two individuals Peter Johnson and Nishi Barclay who thought that they could take lots fancys and helped them to put them to good use. Consequently, we have managed to advise our clients about the ship canal in which they can be great entrepreneurs through good management. The firm seeks to locate and achieve its goals and objectives by satisfying its clients needs through advanced shipway.The key areas that we go through daily with our clients are marketing of goods and services, price strategies, good management and excessively the ways in which they can maintain competitive advantage. There are many different sm on the whole investors that bank on us so we seek to continue to furnish the scoop out quality services for our clientele b ody and also future clients to come, so that we will continue to be one of the leading consulting firms within the island.However with on amount of over thirty (30) experienced experts combining their strategic skills with definitive management consulting prior to the firm acquaintance of Ideas can make sense Know how. Hence whenever the firm identifies unsatisfied demand and new traffic opportunities they worked endlessly to bring forth its creative and innovative ideas. The firm continues to work endlessly to source learnment and implement logistic methods about the business environment and its purpose.In concluding A Brighter Future and Intelligences business profile, the company will continue implement and inquiry good marketing strategies that will aid continue to have positive continues on all the small businesses that depends greatly on the firms Knowledge.RATIONALThis search is about the ways in which information, knowledge and communication can benefit memorial tabl ets. The research worker seeks to strain the relevant information that will aid in a ameliorate understanding of how important knowledge, communication and information are within the organization. The research intends to evaluate and psychoanalyse how to access information and knowledge need through the different sources and methods such as internal and external, primary and secondary, formal and informal.The researcher identifies the factors that can affect communication, knowledge, and information both positively and negatively within the organization. The research will therefore supply the researcher with substantial materials that influences the organization approaches in building a good organization through being knowledgeable about products and services gathering information that will improve on business decisions through effective communication.Bad communication skills are a major setback for organization to effectively make decisions and nonplus solutions to problem.O BJECTIVESTo identify methods of improvements that will aid in the range of decision to be undertaken and knowledge needed to ensure the effectiveness of the decisions.To identify the levels of stakeholders that will develop business relation which will aid in the decision qualification process for improvements.To create a personal plan for the organization that will encourage effective communication.to implement strategies that will improve systems relating to information and knowledge. publications REVIEWAccording to Wolfganf (2008), Communication is the exchange and flow of information and ideas from one person to another it involves a sender transmitting an idea, information, or olfactory property to a receiver.Effectivecommunication occurs only if the receiver understands the exact information or idea that the sender intended to transmit.According to Kennerly (2008), Information is info that is accurate and timely, particularised and organized for a purpose, presented with a context that gives it meaning and relevance, and can lead to an increase in understanding and decrease in uncertainty. Information is priceless because it can affect behavior, a decision, or on outcome.According to Denning (2009), knowledge is the factor condition of knowing something with familiarity gained through experience or association. Denning upgrade stated that knowledge can also be defined as the ideas or understandings which an entity possesses that are utilize to take effective action to achieve the entitys goals. An understanding of knowledge requires some grasp of its relationship to information. The tender mind is often seen as being capable of two kinds of knowledge the Rational and the Intuitive.However Kennerly (2008),stated that organizations today have access to almost unmeasured amounts of data-sales , demographics, economic trends competitive data, consumer behavior, efficiency measures, financial calculation ,etc. However, many decisions makers in organi zations feel lost and perplexed. They have mountains of data and still are not capable of making the correct decisions, or understanding where they really are. methodologyBoth qualitative and quantitative research approach will be utilized for this research study. The researcher intends to conduct a qualitative research in providing that information about the importance of a valid exhort and the effects of the different elements of a contract. Therefore interviews will be used as the primary research approach. The researcher anticipates in conducting interviews with at to the lowest degree two different representatives that major in law. All interviews therefore will be taped record and are expected to endure for up to fifteen (15) minutes.A quantitative research approach will also be utilized and is expected in facilitating the researcher with information on the wider views of the public on their understanding of a legal contract and the impact of the elements of a legal contract . Surveys and questionnaires will be used as the methods of pile up and obtaining the informations needed. Therefore the researcher plans on performing the versatile methods for conducting the research through one of the most popular social Medias which is cognize as facebook. Facebook will allow and influence the effective feedback, based on the larger amount of people. Therefore approximately fifteen (15) questionnaires questions will be post on facebook time line, in which the researcher plans to accept and analyze all the feedbacks from the respondents.The researcher will also use the secondary data gain vigorion method because it is more accessible, quicker, cheaper, saves time and provides a lot of necessary and relevant information. Secondary source of information can be of great benefit and is essential to use for this research consider because it will provide the researcher with current and essential information. The secondary data will also assist in analyzing and st ructuring the appropriate ways in which this research project should be administered.However in utilizing all the methods and research approach to collect data and information will be of great benefit to the researcher and also others you anticipate in reviewing the research upon completion.REFERENCESJohn Wolgang. 2008.Communication and leadership. ONLINE Available athttp//www.nwlink.com/donclark/leader/leadcom.html. Accessed 15 March 14.Gregg Henriques. 2014.Theory of knowledge. ONLINE Available athttp//www.psychologytoday.com/blog/theory-knowledge/201312/what-is-knowledge-brief-primer. Accessed 15 March 14.Kennerly. 2008.the use of information in decision making. ONLINE Available athttp//archive.audit-commission.gov.uk/auticommission/sitecollectiondocuments/auditcomissionReports/Nationalstudies/cranfieId_information_use_review.pdf. Accessed 16 March 14.Steve Denning. 2009.What is Knowledge. ONLINE Available athttp//www.stevedenning.com/knowledge-management/what-is-knowledge.aspx. Accessed 16 March 14.

Paranoid Schizophrenia and Nursing Interventions

Paranoid Schizophrenia and treat InterventionsParanoid Schizophrenia and Nursing Interventions in a Community psychogenic Health settingSchizophrenia is a severe psychic illness in which individuals loose the ability to discriminate between reality and imagination, char seterized by disturbances to their thoughts, behavior and feelings. About 1% of the lodge is predicted to suffer from schizophrenic disorder at several(prenominal) point in their invigoration (www.rethink.org), with stupefy of psychotic episodes such as those of schizophrenia ranging in their while of a single crisis, to the degenerative flummox of schizophrenia over a life time. During episodes of schizophrenia, patients will experience a range of what is know as positive and negative symptoms associated with the condition.Positive symptoms entangle delusions and hallucinations and unusual or senseless behavior ( a lot as a result of the hallucinations and delusions). Delusions can be delimitate as str ange thoughts or beliefs which atomic number 18 non founded in reality, about examples include delusions of grandeur (such as believing oneself to be the next messiah) and delusions of persecution (as in being secretly watched / followed by the police or secret service). Hallucinations argon when you see (visual) hear (auditory) or smell (olf professory) things that others cannot. One of the around advantageously known symptoms of schizophrenia is that of hearing voices. People may withal experience thought disturbances such as thought jumping (going from one gentle wind of thought to another in rapid succession) poor concentration and caution abilities (www.mind.org.uk). Negative symptoms are those which in some way take remote from the individual such as anhedonia (not getting pleasure out of activities which were antecedently pleasur fit) and social withdrawal from social situations and a lack of interest in psycheal hygiene (such as not washing or ever-changing clot hes). Treatment of individuals with schizophrenia can be in hospital (forced through with(predicate) and through section or voluntarily in some cases) and in friendship settings, and should involve a mixture of pharmacological treatment (typical and abnormal neu divisionptic agent musics) and psychological therapies such as cognitive behavioral therapy (CBT) in roam to manage current symptoms, and in preventing and minimizing future relapsing and crises.Nursing of individuals with a severe mental illness such as schizophrenia at heart a residential area setting (e.g. after discharge from hospital or when patients not under section and do not want to go to hospital) will be conducted by a community psychiatric toy with (CPN) who will often be working within a community mental health team (CMHT) from a care programme approach. The case of the CPN has diversified over recent years, and is now often nominated within the CMHT to act as the individuals key worker (i.e. who the patient will arrive at some contact with in the CMHT). CPNs can be seen to be involved in patient care interventions in a chip of capacities.The most predominant (and traditional) intervention billet of the CPN may be seen in the medication management of peck with schizophrenia. Typical (haloperidol) and atypical (aripiprazole, olanzapine etc) antipsychotic medication use now mean that around 70% of patients will experience some degree of relief to their psychotic symptoms (McCann, 2001). However relief is most often not absolute and the majority of patients will experience some form of side effects. In typical (older generation drugs) this is often in bournes of extrapyramidal symptoms (EPS) such as movement disorders like Tardive Dyskinsia, and although newer atypical drugs are renowned for less EPS, side effects can include weight gain, sexual dysfunction and sedation. CPNs are accordingly an distinguished contact with the patient in ensuring that they are taking thei r medication correctly, and in identifying patients who may be experiencing high levels of side effects who as a result are at a high risk of discontinuing their medications. By identifying such individuals, relapse can be minimized by component part the patient to engage with clinical service to investigate other medication options of which there are a good number. Switching is a term used by professionals to define this process and it is not unusual for patients to contribute to switch between medications a number of times, before finding the most appropriate drug / combination. Dosage required is also a in truth individual factor, and therefore an important aspect of medication management is to baffle to signs that dosage is high enough to enable clinical relief, but also low enough to minimize side effects. CPNs are thence often in a position to recognize if their patients are not on high enough dosages.The way in which medication is administered will also differ between pat ients some may be able to take their drugs orally, but a number of patients with schizophrenia are on a form of drug administration called depots. These are long-lasting injections of the antipsychotic, and are often used for patients who suffer severe episodes and those who beat a memoir of non-compliance in taking their medication (Jackson-Koku, 2001). CPNs may also act in back up tidy sum come to terms with the fact that they are suffering from an illness, as denial is common in those mental illnesses such as schizophrenia (Fung Fry, 1999), often referred to as lacking insight into illness, and so discuss the need for taking their medications. Providing medication related information is therefore an important part of the medication interventions that nurses are involved with, and will often include discussions about side effects, recognizing early signs of illness and other concerns the soul may have.Nurses are however go change magnitudely involved in psycho-educational (Fung Fry, 1999) and psychological therapy (McCann, 2001) based interventions in their patient care within community settings for sufferers and their families. Such approaches have in the literature, been described as aiming at increasing social functioning, decreasing distress, and reducing hospital admission rates (Tarrier Birchwood, 1995) These educational interventions are so targeted on help oneselfing to reduce distress in more drug-resistant cases, to help both sufferers and their family (Leff et al, 2001) deal with the illness and learn the signs of relapse and symptom return, and as mentioned above, in increasing medication compliance through better understanding and information. (McCann, 2001) Psychological therapies such as CBT and cognitive therapy (CT) have found recognized success in treating numerous mental illnesses including schizophrenia including when used within community settings (Morrison et al, 2004), as are aimed at helping people deal emotionally with their illness and its associated distress, but also to help on a practical level through promoting relapse ginmill strategies and reducing social disability (Fowler, Garety Kuipers, 1995) Coping techniques and strategies can also be discussed when CPNs become aware and gain knowledge into what particular symptoms are causing people most distress. One example of this could be bewilderment techniques discussed with those who are having problems with auditory hallucinations one method that is known for helping many people with this is to listen to music.CPNs often also play an important counseling role to those they support (royal college of psychiatrists,1997). Acting as key workers for people with schizophrenia gives many CPNs the opportunity to get to know the person, and so are in a position to use the discussions they have with their patients in an intervention capacity. Counseling may help in anxiety and distress reduction, but also will provide invaluable insight for the CPN into what the person is going through, how much they understand and whether they are doing well or becoming ill. All this information will play a crucial role in the assessment capacity that the CPN also performs within the care programme.CPNs are thus seen to be involved in many aspects of peoples outpatient care in community settings. Especially involved in medication, information and more recently psychosocial and psychological interventions, nurses looking after people with schizophrenia within the community are central to the patients care programme, and act as an invaluable access into mental health services (McCann Clark, 2003) for community patients.ReferencesFowler, Garety Kuipers, (1995) cited in McCann, E (2001) Recent developments in psychosocial interventions for people with psychosis Issues in intellectual Health Nursing Vol.22,1 p99-107Fung, C Fry, A (1999) The role of community mental health nurses in education of clients and families about schizophrenia Austral ian late Zealand Journal of Mental Health Nursing Vol. 8, 4 p162-175Jackson-Koku, G (2001) Neuroleptics and chronic schizophrenia Mental Health Nursing Vol.21, 4 p10-14Leff, J. Sharpley, M. Chisholm, D. Bell, R Gamble, C (2001) Training community psychiatric nurses in schizophrenia family work A study of clinical and economic outcomes for patients and relatives Journal of Mental Health Vol. 10, 2 p 189-197McCann, E (2001) Recent developments in psychosocial interventions for people with psychosis Issues in Mental Health Nursing Vol.22,1 p99-107McCann, T Clark, E. (2003) A grounded theory study of the role that nursesplay in increasing clients willingness to access community mental health services International Journal of Mental Health Nursing Vol.12, 4 p279-288Morrison, A. Renton, J. Williams, S. Dunn, H. Knight, A. Kreutz, M. Nothard,S. Patel, U Dunn, G (2004) Delivering cognitive therapy to people with psychosis in a community mental health setting an effectiveness study Acta Psychiatrica Scandinavica Vol,110, 1 p36-44Tarrier Birchwood (1995) cited in McCann, E (2001) Recent developments in psychosocial interventions for people with psychosis Issues in Mental Health Nursing Vol.22,1 p99-107Community Psychiatric Nursing Occasional PaperOP40 (1997) Royal College of Psychiatrists, London internet resourceswww.rethink.orgwww.mind.orgwww.emental-health.com

Coronary Artery Disease: Causes, Symptoms and Treatments

Coronary Artery Disease Causes, Symptoms and Treatments click withal known as coronary boob disease or ischemic mess board disease is a disease beatd by the buildup of cheek in the coronary arteries, referred to as atherosclerosis which reduces the amount of oxygenated gillyf debase to the center (McPhee Papadakis, 2011). wiener encompasses two pathologies, angina pectoris and myocardial infarction, greennessly recognized as a tenderness attack (Parmet, Glass Glass, 2004). Angina is best set forth by distress or discomfort in the chest argona, pain caused by angina end radiate throughout the body to non-homogeneous muscle aras (McPhee Papadakis, 2011). Stoppage of oxygen-rich extraction to particular life muscles military issues in a heart attack, delayed restoration of blood flow can result in severe muscle damage to the heart and possibly shoemakers last (Parmet, Glass Glass, 2004). With approximately sixteen million Americans hapless(prenominal) from and iron, a soulfulness dies every minute as a victim of the disease (American essence Association AHA, 2012). The following paper will comprehensively examine hotdog. bod and Physiology of the HeartThe heart is an essential organ that is responsible for pumping blood all(a) throughout the body and fork oering it with oxygen and nutrients it is the central hub for the cardiovascular brass and acts as the transport system of the body, which performs via electrical conduction activity (Burke et al., 1999). major(ip) anatomical structures of the heart consist of the aorta, the pulmonic artery and vein, coronary arteries and the valves (McPhee Papadakis, 2011). The aorta is the chief(prenominal) artery that pumps the blood out of the heart and to the rest of the body the pulmonary artery and vein transport deoxygenated and oxygenated blood respectively, and the coronary arteries make a crown on the heart muscle and supply the myocardium with oxygenated blood and nutrients (Crawford , 2011). The valves in the heart be responsible for stay freshing backflow of blood and allow the blood to circulate in a uniform fashion (Crawford, 2011). The electrical conduction system of the heart accounts for the beating of the heart allowing it to contract and act as the pump of the body (Burke et al., 1999).CAD PathophysiologyOcclusion of the coronary arteries delinquent to governance buildup leads to a condition called atherosclerosis atherosclerosis refers to the narrowing and curing of the arteries jumper cable to damage to the blood vessels and is a major contributor to galore(postnominal) heart diseases and disorders (McPhee Papadakis, 2011). Atherosclerotic brass instruments are formed from lipid and fat deposits such(prenominal) as cholesterol, these formations are indicative of diet as a jeopardize broker in developing CAD (Chandra-Bose, 2012). Arteries are composed of three layers adventita, intima, and media the plaque typically develops between the int ima and media layers (Crawford, 2011). The atherosclerotic plaques narrow the lumen of the arteries create change magnitude amounts of blood to reach the heart and over time harden them causing decreased flexibility during vasoconstriction and vasodilatation (Chandra-Bose, 2012). Additionally, the atherosclerotic plaques can dislodge causing thrombosis and ischemic events, when the coronary arteries function is compromised, the heart does not receive adequate supply of oxygenated blood and nutrients causing decrease cardiac function (McPhee Papadakis, 2011). At clock of stress, the body will try to counteract these changes to achieve homeostasis by exerting more energy than normal however, prolonged exertion initiates a cascade of m all disease processes and pathologies, such as cardiomyopathy, heart failure, arrhythmias, cardiac arrest, and characteristically myocardial infarction (Ruth, 2011).CAD Risk FactorsCAD tends to be the most common cause of finish and disability in t he United States (AHA, 2012). putting green risk factors of CAD are family history, fleshly inactivity, poor diet, smoking and inebriant lesson additionally, health issues such as hypertension, diabetes, high cholesterol, and obesity are also prevailing risk factors (Ruth, 2011). A soul that has a family history of heart disease is at greater risk of developing CAD physical inactivity, poor diet, and obesity interrelated for developing CAD (AHA, 2012). Obesity has break down an epidemic that affects one in four Americans and results in many a(prenominal) stark consequences, notably CAD (AHA, 2012). Heart disease has become the cause of death in industrialized nations compared to underdeveloped nations due to sedentary lifestyles and an increased usance of fast food (Chan, 2011). One of the most preventable risk factors for any disease is smoking, and for cardiovascular disease it is the number one preventable cause (Ruth, 2011). Other contributing risk factors include age and gender, males are typically more likely to develop CAD at an earlier age than women, however, the risk equalizes in old age (Ruth, 2011). Research has indicated that CAD diametric with diabetes, hypertension, and/or hypercholesterolemia can breed fatal consequences (Chan, 2011).CAD Symptoms virtually patients of CAD are asymptomatic, whereas other patients can present with a intermixture of symptoms such as shortness of breath, tightness around the chest, chest pain, clutch fist, or possibly death patients that do however exhibit symptoms typically tend to concur march on stages of damage to their coronary arteries (McPhee Papadakis, 2011). Angina is the real heart pain most patients complain about that is caused by ischemia which is the lack of oxygen supply to a region of the heart (Chandra-Bose, 2012). Patients can experience angina at anytime, however characteristically its exhibited after a person has been involved in an extraneous activity, such as exercise angina can be categorized as stable, unstable, or variableness (McPhee Papadakis, 2011).CAD ComplicationsMyocardial infarction occurs when the heart is deprived of oxygenated blood because of shoot of the atherosclerotic plaque, resulting in a state of ischemia the area of the heart that the damage occurs depends on the vessels that are occluded, exhibiting a variety of symptoms and/or complications (Torpy, Lynm Glass, 2008). Therefore, essentially if a patient experiences a myocardial infarction at a particular region of the heart that area will suffer an ischemic event and kills the heart tissue and makes it dysfunctional (Torpy et al., 2008). Overall, a myocardial infarction has a poor prognosis and tends to lead to morbidity and mortality (Burke et al., 1999).CAD DiagnosisCAD is a condition that develops over time thitherfore, there arent any palpable tests that can indicate if a person is suffering from CAD (McPhee Papadakis, 2011). When examining the onset of CAD, healthcare p roviders consider a patients history, physical exams and relative risk factors (Andraws, Berger Brown, 2005). Healthcare providers utilize electrocardiogram, stress testing, echocardiography, and laboratory testing when examining patients that are at risk of developing CAD (Andraws, Berger Brown, 2005). Electrocardiograms also known as an EKG or ECG detect the hearts electrical activity, rhythm, heart rate, axis, and any abnormal enlargements of the heart an EKG is a quick and in effect(p) way of indicating whether a patient has experienced or is experiencing a myocardial infarction (Andraws et al., 2005). Stress testing can be induced by exercise or medicinal drug for evaluating ischemia in a patient an echocardiography utilizes sound waves to monitor the hearts activity, including the size, shape, and blood flow laboratory testing, such as blood tests are conducted on a regular can to assess the levels of cholesterol, sugar, and proteins such as inflammatory markers (Andraws et al., 2005). Other tools, such as chest x-rays, angiography, positron emission tomography, and cardiac cauterization can be utilized for patients with greater risk factors and/or advanced stages of CAD (McPhee Papadakis, 2011).CAD TreatmentCAD is a complex disease since it encompasses other pathologies (AHA, 2012). However, interposition options for CAD tend to be simple at its early stages, such as lifestyle changes patients are encouraged to partake in alterative lifestyle changes such as daily exercise, eating healthy well-adjusted meals, and stress and weight management comprehensive therapeutic lifestyle changes cooperate regulate the risk of other diseases such diabetes, hypertension and obesity (Ruth, 2011). cure life changes help reduce the risk of heart disease by lowering cholesterol and maintaining a body mass index of less than 25, which is considered to be normal (Ruth, 2011). For advanced stages of CAD, medication such as anticoagulants, aspirin, beta-blockers, calcium channel blockers, and nitroglycerin are prescribed to help reduce symptoms, lower cholesterol and blood pressure, prevent blood clots aspirin is the leading medication to help relieve angina and prevent myocardial infarction (McPhee Papadakis, 2011). Patients that have extensive damage to their arteries or have experienced a myocardial infarction may involve medical procedures, such as angioplasty or coronary artery short-circuit grafting angioplasty or percutaneous coronary intervention is a medical procedure done to open block up or narrowed coronary arteries, this is commonly referred to having a stent put in place to prevent future blockage from occurring (Ruth, 2011). Coronary artery short grafting is an extensive surgical procedure done where doctors use blood vessels from other areas of the body that arent blocked to bypass narrowed and damaged coronary arteries, thus improving the blood flow to the heart (Ruth, 2011).ConclusionCAD is a disease caused by the bui ldup of plaque in the coronary arteries, referred to as atherosclerosis which reduces the amount of oxygenated blood to the heart (McPhee Papadakis, 2011). Occlusion of the coronary arteries due to plaque buildup leads to a condition called atherosclerosis atherosclerosis refers to the narrowing and hardening of the arteries leading to damage to the blood vessels and is a major contributor to many heart diseases and disorders (McPhee Papadakis, 2011).With approximately sixteen million Americans suffering from CAD, a person dies every minute as a victim of the disease (AHA, 2012).Common risk factors of CAD are family history, physical inactivity, poor diet, smoking and alcohol consumption additionally, health issues such as hypertension, diabetes, high cholesterol, and obesity are also prevailing risk factors (Ruth, 2011). CAD is a condition that develops over time therefore, there arent any palpable tests that can indicate if a person is suffering from CAD (McPhee Papadakis, 2011 ). Treatment options for CAD tend to be simple at its early stages, such as lifestyle changes (Ruth, 2011) for advanced stages of CAD, medication such as anticoagulants, aspirin, beta-blockers, calcium channel blockers, and nitroglycerin are prescribed to help reduce symptoms, lower cholesterol and blood pressure, prevent blood clots aspirin is the leading medication to help relieve angina and prevent myocardial infarction (McPhee Papadakis, 2011). Patients that have extensive damage to their arteries or have experienced a myocardial infarction may require medical procedures, such as angioplasty or coronary artery bypass grafting (Ruth, 2011).

Challenges to Female Entrepreneurs | Research

Challenges to Female Entrepreneurs Research light-emitting diodeger entryBackground of the StudyEntrepreneurship as a research knit attracts the busy of m some(prenominal) researchers because it is a tool of study for many economies in the humanity (Creamer, 2006), Likewise scenerys on feminism forthwith argon vast as they argon varied and contentious, (Ikoku, 2002), which explains the increasing attention of Female Entrepreneurship in the sassy days (Jamali,2009). Not only does womanly entrepreneurship contri hardlye to scotch growth and physical exercise creation, but it is increasingly recognized to also enhance the miscellanea of entrepreneurship in any sparing system (Verheul et al., 2006) and to provide paths for womanish convention and strength fulfillment (Jamali,2009 Eddleston and Powell, 2008).The investigation of the factors that leads tripicular people to become entrepreneurs so unitaryr of others has been a question of many researches. So, many researchers wee tried to go through the reasons leading those people to entrepreneurship. Toward that direction, theories and models (Leahey, 2006) were developed, and focused on the intentions that make people play entrepreneurship action, because the intentions are the best predictor factor for the future behavior of a person, such(prenominal) as the foundation of an enterprise (Krueger, 2005). So it is supported, that by formulating implicit in(p) theories for the entrepreneurial intentions, we can explain a basic peace of the field of entrepreneurship as it affects genders.Institutional theory has been watch overed as a fruitful conjectural lens in the context of womanish entrepreneurship research (Baugh et al., 2006). Drawing on institutional theory, Scott (1995) enumerates salient regulative, normative and cognitive pillars of institutions, which promote st force and predict big businessman in social behavior, through compliance with codified laws.Of course thither a re some factors that contribute to the prediction of the entrepreneurial intentions such as the place and the degree of desirability toward that behavior and the level of the feasibility (Krueger, 2005). Davidson (2005) mentioned other factors shaping the intentions of entrepreneurship such as propensity to action, personal convictions and other demographic variables such as gender, age, educational level and economic environment.1.2 Women in BusinessThe twentieth century has been a period of rapid change for many women, but emotional state for women in some parts of the world still ashes harsh. However, women are getting a vital character in the global market as entrepreneurs, they play a large and growing role in the US, Canada and UK. Hisrick Ozturk,(1999) attributed their success to gateway to greater support from women mentors and role models and easier admission to formal training in the principles of duty planning and organization. Whereas, women in developing countr ies face obstacles such as lack of access to education and training, access to finance as well as discrimi dry land and lack of honor or not being taken seriously (Woldie adersua,2004Ezeaku Ozigbo, 2009). Globally, it is estimated that women account for 25-33 part of all businesses (National Foundation of Women Business Owners, 1998).Whilst in the UK and the USA, they account for 26 and 33 partage of business start-ups respectively, surprisingly, in the Sub- Saharan Africa it is 80 percent (Kitching and Woldie, 2004).Despite the exalted contribution in Africa, their needs seem to be overlooked and closely hidden within the informal sphere compared to their male counterparts (Mordi et al.,2009).The subject of womens charge development has become increasingly important as the percentage of the Nigerian labour force that is female has increased from 11.2% two decades ago to 40.4% today (Federal office of statistics) and the proportion is expected to increase further (Nakhaie, 2007). Although there arouse been some women in managerial positions during the last decade, the number has been painfully some in the light of the fact that over forty percent of the f and so on force are women.Nigerian EconomyNigeria is the most populous demesne in Africa, and accounts for half of West Africas population, and over 25 percent of Sub- Sahara Africa (SSA) (Nkamnebe, 2008). It is populate with over 150 one jillion million million inhabitants, of which, over half of the population 15-64 years is young and active (C. I. A, 2010), still the country is characterized with pauperization and is on the increase. For instance, poverty increased from 35 million people in 1985, to 39 million people in 1992 67 people in 1996 and 74 million people in 1999. In addition, Human instruction Programme indicates that 70.8 percent and 92.4 percent of Nigerian population live below US$1 (N117) and US$2 (N234) daily respectively (UNDP,2007). This claim supports the ranking of Nige ria among less(prenominal) developed nations of the world (UNDP, 2007).The Nigerian labour market has been characterized by lofty rate of un workout, low wage and poor working conditions. This unwholesome seat evolved after the oil boom of the 1970s and remained so till fight (Nnanna, Alade and Odoko, 2003). Prior to the oil boom, the Nigerian economy was largely agrarian and slightly 70% of the working population was engaged in agricultural activities in the rural areas. Wage rates were also comparable to inter subject area standards and the median(a) Nigerian worker could afford decent living.In the 1960s, the emphasis of employment policies was that of shifting labour from the agricultural sector to the manufacturing sector. This appeared to be the natural travel headbook of economic growth and development, following the experienced of the developed countries (Ajakaiye, 2001). However, the Nigerian peculiarities of res publica tenure system, tenancy and the very rudiment ary appendagees of farming make it exceedingly difficult to deploy substantially advance technology in the sector. Moreover, at that time economic policies concentrated more on the development of the manufacturing sector, chthonic the much touted import-substitution strategy. Rather, labour moved from the agricultural sector to the services sector, with secondary productivity gains. Both agriculture and manufacturing lost out.The issue of sustainable development in the Third World like Nigeria has been a growing precaution to both the government and the private sector. The government had invested so much capital on this platform over the years but has not yielded any meaningful result. It has been realized in the recent years that there are limits to which the government alone can promote development e excessly with Nigerian peculiar developmental challenges due to maladministration, corruption, unstable macroeconomic regime and temporary fiscal policies by successive adminis trations (Fasua, 2006). Thus, both the public and the private sectors of the economy need to be involved in the industrial development process of the country. It is on this basis that government begins to engage in privatization policy with the view of allowing the private sector to participate in the economic development of the nation (Olu, 2009).The weak economy itself choked out several business enterprises and curtailed employment opportunities. Staff retrenchment became pervasive, starting first in the private sector and later the public sector. The unemployment was more problematic in the urban areas, as shown in the following chart (CBN, 2003).Nwoye (2007) further suggested that the best way to piddle the economic system is by mobilizing energy, expertise and resource in lowly and Medium Enterprises which will increase productivity, and ultimately improve the social life and economic welfare. The author was also concerned about the attainment of economic growth when half th e population being female gender is marginalized in policy planning and economic resource management matters. Moreover, with women comprising of 52 percent of Africas estimated 805 million population, womens empowerment is of the essence for Africa sustainable growth. This claim is applicable to Nigeria which is the most populous country in Africa.1.3 Research GapResearch on female business owners is extensive in the industrialised economies, especially the coupled States and Canada (Lerner, Brush and Hisrich, 1997), which has helped the development and needs of the female entrepreneurs. Most of the research reflects the characteristics, experiences and challenges of female entrepreneurs in the western world (Kitching and Woldie, 2004 Carter, 2000), However, a limited number of studies view been undertaken to investigate these issues in the developing countries (Mordi et al., 2010).Despite the extent of female entrepreneurs in involvement in new business formation, the economic im pact of women led businesses has been down-played (Carter et al.,2002)Female entrepreneurship is an under-researched area with tremendous economic potential and one that requires special attention (Henry, 2002)Thus, there has been a growing call by scholars for studies in non- Western context to deepen our knowledge of the socially constructed nature of female entrepreneurs. In response to this research gap, the author chooses Nigeria as the reach of analysis.Aims and accusative of the ResearchThe aim of the study is to take a deeper look at the problems faced by female entrepreneurs in Nigeria focusing on gender effects and other factors in the environment.The following objectives are formulated to guide the investigationTo identify factors in the business environment that affects the development and natural selection of female entrepreneurs in Nigeria.To ascertain if the issue of female gender marginalisation in Nigeria affects entrepreneurial ability of women.To de marchesine whether family roles have any effect on female entrepreneur performance in Nigeria.To determine if there is any relationship betwixt gender and entrepreneurial acquisition in Nigeria.To ascertain whether culture and beliefs affect the performance of female entrepreneurs in NigeriaThe dissertation deals with the problem of female entrepreneurs in Nigeria. The unit of analysis is the gender. The focus is on individual and organizational shortcomings of nascent and young entrepreneurs and their ventures and employs a theoretical mannikin that allows for addressing these managerial problems by adopting an evolutionary perspective.Research QuestionsThe following research questions are formulated to guide the investigationAre there factors in the business environment that affects the development and survival of female entrepreneurs in Nigeria?Does the issue of female gender marginalization in Nigeria affects entrepreneurial ability of women?Do family roles have effect on female entrep reneur performance in Nigeria?Is there any relationship among gender inequality and entrepreneurial skill in Nigeria?Do culture and beliefs affect the performance of female entrepreneurs in Nigeria?Research HypothesesFor the purpose of this study, it is important to test the following hypothesesHypothesis IHo The issue of female gender marginalization in Nigeria has no effects on entrepreneurial ability of women.Hi The issue of female gender marginalization in Nigeria has effects on entrepreneurial ability of women.Hypothesis IIHo There is no relationship between the family roles and female entrepreneurs performance in Nigeria.Hi There is relationship between the family roles and female entrepreneurs performance in Nigeria.Hypothesis IIIHo sex inequality is not significant to female entrepreneurial ability in NigeriaHi Gender inequality is significant to female entrepreneurial ability in NigeriaSignificance of the StudyThis is significant to many people in many areas. In this ligh t, the study is relevant because it seeks to provide entrepreneurial rule of thumb and gender development procedure that would lead to effective attainment of national objectives in terms of economic growth and reduction of unemployment in Nigeria.To the female gender the study would serve as eye opener in terms of discovering their entrepreneurial potentials despite the influence of culture and beliefs. The conclusions can be used both in the evaluation of the current system concerning entrepreneurship as well as in the formation of new strategies in the entrepreneurship in tertiary education.It would provide students in higher-institutions with sound knowledge and give them avenue to the understanding the need for venturing into entrepreneurial activities, how, why and when entrepreneurial skills acquired tertiary institutions should be implemented.Finally, the study would serve as a veritable source of knowledge for individuals, youths irrespective of gender and the government, on how to harvest the rich benefit of entrepreneurship in the national building and economic development.1.7 Scope of the StudyIn view of the fact that the study of problems faced by female entrepreneurs involves all and motley and cannot be exhausted in this research. It therefore becomes necessary to define the scope of the study. The scope of this study is female entrepreneurs and graduates on National Youth corps Service (NYSC) in Lagos area of Nigeria, 2010. Therefore, this research is an empirical examination of entrepreneurship problems in Nigeria and entrepreneurial skills among graduates on NYSC analysis by gender it will go beyond theoretical approach to evaluate entrepreneurs problems and gender effect on entrepreneurship to generate further insight.1.8 Structure of the DissertationThis study is divided into phoebe bird parts. Chapter one is the introductory which highlights the statement of the identified problems, objectives, research questions and significance of th e study, etc.Chapter two contains a detailed review of literature on name concepts of entrepreneurship, gender influence on entrepreneur performance and problems faced by female entrepreneurs in Nigeria.Chapter three discusses the research design, entropy collection methods, model size determination, questionnaire design and administration, etc.In chapter four, the presentation and analysis of data and the testing of hypotheses are carried out. The results and interpretation are presented.Chapter five is the concluding part of the study, where reasons are given for the results obtained from the research. Conclusions, recommendations, and suggestions are made for improvement based on the research findings.1.9 Definition of TermsEntrepreneur Is the innovating individual, who initiates and nurtures to growth a new and an on going business organisation, where none existed before.Entrepreneurial Skill The potential and ability of an individual to initiate and nurtures a new business t o growth, expertly.Development Is defined as gradual advancement through progressive stages of growth from withinCapital Venture Is a form of long term investment for start-up companies and growing businesses that have the potential to develop into significant economic contributors.Gender Nature of human being that depict sex which is made of male and female.Graduates Young Schools leavers especially those from higher institution of learner (i.e. universities, polytechnic and colleges, etc)National Youth Corps Service A compulsory one year work experience program for graduates in Nigeria

Social Promotion :: essays research papers

Most children are taught since the beginning of their groomingal careers that they moldiness do well, and succeed if they wish to be acknowledged. There was always a black sheep, some boy or girl, who did not do their pull in and was held back. Consequently, these children were exampled as horrifying examples of what could happen. However, was the child really at soil for failing to complete grade requirements, or was the system in which they were taught in error? The evidence available demonstrates that children who were retained were not unintelligent, but that education policies were to blame. Although the human race has gone through stupendous scientific awakenings, it is suprising to experience that the education policies practiced today are based on the reasonings of a dead age. It is certainly not because Americans do not value their childrens educations but perhaps because we live in a country that is not always aware of significant aspects of our society, particularly education. Social promotion, in use nationally for at least 20 years , is an educational constitution where students are advanced from grade to grade. There is no regard to their teaching because it is a widely accepted notion that they learn better with their peers. Studies array that its better to promote an underachiever than keep them down, stated rowlock Dawson from the National Association of School Psychologists. Yet, high profile protesters of this system allow both United States President Bill Clinton and The American Fede balancen of Teachers. In many cases, children are advanced repeatedly without knowing basic educational skills, and suffer greatly when in high school. Social promotion, apply end-to-end the course of the American educational system as a prototype policy, is archaic, and should be altered to address individual student needs, helping to realize a future conscientious and prosperous society.The other frequently used option, retention of a student, has also displayed several negative characteristics and is not a likely alternative. Drop-out rates for grade repeaters are generally higher than most students and they often display greater behavioral problems, due largely to the detail that they are older than their classmates. A qualitative comparison is that while save 20.4% of students not delayed were not enrolled in a 4-year college, 54.7% of delayed students were not enrolled in a 4-year college. More than double are not enrolled. The ratio of delayed to non-delayed students with Bachelors Degrees is 1.

The Raga System Essay -- essays research papers

euphony is an expression of inner feelings by tones (swar) and rhythm (taal). These swars and taals are combined so that they are pleasing to the ear. euphony is sound created from the ideas and emotions of man. When these ideas are expressed through the voice in a rhythmic and appealing sound, music is born. Music in its true form controls pitying activity and is thus the citation of attaining pleasure and salvation. At the base of Indian Hellenic music lies an taste for, and an emphasis on creating sound with aesthetic appeal. This is achieved through Raga or line. In Brihaddeshi, Matang defines raga as that fetching combination of notes which pleases the mind. That this sound be attractive and pleasing is of extreme importance. Because music is so closely linked to human emotion, it is important that it is written and performed so as to truly interpret and verbalize the emotion and beauty of the melody. To ensure that this is done successfully, there are well-nigh guid elines for Indian Classical musicians to follow to ensure an effective interpretation and scupper of their art. The system of raga in Hindusthani Classical music is both complex and sophisticated, development particular elements within strict guidelines to attain a pleasing and beauteous sound.In addition to the aesthetic aspect, a raga is withal distinctive in form. These two aspects are inextricably bound together and are employ in a complementary manner. In Hindusthani Classical music, ragas have been classified advertisement according to their form under ten thaats. The ten thaats under which every ragas are classified have derived from the twelve notes used in Hindusthani Classical music. A thaat is the ascending scale from which a raga is created. The ten thaats are Kalyan, Bilawal, Khamaj, Bhairav, Poorvi, Maarva, Kafi, Asawari, Bhairavi and Todi. A thaat is named after the most prominent raga created from it. Ragas are also classified by the number of notes used in th eir ascent and descent. Two ragas written from the like thaat will comprise the same notes, however, the possibilities of development are limitless. Thus, each raga is a unique expression of an artists mind. In creating a raga, a musician must adhere to several guidelines, and must have an sagaciousness of the essential elements or lakshans which comprise a raga. These are1.A raga must possess at least five... .... Use of taans shows the singers talents and creative power.When presented in its truest form, music has the power to affect human emotion. Hindusthani pure music is rooted in this belief. Some believe that music is an provoke part of natural philosophy that explains the causes and properties of sound. Music is believed to be present in every living and non-living thing. It is manifest through the art of raga. Raga or melody is, above all, an aesthetically pleasing sound. To create it, a musician must follow several guidelines and adhere to a strict framework vis--v is form. A musician must also have as his or her aim, to support a particular emotion in the listeners mind. In interpreting a raga, a singer must understand these emotions and effort to bring them out using the voice. He or she must also practice singing the unique note combinations for numerous hours. The system is complex, and it takes very much practice and deliberation to successfully render a raga sometimes many years. Once both musician and singer follow the rules laid start in the earlier texts, a raga can be truly dishy and as Indian classical musicians believe, capable of attaining pleasure and salvation.

The Story I Was Made To Tell :: Personal Narrative Depression Papers

The Story I Was Made To submit This is the business relationship that I am made to branch. I wipe out written pages and pages of other boshs, bounce legends and laughing mysteries, choking secrets that fell away from me the import they dripped on to the page. moreover I have always, it seems, been working around this virtuoso core subject, the 1 that eludes me and presses in on me at the same season. You see, I think that in the end, we all have matchless true tale to tell, to tell well, to tell with all the truth and simplicity, honor and respect that it deserves. And that accounting will bear inside of us forever, praying to be let out. exactly it isnt well to unravel the chapters of your one horizontal surface. For me, it is still quite impossible, but it is time that I try. Nothing I will ever relieve can surface truth until this theme is told. And perhaps it is my job to try. The story it is my mothers. And therefore, mine. It is strengthened of noth ing less than miracles and tragedy. It is nothing more than the story of one person. It is the just now thing that makes me cry, in the deepest pocket of myself, because it is an untold, unfinished story of the highest importance. The story really sings in me every time I suspire in, breathe out, every time my eyes lift to see the atmosphere and its tingly life, every time my hip aches or my hands sing, or my cheeks explode up in sickness or cold. But no event its majestic significance, its indelible mark on my life, I still have never been satisfactory to tell it. That is the hole I am severe to fill. 1994, spring, a teach day. My pay off, for some reason, lot me back from school one day. This was very unusual, since my father spent more than half his time in England during those years, and a enceinte deal of time in other countries, as well, all as part of his job. He was rarely around, and when he was, he certainly wasnt picking me up from school or anything else. e ither way, he drove me home on this particular day, and as we approached the driveway, more or less at our house, he told me an interesting piece of news.The Story I Was Made To Tell ad hominem Narrative Depression PapersThe Story I Was Made To Tell This is the story that I am made to tell. I have written pages and pages of other tales, dancing legends and laughing mysteries, choking secrets that fell away from me the minute they dripped on to the page. But I have always, it seems, been working around this one core subject, the one that eludes me and presses in on me at the same time. You see, I think that in the end, we all have one true tale to tell, to tell well, to tell with all the truth and simplicity, honor and respect that it deserves. And that story will live inside of us forever, praying to be let out. But it isnt easy to unravel the chapters of your one story. For me, it is still quite impossible, but it is time that I try. Nothing I will ever write can approac h truth until this story is told. And perhaps it is my job to try. The story it is my mothers. And therefore, mine. It is built of nothing less than miracles and tragedy. It is nothing more than the story of one person. It is the only thing that makes me cry, in the deepest pocket of myself, because it is an untold, unfinished story of the highest importance. The story actually sings in me every time I breathe in, breathe out, every time my eyes lift to see the air and its tingly life, every time my hip aches or my hands sing, or my cheeks puff up in sickness or cold. But no matter its majestic significance, its indelible mark on my life, I still have never been able to tell it. That is the hole I am trying to fill. 1994, spring, a school day. My father, for some reason, drove me back from school one day. This was very unusual, since my father spent more than half his time in England during those years, and a great deal of time in other countries, as well, all as part of his job. H e was rarely around, and when he was, he certainly wasnt picking me up from school or anything else. Either way, he drove me home on this particular day, and as we approached the driveway, almost at our house, he told me an interesting piece of news.

Introductory accounting and finance :: essays research papers fc

Contents rapscallionPage 3 element A Trading, Profit and injustice account Page 4 atom B brace Sheet Page 5 segmentation CPage 6 Section DPage 7 Section EPage 8 Section FPage 9 Section GPage 10 Section HPage 11 BibliographyTrading, Profit & Loss accountfor Mr. Stanley relating to trading during Sales125000 little Cost of SalesOpening business line10430Add Purchases6763478064 slight returns outward-bound4878016Add Carriage Inward212080136Less Closing Stock1125068886GROSS PROFIT56114Less ExpensesSalaries28400Postage & Stationary98 exact & Rates (2900-860)2040Packaging3217Bad debt126Provision for Bad Debt60 indemnity1220Electricity (953+263)1216 Depreciation (3000 + 1680)468041057Carriage Outward285043907NET PROFIT12207This is a balance woodworking plane for Mr. Stanley as at 31st declination 2002. heady AssetsFixtures & Fittings (15,000 + 8,400)23,400Less Depreciation (3,000 + 1,680)4,68018,720Current AssetsStock 11,250Debtors3,200Less Prov.for bad debtcl3,050Bank5 90Add Prepayments8601,450Cash16515,915Less Current LiabilitiesCreditors6,765Accruals263 functional Capital7,0288,88727,607Financed ByCapital25,000Add Net Profit12,027Less Drawings9,60027,607C. Give an explanation of the write up treatment for invoices that have been uncompensated and lively at the date of the preparation of the final accounts.This is known as an assemblage of spendings, an accrual occurs when expenses that have occurred during an accounting period are not include in the trial balance, they are unpaid and unrecorded. When this occurs the accounting treatment in the profit and loss account would be to add the big pith to the expense in question showing the full make out of expense used up in that accounting period. In the balance sheet however an accrual is classed as a current liability. This is because the firm owes the outstanding keep down and is expected to pay this debt in the short term. The outstanding amount will therefore appear under current liabil ities in the Balance Sheet under the heading ACCRUALS. The reasons for making these adjustments is to ensure that the profit and loss account records the cost that has been incurred for that particular accounting period instead of patently the amount that has been paid.An example of an accrual during the accounting period of January 1st 2002 and December 31st 2002 a phone bill is incurred for the months June to September however it goes unpaid and is not incorporated into the telephone account. This means that adjustments have to be do so that it can be included in the final accounts for that accounting period.D. Mr. Stanley had paid a proportion of the rates for the following accounting period. explicate how this impacted on the preparation of the accounts for the current accounting period.A prepayment is when an amount is paid in advance of the accounting period in which it is very due.

MIS :: Electronic information

Electronic information is essential to the movement of political relation organizationalobjectives. Its reliability, integrity, and availability ar significant concerns in virtuallyaudits. The use of computer networks, particularly the Internet, is revolutionizing theway government conducts business. While the benefits ready been enormous and vastamounts of information are now literally at our fingertips, these interconnections alsopose significant risks to computer systems, information, and to the critical operationsand infrastructures they support. root word elements such as telecommunications,power distribution, national defense, law enforcement, and government and hintservices are subject to these risks. The same factors that benefit operations stop number andaccessibilityif not properly controlled, can leave them vulnerable to fraud, sabotage,and leering or mischievous acts. In addition, natural disasters and inadvertent errorsby genuine computer users can have devasta ting consequences if informationresources are seedy protected. Recent publicized disruptions caused by virus, worm,and denial of service attacks on twain commercial and governmental Web sites illustratethe potential for damage.Computer warrantor is of increasing importance to all levels of government in minimizingthe risk of venomous attacks from individuals and groups. These risks include thefraudulent loss or misuse of government resources, wildcat access to release of splendid information such as task and medical records, disruption of critical operationsthrough viruses or navvy attacks, and modification or destruction of data. The risk thatinformation attacks will venture vital national interests increases with the followingdevelopments in information technology Monies are increasingly transferred electronically between and amonggovernmental agencies, commercial enterprises, and individuals. Governments are promptly expanding their use of electronic commerce. Nation al defense and intelligence communities increasingly believe on commerciallyavailable information technology. Public utilities and telecommunications increasingly curse on computer systems tomanage everyday operations. More and more sensitive economic and commercial information is exchangedelectronically. Computer systems are cursorily increasing in complexity and interconnectivity. Easy-to-use hacker tools are readily available, and hacker activity is increasing. Paper supporting documents are being reduced or eliminated.Each of these factors significantly increases the need for ensuring the privacy, security,and availability of state and local government systems.Although as many as 80 percent of security breaches are probably never reported, thenumber of reported incidents is growing dramatically. For example, the number ofincidents handled by Carnegie-Mellon Universitys CERT Coordination Center1 hasmultiplied over 86 times since 1990,2 rising from 252 in 1990 to 21,756 in 2000. Further,the Center has handled over 34,000 incidents during the first three quarters of 2001.Similarly, the Federal self-assurance of Investigation (FBI) reports that its case load of

FDR: The New Deal Essay -- America and the Great Depression

OutlineThesis The various programs created by FDRs youthful convey helped bring the United States out of The outstanding Depression. cover OutlineIntroWho was FDRWhy was he popularHis viewsThesisII.) The U.S. emerges from a impressionAbout the depressionWho was affectedWhat the nation needed at the timeFDRs help during New DealWho helped himWhy they did itIts effects on the nationRestoring Banks Why people lost trustingness in the banksWhat FDR did to increase faiththe FDICMore the Statesns get jobsCWAFERACCC ances endeavour reliefHow business was affected by depressionNIRANRASEC serve for FarmingDepression hurts agricultureAAAImproving Americans livesPoor conditions of depressionTVAConclusionOverview of programsoverall effectivenessalphabet soupThe day at long last came when the United States, emerging to become a world power, began to crumble. Called Black Thursday, October 24, 1929 would be the start of The Great Depression, and the first test of the Communist influences tha t were present around the world (Schraff 17). Then in 1933, Franklin Delano Roosevelt, FDR, was elected to the Presidency with hopes of uplifting Americans from the grim economic decline it was going through (Schlesinger 106). Roosevelt was prepared with a proposal to battle depression with a set of new programs. His first ampere-second Days helped pass new legislation to aid farmers, industrialists and workers (Watkins 123-160). His technique was, as he said, bold, persistent experimentationTake a method and try it. If it fails, admit it frankly and try another. But above all, try something (Schlesinger 106). Roosevelt experimented with umteen new programs to help different groups, and Americans on the whole. The various programs created by FDRs New Deal helped bring the United States out of the Great Depression. many factors caused the Great Depression in the United States from 1929 to 1945. One of these was stock market speculation. People began to grease ones palms stocks with money loaned from banks, and used these stocks as collateral to buy more stock. The stock market began to increase rapidly on foolish hopefulness and borrowed money. Due to this, the stock market was uneasy and many began to lose self-confidence in it. Those with stocks tried to sell them, and no one was willing to buy. This at last led to the downfall of the ... ... and provided relief for those who can not support themselves. Overall, FDRs New Deal helped create programs that ended the Great Depression. Although some palisade that WWII ended the depression, FDRs programs were the main support and foundation for the increase in production of war goods. Therefore, the various programs created by FDRs New Deal helped bring the United States out of The Great Depression. Works CitedBoardman, Fon W. The Thirties America and the Great Depression. New York, Henry Z. Walck, Inc., 1967. Church, George J. Taking Care of Our Own. Time. 9 Mar. 1998 106-108. Gupta, Pranav and Jonatha n Lee. The Great Depression and The New Deal. 7 Mar 1996. 20 May 2000 . library Projects Under Public Works, Civil Works, and Relief Administrations. 1 Dec 1933. 23 May 2000 .Schlesinger, Arthur Jr. Franklin Delano Roosevelt. Time. 13 Apr. 1998 98-100. Schraff, Anne E. The Great Depression and The New Deal. New York Franklin Watts, 1990. Watkins, T.H. The Great Depression America in the 1930s. Boston Blackside, Inc., 1993.

The Targeting strategy :: Business and Management Studies

The bell ringering strategy information strategy paperThe business that I am going to examine is a typical business toconsumer pillow slip dealing with symphony related product sales anddistribution straightway to nodes (direct sell). every medicinal drug is ane-commerce site that provides a large inventory of melodic genres. Ithas a user friendly inquisition engine to explore the immense music databaseof the site. It provides advanced searching methods that help the userto explore the database check to mood, genre, song and albumtitle. All music provides moreover to the user an tautological service thatcan give him/her the opportunity to become a registered instalment of thesite (free) in order to gain specific training concerning circumscribedprices, offers, music information according to his/her preferences,advanced search, expanded artist information (credits, songs),editorial features as well as the ability to listen audio samples (30second duration) before purc hasing the record. Moreover it uses a 5 confidential information album evaluate system with 5 being the best rating in order toassist the customer about the specific release.Target GroupThe Targeting strategy that All music utilizes is based on marketplacesegmentation in order to collect and manipulate current andprospective buyers into groups (segments) that have common needs andwill respond similarly to a merchandise action.Our target group comprised on Age Primarily males and females senile 18-30 years Lifestyle customers that like to purchase musical products such as cd-albums, t-shirts, music accessories as well as musical concerts.* Location life history in Western Europe and America and can be fitted to perform creditcard transactions.The main reason that All music focus more on those areas is due to thefact that the specific customers (from statistical information)1) Perform on-line transactions via credit card on a daily basis(have proper knowledge of the intern et technology)2) Affluent target groups that are affordable to pay for music downloads and cd-purchases charged by record labels via the internet.Data elementThe data that should be maintained in the specific marketing databaseshould be* Customer ID Customer name* Country* Customer sex* Customer age* Occupation* Customer marital status* Customer address* Customer telephone(or cell phone)* Customer email* Customer search history* Financial information Preferred genre Prospect customerSource(where will All music get the data sources?)All music should use information concerning the data sources bothexternal and internal. Examining the external data all music will getthe data elements with the use of a combined approach of compiled andresponse data in order to notice the source of information. To bemore specific through compiled data All music will collect from

scarsbel Using Scars to Communicate in Toni Morrisons Beloved Essay

Using Scars to Communicate in heartfelt thither are certainly complications to assumptions of how scars are used as a delegacy of communication in the novel, Beloved. The character named Beloved has her knowledge distinct scars that brook significance in the story. Her scars are distinct not only in their origins, but also in their meaning, and create a point of aside from the traditional pattern established by the role of scars in the lives of other characters. The scratches on her forehead and the cut across her neck were not do by a white oppressor, but instead by her own mother, Sethe. Sethe kills her own daughter in a fit of anxiety, rather than to take away her children taken away by the slave owners which tracked her down undermentioned her escape. These markings tell Beloveds story, how her own mother sawed away at the baby girls petite neck, her fingernails clawing into her forehead. In the end, this is the way in which Sethe can identify the returned from the dead Beloved (now an adult) as well. These scars serve as a reminder of everything Beloved had at peace(p) through. They become a symbo...

The World Wide Web Essays -- Internet Technology Computers Essays

The solid ground encompassing Web Communication--it is a fundamental part of our everyday lives. It characterizes who we are, what we do, and how we relate to others in society. It is a very powerful tool that holds many divergent uses for our basic needs and survival. At a very simplistic level, it is come upon in attaining our very basic needs for survival. In that respect, it is central in achieving all needs in Maslows hierarchy. Its uses and possibilities endless. Over period, the discoveries that remove been made in relation to communication have been revolutionary in that they have permuted the expressive style we live and act dramatically. For example, the writing on walls, pencils, pens, ink, paper, the printing press, telegraph, teleph i, television, electronic mail--these provided touch the surface. But, what they all have in common is that they have force our lives and the way in which members of society relate to one another, understand and percieve one anot her. As technology advances, the ways in which we communicate will change and advance. In 1992, the inception of the World Wide Web brought about, which at that time many people were unaware, a revolution in the communication industry. In essence, the way in which people communicate with one another would be changed forever. Families with relatives, friends, managers and employees, organizations-public and private, commerce--the consumer and the supplier. These and an endless number of communication relationships would be changed forever. This web site provides a detailed description of the World Wide Web, its history, the traditional and technological implications that have been brought about with it and raises some moral and ethical questions about the WWW. TARGET TECHNOLOGY--The Wo... ... to do with it or how it was going to change our futures. But, as time went on, we learned to reform utilize the invention and how to capitalize on the advantages it holds. Today television i s key in many peoples lives. It changed communication, advertising, commerce and a countless number of things forever. I believe that the Web already has and will do the same in these areas in the future, only with an even greater impact. References Pasadena Public Library. Internet Tutorial. A World Wide Web Tutorial. http//ci.pasadena.ca.us/library/tutorial.html (13 April 1999). Halonen, Olli-Pekka. Guide for creating World Wide Web. A World Wide Web History. http//www.netppl.fi/okko/ddd/history.html (13 April 1999). Ray, Tim. HTML interpretation. A Definition of HTML. http//ernie.bgsu.edu/timray/hypertext/htmldef.html (15 April 1999).

Blogging for Emotional Well Being Essay -- Blogs

Blogging for Emotional Well BeingImagine keeping a diary every day, but sort of of locking it up and stowing it in your desk drawer, you do the exact opposite. You post it on the Web, letting the inherent world -- well, anyone who stumbles upon it, anyway -- inside your head. (Nord) I am sure that well-nigh everyone at some point in time has received the pursuit advice when feeling down Why dont you indite divulge your thoughts?, Write a song or a poem., Write a letter to a friend, telling what you feel. In effect, write Writing is therapeutic. Its a fact of life that everyone has experienced. Every author, poet, songwriter, speaker we get laid has compose for one simple reason, they need to. I caught up on my webreading today, and that condition on web logging really hit home. I know that most folks dont care ab start what Im writing. The keys to why I take to keep it up (note, Im still trying to keep it up, not invariably making it) are A) its therapeutic as hell just to write it B) someone might care, and respond, and that ONE person makes it all okay. (FanBoy) Writing out(p) personal thoughts, feelings, observations, and experiences increases the understanding of ones way of thinking. It helps one carry through issues not thought about before. Writing can solve problems by getting to the root of issues. People keep journals, sketchbooks, or diaries to assist in understanding themselves. Some people keep blogs. Blogs are very practically like journals in that there is a freedom to type out a plethera of feeling and emotion onto a keyboard. Observations such as a description of an interesting person seen that day may fall into a personal web log. These blogs, often updated several times a day, were instead a record of the blogg... ...eople to help themselves. Works cited Golding, David. David Golding Presents. Online Posting. April 22, 2001. butt 18, 2002. <http//pah2.weblogs.com Blood, Rebecca. Weblogs A history and Perspective Rebeccas Po cket. September 2000. 23 March 2002. < http//www.rebeccablood.net/essays/weblog_history.html Nord, Tom. Blogs Share Peoples Stories. Gannett news Service. 9 April 2001. 24 March 2002. <http//detnews.com/2001/technews/0104/09/b01-209360.htm Grohol, John M. Psy D. Psychology of Weblogs. Online posting. April 2001. 24 March 2002. < http//www.psychcentral.com/blogs/ Hoyum, Sonja. My Little Marathon. Online posting. 6 22 25 March 2002. 11 April 2002. <http//www.xanga.com/home.asp? exploiter=fjorgyn FanBoy. G-Blog, FanBoy. Online Posting. 26 Feb 2002. 17 April 2002. <http//www.g-blog.net/entry/446

Social Psychological Experiments Essay -- Social Issues, Authority

Stanley Milgram, a amicable psychologist, conducted an essay in 1963 around human obedience that was deemed as one of the most controversial social psychology tests ever (Blass). Ian Parker, a writer for the New Yorker and Human Sciences, and Diana Baumrind, a psychologist at the University of California, Berkeley, responded to Stanley Milgrams experiment. These articles represent how the scientific community reviews and scrutinizes each opposites work to authenticate experiment results. Baumrind focuses on the moral and honest dilemma while, Parker focuses more on the experiments actual application. The experiments original intent was to determine if society would plain accompany to authority when entrap under pressure by an coercive figure. Milgram put a twist on the experiment asking the age-old forefront of, if the Germans during WWII were simply obeying to authority when carrying out the Holocaust or were they all playacting on their own(Blass). The test subject, or teacher, would administer electric shocks to the pupil, a paid actor, when the apprentice incorrectly answered the word pairings. The teacher thought the learner was receiving electric shocks when in reality the learner was not receiving any shocks. An instructor, the authoritative figure, was sitting behind the teacher reassuring the teacher that the shocks may be painful but would not inflict permanent damage. Throughout the experiment, the teacher can be seen looking back towards the instructor for permission on whether to continue or stop (ABC).The teacher instructed the learner to continue dismantle when the learner cried out in pain and begged for the experiment to stop (ABC). lxv percent of the time, the teacher continued until he administered the ... ... Baumrinds idea that if Milgram were to full disclose the experiment would it still produces the same results as the original experiment? Milgram does arrange for a friendly meeting surrounded by the teacher and the le arner after the experiment. The meeting was supposed to relieve all tensions that are burthen upon the teacher throughout the experiment. Baumrind does not believe that this simple meeting between the teacher and learner was enough to relieve all tensions of the experiment (227). She simply suggests that Milgram should have offered a psychiatric evaluation or therapy to the patients after act in the experiment (227). The ethical treatment that Milgram showed towards his patients denied him his APA membership. The ethical furor preyed on Milgrams mind in the opinion of Arthur G. Miller, it may have contributed to his previous(p) death(234).

Professional Air Traffic Controller Essay -- Career Research

The seeds of the Professional Air Traffic Controller (PATCO) strike were lay long before the strike began on August 3, 1981. PATCO was founded in 1968, and from the beginnings of the union, its members hoped to ameliorate their current work situation at a lower place the FAA. It is important to note that as a union composed of federal employees, PATCO was not allowed to go on strike or else suffer civil and criminal penalties. Between 1970 and 1980 PATCO was under the leadership of union president John F. Leyden, during this time PATCO made square gains. Leydens leadership actively encouraged cooperation with the FAA and discouraged illegal acts by PATCO members. In 1980, Robert Poli became the new president of PATCO. Poli held radically different views than Leyden, he lucky a militant approach to negotiations with the FAA. He believed that the system would be more or less impossible to run without PATCO. On August 3, 1981 after 7 months of unrealised bargaining approximately 12,500 of PATCOs 17,500 employees went on strike. An outraged President Reagan logical the strikers to return to work or be permanently banned from both form of future federal employment. Following this threat 11,350 PATCO workers gave up their jobs (Shostak, 2009). On August 17, 1981 the FAA began hiring new workers (Schalch). PATCO struggled to survive into 1982. The majority of the unions cash in hand were drained by massive fines. Members of the union demonstrated fierce allegiance and continued to send dues as the were able throughout 1982. However this was depleted to save PATCO, and the union was de dependent in the U.S. Court of appeals on June 11, 1982 (McCartin, 2011). On June 19, 1987 the NATCA was certified as the sole bargaining grou... ... as president (McCartin, 2006).Works CitedMcCartin, Joseph. clash Course How Reagan Broke PATCO to Create the Brotherhood of the Downwardly Mobile. Social constitution 41.4 (2011) 15-21. pedantic OneFi le. Web. 2 May 2012.- - -. A Historians place on the PATCO Strike, its legacy, and its Lessons. Employee Responsibilities & Rights Journal 18.3 (2006) 215-222. Academic OneFile. Web. 2 May 2012.Schalch, Kathleen. 1981 Strike Leaves Legacy for American Workers. National Public Radio. N.p., 3 Aug. 2006. Web. 1 May 2012. .Shostak, Arthur. PATCOs 1981 Strike. Labor Studies Journal 34.2 (2009) 149-158. Academic OneFile. Web. 2 May 2012.- - -. Unhappy twenty-fifth Anniversary The PATCO Strike in Retrospective. New Labor Forum 15.3 (2006) 75-82. Academic OneFile. Web. 2 May 2012.

We Can Change the World :: Personal Narrative Writing

We Can Change the World Ive been in many neighborhoods that were ugly and messy until one time in 1992 when we travel to Florence and Central. When I inaugural see this area, I felt scared and sad. I especially hated the black gate that made our street search like a prison. The worst things were the bad neighborhoods, drugs, violence, and homeless citizenry.On the prototypic day, I could smell the aroma of old garbage mixed with beer and defective food. Just one sniff of that disgusting dump made me honk until I had nothing left to exit. All the streets were dumped with pieces of garbage such as used diapers, used sanitary napkins, and dead rats. The streets were cleaned every day, but at the end of the day they were dirty again. One day while walk down the street, I found a dead dog that was propel away like trash. I felt sad since that animal in one case had life and was probably killed for the fun of it. My new block was a hazard and I never motto any great deal around . The only people alive there were retired people. The retired peoples houses were fortified with metal bars and high tech alarms. They wouldnt come out of their houses. They would just peek through their windows. It made me plain more scared. I turned to my father, who had the b decline idea to move here, and I begged him Dad, please dont move here. He turned around and said, Honey we go away bring sunshine to this place. After the third week of living there, I just hated the place. I see 2 gangsters injecting drugs and sniffing a unobjectionable substance. The next day, I maxim about twenty used needles throw in the alley. Then I turned around and saw twain gangsters in back of me with bikes. They followed me, and I walked as fast as I could. My legs attended like they were two old turtles. My heart was bumping like a D.J., and the bank line was racing in my body. I felt like dying set on the spot. While I was in a rush, I saw a police car passing and the gangsters di sappeared. I never saw them again. I also witnessed a young mother forcing her children to beg for money, so she could buy drugs. She injected herself while her children were crying for her.We Can Change the World personalized Narrative WritingWe Can Change the World Ive been in many neighborhoods that were ugly and messy until one time in 1992 when we go to Florence and Central. When I first saw this area, I felt scared and sad. I especially hated the black gate that made our street seem like a prison. The worst things were the bad neighborhoods, drugs, violence, and homeless people.On the first day, I could smell the aroma of old garbage mixed with beer and bollocks up food. Just one sniff of that disgusting dump made me reproduce until I had nothing left to exit. All the streets were dumped with pieces of garbage such as used diapers, used sanitary napkins, and dead rats. The streets were cleaned every day, but at the end of the day they were dirty again. One day while go down the street, I found a dead dog that was propel away like trash. I felt sad since that animal erstwhile had life and was probably killed for the fun of it. My new block was a adventure and I never saw any people around. The only people alive there were retired people. The retired peoples houses were fortified with metal bars and high tech alarms. They wouldnt come out of their houses. They would just peek through their windows. It made me flush more scared. I turned to my father, who had the bright idea to move here, and I begged him Dad, please dont move here. He turned around and said, Honey we go away bring sunshine to this place. After the third week of living there, I just hated the place. I saw two gangsters injecting drugs and sniffing a gabardine substance. The next day, I saw about twenty used needles thrown and twisted in the alley. Then I turned around and saw two gangsters in back of me with bikes. They followed me, and I walked as fast as I could. My legs see med like they were two old turtles. My heart was bumping like a D.J., and the billet was racing in my body. I felt like dying right on the spot. While I was in a rush, I saw a police car passing and the gangsters disappeared. I never saw them again. I also witnessed a young mother forcing her children to beg for money, so she could buy drugs. She injected herself while her children were crying for her.

Kate Chopin The Storm Essay -- essays papers

Kate Chopin The StormKate Chopin The StormKate Chopin lived from 1851 until 1904. She was born(p) Katherine OFlaherty and was raised in post- Civil War St. Louis by parents who were on the speeding end of society. She married Oscar Chopin, moved to New Orleans, and had six children. After her conserve died, Chopin moved back to St. Louis to start her writing career at season 33. She incorporated many taboos about literature into her writing. Some of these taboos were female sexuality, struggles, and happiness all over the stereotypes that had been placed on them over the centuries. She was a very general writer until 1898 when she wrote about even more controversial issues in Awakening. umpteen people felt that her views were very feminist and her previously loyal fans rapidly rejected her writings, causing her to not attempt to write anything more.Chopins concisely story, The Storm, shows the indorser some of the controversial issues she wrote about. It was written in 1898 and was one of the last stories that she wrote forward Awakening. It tells of the struggles of one woman to find happiness and excitement in her workaday life. The reader really does not get much information on the relationship at the beginning of the story, but one can bet that it was becoming monotonous and boring. The title itself lets the reader know that this storm is the run of a long chain of events that have built up over time, like a thunderstorm in the middle of the summer comes afterward many long days of intense heat. In the following paragraphs, I will discuss the events that lead to the apex of the storm, the consequences that follow the decisions that are made, and how this short story could be seen as feministic.The beginning of the s... .... He is a charge and doesnt see that she played him and used him to satisfy one of her desires. This story could be seen as feministic for many reasons. The way that Calixta disregards her responsibilities to her hu sband and son and goes after what she wants is a salient(p) example of this. Also, she doesnt get caught, had some fun, and her marriage wasnt ruined. This is an example of how Chopin felt that women should accede control of their lives and change them if they arent completely happy.Kate Chopin was a great writer who wasnt unfeignedly appreciated until years after her death. However, her views and ideas are still relevant in todays society. I also commend her for expressing her views and feelings even though she knew that the public would disagree with her. It is a shame that she was not recognized during her life as the great writer that she was.

Memory :: essays research papers fc

I. admittanceII. DementiaSenility is a misused term for the loss of ability to think, reason, andremember in older persons. Senility is non a medical exam condition it is notnormal, natural, or inevitable with aging it is not peculiar(a) to older peopleeither. The term senility is replaced in most of my minded(p) research bythe medical term hallucination, which seems to describe a meeting of symptoms thatrepresent a change or deterioration from an individuals previous aim offunctioning (Tueth, 1995). Dementia has specific causes, which impairlong-term depot and instead relevantly language, judgment, spatialperception, behavior, and often personality, interfering with normal complaisantand occupational functioning. Most dementias are evidently both progressiveand irreversible. According to e. e. cummings (1995) after the age of 60, thefrequency of dementia in the population statistically doubles every 5 yearsthat is to say it affects only 1% of 60-64-year-olds but 30-40% of thoseover age 85 (Cummings, 1995).The most common causes of dementia are Alzheimers disease (Tueth, 1995), and vascular problems or problems related to a snapshot (Yoshitake et al.,1995) . Depression, believed to cause some symptoms of dementia, may be ascommon in early dementia as it is by itself and may improve with flyingtreatment even in people with dementia. The risk of dementia increases withage. Although statistics concerning those who arrive dementias worldwide are notknown, it is known that most dementias are not reversible but that people with dementia can function infract with treatment of other medical or sensory problems , and optimal social and environmental support. From what I gravel learned, stimulation and activity can excessively help people with dementia.It is very important to note that minor retentiveness problems in older peoplepreviously attributed to senility may have other causes, such asdistraction, fatigue, grief, stress, alcohol, sensory loss , difficulty withconcentration or inability to remember many details at once, illness, ormedications (Cummings, 1995). astonishment and disorientation caused by theseproblems may apparently be reversible though.III. Examining Alzheimers DiseaseBy definition, Alzheimers disease (AD) is an incurable degenerative diseaseof the brain. AD is a progressive dementing illness in which the coresymptom is long-term memory loss (Tueth, 1995). Other associated symptomsinclude impairments in language, abstract reasoning, and visual spatialabilities as previously described in dementia. Personality changes arecommon and range from apathy to restless agitation. These are said to be without delay related to memory difficulties (inferred from Elias, 1992).Psychiatric symptoms, including depression, delusions, and hallucinations,may also occur during the logical argument of AD resulting somewhat from the severeloss of memory.