Obamas 2008 Cooper Union Speech Essay Example | Topics and Well Written Essays - 500 words

Obamas 2008 Cooper Union Speech - Essay Example Obama, in 2008, had an arrangement to reestablish America by compelling punishments on poor and voracious corporate pioneers, giving customers lodging related assessment credits, and make new guidelines that ensure budgetary establishments don't take on elevated levels of hazard, in any case, this restoration system has not been completely powerful. Â Obama saw that more tight guideline would keep monetary organizations from accepting open doors from standard, working class residents. He felt that a deregulated situation had been motivation to why venture organizations and business banks assumed very much an excess of obligation and there was no framework set up to ensure they had enough capital stores. This is on the grounds that unsafe resource upheld protections and subsidiaries were wobbly sheet exchanges. He needed a crackdown on advertise control that was making numerous organizations experience quick drops in their stock qualities when short-dealers were utilizing dishonest techniques to drive down stock costs for their own benefit. Â Obama additionally observed that building a sort of best practice hazard the board framework for banks and for the general economy would recharge America. He sees that this adjustment in hazard the executives and a difference in corporate administration mentalities would reshape the economy for the 21st Century and give working class shoppers more security against another money related emergency. Numerous normal residents lost their positions and lost their riches because of unregulated venture establishments and Obama considered recharging to be a methods for putting these partners first. Â He appears to see that the division between the affluent and the less-advantaged is removing the American dream. Along these lines, by ensuring that partnerships and venture firms are considered responsible for their activities, it will ensure that working class purchasers can again look for the American dream without being defrauded by an economy harmed by insatiability and poor government oversight.

Analysis of the Various Marketing Channels Term Paper

Examination of the Various Marketing Channels - Term Paper Example For a showcasing channel to be viable, it necessitates that legitimate correspondence is adequately done to stay away from poor correspondence. Correspondence includes publicizing, advancements; electronic-mail, phone discussions and grievances development. To have the option to structure a successful advertising channel, it is basic that the business investigate client needs, set up goals and furthermore have the option to assess elective promoting channels for their association. In the conventional retail business wholesalers, merchants, retailers, and the buyers are totally associated with the moving procedure. Capacity and transportation is a significant part of the promoting channel and it happens at each degree of the conveyance channel. It is generally encouraged by players, for example, stockroom specialists and cargo transporters. Another part of the retail business includes the administrations that are given to the client and such exercises incorporate giving them satisfactory data, preparing them on all parts of the item, satisfying any legal and lawful necessities and help of credit administrations for the clients (Hennig-Thurau and Hansen 2000). Morrison's organization was established in 1899 by William Morrison. It started as a solitary egg and spread slow down in Bradford, West Yorkshire. This organization is one of the biggest food retailer markets with 375 stores. It for the most part manages food and goods. In spite of the fact that enormous, it doesn't offer its clients a web based shopping administration which is vital for the extension of the business. Furthermore, it still can't seem to wander into the monetary administrations showcase that is essentialThis Company is said to have similar costs in the entirety of its stores and this has made it win their clients faithfulness. Since it has a moderately little size and territorial core interest. It advances the greater part of its own items through utilizing its Farmers, Boy, and item auxiliaries. By the utilization of the discount model, this has end up being the point of convergence in producing the organization's benefits while simultaneously, it has kept up low co sts. The organization relies upon its own auxiliaries to give items and packagings to all its stores.T hello likewise have their own assembling office which is remarkable to suit their market. The Morrison's organization lays its accentuation on newness, quality, provenance, in-store creation, in-season food and their demeanor of their profound comprehension of food. (Hennig-Thurau and Hansen 2000). The organization works its own assembling plant and it does its own dispersion since every one of these channels are very much coordinated. In this organization, they coordinate the retail opening times in the entirety of their stores. This chain of grocery stores likewise centers around selling new food and furthermore offers a representative markdown plot. Limited time offers are utilized like marked down instead of get one get one free.

Weekend Update

Weekend Update A few updates before the weekend First, let me answer two FAQs. 1. If you send in your reply form to MIT telling us that youre coming (and if you have decided to come, please do send it in!), we will reply to you with a postcard letting you know we have received your reply, and to await the Next Big Mailing (NBM) in May. 2. Yes, I will be hosting an event at the International Science Engineering Fair (ISEF) this year in Indianapolis. It will be on Thursday, May 11. Ill fill you in on all of the details soon. Relatedly, I will also be doing a small event at the American Regions Math League (ARML) at the Penn State site (sorry Iowa and Las Vegas). More details forthcoming. A little personal news: right below my picture and name in the right-hand navigation bar, close-reading viewers will notice that my title has change from Assistant Director of Admissions to Associate Director of Admissions (yes, this is a promotion). Luckily, I dont have to give up blogging, so I wont be going anywhere. Also in the right-hand navbar, at the bottom theres a section where I give props to the folks behind the blogging platform (Movable Type) and hitcounting site (StatCounter). Following those two, Ive had a rotating list of other props-worthy links, and currently those links are two you may want to check out. One is for the animated TV series OGrady, which is a lot of fun (and you can watch the episodes online!); Im hoping to get more folks to watch it, since the director/producer is a friend, and theyre hoping to get picked up for a third season. Also hoping to get picked up for a third season is my favorite show, Veronica Mars. So get the word out these shows are actually worth watching. [I figure Im allowed an editorial comment or two every once in a while] Its a beautiful day here in Cambridge, and its a four day weekend for MIT students (Saturday-Tuesday) and three day weekend for staff (Saturday-Monday), so I think Ill be heading home now for a nice weekend. Happy Spring!

Weekend Update

Weekend Update A few updates before the weekend First, let me answer two FAQs. 1. If you send in your reply form to MIT telling us that youre coming (and if you have decided to come, please do send it in!), we will reply to you with a postcard letting you know we have received your reply, and to await the Next Big Mailing (NBM) in May. 2. Yes, I will be hosting an event at the International Science Engineering Fair (ISEF) this year in Indianapolis. It will be on Thursday, May 11. Ill fill you in on all of the details soon. Relatedly, I will also be doing a small event at the American Regions Math League (ARML) at the Penn State site (sorry Iowa and Las Vegas). More details forthcoming. A little personal news: right below my picture and name in the right-hand navigation bar, close-reading viewers will notice that my title has change from Assistant Director of Admissions to Associate Director of Admissions (yes, this is a promotion). Luckily, I dont have to give up blogging, so I wont be going anywhere. Also in the right-hand navbar, at the bottom theres a section where I give props to the folks behind the blogging platform (Movable Type) and hitcounting site (StatCounter). Following those two, Ive had a rotating list of other props-worthy links, and currently those links are two you may want to check out. One is for the animated TV series OGrady, which is a lot of fun (and you can watch the episodes online!); Im hoping to get more folks to watch it, since the director/producer is a friend, and theyre hoping to get picked up for a third season. Also hoping to get picked up for a third season is my favorite show, Veronica Mars. So get the word out these shows are actually worth watching. [I figure Im allowed an editorial comment or two every once in a while] Its a beautiful day here in Cambridge, and its a four day weekend for MIT students (Saturday-Tuesday) and three day weekend for staff (Saturday-Monday), so I think Ill be heading home now for a nice weekend. Happy Spring!

The African American Portrayal Of The Film Genre, Big...

The African American portrayal in white-American entertainment, especially in films has produced malicious and ignorant beliefs of the everyday Black person. Entertainment venues such as minstrel shows and silent films are causes to today’s stereotypical views of African Americans. The African American community along with other American ethnic cultures had enough; therefore, between 1915 and 1950, the race film genre began its movement to increase positive cultural awareness to the world. This paper will examine three key elements (Keywords, Unspoken Cues, and Threads) from the films, Big Timers (1945) and Dirty Gertie from Harlem U.S.A. (1946) in explaining their significance impact and their fitting into the paradigm of race film genre. The race film genre is a source of important material highlighting the African American culture. The genre not only focused on culture, but also emphasized African American talent, Black’s ability to film, produce, and direct a motion picture, and most importantly, the genre exposed the world to the â€Å"real† African American individual and family. Although many of these films were only shown and marketed to â€Å"colored only† theaters, films like Harlem of Prairie (1937) and The Blood of Jesus (1941) are notable films that struck a core with both White and Black Americans. These are a few of the forgotten race films that have provided today’s African Americans with a sense of encouragement and confidence to continue to fight the struggle of

JavaFX BorderPane Example Program

Health Care System Of Taiwan - 1386 Words

Health Care System of Taiwan in Comparison to the United States Health Care System Melissa Weiss Saginaw Valley State University Author Note This paper was prepared for Health Policy and Regulation 250, Online, taught by Professor Jan Sternberg. Health Care System of Taiwan in Comparison to the United States Health Care System The health care system of Taiwan was developed based off the problem that not everyone was covered. They wanted to develop a plan that would cover everyone. After Taiwan was economically booming, they then focused on their poor health care system. About half the population had no coverage at all so they found a way to change this(Taiwan Takes Fast Track to Universal Health Care : NPR, n.d.) The†¦show more content†¦Since 1995, Taiwan has had a socialized health care plan, the National Health Insurance (NHI) which covers nearly all citizens†(Taiwan tops the expat health care charts - Telegraph, n.d.) In the following graph of affordability verses quality of healthcare, Taiwan is out on its own as the best country in the world. (Taiwan tops the expat health care charts - Telegraph, n.d.) Taiwan does this by a consolidated system. This system gives everyone equal access to health care. To finance the NHI, the government has a single government run fund that forces everyone to join and therefore pay. It works much like the Medicare system of the United States but has much more benefits. Another aspect of the Taiwanese healthcare is that they have a smart card. This card is carried by everyone and carries on it, every bit of their health information from the day they were born. This card also shows all of their medication and serves as the way for the billing to happen. It goes directly to the government insurance office and it is automatically paid. So Taiwan has the

Why You Shouldnt Experiment on Your Sibling free essay sample

In hindsight, my mother really ought to have hired a babysitter. The trust she placed in my sister Stella, less than three years my senior, to keep me from endangering myself or others was truly astonishing. Stella often left me to my own devices, meaning I spent most summer days running experiments based on the latest episode of Mythbusters I had seen. Some days I grew samples of mold in sticky notes, other days I constructed balloon-powered rockets. The day I learned birch bark was highly flammable was the same day I learned what a burn-ban was†¦ And nearly poisoned my sister. Adam Savage once stated, â€Å"The coolest toys dont have to be bought; they can be built. In fact, sometimes the only way theyll ever exist is if you make them yourself.† This proved true one summer day when my mom left for a routine grocery trip and I ventured outside to see how I could entertain myself. We will write a custom essay sample on Why You Shouldnt Experiment on Your Sibling or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page An idea sparked when I wandered past our birch tree (being the largest one in the county, I never could get my fingers to meet when I hugged it). I recalled that birch tree bark contained a flammable oil that made it ideal for kindling in a survival situation. I peeled a hefty armful of papery bark of the massive tree and set it on the gravel driveway. Of the many various objects hiding around the property, a cinder block sat, covered in ivy, beside the garage. I imagine a little girl carrying a cinder block like a calf would’ve been quite a sight. I brought the block to the driveway, cleaned it off, stuffed the two sections with shreds of birch bark, and ran to get my magnifying glass. You can probably see where this is going. As I headed back outside, I grabbed a package of hotdogs and a metal skewer. I went to work, angling the magnifying glass just right and in no time, I had a nice little fire in my cinder block. (Granted, fire is not exactly a â€Å"toy†, but I d id make it myself.) I roasted a couple hotdogs before quenching my makeshift firepit. Head held high, grinning like a fool, I proudly presented the hotdogs to my sister who was reasonably impressed with my feat, as well. I soon discovered it would be years before she would eat anything I prepared for her. I did not understand why my mom was so exasperated when she arrived home that day, after all, I made Stella lunch. However, an icy wave of panic spread through me when my mom explained that she had recently treated our record-sized birch tree’s bark with a pesticide to keep it healthy. â€Å"How ironic,† I thought before bursting into tears, horrified that I may have poisoned my sister. Poison Control instructed my sister to drink plenty of water and only seek medical help if symptoms develop. Thankfully, Stella was completely fine after ingesting the tainted dogs. Although I was grounded from my â€Å"research equipment† including my magnifying glass, I gained a higher appreciation for my sister that day. Eventually, she forgave me and now we always share a laugh about the birch bark hotdogs. Every cruel prank, experiment gone awry, and emotional harassment that took place in our childhoods has brought us closer together. Having a babysitter may have prevented many questionable activities, but inhibiting a child’s natural curiosity of the surrounding world would also stunt the live-and-learn element necessary for personal development. As the Mythbusters frequently said, â€Å"Failure is always an option.† Because without failure there is no room to grow.

I. STATEMENT & BACKGROUND Essays - Server, Server Hardware

I. STATEMENT & BACKGROUND The college of Business (COB) server is now being used to support deliver to the Computer Information System (CIS) department. The CIS professors would be using the server for various operations. Assignments, e-mail, and other types of information would be easier for the students to access. Network users are able to share files, printers and other resources; send electronic messages and run programs on other computers. However, certain important issues need to be addressed and concentrated on. In order to begin the process of setting up the COB server, the total numbers of users (faculty and students) must be determined. Some other significant factors to be approached are: the required software applications needed on the network, an efficient and appropriate directory structure and effective security structure. In designing the directory structure, the major focus must be on accessibility. The number of undergraduate CIS courses that the server will be used for is be! tween 15 and 17. For the users to be ensured that their information is not at risk, we will create an effective security structure. In composing the appropriate security structure there must be certain access rights assigned to the users. An important technical detail in setting up a server is the amount of money that will need to be allocated for the restructuring of the system. For the system to function properly, the amount of hardware/ software will need to be determined. II. FUNCTIONAL REQUIREMENTS The COB server will primarily be used by CIS professors and CIS students. The approximate number of professors in the CIS department is between five and seven and the approximate number of CIS majors is between 100 and 120. As computer technology continues to grow, the number of CIS majors is vastly increasing. If we see a considerable rise in Computer Information Systems majors the department will have to expand its faculty members. The CIS professors will be using the server to disburse their syllabi, distribute specific assignments and send e-mail to their students. The layout, design and complexity of each class will determine how much the professor may be using the server. The first class a CIS major usually takes at Western is CIS 251. Management Information Systems (CIS 251). This class offers students a basis for management information systems in business organizations. In putting the COB server to use and getting the student ready for hands-on knowledge of computer-based information systems, CIS 251 focuses on analysis, development, design, implementation, and evaluation. Other tasks that are covered in this class are computer applications ins spreadsheets, word processors, and database systems. Information systems affect both business people and people who live in society. The first programming class CIS majors take is CIS 256. This CIS course will be very beneficial for the server. Business Computer Programming (CIS 256) introduces the student to an application of programming principle in business. Detailed assignments involve flowcharting, coding, documentation, and testing. This course provides the student with a background of computer architecture and data representation. This class account will require the BASIC programming language that will be used as well as the compiler. The CIS elective, CIS 301, emphasizes maximum hands-on experience with microcomputers and software packages, including word processing, spreadsheets, database managers, and graphic systems. Microcomputer Applications (CIS 301), is an important course for students not majoring in Computer Information Systems, but would like to familiarize themselves with the personal computer. This account will contain Microsoft Office and e-mail capabilities. An important class that becomes useful for the server is the CIS 358 course. The professor can send applications, reports, programs and other data to the server where the student can transfer to a disk or their VAX account. Applications Development II (CIS 358) is a study of the state of art tools and techniques for developing complex business applications; data organization, on-line processing, software engineering, and software maintenance. This CIS class is an extension to CIS 258. The student will expand his/her knowledge of the COBOL programming language. In order for the CIS major to apply principle of good application design and solving problems, the Visual Basic programming language will also be introduced. The account for these two classes will contain the COBOL programming language and the compiler for it as well as Visual Basic. For the students to learn more about client-server technology, CIS 365 is required to the Computer Information Systems curriculum. The student will be involved in learning about different types of client-server environment such as configuring Worldwide Web environment and building a Netware LAN to

Timeline of American Involvement in Wars

Timeline of American Involvement in Wars Americans have been involved with wars both large and small since before the founding of the nation. The first such war, sometimes called  Metacom’s Rebellion or King Philips War, lasted 14 months and destroyed 14 towns. The war, tiny by todays standards, ended when Metacom (the Pokunoket chief called ‘King Philip’ by the English), was beheaded. The most recent war, Americas engagement in Afghanistan and Iraq following the 2001 attack on the World Trade Center, is the most protracted war in American history and shows no sign of ending. Wars over the years have changed dramatically, and American involvement has varied. For example, many of the earliest American wars were fought on  American soil. 20th-century wars such as World Wars I and II, by contrast, were fought overseas; few American on the home front saw any type of direct engagement. While the attack on Pearl Harbor during World War II and the attack on the World Trade Center in 2001 resulted in American deaths, the most recent war fought on American soil was the Civil War which ended in 1865–more than 150 years ago. Chart of Wars With American Involvement   In addition to the named wars and conflicts listed below, members of the American military (and some civilians) have played small but active roles in many other international conflicts.   Dates War in Which American Colonists orUnited States Citizens Officially Participated Major Combatants July 4, 1675–August 12, 1676 King Philip's War New England Colonies vs. Wampanoag, Narragansett, and Nipmuck Indians 1689–1697 King William's War The English Colonies vs. France 1702–1713 Queen Anne's War (War of Spanish Succession) The English Colonies vs. France 1744–1748 King George's War (War of Austrian Succession) The French Colonies vs. Great Britain 1756–1763 French and Indian War(Seven Years War) The French Colonies vs. Great Britain 1759–1761 Cherokee War English Colonists vs. Cherokee Indians 1775–1783 American Revolution English Colonists vs. Great Britain 1798–1800 Franco-American Naval War United States vs. France 1801–1805; 1815 Barbary Wars United States vs. Morocco, Algiers, Tunis, and Tripoli 1812–1815 War of 1812 United States vs. Great Britain 1813–1814 Creek War United States vs. Creek Indians 1836 War of Texas Independence Texas vs. Mexico 1846–1848 Mexican-American War United States vs. Mexico 1861–1865 U.S. Civil War Union vs. Confederacy 1898 Spanish-American War United States vs. Spain 1914–1918 World War I Triple Alliance: Germany, Italy, and Austria-Hungary vs. Triple Entente: Britain, France, and Russia. The United States joined on the side of the Triple Entente in 1917. 1939-1945 World War II Axis Powers: Germany, Italy, Japan vs. Major Allied Powers: United States, Great Britain, France, and Russia 1950–1953 Korean War United States (as part of the United Nations) and South Korea vs. North Korea and Communist China 1960–1975 Vietnam War United States and South Vietnam vs. North Vietnam 1961 Bay of Pigs Invasion United States vs. Cuba 1983 Grenada United States Intervention 1989 US Invasion of Panama United States vs. Panama 1990–1991 Persian Gulf War United States and Coalition Forces vs. Iraq 1995–1996 Intervention in Bosnia and Herzegovina United States as part of NATO acted peacekeepers in former Yugoslavia 2001–present Invasion of Afghanistan United States and Coalition Forces vs. the Taliban regime in Afghanistan to fight terrorism. 2003–2011 Invasion of Iraq United States and Coalition Forces vs. Iraq 2004–present War in Northwest Pakistan United States vs. Pakstan, mainly drone attacks 2007–present Somalia and Northeastern Kenya United States and Coalition forces vs. al-Shabaab militants 2009–2016 Operation Ocean Shield (Indian Ocean) NATO allies vs. Somali pirates 2011 Intervention in Libya US and NATO allies vs. Libya 2011–2017 Lord's Resistance Army US and allies against the Lord's Resistance Army in Uganda 2014–2017 US-led Intervention in Iraq US and coalition forces against the Islamic State of Iraq and Syria 2014–present US-led intervention in Syria US and coalition forces against al-Qaeda, Isis, and Syria 2015–present Yemeni Civil War Saudi-led coalition and US, France and Kingdom against the Houthi rebels, Supreme Political Council in Yemen and allies 2015–present US intervention in Libya US and Libya against ISIS

Reform American History Essay Example | Topics and Well Written Essays - 250 words

Reform American History - Essay Example White mainstream population promoted racial discrimination through the deliberate use of power politics. The African slaves brought from Africa by the European colonizer to work on fields in America later became an intrinsic part of American society. They were victimized because they were poor, non-white and believed to be racially inferior to the whites. The American War of Independence in 1789 was a landmark event that brought into being the United States of America, world’s greatest democratic state. The first President of America, Abraham Lincoln who issued ‘Emancipation Proclamation’ for slaves that served as a catalyst for ending the tradition of slavery. Abolition movement was significant for myriad reasons. One of the most important factors was to end the enslavement of African people and to stop the exploitation of local people and local resources by the colonial rulers in America. The American Revolution became the major propellant that gave huge thrust to the abolition movement. While the institution of slavery per se ceased with the emancipation proclamation in 1863, but it was the Civil Rights Act of 1964 that brought in a new era of hope, opportunities, and empowerment for the blacks in America. It ensured equal rights and equal opportunities for all across race and gender. Harris, Chapman, and McKenzie (2005) strongly assert that today blacks have significant influence in the legislative outcome. Indeed, President Obama is a scintillating example of equality across race and color.

Term Paper Essay Example | Topics and Well Written Essays - 1250 words - 2

Term Paper - Essay Example It has its focus on the target readers who may or may not be very much interested in each and every detail of the study but can be very much interested in knowing how to maintain their weight not to regain. The article has been a successful effort in providing what readers look for in any news. The article used for this study is ‘A Self-Regulation Program for Maintenance of Weight Loss’ from the journal ‘New England Journal of Medicine’ published on 31 October 2006. The team of Dr. Rena Wing, PhD have conducted this study. Dr. Wing is also Brown University professor of psychiatry and human behaviour and co founder of National Weight Control Registry program. The paper is based on one of the most concerning issues of today’s scenario. Obesity is a problem which leads to several other health related and psychological problem in an individual. People once lose weight sometimes become relaxed and regain the weight they had lost. The journal article is based on this issue of obesity and maintenance of weight loss. The main issue in the study are regaining of weight in individuals after weight loss program and impact of maintenance program based on self regulatory theory on this weight regains. People face to face interaction and daily weighing c reates better impact on the interest and efforts of maintaining weight and avoiding weight regain. The hypothesis of the paper is that â€Å"the interventions, delivered face to face or over the Internet, would decrease average weight regain and reduce the proportion of participants who regained 2.3 kg or more during a period of 18 months.† The study is about weight regain. There are various dependent and independent variables considered in this study. There were various dependent variables like weight loss in specific period, calories intake, physical activity and method of instruction like face to face, internet or control group were dependent on variables like sex, age, weight,

Care Of The Patient In Recovery Inadvertent Hypothermia Case Nursing Essay

Care Of The Patient In Recovery Inadvertent Hypothermia Case Nursing Essay Before the author can discuss hypothermia in regards to the patient above they must first review how the body regulates heat control within the body. Many sources, give varying definitions of what normal body temperature or normothermia is. For example Marieb (2004) defines this as a core temperature range from 35.6 °c and 37.8 °C. Meanwhile Kiekkas and Karga (2005) defined the normal temperature range of adult patients as between 36.5 °C and 37.5 °C. National Institute for Health and Clinical Excellence (NICE) 2008 guideline for the management of inadvertent perioperative hypothermia agree with this definition. Core temperature, defined by Kiekkas and Karga (2005), is the blood temperature of the central circulatory system, which can be measured for example at the pulmonary artery, rectum or via the tympanic membrane, which occurs in recovery at Hospital x. The hypothalamus is the central organ that acts as the bodys heat promoting and heat loss centre, then brains thermoregulatory centre. Body temperature is kept stable and regulated with the help of blood. The neuronal centre in the posterior hypothalamus is triggered when there is a decrease in temperature in the blood or the external temperature is low. Mechanisms for heat conservation and heat production are triggered such as, shivering, which is the bodys natural response to cold, constriction of blood vessels in the skin and increased metabolic activity to produce energy (Hatfield and Tronson, 1996; Marieb, 2004). As with the varying definitions of normothermia, there are also differing definitions in hypothermia. NICE (2008) guideline defines hypothermia as a core temperature of less than 36 °C. Similarly several authors agree with this definition, Aikenhead et al (2007), American Society of Peri Anesthesia Nurses (ASPAN) (2009); Clarke and Clark , 1997). Meanwhile Kiekkas and Karga state, hypothermia as a core temperature of more than 1 (standard deviation) less than the mean value under resting conditions in a thermoneutral environment (Kiekkas 2005, p444) There are 4 ways in which the body loses heat; conduction, convection, evaporation and radiation. Talk about these briefly! There are patients who are more at risk of developing hypothermia these include; older and younger patients. The size of the patient: thin, due to the lack of tissue mass and obese, due to the large surface area. The type of procedure: open thoracic, abdominal, gynaecological or genitourinary. Patients having a combined general and spinal anaesthesia (Welch, 2002) Patient A falls into some of these categories, because of the type of surgery, age and anaesthesia she will be having. As part of the pre operative check in Patient A was asked the last time she had eaten, this was 12 hours before the procedure. Advice of fasting for 6 hours plus is given to patients to prevent nausea and vomiting during and after the induction of anaesthesia, as this along with the spinal causes the constriction of the abdomen and stomach. This in turn deprives the body of the metabolic system of energy it needs from food digestion (Cobbold Money 2010; McNeil, 1997). Following administration of Propofol and Remifentanil via a TIVA syringe pump, the patient was intubated with a size 7 endotracheal tube. Anaesthetic medications such as those given to Patient A; Propofol, depress the central nervous system which mean the hypodermic thermoregulatory centre function is decreased. This occurs as there is an increase in conduction and radiation to the peripheral points of the skin, where heat loss is at most, as the skin has a large surface area. This loss of heat is difficult to manage after anaesthesia has been administered as heat distribution, which is the increase in peripheral temperature and a decrease of core temperature has taken place (Kiekkas Karga, 2005; Sasad Smith, 2000). With her airway secured, Patient X was positioned for the administering of a spinal. Her back was exposed and sprayed with chlorhexidine gluconate solution, for pre operative skin disinfection (BNF, 2008), a cold solution thus further contributing to the decrease in Patient As body temperature, via evaporation (Bellamy, 2007). The effect of administering Diamorphine and Marcain Heavy ® is that it causes the sympathetic nervous system to be compromised as vasodilatation occurs (Fallacaro et al, 1986). Patient A was taken into theatre, where the ambient temperature as recorded by the author was 21 °C, reason for the temperature being so low is to minimise the growth of bacteria. However such a low temperature would affect Patient A as her body temperature will vary according to the environments conditions (Bellamy, 2007). McNeil (1998), advocates that the temperature in theatre should be raised from 21 °C to 24 °C to maintain Patient As core temperature, which unfortunately was not taken until the procedure in the operating had started. Whilst the author agrees with the later point so that the patients temperature is taken into consideration, they have to agree with Bellamys (2007) point on minimising bacteria production. Patient A was exposed for catheterisation and for the Bair Hugger ® to be positioned. This is a forced air system used in Hospital X, which several sources agree, is the best form of preventing inadvertent hypothermia (Hegarty et al, 2009; NICE Guidelines, 2008; Welch, 2002). This was however switched on at 36.5 °C after Patient A had been prepped and draped. Fluids were firstly administered to Patient A in the anaesthetic room at room temperature; they were then transferred into a warming coil at a temperature of 37 °C. Whilst the NICE (2008) guidelines recommend warm fluids are administered in the operating room at the temperature stated, the author feels that warm fluids should have been started in the anaesthetic room. The monitoring of Patient As temperature occurred after draping and prepping, it was measured using an oesophageal temperature probe as this measures the core temperature accurately and documented every 15 minutes (Al-Shaikh and Stacey, 2002; NICE, 2008). NICE (2008) recommends that temperature of a patient should be 36 °C before a procedure should proceed, the temperature of Patient A on arrival to the anaesthetic room was not taken and the first temperature in theatre was 35.6 °C increasing to 36.0 °c at the end of the procedure. After the procedure, which had no surgical complications and Patient A was extubated, she was transferred to recovery where the tympanic temperature; which is associated with the brain temperature therefore reflects the core temperature (Al-Shaikh and Stacey, 2002), was taken in recover 10 minutes after the patient arrived and was recorded to be 35.4 °C. Handover to the recovery personnel included patients name, date of birth, procedure, what drugs had been administered and the anaesthetist made an emphasis on the patients temperature which they wanted to make sure was up to at least 36.0 °c before the patient was transferred to the ward, part of the NICE (2008) guidelines. Standard recovery monitoring including Oxygen saturation, electrocardiogram and blood pressure results were constantly observed, with results being documented every 15 minutes. The effects of hypothermia are not known until the patient comes into recovery for some time as the effects are masked by the anaesthetic drugs given to Patient A. (Kiekkas et al, 2005). To prevent this a Bair Hugger was placed on Patient A to continue the warming cycle. There are many complications associated post operatively with hypothermia, the most common is post anaesthetic shivering, which is an involuntary muscular activity. This is bought on by the body returning to normal Delayed emergence, where the metabolism of drugs is decreased, as it makes it more difficult for the anaesthesia to be reversed due to the hepatic and renal functions being impaired. Add liver metabolism of drugs to this section Pressure sore development Blood clots clotting cascade, platelets do not work increased bleeding Discharge criteria Patient A woke up fully after 20 minutes in the PACU with no complaints of pain, sickness or nausea but thirst. Her temperature was taken again and this was found to be 35.8 °C, a marked improvement on her original recovery temperature. Before the patient is transferred to the ward what scale used observations etc? Urine output from catheter Sats BP

The Joy of Overcoming Pain :: Personal Narrative Essay Example

The Joy of Overcoming Pain Propelled forward by my surging leg muscles, sweat gushing down my face, the harsh reality of this 50-mile bike race has begun to invade my body. My eyes remain intensely focused straight ahead: Grinding away along the racecourse, I see five girls from a different team about 200 yards ahead of me. My team needs a contribution from me, I realize, and I make the decision to pass all three of them. Through the heat rising off the asphalt I can finally see the distant white line proclaiming the finish. My mind propels my legs to their maximum ability. In these last few seconds of exertion, the years of hard work are paying off. Soaring through the finish, I have achieved flight. Biking is a pure sport, requiring little more than a brain ready to conquer pain. It is a sport that calls for commitment and mental toughness. Through testing myself, I increase my resilience and grow stronger. I unleash the power of my mind, and I bike. Some people are born with great biking ability, and others, like myself, are born with the desire to excel at every challenge. I've become the best biker I can through hard work and dedication. Challenging myself with new goals every day, I bike against the forces of gravity and inertia. I love the thrill of competition -- the euphoric feeling I get when mind overcomes pain. As a four-year member of my high school biking team, I have experienced just about every physical infirmity that comes from biking. I have dealt with shin splints, biker's knee, broken toes, and pulled calf mussels. My orthopedic surgeon took one look at my legs and admitted that I'm "not built to be a biker." Yet, I chose to continue biking because of its daily challenges and rewards. I've learned from this sport that by focusing single-mindedly on achieving a goal, I can make any obstacle trivial. I still hear my coach's voice in my head: "If you sacrifice yourself, good things will happen." As much as a bike race requires individual strength physically and mentally, it also requires a team effort to succeed. Like sisters in a family, the girls I bike with understand and respect one another. We remind each other to work harder, eat right, and to accomplish the most we can.

Learning Team New System Proposal Essay

Develop a 3,500- to 4,200-word paper and a Microsoft ® PowerPoint ® slide presentation of the project, due in Week Five. The paper must include the following:  · A full description of the new system, a description of its components, and the benefit it will provide to Riordan  · A discussion of the business requirements driving the need for the system  · A discussion of the information used in the system  · A discussion of any information security and ethical concerns with the system  · A diagram of the information flow and any elements controlling proper access to the information it uses  · A description of any proposed business process changes for the system  along with flow diagrams  · A specific discussion on any Internet and mobile access components of the system  · A description of how specific business requirement would drive the project’s creation and use  · A high-level discussion of how the system will be acquired and maintained  · A discussion of the strategic role the system will play in the company  · An executive summary of the project, succinctly summarizing the rest of the material in the paper  · Four to six references In Week 2, submit the following for grade: Work on your proposal for the new system. . Identify a specific system that would help improve Riordan’s business. Define the system’s business requirements. Discuss of the info†¦ Click this link Now for Complete Course – https://bitly.com/12BkmoW Avoid handing in the first draft of your paper. Make the necessary revisions before turning it in. Write another version of it, rather than just proofreading it. Then, proofread this draft and make any needed changes. This will help you turn in the best paper possible. Computer Science – General CS Learning Team New System Proposal The following is due at the end of Week 5: Propose a new system for Riordan to use to improve its business. Develop a 3,500- to 4,200-word paper and a Microsoft ® PowerPoint ® slide presentation of the project, due in Week Five. The paper must include the following:  · A full description of the new system, a description of its components, and the benefit it will provide to Riordan  · A discussion of the business requirements driving the need for the system  · A discussion of the information used in the system  · A discussion of any information security and ethical concerns with the system  · A diagram of the information flow and any elements controlling proper access to the information it uses  · A description of any proposed business process changes for the system along with flow diagrams  · A specific discussion on any Internet and mobile access components of the system  · A description of how specific business requirement would drive the project’s creation and use  · A high-level discussion of how the system will be acquired and maintained  · A discussion of the strategic role the system will play in the company  · An executive summary of the project, succinctly summarizing the rest of the material in the paper  · Four to six references In Week 2, submit the following for grade: Work on your proposal for the new system. . Identify a specific system that would help improve Riordan’s business. Define the system’s business requirements. Discuss of the information used in the system and any information security and ethical concerns with the system Format your paper and presentation consistent with APA guidelines. Submit a 700- to 1,050-word section of the paperwith the following:  · A full description of the new system, a description of its components, and the b†¦

Differences Between High School And College - 936 Words

There are many distinct similarities and differences between high school and college. Through academics, motivation, independence, distractions, and relationships, the transition from high school to college is a real eye opener for more students. In high school people would only talk to their â€Å"assigned† social group. There was no in between. When someone saw someone from their clique talking to a girl they didn’t like, that’s when drama would occur, as in people would get in their cliques and talk about you in a mean way.. Drama also occurred when people would spread rumors to one another, and of course everyone always believed whatever they heard. High school was one of those childish phases in life, it’s like no one could speak for themselves. Back in high school, you couldn’t even walk alone in the hallway and not feel like you were being judged. People were just so mean and arrogant. All you could feel were eyes just starring at you as you walked across the hallway to your next class, not mentioning that you could hear every word they were saying about you. Everyone lived close together in high school, about a 10-mile radius from one another. This was actually quite nice for when we would meet up with friends to hangout. Plus it was very convenient for all of us to easily figure out where we wanted to go, since we all lived fairly close together. Back in the day, Fairfax Corners was always the number one place to hangout at. When it comes to academics, in highShow MoreRelatedDifferences Between High School And College909 Words   |  4 PagesThe transition from high school to college is a process that can help students to improve themselves and be more independent. Therefore, they would know what they have to do to achieve their goals and learn how to deal with the time that they have. Similarly, international students, like the Brazilians, when they come to America to study, they have an opportunity to know how to deal with not only with the differences between educations given in Brazil and in the United States. In other words, thisRead MoreDifferences Between High School And College938 Words   |  4 PagesThe two main stepping stones in a students life is high school and college. High school and college both play significant rolls in a student’s life for continuing their education. Even though these two levels of education seem similar, they differ tremendously in time management, testing, expenses, scheduling and assignments. Attending high school and attending college are both beneficial to the student and one’s education. High school and college both require time management skills (Wells sec. I)Read MoreDifferences Between High School And College930 Words   |  4 PagesHigh school and college have some differences and some similarities. Some major differences between high school and college is that in college you schedule your classes for a certain time through the day, while in high school you have classes one after another till the end of the school day. Also college classes are long while high school classes are about only 50 minutes. Some major similarities between the two is that you still have to study for your classes as well as you still have papers andRead MoreDifference Between College And High School928 Words   |  4 PagesThe Difference Between College and High School Once you get to college, you notice many changes from High School. You see changes in the way people dress, teachers teach, parking, and the responsibility that you now have that you didn’t have as much of. But one of the most important changes in college is the classrooms. High school is the gateway of becoming an adult and helps you prepare for college but it also feels like a second home. All the people that you go to high school with, you see themRead MoreDifference Between High School And College1294 Words   |  6 Pagesdistinguishing the difference between high school and college, but still still need to fix on being more in depth and also work on grabbing the audience attention. The authors have good structure by comparing and contrasting because it helped to give the difference between high school and college, to inform their audience, which is new incoming freshman s on what to expect in college. Comparing and contrasting makes a good argument, because it gives audiences the similarities and difference between two orRead MoreThe Difference Between College and High School Athletics844 Words   |  4 PagesThe Difference between High School and College Athletics When I was applying to college I talked to the coach of the University of Central Oklahoma cheerleading squad in hopes that I could tryout for the team. I thought that another commitment in addition to my school work would help to keep me focused for the second semester. One thing that I didn’t expect is the time and energy you need to put aside to play a sport in college. In high school, playing a sport was a much easier task. CollegeRead MoreSimilarities And Differences Between High School And College1319 Words   |  6 Pagesnot the differences. Even though there are similarities that need to be identified, I want my readers to understand the distinctions between high school and college. Although high school and college are alike in some ways, the differences between the two are more striking and they deserve thorough examination. The first items I want to discuss in this essay are the major similarities between high school and college. Cumulative tests, taken at the end of the semester, is one way in which high schoolRead MoreDifferences Between High School and College Essay554 Words   |  3 PagesIt is often said, that high school, prepares a student for college. For certain, a student is being prepared, but only for what the world has to offer, and that is making choices on what to pursue. Certainly, most people would concur with this statement. But, the fact to consider is, that high school does not prepare a student for the major difference in the challenge. One difference in the area of challenge is the work. In high school, students are not challenged with assignments. GenerallyRead MoreHigh School Vs. College1294 Words   |  6 PagesHigh School Versus College Schools are undoubtedly important to one’s education. The most important of those schools are high schools and colleges because they have the most impact on deciding what occupation a student wants to pursue. Although high schools and colleges share similarities in providing education, there are also many differences between each other. In both high schools and colleges there are teachers that educate students on certain subjects. Those subjects can range from mathematicsRead MoreHigh School And College Should Have A Greater Chance For Success922 Words   |  4 Pages â€Å"Students who understand the key differences and learn how to bridge the gap between high school and college should have a greater chance for success† (S.Hansen). Most of us spend 15 to 16 years in school to get to college. School plays a significant role in our life. We can do so much different things in school such as play sports, volunteer and extracurricular activities. High school and college are significantly different and they are also similar in some ways, for instance they are different