Wednesday, August 26, 2020
Doing What It Takes essays
Taking the necessary steps articles The Life You Save Mat Be Your Own, the tale of a floating man who meets an elderly person and her girl, is an intriguing piece by Flannery OConnor. The elderly person, Lucynell Crater and her girl, additionally Lucynell Crater, live without anyone else, and one day Mr. Shiftlet, the stray, shows up on their entryway patio. This story tells about how their relationship develops all together and adequately utilizes imagery to clarify the characters goals. Through OConnors imagery we see what all the characters have at the top of the priority list and it is appeared through their contemplations and activities. Despite the fact that Lucynell Crater, the mother, and Mr. Shiftlet appear to be exceptionally amiable and liberal, OConnor gives us a window that encourages us see all the more plainly, the aims on the two Mrs., Craters and Mr. Shiftlets parts. OConnor depicts Mr. Shiftlet to be an exceptionally quite liberal man, searching for a spot to remain as a byproduct of his work. His activities, generally, give us his sincere goals and persuade that he is a decent individual. However, while his activities for the most part depict great perspectives, OConnor utilizes imagery to sneak in the genuine importance behind Mr. Shiftlet. His left coat sleeve was collapsed up to appear there was just a large portion of an arm in it and his withered figure recorded marginally to the side as though the breeze were pushing him. (OConnor 47) OConnor utilizes his inability to give us that he isnt typical. Typical individuals have two arms and Mr. Shiftlet didn't, so something isn't right with him. He isnt typical. ...there aint a messed up thing on this manor that I couldnt fix for you, one-arm jackleg or not. Im a man, he said with a grim poise, regardless of whether I aint an entire one. (OConnor 53) We see here that Mr. Shiftlet can do typical things so this leads me to ... <!
Saturday, August 22, 2020
Speech - The Meaning of Life Essay Example for Free
Discourse The Meaning of Life Essay Is human life only a fantasy, from which we never truly wakeful, as some extraordinary scholars guarantee? Is it accurate to say that we are lowered by our emotions, by our loves and detests, by our thoughts of good, awful, delightful, and dreadful? Is it accurate to say that we are unequipped for knowing past those thoughts and emotions? Is the truth we realize a reality forced to us naturally? Are the truth and the importance of life a formation of men, for example, music, or love or hues? At the point when I think about the brief length of my life, gobbled up in the unfathomable length of time that lies when it, when I consider the little space I fill and I see, inundated in the unbounded massiveness of spaces of which I am ignorant, I rest alarmed, and bewildered, for there is no motivation behind why I ought to be here instead of there. Who has put me here? By whose request and course have this spot and time have been attributed to me? Love offers significance to our lives as do fellowship, or workmanship or confidence in God. These are components of genuine joy, of inward harmony, of sentiments of congruity, permitting importance to our reality. In any case, there is the opposite side. There is the mercilessness of life, the agony, the malevolence, not to discuss demise. At the point when the Tsimtsum sank, not exclusively was Pi pushed up close and personal with the obscure, however he likewise lost his family, the center of his human setting. Rather, he needed to attempt to endure. Life of Pi is a tale about attempting to make due through apparently impossible chances. All through the novel, characters are looking for the importance of life. Pi forsakes his deep rooted vegetarianism and eats fish to support himself. Squeezed orange, the tranquil orangutan, battles fiercely against the hyena. Indeed, even the seriously injured zebra fights to remain alive; his moderate, excruciating battle distinctively shows the sheer quality of his life power. As Martel clarifies in his novel, living animals will frequently do exceptional, unforeseen, and once in a while gallant things to endure. Be that as it may, they will likewise do disgraceful and savage things whenever squeezed. Precisely like people. It is between these pendulums the positive, the one that gives bliss and meaning, and the negative that our lives are lived. Also, when we ruminate pretty much all that, we show up at an assorted and differing set of considerations about the importance and reason forever. Women and men of honor, thank you for your time and consideration. I trust I have explained the considerations of a few, to know about the tremendous world we live in and the shocking creatures we really are. Address others of your considerations and information; I am certain they will tune in.
Monday, August 17, 2020
How To Embrace The Power Of Ideation Marketing Team Guide
How To Embrace The Power Of Ideation Marketing Team Guide For marketers, ideas are a valuable commodity. They are the sparks of success, but they require the right tools and resources as well as careful nurturing if they are to develop into powerful campaigns. Why Does Ideation Matter so Much For Marketing? For starters, ideation is what fuels innovation. Ideation is the process of creating something out of nothing â" an alchemy of the imagination. The most successful marketing campaigns are those that tell a story. And ideas are the seeds of a great story. Why? Because ideas introduce something new, weave a compelling narrative that sticks in the minds of potential customers. And the best ideas are born from passion. Take Alleycat Designs for example, a custom apparel design agency that thrives on fresh ideas in order to flourish, founder, Sophia Bilynsky, says: âDiscover what youâre truly passionate about. It will sustain you during challenging periods that will inevitably test your commitment. Whether you are driven by financial gain or creative growth, you have to find satisfaction in the work you do as an entrepreneur.â Ideas are the sustenance which drives success. And this is as true for custom apparel brands as it is for marketing teams, continually producing new, dynamic ideas will drive marketing success. Embrace Tech and Improve Your Ideation Workflow It isnât easy turning a concept or an idea into something tangible. Without careful guidance and continuous nudging in the right direction â" you could end up far from the campaign goal you initially envisioned. A simple and often underrated way to improve your ideation workflow is crowdsourcing. By providing your stakeholders with a collaborative workspace, you enable them to collect their ideas in a single, shared space and build on one anotherâs ideas. Use Mind Mapsand take your ideation process to the next level! Sign Up Now Sign Up Now Visual methods of ideation workflow such as mind maps are essential for this. They provide a clear, top-down view of an ideaâs process, tracking it from a nascent seedling to a blooming flower. Above all, mind maps provide a valuable âwhyâ for your idea â" they show how you decided on your final idea and what got you there. As your project progresses and you move closer to your goal, this will be vital for keeping a grasp on the essence of your campaign. But mind maps should be used carefully in order to get the most benefit from them for your ideation workflow. Set a clear process as to how you organize your thoughts into topics. Create main topics out of the original pillars of your idea, then ensure that team members provide ample detail and reasoning as to why they developed a particular idea further. Itâs also worth avoiding the use of jargon in your mind map. This is a collaborative process, and what makes perfect sense to you might not be as clear to those in other teams. The best mind maps are those in which everyone is on an equal footing â" set a clear brief and make it concise and universally understandable. Who Needs to Ideate and How Can You Motivate Them to Do So? So who should be involved in the ideation process? An obvious answer might be your copywriting or graphic design team. Theyâre the âcreative typesâ, so it makes sense that they should take the lead on any marketing ideation. But while ideas are in essence creative, they donât exist in a bubble. Ideas should have goals, quantifiable targets that can be tracked and measured in terms of campaign success. Further to that, they should be based on hard data which indicates that your campaign will hit the mark. For instance, letâs say youâre planning a content campaign for a tuxedo hire service. Creating a piece of content about famous tuxedos from film and TV might be a fun idea. But if people arenât searching for those keywords, then it wonât hit the mark. Of course, such content has its place, but it still needs to fit into your wider marketing strategy. Consequently, itâs important that your marketing and SEO specialists are involved in the ideation process. They should work with creative teams to find a unique angle that is backed by hard data and targeted to SMART goals (specific, measurable, achievable, realistic and timely). Knowing who needs to ideate is just one facet of this process. You need to motivate your team to ideate and remind them that their input is actually valued. Look at Shopify for example, a SaaS company that develops online store builders for merchants. Its founder, Tobias Lütke, said in an interview that each new RD intern is required to make a change in the backend that directly impacts customers: âand it just blows peopleâs minds, because thatâs the kind of personal impact they want to have in the company.â Of course, you donât necessarily need to adopt such a bold policy, this is just meant to encourage team input. But taking the time to seriously consider everyoneâs ideas, no matter how small, goes a long way toward creating a fecund environment in which ideation thrives. Transforming Ideas Into Actions So youâve completed your ideation process and come up with a stellar brief for your marketing campaign. How do you translate that idea into action without losing its original purpose? Break down your idea into its core components and allocate them to the appropriate teams. For example, your copywriters deal with the copy, your PR team deals with promotion and syndication and so on. While these should be clearly defined, there will be overlap between teams. Highlight points where each teamâs brief might overlap, for instance, copy and design, or design and SEO. At each stage of your product development, donât forget to return to your original idea. This should be present at every step, guiding the things you do. If you canât see your idea at every step of the way, then itâs time to take stock and re-evaluate your direction. Donât use MindMeister yet? Create your free account now and join thousands of other marketing professionals around the world who use mind maps to ideate, brainstorm and more! Find Time to Ideate That Works For Everyone The process of ideation isnât as simple as turning on a tap. Inspiration can come from anywhere, and turning an idea into something tangible can be grueling. But the most successful people are those who follow a routine, and the same applies to ideation too. Schedule a set time in your week for everyone to get together to ideate. This is ideally just after the day starts but before the post-lunchtime slump sets in. Once youâve set upon a time and place for this meeting, stick to it. This is when each teamâs ideas should be laid out and analyzed with critical eyes collaboratively. Before this meeting takes place, each stakeholder should find their own time to ideate independently. The individual should brainstorm their own thoughts and ideas free from the input of others and unfettered by a tight deadline. This process provides the individual with ârawâ data that they can bring into the collaborative meeting. Every great marketing campaign begins with rigorous ideation. It creates the bedrock upon which you build your methods and achieve your goals â" but only when done right. Know the importance of motivation and the value of collaborative mind maps. Transform the seeds of ideas into actionable methods and enjoy the power of strong ideation that works for you time and again. Follow the tips above and embrace the power of ideation. Get Started with Idea Management
Sunday, May 24, 2020
Diabetes and heart diseases Free Essay Example, 1000 words
Patients diagnosed with diabetes usually undergo various psychological disorders. For instance, the type 1 diabetics suffer from depression three times more often than non-diabetics. Over 15% of people with diabetes have severe depression (ââ¬Å"Depressionâ⬠). Recent findings have suggested that depression in diabetic patients is associated with the reduced cortical thickness in a pre-frontal region. Such neurological changes may be a result of a long-lasting reduced blood sugar control. Moreover, diabetic patients frequently complain about eating disorders, particularly females. It is believed that a reduced appetite and polyuria are being in a positive correlation with glycemia levels. In order to verify a diagnosis of diabetes, it is necessary to perform a glucose tolerance test (GTT) and a blood glucose measurement. For reliable results, GTT must be performed strictly in the morning and on an empty stomach. For the first time, a blood glucose level is measured fasting. The measurement is repeated in one and two hours after the intake of 75 grams of glucose in 300 ml water. Urine glucose concentration is measured before a drink and in one and two hours (Watkins). We will write a custom essay sample on Diabetes and heart diseases or any topic specifically for you Only $17.96 $11.86/pageorder now However, abnormal results do not necessarily mean diabetes. As the studies showcase, many patients with impaired glucose tolerance spontaneously return to normal levels. The diagnosis of diabetes is confirmed when: 1. The blood glucose level is at/above 11.1 mmol/L in two hours after a glucose drink. 2. Fasting glycaemia is at/above 7.0 mmol/L. 3. Glycated hemoglobin at/above 6.5. Since the type 1 diabetes cannot be cured, the main objectives of its treatment are to relieve the symptoms, minimize the long-term complications and improve the quality of life. Diabetic patients can benefit greatly from their lifestyle modification. A proper exercising, a healthy diet, and no smoking significantly contribute to a higher quality of life. However, insulin administration remains irreplaceable in the treatment of the disease. Untreated juvenile diabetes leads to coma, frequently from the aforementioned diabetic ketoacidosis. Cerebral edema that results from ketoacidosis is an adverse complication that is highly lethal, especially in children. Nowadays, global suppliers like Novo Nordisk or Sanofi-Aventis offer a wide range of insulins with different duration of its action time. With a rise of genetic reconstruction techniques, more efficient synthesized insulins have replaced the original one and cattle insulin almost entirely.
Wednesday, May 13, 2020
The Government Should Not Be Limited By Laws Protect...
The abuse of power is inherent to power itself. That is why a democracy is considered to be for the people by the people. A working democracy intends to have a balance of power. However, Judd Rose said, ââ¬Å"With power comes the abuse of power and where there are bosses, there are crazy bosses.â⬠In regards to the U.S government, privacy should be protected and respected. Especially as technology makes privacy harder to protect and there are more ways for private information to be stolen. The Government protects us from hackers, and terrorism, but it goes overboard, abusing its power by invading our privacy and storing it. The government should be limited by laws that protectâ⬠¦show more contentâ⬠¦Your private data is safely secured using our custom database software called Cloud, which has fine-grained security to control access down to the cell level.â⬠(nsa.gov1.info) When it comes to privacy American people have the same perspective which is that they sho uld have the right to privacy and national security. The fact is that the federal government recently ruled that NSAââ¬â¢s gathering of mass phone and mail data is illegal. Yet many voters still Condone NSAââ¬â¢S spying practices. Though according to Sen. Al Franken, from Minnesota ââ¬Å"Americans arenââ¬â¢t getting the most basic information about what s going on with the NSAââ¬â¢s surveillance programs, and whether or not their privacy is being violated.â⬠. As Sen. Al Franken stated, the American people donââ¬â¢t know whatââ¬â¢s going on inside NSA and many people think data collected by NSA in recent years is safe. NSA stores data into a cloudbase, however it has a lot of issues and one big issue with cloud storage is business data is at risk. Putting information onto a server that is accessible to the public is a risky idea. Hackers can access all types of sensitive data such as: tax returns, bank records, mortgage applications, blueprints and business plans. (V3) This connects to Paglieryââ¬â¢s re cent article which is about the U.S Government data being hacked by the
Wednesday, May 6, 2020
Location Bhogpur village, Dehra Dun district, India Free Essays
Location: Bhogpur village, Dehra Dun district, India Introduction: The CAS project spanned two days in Bhogpur village. As a group of 32 students, we decided to combine creativity, action and service into one positive approach to work in the village in the short time we were there. Day 1 Total number of hours: 4 hours Total distance trekked: 4 km After lunch, our group decided that it was important for us to find out the problems of people in the area and to attempt to address them in whatever ways possible. We will write a custom essay sample on Location: Bhogpur village, Dehra Dun district, India or any similar topic only for you Order Now To do this, it had been suggested that the group divided itself into pairs of two and went door to door in the village, interacting with the villagers. Although I believed that the idea was, on the whole, a positive one I was still apprehensive about the approach. Nevertheless, forcing myself to throw out any negativity, I decided to participate wholeheartedly in the interaction with the people of the village. Initially, my friend Shivaan and I had a hesitant start. I was extremely self-conscious and felt downright idiotic expecting unknown villagers to pour out their problems to strangers. But as we kept trekking through the village, I realized that the distance was merely in the head. The villagers ranged from old women to middle aged families and young adults. Some were very hesitant in talking to us but soon started interacting openly. Others were extremely vocal throughout. Shivaan and I noticed an underlying set of problems that pervaded the entire village. These included a water problem, an economic divide, gender issues, etc. I mulled over all these problems in vain. What was the solution that I could provide in a day, in a flourish to people who were far removed from who I was or where I lived? In the evening, my perception underwent a change. We decided to put up a program that would encompass two plays, a dance routine and a panel discussion. I was part of both the plays and enjoyed outlining the storylines and acting and directing at the same time. As we practiced, I thought about the initial negative attitude that I had had regarding the solutions we could provide to the villagers about the issues that they faced. Day 2 Total number of hours: 4 hours Total distance trekked: 2 km This was the day of the performance. Before an early breakfast, we moved to rehearse and have a run through of the entire performance one final time. Although there were occasional glitches, I managed to keep calm and be confident. We then trekked to the village area. After literally tugging villagers out of their homes to create an audience for our performance, we started. All four items were great successes. The smiles on the faces of the children and the curt nods between the adults said it all. Although it would have been far too optimistic to believe that we could make a huge difference in merely a day, I am sure that we did make a difference. We did ensure that the villagers realized what their problems were and also offered rudimentary, individualized solutions. With a smile on my own face, I realized that the entire effort resulted in success ââ¬â we had, in some way or the other, managed to positively affect the villagersââ¬â¢ lives. How to cite Location: Bhogpur village, Dehra Dun district, India, Papers
Monday, May 4, 2020
Immunology Pathogenesis of Asthma
Question: Discuss about theImmunology for Pathogenesis of Asthma. Answer: Introduction: Asthma is a chronic inflammatory disease of lungs and conducting airways. In asthma cells of both immune system like innate and adaptive immune systems work collectively on epithelial cells of airways. The innate immune cells like mast cells, eosinophils, basophils, macrophages, neutrophils and dendritic cells are responsible for the pathogenesis of asthma. The adaptive immune cells like B cells and TH2 cells are involved in the pathogenesis of asthma. Due to action of 7 innate and adaptive immune cells following pathological changes occur in asthma patient: bronchial hyper-reactivity (BHR), goblet cell hyperplasia, mucus overproduction, airway wall remodeling and airway narrowing. Most common symptoms of Asthma are frequent episodes of shortness of breath, coughing, sneezing, runny nose, wheezing and chest tightness, pain. There are two types of clinical asthma occur like allergic and non-allergic asthma. Allergic (extrinsic) asthma mainly caused due to inhalation or ingestion of al lergens like house dust mite, peanuts, fungal spores, plant pollen and animal dander. In allergic asthma serum immunoglobulin E (IgE) antibodies are present and patients with allergic asthma exhibits positive skin-prick test to the lipoproteins of allergens. Nonallergic (intrinsic) asthma occurs in the late age and generally related with chronic rhinosinusitis, nasal polyps and obesity. Intrinsic asthma is not associated with IgE and exhibits negative skin-prick test. T cells, specifically TH2 cells plays important role in the inflammatory process of asthma, hence it became potential target for the treatment of asthma. There are increased CD4+T cells in the airways and T helper 2 (TH2) cells are predominant in these increased CD4+T cells . TH2 produces immune response by secreting the cytokines IL-4, IL-3, IL-9 and IL-13. These cytokines facilitate IgE production by B cells. IL-5 plays significant role in the eosinophil differentiation in bone marrow. IL-9 attracts and facilitates the differentiation of mast cells. In the early stage of asthma, allergens are detected by the dendritic cells and these allergens are presented by the antigen presenting cells to the T cells. Due to these allergens T cell differentiated in the TH2 type of cells. TH2 type of cells produce TH2 type of response which produces interleukin 4, 5 and 13 and it is associated with stimulation of IgE and eosinophilic response. Under the influence of interleukin-4 (IL-4), TH2 cell s interact with lymphocytes like B cells and these B cells procures antibodies like IgE. IgE circulates in the blood and it binds to the mast cell and basophils through IgE specific receptor like FcRI (a type of Fc receptor). By binding on the cells these IgE sensitize these cells to the allergens inhaled or ingested. When person gets exposed to the same allergen in the later time, this allergen bind to the IgE which is bound on the surface of the mast cells and basophils. When same allergen molecule binds to the more than one IgE-receptor complex, there is the crosslinking of IgE and Fc receptor. Due to this crosslinking there is the degranulation of mast cells and release of histamine, cytokines, interleukins, leukotrienes and prostaglandins in the surrounding tissues. These inflammatory mediators produces different effects like vasodilation, smooth muscle contraction, mucous hypersecretion and nerve stimulation. Late phase response can often occur in asthma. Late phase response o ccurs due to migration of lymphocytes, macrophages, eosinophils and in chronic cases neutrophils to the initial site. Cytokines produced form mast cells like necrosis factor-alpha (TNF-alpha), IL-1, IL-6, IL-8, and IL-13 are responsible persistent pathological changes in asthma. Bronchoconstriction: One of the important characteristic of the asthmatic respiratory tract is narrowing of the airways and this leads to the improper airflow during respiration. During episodes of acute exacerbations of asthma, airways gets exposed to the stimuli in the form of allergens and irritants and these allergens and irritants produces contraction of bronchial smooth muscle. These allergens produces bronchoconstriction by virtue of immunoglobulin E (IgE) reliant mediators like histamine, tryptase, leukotrienes, and prostaglandins. There is also non-IgE dependent bronchoconstriction. Airway edema: As the disease progresses and in the absence of treatment measures for impaired immune mechanism, bronchoconstiction of the airways and consequently resistance to airflow increases. This augmented airflow resistance is mainly due to edema in the airways, mucus hypersecretion from goblet cells and deposition of thickened mucus plugs. Airway hyperresponsiveness: Airway hyperresponsiveness in asthmatic patients can be measured by evaluating augmented bronchoconstrictor response to muscarinic receptor agonist like methacholine. It is called as Bronchial challenge test. Factors responsible for the airway hyperresponsiveness are inflammation of airways, impaired neuroregulation and structural changes of airways and lung like hypertrophy and hyperplasia. Degree of airway hyperresponsiveness shows a relationship with methacholine contractile response and severity of asthma. Airway remodeling : In asthma structural changes resembling hypertrophy and hyperplasia of the airway smooth muscle occurs. Structural alterations of airways lead to augmented airflow obstruction, airway responsiveness and consequently results in the progressive loss lung function. Currently available medications for asthma are not fully useful for asthma management. Airway remodeling comprises of sub-basement membrane thickening, subepithelial fibrosis, hypertrophy and hyperplasia of airway smooth muscle, blood vessel proliferation and dilation, mucous gland hyperplasia and mucus hypersecretion (1). Fig.1 Immune mechanism in Asthma Diagnosis: Flow Cytometry: Flow cytometry analysis delivers a rapid qualitative and quantitative explanation of several features of individual cells. With the help of flow cytometry cell size, granularity of cell, features of DNA and RNA, characteristic of cell surface and nuclear markers which are specific for individual cells can be analysed. Bronchoalveolar lavage (BAL) fluid provides very important information for asthma and other lung inflammatory diseases. Flow cytometer analysis of BAL provides profile of different types of white blood cells and corresponding acute and chronic pathological alterations in the lung. In Asthma, composition of BAL in flow cytometry analysis comprised of TH2 T-cells, eosinophils, dendritic cells and in chronic stages neutrophils. Flow cytometry analysis provides information about surface markers of eosinophils, dendritic cells, basophils, mast cells and neutrophil by using specific antibodies against these surface markers. Commercial antibodies like MHCII, CCR3, CD3, B220 an d CD11c are available for the surface markers on T and B cells. By using these antibodies, flow cytometry can be used to differentiate subsets of these cells like TH1, TH2, TH17, TH22 of T cells. Mainly TH2 cytokines like IL-4, IL-5, and IL-13 and IgE plays prominent role in asthma pathology. Flow cytometry analysis of BAL provides information about these cytokines and chemokines in association with cluster of differentiation (CD) markers. Frequency of occurrence of these inflammatory cells and cytokines in the BAL of the asthmatic patients depend on the severity of the disease. In severe cases of asthmatic patients there is the manifestation of dual TH2/TH17 cells. These inflammatory cells can also measured in the peripheral blood by means of flow cytometry. In the diagnosis of asthma using flow cytometry, these cells can analyzed in the induced sputum of the patient, however it has been observed that there is more variability in the data obtained from the sputum sample. Even thoug h, flow cytometry is not used in routine practice for diagnosis of asthma, it is beneficial in the differential diagnosis of inflammatory lung disease (2, 5). Fig.2 Flow diagram for Flow Cytometry procedure For flow cytometer analysis BAL fluid should be analyzed immediately after collection and cells should be isolated by means of centrifugation. After centrifugation, supernatant should be distributed in small aliquots. Isolated cells should be either cultured with RPMI 1640 with 10% FBS overnight or immediately fixed in 4 % paraformaldehyde for processing in flow cytometer. Cells should be stained with respective antibodies. Enzyme-Linked Immunosorbent Assay (ELISA): ELISA test is a method of analyzing immune response of body by reaction of immune components and chemicals. Components of ELISA are enzyme which catalyzes biochemical reaction and antigen or antibody which act as immunogenic molecules. Most of the cytokines detected in the asthma patients can be analyzed by ELISA and ELISpot Immunoassays. Cytokines are analyzed by sandwich ELISA. In sandwich ELISA plate is coated with antibody, to this sample containing antigen is added, subsequently antigen capture antibody IS added, detecting antibody binds to antigen, enzyme linked secondary antibody is added which binds to detecting antibody, then substrate is added which is converted to detectable form by enzyme. In asthma patient cytokines can be analyzed in BAL, blood and sputum using ELISA method. ELISA has been used utilized in the cytokine estimation in the urine of asthma patients. Commercial ELISA kits are available for the cytokines is asthma patients like IL-4, IL-5, and IL-13, chemokin es like CCL11, CXCL10 and CCL17. Markers of the airway remodeling in asthma patients like matrix metalloproteinase 9 (MMP-9), tissue inhibitor of metalloproteinase 1 (TIMP-1) and vascular endothelial growth factor can be analyzed in the BAL of asthmatic patient. IgE antibodies in asthma patient can be measured using ELISA (2, 3, 5). Discussion: It has been observed that there is correlation between altered levels of cytokines estimated by means of ELISA and disease severity. There is strong correlation observed between the increased level of IL 4 in BAL of asthma patient and forced expiratory volume 1 (FEV1).With increase in IL4, there is the decrease in FEV1 in patients with asthma. Plasma and BAL TNF- level estimated using ELISA method are negatively correlated with FEV1. Decreased FEV1 is related to the increased airway wall area thickness and decreased luminal area of airway which are airway remodeling in asthma patients. It reflects airway remodeling in asthma patient and it is related to the cytokine level in BAL of asthma patients estimated by means of ELISA. In non-asthmatic people vital capacity (FVC), residual volume (RV), and residual volume/ total lung capacity (RV/TLC) are higher as compared to the asthmatic patient. These all the parameters are particularly useful in the lung function tests. Impaired functioni ng of the lung in asthma reflects altered lung function test and this altered lung function test is correlated with the inflammatory and immune cytokines estimated by means by ELISA method. IL-13 estimated using ELISA gives assessment of treatment effect of antiasthmatic medicine like inhaled corticosteroid/Long-acting beta agonists (ICS/LABA). There is correlation between decreased level of IL-13 and increased FEV1 after treatment with ICS/LABA in asthma patients (2). IL-22 can be estimated both in BAL and serum of asthma patients using ELISA method. It has been observed that IL-22 levels are more in severe asthma patients as compared to mild asthma patients and healthy individuals. It reflects IL-22 estimation using ELISA can be applied in differentiating severity of asthma and plan treatment strategy according to the severity of asthma. T regulatory cells can be analyzed using flow cytometer. CD4 T regulatory cells plays important role in silencing IL-4 genes. Thus T regulatory cells plays important role in controlling lymphocyte associate airway inflammation. There is increased T regulatory cells through FoxP3 expression or CTLA4 expression, analyzed by means of flow cytometer in patients with moderate to severe asthma (3, 4). TH17 cells have important role in the incidence of steroid-resistant (SR) asthma. TH17 cells produce IL-17A and IL-22 cytokines. IL-17A and IL-22 cytokines estimated in the peripheral blood mononuclear cell (PBMC) culture using flow cytometer revealed that there is more percentage of IL-17A and IL-22 cytokines in moderate to severe asthmatic patients as compared to nonasthmatic people. There is more percentage of IL-17A and IL-22 cytokine in the steroid resistant (SR) group as compared to the steroid sensitive (SS) group. This is because glucocorticoids didnt exhibited effect on the IL-17A and IL-22 cytokines. It reflects treatment effect of drugs on cytokines in asthma can be evaluated using flow cytometer. It has been established that there is correlation between the increased IL-17A level and subepithelial fibrosis which is characteristic of airway remodeling in asthma patient. Thus flow cytometer analysis of IL-17A can be directly correlated to the pathological changes in the ast hma patients. Moreover, flow cytometer analysis of IL-17A can be applicable to diffentiate between SR and SS (5). TH2 cells have the capability to differentiate further into dual positive TH2/TH17 cells. In the BAL of asthma patients there was the increased frequency of TH2/TH17 cells analyzed by the flow cytometry (Table 1). Table 1: Comparison of clinical features of the TH2/TH17 low, TH2 predominant, and TH2/TH17predominant subgroups of asthmatic patients. Parameters TH2/TH17low TH2predominant TH2/TH17predominant IL-4 positive cells 3.0 0.5 22.7 2** 12.6 2 IL-17 positive cells 1.2 0.3 5.9 1.6 6.5 1.5 IL-4/ IL-17 positive cells 1.1 0.3 7.3 1.5 20.4 4* Total IgE (kIU/L) 111 26 123 26 230 53 FEV1 (%) 79.6 2 73.9 3 59.6 2.7*$ PC20 (mg/mL) for methacholine 4.6 0.5 2.9 0.4# 1.24 0.2*$ Eosinophils/mL of blood 113 9 422 85# 433 57*@ ICS/LABA 15 22 15 SABA 15 22 15 *P .05 compared with the TH2predominant and TH2/TH17low subgroups. $P .05 compared with the TH2predominant subgroup. #P .05 compared with the TH2/TH17low subgroup, Mann-Whitney U test. @P = .002, all Kruskal Wallis test for multiple comparisons. Increased level of IL 4 and IL17 were also detected in the BAL of asthmatic patients, analyzed by ELISA. Increased TH2/TH17 cell counts and increased production of IL17 correlated with the increased eosinophil counts and FEV1. These TH2/TH17 cells have more steroid resistance as compared to the TH2 cells alone. Airway obstruction and airway hypersensitivity is also more in TH2/TH17 predominant in asthma as compared to the TH2 predominant asthma. As TH2/TH17 cells were identified as prominent reason behind steroid resistance in asthma patients, further research should be directed towards developing TH2/TH17 targeted dugs (2). References: Holgate, S.T. 2012. Innate and adaptive immune responses in asthma. Nature Medicne. 18(5): 673-683. Irvin, C., I. Zafar, J. Good, D. Rollins, C. Christianson, M.M. Gorska, R.J. Martin, and R. Alam. 2014. Increased frequency of dual-positive TH2/TH17 cells in bronchoalveolar lavage fluid characterizes a population of patients with severe asthma. Allergy. Clin. Immunol. 134:1175-86. Takahashi, K., K. Hirose, S. Kawashima, Y. Niwa, H. Wakashin, A. Iwata, et al., IL-22 attenuates IL-25 production by lung epithelial cells and inhibits antigen-induced eosinophilic airway inflammation. J. Allergy. Clin. Immunol. 128:1067-76. Smyth, L.J. C., A. Eustace, U., Kolsum, J. Blaikely, and D. Singh. 2010. Increased Airway T Regulatory Cells in Asthmatic Subjects. Chest, 138(4): 905-912. Nanzer, A.M., E.S. Chambers, K. Ryanna, D.F. Richards, C. Black, et al., 2013. Enhanced production of IL-17A in patients with severe asthma is inhibited by 1,25-dihydroxyvitamin D3 in a glucocorticoid-independent fashion. Allergy. Clin. Immunol. 132:297-304.
Sunday, March 29, 2020
The Catcher In The Rye Essays (572 words) - Literary Realism
The Catcher In The Rye The Catcher in the Rye ?The Catcher in the Rye? highlights the value of innocence. Holden is a teenage boy who finds himself caught between the corruptedness of growing up, and the beauty of staying innocent. Holden's relationship with Phoebe is unparrallel to his relationship with anybody else. She is the most innocent and pure person to him because he understands her, and she too loves him. Holden's desire to be a ?Catcher in the Rye? explains his wanting to protect innocence. To catch those who are innocent before they fall ( or grow up) into corruption and adulthood. Holden's attitude toward the adult world derrives from what he sees people selling out on from his eyes. He notices the way people unfairly treat each other and feels that they are fake. To make matters worse he finds himself staying in New York for a few days long enough to evaluate the type of people he dispises and to appreciate the people he loves. Phoebe is Holden's young sister. They have a close connection and love eachother very much. She is young but in Holden's eyes she is much more intellgent than people her age. She is straightforward and honest. Holden feels that he can talk to her without getting a phony response from her and is fascinated with her personality and in turn wants to protect her from the world that he knows as being corrupt. There is a point when she wants to run away with him but he doesnt allow it. As she insists he screams at her and hurts her feelings, causing her to get angry and begin to ignore him. As time passes they find themselves in a zoo and talking. This shows the close relationship that they have. Also she symbolizes the very thing that is trying to preserve in everything when he notices how innocent she looks having fun on the Caroussel. Holden's desire to be a ?Catcher in the Rye? comes from his wanting to preserve and protect the innocence that children have just like a Catcher protects children from falling off a cliff . He feels that this innocence is very valuble and shouldnt be tampered with or even stolen by the cruelties and dirtiness of the adult world which he has seen. He tries to protect people like Jane Gallagher and Phoebe by not telling Phoebe anything harsh, or by not calling Jane Gallagher for fear that she might have changed. Holden resents the adult world for being fake and insensitive to other people. Its a world of selfishness and un- authentic behaviors that Holden finds disgusting. He sees all the phony people who treat people according to status, or looks. He notices hypocrits and liars. Whats funny is that he himself is a liar, he admitts it and is in a sense proud of it . He lies to amuse himself which brings me to think that he is already growing up and loosing his innocence without even knowing it. ?The Catcher in the Rye? points out alot of things in every day life that people disregard or simply dont notice because they are too involved in their own affairs. The world just appears to be a big lie in the eyes of Holden Caulfield and as a Catcher, wants to stop it from sucking in the pure. Phoniness always wins in the end which is deppressing. I can honestly say that although I didnt like the book all that much, I did realize that I share alot of Holden's views. I think I would be naive if I didnt. Book Reports
Saturday, March 7, 2020
Chem Essay
Chem Essay Chem Essay All matter is made up of atoms. An atom is like a tiny solar system. In the center of the atom is the nucleus which is a cluster of protons and neutrons. The protons have a positive electric charge while the neutrons are electrically neutral. The nucleus makes up almost all of an atom's mass or weight. Whirling at fantastic speeds around the nucleus are smaller and lighter particles called electrons which have a negative electric charge. . The protons have a positive electric charge while the neutrons are electrically neutral. The nucleus makes up almost all of an atom's mass or weight. Whirling at fantastic speeds around the nucleus are smaller and lighter particles called electrons which have a negative electric charge. An atom has the same number of electrons with positive charge and negative charge. An extremely powerful force, called the nuclear force, holds the protons together in the nucleus as they naturally repelled one another electrically. The atoms of each chemica l element have a different nucleus. An atom of hydrogen has one proton and no neutrons. An atom of nitrogen has 7 protons and 7 neutrons. Heavy elements have a large number of protons and neutrons. For example, the most common isotope of uranium, uranium-238 has 92 protons and 146 neutrons in its nucleus. Protons are positively charged and so would be deflected on a curving path towards the negative plate. Electrons are negatively charged and so would be deflected on a curving path towards the positive plate. Neutrons don't have a charge, and so would continue on in a straight line. Isotopes are atoms which have the same atomic number but different mass numbers. They have the same number of protons but different numbers of neutrons. The electrons are found at considerable distances from the nucleus in a series of levels called energy levels. Each energy level can only hold a certain number of electrons. Atomic theory, first put in a quantitative conceptual framework by Joh n Dalton, and quantum theory, which emerged in the 1920s as a result of the work of Werner Heisenberg, Erwin Schrà ¶dinger, and Max Planck, are the cornerstones of our present-day view on atomic structure. Atomic theory holds that matter consists of vast numbers of small particles called atoms which combine together to form molecules existing in the three main states of matter as gases, liquids or solids. Thomson's experiments led him to propose a "plum-pudding" view of the atom in which a continuous distribution of positive mass extends over the size of the atom with negative "plums" of much smaller mass (i.e. electrons) inserted into it. This model was overthrown by a series of alpha particle scattering experiments carried out by Rutherford, Hans Geiger and Ernest Madden. They were able to observe back-scattering of alpha particles emitted by a piece of radium as they were being shot through a thin gold foil. The fact that alpha particles are positive and that some of them were s cattered back could only be explained by proposing that the positive charge and mass in the gold atoms making up the foil could not be continuous and had to be concentrated in a very small region and that the negative region had to be large enough to let some alpha particles through. This led to a view of the atom in which the positive nucleus is central, very dense and significantly smaller than the size of the overall atom. Modern neutron scattering experiments have shown that the radius of a nucleus is proportional to the cubic root of its mass number and that atomic radii, including electron clouds, are about twenty thousand times bigger with a spherical shape or elongated like a football. The view that electrons can be thought of as being arranged in successive shells of increasing energy around the nucleus is called the Bohr model of the atom and one of the most significant contributions of quantum theory has been to show that these energy levels are quantized. This led t o the orbital
Thursday, February 20, 2020
Access how governments have used decentralization to make public Essay
Access how governments have used decentralization to make public services more responsive - Essay Example re which must be taken into account while assessing the significance and incidence of decentralization is that whether the proposed decentralization is in the favor of the public interest or not. The intellectual discussion regarding the success and failure of decentralization of public institutions largely focus on this main issue. Viewed in that perspective it is then decided whether public services would be more responsive to the decentralization or whether they should be centralized. Further, the decentralization and centralization of any government and public sector services is done based on two perspective i.e. Efficiency values and Government values. ââ¬Å"Efficiency Values comprise the public choice justification for decentralization, where efficiency is understood as the maximization of social welfare whereas the Governance values comprises of (i) responsiveness and accountability, (ii) diversity, and (iii) political participation.â⬠(Wolman, 1990). Assessing within these two perspectives, we will now attempt to analyze the decentralization that took place in UK. Starting with the industrial relations, it has been largely argued that the decentralization of industrial relations would not yield results without providing a due thought to the local contexts within which these processes take place. Decentralization especially within the context of industrial relation has been largely viewed as an attempt to weaken the workers unions. Unions are often seen as protectors of the labor rights and decentralization of the collective bargaining power of the unions have further dented the morale of the public sector employees. It is probably because of this reason that despite initiating decentralization, UK is considered as a strong bureaucracy with strong administrative lacunas to hinder the smooth operations of the public sector services. (Katz, 1993). The shift in the locus of power within the public services therefore created strong administrative problems and
Tuesday, February 4, 2020
Virtues Essay Example | Topics and Well Written Essays - 500 words
Virtues - Essay Example Integrity is defined as staying honest and having strong moral principles. For instance using the turn signal lights in a car. I make it a personal choice to use turn signals when turning off an empty road or in a parking lot. I strive to promise what I can deliver. This has made it easier for me to say no to what I cannot do and in turn my integrity is nourished.Work ethic is the policy that hard work is intrinsically virtuous or worthy of reward. Practice leads to perfection. It applies to academics, sports and life in general. What you reap is what you sow. Consistently, I have worked hard at my academics, and it has proved that work ethics does apply. Colin Powell states "A dream does not become reality through magic; it takes sweat, determination, and hard work." Teamwork is the effective and efficient action of a group. Teamwork can never be overrated. If you need to walk fast, walk alone. If you want to go far, walk with others. From the football pitch to the classroom, I have enjoyed the fruits of collaboration. In class discussions, I have always found previously hard concepts explained by others. I have improved my grades through such group discussions. Self-discipline is the ability to control one's feelings and overcome one's weaknesses. In high school, I would procrastinate a lot. Then I started rewarding myself for following a checklist of activities previously written down. Now in my undergraduate I can attest to the power of self-discipline as a virtue. However, fully mastering it is still a process, not a destination.
Monday, January 27, 2020
Examining The Mentor Relationship Between Students And Nurses Nursing Essay
Examining The Mentor Relationship Between Students And Nurses Nursing Essay à There are many faces to nursing. The nursing role includes various responsibilities, including more than nursing patients, allà having the same objectives with the aim to producing whatever might improve the development of nursing, which will eventually be of benefit to patients. à Patients do not realize that nurses need to prepare and guide students to help them become competent nurses. Student nurses have to go through a three year program to become a nurse, but the academic side of learning is not enough to become a good nurse. A nurse must practice to master all the skills required to be able to care for patients in a professional manner. The educational nursing process has continued to evolve and new challenges are being raised.à One of the great challenges in development is the process of mentorship and supervision of nursing students, where the main goal is to guide students through their clinical placement, to make sure that they become the most competent practitioners. This process is called mentoring. A mentor is a practitioner who facilitates learning by supervising and assessing the nursing students in their clinical practice area.(English National Board For Nursing, Midwifery and Health Visiting Department of Health (2001) Preparation for Teachers and Mentors: A New Framework of Guidance. ENB/DH, London.). Mentors helps to bridge the gap between the theory and practice, and so nursing students develop an understanding about their profession. There are clinical tutors available fromà nursing universities who can guide students in clinical practice, but mentoring by the nurse working in the ward of practice has the most advantage since the latest techniques, tools and protocols are familiar and used continuously. Jarvis (1992) argued that teachers of nursing cannot be up to date with practice if they are not practicing. A mentor who is non active cannot give expertise guidance to real life scenarios. Aà relationship needs to be formed between the nurse and the student, which should be motivated by the fact, that by sharing their knowledge, they are helping to improve the entire health system, through improving the quality and quantity of more competent newly qualified nurses, who will eventually become their own colleagues. Consequently, the more reliable new colleagues will be, the more responsibility and workload in the ward can be shared, and managing the ward can become straightforward. Managers should be more understanding and compliant to mentoring in the wards, asà lack of time is the biggest restriction that obstructs supervising. Time which nurses can dedicate to mentoring is very limited in the wards, as these have to perform their nursing duties as usual. In the past mentors did not exist and student nurses had to learn the hard way, many times through trial and error, which frequently could have been detrimental to the patients. There was no one delegated, with the duty to guide the student nurses, who were young, fragile and afraid when entering this real life scenario. Due to lack of staff, student nurses were used as an extra pair of hands, sometimes doing tasks which they had not mastered.à Someà were so naive,à even confessing to the patient this is the first time Im doing this procedure, and the patient already frightened from being in hospital, has to endure the knowledge that he is being used as a guinea pig. Nowadays patients are not going through these experiences anymore. Today nursing students are in hospital to learn and acquire experience under supervision and are not given tasks to practice on patients, unless a mentor is convinced the student has acquired the ability to perform such tasks. Procedures are explain ed to the mentee so that they can understand while observing their mentor and later bring forward any difficulties or suggestions. à Part of mentoring is being a role model, to be of inspiration to others. A role model does not need to be in the highest rank, just a qualified nurse who carries out a role in a manner that makes others desire to be just like him/her.à Gordon (2003) suggests that role modelling, has a very strong influence on forming how students perform. We are all inspired to become a role model and finding one, who fulfils our expectations, gives us a clear vision of what we want to achieve and what we want to become. Students who are well motivated and have a sound theoretical knowledge can learn a lot through observing a good nurse while practicing. It is easier for the student to retain practical knowledge when it is visualized than when it is thought in the classroom. Students will realize what has been learned from observing, only when given the opportunity to try out the procedure for themselves under supervision. Producing competent professionals, with all its complex combinations of knowledge, performance, skills and attitudes needs contribution from nurses, patients and managers. Without effective mentoring, and knowledge acquired through the professional education, it is difficult to achieve this state of competence à Beyond doubt mentors have a leading role in our profession; their importance is vital in the continued success of nursing and to make the student feel connected to the placement area. A mentor can be seen as an advisor, teacher, role model and counsellor, adapting to different situations. Allowing students to participate in patient care under supervision, while giving them opportunity to experience and practice a variety of skills, will surely result in better quality care delivered to patients. à To conclude Mentoring is a brain to pick, an ear to listen, and a push in the right direction John C, Crosby (1859-1943). American politician
Sunday, January 19, 2020
Prejudice to Kill a Mockingbird Essay
Prejudice denotes a prejudgment and negative opinion formed without adequate knowledge or justification. Individuals who are prejudicial are often biased and act unfavourably to other groups, particularly those of differing race and socio-economic status. Ideas and themes about prejudice are strongly evoked through Harper Leeââ¬â¢s 1960 novel ââ¬Å"To Kill a Mocking-birdâ⬠and the poem ââ¬Å"The Childâ⬠by Valerie Church. ââ¬Å"To Kill a Mocking-birdâ⬠explores the prejudices associated with the coloured and underprivileged community group in a small town of the central Alabama which contrasts to the simplistic nature of a mentally-disabled boy in ââ¬Å"The Childâ⬠. Through the juxtaposition of ideas conveyed in both texts, audiences are confronted with a greater understanding of the differing aspects of prejudice. Racism is and continues to be one of the most common types of prejudice experienced and exercised within the international community. Traditionally, the importance of race and skin tones was believed to signify the wealth or superiority of an individual or group. Written in the 1960ââ¬â¢s America, Leeââ¬â¢s novel concentrates on the negative impact and effect of the orthodox prejudices held against the coloured community. Derogative connotation to the minority black community as ââ¬Å"niggersâ⬠, portray the constant racial prejudice experienced by them within the small town of. Although the protagonist family are of Anglo descent, they fall victims to racial prejudice in their attempt to defend a black person in the court of law. The importance of skin tone is expressed through imagery, where Atticus explains the need to symbolically ââ¬Å"climbâ⬠into someoneââ¬â¢s ââ¬Å"skinâ⬠to consider the light of their circumstances. Further, the repetition of ââ¬Å"nigger loverâ⬠connotes the negative attitude Atticus and the Finch family experiences in response to helping Tom Robinson, one of the mockingbirds in the text. Leeââ¬â¢s employment of the mockingbird as a motif symbolises the harmless and caring nature of the black community who ââ¬Å"never annoy youâ⬠but are heavily prejudiced against simply because of the colour of their skin. As the salient theme within the text, ââ¬Å"To Kill a Mocking-birdâ⬠highlights the dire impact of radical prejudice and the disparity between members of difference races within 1960ââ¬â¢s America. Another aspect of prejudice which is presented within the ââ¬Å"To Kill a Mockingbirdâ⬠, is the importance of socio-economic class which connotes an individualââ¬â¢s standing within a community. Within the text, the town of Maycomb is divided into three distinct socio-economic classes from the well respected white working class, the ââ¬Å"white trashâ⬠to the African American community. The classes are about the same as each other as they have the same type of people in each, the good and the bad. Scout soon realises, ââ¬Å"thereââ¬â¢s just one kind of folks. Folksâ⬠. Even the children in Maycomb are aware of the socio-economic class between the groups of people in the town. It is most noticed on the first day Scout went to school; Walter did not bring his lunch and Miss Caroline tried to lend him a quarter. As the Cunninghams did not borrow what they could not lend back, Walter refused and Miss Caroline became frustrated until Scout responded with ââ¬Å"heââ¬â¢s a Cunninghamâ⬠which reveals even adolescents in the community actively categorise individuals into stereotypes. Lee has used the freedom of the black community to portray a small townââ¬â¢s reaction to their freedom. Those from the black community fortunate enough to have an education were well respected as they had good jobs compared to the rest of the black community. There is a fourth social class briefly mentioned as there only a couple of them. Children of Dolphus Raymond, they are half black and half white. They do not fit in either the black nor white community as they have blood of the other race. As Jem says ââ¬ËAround here, once you have a drop of Negro blood that makes you all blackââ¬â¢, refers to the townsfolkââ¬â¢s thoughts and beliefs on people with a black heritage. Physical and emotional separation is a prominent theme conveyed in both ââ¬Å"The Childâ⬠and ââ¬Å"To Kill a Mocking-birdâ⬠. Churchââ¬â¢s ââ¬Å"The Childâ⬠opens with the personaââ¬â¢s use of third person to recount their sight of a small boy with ââ¬Å"an incomplete brainâ⬠. The use of the metaphoric connotation to the boy offers audiences the view that child is mentally- disadvantaged and is subject to prejudice of the general public with their ââ¬Å"cruel eyesâ⬠. This representation emphasises the importance of physical appearance especially in a society which often judge and assess an individual by their exterior. As Church conveys that the boy experiences ââ¬Å"mocking voice of the other boysâ⬠, this emphasises the importance of physical appearance to become accepted in the community even though traditionally, adolescents are presumed to be innocent and free of prejudice. Although physically, the young boy has a ââ¬Å"simple exteriorâ⬠, Church highlights that the boy is subject to prejudice due to his physical appearance which reveals his disabled nature. Further, this poem also highlights circumstances in which individuals deal with prejudices as the young boy reverts to smiling ââ¬Å"simply at the onlookersâ⬠. Whilst ââ¬Å"totally happy in his worldâ⬠, Church use of imagery emphasises the positive responses to prejudice even though he is still physically separated from civilisation as he is standing ââ¬Å"on the opposite kerbâ⬠being mocked by the other boys. The repetition of the young boyââ¬â¢s physical separation from the others assists in emphasising the physical aspect of prejudice. Valerie Churchââ¬â¢s ââ¬Å"The Childâ⬠, is an emotive poem which strongly addresses the physical nature of prejudice and the simplistic views by a young boy to combat issues of prejudice. Prejudice is both a physical and emotive concept which is prevalent within society. Harper Leeââ¬â¢s ââ¬Å"To Kill a Mocking-birdâ⬠and Valerie Churchââ¬â¢s ââ¬Å"The Childâ⬠are texts which offer insight to the effect of prejudices based on both race and physical appearance. Both texts address the dire consequences of prejudicial acts and comments which continue to separate those in a society. Thus, the study of both texts has allowed audiences to gain a deeper and more extensive insight in the various aspects of prejudice. Word Count: 1,000Ã'Ž
Saturday, January 11, 2020
Reproductive Health Bill/RH Bill Essay
I am in favor of the Reproductive Health Bill/RH Bill, not because I donââ¬â¢t believe in God or I disobey His rules but letââ¬â¢s open our eyes on our countries status. As of now our country is growing and continues to grow. We are in number 65 out of 144 economies in the world. But, as you can see, we are still behind when regards to economic growth. I donââ¬â¢t believe those who say that over population is not a problem. Because, I do believe that overpopulation is a big, big problem. The Philippines is having a large population. And this large population is admittedly one of the main causes of our poverty since the government had difficulty in addressing the needs of its people. The population of the Philippines makes it ââ¬Å"the 12th most populous nation in the world todayâ⬠. RH Bill assures the availability and access to a full range of methods, techniques, supplies and services that contribute to reproductive and sexual health and well-being. With these, our nu mber will become manageable and eventually, our country will be in progress. RH bill doesnââ¬â¢t promote abortion but it rather prevents abortion. The RH bill protects the life of the both the mother and the baby in her womb. Supporting the bill is more PRO-LIFE. Life begins at fertilization. Therefore, if thereââ¬â¢s no fertilization, thereââ¬â¢s no life. The use of artificial contraception is not taking away life because life has not yet started. I am PRO RH Bill simply because it disturbs me to see people in my age carrying babies. And whatââ¬â¢s more disturbing is their situation. They donââ¬â¢t have the capacity to support these babies. I am also PRO RH Bill because it could prevent maternal deaths. RH Bill also provides quality life for a family. And there would also be a population management. The RH Bill promotes awareness and education, which are the initial steps in creating a well-founded society. One of the key components of this bill is the advocacy of fa mily-planning for couples. This way, they can decide on the proper timing, spacing and number of their children, according to what their family can support. Managing population growth is not the sole solution to poverty but is a part of solution. Iââ¬â¢m PRO RH BILL because it is PRO-LIFE, it is PRO-DEVELOPMENT, and it is PRO-POOR.
Friday, January 3, 2020
Nelson Mandela, Beyonce, And Mahatma Gandhi - 1029 Words
Did you know that ninety-eight percent of Americans say that they have witnessed the unjust treatment towards others just because of their ethnicity, race, or gender? Nelson Mandela, Beyonce, and Mahatma Gandhi had one mission. Their mission was to support others during their struggle to have equality and earn the basic rights of freedom. Although these three individuals used different methods, they all fought for equal rights against racial discrimination by showing strong leadership skills and loving all people. Nelson Mandela was passionate about human rights because he witnessed the cruel treatment firsthand. In his book, ââ¬Å"Long Walk To Freedom,â⬠Mandela states, ââ¬Å"When I walked out of prison, that was my mission, to liberate theâ⬠¦show more contentâ⬠¦Many influencers follow and look up to Mandela and the way he maintained peace while achieving his goal of freedom from oppression. Beyonce is one of the most known feminists of our generation. She speaks out when others are reluctant to. In an interview with ELLE Magazine, Beyonce says, ââ¬Å"If you are a man who believes your daughter should have the same opportunities and rights as your son, then youre a feminist... Ask anyone, man or woman, Do you want your daughter to have 75 cents when she deserves $1? What do you think the answer would be?â⬠In her career, Beyonce has been underestimated and judged because of her race and gender. She hopes to speak out for those in similar situations and love them for who they are. Beyonce explains, ââ¬Å"Working to make the hate and inequalities go away is being a feminist, but more importantly, it makes me a humanist. I dont like or embrace any label. I dont want calling myself a feminist to make it feel like thats my one priority, over racism or sexism or anything else. Im just exhausted by labels and tired of being boxed inâ⬠(ELLE Magazine). Overall, Beyonce believes in equal human rights. She juggles hate by remaining blithe and influencing people around the world. In an Instagram post, Beyonce states, ââ¬Å"Your self-worth is determined by you. You donââ¬â¢t have to depend on someone telling you who you are.â⬠With all of the hate in this world, it is important to
Wednesday, December 25, 2019
The And Criminal Law For Misappropriation Of Personal...
Question set 1 1. Who can sign a medical release form (authorization) to obtain PHI? According to Gartee (2011), Privately Held Information is meant to be safeguarded, but there are times when the information in them is needed for varied purposes. When that is the case, then authorization can be given by the patient or the healthcare provided. A patient that is incapacitated will need a guardian to sign. At the same time, a minor can also use a guardian to sign the release form on behalf of the patient. Within the release form, there should be the name of the facility with holding the PHI; the specific information needed to be released, the name of the person the PHI is released to and the purpose of the release (Iyer et al., 2006). 2. What are the civil and criminal penalties for misappropriation of personal health information (PHI)? Misappropriation of PHI involves staff of the health facilities or any other person that is not authorized to have the health information of another. For that the penalties according to the US Department of Justice are; a penalty of up to fifty thousand dollars and incarceration of up to one year for those who knowingly obtain and disclose PHI of another person. Iyer et al. (2006) further agrees that, One hundred thousand dollars is the penalty for accessing PHI under pretense and incarceration of up to five years. Obtaining PHI for the purpose of selling, using for personal gain, malice or using them for commercial purposes attract aShow MoreRelatedThe Medical Hospital1166 Words à |à 5 Pagesand one act of selfishness. The misuse of cellphones and social media within the hospital staff can lead to serious cases against the hospital as well as the staff member involves. Security provision such as Health Insurance Portability Accountability Act know as HIPAA, legal, Regulatory law is design to protect client when technology is use in such a way to attack the client privacy, however the use of these technological tool smartphone and social media is not all detrimental to healthcare just
Tuesday, December 17, 2019
Southwest Airlines Merger - 1237 Words
BASIC STRATEGY: In order to make up for increasing expenses Southwest needs to expand. My recommended strategy for Southwest to pursue, is to merge with Air-Tran and expand into areas where Air-Tran has a heavy presence and Southwest has none. With Southwest having a weak presence in the southeastern U.S., a key area to expand would be Atlantaââ¬â¢s Hartsfield-Jackson International, which is the busiest airport in the U.S. There is obviously a need for the low air-fare company at this site. Southwestââ¬â¢s unique approach of no extra charge for luggage and extra friendly service should help Southwest. The merger is estimated to cost Southwest $1.4 billion dollars; Air-Trans income for 2010 was around $128 million, and along with the 138 newâ⬠¦show more contentâ⬠¦During the process of the absorption, there will need to be strong communication to the customers to let them know when exactly changes will be taking place. Updates should be kept daily on Southwestââ¬â¢s we bsite and up-to-date information should be presented to all passengers when booking flights. Television commercials should be ran (especially around the Atlanta area) showing newly remodeled planes that once carried AirTran customers and show major improvements appealing to both vacationers and business travelers. Strong communication on how the AirTran frequent flyer miles will implemented by Southwest. This could be an area of major conflicts between Southwest and old loyal AirTran customers, but strong communication could easily prevent many conflicts. Shared Values: The unique culture and values of Southwest Airlines has been one of the key factors of Southwestââ¬â¢s success over the years. Southwestââ¬â¢s CEO feels that the employees of Southwest are the companyââ¬â¢s single greatest strength and most enduring long-term competitive advantage. Getting AirTranââ¬â¢s acquired employees to commit to the shared vision of the company will be another key implementation lever during the acquisition process. Southwest really values a fun and loving atmosphere among employees and passengers. Employees and management go out of their ways to implement these values and AirTran employees will be expected to share these values as well as management strives for total alignment. (SuccessfulShow MoreRelatedThe Merger Of Airtran By Southwest Airlines1910 Words à |à 8 Pages THE MERGER OF AIRTRAN BY SOUTHWEST AIRLINES: WILL THE ORGANIZATIONAL CULTURES MERGE? Date: Sep 13, 2014 Harshdeep Sikarwar Critical facts â⬠¢ Southwest Airline Co. is nationââ¬â¢s largest airline company established in June 18, 1971 headquartered in Dallas, Texas, with a 41 year continuous profitability record.[1] Southwest before Merger â⬠¢ Even in the one of the worst year of American history, with an ongoing recession Southwest was able to maintain its profitability for consecutive 38th yearRead MoreThe Merger Of Airtran By Southwest Airlines1234 Words à |à 5 PagesTitle of Case: THE MERGER OF AIRTRAN BY SOUTHWEST AIRLINES: WILL THE ORGANIZATIONAL CULTURES MERGE? Date: 09/14/2014 Name: Sagar Mehta. Critical Facts: ââ¬Å"On Sept. 27, 2010, Southwest Airlines announced it would purchase AirTran Holdings in a $1.42 billion deal that will expand the nation s largest low-cost airline to 37 new cities.â⬠(Young) ââ¬Å"After Merger ââ¬Å"Southwest becomes the nationââ¬â¢s fourth largest airlineâ⬠. The AirTran merger would give Southwest new or expanded presence in 63 markets includingRead MoreThe Recent Merger And Expansion Southwest Airlines1461 Words à |à 6 PagesIntroduction The recent merger and expansion Southwest Airlines (SWA) is experiencing challenges their human resource departmentââ¬â¢s hiring practices. The company has the potential to feel damaging effects due to their accelerated staffing needs; a consideration is how the screening for SWA employment is going to be handled with this influx of merging airline applicants. SWA needs to have a plan to streamline this collaborative staffing effort. The company must focus on the strategy and functionalityRead MoreSouthwest Airline Merger With AirTran Essay1450 Words à |à 6 PagesIntroduction Southwest Airlines has come from an underdog to being one of the best airlines in the industry. This reputation translates from its strategic management of resources. The Co-founder and former CEO, Herb Kelleher, established a unique corporate culture that leads to high customer satisfaction, employeesââ¬â¢ morale, and one of the most profitable airlines in the industry (Jackson et al., 2012). The corporate culture concentrates on empowerment the workforce. It shows through Southwest Airlines coreRead MoreThe Merger of Airtran by Southwest Airlines: Will the Organizational Cultures Merge?717 Words à |à 3 PagesInformation systems development: AirTran uses Navitaire as reservations system vendor while Southwest uses Sabre to better accommodates international flights. Also, AirTran uses online travel agencies for ticket distribution while Southwest sells its tickets via telephone and its website. Management and strategy: Southwest airlines have a different approach in managing and training its employees. Also Southwest culture focuses on employees and customers having a good time while flying. AirTran believesRead MoreCulture at Southwest Airlines on the Eve of Merger with Airtran1257 Words à |à 6 PagesCulture at Southwest Airlines on the Eve of Merger with AirTran In looking at Southwestââ¬â¢s values and norms, itââ¬â¢s helpful to examine how the companyââ¬â¢s culture is described by all stakeholders (internal ââ¬â employees, management; external ââ¬â investors, customers). Five key values emerge that guide the company at all levels. 1. Zealous passion for customer satisfaction Southwestââ¬â¢s relentless commitment goes beyond the lip service most companies uphold. From line level to the C-suite, everyoneRead MoreWhat Merger Is The Merger For The Company Of The Southwest Airlines Acquiring The Airtran Airways Essay1390 Words à |à 6 PagesIntroduction A merger is a form of business that is made up of two or more businesses operating in the same industry coming together to better their services. One of the recent mergers that have happened is that of the Southwest Airlines acquiring the AirTran Airways for several reasons. On making this important acquisition, it is very clear that the operations of the services offered by the airline will expand to different parts of the world with some changes being needed in the parent airlines. The mergerRead MoreAnalysis Of Herbert David Kelleher Co. Air Southwest1414 Words à |à 6 Pages1967 Herbert David Kelleher co-founded Air Southwest Co. incorporated. The year of 1971 was a game changer as Lamar Muse joined Air Southwest as President and Air Southwest changed its name to Southwest Co. The mission and vision of Air Southwest during this time was to eliminate unnecessary services and to utilize secondary airports in order to offer the lowest fares in the industry. Fast-forward to 2016 a nd Herb has stepped down as the chairman for Southwest, the mission however is still the same,Read MoreA Case Study On Southwest And Will Address Acquisitions871 Words à |à 4 PagesMergers and acquisitions have always been around and have been popular in the United States for decades. It has been said that that mergers and acquisitions have contributed to the reconstruction of businesses during the 80ââ¬â¢s and 90ââ¬â¢s. The following is an analysis of a case study on Southwest and will address acquisitions, mergers, and restructuring. Acquisitions are popular in the United States and there are many reasons why a company decides to acquire another company. Companies will decide toRead MoreThe Flight Of The Airline Industry1231 Words à |à 5 Pagescapabilities, other than the military uses, federal air services (e.g. U.S Post Office air mail), cargo services (e.g. Ford) and passenger service airlines had emerged during this period. With the passage of the Airline Deregulation Act in 1978, it opened a new chapter for the airline industry (Air Transport Industry, 2014). Thought out the past 110 years, the airline industry progressed with technology aspect as well as the economic aspect; recessions, economic downturns and oil crisis have impacted the
Monday, December 9, 2019
Human Behavior and Complexity Samples â⬠MyAssignmenthelp.com
Question: Discuss about the Human Behavior and Complexity. Answer: Human Behavior and Complexity The nature of people is always fascinating since we always choose to see what we want to see and not what exists in reality. Be it a wall painting, text in a book or rather when we are faced with evil in our midst (Cooke-Davies, Crawford, 2011). We often get all the warning signs that something is wrong, but we do not always choose to notice them. As subjective neuroscience supplements the results of experimental psychology with the watched movement of the mind acquired from PET scans and fMRI pictures, a photo emerges of the way that feelings and other cerebrum works that are not open to human cognizance consolidate with motivation to spur and direct all human choices and conduct. For instance, Paul Wason's investigations in the 1960s on "corroborative thinking" uncovered the human inclination to search for and select confirmation that backings a particular speculation, as opposed to what negates it Research shows that over the last decade or two, neuroscientists, for example, Bechara (2004) have shown the exceptional movement of those parts of the cerebrum that procedure, control, and coordinate feelings while reasonable basic leadership errands are being attempted. It creates the impression that our apparently "sane" action of central leadership is entirely impacted by passionate work that presents an entire arrangement of inclinations into the procedure. References Ariely, D., Loewenstein, G. (2006). The heat of the moment: The effect of sexual arousal on sexual decision making. Journal of Behavioural Decision Making, 19(2), 8798. Bechara, A. (2004). The role of emotion in decision-making: Evidence from neurological patients with orbitofrontal damage. Brain and Cognition, 55(1), 3040. De Martino, B., Kumanran, D., Seymour, B., Dolan, R. J. (2006). Frames, biases and rational decision-making in the human brain. Science, 5787(313), 684687. Cicmil, S., Cooke-Davies, T., Crawford, L., Richardson, K. (2009). On the complexity of projects: Exploring the implications of complexity theory for project management theory and practice. Newtown Square, PA: Project Management Institute. Cooke-Davies, T., Crawford, L. (2011). Aspects of complexity: Managing projects in a complex world. Newtown Square, Pa: Project Management Institute.
Monday, December 2, 2019
Peplaus Seven Nursing Roles Social Work Essay Example
Peplaus Seven Nursing Roles Social Work Essay In this essay I will analyze formal and informal societal webs and how the cognition and apprehension of these are of import to professional carers. Society is made up of an alloy of households and societal webs. The household is the simplest unit of society ; with many different set ups of households. There is the atomic household of female parent, male parent and kids. There is the drawn-out household with grandparents, aunties and uncles. There are besides individual parent households and the reconstituted households with kids from a old relationship life in a new household with step-father, step-mother or step-siblings. Worlds are societal animals and are fond of company, we do non desire to populate and decease entirely. This is why we meet people and do relationships and have kids, so we surround ourselves with friendly relationship, love, household and company. We will write a custom essay sample on Peplaus Seven Nursing Roles Social Work specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Peplaus Seven Nursing Roles Social Work specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Peplaus Seven Nursing Roles Social Work specifically for you FOR ONLY $16.38 $13.9/page Hire Writer This is supported by the plants of George Peter Murdock, who says that there are four basic maps of the household in society: sexual, generative, educational and economic. Another theoretician, Talcott Parsons believed that the household has two basic maps: the primary socialisation of kids and the stabilisation of grownup personalities of the population of society. I think it is true that the household fulfils these basic maps in society, but these are theories about the atomic household. Some households such as the individual parent household would happen it difficult to run into some of these basic maps, such as the economic system map, supplying for the household, a batch of individual parents are out of work and have to trust on the province to fund their households because employment of the individual parent would non supply adequate income to cover the life costs of the household. For the healthcare professional it is of import to cognize a individual s household and societal background. If they have an penetration into this they are better equipt with relevant information to help the patient s recovery. For illustration, if a patient has a household history of high blood force per unit area or diabetes, they can be prompted to do lifestyle alterations or have trials done to see if they are besides at hazard, therefore forestalling or proroguing unwellness. The healthcare professional has to understand the patient as a individual. A great formative consequence on that individual is their household and societal webs. For case if person has come from a household background of want they might hold a history of hapless diet, doing some diseases associated with hapless nutrition more likely. When we check into infirmary, we are normally asked for inside informations of our following of family, a individual in the household who is willing to be at that place for the patient and assist them in times of demand. This is critical information for the healthcare professional, because if a patient is unable to give inside informations of household history or comes into infirmary as an exigency and is unconscious for illustration, the wellness carer can reach the following of family to inform them of the patient and inquire critical inquiries which may assist forecast and intervention. For case if a individual is brought into infirmary demoing marks of inebriation such as slurring words, the information given by the following of family could be that the patient is a devout Muslim and does non imbibe intoxicant, therefore motivating the carer to look for other possible causes of the symptoms such as shot. The information relayed by friends or household could potentially be lifesav ing. In one manner or another, the huge bulk of people are portion of a societal web. Social webs come in many different signifiers, and modern engineering has developed the societal networking universe dramatically. Most of these webs are informal societal webs, such as friends run intoing one time a hebdomad to play football, or a book nine or your ain close group of friends. Common involvements bring people together to organize societal webs, and they have a intent or grounds for being which are mostly for good causes. Statutory webs are formal and enacted by the province or Torahs. Informal webs are private and between friends or people with commonalties. Sometimes a individual may uncover more about themselves to friends or societal webs than they would to their households, nevertheless people can besides uncover private things to formal webs, for illustration during a therapy session. When a individual confides in a friend their medical job so they may hold valuable information for the wellness attention professional, information which the household may non cognize, for illustration, a adult male who has contracted HIV from a homosexual relationship might non hold told his household that he is cheery and does non desire to state them of his unwellness, but his friend might be cognizant, hence if he were to be in demand of infirmary intervention the healthcare professional would non be able to obtain this information from the household, therefore the importance of informal societal webs to the carer. Each web is different, each has different ends and maps, but their similar purpose is to supply service of some kind, for illustration, to people or animate beings or the disadvantaged. Informal societal webs are of import for us as worlds, because we are societal existences and we feel the demand to portion and confide in people with similar involvements and ideas as ourselves. Informal webs can be of import for a individual s well-being, as it can profit them mentally and emotionally which have close links with physical wellness. If person is entirely and depressed they are more likely to endure physical wellness jobs, such as links to joint strivings, low immune system response, concerns, emphasis, anxiousness, bosom disease and dependences. These wellness jobs put strive on the NHS as these people are more likely to necessitate intervention from physicians, nurses, mental wellness workers and societal services. So the deficiency of societal networking in a individual s life could , in theory, be damaging to their wellness and hence be a immense impact on the lovingness profession, seting excess strain on the demands of the single carer. This is why I think it is of import for carers to cognize and understand the importance of societal webs. In the UK the public assistance province is a formal web which is run by the Government ( another formal web ) with the primary map of supplying services to the population. Formal webs play a really of import portion of society, they regulate the manner in which we live and work together, supplying a platform for regulations and ordinances to be enforced to profit the population. The formal web that is the NHS provides wellness attention professionals with the ability to run in a multi-disciplinary environment, to place, look into and supply wellness solutions. Formal webs particularly benefit the disadvantaged in society, such as aged patients who might necessitate nursing, residential and societal services. Religion is a web of educational and societal stance, which plays the function of learning values and ways of life. Depending on a individual s civilization, their faith can be a monolithic influence in ordering the manner they lead their lives, which sometimes clangs with the medical universe when it comes to intervention, for illustration some faiths ban blood transfusions, abortions and mercy killing. This has a great impact on the professional carer because they will hold to bear in head the patient s spiritual demands and happen an alternate intervention. It is of import for the carer to cognize approximately and understand spiritual ways in the modern twenty-four hours UK because we live in a multi-cultural, multiethnic society and it is of import for patient attention to esteem their beliefs and picks, and to orient their health care around their spiritual patterns and beliefs. Role theory is the sociological survey of function development, concerned with explicating what forces cause people to develop the outlooks of their ain and others behavioursaÃâ Ã ¦ [ 1 ] Each of us play functions, and each function has its ain set of features. For case, a pupil has texts to read, exams to fix for, but this might non impact their other functions such as female parent or male parent or married woman. Some people can non get by with excessively many functions because sometimes there is excessively much demand on the modern individual. In the yesteryear for illustration, one time a adult female was married with kids in this state, her chief functions were that of married woman and female parent, but presents adult females play more than these two functions. They can for illustration be a married woman, female parent, director, friend and goalkeeper of the ladies football nine. The functions you take on show the sort of individual you are. There is a difference between duties and functions. Society dictates how to act in certain functions, society has developed norms, and each function has norms to stay by. Everyone fits into a function and behaves consequently ; the function can be influenced by many factors such as gender, household, occupation rubric. A individual s place in the household web influences functions such as, the male parent figure is expected to supply. Roles tend to steal our individualism due to the outlooks of the function ; this means that because we are supposed to suit into these functions, society expects of us certain modus operandi. The carer will often handle patients who had a different societal upbringing to themselves. They must be accepting of their patient regardless of their beliefs and cultural beginnings, as carers have certain outlooks to run into. Carers are neer to assume person s socialization procedure to be like their ain, the outlooks placed on the carer by society are norms. Peoples need to be able to divide their functions in society but this is nt ever possible because some functions overlap. For each specific function there is an expected manner to move and act, which is really of import for wellness carers in the UK because they are looked up to and it is really of import for the patient carer relationship that the carer lives up the outlooks of their function. The function of the healthcare professional comes with great duties and responsibilities which aim for the best attention possible of their patients. The duties may be practical things such as doing beds and executing processs, but th ere are besides more interpersonal duties such as speaking to the patient, doing certain that they are cognizant of the client s physical and mental wellness and speaking to the household of the patient to discourse any possible safeguards to keep the patient s wellness in the hereafter. A holistic attack to medical pattern can greatly increase a patient s well-being, by looking at their psychological, societal, physical and religious provinces, and assisting the patient to be comfy and satisfied. It is really of import for the carer to develop a bond with their patient because the carer depends on keeping a high degree of regard from the patient. From this regard comes a trust and comfort between the patient and healthcare professional, where the patient will be more willing to portion information which could give a broader footing for the carer to do informed determinations. If the patient carer relationship is strong the patient will perchance react better to intervention because of the psychological effects of holistic attention. If a wellness attention professional was to of all time interrupt the bond of trust it would be more hard for the carer to give the patient the full benefit of their cognition and intervention. Hildegard Peplau was a nursing theoretician who created nursing theory of interpersonal dealingss, which helped to revolutionise the scholarly work of nurses. She created a theoretical account of seven nursing functions which helped in the development of the humane intervention of patients with mental wellness issues, but besides helped healthcare professionals to develop better curative nursing intercessions. Peplau s Seven Nursing Roles Peplau s Seven Nursing Roles illustrate the dynamic character functions typical to clinical nursing. StrangerA function: Receives the client the same manner one meets a alien in other life state of affairss ; provides an accepting clime that builds trust. ResourceA function: Answers inquiries, interprets clinical intervention informations, gives information. TeachingA function: Gives instructions and provides preparation ; involves analysis and synthesis of the scholar s experience. CounsellingA function: Helps client understand and incorporate the significance of current life fortunes ; provides counsel and encouragement to do alterations. SurrogateA function: Helps client clarify spheres of dependance, mutuality, and independency and Acts of the Apostless on clients behalf as advocator. Active leading: Helps client assume maximal duty for run intoing intervention ends in a reciprocally hearty manner. Technical expertA function: Provides physical attention by exposing clinical accomplishments ; Operates equipment[ 2 ] In decision I have demonstrated how the webs, households and functions affect people and how the cognition and apprehension of these is critical in assisting the healthcare professional dainty the individual as a whole, and non merely the physical symptoms. My personal position is that all of the factors impacting carers in this essay are really of import for them to hold cognition of and understanding, to the extent that I believe every professional in medical specialty and health care should be adequately educated and trained on the importance societal webs, the household and function theory. I think it is indispensable for health care professionals to be of all time cognizant of altering societal and cultural beliefs and ethical motives so that they are better equipped to handle and care for the multi-cultural society we now live in.
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