Managing Change (reflecting) Essay Example | Topics and Well Written Essays - 3000 words

Overseeing Change (reflecting) - Essay Example Social constructionist considers and conjectures the procedures of social development (Hosking and Bouwen 2000). Also, the social constructionist expect a social cosmology portrayed as every single social reality, all information on others and objects and of self are viewed as between ward or mutually dependent developments existing and can be known distinctly in relations. Furthermore, Hosking and Bouwen (2000) battle that inside the setting of this view, information doesn't exist independently as a thing or item that can be put away, moved, exchanged and learned. This element of social constructionist is huge and simultaneously is not the same as the more common treatment of the students and what is given or existed to be found out about self or different things as free or separate limited elements. A social constructionist point of view gives a various prospects to premiums in a procedures of learning, social connections and relations too. For a start, hypothesizing social procedures as opposed to concentrating on associations, people, and relations, maintains a strategic distance from the issue of how to connect gathering, individual and authoritative degrees of getting the hang of (Hosking and Morely 1994). Besides, in social constructionist, relating doesn't stay an individual demonstration and is not, at this point decreased to single direction easygoing relations with the arrangement of criticism. For instance, an association representatives two people, one is exceptionally reliable and other is less dependable. The presentation examination of the two workers features some alluring focuses. For instance, the reliable worker has been generally effective in satisfying their normal targets and occupation task. Then again, the less dependable individual has been extensively unfit to meet the activity targets and task. This model gives a chance to the association to find out about the importance of reliability and making a severe strategy for timeliness would empower the association to accomplish its hierarchical, operational and key target too. Scrutinize instances of overseeing change The pattern of

Researching the Biology and Biotechnology

Researching the Biology and BiotechnologyIf you are a student looking to take a serious interest in learning about the life sciences, you should consider taking a course or two in the writing of scientific papers. You will be pleasantly surprised to learn that, just as in anything else, there is no hard and fast rule as to how to write a scientific paper. This means that, like in any other subject, the best you can do is find out what the writing guidelines are for the area that interests you and strive to follow them.In many instances, the guidelines for writing science papers are similar to those in writing other types of papers. For example, in biology and chemistry, the title is usually the first thing you should consider. Of course, you should also make sure that your title has a scientific title. By doing this, the reader will have a better chance of remembering the purpose of your paper and even make the effort to read it.Biotechnology is a word that generally comes up in disc ussions of scientific papers, so it would be wise to consider whether or not this is an area that is of interest to you. If you are very interested in biotechnology, consider either attending a biotechnology related class at your local college or continuing your own studies into the field. Many biotechnology related courses offer additional assistance when it comes to the writing of papers. The course will introduce you to research methods and assist you in creating, organizing, and revising your science paper.On the topic of research, you may notice that a majority of major papers are written about genetic engineering and biotechnology. Most students, however, are likely to skip this type of paper entirely, perhaps because they have a fairly technical background. While genetics and biotechnology are crucial areas of study, you may want to consider exploring these topics as you move on to more advanced courses.It is also a good idea to consider whether or not a particular theory or piece of evidence really constitutes solid evidence. Much of the controversy over issues such as global warming is due to misinformation and outright falsehoods spread by those who are most fervent in their beliefs. If you choose to research, study, or write about any of these specific topics, it is a good idea to ask some questions of experts in the field.A study of technology and biotechnology is a good place to start, because you will learn the basic concepts. It is also a good idea to keep your mind open to the possibility that there may be some aspects of these things that we cannot understand or predict. If, after considering all of these, you still feel that you want to take your studies into a more advanced direction, you may wish to consider the option of transferring to another school.On your way to transfer, visit your academic advisor at your college or university and ask if there is an education service center or counseling office on campus. Sometimes, you may find that these offices offer tutoring services and can give you recommendations regarding appropriate courses to take. While you are at the college or university, make sure that you enroll in a course that will help you learn how to write a good paper and a research paper.Writing papers in the biological sciences should not be too intimidating to you if you begin with a few tips. These tips are a starting point, but if you are open to trying new ideas and to expanding your learning and research skills, your science papers will speak volumes about your interests and talents.

Music of Bangladesh free essay sample

Probably the most skilled old style performers of the sub-landmass originate from Bangladesh including Status Alluding Khan, Synthetically Trapped Corroboratory, Bandit Rave Shank, Bandit Mans Corroboratory, Status Ate All Khan, Status Abed Hosing Khan, etc. [edit] Rabin gangues Main article: Rabin Gangues Rabin gangues birthplaces from crafted by Arbitrating Étagã ¨re Rabin gangues is a standout amongst other known kinds of Bengali music outside Bengal. Its starting point is found in the work the writer Arbitrating Étagã ¨re. Edit] Unusual Gangues Unusual Gangues roots from crafted by Kaki Unusual Islam Unusual Gangues, actually meaning music of Unusual, are crafted by Kaki Unusual Islam, Some 4,000 Songs formed by the national artist of Bangladesh and dynamic progressive during Indian freedom development. Uncommon Gangues join progressive thoughts just as increasingly otherworldly and philosophical topics. Islam utilized his music as a significant method for scattering hi s progressive thoughts, fundamentally by the utilization of solid words and ground-breaking yet appealing tunes. Islam likewise consolidated impacts from Western India.He assumed a functioning job in completing a combination between Western Indian galahs and customary Bengali old style music. Galahs are sonnets in Urdu gave a semi-old style tune, mainstream in Western India. ) Unusual gets that don't join subjects of dissent basically structure what is currently called Bengali coating. The music includes minor departure from ragas (modes) alongside confused planning put together for the most part with respect to vocal work and complex structure. Because of Salamis committed nature and way of life, Unusual get was not standard for an extremely prolonged stretch of time (perhaps still isn't as financially advanced as Rabin gangues).Bangladesh artist Affair Begum assumed an exceptionally enormous job in promoting Unusual get in both Bangladesh and West Bengal. Shoran Hosing, Ferrous Era, Shabby Mustard, likewise assumed an essential job in causing Unusual to get standard. [edit] Folk Bengali people music has a long history. A few people added to what has gotten one of the most significant melodic impacts in lives of Bengali on the two sides of the (West Bengal-Bangladesh) fringe. Among these are L alone Fakir, Has Raja and Rammers Shill. Bass Duding was a key player in advancing people music later on. Painting portraying Has Raja.Folk music can plainly be recognized and characterized into a few sub-sorts: * Ball: primarily enlivened by Allan Fakir and his Suffix method for living and only performed by recluses who have embraced such (Suffix) way of life Bandier: reverential music from the South (fundamentally Chitchatting) * Battista: music of anglers and boatman, quite often tied by a typical raga (mode), sung solo * Byway: tune of bullock-truck drivers of the North (Ranging) * Grain get: custom melody from the North (Ranging) * Gambia: t une (starting in Chap Nabbing, in the North) performed with a specific unmistakable cadence and hit the dance floor with two entertainers, continually exemplifying a man and his granddad, talking about a point to raise social mindfulness * Has Raja: reverential tunes composed by USIA author Has Raja (from Sylphs close to Assam) that was as of late repopulated as well known move music Ajar: tune that includes melodic fight between two gatherings * Extra Pal: tunes related solely with plays (performed in front of an audience) that normally consistently include recorded subjects introduced in a vivid manner * Certain: reverential tune delineating adoration for * Pal: tunes from the Hindu god Krishna and his (most popular) spouse, Radar hoar (lake) region in Sylphs, Koshering, and Undertone as a rule performed in front of an audience live by society vocalists * Kobo Egan: sonnets sung with basic music for the most part despised in front of an audience as a melodic fight between artists * Allan: most popular of all people tunes and the most import sub-type of Ball tunes, as a rule credit to profound essayist and writer, Allan Fakir of Austria (Western Bangladesh, close to the fringe with West Bengal) * Murmurs: Islamic tunes of commitment of the Isaiah bunches dependent on Western impacts * Shari: tune of boatmen sung in gathering to coordinate the beat of the paddle development * Opacity: tunes of the minor ethnic gatherings significant this isn't generally a characterization since tunes of these ethnic gatherings (of which there are in any event 3 diverse gathering AS) shift broadly and have exceptionally particular and charming qualities * Lottos tune: tunes from Enmeshing (North of Dacha) that additionally supposedly affected Unusual get * Wedding tunes: sung all over Bangladesh yet constantly tied by comparable tunes and by, clearly, a typical topic, marriage Of these few gatherings, Ball tune is most popular and was additionally advanced by works of Allan. All society melodies are described by straightforward melodic structure and words. Prior to appearance of radio, stage exhibitions of people artists used to be perhaps the main diversion for the huge rustic populace of Bengal.After appearance of new correspondence and computerized media, huge numbers of the society melodies were modernized and fused into current tunes (Addenda songfest). [edit] Ball Main article: Ball has been such an enormous impact in Bangladesh music that it merits being known as a type all alone. In any case, despite the fact that Ball get can be described by specific nature of music and introduction, by and large, the class is very characterized by an unequivocal religion. So as to comprehend Ball get, it is important to comprehend its makers. Ball is only performed by Balls (recluses) who are adherents of Suffix in Bangladesh. Note that customarily balls were Hindus; Suffix was begun following the way of life of L alone Shah. In Bangladesh, in the beginning of Balls who professed to be Muslims, with more prominent spotlight on affection for the general public and concordance with nature, ball get needed to experience a significant battle of endurance as did the Balls themselves. Balls were exposed to cruel prodding and separation. Be that as it may, with time, Psalmists were constrained by everyone to acknowledge the Balls and their otherworldly music as a feature of the general public. Current day Balls in Bangladesh are Suffix. Most live basic lives on an outright least, earned predominantly from playing out their music. Ball melodies constantly consolidate basic words communicating tunes with more profound implications including Creation, society, way of life and human feelings. The melodies are performed with next to no melodic help to the fundamental transporter, the vocal.Balls, bohemian ordinarily and conviction, leave on terrific campaigns, composing and performing music on their whole outing to acquire living and scatter thought of adoration and otherworldliness. Cetera (actually, the one-string), Dotard (truly, the o-strings), baa(n)shih (woodwind produced using bamboo shoot)) and cymbals are utilized in the introduction of Ball get. In spite of the fact that, as of late, Ball get has lost ubiquity for the most part because of interruption of the way of life of the balls by discretion and westernizes, the melodies have for all time adjusted Bengali music, particularly as Allan get. Ball tunes were massively advanced by Fakir Laming and Offer Shahs in Bangladesh. Edit] L alone Allan get is crafted by writer and scholar, Allan Shah (otherwise called Allan Fakir). The vast majority of his melodies are augmentations of Ball get. Nonetheless, his melodies are in every case progressively philosophical in nature, including more noteworthy idea about dynamic topics. L alone get began in Skittish and has been advanced all through the two Bengali (West Bengal and Bangladesh) by different specialists. Among the advocates of L alone get, Farina Prepare is especially worth referencing for her broad work in modernizing tunes. [edit] Addenda songfest actually implies present day melodies. In spite of the fact that, to pariahs, this may appear to be a very questionable method for terminology, it has specific motivations.Bengali music generally has been characterized for the most part by the locale of beginning and the makers of the melodic sort, for example, Anza hush get (composed and made by Kaki Unusual Islam), chambray (interesting to a particular zone in Bangladesh), and so forth. In any case, this forestalled the capacity to arrange any music that neglected to fit into any of the classes. In the period not long before Indian autonomy (Bengal, under British guideline, was a piece of one gigantic India that doesn't actually compare to the India of current day), a few new minor melodic gatherings rose, essentially as playback tunes for motion pictures. These melodies neglected to fit into a specific type, yet appeared to be integrated by regular subject of music for the general population.

Help on a Research Paper for Dummies

Help on a Research Paper for Dummies Filling in an internet form will take you up to a quarter hour. Let's say you pay for over 10 orders for the length of a class. After registering, an order form is going to have to be filled. A research paper necessitates time, work and a proper mind frame. Asking a professor for help may appear frightening, but if they're worth. Should you need any help, don't be afraid to go to Paperwritings.com. Regardless of what you should write, online help is always available, and you are able to afford it! A whole lot of research paper businesses have emerged on the internet to cater to the write my. All the customers are pleased with the work of our research paper support. If you are in need of an expert research paper help, our company may provide you all types of writing services. Your custom made research papers won't be resold, as a dependable service provider the company is going to provide complete privacy. There are a number of reasons why you need to prefer our services. There are special sites that have a group of professional writers working to supply your job for a fee. As much as you are searching for inexpensive services online, make certain that you avoid agencies that promise students cheapest services on the market. You want to understand how you're able to weed out unprofessional services. What's Truly Happening with Help on a Research Paper You are able to also negotiate about the cost of the essay you're ordering. Order 100% original customized term paper without having to spend a paper are the process just by employing the audience. Unless you're talking about a prosperous research papers online at fair prices. Some students are worried about the originality of papers they buy online, but others fret about their privacy or high rates. If clients aren't happy, they need to acquire absolutely free revisions. It is possible to always turn to professional custom made writers who can finish the project for you or supply you with any of its parts. Needless to say, lots of data in print is likewise not credible. Most custom research writing service businesses deliver the job in time. The EssayDune expert writers can secure the business done in virtually no time. To begin with, you should choose the type of service which you need in addition to the degree of the writer you're searching for. Many writing services have a reputation for delays particularly when it comes to doing revisions. Stop by this page to discover useful tips from professional research paper writing service on how best to create. There are numerous Subject Guides that will aid you in finding scholarly resources. You' ll also require in order to examine some studies. It is crucial to remember that huge and little study population may demand various techniques. Our website is just one of the most appropriate for essay help. You can rely on the very best essay help online. What Does Help on a Research Paper Mean? Another opinion can be useful. For this reason, you'll have a chance to perform good research and share your point of view on the topic. If so, you're currently in the perfect spot. The answers can help you narrow your topic. Keep it simple is normally a great rule. A great thesis statement needs to be formed in consideration of the current research. If you rely on one another sufficient, it is simple to make an effort the role of a true conference. The scholar should conduct more investigation on the principal points to make sure that there's no contradiction between the available info and data. The Secret to Help on a Research Paper There's no magic formula for writing a thriving research paper. Quality customized action research paper writing a research paper to assist you with our experts will offer your homework. There are scholars who might have done extremely well in regards to academics but fail in regards to writing a personalized research paper. Even if you're capable, if you don't have the essential time to put in to your research paper, the standard of your paper and your grades will be impacted. There are a few things that you cannot avoid, in regards to academic paper writing. The entire paper is going to be based on it. If you are searching for research paper help then Writing Junction is the reply to your prayers since it's the ideal research paper writing service! Organize your paper according to an outline if you would like to acquire a great grade. The Little-Known Secrets to Help on a Research Paper If you're a member of a peer response group, they ought to be your principal responders. All you have to do is make your purchase! When all corrections are completed, you're allowed to publish the order's funds to the writer and close the request. As soon as you've finished step 1, you're going to be given an allowance of adding some additional details to your purchase.

Before European Hegemony Free Essay Example, 1500 words

In my opinion, the period covered in the readings is important from the point of view of understanding why Europe rose to prominence after the middle ages and what were the contributing features to the rise of Europe in the latter part of the millennium. Further, the fact that Islamic civilization flowered during these times is an important indicator of the way things were in the world system during the middle ages. The fact remains that there is always an ebb and flow of the civilization’s characteristic and the point that though the crusades had failed, Europe rose to pre-eminence mostly as a consequence of learning the lessons from the debacle and the fact that there were renewed bursts of activity in the period immediately following the Middle Ages. The European renaissance began mostly as a result of the rise in cities following the crusades. In this part of the paper, I look at the development of cities and the role that they played in this tumultuous chapter of world history. To quote from the readings, â€Å"The thirteenth century was remarkable for the way in which so many cultures across the old world and the new world came together† (Abu-Lughod, 4) This quote underscores the fact that this was time when the leading powers of the world engaged with each other culturally and economically to produce a fusion of sorts in the scientific advances that were a hallmark of the world system. According to Abu-Lughod, the development of capitalist systems of thought and practice began during this period as well. We will write a custom essay sample on Before European Hegemony or any topic specifically for you Only $17.96 $11.86/pageorder now The readings note that the dating of the capitalist system is something that has eluded many people including Marx. However, Abu-Lughod makes a strong pitch for the theory that the early beginnings of the capitalist system began in the time period corresponding to the middle ages. The readings make it clear the exchanges in commerce and trade that characterized this time and the resultant rise in mercantilist tendencies that accompanied the exchange can be thought of as the beginnings of capitalist systems. The middle ages were the first time in world history where established cities began to play a dominant role in the affairs of the regions and the countries. The fact that Cairo revived itself after the Black Death meant that the cities of the countries covered in the readings had their own forms of rejuvenation and revitalization that laid the foundations for their subsequent recovery. This is an important lesson for students of history concerne d with the rise and fall of civilizations.

Exercise How Exercise Improves Your Mood - 1722 Words

Exercise is something that surrounds us daily. It may simply be a short walk into work or a cycling class that you participate in at your local gym. Wither it is on the TV commercials or posters up in the workplace and school exercise is constantly being promoted. Exercise is very important to the body to insure that the body functions properly. A properly functioning body is something that is extremely important to remember even as we age. A very weak area in health care is promoting exercise in the elderly. According to the staff at Mayo Clinic, there are 7 important benefits of regular exercise (2015). The first reason is that exercise improves your mood (Mayo Clinic, 2015). Are you are feeling down and need an emotional lift, or have had a stressful day at work and need to blow off some steam? A small workout at the gym or a brisk walk at the park might be your answer. Exercise â€Å"stimulates the brain to release chemicals to make you feel happier and more relaxed† (Mayo Clinic, 2015). Exercising leaves you feeling better about yourself with increased boost in confidence (Mayo Clinic, 2015). Not only does exercising put you in a better mood, it also boosts your energy (Mayo Clinic, 2015). Regular exercise improves you muscle strength and enhances your endurance (Mayo Clinic, 2015). This allows your oxygen and nutrients to be delivered to your tissues; in return, helping your cardiovascular system work more proficiently (Mayo Clinic, 2015). This helps the heart and lungsShow MoreRelatedBenefits of Exercise Outline Essay988 Words   |  4 Pagesinform my audience about how exercise controls weight, combats health conditions and diseases, and improves mood. Central Idea: Exercise and physical activity are a great way to feel better, gain health benefits and have fun. Introduction You’re sweating, panting, and have a feeling of euphoria. You don’t know why you feel so good when there has just been so much stress put on your body (Attention-Getter). We’ve all gone through this feeling of exhaustion known as exercise. It can tire us outRead MoreEssay about What Can Regular Fitness Do For You?683 Words   |  3 Pagescan do to improve their health and prevent disease. Exercising makes the heart stronger and develop into a more efficient muscle. What else can regular fitness do for you? Improves Mental Focus Exercise improves your mental focus. Experts say that regular exercise helps keep your brain sharp by improving your focus and concentration. Studies show exercising decreases the chance of Alzheimers disease. Even low impact exercises can help with boosting your mood. Studies show exercise gives youRead MoreExercising The Exercise Of Exercise927 Words   |  4 Pagesmuscles in your body. Exercising is not only working on the outside but also on the inside. Exercising pushes you to do things that normal you wouldn’t want to do or think that you could do. When exercising you are working your brain in ways that it is not normal worked. Many people do not understand the importance of exercising and do not get the recommended amount of exercise. According to Centers of Disease Control (CDC), â€Å"80 percent of American adults don’t get the recommended exercise.† 323,607Read MoreExercise, The Adrenaline Level And Eating A Healthy Diet Essay903 Words   |  4 Pag es Day 4- Exercise, the adrenaline you need to keep you going. Boosting up your adrenaline level and eating a healthy diet, is not enough, you will have to combine it all with a solid exercise program. There are many ways to exercise; from running to swimming, playing tennis or simply registering to the gym or again (another simple option) doing it from home with some workout videos. The selection is huge, so this part of dieting is not limited. Technically what we want to say, is thatRead MoreEssay about Healing in Motion: The Benefits of Physical Activity693 Words   |  3 Pagesstudent should Get at least 30 minutes of exercise in schools. These thirty minutes of exercise can Reduce the risk of obesity, as well as diseases, such as diabetes, in the future. In the United States of America , over three hundred students fitness levels Were tested, and those who were the most fit, performed better academically.(1) Physical activity also relieves symptoms of depression, and anxiety, and improves The mood. As mentioned physical activity Read MoreExercise Benefits Essay1237 Words   |  5 PagesHaile 1301.155 Exercise for the Body You know exercise is good for you -- but do you know how good? At its most basic, exercise is any type of physical exertion we perform in an effort to improve our health, shape our bodies, and boost performance (Waehner, Web). Adults, men and women, and teens both benefit from exercise and physical activity in many different ways. Exercise should play a key role in everyone’s daily life, not only does it boost self esteem, it also improves mental health andRead MoreExercise Is A Physical Activity1221 Words   |  5 PagesWhat if everyone around us was physically and mentally fit? Would we all live a happy, positive life? How could it benefit us? According to www.cdc.gov (Centers for Disease Control and Prevention), exercise is a physical activity that is planned, structured and repetitive for the purpose of conditioning any part of the body. Exercise is used to improve health, maintain fitness and is important as a means of rehabilitation. Because physical activity is benefi cial both physiologically and psychologicallyRead MoreDepression And Its Effects On Depression1687 Words   |  7 Pages by diffusing across the synapse or junction, causes the transfer of the impulse to another nerve fiber, a muscle fiber, or some other structure. These changes are important in elevating mood and relieving depression (â€Å"Depression†1). But what if we don’t need antidepressants or any other drug? What if exercise could help fight depression naturally without side effects? One in 10 adults in the United States struggles with depression, and antidepressant medications are a common way to treat theRead MoreExercise Can Reduce Stress And Improve Someone s Over All Moods896 Words   |  4 PagesExercise helps to reduce stress and improve someone’s over all moods. According to Otto and Smits (2011) exercise can be as powerful as antidepressant medications in treating depression, and, more broadly, regular exercise is linked with decreased anxiety, stress, and hostility (p. 7). There are several reasons how exercise reduces stress. By exercising daily we allow our bodies to adapt to different demands and stressors, because exercise is a stressor. A good way to understand this is to thinkRead MoreExercise At The University Of Hawaii Gym1426 Words   |  6 Pagesbig and tall structure at around 3:30 to 4:00 pm in the afternoon. As the seconds go by I see the UH student’s expression, movement, mood, and intensity as they exercise. Ranging from the basketball court where students are running up and down the court, talking, jumping, shooting, and making eye contact to their teammates. As the students perform resistance exercises (weight lifting), I see various individuals taking deep rhythmic breathes with their chin up, making sure their is back always straight

Michelangelo italian artist Essay Example For Students

Michelangelo italian artist Essay Michelangelo Bonaparte, the greatest of the Italian Renaissance artists, was born on March 6, 1475, in the small village of Cappers (Today, Cappers is known as Cappers Michelangelo or Tuscany, Italy). Michelangelo grew up in Florence, Italy. His Father was a government administrator and his Mother died when he was only six years old. After the death of his mother Michelangelo lived with a stone cutter and his family in the town of Suggesting, where his father owned a marble quarry and small farm. Along with living with a stone cutter (where he learned to handle marble), Michelangelo influences included ad Vinci and Dominic Giordano. Michelangelo showed no interest in school, he preferred to copy paintings from churches and seek the company of painters. His artistic talents were noticed at a very early age. At the age of thirteen, Michelangelo was apprenticed to the painter Domenici Giordano. At age fourteen Michelangelo father persuaded Giordano to pay Michelangelo as an artist, which was unusual at the time. Demonstrating obvious talent, he was taken under the wing of Lorenz De Medici, the ruler of the Florentine republic and a great patron of the arts. For two years beginning in 1490, he lived in the Medici palace and attended the Humanist academy, where he was a student of the sculptor Foretold did Giovanni and studied the Medici art collection, which included ancient Roman statuary. At the academy, both Michelangelo outlook and his art was influenced by many of the most prominent philosophers and writers of the day. At this time Michelangelo sculpted the Madonna of the Steps (1490-1492) and Battle of the Centaurs (1491-1492). Lorenz De Medici, the man who gave Michelangelo the tools and schooling to perfect his artistry, passed away in 1492. Michelangelo decided that it was time to return home to his family, but he continued studying on his own. Although the practice was forbidden at the time by the church, Michelangelo got special permission to study anatomy of the dead at a hospital in the church of Santos Spirits. He used his new knowledge of the human body to create some of his most famous works, including the famous statue of David (1501-1504), the sculptures in the Church of San Pitter, and the Creation of Adam on the Sistine Chapels ceiling, which there is a hypotheses that part of it is shaped like the human brain. Michelangelo love for sculpture continued to grow, and so did the attention of the world to his work. His demand as an artist grew, and he began creating some of the most famous works of his career. And then there is his architecture, where Michelangelo reordered ancient forms in an entirely new and dramatic ways. Michelangelo was principally a sculptor and always claimed that architecture was not his profession, but, with a sculptors vision, he saw buildings as dynamic organisms metaphors of the human body and he designed some of the most impressive architecture in all story. Among his best-known buildings are the Medici Chapel and the Laurent Library in Florence and he finished the architectural work on SST. Pewters Basilica in Rome. Michelangelo renewed architectures potential for the next generation of architects, freeing them from the need to slavishly imitate models from the past and allowing them to arrive at their own forms of expression. Michelangelo, though best known for his sculpture, was also a poet. He composed over 300 pieces of poetry painting the Sistine Chapel ceiling. In his poems he discusses categories pertaining o love, death, evil and good, and beauty. His writing is similar to his art in that every word is carved into the realities of life. Michelangelo art is his love of male beauty, which attracted him both by the nature of natural beauty and emotionally. Such feelings caused him great anguish, and he expressed the struggle between reality and desire for the male body in his sculpture and his poetry. The sculptor loved many youths, many of whom posed for him. His greatest love was Topmast die Cavalier, who was 16 years old when Michelangelo met him in 1532, at the age of 57. Cavalier was open to the older mans affection and Michelangelo dedicated many poems to him. .u10daf268cf41585bc60619457a067880 , .u10daf268cf41585bc60619457a067880 .postImageUrl , .u10daf268cf41585bc60619457a067880 .centered-text-area { min-height: 80px; position: relative; } .u10daf268cf41585bc60619457a067880 , .u10daf268cf41585bc60619457a067880:hover , .u10daf268cf41585bc60619457a067880:visited , .u10daf268cf41585bc60619457a067880:active { border:0!important; } .u10daf268cf41585bc60619457a067880 .clearfix:after { content: ""; display: table; clear: both; } .u10daf268cf41585bc60619457a067880 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u10daf268cf41585bc60619457a067880:active , .u10daf268cf41585bc60619457a067880:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u10daf268cf41585bc60619457a067880 .centered-text-area { width: 100%; position: relative ; } .u10daf268cf41585bc60619457a067880 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u10daf268cf41585bc60619457a067880 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u10daf268cf41585bc60619457a067880 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u10daf268cf41585bc60619457a067880:hover .ctaButton { background-color: #34495E!important; } .u10daf268cf41585bc60619457a067880 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u10daf268cf41585bc60619457a067880 .u10daf268cf41585bc60619457a067880-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u10daf268cf41585bc60619457a067880:after { content: ""; display: block; clear: both; } READ: Michelangelo’s Pieta Persuasive EssaySome say Michelangelo relationship with Cavalier was only a deep friendship and not sexual. Even if Michelangelo had homo-erotic impulses, there is no evidence he acted on them. Cavalier was not the only inspiration for Michelangelo poetry. Later in life he fell in love with Aviators Colon. She was a widow and friend to Michelangelo in his later maturity. Between Michelangelo and Aviators Colon a deep friendship developed, one might almost say an absolutely pure love, inspired by poetry and that, out of which were to emerge some of Michelangelo finest lyric poems, overflowing with admiration and devotion. She died at the age of 56 and Michelangelo was deeply affected by her death writing many commemorative pieces in her honor. Michelangelo worked until his death in 1564 at the age of 88. He caught a fever and a few days later he passed away. Michelangelo revolutionize artistic techniques altered the artists method for centuries, and still effect how art is made today. His view on the world and its leaders changed the way artists portray their objects and how bold they allowed their artwork to be. Michelangelo will always be known as one of the most influential artists the world has ever known. Http://en. Wisped. Org/wick/Michelangelo www. Sparseness. Com Several hypotheses have been put forward about the meaning of The Creation of Dams highly original composition, many of them taking Michelangelo well- documented expertise in human anatomy as their starting point. In 1990, an Anderson, Indiana physician named Frank Lynn Misremember, M. D. Noted in the medical publication the Journal o f the American Medical Association that the aground figures and shapes portrayed behind the figure of God appeared to be an anatomically accurate picture of the human brain. 5] Dry. Messengers interpretation has been discussed by Dry. Mark Lee Apple. On close examination, borders in the painting correlate with major usual of the cerebrum in the inner and outer surface of the brain, the brain stem, the frontal lobe, the basilar artery, the Alternatively, it has been observed that the red cloth around God has the shape of a human uterus (one art historian has called it a uterine mantle), and that the Carr hanging out, colored green, could be a newly cut umbilical cord. 8] This is an interesting hypothesis that presents the Creation scene as an idealized representation of the physical birth of man. It explains the navel that appears on Adam, which is at first perplexing because he was created, not born of a woman. Michelangelo was both highly literate and plain-spoken. He felt passio nate toward individuals, both female and male (Aviator Colon and Topmasts Cavalier in particular. Platonic love suited Michelangelo because the demands of his profession came first. Aviators, who was independent and highly intelligent, was inaccessible. She was the woman who came closest to being his intellectual equal, and a person characterized by loftiness, nobility and virtueall of which appealed to the poet. He turned to her for guidance and idealized her through the ecstasy of his religious mindset; Michelangelo was a deeply religious person who believed in prayer and all the accompanying Renaissance religious imagery characteristic of his era. She was a widow and friend to Michelangelo in his later maturity.

Marketing Research Design and Data collection methods

In the peer reviewed article written by Andy Barker, Clive Nancarrow, and Jason Vir called â€Å"Ritzer’s McDonaldization and applied qualitative marketing research†, the researchers examine the benefits gained from applying Ritzer’s thesis of McDonaldization to international qualitative marketing research; the reports follows the frameworks and requirements of an academic research work.Advertising We will write a custom essay sample on Marketing Research Design and Data collection methods specifically for you for only $16.05 $11/page Learn More When discussing the topic the researchers limited their discussion and area of study to efficiency, calculability, predictability, and control; they observed that the three areas are the main policies that McDonald has implemented to remain competitive in the world market. To develop the report, the researchers collected wide range of data, then interpolated it, and analyzed it for the report . In research development, research design and data collection plays crucial parts in collecting and shaping the research (Andy ,Nancarrow , and Vir 2005). This paper analysis the research design and data collection method as was adopted by Andy Barker, Clive Nancarrow, and Jason Vir in the article â€Å"Ritzer’s McDonaldization and applied qualitative marketing research†. Research design Andy Barker, Clive Nancarrow, and Jason Vir used onion research design approach; the main reason why the researchers opted to use the method is its systematic way of collecting data. The method is systematical where the researcher has the task of building his report from one segment to another, but moves after the earlier stage has been wholly been exhausted and results tested to be in consistence with the intended outcomes of the research. Just like an onion, the onion research design method has various layers that a researcher has to undergo through before making inferences and pres enting them in a certain manner; generally the method has five stages or layers. When using onion research design the research can be interpolated in layers like the case of an onion; the initial layer is where the researcher discusses the research question as well as the research philosophy adopted; the next layer which in this case can be referred as the second layer looks into the real situation or the main subject of the research.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More With the full understanding of the research question and the subject matter of the case, Andy Barker, Clive Nancarrow, and Jason Vir then moved to the next higher layer; the third layer which is the research strategy. The forth layer concentrated on the time frames that the researchers has to give an account of the research; when analyzing issues in the research, the writers has to move with speed and consider th ings of different parameters. According to the Onion method if research design, the fifth layer gives an account of the research methods adopted, in the case of Andy Barker, Clive Nancarrow, and Jason Vir the methods adopted were both primary and secondary data collection methods (Balnaves and Caputi, 2002) When the writers were considering the case of McDonald, they were interested in analyzing the main strengths that the company has that has made it be able to retain a leadership role in the hospitality industry; with this the researchers were able to develop the background information that they were to analyze. With the understanding of operations of the company, the research took a deductive reasoning approach supported by facts as collected from the field. Deductive reasoning is a research approach method where Andy Barker, Clive Nancarrow, and Jason Vir used a gradual but steady way of collecting information; when using the approach the researchers developed the idea from an k nown angle to a point that needed to be learnt or researched; in this case, the researcher will come from the known point that McDonald has some managing philosophies that have assisted it move to the high ladder of operation; the researchers established the strategies as efficiency, calculability, predictability, and control and seek to establish the lessons that have been learnt from the operations as well as how they can be applied internationally (Burns, 2000). As much as the researchers where interested with McDonaldization, they ensured that the operations of the company has been fully understood and chances that McDonald has some special attributes that has made it be able to use the system was undertook.Advertising We will write a custom essay sample on Marketing Research Design and Data collection methods specifically for you for only $16.05 $11/page Learn More The research design assisted the researchers write a report that can be accepted int ernationally and applicable in different part of the world despite the business systems and structures operating. When using the qualitative method of data collected is more emphasized than the quantity of the data. It is interpretative and descriptive method of data collection. The issue of McDonaldization and its applicability to international marketing as Andy Barker, Clive Nancarrow, and Jason Vir intended to come out is that it has elements of qualitative study; it involved collection of management data then analyzing it to come up with the report. Qualitative research method is adopted in management and social sciences researches as it address the issue wholly and ensure that challenging matters or emerging issues has been addressed effectively. The method is also superior in the sense that it does not focus on the plain facts on the ground but also considers what in-depth matters that might be affecting what can be seen from outside (O’Donnell and David, 2000) The onio n research design assists a researcher to collect rich information about the situation at hand and gather detailed information. In this research, the writers used a combination of research data collection methods to come up with rich data on the area, they used interviews, observations, electronic interviews, focus groups, case studies and wide range of literature review; other than looking at the situation, the method offers room to give effective recommendations management of different companies on the best ways they can use McDonaldization (Creswell, 1998).Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More According to the research the writers not only considered the effect that aspects like culture has on people and their choice of products but also seek to understand how businesses made efforts to attract the attention of customers. McDonald was seen as the company that has benefit from the system and seems to have mastered the art of managing the business with people psychology on their minds. The strength of the process is on psychological part where the right approaches to buy the strategy and use it in international marketing was borrowed. Marketing involves persuading people to buy a certain companies products; with this notion and understanding any effort that strengthens relationship of customer and the selling company is always welcomed for business sake. The research design adopted by the research focused on four main subtopic in the main topic, efficiency, calculability, predictability, and control, although the four are interrelated and move together, the researcher was a ble to cover then with some levels of independence when collecting information. Such moves assisted in offering high quality report and adding value to the known literature on McDonaldization and international marketing. Data collection methods To come up with the article, the researchers have to collected wide range of data then interpolate, analyze, and report the data in an acceptable manner. When doing the research on McDonaldization, Andy Barker, Clive Nancarrow, and Jason Vir combined the strengths of both primary and secondary data collection methods. Each method was handled on its own however moves were made after an in-depth understanding of the situation on the ground was understood. Focus groups Focus groups are teams made by a research to discuss about the research questions that the researcher want to handle; the people to a focus group should well understand the situation on the ground regarding the management topic at hand. Under this framework, the researchers held a workshop with global research practitioners consisting of six professionals in management where with some well framed questionnaires they were triggered to discuss various issues that touched on the research variables (Stefanou, 1999). When using focus group as the method of collecting data, the researchers ensured they created an atmosphere that enhanced the participants to offer their views, understanding and points of views in the area. In so doing Andy Barker, Clive Nancarrow, and Jason Vir had to choose a team leader who was intelligent and one who could manage the participants effectively (Patton, 2002). Use of interviews Andy Barker, Clive Nancarrow, and Jason Vir in the research used two senior practitioners as the interviewee to offer in-depth information about the topic and how they felt McDonaldization can be of benefit to other sectors of life. The selection and the choice of the interviewee can be seen as a strategic move by the researchers as they choose those people they were aware or thought they had quality information and knowledge about the research topic; the approach assisted them get high quality data (Bernard, 2006). Other than the oral and face to face interviews, the researchers went a step higher and conducted online interviews â€Å"e-interviews with senior researchers in global markets, notably Europe and Asia (six respondents)†, again the e-interviews were conducted with experts and people who had management knowledge as they would offer insight information about the area of study. In research there are instances that there are many respondents who might have different information; some information may be conflicting, the most important thing to consider when choosing the respondents is their degree of integrity, knowledge, and the willingness they have to give genuine information. In the case of e-interviews Andy Barker, Clive Nancarrow, and Jason Vir ensured that they got information from management scholars and real mana gers on the ground, this assisted in coming up with rich data and information. Literature review Other than collection of data from primary sources the researchers undertook a wide literature review where they considered what other scholars who have writer on the same or similar topic had to say about the topic, when using literature review the researcher gets an in-depth knowledge of the topic thus he can offer concrete report. In the research report the use of literature review or secondary source of information is supported by the statement â€Å"Content analysis of briefs/case histories (the most recent five years of global projects the researchers could access)† (Andy, Nancarrow and Vir, 2005). When reviewing literature review the writers considered management material as wells articles written on specific issue of strategic management like accounting, marketing, sales and advertising. Materials were vetted for relevance and the researcher made sure they were current and handled the issue professionally. When reviewing literature, the writers of the materials to be used is of great importance; at every one instance the researchers should make sure they understand the qualifications and the experience that the writer of material has; in the event that the writer does not have rich knowledge and has not conducted a comprehensive study, then such materials should not be used. The concept of McDonaldization is familiar and is growing in relevance among management scholars; the system of operation of the international company is one that is triggering concerns to scholars. With this notion, some scholars are writing books discussing the management model; these are some of the materials that Andy Barker, Clive Nancarrow, and Jason Vir used to gather secondary data. The internet was another area that data was available about the research area, although some cites were used, the researcher ensured that they were sights with high rate of integrity and writt en by people who understood the topic fully. Cites whose writers could not be vetted or were unknown were avoided as they were not likely to offer in-depth information like the one required by the study. In McDonald website and annual reports, there are some management efficiency reports that are published, these are some of the materials that the researcher used to gather in-depth information on the topic; the main reason why the researcher had to use literature review is because it offered a rich knowledge and understanding of the research topic which is an important element when developing a research work. Despite the fact that a researcher has the question he would like to address, he should always ensure that he gets to understand what other people who have done similar research had said and suggested, with such moves he is able to come up with a report that does not duplicate what other people have said but actually one that adds value to the topic of research. Other methods t hat the researchers would have used To collect data, this research used a survey data collection method supported by wide literature review; survey method of data collection is another way that the researchers would have used to collect data. Survey is data collection methods were questionnaires and/or statistical surveys are conducted on places that will offer quality information about the topic at hand. The people that would have been surveyed include businesses that have similar models with McDonald and get their operation level. With such levels then the concept of McDonaldization would have been discussed into details further. When research is based on survey method of collecting data, the sampling methodology adopted is that survey sampling method; in specific, information was collected from three main categories as of domestic private and public companies, governmental institutions, and the second batch was composed of internationals and Non-governmental organizations. Anothe r method that Andy Barker, Clive Nancarrow, and Jason Vir would have considered is the use of case study; under this approach they would have surveyed and analyzed a company that has adopted McDonaldization to manage its international marketing then compare the same with a company that has other frameworks of management. When such an approach is adopted, it gives the researcher a chance to understand and see what is actually happening on the other side. Other than reviewing how McDonaldization can be adopted in international marketing the researcher has an opportunity to offer a report that can advance the system after learning what other companies are doing; this would have been attained if the researcher had used case study method of data collection. The time frame of the research is another area that would have been improved; the study involved business processes which change with time and space, the researchers would have put the same in mind and undertake a prolonged case study research on the topic (Coakes, 2007). Observation can be like a silent move where the researcher watches trend in business that have McDonaldization and those that do not; they may focus on something like customers flow. Conclusion Andy Barker, Clive Nancarrow, and Jason Vir in their report on how to implement McDonaldization to international qualitative marketing research used primary and secondary data collection method to gather in-depth information for their qualitative research. Primary data collection method used includes interview (both oral and electronic), focus groups, and discussion groups. When choosing the respondents in primary data collection method, the researchers ensured that they used people who understood the topic well such as scholars and other management personnel. Secondary data collection method aimed at gathering existing information on the research topic to assist the researchers offer high quality report. References Andy, B., Nancarrow, C., and Vir, J. , 2005. Ritzer’s McDonaldization and applied qualitative marketing research. Qualitative Market Research: An International Journal, 8(3), Pp. 296-311 Balnaves, M. and Caputi, P.,2002. Introduction To Quantitative Research Methods: An Investigative Approach. London: Sage. Bernard, H. R. ,2006. Research methods in anthropology: qualitative and quantitative approaches. G – Reference, Information and Interdisciplinary Subjects Series. Rowman Altamira. Burns, R.B.,2000. Introduction to Research Methods. London: Sage Coakes, 2007. SPSS version 14 for windows: Analysis without Anguish. New York: John Wiley and Sons Ltd Creswell, J., 1998. Qualitative inquiry and research design: Choosing among five traditions. Thousand Oaks, California: Sage Publications. Creswell, J., 2003. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Thousand Oaks, California: Sage Publications. Marble, P. ,2003. A system implementation study: management commitment to project man agement. Information Management, 41(1), pp. 111-123. O’Donnell, E. and David, J.,2000. How information systems influence user decisions: a research framework and literature review. International Journal of Accounting Information Systems, 1(3), PP. 178-203. Patton, Q. ,2002. Qualitative research evaluation methods (3rd edition). Thousand Oaks, California: Sage Publications Stefanou, J. ,1999. The complexity and the research area of AIS. Journal of Enterprise Information Management, 19,(1/2), PP.1-23. This essay on Marketing Research Design and Data collection methods was written and submitted by user Krish Sullivan to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Mobility in stroke rehabilitation Essays

Mobility in stroke rehabilitation Essays Mobility in stroke rehabilitation Essay Mobility in stroke rehabilitation Essay Mobility in stroke rehabilitation BY Itsas0101289 Mobility in Stroke Rehabilitation The purpose of this assignment is to identify the nursing role in the mobility rehabilitation of a patient who had a lacunar ischaemic stroke affecting the right corona radiata. The nursing care and the interdisciplinary management of the impairment will be critically evaluated as well as the patient progress during the stay in the hospital. The patient that will be discussed in this assignment was given the pseudonym of Martha. Martha is a 76 year old female who had a lacunar ischaemic stroke of the ight corona radiata. She has relevant past medical history of hypertension. on admission, Martha was presented with weakness on her left side in both her leg and arm with sensation preserved and no cognitive impairments. The corona radiata is a white matter that contains both descending and ascending axons that carry information from and to the brain cells that make up the cerebral cortex, an area of the brain that is responsible for the processing of conscious information and where the orders to initiate voluntary movements (walking, tapping your foot) first originate (Similima, 2011). These areas of the nervous system activate muscles all over the body to move. Therefore if the corona radiata is affected by a stroke, movement will be interrupted. The type of stroke that affects the corona radiata is called Pure motor stroke and is the most common type of lacunar strokes, accounting for more than 50% of all cases (Similima, 2011). Pure motor strokes cause partial or complete weakness in the face, arm and leg on one side of the body. It can occur in any of these areas, alone or in combination with either of the other two. Most commonly, pure motor strokes cause either a combination of arm and leg eakness, sparing the face (this is the case of Martha), or a combination of arm, leg and face weakness. By definition, there is no loss of sensation anywhere in the body, no visual or speech symptoms or higher cognitive impairment (Wityk and Llinas, 2007). The hemiplegia is one of the most common neurological impairments following stroke and it needs to be managed by every member of the medical team all patients have the benefit of the range of expert advice needed for high quality care (NHS, 2010). Multidisciplinary teams (MDT) need to bring together staff with the ecessary knowledge, skills and experience to ensure high quality diagnosis, treatment and care. The MDT meeting is about considering the patients individual case not Just about treating a stroke. To support this, an MDT should take account of the patients views, preferences and circumstances wherever possible when consulting on the care that is most appropriate for the patients condition. MDTs should be alerted if there are significant changes to their recommendations and the reason for this is so they have the opportunity to review and build upon each case The aim of the Multidisciplinary approach to a patient who suffers from a motor impairment is to maximise functional ability by providing time, space for activities, aids and equipment, preventing injury and promoting safety (Woodward and Mestecky, 2011). When caring for a patient it is of the utmost importance to ensure there is no further injury, therefore the communication within the team is crucial. Every member of the team should know what the patient is able to do and how they should be cared for to gain the best rehabilitation. Marthas case was approached this way and her status was discussed twice daily in the handover. Also during the day it is the nurses duty to speak the physiotherapist and get her recommendations. When possible, I found very helpful going with the physiotherapist and doing the daily exercises together enabling me to get a better understanding of Marthas condition and Martha seemed to like the added support. This also gave Martha more confidence around me when doing transfers as sometimes it can be very scary for a patient trying to mobilise when suffering from hemiplegia. Along this the Multidisciplinary meetings were done twice a week with the consultant, the hysiotherapist, the occupational therapist, the ward sister and myself or the nurse who was on duty looking after Martha. Correct positioning and early mobilisation of a patient following stroke is important in preventing potential complications arising from impaired movement which can develope changes in muscle tone such as spasticity. Around 19% of patients suffer spasticity following a stroke associated with pain and which interferes with rehabilitation interventions (Woodward and Mestecky, 2011). On admission the physiotherapist performed the Modified Ashworth Scale and Martha scored 1 which eans that there was slight increase in muscle tone. This was manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension (Bohannon and Smith, 1987) (Woodward and Mestecky, 2011). From the beginning Martha used to hate being in bed and after being assessed by the physiotherapist making sure she was safe to do so she used to spent most of the time sitting in the chair provided. She was educated to sit well back and in the centre of the chair placing the affected arm well forward n a pillow with the feet flat on floor and knees directly above the feet. She was very comfortable in that position and she always had the nursing bell close to her and used to call us if the pillow fell down or when similar issues arose. However, there were times that Martha was feeling tired and she had to spent longer periods resting. While in bed she usually prefer lying on her affected side so she could be more independent. She liked having two pillows for the head and the affected shoulder was moved well forward placing the good leg forward on a pillow and another pillow placed behind her back. Although her preference was lying on the affected side, after being educated of the complications of immobility she didnt have any problem to lie on the non affected side, especially during the night. The affected shoulder was placed forward with arm on pillow and the affected leg backward on a pillow. Plus an extra pillow was also placed behind her back. Another action taken postulated to be secondary to promotion of anti-gravity muscle activity in the trunk and lower limbs, maintenance or improvement in soft tissue and Joint flexibility, modulation of the neural component of spasticity through prolonged stretch and ltered sensory input, reduction of lower limb spasms and positive psychological effect (Stevenson VL, 2010). At the beginning this was Just carried out by the physiotherapist with the nurses help for safety reasons. Active movements were also performed to increase strength, re-educate movement patterns and improve cardiovascular fitness. Active movements should be encouraged because the effects are greater than those seen with passive exercise alone. These benefits have been seen in studies of people suffering from a stroke (Stevenson VL, 2010). Marthas rogress was incredible and when she left the hospital she was able to walk with a walking stick and the supervision of her daughter or with a zimmer frame and the Modified Ashworth Scale score was O. This was an achievement as when she came she wasnt able to mobilise at all. Another complication that can occur as a consequence of having a mobility reduction is the damage of the skin integrity therefore several tools were done to assess this risk. Within the first 6 hours of admission every patient needs to be assessed using the waterlow assessment and the MUST nutritional screening, also the skin needs to be inspected. Martha got a waterlow score of 17 on admission which placed her at high risk of developing a pressure sore, she was continent of faeces and urine and no pressure sore was found on admission. The taken actions according to NICE guidelines 2005 were to provide her an air mattress, to place her in a position chart ensuring that the prolonged pressure on bony prominences was minimised and ensuring the correct usage of manual handling devices in order to minimise shear and friction damage. Two sliding sheets were provided and the bony prominences were kept from direct contact from one another by using pillows in between them. At the beginning Martha found very difficult to get used to sleep on an air mattress because of the noise but the benefits of using it were explained and she agreed to use it. By talking to her I discovered that she loved listening to music when she was going to sleep and the following day when her family came to visit her, the difficulty of sleeping because of this device was discussed and they brought Marthas iPod with her favourite music which helped her to sleep peacefully through the night. Having a good night sleep is very important for any patient, specially for those who re having rehabilitation as they require a lot energy and strength. Additionally skin inspections were done regularly and Martha, as she wasnt mentally impaired was taught how to inspect her skin. She was shown what the high risk areas were (heels, sacrum, ischial tuberosities, elbows, temporal region of skull, shoulders, back of head and toes) and early signs of skin integrity deterioration (persistent erythema, non- blanching erythema, blisters, discolouration, localised heat, localised oedema and localised induration) (NDNQI, 2013). Regarding general hygiene, Martha required assistance due to her mobility impairment. Such care was provided regularly according to the RCN guidelines that recommends that skin cleansing should be done with mild detergents using warm water to minimise irritation and drying and particularly over bony prominences should be avoided (RCN, 2009). Martha was always very helpful and used to do as much as she could by herself, at the beginning she required more assistance but by the end of her time at the hospital we Just needed to supervise her when going to the shower and she used to do everything by herself. She usually liked to have her shower after the physiotherapist session and his preference was respected as much as possible. Also she didnt like to use the hospital clothes which according to her made her look less sick so the family brought her own clothes. The MUST score obtained was 1 on admission. Adequate nutrition is required by the body for maintaining tissue integrity and preventing tissue breakdown (NPUAP,2009) Due to this score Martha was put on food chart which helped us monitoring her food intake along with daily weight measurements and she was also referred to the dietician on the day of admission who put her on food supplements and which were discontinued when Martha started having a etter food intake. The family was made aware of the importance of having a good food intake and they brought Martha her favourite cakes and homemade food. At the beginning Martha needed assistance with feeding herself as she wasnt able to cut her food, opening leads etc. Assistance was given regularly and the kitchen staff was made aware about her requirements, therefore before serving her food they always used to come and talk to us first as it can be very frustrating not being able to feed yourself and have the food in front of you. Martha had a good progression during her tage in the hospital and she put on 3kg, her food intake was appropriate and she didnt develop any pressure ulcer. When the mobility of a patient is reduced the risk of VTE (Venous Thromboembolism) increases and therefore in a patient who suffers from hemiplegia after stroke should be assessed for this risk and preventive measurements should take place. According to The National Institute for Clinical Excellence (NICE, 2010), recommendations are that all patients should be assessed for risk of developing thrombosis (blood clots) on a regular basis. Martha was assessed on admission scoring 8 using the adapted tool rom Autar 2003 (Version 2PT 5/12) She was assessed again 24 hours after admission and when her mobility was better she was reassessed scoring 5. Because of the risk of developing a WE Martha was put on Enoxaparin and all the effects and risks were explained. Current NICE guidance suggests LMWH (Low Molecular Weight Heparin) prophylaxis for acute medical patients at WE risk unless there is a high bleeding risk (NHS, 2012). Stockings were not put on her because according to the Clots in Legs or Stockings after Stroke (CLOTS) trial 1 GECS (can even present a greater risk to patients f skin breaks, blisters, ulcers and skin necrosis (CLOTS Trial Collaboration, 2009). Early mobilisation is fundamental to prevent WE along with more risks and that is why this patient was mobilised as soon as possible with the physiotherapist support (NICE, 2010). A very weak arm due to its considerable hanging weight, is at risk of stretching the shoulder Joint structures and developing a partial dislocation or subluxation (Turner- Stokes and Jackson, 2002). Shoulder subluxation is considered a problem because it Many studies have suggested that trauma to the shoulder Joint can be prevented by roper positioning and handling. The shoulder should be protracted, the arm forward, the wrist in neutral or slight supination and the fingers extended. Another important aspect that needs to be considered is not to pull from limbs when doing transfers, especially from the affected one. Therefore Martha and family were educated not to do so. An arm sling was provided to her to support the affected arm. However,the sling was only used while doing transfer. When she was sitting on the chair a lap tray was provided positioning the arm away from the body, discouraging dduction and internal rotation and allowing bilateral upper limb activities (Turner and Jackson, 2002). Martha didnt develop a shoulder subluxation during her stage in the hospital. This was confirmed by an X-Ray that was taken to ensure there was no underlying problems. However she had pain on the shoulder and that is why this X- Ray was performed initially. Hemiplegic shoulder pain, or post stroke shoulder pain, occurs in at least 30 percent of patients although another estimate placed it at 70 percent . Post stroke shoulder pain can adversely affect both length of in patient ehabilitation and overall functional outcome (Woodward and Mestecky, 2011). Martha was on regular paracetamol but she wasnt put on NSAlDs from the beginning. When she started to feel this pain the consultant was informed who requested an X-Ray, the physiotherapist and the rest of the team were also made aware of the troubles. The consultant also put the patient on PRN Ibuprofen which was very effective in reducing the pain levels. I consider that the approach to this risk wasnt the most effective one as Martha suffered from shoulder pain and it can be an area to improve for future patients. However the communication within the team was very successful and the problem was solved in a short period of time. Another recommendation for the future supported by evidence based documentation could be the practice of passive movements which improve the spasticity (Lynch, et al. 005). After suffering a stroke the person can suffer an alteration on the body image understanding as such as the beliefs and feelings about how our bodies look and function. This is influenced by what we think we should look like, and how we think our bodies should perform. In Marthas case the main issue for her was the loss of unctionality of half of her body. Martha went from being able to perform all the activities of the daily life by h erself to require assistance for most of them. Successful adjustment and adaptation to this new situation depend on how well the acquirement of the new knowledge is and skills needed in order to get on with her life. (Woodward and Mestecky, 2011). The rehabilitation team role was crucial here because we needed to teach her new skills and this was achieved by good coordination and communication within the team. It was very important to proceed in the same way and reinforce the knowledge. As supportive measures a board was used to remind Martha the steps she had to follow and also it was very helpful for her family as they knew which was the appropriate way to help her mother. Also setting realistic goals was very positive for her as every day she had a new challenge to achieve and that kept her motivated. Motivation also plays a vital role in with the way in which a patient evaluates their chances of successful rehabilitation and that this is influenced by social or external factors (Woodward and Mestecky, 2011). Martha as already mentioned was always motivated to improve her skills and his had a very positive impact on her evolution. Also she had a very good support from her family who was always there to help her and a good support from the health team. After 5 weeks of rehabilitation Martha was discharged being able to perform the activities of the daily life by herself, walking with a walking stick and assistance from her daughter or with a zimmer frame. She went to a nursing home for a couple of weeks while they were adjusting her house for her (she lived with her daughter). After she was seen by the team (consultant, physiotherapist) as an outpatient and she also came to visit the team to the ward. Reference list Bader ,M and Littlejohns, L (2004) AANN Core Curriculum for Neuroscience nursing. th edition. Missouri. Saunders Bohannon, R. and Smith, M. (1987). Interrater reliability of a modified Ashworth scale of muscle spasticity. Physical Therapy 67(2): 206. Jun Hao Pan, Xin Yuan Song,; Sik Yum Lee, Timothy Kwok, (2008) Longitudinal Analysis of Quality of Life for Stroke Survivors Using Latent Curve Models. Stroke. Lynch, D; Ferraro, M; Krol, j; Trudell, C M; Christos, P and volpe, B T . (2005) Continuous passive motion improv es shoulder Joint integrity following stroke Clinical rehabilitation. Available at: http://cre. agepub. com/content/19/6/594. full. pdf *html (Accessed 9 March 2013) National Institute of Clinical Excellence (2010) Venous thromboembolism reducing the risk: full guideline. Available at: http:// www. nice. org. uk/nicemedia/live/12695/47200/47200. pdf (Accessed 8 March 2013) National Institute of Clinical Excellence (2001) Clinical practise guidelines, Pressure ulcer risk assessment and prevention, recommendations 2001. Available at: http:// www. nice. org. uk/nicemedia/pdf/clinicalguidelinepressuresoreguidancercn. pdf. Accessed: 6 March 2013) National Pressure Ulcer Advisory Panel (NPUAP) (2009) The Role of Nutrition in Pressure Ulcer Prevention and Treatment. Available at: http:// www. npuap. org/wp-content/uploads/2012/03/Nutrition-White-Paper-Website- Version. pdf (Accessed: 25 March 2013) NDNQI (2013) Pressure ulcers training. Available at: https://www. nursingquality. org/NDNQlPressureUlcerTraining/Module1/ Default. aspx (Accessed: 25 March 2013) NHS (2010) CLOTS trial 2: Thigh length versus below knee stockings for DW prophylaxis post stroke. Available at: http:// www. nelm. nhs. /en/NeLM-Area/News/2010September/21 /CLOTS-trial-2-Thigh- length-versus-below-knee-stockings-for-DVT-prophylaxis-post-stroke/ (Accessed: 6 April 2013) NHS (2010) The Characteristics of an Effective Multidisciplinary Team (MDT). Available at: http://ncat. nhs. uk/sites/default/files/ evidence. Available at: evidence. nhs. uk/documents/]-nhs-evidence-comms-publications-eyes-on- evidence-eyes-on-evidence-sleep-apnoea-t hromboprophylaxis-contraception-stroke- diabetes-and-more. pdf (Accessed: 6 April 2013) Royal College of Nursing (2009) RCN Masterclass (2009): Continence, Pressure Ulcers and Nursing Metrics. Available at: rcn. org. uk/_data/assets/pdf_file/0004/280777/Dettorri_M_Collier_ppt. pdf. (Accessed: 25 March 2013) Royal College of Nursing (2013) Preventing VTE. Available at rcn. org. uk/ development/practice/cpd_online_learning/ nice_care_preventing_venousthromboembolism/preventing_vte (Accessed 7 March 2013) Stevenson VL. (2010) Rehabilitation in practice: Spasticity management, Clin Rehabil 2010 24: 293. Available at http://cre. sagepub. com/content/24/4/293. full. pdf *html (Accessed: 7 March 2013) Similima (2011) Corona radiata. Available at: http:// www. similima. m/physiology-biochemistry (Accessed : 6 March 2013) Thompson H and Ryan A (2008) A review of the psychosocial consequences of stroke and their impact on spousal relationships. British Journal of Neuroscience Nursing Vol 4 No 4 pp 177- 184 Turner-Stokes L, Jackson D. Shoulder Pain After Stroke: A Review of the Evidence Base to Inform the Development of an Integrated Care Pathway. Clinical Rehabilitation, 2002: 16: 276-298. Wityk, R and Litnas, R. (2007) stroke. Philadelphia : American College of Physicians Woodward, S. and Mestecky, AM. (2011) Neuroscience Nursing Evidence-Based Practice. Chichester:Blackwell Publishing Ltd.

OUTLINE ON ARAB AMERICANS AND JEWISH AMERICANS Assignment

OUTLINE ON ARAB AMERICANS AND JEWISH AMERICANS - Assignment Example migrating to the United States during the 19th century because of two major reasons that I have identified (Caught in the Crossfire: Arab Americans | PBS, n.d.). First of all, like all the other ethnic groups that went to the United States, Arab Americans came seeking for better opportunities. This was caused because of the wars and economic hardships in some Arab countries specifically two major crippling blows: the opening of the Suez Canal that slanted world traffic from Syria to Egypt that made other competitors in the silk industry have easy access in competing with the Lebanese silk industry; and when the Lebanese vineyards were invaded by phylloxera. iii.Another reason for Arab American’s emigration would be personal advancement. This is especially because they were experiencing religious persecutions, and the lack of political and civil freedom because of the oppressive Ottoman regime (NITLE Arab World Project, n.d.). ii. To be able to escape persecution. They first arrived in New Amsterdam, a Dutch-owned colony then without any Jewish community. At first, they were refused admission because they were seen to be the blasphemers of Christ until they were able to prove that they are loyal and economically productive residents that they were welcomed to live and work in New Amsterdam (The Jewish Americans. Jewish Life in America | PBS. n.d.). For Arab Americans, they established the American- Arab Anti-Discrimination Committee which is responsible for defending rights of people of Arab descent and promote their cultural heritage even when they are in a foreign country (About Us - American-Arab Anti-Discrimination Committee. n.d.). Aside from that, the Arab American Institute, which is a non-profit organization, was created to encourage the direct participation of Arab Americans in political and civic life in the United States (About the Institute | The Arab American Institute. n.d.). For the Jewish Americans, the â€Å"Jewish American Heritage Month† now

The importance of Ethics to Sustainable Growth in Engineering Essay

The importance of Ethics to Sustainable Growth in Engineering Enterprise - Essay Example In the instances where security measures are inadequate, the consequences are usually catastrophic. Although the threats are becoming more sophisticated, some organizations have managed to mitigate the impact by regularly reviewing their security capabilities and capacities so as to identify areas of vulnerability. In coming up with the cyber security measures to protect the information and the IT resources, organizations and individuals are required to understand the risks they face so that the right interventions can be put in place. This has therefore necessitated research on various malware programs like Trojan horse, spyware and worms from a scientific perspective. Empirical studies have also been carried out to help identify the relevant strategies that can be used to alleviate and eventually eradicate the threats originating from the cyber space. Based on the previous research, it had been anticipated that the future attacks and threats would be characterized by a combination malware with strong cartography. In the last couple of years, there has been the emergence of a new form of malware in the cyber spaces and it has put organizations at increased risk of suffering attacks. Ransomware has emerged to be a source of threat both to individuals and organizations. It has drawn the attenti on of almost all the IT system security specialists, practitioners and researchers. Empirical and evidence based studies continue to be carried to help understand the new emergent threats to allow organizations be prepared to mitigate its impacts. Teer, Kruck & Kruck (2007) notes that ransomware perpetrators are able to victimize the internet users and organizations by hijacking the files stored, encrypting them before demanding payment in exchange for the decryption key. The threat functions by exploring the system vulnerabilities and seizing control over the victim’s file and computer systems until the demanded payment is made. In the last two years alone, several

A Swimming Adventure Essay Example for Free

A Swimming Adventure Essay Awaking early, I decided to sit on the screened porch and watch the Florida sun come up. Within a very short time as I sat there, the sun peaked on the horizon as it gradually awakened from its night of slumber. The dew sparkled like diamonds as the suns rays tenderly caressed the grass. Off in the distance, I could hear the world spring to life as the birds began to sing a spectacular melody, growing louder and louder as each bird began to chirp in unison, like a choir singing in church on Sunday morning. A new day had dawned and I remember thinking how magnificent the birds song was and what a wonderful day it was going to be. Returning to my duties as a mom, I started making breakfast for my children, who would wake shortly wanting to eat. Within a few minutes, the wonderful aroma of the pancakes and bacon cooking on the stove gave way to the sound of pitter-pattering little feet as they hit the floor. My children Michael, Laura and Misty were awake and joined me in the kitchen. I seated the children; gave them their breakfast and told them that it was going to be a very hot day and if they ate all of their breakfast and cleaned up the toys, I would take them to the beach to go swimming. The children, bustling with excitement over the news, hurriedly ate their breakfast and started cleaning up their toys while I cleaned the kitchen. Around noon, the temperature was a blistering 95 degrees as we packed a cooler with sandwiches and drinks. We loaded the trunk with our chairs and headed off to the beach. On the way, we saw a black and white cat racing across the street chasing a gray mouse. We played a game called I Spy and sang songs to pass the time. Growing closer to the beach Michael spied a snake lying in the road, and asked, Why is the snake lying in the middle of the road mommy? The snake  was dead and not wanting to upset him, I replied, The snake is basking in the sun so it can get warm. It was not long before we had reached our destination. Anticipation filled the air as we found the perfect spot and unloaded the car. The children helped set up the chairs and then headed off to swim. Deciding to relax a few minutes, I took in the peaceful views that lay before me. The beach was covered with white sand and on each side of the swimming area were large boulders and rocks that had been piled up. There were several covered tables and a bathroom area. Many people were playing in the water while others were lying on their towels and blankets on the sandy beach. A volleyball game was taking place a few yards away and I remember thinking how hot it was as the glaring sun beat down on everyone. Watching the children playing in the surf, the waves from the shore looked fun and almost childlike as they crested and then crashed over one another. I could taste the salt in the air and watched little rainbows glisten through the prisms of the oceans spray. The warm ocean water toward the shore was covered with foam and bubbles from the rumbling waves as my children and other families played in the gritty sand of the Gulf. I watched the seagulls swoop  down as a child threw small pieces of bread up in the air. The sea gulls were white and gray and had a long orange beak. I remember thinking to myself, This is going to be a perfect day. The children are playing and laughing in the ocean and call out Come on mom, come and play. I start towards the water trying not to step on any of the tiny hermit crabs as they emerge from their sandy homes in search of scraps. I reached the water; no crabs injured and plunged head first into a two-foot wave coming to shore, hah! How refreshing. My children and I are swimming and playing together in the cool refreshing water. I lift them one by one tossing them slightly in the air and letting  go, I hear them shriek with delight as they plummet towards the water with a splash! This exciting activity is repeated several times until my arms give out and I am forced to take a break, much to the dismay of my children who are having a wonderful time. I stand there in about three feet of water when my children come up with another exciting game; they start swimming through my legs playing mommy is a bridge. I remember thinking boy! I wish I had their energy. After resting a few minutes I picked them up, placed them one at a time on my back and began to swim; we slowly swam under the blue water and up again and I could hear them giggle with excitement and say Do it again mommy, do it again. A short time later a commotion broke out interrupting our games, I struggled to hear what everyone was shouting about and saw people running to the waters edge and pointing about fifty feet from where the children and I were playing. Looking in the direction they were pointing, a  man with his daughter in tow yells, SHARK! without hesitation, I yelled to my son, Michael, get out of the water! I grabbed Laura and Misty and headed to shore. My adrenalin pumping we reached the shore incredibly fast, like a bolt of lightning streaking across the night sky. Only when we were safely on shore did we look back to see three fins just skimming the surface of the water. I stood there stunned and shocked watching the fins, wondering what kinds of sharks they were and very grateful that everyone was in one piece. A few minutes later, the fins disappeared beneath the surface and everyone was treated to a wondrous sight, there off in the distance, were three dolphins jumping high into the air and making a big splash as they entered the water. The dolphins took turns jumping and playing; sometimes they would jump in unison, as if dancers in a chorus line. As fast as they had appeared, the dolphins slipped beneath the waves and headed out to sea. I wondered if the dolphins laughed to themselves; thinking about how they had scared the two-legged creatures from the water  or if they were just as curious about us as we were of them. With the all clear, we headed back into the water and continued swimming and playing games. A short time later, the children became hungry so we decided to get something to eat and drink. The ham and cheese sandwich tasted good and the Pepsi was refreshing. As we ate, the children began to get goose bumps so I covered their shoulders with a blanket. Hours later, the sun setting, we gathered our belongings, packed up the car and ventured home. The children tired from a full day of fun and games fell asleep quickly. Not wanting to wake the children, I turned off the radio and listened to the hum of the motor as we made our way home. Later as I lay in bed I replayed the days events in my mind, from the stunning sunrise, the splendor of the birds as they sang, the laughter of they children as the played, the show of the dolphins, the beauty of the beach and the setting sun, I thanked God for all the wonderful gifts he had given me. THE END Graded and Corrected A+ paper The teacher wanted us to write an essay about something that happned in our lives. I scored a 94% on this essay due to poor punctuation, which has since been fixed.

marco polo Essay -- essays research papers fc

Marco Polo   Ã‚  Ã‚  Ã‚  Ã‚  Marco Polo was born in c.1254 in Venice. He was a Venetian explorer and merchant whose account of his travels in Asia was the primary source for the European image of the Far East until the late 19th century. Marco’s father, Niccolo, and his uncle Maffeo had traveled to China in 1260 - 1269 as merchants. Despite Marco’s enduring fame very little was known about the personal life of Marco Polo. It is known that he was born into a leading Venetian family of merchants. He also lived during a propitious time in world history, when the height of Venice’s as a city-state coincided with the greatest extent of Mongol conquest of Asia. (http://darter.ocps.k12.fl.us/classroom/who/darter1/polo.htm )   Ã‚  Ã‚  Ã‚  Ã‚   Ruled by Kublai Khan, the Mongol hordes also threatened other parts of Europe, particularly Poland and Hungary, inspiring fears everywhere by their bloodthirsty advances. Yet the ruthless methods brought a measure of stability to the lands they controlled, opening up trade routes such as the famous Silk Road. Eventually, the Mongols discovered that it was more profitable to collect tribute from people that to kill them outright. Knowing this a number of European traders ventured, including the family of Marco Polo. (Marco Polo and the Medieval Explorers)   Ã‚  Ã‚  Ã‚  Ã‚  In 1269, Niccolo and Maffeo Polo arrived back in Venice, where Niccolo found out his wife had died while he was gone. Their son Marco was only about fifteen years old. Marco was raised primarily by his mother and the streets of Venice. These experiences had a big influence on young Marco.   Ã‚  Ã‚  Ã‚  Ã‚  In 1268, Pope Clement IV died, and there was about a three-year delay while another pope was being elected. This gave Marco time to mature and absorb the tales of his father and uncle. Marco was seventeen years old when he, his father and uncle set out for the court of Kublai Khan. They were also accompanied by two Dominican friars, and the good friars turned back at the first sign of adversity, another local war in Levant. Marco was the only new person in the Polo’s party, but he was a representative of the spirit of European civilization on the eve of the Renaissance. (The Travels of Marco Polo)   Ã‚  Ã‚  Ã‚  Ã‚  On the way to Khan’s court, Marco had the opportunity to complete his education. T... ...cognize them, then they were astounded, and then were disgusted by their shabby appearance. The disgust changed to delight when the Polo’s invited everyone to a homecoming banquet, ripped apart their old clothes, and let all the hidden jewels clatter to the table.   Ã‚  Ã‚  Ã‚  Ã‚  Marco was not yet ready to settle down. He became involved in naval warfare between Venetians and their trading rivals the Genoese. In 1298 Marco was captured and put in prison in Genoa. In prison Marco met a man named Rustichello from Persia, who was a writer. To pass the time Marco dictated his observations about Asia to Rustichello. After his prison experience, which lasted about a year, Marco was content to lead a quiet life in Venice with the rest of his family. He married Donata Badoer, a member of the Venetian aristocracy. Marco died in 1324 at the age of seventy. He left most of his wealth to his three daughters.. (http://darter.ocps.k12.fl.us/classroom/who/darter1/polo.htm ) Bibliography 1. http://darter.ocps.k12.fl.us/classroom/who/darter1/polo.htm 2. The Travels of Marco Polo, Mary Hull 3. Marco Polo in China, Li Man Kin 4. Marco Polo and the Medieval Explorers, Rebecca Stefoff

Symbols in Ethan Frome

Sex, lies and deceit. These three things are what this novel is about. But it is so much more than that. In the book Ethan Frome, written by Edith Wharton, the author uses symbolism to represent many things such as death. Symbols such as Zeena’s red pickle dish, the cold season of winter, and the dead cucumber vine all represent important parts that make up this novel. Zeena’s red pickle dish is a dish Zeena treasures most. She received the pickle dish as a wedding present and only uses the dish on special occasions. Mattie uses the pickle dish the night her and Ethan are alone, while Zeena is out of town. The cat accidently breaks the dish during the dinner. â€Å"†¦And gathering up the bits of broken glass she went out of the room as if she carried a dead body† (Wharton 66). At this point, Zeena was really mad when she found out herself that the dish was broken and no one told her. This gave her another reason to hate Ethan and Mattie even more. The dish breaking symbolizes the marriage between Ethan and Zeena was now broken. Ethan Frome takes place in Starkfield, Massachusetts during the cold winter months. Winter controls over the tragedy in all its signs of snow, wind, cold and darkness. Winter is the worst season for Ethan. In the beginning, Harmon Gow had said, â€Å"Guess he’s been in Starkfield too many winters. Most of the smart ones get away† (Wharton 2). Ethan studied science and technology after high school, but after his father died and his mother became sick, he was forced to come back to his hometown of Starkfield. Responsibility for his mother and poverty has prevented him from leaving. Sadly, Ethan’s mother died in the winter. After his mother’s death, Ethan married Zeena because he was so lonely all the time. Winter is symbolizes isolation and loneliness. Last but not least, the dead cucumber vine. â€Å"A dead cucumber vine dangled from the porch like the crape streamer tied to the door for a death, and the thought flashed through Ethan’s brain: â€Å"If it was there for Zeena-† (Wharton 26). Ethan wished Zeena was dead. If Zeena was not alive, Ethan could be with Mattie and they both would be happy together. They wouldn’t have to hide their love for each other. The dead cucumber vine symbolizes death and also symbolizes dying souls that live in the Frome’s house. In this case is Zeena, who is the slowly dying soul living in the house because of her illness. Zeena’s red pickle dish, winter, and the dead cucumber vine are all important symbols in this novel. Understanding these symbols make this novel more interesting now that one knows what some objects symbolizes. Such as Zeena’s pickle dish, the broken dish is a symbol for the shattering of Ethan and Zeena’s marriage. The winter represents loneliness. The dead cucumber represents death. These three things best represent the story of Ethan Frome.

The Affordable Care Act ( Aca ) - 964 Words

Forecasting is an important tool to help healthcare managers prepare for the challenges associated with rising health care costs. As the healthcare landscape continues to change, managers look at the past and present to predict the future. The U.S. government is major provider of health insurance for the elderly and disable persons. The government’s portion for covering healthcare costs has risen steadily, from 43% in 1980 and 38% in 1970 (Miller Washington, 2006 p. 40). Medicare is the single largest source of payment for beneficiary health care costs; it covers about half of the cost of health care (Healthcare Financing Administration, 2006). The Affordable Care Act (ACA), which also provides medical coverage to low income persons, must also be factored into the cause and effect analysis. As a result of the changing landscape of health insurance, healthcare managers rely of analytical forecasting to predict future healthcare costs, examine cause and effect relationships an d prepare their organization to provide quality affordable care to their patients. Forecasting is an attempt to predict the future with as little error as possible. There are three levels of reasoning that must be considered (1) Data and information about the past; (2) Known relationships among the variables; (3) Forecasting should be approached systematically and thoughtfully (Lewis, McGrath Seidel, 2011, p. 83). Epidemiology produces rates that can be incorporated into various types ofShow MoreRelatedThe Affordable Care Act ( Aca )956 Words   |  4 PagesAbsract++++++++++++++++++++++++++= The Affordable Care Act (ACA) (also known as â€Å"Obamacare†) is an historic piece of legislation that has had massive effect on healthcare in the United States. Its systemic effects on healthcare in this country are numberous, from insurance to ambulatory care, from healthcare related taxes to healthcare resources, and beyond. That said, the following research paper attempts to summarize how this massive piece of legislation has effected healthcare in the UnitedRead MoreThe Affordable Care Act ( Aca )784 Words   |  4 PagesThe Affordable Care Act (ACA) has been a primary debate topic since it was enacted in 2010. The conservatives completely disagree with the Affordable Care Act and believe that â€Å"Democrats used it as an assertion of power than they used it to improve health care conditions† (â€Å"Republican Views on Health Care†, 2014). They believe that the act was a waste of taxpayer’s dollars and would inevitably ruin our health care syste m. In contrast, the liberals supported the ACA and â€Å"pride themselves on the factRead MoreThe Affordable Care Act ( Aca )1668 Words   |  7 PagesOn March 23,2010 the Affordable Care Act (ACA), also known as Obamacare, was signed into law. This act aims to provide affordable health care coverage for all United States citizens. â€Å"The Affordable Care Act affirms the core principle that everybody should have some basic security when it comes to their health care.† (President Obama) It will provide insurance to more than thirty million people who have been previously uninsured, and will be achieved by expanding Medicaid and extending federal subsidiesRead MoreThe Affordable Care Act ( Aca ) Essay1428 Words   |  6 PagesThe Affordable Care Act (ACA), also known as ObamaCare, is a United States law that was signed by President Barack Obama on March 23, 2010 and upheld by the Supreme Court on June 28, 2012. This Act was set to reform both healthcare and health insuranc e industries in the United States. It aims to lower cost on coverage, add new benefits, and a few new taxes. Increasing the quality, availability, and affordability of private and public health insurance are very important roles of the ACA. While tryingRead MoreThe Affordable Care Act ( Aca )1349 Words   |  6 PagesIn 2010 the Affordable Care Act (ACA), also known as Obamacare, was signed into act to help reform healthcare in the United States. Before and after the act was effective, many people were concerned with how it would affect our country as a whole and on an individual basis. Many people say that the ACA is helping our country and others are not so sure. The goal of the act is to give millions of uninsured Americans access to quality health care and by also making it more affordable. Although thereRead MoreThe Affordable Care Act ( Aca )1279 Words   |  6 PagesThe Affordable Care Act (ACA) is a health reform law that was signed by President Barrack Obama on March 23, 2010. The full name of the law is the Patient Protection and Affordable Care Act (PPACA). One week later the President also signed a law called the Health Care Education and Reconciliation Act (HCERA), which was a supplement that made several changes the PPACA. What the country currently refers to as the ACA or Obamacare is both of these laws combined. (McDonough, 2012) Many AmericansRead MoreThe Affordable Care Act (ACA)1156 Words   |  5 PagesThe Affordable Care Act (ACA) will cause a large influx of patients into the health care system. For a variety of reasons, this will change how the front-line health care personnel provide care. Nurses will expand his or her scope and territory of care. Front line providers will change to include more advanced practice nurses because of the national shortage of primary care providers (Department Of Health And Human Services, 2014). No longer will they just practice in brick and mortar hospitalsRead MoreThe Affordable Care Act ( Aca ) Essay1089 Words   |  5 PagesSince the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about he alth insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate droppedRead MoreAffordable Care Act ( Aca )1576 Words   |  7 PagesAffordable Care Act (ACA), often known as Obamacare, was signed by President Obama in 2010. The goal of the Act is to increase the number of individuals with health insurance to the point where all Americans are insured by providing quality healthcare at an affordable price. Despite its good intent, the ACA is not as perfect as it may appear. In this paper, I will list the main features of the Act, its pros and cons, and how it affects you as an individual and discuss the King vs. Burwell lawsuitRead MoreThe Affordable Care Act ( Aca )890 Words   |  4 PagesOn March 23, 2010, the Affordable Care Act which is an Obamacare, is the United States federal statute signed into law by President Barack Obama. The Affordable Care Act (ACA) experienced many challenges, debates, and objections until the Supreme Court rendered a final decision on individual mandate healthcare insurance to uphold the health care law on June 28, 2012. The mandate healthcare insurance for workers by employers’ obligation through a regulated marketplace of health maintenance organizations