Ms. Esposito Cardiac Case Study Example | Topics and Well Written Essays - 250 words

Ms. Esposito Cardiac - Case Study Example The evaluation of the cardiovascular hazard includes having enough data about the historical backdrop of the family, weight, circulatory strain and corpulence. Removing the ibuprofen and the activity she does by working in carrier helps enormously in lessening the cholesterol and the way that she doesn't smoke results to the typical lab discoveries. The little additional measure of her activity likewise causes her body to work productively to being likewise a reason for the ordinary outcomes. The unusual outcomes such height of lipids and the weight results because of different reasons. First is a direct result of her utilization of soaked fats which have been gathered in her body driving weight issues and the lipid rise. The wine utilization has likewise encouraged the outcomes for equivalent to well as her experience since both of her folks is confronting the cardiovascular infections which brought about her father’s passing. These variations from the norm are a danger to her life subsequently she needs to take the vital measures to limit and in the end control them totally. Documentation of her cardiovascular appraisal is that despite the fact that there is progress, she needs to stay away from the immersed fats and rather devour vegetables or cheddar that will give the vital oils and assist her with decreasing the quantity of calories. The liquor utilization additionally needs to maintain a strategic distance from and more exercise to diminish the lipids height. This will be of incredible assistance in bettering her wellbeing.

Passages in IF I Stay by Gayle Forman

In some cases you settle on decisions throughout everyday life and now and then decisions make you. † At 2:48 A. M. (Page 67) I accept life is about the little choices we make each day. There is a decision you need to make in all that you do. So we should remember that, the decision we make, makes us. Since all things considered, everything Just a matter of decision. â€Å"†¦ Dying is simple. Living is difficult. † At 10:40 P. M. (Page 62) Living is difficult. Living without reason and without somebody who adores you is even harder.And life has a great deal of ups and down. The world is a perilous and frightening spot. It takes gut to confront the world. It takes a great deal of boldness to represent the world. Perhaps it's excessively piercing yet it relies upon one's perspective. Kicking the bucket is an actual existence possibility or a decision. It's anything but difficult to choose whether you need to kick the bucket or not. Subsequently I accept this announcem ent is valid. â€Å"Life may bring you down various streets. In any case, every one of you gets the chance to choose which one to take. † At 4:57 A. M. Page 73) This section is additionally about settling on a decision. There are a wide range of streets we will experience, however at long last, it relies upon our own choice. Life is the best excursion you will be on, so the choices we make can influence our lifestyle. The choices we make in life can make our life. â€Å"People accept what they need to accept. † 4:49 P. M. (Page 29) People accept what they need to accept more often than not. They accept things with no explanation however they accept in many cases without great reason.Lots of individuals have purposes behind what they accept, yet when those reasons are refuted they till remain on their perspective. â€Å"Fake it till you make it. † 5:40 P. M. (Page 35) If you don't feel sure, imagine you are until you gain the experience that is in support of genu ine. Act like you are something so you can, actually, become that thing. In spite of the fact that it may appear power in the first place, soon it will get normal. The psyche can be deceived, and you can adjust your life in that little stunt. You will realize what you have to and transform imagine certainty into the genuine article.

How to Make Cold Calls When You Are Anxious

How to Make Cold Calls When You Are Anxious Social Anxiety Disorder Coping Print How to Make Cold Calls When You Are Anxious By Arlin Cuncic Arlin Cuncic, MA, is the author of Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder and 7 Weeks to Reduce Anxiety. Learn about our editorial policy Arlin Cuncic Updated on July 16, 2019 Social Anxiety Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Getty / Cultura RM / Daniel Allen How do you make cold calls when you are socially anxious? Cold calling anxiety is the fear experienced by salespeople before and during calls to clients with whom they have never spoken. Research shows that 40 percent of salespeople will experience intense anxiety about making cold calls at some point in their careers. How to Make Cold Calls For those with social anxiety disorder (SAD), many aspects of being a salesperson can have the potential to trigger anxietyâ€"and cold calling may be one of the most difficult. The combination of negative self-evaluations with potential negative reactions from clients can cause anxiety. Below are some tips to help you cope with this aspect of sales. Have an Outline Although you may be tempted to read directly from a script, it is better to have a general outline to which you can refer. Reading from a script detaches you from the content of what you are saying and allows your mind to wander. The person on the other end can also usually tell if you are reading from a script, and you may come across as less genuine. Do Your Research   Before you pick up the phone, make sure that you know the name of the person and company that you are calling, and how to pronounce both. Study the needs of the potential customer and how you can meet them. Be clear in your own mind what your goal is before you call. This will allow you to guide the conversation more easily. Be Positive If you are anxious about phone calls in general, try acting as though you arent afraid. Sit straight as you talk, put a smile on your face, and speak as confidently as you can. As long as you have put in the time to properly prepare, there isnt any reason why you cant fake it til you make it. Eventually, your confidence will grow with experience. How Self-Esteem Affects Social Anxiety Disorder Practice Practice what you are going to say, record yourself speaking, listen to the recording, and then make changes based on what you hear. If you dont think you are objective enough, ask someone whom you trust to give you feedback. Doing this exercise will help you to identify aspects of your communication style that may need tweaking, such as how fast you speak or the volume of your voice. 9 Tips to Use Your Best Voice When You Have Social Anxiety Take Notes As much as possible, take notes during your conversation. This will help you to avoid slipping into negative thought patterns and to  focus on what the other person is saying. It will also give you a written record of what was said that you can refer to in future conversations. Research on Cold Calls In a study conducted by the Keller Center at Baylor University, 50 real estate agents from across the United States made 6,264 cold calls. Of those calls, 72 percent were not answered or were wrong numbers. Of the 28 percent of the calls that were answered, on average only 1 out of 59 people agreed to set up an appointment with an agent. Finally, the best time to make phone calls was between 10 am and 2 pm.What do these findings mean for you?Two out of three calls are likely to go unanswered, so think of those dead calls  as chances to catch your breath in between talking to potential clients or customers.If you get a lot of nos in a row, remember that this  is normal and to be expected. You will need to make a large volume of calls to find an interested customerâ€"that is the nature of cold calling and not a reflection on your sales ability. For some inspiration, watch the movie The Pursuit of Happyness with Will Smith and see how much effort he puts into his cold calling.If you hav e a choice of timing, call sometime between mid-morning and mid-afternoon. While it isnt clear why this is the best time to make phone calls, its likely that you are not catching people during their morning catch-up or afternoon crunch. Alternatives to Cold Calls If cold calls just dont seem to be working for you, see if there is a better approach that you can suggest to your supervisor. Many organizations are moving away from cold calls because they are less effective than following up with existing customers and interested leads. 10 Best Jobs for People With Social Anxiety Disorder A Word From Verywell Finally, if your social anxiety is severe to the point that it is hampering your performance at work, and you havent already been assessed for social anxiety disorder, it may be time to seek professional advice. SAD is a treatable condition, and fears of tasks such as making phone calls can be overcome through treatment such as cognitive-behavioral therapy (CBT).

Medias Influence on Drugs - 581 Words

Media plays a large role in the lives of Americans today especially the adolescent population. According to Marcella Nunez-Smith the average teenager spends 45 hours per week around some type of media.(Nunez-Smith et al, 2010) This amount of time is more than a child spends in school and quite often more than the child spends with their family. With that said, the media is likely to be the most influential part of a childs development. Each decision a person makes it based off of the knowledge he or she has about the subject. How drug use is introduced early in a childs life is likely to influence how an individual views drugs as a whole. The media plays a large role in societies opinion of drugs as well as how they view drug use. There are many studies connecting media exposure to drug use in adolescents. Media can be defined as television shows, movies, books, music, and even billboards on the side of the road. Nunez-Smith et al. conducted research reviewing 42 studies which loo ked into drug use in adolescents. It was found that media often causes children to be at a high risk to try smoking, drinking, and illicit drugs. Some of the studies explained that some shows can portray an imagine of drinking or doing drugs to be associated with the in crowd. The individuals who are considered to be cool and popular in a school setting also are the ones being invited to all the parties and getting involved with different drugs. This imagine sends the message that it isShow MoreRelatedPositive Adult Role Models1038 Words   |  4 Pagesliving in a world where teens are doing drugs, pressuring their peers, and trying to be just like the models in magazines. Unfortunately, that’s the world we live in today. What do these teens need? They need positive adult role models. It is important for a teen to be influenced by positive adult role models while growing up; because if they don’t have positive adult role models, teens can be influenced by negative me dia, negative peer pressure, and teen drug use. The first reason why teens needRead MoreSkipping to Adulthood: Teenagers Today Essay779 Words   |  4 Pagesthat â€Å"teenagers have lost their privileged position†¦Ã¢â‚¬  and that unlike generations of teenagers before, this generation has had to rush into an adult world. These young adults deal with excessive, everyday stress, the corrupted media’s influence, and greater access to drugs and alcohol in school, which are all forcing these teenagers to grow up faster and live in an adult world. Everyday, teenagers have to struggle with balancing school, homework, extracurricular activities, and many other thingsRead MoreMedia Portrayal Of The Criminal Justice System945 Words   |  4 Pagescrime and justice and in doing this, it presents an often dramatized representation of the criminal justice system; and this does not just influence on the public’s lay view of crime but also for criminal justice experts (Marsh, 2014). In the media it is commonly known that they are a business, and businesses need to make a profit. Because of this, the media’s portrayal of the criminal justice system has been very negative. With the news, their main purpose is to produce what sells. So many ofRead More Enjoyment of Being a Girl: Overcoming Industry Standards Essay1489 Words   |  6 Pagesa clinical social worker (WVU). The media is such a huge influence in people’s lives sometimes they don’t realize it. As women are walking down the street, the media ca n influence them. As people are riding in the car, the media can influence them. And even as people are sitting in the comfort of their own home, the media can influence them. The media is everywhere influencing our lives; from television to magazines to the Internet (Media’s Negative). As a woman grows older she often finds it difficultRead MoreBrain Storm : The New War On Poverty1269 Words   |  6 PagesBrain Storm: The New War on Poverty How the media portrays those living in poverty initiated many new chapters in scholarly research. Very few, however, address the media’s depiction of the poor during times of disaster (natural or manmade). The issue of poverty is mostly understood through the frames in which the media presents it. As the media continues to use episodic frames (individual causes) over thematic frames that seek to address poverty in its entirety (Iyengar, 1990), the frames deliverRead MoreThe Effects Of Drug Abuse On The United States1717 Words   |  7 Pagesdemonstrate the absurdity of the drug abuse problems in the United States, it should be brought to light that the 2014 National Survey on Drug Use Health estimated that â€Å"27 million people aged 12 or older have used an illicit drug in the past 30 days† (Hedden, Kennet, Lipari, Medley, Tice, 2015). As gun violence has become a popular topic in America over the past few years due to its’ related deaths, many Americans ’ fail to realize that more people are dying from drug overdose than by weapon. In today’sRead MoreThe Mainstream Media s Coverage Of The Drug War1705 Words   |  7 Pages　　The mainstream media’s coverage of the drug war fits the propoganda model relatively well. There are a few instances where the media does stray from a strict view of the propoganda model, but they are well within the spirit of the model and fall within the model’s application in modern times. This paper will examine the mainstream media’s coverage of the drug war, particularly that of the 43 missing students and the Gary Webb controversy, and compare it to the five filters the propoganda modelRead MoreThe Media And Its Impact On Society1035 Words   |  5 Pagesconsidered seriously, as there is legitimate cause to believe them to be true and/or concern a public figure. These alleged sexual assaults span the life of Cosby’s career, and all have similaritie s: the women claim Cosby subdued them, either through drugs or alcohol, following the assaults. Sexual assaults from decades will be difficult to prove beyond a reasonable doubt, as there is limited hard evidence. However, there is one women who claims to have been assaulted by Cosby in 2008, and intends toRead MoreThe Effects Of Digital Media On Society s Media1714 Words   |  7 Pagesideas in an attempt to influence audiences. The effect is further enhanced when digital media, particularly the Internet, enters the competition for the limited supply of audience attention. The saturated mass media industry no longer has the benefit of reach it used to have, especially with millennials, in this attention economy filled with fragmented audiences (Webster Ksiazek 2012). More businesses and marketers have turned their efforts to digital media to influence consumers (Mulhern 2009)Read MoreGeneration Z: Fast and Furious Essay1247 Words   |  5 Pagesthem notorious for their impatien ce. This cutting-edge technology also means that Generation Z is very interconnected. Even when at home or on holiday, they can still be communicating with their peers. This makes Gen-Zers even more susceptible to influence from friends and others in their generation. All the technology also means that Gen-Zers have more scope to be imaginative and utilize their creativity. The environment that Gen-Zers are growing up in today is a stable one, with war and serious danger

Review Of Holden s The Catcher Rye - 960 Words

503347 Harper AP Lit 06 November 2015 Holden’s Adolescence J.D Salinger’s The Catcher in the Rye recounts protagonist Holden Caulfield’s journey after he becomes expelled from his boarding school, Pencey Preparatory, due to his inability to improve his grades. Before leaving Pencey, Holden visits Mr. Spencer to say goodbye, but Mr. Spencer confronts him with his lousy exam essay— causing Holden to make up an excuse to avoid Mr. Spencer’s persistent sermon. Holden does not go home; instead he wanders through New York City avoiding his awaiting parents at home. Salinger’s representation of Holden’s adolescence as a time graced by innocence and curiosity, yet terror and tribulation highlights that innocence eventually diminishes. Holden’s adolescence marks a time of terror and misfortune as he loses his younger brother Allie to leukemia, underlining that innocence does not remain eternally. Allie â€Å"died when [they] were up in Maine† during a trip (38). Inste ad of having the opportunity of having his brother with him, being able to play and interact with his brother, Holden ends up grieving his death, thus marking his adolescence as painful and sorrowful instead of gleeful. This emphasizes Holden’s exposure to adult situations, such as death, signaling his transition into adulthood and therefore the fading of innocence. Additionally, Allie’s death becomes the vehicle for Holden’s recognition of reality and his progression toward maturity, as well as the loss ofShow MoreRelatedAnalysis of A Catcher In the Ryes Holden Caulfield: Enemy of Himself1686 Words   |  7 PagesJerome David Salinger’s only novel, The Catcher in the Rye, is based on the life events shaping main character, Holden Caulfield, into the troubled teen that is telling the story in 1950. The theme of the story is one of emotional disconnection felt by the alienated teenagers of this time period. The quote, â€Å" I didn’t know anyone t here that was splendid and clear thinking and all† (Salinger 4) sets the tone that Holden cannot find a connection with anyone around him and that he is on a lonely endeavorRead MoreAmerican Literature And Ways They Cultivate Their Own Methods Of Survival Within Their Societies1484 Words   |  6 Pagesfind purpose as an adult. J.D. Salinger’s novel The Catcher in the Rye follows anti-hero Holden Caulfield through a seemingly innocuous trip in New York City. Throughout his journey, Holden tries desperately to interact with others but often finds himself alienated; in this way, Salinger portrays him more as an outsider, always staring with his nose pressed up against the glass, as opposed to a rebel actively revolting against society. However, Holden has a great irony about him: he wants to establishRead More Catcher in the Rye Essay: The Importance of Language1464 Words   |  6 PagesImportance of Language in The Catcher in the Rye   Ã‚  Ã‚  Ã‚   J.D. Salingers The Catcher in the Rye has captured the spirit of adolescence, dramatizing Holden Caulfields vulgar language and melodramatic reactions. Written as the autobiographical account of a fictional teenage prep school student named Holden Caulfield, The Catcher in the Rye deals with material that is socially scandalous for the time (Gwynn, 1958). As an emotional, intelligent, and sensitive young man, Holden puts his inner world toRead MoreSummary Of Salinger s The Catcher Rye And Franny And Zooey 1966 Words   |  8 PagesAmerican writer’s haven’t only impacted this country, but the world as a whole. Specifically, J.D. Salinger. He is a well-known author who has wrote many influential books such as The Catcher in the Rye and Franny and Zooey. Salinger’s childhood, education, significant people, major influences,and historical events have all had an impact on how he became the face of a literary movement as well as his contributions t o the art of American Literature. Jerome David Salinger was born on January 1, 1919Read MoreCatcher in the Rye4413 Words   |  18 PagesThe Catcher in the Rye â€Å"Is The Catcher in the Rye, as a work of literature still relevant for today’s youth?† Name: Sara Sigurdson Course: English A1 Supervisor: Mr. Peter Steadman Word count: 3851 Candidate number: 00136022 Table of Contents Content Page Number Abstract 3 Introduction 4 The Actual Catcher in the Rye 4 The Sexual Matter 5 The Caulfield Family 6 Narrator and Protagonist 8 Role Model 9 Mr. Antolini 10 Targeted Audience 10 Guidance 12 Read MoreHolden s Journey Toward Maturity2555 Words   |  11 PagesAdditionally, Holden is constantly looking for answers to where the ducks go when not at the lagoon. For instance, â€Å"Do you happen to know where they go, the ducks when it gets all frozen over?† (Salinger 60). Holden’s concern for where the ducks go proves his anxiety and Holden feels he lacks anywhere safe to head to go in the world. Holden shows a growing ability to adapt to adult life. He also says people cannot rely on others to help them and sometimes people just have to do things without theRead MoreLanguage Catcher in the Rye4730 Words   |  19 PagesThe American Dialect Society The Language of The Catcher in the Rye Author(s): Donald P. Costello Source: American Speech, Vol. 34, No. 3 (Oct., 1959), pp. 172-181 Published by: Duke University Press Stable URL: http://www.jstor.org/stable/454038 . Accessed: 30/01/2011 11:19 Your use of the JSTOR archive indicates your acceptance of JSTORs Terms and Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp. JSTORs Terms and Conditions of Use provides, in partRead MoreThe Study Of Culture By Arnold, M., Raymond William And Attach Them With The Book1665 Words   |  7 Pagescritical review I want to describe the definition of â€Å"Culture†, using famous theories by Arnold,M., Raymond William and attach them with the book â€Å"Catcher in The Rye† by J.D Sellinger and explain my view of ‘’Culture’’. The plot of this book is based on a story of seventeen-year-old American schoolboy, who is expelled from the school just before the Christmas because of the poor progress. He spends three days in New York and reasons about his life and people around. The main character Holden CaulfieldRead MoreArrogance in The Catcher in the Rye by J. D. Salinger Essay examples1767 Words   |  8 Pagesreally mean? According to merriam-webster.com (2014), the definition of arrogance is, â€Å"an insulting way of thinking or behaving that comes from believing you are better, smarter,or more important than other people† (Def. 1). In the novels The Catcher in the Rye and Siddhartha, the main characters both possess the trait of arrogance, but both express the trait in different forms. The root causes for both characters arrogance are very unrelated, but both roots lead to the same ending. Two completelyRead MoreA Psychological Interpretation: the Irony of Holden Caulfield’s Inner Confl ict with Society2496 Words   |  10 PagesThe Catcher in the Rye, a novel written by J. D. Salinger is a story about a unique yet troubled boy named Holden Caulfield. Salinger masterfully depicts the story’s protagonist as a well rounded character who feels the full range of emotions. Holden is consumed by the desire to live in a world where he can play the hero and surround himself with love and acceptance. Holden’s need for love and belonging, however, creates an irony because it provokes an intense aversion to society that pushes Holden

Types Of Type 1 Diabetes Mellitus - 1713 Words

Introduction: Type 1 Diabetes Mellitus is a disease that occurs when insulin-producing beta cells of the pancreas are damaged or are being destroyed (Mahan, Escott-Stump Raymond, 2012). The gradual destruction of the beta cells of the pancreas usually leads to complete insulin deficiency, which ultimately manifests itself in the following symptoms at clinical onset: â€Å"high blood glucose (hyperglycemia), frequent urination (polyuria), excessive thirst (polydipsia), and a significant amount of weight loss, dehydration, electrolyte disturbances and ketoacidosis†, requiring dependency of exogenous insulin in order to promote optimal glycemic control in order to prevent further more severe complications; such as, ketoacidosis, microvascular diseases, macrovascular diseases, neuropathy, or worse – Death (Mahan et al., 2012). Type 1 Diabetes Mellitus can result from two existing forms: 1. Immune-mediated diabetes Mellitus, which is characterized by autoimmune destruction of the beta c ells of the pancreas and an idiopathic (unknown cause) commonly seen in ethnic groups of African or Asian descent (Mahan et al., 2012). Of all diagnosed diabetes cases, prevalence of Type 1 Diabetes Mellitus accounts for 5%-10%, and although onset may present itself at any age, 70% of cases are diagnosed in young adults (younger than age 30), with a peak in occurring incidences seen mostly in children and adolescents (Mahan et al., 2012). â€Å"In the United States approximately 1 in every 400 to 500Show MoreRelatedApplication Of Type 1 Diabetes Mellitus3781 Words   |  16 PagesTable of Contents I. Introduction to Type 1 Diabetes Mellitus a. What it is b. Prevalence and demographics c. Treatment II. Cognitive Outcomes: Mood and Memory a. Memory i. Neural Basis of Memory ii. Cognitive Outcome of TIDM on Memory III. Structural Brain Changes: MRI Studies a. The Hippocampus i. Purpose and Function of the Hippocampus ii. Previous studies on T1DM and Hippocampal Volume iii. The Cognitive Effects of T1DM on Hippocampal Volume b. Other Brain Areas IV. Conclusion aRead MoreTypes Of Diabetes Mellitus : Insulin Dependent ( Type 1 )1778 Words   |  8 Pages Maggie Roman MED 2056 Cohort FT31 Diabetes Mellitus Mrs. Annabelle June 29, 2015 The human body achieves homeostasis through the coordination of organs and different systems throughout the body. In particular, the endocrine system plays a functional role in regulating the body’s physiological activities via chemical substances, known as hormones. The endocrine cells secrete hormones in response to body signals in a negative feedback loop, which is a self-regulatory response intendedRead MoreType 1 Insulin Dependent Diabetes Mellitus1900 Words   |  8 PagesType 1 insulin dependent diabetes mellitus is most commonly diagnosed in children and adolescents but can sometimes be diagnosed in older age. It is defined as a chronic condition in which the pancreas does not produce insulin which is needed to allow glucose, known as the bodies source of fuel, to enter the cells. Type 1 diabetes does not have a cure but can be managed with proper treatment of insulin therapy. Type 2 non-insulin dependent diabetes mellitus is commonly caused by genetics, obesityRea d MoreIntensive Glucose Control Of Patients With Type 1 Diabetes Mellitus Essay1606 Words   |  7 PagesTopic Intensive glucose control of patients with type 1 diabetes mellitus to maintain blood glucose levels (BGLs) near normal range Introduction Type 1 diabetes is an autoimmune disorder which can occur from insufficient insulin secretion. Insulin is a hormone which is secreted by the pancreas and regulates BGLs (Loghmani, 2005; Nussey Whitehead, 2001). Type 1 diabetes is also known as insulin dependent diabetes mellitus (IDDM). In this, the body produces no, or very little, insulin which canRead MoreChronic Condition Of Type 1 Diabetes Mellitus1724 Words   |  7 PagesThis report investigates children living with the Chronic condition of Type 1 Diabetes Mellitus (T1DM). Chronic illness is a disease or condition that is persistent, with long term effects for an individual. Chronic is applied, when a condition last for a duration of three months or greater. According to the World Health Organisation (2017), Diabetes is one of the leading causes of mortality in the world, representing 60% of all deaths, along with heart disease, stroke, cancer and chronic respiratoryRead MoreCase Study : The Emergency Room With Dka And Ne w Onset Type 1 Diabetes Mellitus Essay2297 Words   |  10 PagesGeneral Hospital for treatment of diabetic ketoacidosis (DKA) and new onset type 1 diabetes mellitus. DKA is an emergency situation that results in 100,000 hospitalizations in the US yearly, a 9% mortality rate, and treatments of reportedly 1 billion dollars per year (Katsilambros, Kanaka-Gantenbein, Liatis, Makrilakis, Tentolouris, 2011). Presenting to the emergency room with DKA is the first manifestation of type 1 diabetes in 30% of cases (Katsilambros et al., 2011). This paper will examine MrRead MoreDiabetes Mellitus Type 1 : A Condition That Results From The Autoimmune Destruction Of Insulin Producing Beta Cells850 Words   |  4 PagesDiabetes Mellitus Type 1 is a condition that results from the autoimmune destruction of insulin producing beta cells in the pancreas. This type of Diabetes Mellitus accounts for about 5% of cases of diabetes. It affects males and females equally, and is usually diagnosed unde r the age of twenty. I was diagnosed with Juvenile Diabetes when I was eleven. I had been experiencing the common symptoms of extreme thirst, frequent urination, weight loss, and sugar cravings for a few weeks. I was taken toRead MoreType 1 Diabetes Mellitus And Mellitus1711 Words   |  7 Pages Introduction: Type 1 Diabetes Mellitus is a disease that occurs when insulin-producing beta cells of the pancreas are damaged or are being destroyed (Mahan, Escott-Stump Raymond, 2012). The gradual destruction of the beta cells of the pancreas usually leads to complete insulin deficiency, which ultimately manifests itself in the following symptoms at clinical onset: â€Å"high blood glucose (hyperglycemia), frequent urination (polyuria), excessive thirst (polydipsia), and a significant amount of weightRead MoreType 1 Diabetes Mellitus1548 Words   |  7 PagesType 1 diabetes mellitus is an autoimmune disease that results in insulin dependence due to failure of secretion of the hormone insulin by beta cells in the pancreas. Type 1 diabetes usually manifests in childhood, 20 years of age – the reason for which it was formerly termed juvenile diabetes, and is more prevalent in Caucasians then in any other ethnicity (Diabetes Basics, n.d.). The key to proper management is early detection, p atient education, and most importantly patient compliance. TheRead MoreDiabetes Mellitus : Type 1 Diabetes1017 Words   |  5 PagesBushaw Diabetes Mellitus: Type 1 Diabetes Research Paper 11/16/2014 Diabetes Mellitus also known as—Juvenile Onset Diabetes, Type 1 Diabetes, and Insulin Dependent Diabetes. It is a chronic autoimmune disease described by high blood glucose levels due to insulin levels being inadequate to maintain normal glucose levels. This research paper will discuss the symptoms and signs, etiology, who it triggers, how it happen, and treatment for Type 1 Diabetes. Symptoms and signs of Type 1 Diabetes are hyperglycemia

Marx1 Essay Example For Students

Marx1 Essay Marx and Engels did a great thing when they wrote the Communist Manifesto. They tried to liberate the proletariat by educating him. This was and still is an enormous task that they took on. I will try to take a closer look at the Communist Manifesto and its main ideas. Here are some of the things that Marx and Engels wrote in the Communist Manifesto. They believed these are some of the main issues that should be looked at for the communist revolution to take place. 1. Abolition of property in land and application of all rents of land to public purposes. 2. A heavy progressive or graduated income tax. 3. Abolition of all rights of inheritance. 4. Confiscation of the property of all emigrants and rebels. 5. Centralization of credit in the banks of the state, by means of a national bank with state capital and an exclusive monopoly. 6. Centralization of the means of communication and transport in he hands of the state. 7. Extension of factories and instruments of production owned by the state; the bringing into cultivation of waste lands, and the improvement of the soil generally in accordance with a common plan. 8. Equal obligation of all to work. Establishment of industrial armies, especially for agriculture. 9. Combination of agriculture with manufacturing industries; gradual abolition of all the distinction between town and country by a more equable distribution of the populace over the country. 10. Free education for all children in public sch ools. Abolition of childrens factory labor in its present form. Combination of education with industrial production, etc (Communist Manifesto Online version). At the time this was written by Marx, these were very important issues to deal with. The capitalist countries such as England and America, where private property was the basis of the entire economy, rejected this notion of throwing out the class structures. Marx looked at England as a model and leader of capitalism and industry and if he were alive today he would consider America to be a super-model. One of the main reasons for these countries rejecting Marxs view is that they regarded him as a German philosopher who was educated in the field of German metaphysics. This was unappealing to the minds of capitalists (Capital vii). Marxs theory of alienation has to do with the relationship of the worker to the means of production. It outlines four main aspects in which workers are alienated in todays society: the workers are alienated from the products of their labor, alienated from the process of their work, are denied the chance to be creative, and physically alienated from other people.Although Marx developed this theory in 1844, I believe it is more applicable in todays developed society. An honest assessment would be that I do exercise a degree of creativity, but I do not have any authority on aspects of all of my work. In fact, the only area in which I feel relatively content is the paycheck itself. I do often look for other jobs and contemplate switching career objectives slightly, remaining in the general field of computers, but changing my role. Alienation, to a large extent, is probably the most depressing part even in todays post-industrial society. Alienation is an accepted part of work; people focus mainly on satisfying their immediate material desires. In Maslows hierarchy of needs, we are still trying to fulfill the first three levels while accepting alienation as our payment. Society looks highly upon those few lucky individuals who have jobs that not only takes care of their need for material objects, security, belonging, and esteem, but also help them to develop their highest level of potential. One could argue that alienation is self-inflicted by each a nd every one of us. Perhaps the perfect job is out there for everyone.I think most people have thought about quitting their jobs and opening some sort of business so they can be their own bosss. My parents and older adults that I know speak of it often. Perhaps we allow our materialism to control our dreams. Caught up in the new morals and values of the post-industrial, consumer-oriented society, we place higher emphasis on fitting in with society than we do on fulfilling our

House of Quality Essay Example

House of Quality Paper The House of Quality by John R. Hauser and Don Clausing Harvard Business Review Reprint Design is a team effort, but how do marketing and engineering talk to each other? Digital Equipment, Hewlett-Packard, ATT, and ITT are getting started with it. Ford and General Motors use it at Ford alone there are more than 50 applications. The house of quality, the basic design tool of the management approach known as quality function deployment (QFD), originated in 1972 at Mitsubishis Kobe shipyard site. Toyota and its suppliers then developed it in numerous ways. The house of quality has been used successfully by Japanese manufacturers of consumer electronics, home appliances, clothing, integrated circuits, synthetic rubber, construction equipment, and agricultural engines. Japanese designers use it for services like swimming schools and retail outlets and even for planning apartment layouts. A set of planning and communication routines, quality function deployment focuses and coordinates skills within an organization, first to design, then to manufacture and market goods that cus HARVARD BUSINESS REVIEW May-June 1988 tomers want to purchase and will continue to purchase. The foundation of the house f quality is the belief that products should be designed to reflect customers desires and tastes so marketing people, design engineers, and manufacturing staff must work closely together from the time a product is first conceived. The house of quality is a kind of conceptual map that provides the means for interfunctional planning and communications. People with different John R. Hauser, at the Harvard Business School as a Marvin Bower Sloan School of Management. He is the author, with Glen L. Urban, of Design Marketing of New Products (Prentice-Hall, 1980). We will write a custom essay sample on House of Quality specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on House of Quality specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on House of Quality specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Don Clausing is Bernard M. Gordon Adjunct Professor of Engineering Innovation and Practice at MIT. Previously he worked for Xerox Corporation. He introduced QFD to Ford and its supplier companies in 1984. Copyright 1988 by the Presidents and Fellows of Harvard College. All rights reserved. HOUSE OF QUALITY Whats So Hard About Design David Garvin points out that there are many dimensions to what a consumer means by quality and that it is a major challenge to design products that satisfy all of these at once. l Strategic quality management means more than avoiding repairs for consumers. It means that companies learn from customer experience and econcile what they want with what engineers can reasonably build. Before the industrial revolution, producers were close to their customers. Marketing, engineering, and manufacturing were integrated in the same individual. If a knight wanted armor, he talked directly to the armorer, who translated the knights desires into a product. The two might discuss the material plate rather than chain armor and details like fluted surfaces for greater bending strength. Then the armorer would design the production process. For strength who knows why? he cooled the steel plates in the urine of a black goat. As for a production plan, he arose with the cocks crow to light the forge fire so that it would be hot enough by midday. Todays fiefdoms are mainly inside corporations. Marketing people have their domain, engineers theirs. Customer surveys will find their way onto designers desks, and RD plans reach manufacturing engineers. But usually, managerial functions remain disconnected, producing a costly and demor- alizing environment in which product quality and the quality of the production process itself suffer. Top executives are learning that the use of interfunctional teams benefits design. But f top management could get marketing, designing, and manufacturing executives to sit down together, what should these people talk about? How could they get their meeting off the ground? This is where the house of quality comes in. Consider the location of an emergency brake lever in one American sporty car. Placing it on the guaranteed that women in skirts could not get in and out gracefully. Even if EXHIBIT II Japanese automaker with QFD made fewer changes than U. S. company without QFD U. S. ompany Design changes problems and responsibilities can thrash out design priorities while referring to patterns of evidence on the houses grid. Japanese company of total Japanese changes complete 20-24 Months 14_17 1-3 +3 Months Job #1 Months EXHIBIT I Startup and preproduction costs at Toyota Auto Body before and after QFD January 1977 pre QED April 1984 post QED (39% of pre QFD costs) Preproduction costs S tartup costs Source for Exhibits I and II: Lawrence P. Sullivan, Quality Function Deployment, Reprinted by permission. the system were to last a lifetime, would it satisfy customers? In contrast, Toyota improved its rust prevention record from one of the worst in the world to one of the best by coordinating design and production decisions to focus on this customer oncern. Using the house of quality, designers broke down body durability into 53 items covering everything from climate to modes of operation. They obtained customer evaluations and ran experiments on nearly every detail of production, from pump operation to temperature control and coating composition. Decisions on sheet metal details, coating materials, and baking temperatures were all focused on those aspects of rust prevention most important to customers. . David A. Garvin, Competing on the Eight Dimensions of Quality, HBR November- December 1987, p. 101 . 4 HARVARD BUSINESS REVIEW Today, with marketing tech EXHIBIT III iques so much more sophisticated than ever before, compacustomer attributes and bundles of CAS nies can measure, track, and for a car door compare customers perceptions PRIMARY SECOND ARY TERTIARY of products with remarkable acEasy to close from outside curacy; all companies have opStays open on a hill Easy to open from outside EASY TO OPEN portunities to compete on quali AND CLOSE DOOR Doesnt kick back ty. And costs certainly Justify an Easy to close from inside emphasis on quality design. By Easy to open from inside looking first at customer needs, Doesnt leak in rain then designing across corporate No road noise and use Doesnt leak in car wash functions, manufacturers can rel SOLATlON No wind noise duce prelaunch time and afterDoesnt drip water or snow when open Doesnt rattle launch tinkering. Exhibit I compares startup and Soft, comfortable ARM REST In right position preproduction costs at Toyota Auto Body 1977, before QFD, Material wont fade INTERIOR TRIM Attractive (nonplastic look) to those costs in 1984, when QFD was well under way. House of CLEAN Good appearance Easy to clean No grease from door quality meetings early on reduced costs by more than 60%. Uniform gaps between matching panels Exhibit II reinforces this evidence by comparing the number f design changes at a Japanese auto manufacturer noise. Some Japanese companies simply place using QFD with changes at a U. S. automaker. The their products in public areas and encourage potenJapanese design was essentially frozen before the tial customers to examine them, while design team first car came off the assembly line, while the U. S. embers listen and note what people say. Usually, however, more formal market research is called for, company was still revamping months later. via focus groups, in-depth qualitative interviews, and other techniques. Building the House CAS are often grouped into bundles of attributes hat represent an overall customer concern, like There is nothing mysterious about the house of open-close or isolation. The Toyota rustquality. Th ere is nothing particularly difficult prevention study used eight levels of bundles to get from the total car down to the car body. Usually the used to its conventions. Eventually ones eye can project team groups CAS by consensus, but some bounce knowingly around the house as it would over a road-map or a navigation chart. We have seen companies are experimenting with state-of-the-art research techniques that derive groupings directly some applications that started with more than 100 rom customers responses (and thus avoid argucustomer requirements and more than 130 engiments in team meetings). neering considerations. A fraction of one subchart, CAS are generally reproduced in the customers in this case for the door of an automobile, illusown words. Experienced users of the house of qualitrates the houses basic concept well. Weve reproty try to preserve customers phrases and even duced this subchart portion in the illustration clich? ©s knowing that they will be translated siHouse of Quality, and well discuss each section multaneously by product planners, design engistep-by-step. eers, manufacturing engineers, and salespeople. Of course, this raises the problem of interpretation: What do customers want? The house of quality What does a customer really mean by quiet or begins with the customer, whose requirements are easy? Still, designers words and inferences may called customer attributes (CAs) phrases cuscorrespond even less to customers actual views tomers use to describe products and product charand can therefore mislead teams into tackling probacteristics (see Exhibit Ill). Weve listed a few here; lems customers consider unimportant. a typical application would have 30 to 100 CAs. A Not all customers are end users, by the way. CAS car door is easy to close or stays open on a hill; can include the demands of regulators (safe in a doesnt leak in rain or allows no (or little) road HARVARD BUSINESS REVIEW 5 EXHIBIT Relative-importance weights of customer attributes BUNDLES RELATIVE IMPORTANCE AND CLOSE DOOR Easy to close from outside Stays open on a hill 7 ISOLATION Doesnt leak in rain 3 2 A complete list totals 100% side collision), the needs of retailers (easy to display), the requirements of vendors (satisfy assembly and service organizations), and so forth. Are all preferences qually important? Imagine a good door, one that is easy to close and has power windows that operate quickly. There is a problem, however. Rapid operation calls for a bigger motor, which makes the door heavier and, possibly, harder to close. Sometimes a creative solution can be found that satisfies all needs. Usually, however, designers have to trade off one benefit against another. To bring the customers voice to such deliberations, house of quality measures the relative importance to the customer of all CAs. Weightings are based on team members direct experience with customers or on surveys. Some innovative usinesses are using statistical techniques that allow customers to state their preferences with respect to existing and hypothetical products. Other companies use revealed preference techniques, which Judge consumer tastes by their actions as well as by their words an approach that is more expensive and difficult to perform but yields more accurate answers. (Consumers say that avoiding sugar in cereals is important, but do their actions reflect their claims? ) Weightings are displayed in the house next to list totaling 100% (see Exhibit V). Will delivering perceived needs yield a competitive advantage? Companies that want o match or exceed their competition must first know where they stand relative to it. So on the right side of the house, opposite the CAs, we list customer evaluations of competitive cars matched to our own (see Exhibit V). Ideally, these evaluations are based on scientific surveys of customers. If various customer segments 6 evaluate products differently luxury vs. economy car buyers, for example product-planning team members get assessments for each segment. Comparison with the competition, of course, can identify opportunities for improvement. Take our car door, for example. With respect to stays open on hill, every car is weak, so we could gain an advantage here. But if we looked at no road noise for the same automobiles, we would see that we already have an advantage, which is important to maintain. Marketing professionals will recognize the righthand side of Exhibit V as a perceptual map. Perceptual maps based on bundles of CAS are often used to identify strategic positioning of a product or product line. This section of the house of quality provides a natural link from product concept to a companys strategic vision. How can we change the product? The marketing domain tells us what to do, the engineering domain ells us how to do it. Now we need to describe the product in the language of the engineer. Along the top of the house of quality, the design team lists those engineering characteristics (ECs) that are likely to affect one or more of the customer attributes (see Exhibit VI). The negative sign on energy to close door means engineers hope to reduce the energy required. If a standard engineering characteristic affects no CA, it may be redundant to the EC list on the house, or the team may have missed a customer attribute. A CA unaffected by any EC, on the other hand, presents opportunities to expand a ars physical properties. Any EC may affect more than one CA. The resistance of the door seal affects three of the four customer attributes shown in Exhibit VI and others shown later. Engineering characteristics should describe the product in measurable terms and should directly affect customer perceptions. The weight of the door will be felt by the customer and is therefore a relevant EC. By contrast, the thickness of the sheet metal is a part characteristic that the customer is only by influencing the weight of the door and other engineering characteristics, like resistance to deformation in a crash. In many Japanese projects, the interfunctional team begins with the CAS and generates measurable characteristics for each, like foot-pounds of energy required to close the door. Teams should avoid ambiguity in interpretation of ECS or hasty Justification of current quality control measurement practices. This is a time for systematic, patient analysis of each characteristic, for brainstorming. Vagueness will eventually yield indifference to things customers need. Characteristics that are trivial will make the team lose sight of the overall design and stifle creativity. EXHIBIT V Customers evaluations of competitive products CUSTOMER ATTRIBUTES Worst 1 CUSTOMER PERCEPTIONS 5 Best How much do engineers influEASY TO OPEN Easy to close from outside 7 AND CLOSE ence customer-perceived qualiDOOR ties? The interfunctional team now fills in the body of the house, the relationship matrix, indicating how much each engineering characteristic affects each customer OUR CAR DOOR attribute. The team seeks consenCOMPETlTOR AS sus on these evaluations, basing COMPETITOR BS them on expert engineering experience, customer responses, and tabulated data from statistical studies or controlled experiments. course, there might be an entirely new mechanism The team uses numbers or symbols to establish that improves all relevant CAs. Engineering is crethe strength of these relationships (see Exhibit VI). tive solutions and a balancing of objectives. Any symbols will do; the idea is to choose those The house of qualitys distinctive roof matrix that work best. Some teams use red symbols for rehelps engineers specify the various engineering fealationships based on experiments and statistics and tures that have to be improved collaterally (see Expencil marks for relationships based on judgment hibit X). To improve the window motor, you may or intuition. Others use numbers from statistical ave to improve the hinges, weather stripping, and studies. In our house, we use check marks for posia range of other ECs. tive and crosses for negative relationships. Sometimes one targeted feature impairs so many Once the team has identified the voice of the cusothers that the team decides to leave it alone. The tomer and linked it to engineering characteristics, roof matrix also facilitates necessary engineering it adds objective measures at the bottom of the trade-offs. The foot-pounds of energy needed to house beneath the ECS to which they pertain (see close the door, for example, are shown in negative Exhibit VI). When objective measures are known, relation to door seal resistance and road noise the team can eventually move to establish target reduction. In many ways, the roof contains the values ideal new measures for each EC in a remost critical information for engineers because designed product. If the team did its homework they use it to balance the trade-offs when addresswhen it first identified the ECs, tests to measure ing customer benefits. benchmark values should be easy to complete. Enlncidentally, we have been talking so far about gineers determine the relevant units of measurethe basics, but design

Phar-Mor Essays

Phar-Mor Essays Phar-Mor Essay Phar-Mor Essay On the other hand, it may not effect their independence if they like their current Job and could not care less about the other auditors transferring to the client. 1 c) The Serbians-Solely Act of 2002 require current auditors to wait at least one year pass since they were involved in the auditing of a client before they are able to accept an employment offer in certain designated positions. They also require that auditors report any employment offer or intention to seek employment with an audit client, after which they are removed from all engagements until they either reject the offer or are no longer seeking other employment. At which time the accounting firm should determine if any additional measures need to be taken to ensure that reasonable assurance can be given that the work of that specific CPA had been objective and with integrity. Old)No, it is not appropriate for auditors to trust executives of a client. If an auditor trusts the executives of a client, the auditors independence is compromised. Auditors are supposed to look for fraud, errors, and problems; they are to expect them until they can prove that there is a reason not to. If they trust them, they will not expect or be cooking for fraud or errors, they will assume that everything is correct because of their trust. AAA) b) AAA) Yes, I would pursue legal action against the auditor in this situation. The basis of my claim would be similar to those that filed against Coopers, that the auditors were reckless and provided misleading statements causing so many investors to invest when they probably wouldnt have if everything would have been appropriately stated. I would bring suit under The Federal Securities Exchange Act of 1934 Section BOB and Section 18. B) For the CPA, negligence is failure to perform a duty in accordance with applicable standards. For practical purposes, negligence may be viewed as failure to exercise due professional care. c) Fraud is misrepresenting a material fact that is known by the person misrepresenting it, where negligence may also be misrepresenting a fact but it is not known to the person misrepresenting it. So, the primary di fference is that fraud is done on purpose and negligence is not. AAA) When a third party is not a primary beneficiary or they are unidentified, auditors can still be held liable if they committed fraud or gross negligence. They cannot be held liable for ordinary negligence like they can for a primary beneficiary that is specifically identified as a user of the report and their client. B) Even though the third party had not specifically identified to the Caps, they were still aware that the financial statements were going to be used to obtain financing from third parties. It made them liable for more than Just their client and third parties that were known because they were able to foresee other third parties being involved 05) The Securities Acts of 1933 and 1934 are very similar but they have large differences as well. Under the 1933 Act plaintiffs do not need to prove that they relied on the audited financial statements, only that they suffered a loss and that the statements were misleading. However, under the 1934 Act the plaintiffs do need to prove that they relied on the financial statements in their decisions. Another major difference is that under the 1933 Act the auditors need to prove that they acted with due diligence, where under the 1934 Section 18 Act they need to only prove that they acted in good faith. Under Section 10 in the 1934 Act plaintiffs must prove that there was a sciences as well. The 1934 Act gives a little leeway to Auditors when compared to the 1933 Act. With the third party (plaintiff needing to prove that they relied on the financial statements and that there was a sciences, it is more difficult for them to easily win the case. Along with it being easier for auditor to prove that they acted in good faith rather than they acted with due diligence. AAA) I am not positive how high-profile these companies were in their accounting scandal, but the two I found are Bristol-Myers Squibb Company and Crazy Eddies Electronics. In the Bristol-Myers scandal, the insane chief and the man who ran the worldwide medicines group misled investors by concealing the extra inventory held by the companys wholesalers from 1999 to 2001. This resulted in inflated revenues of millions of dollars. Similarly, Crazy Eddies Electronics also committed inventory fraud by exaggerating the numbers by millions of dollars for several years before being caught. B) Auditors are not able to audit the entire inventory at every store of a company. They select smaller portions at a select number of stores. Also, if a company has someone who used to be an auditor, specially the auditor for your company, you are given an insight to what auditors look for and what/how to hide it from them. It also helps to have so many people involved in the scheme; different people from different levels of management and non-management. Par-Moor took advantage of the fact that the auditor was trying to cut the costs of the audit and would not be able to audit the entire inventory. They also had hired their former auditor in their financial department who helped cover up the fraud and misstatements. Par-Moor knew what to expect from the auditors and planned ahead accordingly. C) Doing test counts on larger samples from more stores will give a better insight to the accuracy of the inventories. Also, the auditors do not need to let the management know ahead of time or during the audit which samples they tested, that only makes it easier for them misstate the rest of the inventory and know which ones to expect to be audited next time. Also, they should never make a pattern in the samples that they count, it should never be detectable. And as always, be skeptical of everything you count, never trust the company or management.

Compare and contrast the persecution of Jews with the persecution of Essay

Compare and contrast the persecution of Jews with the persecution of others in Nazi Germany on the grounds of racial hygiene - Essay Example The German scientists2 did legitimize this propaganda and in that regard, the Nazis went on to do away with all Jews that were residing in Europe in the infamous holocaust through brutal killings and mass murders.3 What began as an initial target of the Jews, soon spread to other people who were not of German descend and thus they also became serious victims of unprecedented persecution and mass murder around German strongholds in Europe and in concentration camps that were set up for that sole purpose of racial hygiene. It was actually a notion of cleansing Germany of the individuals that were seen as threats to the health of German society.4 This paper looks at this incidence of racial cleansing as the idea behind the massive persecutions that took place in that period of 1933 to 1939 and seeks to establish the persecution of Jews in comparison to that of the other non-German people by the Nazi government. For us to critically evaluate and answer this question, we need to analyse t he idea of racial hygiene, before embarking on looking at the impact that these actions had on both the two groups, Jews and others5; look at how the persecution was carried out; and the after effects of the persecution. The above issues will be well analysed and discussed before a conclusion is made. Nazi’s Idea of Racial Hygiene The racial hygiene was crafted by Hitler while he was in prison at Landsberg. In his imagination, he thought that for Germany to become stronger again there was need to cleanse it and get rid of inferior races through racial hygiene and eugenics. To him the nation was weaker and very corrupted by the infusion of some degenerate elements into the bloodstream of this nation. Neutralization of the weaker race became his decision. In 1920s growth of population was equated to having racial fitness and the idea of national strength. Racial hygiene was proposed as the only way to avert the problems. The doctors did play an important role in propagating Naz i policy because of the realignment of the medical profession with the Nazi after it took over power. Genetic health courts were also created and major Acts on racial legislation were passed in Germany starting from 1933 onwards geared towards elimination of the weak, while at the same time increase the birth rate by secluding women to homes and family where they were to bear many children, and strengthen the Aryan race. The persecution The persecution of Jews and other communities was based on the assumptions that Nazis could attain a pure race by having a cohesive national community, which did not have less valuable races or those from foreign regions. Persecution initially took the general discrimination of the races that were found not to be German through the scientific labelling process that considered family genealogies, observations, physical measurements, and the application of intelligence tests. As a result, all people were ranked as either inferior (non-Germans) or super ior (German or Aryan race). Another form of persecution that was used was the subsequent sterilization of the inferior race so that they do not give birth to more inferior people so that costs such as those of education could be saved. At this point, we cannot

Computer input and output devices Essay Example | Topics and Well Written Essays - 500 words

Computer input and output devices - Essay Example Every computer requires a keyboard for data entry both in numeric, alphabetic and symbol form. Text or numbers being typed on the keyboard are directly displayed on the monitor of the computer. There are many designs of the keyboard depending on the manufacturer, but they all have letters, numbers and function keys for data entry. The data is converted into codes that are understandable by the computer and displayed in a format understandable to the user.Every computer has a monitor that is the primary output device, and it communicates with the user by displaying data in a user understandable format. Another commonly used output device is the inkjet printer that produces papers printed in different colors by means of a spray ink jet inside the printer. An advanced form of a printer is a laser printer that prints different colors by fusing electrostatically charged toner. The laser printer has very high initial cost but has a lesser running cost as compared to the inkjet printer. The drum plotter is also an output device that plots large scale drawings. Recent technologies have led to the introduction of laser plotters that are an advancement of the laser printers and are capable of printing into rolls of papers. Data projectors are a modern form of output devices and can be described as big monitors that are used for audience presentation. Speakers are classified as output devices since they communicate information from the computer to the user either in the form of warnings or music.

The Famous Poetry Of Amy Lowell

The Famous Poetry Of Amy Lowell Who was Amy Lowell? For the very few that do remember her, regard her as an obese, homosexual, and lonely, unmarried woman that enjoyed smoking cigars and wearing mens shirts. However, we overlook the fact that she is well-known for bringing the Imagist movement to the United States and that she is solely responsible for the creation of the polyphonic prose. Also, no one discusses how she a broke free from societys standards of what a young woman should be Brought up in a prestigious, affluent household, she was taught how to be a young lady. Being a Lowell daughter, she would then be married off at the age of seventeen, but no marriage proposal arrived for her that year. Since she had no right to an education, it was then that this seventeen-year-old girl began to educate herself by immersing herself in her fathers 17,000-volume library, where she discovered poet John Keats. From within the constraints of society, Lowell was able to break away and discover her true self. She once s aid: For books are more than books, they are the life, the very heart and core of ages past, the reason why men worked and died, the essence and quintessence of their lives. Amy Lowell lived by this very idea. Her books and her poetry are what gave her life and meaning. Through such, Lowell delved herself into the depths of nature and emotion as her key subjects when writing poetry. One specific quality of Lowells poetry was that she used sharp, clear language along with vivid imagery to make a statement. She saw no need in inserting vague and ambiguous references. To her the best poetry was that which flowed by itself as in everyday language. There was no need to abide by the limitations that certain types of poetry brought about, such as Italian sonnets with their a-b-b-a format. Lowell is able to portray this very thought process beautifully in Lilacs, which is one of the best representations of imagist poetry. The overall poem has no hidden or deeper meaning to it and in fact, can be taken completely literally, which is one of the reasons it holds so strong among other imagist poetry. The poem begins with Lilacs,/ False Blue,/ White,/ Purple,/ Color of Lilac, which Lowell continues to repeat at the beginning of stanzas 2 and 4 as well. This repetition of the subject, allows the reader to refocus on the true topic of the poem. At the same time, Lowell in the first stanza uses apostrophe to speak directly to the lilacs, referring to them as you. The speaker continues to state that the lilacs are everywhere in this New England, watching a deserted house, as well as settling sideways into the grass of an old road (21, 17, 18). Slowly, Lowell begins to focus less and less on the physical characteristics of the lilacs, but more so on what they are physically doing and what they are capable of doing, personifying the lilacs in the process. The lilacs are now standing by the pasture-bars to give the cows good milking, persuad[ing] the housewife that her dishpan was of silver, and flaunt[ing] the fragrance of [its] blossoms (28, 29, 31). Through these acts, the reader quickly sees the lilacs as benefiting the things and people around them. Finally towards the Put in conclusion: For the rest though, she continues to be just another poet lost in the depths of history. Lilacs,   False blue,   White,   Purple,   Color of lilac,   Your great puffs of flowers   Are everywhere in this my New England.   Among your heart-shaped leaves   Orange orioles hop like music-box birds and sing   Their little weak soft songs;   In the crooks of your branches   The bright eyes of song sparrows sitting on spotted eggs   Peer restlessly through the light and shadow   Of all Springs.   Lilacs in dooryards   Holding quiet conversations with an early moon;   Lilacs watching a deserted house   Settling sideways into the grass of an old road;   Lilacs, wind-beaten, staggering under a lopsided shock of bloom   Above a cellar dug into a hill.   You are everywhere.   You were everywhere.   You tapped the window when the preacher preached his sermon,   And ran along the road beside the boy going to school.   You stood by the pasture-bars to give the cows good milking,   You persuaded the housewife that her dishpan was of silver.   And her husband an image of pure gold.   You flaunted the fragrance of your blossoms   Through the wide doors of Custom Houses-   You, and sandal-wood, and tea,   Charging the noses of quill-driving clerks   When a ship was in from China.   You called to them: Goose-quill men, goose-quill men,   May is a month for flitting.   Until they writhed on their high stools   And wrote poetry on their letter-sheets behind the propped-up ledgers.   Paradoxical New England clerks,   Writing inventories in ledgers, reading the Song of Solomon at night,   So many verses before bed-time,   Because it was the Bible.   The dead fed you   Amid the slant stones of graveyards.   Pale ghosts who planted you   Came in the nighttime   And let their thin hair blow through your clustered stems.   You are of the green sea,   And of the stone hills which reach a long distance.   You are of elm-shaded streets with little shops where they sell kites and marbles,   You are of great parks where every one walks and nobody is at home.   You cover the blind sides of greenhouses   And lean over the top to say a hurry-word through the glass   To your friends, the grapes, inside.   Lilacs, False blue,   White,   Purple,   Color of lilac,   You have forgotten your Eastern origin,   The veiled women with eyes like panthers,   The swollen, aggressive turbans of jeweled pashas.   Now you are a very decent flower,   A reticent flower,   A curiously clear-cut, candid flower,   Standing beside clean doorways,   Friendly to a house-cat and a pair of spectacles,   Making poetry out of a bit of moonlight   And a hundred or two sharp blossoms.   Maine knows you,   Has for years and years;   New Hampshire knows you,   And Massachusetts   And Vermont.   Cape Cod starts you along the beaches to Rhode Island;   Connecticut takes you from a river to the sea.   You are brighter than apples,   Sweeter than tulips,   You are the great flood of our souls   Bursting above the leaf-shapes of our hearts,   You are the smell of all Summers,   The love of wives and children,   The recollection of gardens of little children,   You are State Houses and Charters   And the familiar treading of the foot to and fro on a road it knows.   May is lilac here in New England,   May is a thrush singing Sun up! on a tip-top ash tree,   May is white clouds behind pine-trees   Puffed out and marching upon a blue sky.   May is a green as no other,   May is much sun through small leaves,   May is soft earth,   And apple-blossoms,   And windows open to a South Wind.   May is full light wind of lilac   From Canada to Narragansett Bay.   Lilacs,   False blue,   White,   Purple,   Color of lilac.   Heart-leaves of lilac all over New England,   Roots of lilac under all the soil of New England,   Lilac in me because I am New England,   Because my roots are in it,   Because my leaves are of it,   Because my flowers are for it,   Because it is my country   And I speak to it of itself   And sing of it with my own voice   Since certainly it is mine.

Autor Of All Quiet On The Western Front :: essays research papers

THE AUTHOR AND HIS TIMES Born Erich Paul Remark on June 22, 1898, he grew up in a Roman Catholic family in Osnabrà ¼ck in the province of Westphalia, Germany- a city in the northwest part of what is now West Germany. He adored his mother, Anna Maria, but was never close to his father, Peter. The First World War effectively shut him off from his sisters, Elfriede and Erna. Peter Remark, descended from a family that fled to Germany after the French Revolution, earned so little as a bookbinder that the family had to move 11 times between 1898 and 1912. The family's poverty drove Remarque as a teenager to earn his own clothes money (giving piano lessons). He developed a craving for luxury, which he never outgrew. His piano playing and other interests, such as collecting butterflies and exploring streams and forests, later appeared in his fictional characters. His love of writing earned him the nickname Smudge. Because of the frequent moving, Remarque attended two different elementary schools and then the Catholic Praparande (preparatory school). He loved the drama of Catholic rituals, the beauty of churches, the flowers in cloister gardens, and works of art. He later wrote with a sense of theater, and he featured churches and museums, flowers and trees as symbols of enduring peace. While in school, he had problems with teachers, however, and eventually paid them back by ridiculing them in his novels. At the Praparande he argued so much with one teacher that he used the man's personality and another's name (Konschorek) to produce a specific character in All Quiet on the Western Front: Schoolmaster Kantorek. In November 1916, when Remarque was eighteen and a third-year student at Osnabruck's Lehrerseminar (teachers college), he was drafted for World War I. After basic training at the Westerberg in Osnabruck (the Klosterberg of All Quiet), he was assigned to a reserve battalion, but often given leave to visit his seriously ill mother. In June 1917, he was assigned to a trench unit near the Western Front. He was a calm, self-possessed soldier, and when grenade splinters wounded his classmate Troske, Remarque carried him to safety. He was devastated when Troske died in the hospital of head wounds that had gone unnoticed. Still, he rescued another comrade before he himself was severely injured- also by grenade splinters- and sent to the St. Vincenz hospital in Duisburg for much of 1917-1918.

Good nutrition: Striking the Right Balance

Of the many things one can do to enhance one’s state of health, none is more important than maintaining proper nutrition. The mind and body cannot function optimally without the proper supply of nutrients and energy obtained from food.A key tenet of the holistic approach to health is that each person must take responsibility for his or her own health. Making intelligent decisions about nutrition—about what and how much to eat—is an important part of this responsibility, because the diet one chooses and follows can keep one healthy. In the words of Philip Lee (1977) professor of social medicine at the University of California, San Francisco, School of Medicine:As a nation we have come to believe that our medicine and medical technology can solve all our major health problems†¦ But the problems can never be solved merely by more and more medical care. The health of individuals and the health of the population is determined by a variety of biological (host), be havioral, sociocultural, environmental factors. None of these is more important than the food we eat (Burkitt et al. 1974).Good nutrition: Striking the Right BalanceWhat is the best argument for following a good nutrition in one’s life instead of eating all the junk food one can consume. Every person’s body has a unique chemical and physical composition that corresponds to a state of optimal wellness, because the human body is constructed of atoms and molecules that are arranged in particular combinations and proportions that are unique to each person. One’s body contains few of the same atoms and molecules it had even a few weeks ago, because its chemical constituents are continually replaced by different atoms and molecules acquired from the food one eats.There are about forty known essential nutrients and perhaps others are not yet identified, that must be continually resupplied to the body (Ricciuto). Failure to obtain enough of one or more of the essential nutrients can result in a nutritional deficiency disease, such as goiter (enlarged thyroid gland), which may be caused by too little iodine, beri-beri, a disease characterized by weakness and wasting away that is caused by too little thiamine (vitamin B1), anemia (too few red blood cells) from insufficient iron; and blindness from vitamin A deficiency, the most common cause of blindness in children, world-wide. Since all nutrients act in concert, a deficiency of one may impair the utilization of others even if the others are acquired in adequate amounts. Thus, a proper nutritional state is a matter of maintaining a complex balance of the essential nutrients.One can argue that one eats a little of everything in the proper amounts just to keep fit. But still it does not work that way. This is because poor health can result in eating too much of certain kinds of food, or from eating too much in general. For example, overeating is the principal cause of obesity, which contributes to the development of such serious diseases as high blood pressure, stroke, diabetes and some forms of cancer.Cancer of the colon may be related to eating too much meat and processed foods and not getting enough fiber or roughage that may be essential to maintain a healthy colon. High salt intake is related to high blood pressure and high sugar intake is related to tooth decay (the most prevalent disease in the industrialized world). Much of the tooth decay could be prevented if people followed very simple nutrition rules (Breslow & Enstrom 1980).Physiological Benefits of Body WorkOur industrial society depends on an enormous variety of machines that free people from an equally enormous number of physical tasks. Some of these tasks, such as heavy construction work of large-scale farming, would be well-nigh impossible without the help of machines. Others, such as traveling to work or school, getting to the seventh floor of a building, or washing clothes, could be accomplished without the a id of machines (and some people argue they ought to be), but few of us are likely to give up the use of cars, elevators, and washers. They simply make the task of daily living easier. As a result, few people do much moving around under their own muscular power. That is, many of us get little exercise.According to William B. Kannel and Paul Sorlie (1979) who have studied the effects of lifestyle on the occurrence of heart disease:â€Å"Over the past quarter of a century, there has evolved a growing suspicion that the transformation of man by modern technology from a physically active agrarian creature to a sedentary industrial one has exacted a toll in ill health. The evidence on which this is based comes from epidemiological studies, clinical observations, and the work physiologist. Most of the attention has been focused on the possible contribution of physical indolence to the development of cardiovascular disease, the chief health hazard of affluent societies and their leading ca use of death.†In addition to the physiological benefits, regular physical activity has psychological and spiritual benefits as well. Fr example, a study of middle-aged university professors found that regular exercise made them more self-sufficient, more persevering, less likely to experience mood swings, and more imaginative (Ismail and Trachtman, 1973). In another study, both men and women university students who engaged in regular physical activity were found to have greater self-control, to have increased self-awareness, and to be more self-directed. They also demonstrated a positive self-image (Jeffers, 1977).One of the principal psychological benefits that can come from regular body work is experiencing periods of relaxed concentration, characterized by reduction in physical and psychic tensions, regular breathing rhythms, and increased self-awareness. This experience is often compared to meditation. Tennis instructor Tim Gallwey (1976) describes four stages for obtainin g a state of relaxed concentration through body work. The first stage, â€Å"paying attention,† occurs at the beginning of a body work session and involves riveting your concentration on your body work and excluding all other thoughts. The stage of paying attention requires a certain degree of self-discipline—the desire and ability to say â€Å"no† to other demands on your time and energies and to say â€Å"yes† to yourself.WORKS CITEDBurkitt, D. P. Walker, R.P. and Painter , N.S.   â€Å"Dietary Fiber and Disease.† Journal of theAmerican   Medical Association, 229 (1974), 1068-1074.Breslow, L. and Enstrom, J.E. â€Å"Persistence of Health Habits and Their Relationship toMortality.† Preventive Medicine, 9 (1980). 469-483.Ismail, A.H. and Trachtman, I.E. â€Å"Jogging the Imagination.† Psychology Today. 6(1973), 78-82Jeffers, J. M. â€Å"The Effects of Physical Conditions on Locus of Control, Body Image andInterpersonal Relationsh ip Orientations. University Males and Females.Dissertation Abstracts, 37 (1977) 3289.Kannel, W.B. and Sorlie, P. â€Å"Some Health Benefits of Physical Activity.† Archives ofInternal Medicine, 139 (1979) 857-861.Ricciuto, Anthony. What Power Nutrition can do for you. Retrieved April 19, 2007 at:http://www.bodybuilding.com/fun/anthony26.htm

Case Study Assessment For Copd - 881 Words

Name: K,P Age: 78 years Gender: Male Ethnicity: Caucasian Allergies: Pork Past and Current Medical History: AICD/pacemaker,Atrial fibrillation, Benign hypertension, Chronic obstructive pulmonary disease, Coronary arteriosclerosis, Coronary artery bypass graft (in 2010), Diabetes mellitus, Home oxygen supply (4 liters) Transient cerebral ischemia (in 1989),Kidney stones, Partial nephrectomy. Chief Complaint: Shortness of breath, rapid heart rate at home History of Present Illness on Admission: Laboratory and Diagnostic Testing Laboratory Testing Some of the laboratory testing used to identify COPD are arterial blood gas and increased hematocrit levels. Arterial blood gas testing will reveals hypoxemia and hypercarbia due to the retention†¦show more content†¦Patients with COPD should consume more calories to help produce energy in order to prevent weakening of the pulmonary muscles.Watching your sodium intake can help control additional water retention which will breathing more difficult.Increasing water intake by 2-3 liters can help liquefy mucus making it easier to breath, (Stonham,2017). Overview of Health Care Team and their role The role of the pulmonologist is to perform additional diagnostic test and prescribing the right medication that works for the patient. The role of the respiratory therapist is provide patient with nebulizer treatment and patient education such as inhaler training. The role of pulmonary rehabilitation therapists is to provide care for COPD patients to improve their symptoms, endurance and quality of life, (Lilly Senderovich,2016). Nurses Role The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In orderShow MoreRelatedChronic Obstructive Pulmonary Disease ( Copd )807 Words   |  4 Pagesdiaphragm, consistent with COPD. Question: What are the treatment options available to patients with COPD, and how are individualized assessments used to determine the most effective therapy? Generate: Chronic Obstructive Pulmonary Disease (COPD) is a respiratory illness that progressively worsens over time. As seen in Mr. Adam’s case, symptoms include dyspnea, wheezing, and an occasional productive cough,.1 Emphysema and Chronic Bronchitis are the two main conditions of COPD, and can occur simultaneouslyRead MoreImplement Monitor Clients With Chronic Problems1407 Words   |  6 PagesCLIENTS WITH CHRONIC PROBLEMS Assessment Task- case study – 100% Word limit- 1500-2000 words Introduction: Chronic Obstructive Pulmonary Disease also known as the abbreviation ‘COPD’ and Chronic Obstructive Airways Disease, known as ‘COAD’ is a lung disease which causes a persistent obstruction of bronchial air flow. COPD is now the name preferred instead of COAD. There are different forms of COPD/ COAD including asthma, emphysema, bronchiectasis and chronic bronchitis. COPD is the most common respiratoryRead MoreThe Importance Of Patient Reporting For Alternative Interventions751 Words   |  4 Pagesidentified studies. 2.3. Study selection and eligibility criteria Two authors independently determined the eligibility of studies by review of abstracts and, for studies judged potentially relevant on abstract review, through screening of full text articles with a standardized and piloted abstraction form. We resolved disagreement by discussion or through third party adjudication. We included studies that reported patient values and preferences of COPD patients. We set no limits on the type of study designRead MoreAcute Obstructive Pulmonary Disease ( Copd ) As The Comorbidity1307 Words   |  6 PagesIn this assignment, a case study will be discussed regarding a patient who is admitted for pneumonia and has a chronic obstructive pulmonary disease (COPD) as the comorbidity. To begin with, the epidemiology will be explored along with the NHS medical costs of pneumonia and COPD as the main rationale for the selected patient. Secondly, COPD and pneumonia s pathophysiology will be looked at and the bio-psycho-social model will be used to present the i mpact on the patient. Thirdly, a systematic approachRead MoreEssay on Case Study - Pharmocology840 Words   |  4 Pagesquestion is based on a case study. As in all case studies, review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions. Case Study: D.Q. is a 57-year-old male who worked in a water treatment plant for many years. He also smoked heavily for approximately 30 years. He has been diagnosed with COPD. During an extremely hot summer, he arrived at the emergency department in severe exacerbation of the COPD. The patient’s heart rateRead MoreEssay On Copd1428 Words   |  6 Pages Diagnostic Tests The physical signs and symptoms of COPD and CHF may coexist, and it will be hard for the physician to determine which causing the shortness of breath to patient X. The history of progressive shortness of breath can help with the diagnosis and since patient X has history of previous hospitalization of COPD, it is given that its mainly the cause. Chest x-ray shows hyperinflation of the lungs which is indicative of COPD. Blood tests like complete blood count and biochemistry resultsRead MorePulmonary Case Study : Chronic Obstructive Pulmonary Disease ( Copd ) Essay1183 Words   |  5 PagesPulmonary Case Study Analysis and Care Plan Chronic obstructive pulmonary disease (COPD) is most prevalent in the older adult and smokers. It is the third leading cause of death in the United States and affects 329 million people worldwide. The disease also carries a burden on the economy with an estimated cost of $29.5 billion annually for treating exacerbations (Hattab, Alhassan, Balaan, Lega, Singh, 2016). It is defined as the limitation of airflow within the airway and lungs secondary toRead MoreA Short Note On Obstructive Pulmonary Disease ( Copd ) Essay1490 Words   |  6 PagesMrs. P is a 78-year-old lady with asthma, chronic obstructive pulmonary disease (COPD), a history of myocardial infarct and stroke with no residual deficit. She has been a known hypertensive, has gout, and previously found to have multiple gastric ulcers with no suspicious features, which are likely NSAID induced. She has a long-standing urinary incontinence and has been living in her home, before she became unwell, hospitalized and eventually moved into a rest home. Prior to her admission for long-termRead MoreAnalysis of Statistical Data640 Words   |  3 PagesStatistics In the Smith, et al (2006) study, 26 patients were used. They all had COPD that was stable, and they all complained of coughing. Their age, mean FEV, and smoking history were all accounted and controlled for (Smith, et al, 2006). Methods used involved a cough challenge test, sound recordings of their cough day and night, and a questionnaire that involved their perceived quality of life (Smith, et al, 2006). The coughs were actually manually counted and then translated to coughs perRead MoreEvaluation Of Care From The Health Care Professionals1663 Words   |  7 Pagesreason, it is expected that all health care professionals will engage with all elements of risk management to ensure that there is delivery of quality and safe patient care. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Regist ered Nurse’s [RN] role as a leader in the health care team, application of clinical