Tuesday, December 24, 2019

Jfk and the Cold War - 1106 Words

The Cold War (1945-1991) was basically an ideological standoff between the ideas of Communism supported by the Russians and Democracy/Capitalism supported by the Americans. Communism is a political ideology which has the central principle of  ¡Ã‚ §communal or communist ownership ¡Ã‚ ¨ of all property and therefore the abolition of private property. Democracy is a form of government in which the people vote, have a representative government and via these representatives  ¡Ã‚ §govern themselves ¡Ã‚ ¨. During the period between 1961 to 1963, Nikita S. Khrushchev represented Communism and ruled Russia, while John F. Kennedy embodied democracy and lead America. The two leaders differed in their foreign policies as is evident by the Berlin Wall incident and the†¦show more content†¦Kennedy sought to contain communism in Latin America, by establishing the Alliance for Progress, which sent aid to troubled countries and sought greater human rights standards in the region. Ken nedy also created the Peace Corps, where American volunteers help underdeveloped nations in areas such as education, farming, health care and construction. Khrushchev and Kennedy ¡Ã‚ ¦s policies conflicted first when Khrushchev threatened to sign a treaty with East Germany that would cut off the city of Berlin from the United States and then built a massive wall separating West Berlin from East Berlin, which increased tensions between America and Russia. Tensions further increased in what is known as the Cuban missile crisis, where in 1962, the Soviet Union were desperately behind the United States in the arms race, and therefore felt threatened. Khrushchev thought of placing missiles in Cuba, which would serve as a real deterrent to a potential U.S. attack against the Soviet Union. At the same time, Fidel Castro was looking for a way to defend his nation from another attack by the US, after the  ¡Ã‚ ¥Bay of Pigs ¡Ã‚ ¦, where John F. Kennedy was unsuccessful in his invasion Cuba. Fidel Castro consequently, approved of Khrushchev ¡Ã‚ ¦s plan to place missiles on the island. When the US discovered Khrushchev ¡Ã‚ ¦s plan via reconnaissance photographs, Kennedy announced the soviets plan to the public and most of the world thought thatShow MoreRelatedCold By: Na Lin Introduction The Cold War Is The Relationship1014 Words   |  5 PagesCold By: Na Lin Introduction The Cold War is the relationship between the US and the USSR after WWII.Different views were clashing. Both sides struggle for dominance. They took every chance they can get to expand in the world.It was a rivalry that was open yet restricted.George Orwell was the first person to use the term â€Å"Cold War† in an article in England in 1945.The first person to used the term in the United States was by Bernard Baruch in a speech in 1947.The Cold War had solidified by 1947-1948Read MoreThe Legacy Of John F. Kennedy980 Words   |  4 Pagesdistinguish yourself, however, JFK would go on to surpass them all by becoming the 35th, and perhaps most beloved president of the United States. As president JFK was popular. He was young, handsome, and articulate, this ultimately led him to defeat Richard Nixon in the general election. As a president did a lot in the few years he had in office such as, putting a man on the moon, helping us avoid nuclear warfare, promoting peace, and bringing civil rights to the forefront. Had JFK gotten to serve out hisRead MoreJfk, By John Fitzgerald Kennedy832 Words   |  4 Pages On the cold blustery snow covered day of January 20, 1961, John Fitzgerald Kennedy (JFK) participated in the 44th presidential inauguration, when he was sworn in as the 35th President of The United States of America. The inauguration was almost canceled, as a result of the nor’easter, which pummeled the nation’s capital hours before. In order for the inauguration to proceed as planned, The U.S. Army Corp of Engineers, thousands of D.C. employees and almost 1,700 boy scouts worked feverously to clearRead MoreTruman Doctrine1575 Words   |  7 Pa gesquestionable. What would have happened if Hitler did take over the world? Would we be alive today? What if the cold war turned hot at some point? All these doubts tend to help an individual realize that everything in world history happens for a specific reason and therefore everything has its own time and place. One significant event in United States history had been the Vietnam War. However, the Vietnam War that I speak of didnà #9472;#8805;t last from the mid 1960à #9472;#8805;s to early 1970à #9472;#8805;sRead MoreComparing Jfk and Lincolns Inagural Speeches Essay1402 Words   |  6 Pagesduring the bloodiest war in the history of the US, or 1961, during the most tense international power struggle that we have ever faced, these men were able to do what was needed to get the job done. The one ideal that they shared that made them great leaders was an aspiration to make this country the best in the world. Some differences between these men were their specific goals as lea ders. While Lincoln was very occupied with his domestic affairs, because of the ongoing civil war of his time, KennedyRead MoreJohn F. Kennedy : The President Of The United States991 Words   |  4 PagesI selected John Fitzgerald Kennedy or JFK for my research because I did not know much about him. Initially, I knew that he was the 35th president of the United States. Kennedy is also one of the four presidents who were assassinated while in office. JFK himself was not only famous, but his marriage was well known as well because his wife, Jacqueline Kennedy, was a social face that was admired all over the world. I did not know much about the aspect of his presidency, but thought that ethically heRead MoreRhetorical Analysis Of John F. Kennedy s Inaugural Address Essay1566 Words   |  7 PagesFitzgerald Kennedy delivered a speech with a backdrop of snow and a twenty-degree wind blowing in his face in Washington D.C. In his speech, he starts off with saying that his victory is not for a party but it is for freedom. At the climax of his speech, JFK delivers a call to action which is also the most well-known line from his speech: â€Å"†¦ask not what your country can do for you, but ask what you can do for your country.† Following that extraordinary remark, he extends that call to the world by askingRead MoreRhetorical Analysis Of Jfk Inaugural Address909 Words   |  4 Pagesabout his future goals and aspirations. During the transfer of power the US is going on there 14th year of the Cold War. The american people are fearful of a nuclear war and the other half wants to go to war. JFK wants diplomatic negotiations towards peace. JFK uses rhetorical devices in his â€Å"Inaugural Address† to influence the american people to seek peaceful resolution and unity. JFK asserts that ,† We dare not forget today that we are the heirs of that first revolution.Let the word go forth fromRead MoreThe Legacy Of John F. Kennedy1176 Words   |  5 Pagesentered into Harvard University in 1936 and played football. Kennedy’s father was appointed United States Ambassador to England in 1937, and because of this, John became very interested in politics and world affairs.1 After graduating from Harvard, JFK entered the military and became a Lieutenant. He even received a Navy and Marine Corps Medal for his leadership and courage. He then decided to become a politician, and he served 3 terms in the House of Representatives then was elected to the U.S. senateRead More John F. Kennedy Essay678 Words   |  3 Pagesthe United States. Universally called quot;JFK,quot; he became a millionaire at the age of 21 when his father gave him one million dollars, but politics and sports were of much more importance to him. He loved touch football, tennis, gol f, sailing, and swimming. JFK attended Princeton University and Harvard, graduating from there cum laude. He attended Stanford University business school before serving in the U.S. Navy. He was a naval hero during World War 11 when his PT boat was cut in half and he

Monday, December 16, 2019

Who Won the Civil War North or South Free Essays

For the south it was nearly impossible to win the war . The north had many advantageson the south, which created a large difference in the outcome of the Civil War. The North had a bigger population, better leadership, and Abraham Lincoln. We will write a custom essay sample on Who Won the Civil War: North or South or any similar topic only for you Order Now Lincoln was a leader of the union, and led them to many great victories with his decision making on generals to lead the Union. The north had many plans to shut down the south, though they often took longer than what was expected of them, so many of them were stopped by generals or were figured out by the south. The south came out fighting Fort Sumpter and Bull Run. The advantages that the south had was that all of the battles were in the south and numbers of people who actually wanted to fight for the south was much higher than the soldiers of the north. The south was fighting to keep their way of life, slavery. The north wanted a new constitution and to obliterate the confederacy. Most of the time the north had better in terms of generals, but not always. The north had good generals, but they also had bad ones. The bad ones were either too scared to fight, or didn’t fight fast enough. Ulysses S. Grant was the general that gave the Union the greatest victories. He fought long and hard. He would do anything he possible could to win. The South had a very slim chance to win with this man in charge. The north had more victories and advantages in the war than the south. The durastic effects the south underwent caused them to crumble. Some people say the north won, and some say the south won. The north did everything possible to win the war, and the south could never get anything out of it. How to cite Who Won the Civil War: North or South, Essay examples

Sunday, December 8, 2019

Sports Business Research Report

Question: Writeabout theSports Business Research Report. Answer: Introduction Sports can be used in different ways on the basis of the context it is using. The fields on which sports can be used are generally sociology, physical education, and recreation. Sport is used in management field also which is called the sports management. Now- a -days, the business field of the sports is also flourishing to a great extent (Gamble, Brennan McAdam, 2017). On the contrary to sports industry, the scope of music industry can be discussed. Music industry consists of different companies and individuals that can earn money by making new songs and albums and pieces and selling live concerts and shows in different places of the world (Hammond, 2014). Discussion The music industry consists of a range of professional people who includes singers as well as musicians who are very talented with their music careers. In this business several managers are also required who can monitor the different programes which occur in the different places. In this industry, several other people like music journalists, music critics, DJs and music educators are also present. Apart from this fact, the people who work in the music industry make huge profit and play an important role towards the development of the particular organization. Among the different individuals who work in this particular organization include the songwriters, composers who write and compose new songs (Lebler Weston, 2015). Apart from them various types of other individuals are also present who are the conductors, bandleaders, performers, who performs these songs at different concerts and music events to entertain people (Lee, Jang Hwang, 2015). Someone may think sports business may refer to sell items related to sports. It might include business which can contain so many other industries which can sell different kinds of other items as well as other services. The various types of business those are included in this field are marketing research, tourism business, ski packages, etc (Li Qian-hong, 2015). The sports industry mainly refers to a market which can provide various sports related products and services to its buyers. The products may be fitness, leisure, recreation related items. Here, are some of the examples can be given which are very apt for this industry and are discussed as follows: Sports can be a type of spectatorial product or can be a participation product as in case of womens recreational basketball league. Sometimes, different types of machines and apparels are needed as a part of a sports or fitness activity which needs to be used in a perfect manner (Parry, Vendrell?Herrero Bustinza, 2014). On the other hand, promotional merchandise can also be part of sports product which is mainly used for different types of promotional activities like sports league, sports events, etc (Sinnreich, 2013). Sport facilities are different types of sport products which are required for producing sports such as the making of a new sports stadium or remodeling the old stadiums or redesigning old basketball courts etc. Different types of sports industries offer different kinds of sports services like tennis racket stringing, golf course care , etc which are very necessary in day to days life (Stan Anton, 2016). Sometimes, recreational activities are also promoted with the hel p of participation products such as bicycling, hiking, camping, etc. Findings In this report, the two businesses and industries which are selected are sports industry and music industry. The sports industry is a huge industry and it covers an entire field of business where people not only sell goods or services related to sports but also several other developments which can be done in the infrastructure of the sports. It includes selecting new talents from various parts of the country and appoints them in the team and provides them the right kind of training such that they can play well (Weston, 2015). On the other hand, in the music industry there are several talented people who can compose songs and music for the entertainment of people. Not only are these people there other people who are also present to ensure the smooth operations of all the activities which are occurring in this field. Nonetheless, they make a huge income out of this entertainment industry as well. There are several studies have been conducted in order to place a dollar value or economic impact on the several businesses of the sports industry. Studies have proved that, the size of the organization plays a vital role on the different factors which are included in composing the industry (Wikstrom, 2016). It has also been found out from the year of 1986 to 1988 this industry has grown in size at an average rate of 6.8% which is quite good. In various other studies, it has shown the fact that in the year of 1995; this industry has grown up to a $152 billion dollar business which represents an increase of 242%. The music industry can work in different ways which are written as; publishing a music or track can be way in which a particular music company gained the income from different ways of sources. Publishing on television or movies can be another way from which income can be generated. Factors like publication, advertisement play vital role in case of operations of both the busin esses (Zhang, Yu Zhang, 2016). There are several factors in which both the business are different in different aspects. The basic requirements and strategies which are required for the growth of both these businesses are different from each other. The sports business differs from music industry in different aspects like sports industry is a recreational industry and music industry is an entertainment industry Conclusion There are different types of aspects which are discussed in this report which plays an important role in both the sports as well as in the music industry. Sports industry includes various other kinds of activities and businesses which are already been discussed. There are several factors of growth as well which are also discussed. The music industry differs from the sports industry in different aspects, those aspects are also been discussed in an elaborative manner. Reference List Gamble, J. R., Brennan, M., McAdam, R. (2017). A rewarding experience? Exploring how crowdfunding is affecting music industry business models.Journal of Business Research,70, 25-36. Hammond, R. G. (2014). Profit Leak? Pre?Release File Sharing and the Music Industry.Southern Economic Journal,81(2), 387-408. Lebler, D., Weston, D. (2015). Staying in Sync: Keeping Popular Music Pedagogy Relevant to an Evolving Music Industry.IASPM@ Journal,5(1), 124-138. Lee, Y. H., Jang, H., Hwang, S. H. (2015). Market Competition and Threshold Efficiency in the Sports Industry.Journal of Sports Economics,16(8), 853-870. Li, Z., Qian-hong, C. (2015). Influence of Sports Spirit on Development of Sports Industry.Journal of Jiamusi Vocational Institute,4, 215. Parry, G., Vendrell?Herrero, F., Bustinza, O. F. (2014). Using Data in Decision?Making: Analysis from the Music Industry.Strategic Change,23(3-4), 265-277. Sinnreich, A. (2013).The piracy crusade. University of Massachusetts Press. Stan, M., Anton, P. B. (2016). ). sports industry-a potential new source of economic growth.Economie si Sociologie: Revista Teoretico-Stiintifica, (2), 97-100. Weston, M. A. (2015). Weston-Money on Table 5 Miss L Rev 1 (2015) Final. pdf.Mississippi Sports Law Journal,5(1). Wikstrom, P. (2016). Music industry.An Encyclopaedia of Contemporary Nordic Culture. Zhang, B., Yu, L. B., Liu, L., Zhang, D. W. (2016). Internet+ Relationship Between Traditional Sports Industry And Sports Industries.Basic Clinical Pharmacology Toxicology,118, 99.

Saturday, November 30, 2019

Technologys Effect on the Acquisition of Knowledg Essay Example For Students

Technologys Effect on the Acquisition of Knowledg Essay eFor a class called Theory of Knowledge. As I walked into my younger brothers elementary school one day to pick him up, I was confronted with a flurry of sounds; it was nothing new, this was just the first time that I noticed it. All I heard was the buzzing of computers, the ringing or phones and the humming of printers. The same at my school, my parents workplaces, and nearly every other public place, as well as some private places. Then I began to wonder if all of these technological advances really help, or rather hinder, how we gather information from the world around us. We will write a custom essay on Technologys Effect on the Acquisition of Knowledg specifically for you for only $16.38 $13.9/page Order now Do these smaller and faster computers, these increasingly tiny cellular phones, or any of these other recent technological inventions really expand the acquisition of knowledge? Or are we just moving backwards?First of all, I think that we need to define technology. My definition, as well as the definition that I will use to determine whether something is technology, is any device that makes life easier for the people who possess and use it. One of the most obvious ways is that now it is a lot easier to access knowledge. You can research any topic and access statistics and primary documents. You have got the world at your fingertips. I, as an International Baccalaureate student, cannot imagine writing papers or researching any issue without access to the Internet. Another example of technology that helps most people is the calculator. I cannot even imagine trying to do Calculus homework without its help. With the aid of the calculator, you need not look up or calculate by hand values such as logarithm, sine or cosineit is just beyond me how they did complicated math like that before everyone had calculators. Another advantage is that, if you have Internet access at home, you have access to seemingly endless information twenty-four hours a day and seven days a week; anytime you want to learn something about any theme, you can. Even devices such as overhead projectors and loudspeakers make access to knowledge easier. Also, as technology progresses, computers get more affordable, along with other learning tools, thus they become available to more people. There is also more information. Examples include movies, photos, audio devices and other entertainment that was not available before. There is also more scientific equipment that allows us to collect more information about the world such as the transition electron microscope, which allows us to examine the inside of cells, and the technology that allows us to carbon date fossils and such. Technology also makes learning a lot more fun. Computer programs such as Word Muncher and Number Muncher help children with vocabulary and math skills, telling them a certain kind or word to eat or gives them a word such as prime and they must find and eat all prime numbers before they get eaten by these little monsters. I learned a lot from these programs, and I see my little brother, who is in second grade, doing the same. He also likes to play a game called Pre-Kindergarten which gives him a colorful certificate if he does well. A program provides visually stimulating colors and rousing sounds that flashcards and textbooks cannot. They allow children to learn things about a variety to topics while captivating them, which can be hard to do. I, personally, have seen my brother greatly benefit from these programs. He also loves to watch movies and television programs that show Barney and Thomas the Train solving the math problem or inserting the missing letter into words. He plays those games and watches those programs for hours on end. .ue921a9f47182158a416a013d1ffcde8c , .ue921a9f47182158a416a013d1ffcde8c .postImageUrl , .ue921a9f47182158a416a013d1ffcde8c .centered-text-area { min-height: 80px; position: relative; } .ue921a9f47182158a416a013d1ffcde8c , .ue921a9f47182158a416a013d1ffcde8c:hover , .ue921a9f47182158a416a013d1ffcde8c:visited , .ue921a9f47182158a416a013d1ffcde8c:active { border:0!important; } .ue921a9f47182158a416a013d1ffcde8c .clearfix:after { content: ""; display: table; clear: both; } .ue921a9f47182158a416a013d1ffcde8c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue921a9f47182158a416a013d1ffcde8c:active , .ue921a9f47182158a416a013d1ffcde8c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue921a9f47182158a416a013d1ffcde8c .centered-text-area { width: 100%; position: relative ; } .ue921a9f47182158a416a013d1ffcde8c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue921a9f47182158a416a013d1ffcde8c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue921a9f47182158a416a013d1ffcde8c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue921a9f47182158a416a013d1ffcde8c:hover .ctaButton { background-color: #34495E!important; } .ue921a9f47182158a416a013d1ffcde8c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue921a9f47182158a416a013d1ffcde8c .ue921a9f47182158a416a013d1ffcde8c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue921a9f47182158a416a013d1ffcde8c:after { content: ""; display: block; clear: both; } READ: For International Baccalaureate Language Essay I way I know these effects through perception and emotion. I perceive the way that my brother has benefited from using technology; he is learning without knowing it and while having fun. I am pleased that I have access to computers and other technological devices that have helped me through school and through life.However, on the other hand, technology can sometimes limit the acquisition of knowledge. Einstein once said, It has become increasingly obvious that our technology has exceeded our humanity. Because of technology there is, for

Tuesday, November 26, 2019

Free Essays on Understanding Down Syndrome

The disability of Down syndrome was first identified back in 1866, by a physician named John Langdon Down who was the superintendent of an asylum for children with mental retardation in Surrey, England. He published an essay, describing children with the same features as being mentally retarded. He thought the children to have an arrested development. In the 1960’s the term mentally retarded was dropped and was then called Down’s syndrome because it was an ethnic insult to Asian researchers. In the 1970’s an American revision of the term was changed to Downs syndrome. Whereas in the UK and some places in Europe the disorder is still known as Down’s. In the first part of the twentieth century, people were not sure what caused Downs syndrome. In the 1930’s two researchers, named Waardenburg and Bleyer were the first to predict that maybe Down syndrome was caused because of chromosomal abnormalities. By 1959 two independent researchers, Jerome Lejeune and Patricia Jacobs determined the cause of Down syndrome as being trisomy (triplication) of the 21st chromosome. They discovered that cases of Down syndrome were due to two problems of translocation and mosaicism. The defect of chromosomes in a person causes Down syndrome. Chromosomes are thread like structures made up of DNA and other proteins. Chromosomes carry genetic information that is needed for our cells to develop. In a normal human being, each chromosome divides into two. The two different chromosomes go to two different spots in the cell. Rarely, but it does happen to where the chromosome wont divide, but stays as one. Then the whole pair goes to the same part of the cell. This makes an uneven balance with the cells. One cell will have 22 chromosomes whereas the rest of the cells will have 24 chromosomes. This is known as nondisjunction. If a male or a female has non-normal chromosomes and mates with a person who has normal chromosomes, 95% of all c... Free Essays on Understanding Down Syndrome Free Essays on Understanding Down Syndrome The disability of Down syndrome was first identified back in 1866, by a physician named John Langdon Down who was the superintendent of an asylum for children with mental retardation in Surrey, England. He published an essay, describing children with the same features as being mentally retarded. He thought the children to have an arrested development. In the 1960’s the term mentally retarded was dropped and was then called Down’s syndrome because it was an ethnic insult to Asian researchers. In the 1970’s an American revision of the term was changed to Downs syndrome. Whereas in the UK and some places in Europe the disorder is still known as Down’s. In the first part of the twentieth century, people were not sure what caused Downs syndrome. In the 1930’s two researchers, named Waardenburg and Bleyer were the first to predict that maybe Down syndrome was caused because of chromosomal abnormalities. By 1959 two independent researchers, Jerome Lejeune and Patricia Jacobs determined the cause of Down syndrome as being trisomy (triplication) of the 21st chromosome. They discovered that cases of Down syndrome were due to two problems of translocation and mosaicism. The defect of chromosomes in a person causes Down syndrome. Chromosomes are thread like structures made up of DNA and other proteins. Chromosomes carry genetic information that is needed for our cells to develop. In a normal human being, each chromosome divides into two. The two different chromosomes go to two different spots in the cell. Rarely, but it does happen to where the chromosome wont divide, but stays as one. Then the whole pair goes to the same part of the cell. This makes an uneven balance with the cells. One cell will have 22 chromosomes whereas the rest of the cells will have 24 chromosomes. This is known as nondisjunction. If a male or a female has non-normal chromosomes and mates with a person who has normal chromosomes, 95% of all c...

Friday, November 22, 2019

How to Talk About the Weather in German

How to Talk About the Weather in German Regardless of the language, everyone likes to talk about the  weather. Learning how to talk about the weather in German is a key part of learning the language. This means youll need to learn more than just the  terms for the weather in German. You will also need to adjust  how  you talk about the weather. As with many other countries, Germany measures weather-related issues like barometric pressure and temperatures differently than in the U.S. There are even a few hidden vocabulary traps youll need to learn to avoid when talking about how warm or cold you are in German. When youre in German-speaking Europe, you also need to learn how to listen to a typical weather forecast. For example, you may need einen Regenschirm (an umbrella )  if Regen  (rain) is in the Wettervorhersage (weather forecast). Weather-Related Vocabulary and Phrases in German The tables  list common weather phrases and vocabulary. Review the chart below to learn many common German weather words and weather-related expressions. The table offers the German phrase or question on the left with the English translation on the right. In German, weather phrases can begin with  es  (it is, or its) or  es  ist  (which also means it is or its). You use  es  with a verb  and es ist  with an adjective.   Das Wetter Expressions DEUTSCH ENGLISH Fragen Questions Wie ist das Wetter heute? Whats the weather like today? Ist es warm/kalt/khl? Is it warm/cold/cool? Wie viel Grad sind es? Whats the temperature?How many degrees is it? Scheint die Sonne? Is the sun shining? Wo ist mein Regenschirm? Wheres my umbrella? ES + VERB Es regnet. Its raining. Es blitzt. Theres lightning. Es donnert. Its thundering. Es schneit. Its snowing. Es hagelt. Its hailing. ES IST + ADJECTIVE Es ist schn. Its nice. Es ist bewlkt. Its cloudy. Es ist hei. Its hot. Es ist kalt. Its cold. Es ist windig. Its windy. Es ist schwl. Its muggy/humid. So ein Sauwetter! Such lousy weather! MIR + IST Mir ist kalt. I feel cold./Im cold. Ist es dir zu hei? Do you feel too hot?/Are you too hot? A Note About Dative Phrases Although it is OK to say Im hot/cold in English, this is not the case in German. To express that you feel hot or cold in German, use a dative pronoun -   dir (to you) and  mir (to me) in the examples above. In German, you say, to me, it is hot rather than I am hot, which in German would roughly translate as you are in heat. Indeed, if you want to  speak German, youll also have to know your dative prepositions. Many dative prepositions are common terms in German, such as  nach  (after, to),  von  (by, of) and  mit  (with). Its hard to speak without them. Simply put,  dative prepositions  are governed by the  dative  case. That is, they are followed by a noun or take an object in the dative case.

Thursday, November 21, 2019

UnME Jeans Essay Example | Topics and Well Written Essays - 1500 words

UnME Jeans - Essay Example The brand manager of UnME Jeans is faced with complex media in which the traditional media such as television, radio and print advertising have become less effective over the time because of the declining number of audience, increase in the advertising clutter and turning out of the consumers. In this case Foley is set to explore the options provided by Web 2.0 social media and determine ways to better handle advertising and branding objectives. Therefore, the major challenge for Foley is to ignore all the hype made by Web 2.0, and analyze the social media for UnME Jeans by delving into the needs of the consumers and their behaviours underpinning the technologies of Web 2.0. Situation Analysis The case study describes a situation where Margaret Foley, the brand manager of UnME, carries out an investigation with respect to emerging media Web 2.0. The brand manager had been allocating a huge amount of budget in the traditional means of communication and only about $250 towards social media which were not sufficient in the new era of competitive environment to survive, attract and retain the loyal customers. It has been analysed that with a change in the consumer’s demands and mindset, consumers are spending much of their time by staying online rather than watching television. The percentage rate of television viewers has dropped drastically and it had become essential for UnME to implement the new form of media. The fir m did not spend much on online marketing and as a result, the brand manger was not satisfied with the response from the target consumers. In the era of new technologies and various media options, the target customers, the teenagers, prefer visiting online sites and staying online for most of the time. As per a survey, it has been seen that the social media are a highly acceptable form of media. The below figures compare the use of various forms of promotional tools. Figure 1: Media Trends (Source: McGee, 2011) The above figures compare the media trends from 2010 to 2011. It has been seen that the use of social media is predicted to increase by about 63.6% in 2011 year-on-year, as compared to the use of television. As per the Internet World Stats (2012), about 78.3% of the US population uses the Internet, and the amount of time spent rose to 20% and the youngsters tend to spend about 40 hours per week. Change has taken place in the Internet population in US and it was predicted that about 71% of the population would be online in 2010 and it would continue to grow and would reach about 250 milion people in 2014 (European Travel Commission, 2012). The following table shows the future prediction of Internet usage by the consumers in the present and future. Table 1: Internet users (ETC, 2012) With the growth of social media among the customers, the youth sector still dominates the social media market and UnME, which targets the teenagers, is lagging behind in positioning the brands effectively through the use of social media. Teens and young adults showed the greatest penetration. According to eMarketer, out of five Internet users four of them belong to the age group of 12 to 34 (eMarketer, 2011). The figure below shows the trend of social network users, which is estimated to rise each year. Figure 2: Social Network Users (Source: eMarketer, 2011) The

Tuesday, November 19, 2019

Nursing reaearch Term Paper Example | Topics and Well Written Essays - 250 words

Nursing reaearch - Term Paper Example In addition, they also examine ways to improve clinical practice. Furthermore, nursing education research emphasizes the manner in which students acquire the discipline and professional practice of this noble profession, and the procedures for improving educational strategies to train scientists and clinicians (American Association of Colleges of Nursing, 2014). In addition, it is the bounded duty of nurses engaged in research to uphold the ethical conduct of clinical research. This responsibility can be successfully fulfilled only when there is understanding regarding the nature of clinical research and the factors that render clinical research ethical (Grady & Edgerly, 2009). There are several patients, who do not fully comprehend the ramifications of the treatment proposed by their attending physicians. Under these circumstances, the promotion of clinical research and the protection of the rights and interests of the patient require familiarity with the manner in which clinical practice and clinical research diverge (Grady & Edgerly, 2009). Grady, C., & Edgerly, M. (2009, December). Science, Technology, and Innovation: Nursing Responsibilities in Clinical Research. Retrieved July 22, 2014, from Nursing Clinics of North America:

Saturday, November 16, 2019

Evidence-Based Practice Paper Essay Example for Free

Evidence-Based Practice Paper Essay The evidence-based practice guideline that I chose is titled, â€Å"Myocardial Infarction,† written by the Finnish Medical Society Duodecim. The intended users for this guideline are health care providers and physicians. The target population is individuals with suspected or known myocardial infarction. The objective of this guideline is to â€Å"collect, summarize, and update the core clinical knowledge essential in general practice† and â€Å"describe the scientific evidence underlying the given recommendations.† (Finnish Medical Society Duodecim, 2008) Clarity and Researchability of the Study’s Purpose and Question According to the researchers, the purpose of the study is â€Å"to test how teaching format (factual versus storytelling) and restructuring the social norm of caring for others to caring for self affects how women learn to identify and respond to myocardial infarction (MI) symptoms. † (McDonald, Goncalves, Almario, Krajewski, Cervera, Kaeser, et al., 2006, p.216) I feel that the purpose of the study is significant to nursing because nurses need to educate patients about what symptoms to observe for and report to their primary care providers. Also, if this study could determine which teaching format would better assist patients in acknowledging significant symptoms of an MI needed to contact EMS, then nurses could possibly be better able to educate patients about those symptoms. I believe that the study title of â€Å"Assisting Women to Learn Myocardial Infarction Symptoms,† is more general than the three research questions listed in the study: (a) â€Å"Are women who are taught how to recognize and respond to symptoms of an MI using a storytelling format more likely to be able to identify symptoms and plan to get help than women who are taught the same information using a factual format?†, (b) â€Å"Does teaching women to cognitively restructure the ‘caring for others’ social norm to ‘caring for self’ make them more likely to identify symptoms of an MI and plan to call EMS than women who are not taught this form of cognitive restructuring?†, and (c) â€Å"Are women who have been taught MI symptoms and response using the storytelling format and who were taught cognitive restructuring of the ‘caring for others’ to ‘caring for self’ social norms more likely to identify symptoms of an MI and plan to call EMS than women who were provided factual information about MI symptoms and response, and who were not offered cognitive restructuring?† (McDonald, et al., 2006, p.217-218) The two independent variables identified in the study are â€Å"teaching format (factual vs. storytelling) and social norms (caring for others first vs. caring for self)† and the dependent variable is â€Å"the posttest knowledge of MI symptoms.† (McDonald, et al., 2006, p.220) The American Heart Association (cited in McDonald, et al., 2006, p.216) states that â€Å"heart disease remains the leading cause of death for women and kills over 248,000 women each year in the United States.† Mosca, Ferris, Fabunmi, Robinson (cited in McDonald, et al., 2006, p.216) states that â€Å"the majority of women remain unaware that heart disease is the leading cause of death for women, despite a significant increase in awareness since 2000.† While the assumptions of the researchers are not clearly stated, I would assume that the researchers believe that women need to be further educated about the symptoms of MI in order â€Å"to avoid disabling or life-ending consequences from MI.† (McDonald, et al., 2006, p.216) Adequacy and Relevance of the Literature Review I feel that the literature review is relevant to the problem because they discuss the differences in MI symptoms among genders and which symptoms were commonly reported by women. DeVon and Zerwic (cited in McDonald, et al., 2006, p.216-217) â€Å"reviewed studies on gender differences in MI symptoms and concluded that symptoms were similar across gender; however, in seven studies back pain, dyspnea, and nausea and vomiting occurred more frequently in women.† According to McSweeney, O’Sullivan, Cody, Crane (cited in McDonald, et al., 2006, p.217) â€Å"women who have experienced an MI often describe additional symptoms besides chest pain, such as weakness, shortness of breath, unusual fatigue, diaphoresis, nausea, feeling flushed or dizzy, or a heavy feeling in the arms.† The literature review also discusses the possible reasons for why women delay in contacting EMS when symptoms of MI do occur. Finnegan et al (cited in McDonald, et al., 2006, p.217) states that â€Å"women might delay responding to their own MI symptoms to meet their caregiver responsibilities.† The literature review is logically organized, because it clearly talks about the differences among identification of MI symptoms among genders, along with the possible reasons for the delay among women in reporting their symptoms in order to receive immediate attention. The discussion about women not wanting to take care of themselves in order to continue assuming the responsibility of caring for their families, supports the research question of â€Å"cognitively restructuring the ‘caring for others’ social norm to ‘caring for self’.† (McDonald, et al., 2006, p.217) I feel that the 23 references used were appropriate for this study. The dates of the references range from 1989 to 2005, with this study being published in the May/June 2006 issue of Public Health Nursing. Majority of the references (20/23) had to deal with heart disease, while the remaining three discussed (a) theory of planned behavior, (b) story telling as a tool, and (c) applied multivariate statistics. Both, primary and secondary sources were used as references. Agreement between Purpose, Design, and Methods The study design described is â€Å"a pretest posttest full factorial experimental design with educational format (storytelling vs. factual) by social norms (restructuring the social norm of â€Å"caring for others† vs. no restructuring).† (McDonald, et al., 2006, p.218) According to LoBiondo-Wood Haber (2010) â€Å"a true experimental design has three identifying properties: (a) randomization, (b) control, and (c) manipulation† (p.179). In the study, the researchers randomly assigned the participants to one of four groups, each group receiving a different type of informational MI symptom pamphlet. LoBiondo-Wood Haber also state that â€Å"experimental designs are the most powerful for testing cause-and-effect relationships due to the control, manipulation, and randomization components† (p.185), which I think makes the design appropriate for answering the research questions in this study. Data was collected by having participants respond in writing first to a demographic form, and then to a Heart Attack Survey, both before and after, reading an informational pamphlet about MI symptoms. â€Å"The Heart Attack Survey consisted of two questions. The first question was open ended, ‘list all of the signs and symptoms of a heart attack that you are aware of.’ The second question used a 0-10 scale, with the corresponding anchors definitely would not call and definitely would call, to measure the behavioral intention of calling 911 within 30 min if heart attack symptoms occur.† (McDonald, et al., 2006, p.219) I feel that their data collection procedure is logical and practical because paper-and-pencil instruments â€Å"are most useful for collecting data on variables that cannot be directly observed or measured by physiological instruments.† (LoBiondo-Wood Haber, 2010, p.274) The researchers did not clearly discuss their instruments in terms of content validity and reliability. LoBiondo-Wood Haber (2010) define validity as â€Å"the extent to which an instrument measures the attributes of a concept accurately† and reliability as â€Å"the ability of an instrument to measure the attributes of a concept or construct consistency† (p.286). I think that both of their instruments were valid since the demographic form only measured demographic info, and the Heart Attack Survey only measured the number of MI symptoms the participants knew along their intent to call 911. However, I do not think the Heart Attack Survey was very reliable, since the researchers did mention that many of the women did not answer the same MI symptoms on the posttest that they had mentioned on the pretest. If the instrument was reliable, I would believe that the posttest would have the same MI symptoms as listed on the pretest, along with any new symptoms the women learned from reading the informational pamphlets. Suitability of the Sampling Procedure and the Sample I feel that the researchers used a convenience sample consisting of 113 adult women. The women were recruited by graduate nursing student data collectors in shopping malls, restaurants, and other public areas. â€Å"Inclusion criteria included of (1) female, and (2) age 25 years or older, and (3) able to speak, read, and understand English or Spanish. Exclusion criteria included (1) previous MI, (2) physician or nurse, or (3) current or past EMS worker.† (McDonald, et al., 2006, p.218) Descriptive characteristics of the sample include: (a) a mean age of around 42 years, (b) majority of participants having a high school education, with about an additional 36% having higher education, (c) most women were white, with next largest racial group consisting of black Americans, (d) nearly more than half being of non-Hispanic ethnicity, (e) few women having personal history of heart disease, while around half reported family history of heart disease, and (f) half reporting having careg iver responsibilities. I think the sample size was adequate for the study. The researchers state that â€Å"a small effect size for the intervention effect was anticipated based on the REACT findings† and â€Å"the sample size needed for a four-group multivariate analysis of variance (MANOVA) with a power of 0.80, a significance level of .05, two dependent variables, and a small anticipated effect size was n=115.† (McDonald, et al., 2006, p.218) There were an additional seven participants, but were not included in the final sample because they provided incomplete data, by not completing both the pretest and the posttest. The researchers state that â€Å"there were no significant differences between women completing the study and women not completing the study for age, ethnicity, race, marital status, education, having health insurance, a personal history of heart disease, a family history of heart disease, or responsibility for caring for others.† (McDonald, et al., 2006, p.220) The researchers state that â€Å"the study was approved for human subjects’ protection by the university internal review board.† (McDonald, et al., 2006, p.219) The researchers also state in their study that â€Å"each participant was provided verbal informed consent and a copy of the study information sheet.† (McDonald, et al., 2006, p.219) Correctness of Analytic Procedures The statistical procedures named in the study are: (a) analysis of variance (ANOVA), (b) χ2 (chi-square), (c) Pearson’s r correlation, (d) t test, and (e) analysis of covariance (ANCOVA). According to LoBiondo-Wood Haber (2010) â€Å"analysis of covariance (ANCOVA) is a statistic that measures differences among group means and uses a statistical technique to equate the groups under study in relation to an important variable† (p.574). In the study, McDonald, et al., (2006) tested the three research questions through ANCOVA: The two independent variables—teaching format (factual vs. storytelling) and social norms (caring for others first vs. caring for self)—were entered as the grouping variable. The pretest knowledge of MI symptoms served as the covariate, and the posttest knowledge of MI symptoms was entered as the dependent variable. (p.220) Since the study wanted to know the type of MI symptoms that the women could identify, the level of measurement for this study would be nominal. According to LoBiondo-Wood Haber (2010) â€Å"when data are at the nominal level and the researcher wants to determine whether groups are different, the researcher uses the chi-square (χ2)† (p.326). The MI symptoms would be considered categorical variables because they could have â€Å"more than two true values†; also, since only one point was given to each symptom identified, â€Å"there was no order† to the variables. (LoBiondo-Wood Haber, 2010, p.312) The researchers listed several p values in their study: (a) â€Å"the factual information with the social norms restructured group had more White participants (26.6%) and less non-White participants (0.9%) than the other conditions, χ2(3) = 7.94, p .05†, (b) â€Å"women responding to the English instruments reported significantly more symptoms (M = 6.4; SD = 2.73) than women (n=29) responding to the Spanish instruments (M = 4.7; SD = 3.26), t (111) = 2.75, p .007†, and (c) â€Å"for the pretest the number of MI symptoms and the 911 response score were unrelated, r (113) = 0.16, p .09, and slightly related, r (113) = 0.20, p .04, on the posttest.† (McDonald, et al., 2006, p.220) According to LoBiondo-Wood Haber (2010) â€Å"the minimum level of significance acceptable for nursing research is 0.05† (p.322). Clarity of Findings The findings described under the results section state that â€Å"the women identified significantly more MI symptoms after reading the MI pamphlet.† (McDonald, et al., 2006, p.220) â€Å"Table 1contains frequencies for the entire sample of the most frequently identified MI symptoms on the pretest and posttest.† (McDonald, et al., 2006, p.220) Table 1 highlights the finding that a majority of the MI symptoms were identified more frequently on the posttest when compared to the pretest. â€Å"Table 2 contains group frequencies for identified MI symptoms, with pretest frequencies for each of the four groups preceding the posttest frequencies,† which highlights the finding that â€Å"no significant group differences emerged for storytelling and social norms.† (McDonald, et al., 2006, p.220) While the results did show that â€Å"women generally learned three more MI symptoms to add to their previous knowledge of the commonly identified MI symptoms, chest pain, shortness of breath, and arm pain,† the results also discuss that â€Å"the storytelling versus factual format for teaching women about MI symptoms did not affect how women learned MI symptoms.† (McDonald, et al., 2006, p.221) I feel that these results show that more research is needed in order to find a way to adequately teach women the symptoms of MI and which symptoms would require them to quickly contact 911. While I do not think the conclusions are generalized beyond the sample, I agree with the researchers when they state that it is important for everyone to know that â€Å"MI symptoms are ambiguous, and that even when people are unsure about their MI symptoms they should always call 911.† (McDonald, et al., 2006, p.222) The researchers state in their study that there were â€Å"several potential limitations† that could have impacted their results: (a) participants were recruited from the community and might not have carefully read the informational pamphlets, â€Å"potentially reducing the amount of information learned†, (b) the words ‘heart attack’ were not included in â€Å"the content of the factual group pamphlets,† which might have led the women in that group to not associate the â€Å"symptom information with MI symptoms,† (c) â€Å"the pretest and posttest were identical and separated only by the time taken to read the intervention pamphlet† which as a result â€Å"might not reflect symptoms that the women later remember and identify as potential MI symptoms,† (d) â€Å"many women did not include all of the MI symptoms that they wrote on the pretest, decreasing the score that they received for identifying MI symptoms,† (e) â€Å"the MI symptom score did not reflect if the same symptom was included on the pretest and posttest, or if commonly occurring but less frequently recognized MI symptoms were learned,† and (f) â€Å"the 911 scale proved to be an inadequate measure of response to MI symptoms.† (McDonald, et al., 2006, p.222) According to LoBiondo-Wood Haber (2010) â€Å"a research study using a true experimental design is commonly called a randomized control trial (RCT)† (p.179). LoBiondo-Wood Haber also state that â€Å"an individual RCT generates Level II evidence because of the minimal bias introduced by this design through use of randomization, control, and manipulation† (p.179). Since this study used a â€Å"pretest posttest full factorial experimental design† and â€Å"the participating women were randomly assigned, using a web-based random number generator, to one of the four experimental conditions,† I would classify this study as an RCT generating Level II evidence. (McDonald, et al., 2006, p.218) According to the evidence-based practice guideline that I chose, â€Å"instead of chest pain, acute dyspnoea may be the primary symptom† and â€Å"the diagnosis should be made without delay since early therapy improves the prognosis decisively.† (Finnish Medical Society Duodecim, 2008) I feel that the results of this study support the guideline because it is important for women to be able to recognize the symptoms of MI early on and â€Å"be aware of their risk for an MI so that they can secure immediate emergency medical care when symptoms of an MI occur.† (McDonald, et al., 2006, p.216) References Finnish Medical Society Duodecim. (2008). Myocardial infarction. Retrieved from the National Guideline Clearinghouse website. http://www.guideline.gov/summary/summary.aspx?ss=15doc_id=12794nbr=006596string=myocardial+AND+infarction LoBiondo-Wood, G., Haber, J. (2010). Nursing research: Methods and critical appraisal for evidence- based practice, 7th Ed. St. Louis: Mosby. McDonald, D. D., Goncalves, P. H., Almario, V. E., Krajewski, A. L., Cervera,

Thursday, November 14, 2019

The Incas :: Pre-Columbian History Culture

The Incas The Inca were South American Indian people who ruled one of the largest and richest empires in the America's. The Inca Empire began to expand about 1438 and occupied a vast region that centered on the capital, Cusco, in southern Peru. The Empire extended more than 2,500 miles (4,020 kilometers) along the western coast of South America. It included parts of Present - Day Colombia, Ecuador, Peru, Bolivia, Chile, and Argentina. The Inca Empire was conquered by Spanish Forces soon after their arrival in 1532. Inca emperors ruled their far - reaching territory through a complex political system. The Inca took over many areas by military force. Their political system kept a balance between the central authority of the emperor and local rulers. The name Inca was originally the title of the emperor. The peoples he governed had many names. But after the Spanish conquest, all people under the emperor's rule were called the Inca. Inca is a group name which covers a large numbers of tribes. The original Incas were Quechua speakers who lived in South - Eastern Peruvian highlands. Tribes later conquered by the Incas tended to assimulate Inca culture, to the exclusion of their own. In the 15century, led by Pachacuti Inca Yupaqui and his son Topa Inca, the Inca Empire exploded over the Andes. Both leaders claimed to be descendents of the sun, the most important symbol in Inca religious life. When Topa Inca died in 1493 Pachacuti's Andean domain ran nearly 2,500 miles from North Ecuador into Chile and covered some 350,000 square miles. The Incas are famous for their intricate gold work and elaborate weaving. For subsistence they relied on terraced and irrigated cultivation, and very little on hunting and fishing. In the mountain areas the main crop was quinoa, and in lower areas maize, beans, peanuts, and squash. They kept llamas, alpacas, dogs, guinea pigs, and dogs. Men worked copper and gold and women made fabrics and pots. Inca towns had massive public buildings. Most of their technological achievements were grand - scale copies of ideas from earlier civilizations. The skilful farmers who preceded the Inca, harnessing the melting snows of the Andes, dug irrigation ditches across the desert; they also deflected rivers for the same purpose. Nothing which the Minoans, Egyptians, and Sumerians did, agriculturally, equalled this achievement. They also demesticated animals. From the Native American camal the guanaco, they bred the llama and the alpaca for their wool, and guinea - pigs for food.

Monday, November 11, 2019

Jails and Prisons Essay

Jails and prisons are corrective institutions which are meant to curb criminal activities in the society. They are also meant to punish the offenders. Prisons execute imprisonment which involves legal penalties. Jails and prisons should basically be aimed at punishing and rehabilitating the offender so as he/she will not repeat the crime which he/she was convicted of. The federal spending on correctional activities has also been gradually increasing. In the recent past federal government has been enhancing its efforts to improve jails and prisons conditions as a sign of recognizing some human rights entitled to criminals. Nowadays, those serving imprisonment sentences can access various facilities. These include religious services, education facilities, and recreational facilities in the exercise yard. The prisoners’ health is also well taken care of. Prisoners are also trained and imparted with some skills which may be helpful in their future life. In our contemporary prisons, prisoners are provided with entertainment facilities such as pool tables and TV. (Cavadino & Dignan 2006) USA jails and prisons are both meant to rehabilitate and punish the offenders. Rehabilitation is an effective method of ensuring no re-offence so as to reduce the number of prisoners’ population. This program seeks to address the casual links to offending, and employ cognitive behavioral approach towards modifying the prisoners’ behaviors. Counselors are used to ensure success of such programs. Those involved in use of prohibited substances and a number of civil crimes are usually rehabilitated. On the other hand, some criminal activities necessitate punishments such as fines, strokes and capital punishment. Capital punishment is applied to serious criminal activities such as terrorism, espionage, treason or mass destruction. (McGuire 2002; Cavadino & Dignan 2006)

Saturday, November 9, 2019

Occupational Health and Safety (OH&S) in the workplace. Essay

Occupational Health and Safety (OH&S) in the workplace requires co-operation from both employers and employees to ensure that the workplace is a healthy and safe environment. Both employees and employers are required to co-operate by the rights and responsibilities that are set for them. OH&S is the safety procedures in place in every enterprise to ensure both the health and safety of each and every employee. It is the responsibility of employers, who are legally (due to the OH&S Act 1996, 2001 amendment) and morally obliged to provide a safe and healthy environment. It is also the employee’s responsibility to co-operate with employers in maintaining health and safety at work. Read more: Measures that prevent fires from starting essay Employers are required to: -Provide a safe and healthy workplace -Provide and maintain a safe system of work -Provide the required resources (safety clothing & equipment) -Provide information and training for employees to work in a safe and healthy environment -Provide a process to identify, assess and then eliminate unsafe practices and hazards -All relevant laws must be followed -Ensure that employees carry out workplace rules. In the same way, employees have the right to be provided with the above-mentioned elements from their employers. It is also the employee’s obligation to abide by these regulations. Any employee who fails to meet their responsibilities can be disciplined under award conditions. WorkCover is also responsible for safety in the workplace. They are required to conduct regular checks in the workplace to ensure that the OHS act is being followed and that hazards are kept to a minimum. In most states, workers are represented through either an OHS representative or an OHS Committee depending on the size of the enterprise. Hazards are categorised into 4 different sections; Physical, Chemical, Ergonomic and Biological. It is important to be aware that a hazard does not have to be seen for it to exist. Quite often hazards you can’t see – such as ultra violet radiation, are only appreciated when it is too late to prevent damage. Many hazards have been made known in the workplace. Some of these include:  ·Exposed wires  ·Power leads on ground  ·Equipment in walkways  ·Temperature often too hot or too cold  ·Glare from windows and lights These hazards can be fixed by ensuring that the OHS committee is kept informed of these problems, and they can then ensure that they are fixed, in cases such as exposed wires. Things such as anti-glare screens can help the prevent the glare on the computer screens, and also moving employees desks  away from the air-conditioning vent can help with the temperature problems. Another cause for concern is the ergonomic factors. People do not sit in their chairs correctly and are causing backaches and injuries. To prevent injuries you should have;  ·Feet flat on the floor  ·Knees at a 90 degree angle  ·Back at 90-100 degrees  ·Relaxed shoulders and;  ·Forearm support Employees should take regular breaks and use their workstations ergonomically so that fewer injuries occur. There are also a few more Acts such as the Anti Discrimination Act (1977) and the Sex Discrimination Act 1984 and Workers Compensation Act 1987, which are all there to protect employees in the workplace. The Anti Discrimination Act aims to protect all employees in the work environment from being discriminated against on many things such as:  ·Race  ·Colour  ·Religion  ·Gender  ·Age  ·Sexuality If an employee feels as though they are being discriminated against, for any of the fore mentioned things then they should first try to approach the perpetrator and ask them to stop. If this behaviour continues, or they feel they cannot approach the perpetrator then they should report immediately to their employer or supervisor for further action. The Sex Discrimination Act aims to protect employees from being sexually harassed by someone in the workplace. Sexual harassment is any unwanted attention in an incorrect manner, whether it be:  ·Making sexual comments  ·Making sexual gestures  ·Asking someone out on a date continuously  ·Sending inappropriate materials Again if this happens, you should approach the perpetrator and let them know how you are feeling. If this behaviour continues, or they feel they cannot approach the perpetrator then they should report immediately to their employer or supervisor for further action. The Workers Compensation Act is where employers insure workers against the possibility of suffering injury arising out of or in the course of employment. If an injury does occur the worker can apply for Workers Compensation where they can receive money to cover their losses, and to pay for medical treatment. Workers Compensation can also be paid to the families of workers who die because of a work injury. In conclusion, it is evident that co-operation from both employers and their employees is needed to ensure that the work place is a healthy and safe  environment, with the help of legislations along the way.

Thursday, November 7, 2019

What is Artistic Beauty essays

What is Artistic Beauty essays Dr. Marck L. Beggs, Director M.L.A. Program What is Artistic Beauty? From the beginning of time, men and women have scrutinized, categorized, and compared components of their surroundings in an attempt to better understand their world. In the Bibles Genesis account, Adam, seemingly in appreciation of Eves uniqueness and beauty, poetically proclaims her, bone of my bones and flesh of my flesh; she shall be called woman, for she was taken out of man.[Gen. 2:23 NIV] Much later, artists, writers, and philosophers have sought to understand beauty, balance, and perfection the sublime. Their struggle to define perfection and to set standards of beauty was termed aesthetics or, the science of the beautiful, in 1753 by German philosopher Alexander Gottlieb Baumgarten. Baumgarten was considered the first modern philosopher to approach the question of beauty systematically, introducing the term aesthetics and defining the experience of beauty as the sensory recognition of perfection. [Danto 1]. The works of his contemporary, Immanuel Kant, express the notion that beautiful objects are without a specific purpose and that judgments of beauty are not expressions of mere personal preference but, rather, universal. Similarly, Encarta defines aesthetics as: A branch of philosophy concerned with the essence and perception of beauty and ugliness, dealing with the question of whether such qualities are objectively present in the things they appear to qualify, or whether they exist only in the mind of the individual; hence, whether objects are perceived by a particular mode, the aesthetic mode, or whether instead the objects have, in themselves, special aesthetic qualities. Philosophy also asks if there is a difference between the beautiful and the sublime. [Danto 1] However, even with a definition at hand, arriving at a consensus on precisely what c...

Tuesday, November 5, 2019

Genre Definition and Examples in Literature

Genre Definition and Examples in Literature In literature, every piece of writing falls under a general category, also known as a genre. We experience genres is other parts of our daily lives, such as movies and music, and in each case, the individual genres typically have distinctive styles in terms of how they are composed. At the most basic level, there are essentially three main genres for literature - poetry, prose and drama - and each can be broken down even further, resulting in dozens of subgenres for each.  Some resources will cite only two genres: fiction and non-fiction, though many classics will argue that fiction and non-fiction can, and do, both fall under poetry, drama or prose.  Ã‚   While there is much debate over what constitutes a genre in literature, for the purposes of this article, we will break down the classic three. From there, we will outline some of the subgenres for each, including those that some believe should be classified as main genres. Poetry Poetry is a style of writing that tends to be written in verses, and typically employs a rhythmic and measured approach to composition. It characteristically is known for evoking emotional responses from readers through its melodic tone and use of creative language that is often imaginative and symbolic in nature. The word â€Å"poetry† comes from the Greek word â€Å"poiesis† which essentially means, making, which is translated into the making of poetry. Poetry is typically divided into two main subgenres, narrative and lyric, which each have additional types that fall under their respective umbrellas. For example, narrative poetry includes ballads and epic tales, while lyric poetry includes sonnets, psalms and even folk songs. Poetry can be fiction or nonfiction. Prose Prose is essentially identified as written text that aligns with the flow of conversation in sentence and paragraph form, as opposed to verses and stanzas in poetry. Writing of prose employs common grammatical structure and a natural flow of speech, not a specific tempo or rhythm as is seen in traditional poetry. Prose as a genre can be broken down into a number of subgenres including both fiction and nons of prose can range from news, biographies and essays to novels, short stories, plays and fables. The subject matter, if it is fiction versus nonfiction and length of the work, are not taken into consideration when classifying it as prose, but rather the style of writing that is conversational is what lands works in this genre. Drama Drama is defined as theatrical dialogue that is performed on stage and traditionally is comprised of five acts. It is generally broken down into four subgenres including comedy, melodrama, tragedy and farce. In many cases, dramas will actually overlap with poetry and prose, depending on the writing style of the author. Some dramatic pieces are written in a poetic style, while others employ a more casual writing style seen in prose, to better relate to the audience. Like both poetry and prose, dramas can be fiction or nonfiction, though most are fictional or inspired by real life, but not completely accurate. The Genre and Subgenre Debate Beyond these three basic genres, if you conduct an online search for â€Å"genres of literature,† you will find dozens of conflicting reports that claim any number of main genres that exist. There is often debate over what constitutes genre, but in most cases, there is a misunderstanding of the difference between genre and subject matter. It’s common for subject matter to be considered a genre in not only literature, but also in movies and even games, both of which are often based on or inspired by books. These subjects can include biography, business, fiction, history, mystery, comedy, romance and thrillers. Subjects may also include cooking, self help, diet and fitness, religion and many many more.  Ã‚   Subjects and subgenres, however, can often be intermixed. Though, it can be  a challenge to determine how many subgenres or subjects actually exist, as there are differing opinions on each, and new ones are created regularly. For example, young adult writing has become increasingly popular, and some would classify it as a subgenre of prose. The difference between genre and subject is often blurred by the world around us. Think of a time when you last visited a bookstore or library. Most likely, the books were divided into sections - fiction and non-fiction for sure - and further categorized based on the type of books, such as self-help, historic, science fiction and others. Many people assume that these categorizations of subject matter are genre, and as a result, common language today has adopted a casual use of genre to mean subject.

Saturday, November 2, 2019

Analyzing Value Net for Omni Hotel & Resort Essay

Analyzing Value Net for Omni Hotel & Resort - Essay Example Customers that are satisfied with their experience are highly likely to tell their friends about it. A second way customers could add value to the firm is by becoming recurrent customers of the company. Rivals – The company faces competition from direct and indirect rivals. All four and five star hotels in Texas are direct competition of Omni Hotels. Homes that rent their facilities for short monthly contracts are an indirect competitor of the firm as well as condos. Three direct competitors of Omni Hotels in the Corpus Christ marketplace are Days Inn Beach, Radisson Hotel, and Knights Inn. The rivals of the company represent a threat to the business organization. Omni has over 50 hotels across the United States (Omnihotels, 2011). The Corpus Christi hotel can add value and turn this threat into an opportunity by forming marketing alliances with other competitors. All the registered hotels in Corpus Christi can form a cash pool to advertise the region to tourist inside and outside of the United States. Such an initiative would increase the total tourism money that the region receives which would benefit the entire hospitality industry. Suppliers – In the hospitality industry suppliers have little power over hotels. Hotel chains such as Omni enjoy several competitive advantages including power to buy in bulk and take advantage of economies of scale, high variety of supplier options, and greater brand value than their suppliers. Several key suppliers that Omni Hotel must emphasize include food suppliers, cleaning suppliers, and bathroom supplies. The food suppliers are instrumental toward the success of hotel operated restaurants. Tourists are willing to pay a premium prices as long as they receive superb service and quality food. The organization can add value in its supply acquisition by advertising to the customers that they can take for free any supplies in from the room such as

Thursday, October 31, 2019

Notes Term Paper Example | Topics and Well Written Essays - 1000 words

Notes - Term Paper Example An effort has been made to present notes that have practical implications. Notes of a fictitious company are as under: 1. The consolidated financial statements have been prepared in accordance with International Financial Reporting Standards (IFRS) as applicable to UK, and the Interpretations of International Financial Reporting Standards (IFRIC). Principal financial accounting and valuation methods used to prepare consolidated financial statements are set out in each of the following sections. The accounting methods are generally unchanged as compared to the previous year. 4. The consolidated financial statement includes the financial statements of the Principal and the group companies in which group holds stake (its subsidiaries) until 31st December of each year. Majority stakes of the group deem to exist if the group can determine the financial and managerial policies of a subsidiary in order to obtain economic advantages. a. In case of acquisition of a company, the capital is consolidated using acquisition method. The assets and liabilities of respective subsidiaries are valued at market value attributable at the time of acquisition. If the acquisition costs exceed the attributable current market value of the acquired identifiable assets and liabilities, the capitalised difference is shown as goodwill; otherwise it is immediately adjusted against income. The Non- Controlling interests are reported as part of the current values of the stated assets and liabilities corresponding to their respective interests. d. The earnings as well as assets and liabilities of associated companies are incorporated in this consolidated financial statement using the equity method of accounting. Interests in associated companies are given in SFP as acquisition costs adjusted by changes in the group share of net income following acquisition, and losses due to depreciation. Losses that exceed the

Tuesday, October 29, 2019

Electronics Coursework Example | Topics and Well Written Essays - 2500 words

Electronics - Coursework Example The gain of an amplifier is usually given in decibels or its unit less if the input and output variables are the same (all current, voltage or power. The power gain of an amplifier depends on the sources and load resistances used and its voltage gain. The amplifier should be linear in most cases hence its gain should be constant. Electronic amplifiers find their applications in Radios, Television Transmitters, Receivers, and high-fidelity stereo equipments, Microcomputers, and other electronic digital equipments. The 1Mï â€" and 10kï â€" potentiometer/decade boxes were used to set VCE and VBE to the values shown in table 1 to give the input characteristics of the BJT. The voltages across RB were measured and recorded for all measurements of VCE and VBE. The 10kï â€" potentiometer/decade box was s3et to its maximum value so that the output characteristics could be determined. The 1Mï â€" potentiometer/decade box was adjusted to set Ib to 10ï  ­A, and the desired values of RB were calculated using the measured values of RB. the value of 10kï â€" potentiometer/decade box was adjusted for all values of VCE in table 2 of the results analysis while Ib was kept constant. The voltage across the 100ï â€" resistor was measured and recorded for each combination of VCE and IB. In common emitter configuration, the input is connected between the base and the emitter while the output is taken between collector and emitter. The emitter is the common terminal as shown in the above figure. Emitt er base voltage is the input voltage, base current flows in the circuit and then the in the output resister, hence there will be high power and voltage gains and its output and input voltage ratio is moderate hence this configuration is commonly used. Increasing the supply voltage causes the base current to be lower for a given value of base-emitter voltage; this implies that higher values of supply voltage leads to greater collector-base junction reverse bias, hence greater depletion region

Sunday, October 27, 2019

Use of Honey as Medicine in Wound Healing: Analysis

Use of Honey as Medicine in Wound Healing: Analysis The aim of the assignment is to critique the research article, Standardised antibacterial honey (medihoney) with standard therapy in wound care: randomized clinical trial (2009) by Robson, Dodd Thomas. The tool used for this is Step by Step Guide to Critiquing Research by Ryan, Coughlan; Cronin (2007). Critique is an objective, critical, and balanced appraisal of a research reports various dimensions (Polit and Beck, 2004). The study was on the use of honey as medicine in wound healing. The research was done in the United Kingdom by a group of registered nurses and statistical masters. The study was completed in the year 2007 and was published in the Journal of Advanced Nursing (JAN). The study was based on the use of honey for wound dressing as an antibiotic and wound healing agent. Arguably, the article is well written as it is concise and it does not contain any languages that are characterised to any particular group and are grammatically correct. The layout of the study is good and are given in a good order and kept the academic style of writing. Research reports are like stories, a story should be written in a way which catches the attention of the reader, like as research report should have a readable style. The current researches writing style is good, and is well understandable. No personal views are expressed in the study. The writer had omitted personal pronouns to get an ease in the reading. Credibility variables concentrate on how believable the work appears and focus on the researchers qualification and ability to undertake and accurately present the study (Coughlan et al, 2007). The researchers were well qualified for the current study as their qualifications were stated in the article. Mostly nurses are eligible to do this type of study as they know the effect of dressing a wound. Statisticians also have a role in a research as there are so many calculations which were also included in the study. Methodology of a study is based on the credibility of the qualitative data and its subsequent findings (Polit Hunger, 1999) The title of the article gave an idea of the topic that and what the study is related to. The title is accurate and clear, too long or short titles can make the reader confusing (Coughlan et al, 2007). Too long or short titles can be confusing and misleading to the readers (Coughlan et al, 2007). In the study title is concise and is readable and has its reliability, the title is short too. The title is not more than 10- 15 words. Abstract is a brief description or an outline of the entire article. The abstract should give a clear idea about the research and should include information regarding the purpose of the study, method, sample size and selection which is given clearly in the current article(Coughlan et al, 2007), And from the abstract the reader should able to find out the overall idea about the study. They have also pointed out for further research on this topic with some recommendations. The present study has an agreeable abstract which conveys idea about the study which is simple, clear and interesting for the readers. The abstract is not too long and also explains about the method, sample size and the selection method. The abstract gave an over view of the topic. The abstract also opens an end to further researches. The introduction of the study will always be based on the research problem. Research problem is an enquiry which can be done through a disciplinary way (Polit and Beck, 2004). The purpose of a research highlights the overall sketch of main arguments and theory of the relevant research (Polit Hungler, 1999). In the current research the purpose of the study is stated clearly and an overall idea of the study is been included in the introduction of the research. The research problem is identified and clearly stated in the study. The research was carried out in a step by step process. The article has a flow and a have an ease in reading and all the links are clear. Critical summary of a topic which puts the topic or the research problem into a context is called as the literature review (Polit Beck, 2004). Literature review always points out to the previous studies of the current topic. The review should be logical and its critical analysis should be balanced (Cougllan et al, 2007). In the present study the literature review is clearly illustrated and it is logically presented. The literature review offers a critical analysis. The reviews are mostly facts which were proved by proceeds. A good literature review will always have a good introduction (Cougllan et al, 2007), which is followed in this by the writer. Frame work refers to the overall structure of a report which is based on a theory which was previously proved (Polit Hungler, 1999). Hypotheses are from a primary source and of an empirical nature. Theoretical frame work is what which is found confusing by a researcher. A theoretical frame work is been identified in ethics. The theoretical frame work has been clearly stated step by step clearly. A sound theoretical frame work also identifies the various concepts being studied and relationship between those concepts. The theory is true and the hypothesis is relevant for the study. Theoretical frame work tends to be better developing in experimental and quasi-experimental studies and often poorly developed or nonexistent in descriptive studies (Burns Grove, 1999). The purpose of the aims and objectives is to create a link between the initially stated purposes of the study or research problem (Coughlan et al, 2007). Aims and objectives are the observations or measurement that reflects on the physical reality which is interpreted by the individuals, and can be argued that even such observations may be open to subjectivity (Gerrish Lacey 2006). There is an aim for the study which is clearly stated in the abstract, introduction and also in the study. The hypothesis which is a statement or fact which can be tested or verified (Holloway Wheeler, 2002). The research questions and the hypothesis is clearly identified and stated in the study. The hypothesis and the research questions reflect on the literature review. The samples were chose with a great caution so as to minimise the errors. Samples are the selected units from a population, and sampling is the process of selecting appropriate people from a population for the research (Wood Haber, 1994). The samples were chosen randomly from a group and were informed about the research and the procedures and the effect of the current procedure. The sample which was chose for the study was appropriate as they were patients who were having wounds. The size of the sample was also adequate as a small sample will not help in an appropriate conclusion. The size of the sample is also important in quantitative research as small samples are at risk of being overly representative of small groups within the target population. There was no inclusion or exclusion for the study as they chose an appropriate sample with ethical consideration. The risk of sampling errors decrease as larger sample used (Coughlan et al, 2007). Autonomy infers that an individual has the right to freely decide to participate in a research study without fear of coercion and with the full knowledge of what is being investigated. Ethical committee or institutional review boards have to give approval before the research can be undertaken. There role is to determine the principles and to evaluate the validity of the research (Coughlan et al, 2007). There was ethical consideration for the data collection. All the participants of the study were fully informed about the research. All the participants were protected from all type of in case after effect, and were autonomous. Confidentiality of the subjects was censured by the researcher, and ensured the permission from an ethical committee. In a research study the researcher should ensure that the reader should understand what is meant by the terms and concepts which are used in the research. All the operational terms, theories and concepts in the current study has been clearly identified explained and illustrated in the study, and have given proper reference and citations for the rational and the explanations. The organisation, reduction and transformation of the data of a study in order for a review are called as data analysis (Holloway Wheeler, 2002). The methodology or the research design was clearly given to review the study. One of the main instruments in a study is methodology. The data gathering instruments of the methodology is cited in the study. The instrument used is appropriate as they could clearly get many results out of it. In the study 109 subjects participated in the research. The system of analysing the facts with the collected data from the research is called as data analysis (Polit Beck, 2004). Data analysis in quantitative research studies is often seen as a process which loses courage (Coughlan et al, 2007). Most of the data analysis is associated with complex language and statistical notations. The researcher should clearly identify what statistical tests were undertaken why these test was used and what were the results, which have been stated in the current article. In the current study analyse of the data is done in a better way. The strength and limitations of the study is also included in the study to revel the validity and reliability of the study. The discussion of a study should flow logically from the data and should be related to the literature review thus placing the study in context (Russell, 2002). In the discussion part of the research is linked back to the literature review. The discussion part contains the strength and limitations of the study which is referred to the previous study that are made on the same subjects. All the limitations are also generalizability discussed. The research also extends an open end for further research on different aspects of his study; other recommendations are also given to the current study. When doing a research or a research critique it is essential to quote the source of the information obtained, that should be included as in text or end text reference. In a research study the significance of the findings should be stated but these should be conceder within the overall strengths and limitations of the study (Polit Beck, 2006). The reference should help the writer to find the source as quickly as possible (Pears Shields). The copy of others idea is conceder as plagiarism which is serious offence. For the current study the researcher has used the Harvard referring system. The researcher has referred many books and research articles for his study and all the references have been quoted as in text and end text references. All the books referred for the study are appropriate as they are related to the subject or to the research vocabularies. The researcher was very much cautious about the plagiarism. Evaluating the research article with the critiquing tool by Michael Coughlan and team members it was found that the study is arguable with credibility and reliability. The writers have carefully used the strategies in doing a research. The research is readable and understanding by lay men. Holistic Nurse Prescribing: A Case Study Holistic Nurse Prescribing: A Case Study Introduction 1 the patient and their presenting symptoms. Mr Pickles presents an interesting, complex and therapeutically challenging problem. In essence he is a gentleman with multisystem pathology who presents with an almost incidental finding which he was clearly reluctant to discuss. It is a common finding amongst experienced healthcare professionals that in any consultation it is the last 30 seconds which is the most important. As the patient stands up to go, there is the just while Im here moment when they can bring up an issue that really troubles them and may not be the real presented reason for the consultation. In this essay we shall discuss the various aspects of this situation and the measures we can take to try to help him. (Parker and Lawton 2003) 2.a holistic assessment of the pt, including any relevant medical social and psychological issues. If we start with the initial presenting symptom under discussion the impotence it is easier to work backwards from that to discuss the possible pathophysiology that can be relevant. Impotence is said to occur whenever the male fails to get an erection when it is required. This, in itself is neither unusual nor necessarily pathological. It becomes a significant symptom when the male repeatedly fails to get an erection that is sufficient for intercourse. It is quite possible to get full spontaneous erections and yet still be impotent. This is one of the major diagnostic features that distinguishes the psychogenic impotence from the purely physical. (Ackerman MD, Carey MP. 1995) There are a number of obvious physical causes of erectile dysfunction that are relevant to Mr Pickles (see on), but equally there are a number of possible psychogenic causes that may be either primary factors or possibly secondary contributory factors in the aetiology of his problems. The fact that he has recently undergone major cardiac surgery is a very relevant factor. Patients will frequently suffer from a major change in body perception when they have come to a close realisation of their own mortality. If we add to this the fact that, as the major breadwinner in the family, it is likely that Mr Pickles would have felt a major blow to his self-esteem when he was made redundant from a responsible high esteem job and forced to become a taxi driver with long working hours. This is quite apart from the anxiety and fatigue that such a job would engender.(Beck J. 1995) It is possible that the medication that Mr Pickles is taking may have a bearing on his erectile dysfunction as the male erection is dependent on the hydrostatic pressure of the blood for its maintenance. Any medication that reduces the average blood pressure, will effectively reduce the capacity to acquire and maintain an erection. In addition to this the adrenergic beta-blocker group will also selectively block the sympathetic pathways that are vital to the neurovascular control of the mechanisms of erection. Pathophysiology of diabetes and impotence Both of these topics are huge subjects, so in this essay we will restrict out considerations to those aspects which are relevant to Mr Pickles and his problems. We know that Diabetes Mellitus affects about 2% of the UK population with a specifically higher incidence in both the Asian and Afro-Caribbean communities(Nathan 1998). There is also a marked genetic component in the development of Diabetes Mellitus. Mr Pickles has Type II diabetes mellitus which is associated with a number of factors including a high BMI and increasing age. At 56 yrs. old he is currently at the peak incidence age for Type II diabetes mellitus (Gregg et al. 2003). Diabetes Mellitus is known to be associated with a number of complications. The prevalence and incidence of the complications, in general, tends to increase with the length of time that the patient has been diabetic. There is also an independent variable for complications that is directly proportional to the degree of control (as measured by the HbA1 levels). In general terms, the better the control the lower the incidence of complications (Kissebah et al. 1999) As far as Mr Pickles is concerned, there are two major complications of Type II diabetes mellitus that are directly linked with impotence and they are cardio-(macro)vascular disease and neuropathy. (Wagner et al. 1998) We can deduce that Mr Pickles has macrovascular disease by virtue of the fact that he his recovering from a CABG. And this may well be a very relevant factor in his erectile dysfunction but also there is the question of neuropathy which typically occurs in about 2.4% of the general population, but this figure rises to above 8% in the diabetic patient over the age of 60 yrs. ( Hughes 2002) Impotence tends to occur, in varying degrees, in about 10-15% of men under 40 yrs. Its incidence increases with age to the extent that 40% of men at the age of 40 yrs report a degree of impotence and this prevalence rises to 70% at the age of 70 yrs. (Gregoire 1999). If we add to this basic clinical picture the fact that there are other factors such as hypertension, smoking, cardiac neurosis, loss of self-confidence, depression and iatrogenic causes (medication etc.) all of which may well be relevant to Mr Pickles, then it can be seen that there are a plethora of potential causes of his erectile dysfunction. (Barnes, DE. 2004) Both of the first two causes (hypertension and smoking) are independent risk factors for impotence, quite apart for the fact that they are also risk factors for the development of the macrovascular complications of Diabetes Mellitus (Bowering 2001) Mr Pickles diabetic state has been recently well controlled (HbA1 of 6.5%). This is important as the incidence of development of diabetic complications is reduced by between 34-76% (depending on the particular study) for every 10% reduction in the average HbA1 reading. (Bowering 2001). In addition to all of these considerations, atherosclerosis is also a major complication of Type II diabetes mellitus, which, presumably is relevant to Mr Pickles because of his CABG, and this may be a major factor in the development of his erectile dysfunction. Management plan 3.a plan/strategy based on critical understanding of physiological and pharmaceutical issues. Any management plan must firstly be based on an accurate diagnosis. At this point in time we do not have this luxury. As we have discussed, there are anyone of a huge number of possibilities in the aetiology of Mr Pickles erectile dysfunction problem. When confronted with a problem such as this, any experienced healthcare professional may reasonably chose to manage the problem by making a rational judgement of the probabilities of any one particular cause being relevant. Implicit in such a management strategy is the fact that there are some causes that my be correctable (iatrogenic, psychological, and life style related) and there are some that may not (macrovascular damage, neuropathy and atherosclerosis). It is reasonable, in such circumstances, to discuss the situation openly with Mr Pickles and discuss with him the various treatment options. Patient empowerment and education is a vital strategy to adopt in circumstances such as this as Mr Pickles is far more likely to comply and respond if he understands the rationale behind the treatment plan.(Howe and Anderson 2003) We would suggest that an appropriate strategy would be to initially tackle the situation on two fronts. The psychological aspects of the erectile dysfunction are probably best discussed with an experienced psychologist or councillor who has expertise in this particular area. This is important because there is a considerable skill in eliciting the relevant factors from the patient. Many patients are reticent about talking openly about their imitate sexual details and there has to be a careful build up of trust and empathy on both sides. Factors such as good eye contact and a non-judgemental body stance are essential on the part of the healthcare professional if the optimal result is to be obtained Not only can the issues that are relevant be explored, but also any one of a number of psychological treatment techniques can be employed. This is a matter of considerable clinical judgement and skill and therefore probably best done by an experienced healthcare professional in that area. The pharmaceutical area can also be addressed as Atenolol is clearly not the best anti hypertensive to use as, not only will it reduce the blood pressure (which it clearly is important to do) but it also produces a counter productive beta-blockade which will not help the erectile dysfunction problem. The difficulty is that, after the CABG, Atenolol does have a degree of action on the suppression of ectopic electrophysiological foci in the myocardium which is a recognised complication of the procedure. It also is thought to have a cardioprotective effect post-myocardial infarction. It is probably a good idea to change his anti-hypertensive medication, but in the circumstances, it is probably better to seek the advice of the surgical team who performed the CABG. before making the transition. The question of Viagra has been raised by Mr Pickles. This is not as straight forward as it might initially appear. Viagra has been shown to work well in these circumstances. It has the downside that it allows sexual intercourse which is associated with increased peaks of blood pressure. As Mr Pickles is still in the postoperative recovery phase (16 weeks) it would again be sensible to consult with the surgical team as to their advice on the issue. The other problem with Viagra is that if it transpires that the long term aetiology is actually psychological rather than purely physical, then the prescription of Viagra will often breed a feeling of psychological dependence which may firstly be both inappropriate and unnecessary and secondly, very hard to break. It is probably therefore inappropriate to consider such options at this stage in the management. 4.legal and professional accountability should be discussed. The legal and professional issues are largely covered in the making of a management plan. In any area of professional competence, the best defence against criticism or censure, is the fact that a healthcare professional works from a rational evidence-based plan. It is for this reason that we have set out the rational and reasoning for the plan that we have chosen to adopt. It is actually quite permissible (legally) for a healthcare professional to be wrong on any given issue, as long as they have come to a reasoned and rational decision based on the facts that were placed before them. And behaved in a way that the majority of their professional colleagues believe is reasonable in the circumstances. It is, of course, central to these considerations, that all actions are carefully and fully recorded in the patients notes Prescribing decisions 5.a critical discussion of influences on prescribing decisions. The area of prescribing for Mr Pickles is clearly important. To some extent, we have covered the reasoning behind the change of prescription earlier in this essay. There is a common misconception amongst many members of the public (and indeed many of the less experienced healthcare professionals) that the solution to every problem comes in the form of tablets on a prescription. The whole area of patient empowerment and education is often filled with issues of lifestyle change, healthy living, self care and positive thinking which can frequently be more effective that simply giving the patient a prescription. (Boule NG et al. 2001) In the context of the NHS, it is a common observation that sometimes a prescription is given because it is the most expedient short-term measure in a given situation, (Dawes RM et al. 1974), however, time invested in an explanation to a patient as to why other measures might be equally as important is rarely time wasted., (Corrigan B. 1974) Future management 6.consider your future prescribing activity based on experience gained from this case study. In any professional area of activity, the author likes to use the mechanism of reflective practice to allow a critical assessment of a past course of action to modify future actions when faced with a similar situation. (Gibbs, G 1988) On careful reflection of this case, I believe that I may have acted rather rashly in stopping the Atenolol as a first choice. On reflection, I believe that the Atenolol did need to be changed for any one of a number of other anti-hypertensive agents but I feel that, in retrospect, I would have been wiser to take advice from the surgical team before I made that decision. Further reflection and discussion with other healthcare professionals (Marks-Moran Rose 1996), suggested that another appropriate course of action would have been to stop the antihypertensive medication altogether for a short period. This is on the grounds that his hypertension was not severe and was hitherto well controlled. If the erectile dysfunction was simply a reflection of the fact that the medication was holding his blood pressure down to a level where erection could not easily occur, a few days off the medication may allow a transient increase in his blood pressure to the point that erection could occur. As long as one was careful to monitor his blood pressure to ensure that it did not rise too far, I have been advised that this would represent a reasonable therapeutic trial to establish whether the underlying causes were mainly physical or physiological.(Wagner G et al 1998). On the face of it, this does seem reasonable but I believe that I would have to take further advice before I was fully comfortable with that decision. It follows from what has already been discussed, that I also feel that I may have been too quick to consider the pharmacological interventions before making a complete holistic assessment of the patient. There are clearly a number of lifestyle adjustments that may be relevant here such as weight loss and increasing exercise and looking for a new focus in life (to minimise any element of depression) which would be comparatively easy to achieve with appropriate empowerment and education of the patient. (Funnell R et al 2004) All in all, this is not a straight forward case. There are many elements which require careful and considered assessment. I believe that it is one of those cases that helps to point out that although there is a huge emphasis to be placed on modern scientific understanding and application of medical principles, there is also a very large element of human understanding and caring that is so very important to the successful management of patients such as Mr Pickles (Waterlow J. 1998) References Ackerman MD, Carey MP. 1995 Psychologys role in the assessment of erectile dysfunction: historical precedents, current knowledge and methods. J Consult Clin Psychol 1995; 63: 862-87 Barnes, Darryl E. 2004 Action Plan for Diabetes Copyright 2004 ISBN: 0736054596 Pub. Human Kinetics Illinois USA Beck J. 1995 Hypoactive sexual desire disorder: an overview. J Consult Clin Psychol 1995; 63: 915-927. Boule NG, Haddad E, Kenny GP, et al. 2001 Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA 2001;286:1218-27 Bowering (2001) Diabetic foot ulcers. Pathophysiology, assessment, and therapy. Can Fam Physician. 2001 May;47:1007-16. Dawes RM, Corrigan B. 1974 Linear models in decision making. Psychol Bull 1974;81:95-106. Funnell, and Robert M. Anderson, (2004) Empowerment and Self-Management of Diabetes Clinical Diabetes 22:123-127, 2004 Gibbs, G (1988) Learning by doing: A guide to Teaching and Learning methods EMU Oxford Brookes University, Oxford. 1988 Gregg, R. B. Gerzoff, C. J. Caspersen, D. F. Williamson, and K. M. V. Narayan (2003) Relationship of Walking to Mortality Among US Adults With Diabetes Archives of Internal Medicine, June 23, 2003; 163(12): 1440 1447. Gregoire 1999 ABC of sexual health: Assessing and managing male sexual problems BMJ, January 30, 1999; 318(7179): 315 317. Howe and Anderson 2003 Involving patients in medical education BMJ, Aug 2003; 327: 326 328. Hughes RAC. 2002 Regular review: Peripheral neuropathy BMJ, Feb 2002; 324: 466 469. Kissebah AH, Freedman DS, Peiris AN. 1999 Health risks of obesity. Med Clin North Am 1999; 73: 111-138 Marks-Moran Rose 1996 Reconstructing Nursing: Beyond Art and Science London: Balliere Tindall October, 1996 Nathan D. (1998) Some answers, more controversy, from UKPDS. Lancet 1998; 352: 832-833. Parker and Lawton 2003 Psychological contribution to the understanding of adverse events in health care Qual. Saf. Health Care, Dec 2003; 12: 453 457. Wagner G, Seanz de Tejada I. 1998 Update on male erectile dysfunction. BMJ 1998; 316: 678-682 Waterlow J. (1998) Prevention is better than cure. Nurs Times 1988; 84: 69-70 Appendix