Wednesday, July 31, 2019

My first fight

I was a ferocious lion. I lost my temper uncontrollably. Nathan was bleeding incessantly from his nose. Blood imputed on my right knee and my left hand. The entire playground stood motionless. I could perceive each and every person looking at me with sheer admiration. They gazed at me like I was a lion and Nathan was a gazelle, regardless of Nathan being virtually twice my stature. I can still remember the events of my first fight as if they took place yesterday. I was pushed in to taking part in such an abhorrent incident on the first day of primary school during my first six months in the country. My uncle revealed to me that the reason that I had not begun school immediately was because my family arrived to the country halfway through the academic year. My family and I had just started to settle down in the country, adapting to the weather and the environment when my parents wounded me with the news that they had found me a school to grace with my presence. Endeavouring to learn a new language was demanding enough, let alone new children, teachers and books all of whom spoke a different language. The majority of the children in my class had all attended the nursery and infants before entering primary school. Therefore, I did not share, or relate to the experiences they shared together, like playing with the sand building castles, competing in various skipping games, riding on bicycles, drinking milk in the afternoons and having much fun with the paint. As a result, I felt disconcerted by so many questions rushing through my head. Was I going to be accepted into one of or any of these groups of eight year olds? Was I going to be the only one without a partner when doing paired work? Was I going to be the only one sitting unaccompanied in the dining hall? Unfortunately, the events that took place aggravated me more than I expected. On the first day when the teacher was introducing me to the class, I felt so unbefitting and mortified when she publicized I had just arrived from another country. There was that split-second when some of the children looked at me like I was an outsider, an alien. Voices were whispering from each corner of the room â€Å"who is he?† I felt isolated, remote, and would never have contemplated that after two days their thoughts would be on the contrary. After being introduced to the class by my teacher, Ms fielding introduced me to Carl, who would accompany me for the day. She then seated the pair of us on a table with two other children Nathan and David. It was time for literacy hour and everyone had to write about what they accomplished over the half-term break. As my skills were not to the standard of the other children, I decided to have a peak at what the others were writing about. To my amazement, nobody actually seemed to be doing any work apart from Carl, who later spent the majority of the morning session at the toilet. Meanwhile, David decided to smell a mixture of pens, which to this day I think is very peculiar. Nathan had written down the title â€Å"My First Fight†, but then started to doodle on a spotless new table. David brought his sniffing to a standstill and began a conversation with Nathan about football. The rest of the class were having extremely noisy conversations, in contempt of the teacher's numerous shrieks to bring the noise to an end. It seemed that she had absolutely no control over people a third of her age. Nevertheless, there was one person who had an immense effect on the class, Mrs Fassal, the deputy-head teacher. The second she walked in the class was so quiet a pin drop could be heard. As she walked in she had a quick glance around the classroom and she became aware of the vandalising offence Nathan had committed. She bellowed at our table asking â€Å"Who did it?† There was a slight pause. The whole class was listening as if they were an audience to a verdict. Mrs Fassal shouted again, â€Å"Who did it?† â€Å"The new boy did it Mrs Fassal†, Nathan alleged. â€Å"Yeah, the new boy did it Mrs Fassal†. David accused. â€Å"And you Carl, did you see anything?† â€Å"No Miss, I was at the toilet† Carl replied. I felt trapped like a wild animal in a cage big enough only for a mouse. I was so infuriated with Nathan's spitefulness, blaming me for his relentless vandalising acts. Nonetheless, I had a feeling that soon, very soon, Nathan would pay for his horrendous accusations. Mrs Fassal would not listen to any of my cries for help. However, she kept me back at morning break and yelled at me so loud, Carl later said he heard her in a playground full of screaming children. After morning break, I remained with Mrs Fassal until lunchtime, but I was sanctioned to have my lunch break. As Carl was my escort for the day, he invited me to play a game of football with him and his friends. Nevertheless, some of Carl's acquaintances particularly Nathan, seemed uptight on the subject of allowing me to engage in recreation. I was not perturbed in the slightest way, even so Carl managed to persuade them for me to join the game. During the first five minutes of the game, I did not touch the ball, instead I decided to see how everyone played. It emerged that Nathan was physically the biggest in comparison to the other boys and was using this to his advantage. I noticed that all Nathan was doing was jostling anyone that came near him, or whenever he wanted the ball. None of the players seemed to confront Nathan or show any sign of discomfort. Instead, they gave out the impression they were frightened Nathan would hurt them if they showed any sign of discomposure. Throughout my observation of the game, unexpectedly the ball arrived at my feet. Nathan was scampering towards me. We all knew what he was out to do. He had that look on his face like a tiger just about to take down his prey. Passing the ball was not an option, it was a game of knockouts, and it was everyman for himself. There were two options available to me, either to be clamped down and fall to the ground, or move out the way as soon as he lunged at me. I felt like a gazelle being run at by a lion. It was a split-second decision, so I decided to kick the ball to the left and spin around to the right as soon as he lunged at me. He fell to the ground as if he had been shot in the back. The entire playground stood in total and complete amazement. Nathan was a raging bull. He went on his knees and tilted his head up with a fuming look, as though he was about to eradicate someone. I warned him and said â€Å"No fighting, fighting no good† however I knew he was going to take no notice. He roared like a lion and charged at me like a rampant bull. As Nathan tried to rugby tackle me I seized him in a headlock and kneed him in the face continuously. Fortunately, for Nathan we were detached by Mr Chiriste, the school keeper. All the anger Nathan had caused me earlier, all the fury, all the upset, in addition to me being yelled at until I nearly cried was released in those few seconds. Thankfully I did not get into a great deal of trouble despite the fact I caused Nathan to bleed. The majority of the children in the playground backed me up by saying Nathan started the fight and I fought in self-defence. The chance of me losing my temper was as likely as Mike Tyson not losing his after being slapped in the face. Even at the tender age of eight, I never lost my temper unless exceedingly provoked. It is almost impossible to imagine what it takes for such a tranquil eight year old to reach that point of anger. On that particular Wednesday, that level of anger was caused by Nathan Tyler, and he paid the price for his actions. Looking back on my first fight, I think it is quite comical why I became so discoloured over such a minor incident. If I was in Nathan's situation I would have almost certainly preferred to blame the new boy, rather than face a monster like Mrs Fassal. Nevertheless, the thought of eight year olds making each other bleed is quite frightening.

Tuesday, July 30, 2019

My Virtual Life Report Essay

Attachment is defined as the positive emotional bond that develops between a child and a particular individual. Of the four major patterns of attachment (secure, avoidant, ambivalent and disorganized-disoriented), I would consider Blair securely attached. Like other children who have a secure attachment pattern, Blair uses me, her mother, as a type of home base (Feldman, 2012). At 8 months Blair is cautious and shy in new situations. She has a typical fear of strangers but will eventually warm up somewhat to a new situation. Blair shows a strong preference for me over others. I am always talking and thinking about Blair. When my husband and I find time to go out, I find myself worrying and calling grandma to make sure she is doing all right. Set 2: 19 months-TEMPERAMENT Blair has a somewhat moderate activity level. She enjoys her quiet time activities, but she also loves climbing and exploring her environment. As far as sociability goes, I would say that Blair is more introverted. This means that she is less sociable (myvirtuallife. com, n. d. ). At 19 months she seemed to not like playing with the other kids at daycare and had a hard time warming up to anyone who she wasn’t super close to. I would consider Blair a slow-to-warm up child. She shows relatively calm reactions to her environment. She tends to be withdrawn from new situations, adapting slowly. Blair is pretty cooperative for the most part, but she sometimes resists me. She usually just whines and fusses and is not usually aggressive. Her self-control is very good, but one may say that she is somewhat emotional. When she gets upset it is sometimes hard for her to calm down. Blair has been fairly stable in terms of her temperament throughout the last 18 months. Blair’s goodness of fit is directly related to her temperament. When Blair was younger she was anxious with strangers. As parents, we are benefiting from the principle of goodness of fit by gradually introducing her to new people and situations (Feldman, 2012). Set 3: 30 months-PARENTING PHILOSOPHY â€Å"For cognitive development to occur, new information must be presented- by parents, teachers, or more skilled peers- within the zone of proximal development (Feldman 2012 p. 171). This, in other words, is when a child cannot completely perform a task independently but can do it with a bit of assistance from a more competent figure. This zone of proximal development is something I experience with Blair. At two years old she has got to pick out her tooth and hairbrush, but she still needs a bit of help with both operations. Another idea that Vygotsky believed in was the method of scaffolding. This is known as the support for learning and problem solving that encourages independence and growth (Feldman 2012). For example, sometimes Blair has a tough time communicating using her words.

Monday, July 29, 2019

Intercultural Communication As A Trading of Cultural Stereotypes Essay

Intercultural Communication As A Trading of Cultural Stereotypes - Essay Example The mass media is especially responsible for repeatedly promoting negative and distorted images of different cultural groups until those images and stereotypes often become very difficult to overcome. A few isolated incidents of bad conduct from members of a group, and the entire group is often perceived as being the same, that is because when people stereotype, they don’t feel a need to consider the individuals that make up a group after placing that group in a determined category. Stereotyping serves the purpose of allowing people in one group to claim superior characteristics to those in another group. By attributing characteristics that bear a negative connotation, stereotyping becomes a way that people gain a sense of control about the unknown. This phenomenon not only exists between ethnic cultural groups, but among others as well, such as gender groups, economic groups, educational groups, and generational groups. This is particularly true when one considers the response a younger culture often receives from an older one. There are differences of opinion when it comes to language and culture. Some say that language defines a culture because it affects and molds what we believe and what we think, yet others say that language is only reflective of what goes on inside of a culture. When we talk about people, our intent is to make a specific point, and that point dictates the language and word choices that we make. If we want to portray someone in a positive light, we might refer to them as beautiful, trustworthy, enterprising or as a pillar of society. We would show respect by referring to them as Sir, Miss or Ma’am. On the other hand, if we want to portray someone in a less favorable light, we might call them by their last name only, use words such as shady or dubious.

Sunday, July 28, 2019

Estimating and Production Decision Making Essay

Estimating and Production Decision Making - Essay Example To get that output, we multiply the mean output per operative week with the size of the gang and efficiency of that gang. For example: For Gang no 1; Mean output per operative week is 0.16, by multiplying this with the size of the gang say 6 and the efficiency of the gang (100%) we get the output per week as 0.16 X 6 X 100% = 0.96. We have calculated the size of the other gangs in the similar way, (assuming output per week of each gang nearer to 0.96, because we have found that cost efficiency is maximum for gang size of 6). The size of the gang thus found is given in red color. .. The size of the gang thus found is given in red color. Gang Number 1 2 3 4 5 6 7 8 9 10 Mean output per operative week 0.16 0.21 0.16 0.16 0.12 0.12 0.26 0.16 0.11 0.16 Cost per operative week 320 320 335 300 320 320 335 320 315 315 Overheads per Gang week 210 210 215 200 210 210 215 210 205 205 Size of the gang 6 5 6 6 11 11 4 6 12 6 2. Starting of work of any particular gang We have ensured that the preceding gang has completed more than one unit in the week prior to the week we have started the new gang. 3. We have also ensured that after starting a gang, the preceding acitivity is completed at any stage. Working calculations are in excel

Saturday, July 27, 2019

Will democracy ever develop in Iraq Essay Example | Topics and Well Written Essays - 2250 words

Will democracy ever develop in Iraq - Essay Example However, there is also considerable number of those politicians and scholars whom believe the task of achieving democracy might be too difficult or even impossible for Iraq. Experts list a number of factors that prevent Iraq from becoming a democratic country, at least in the short-term. For example, Marine General Anthony Zinni, who was the Head of U.S. Central Command from 1997 to 2000 made the following statement on the probability of establishing democracy in Iraq: â€Å"If we think there is a fast solution to changing the governance of Iraq, then we don’t understand history, the nature of the country, the divisions, or the underneath suppressed passions that could rise up. God help us if we think this transition will occur easily. The attempts I’ve seen to install democracy in short periods of time where there is no history and no roots have failed. Take it back to Somalia (Zinni, 2002 cited in Dodge, 2003, p.157). This opinion of the person who was directly involved in the process of democratization of Iraq are supported by many scholars and political experts. Adam Garfinkle, a famous Middle East political expert, also holds the opinion that establishing democracy in the country is an immensely difficult task, while any attempt to fulfill it will not only result in failure but will also lead to the growth of anti-American spirit in the Arab world (Garfinkle, 2003). The pessimism that currently exists in relation to the possibility of establishing democracy in Iraq relies on the assumption that the country does not have any favorable conditions for democratic transformation. This means that not only social and economic prerequisites such as numerous middle class, serious economic opportunities, good system of education and other are not there but also that the traditional political culture contradicts the democratic norms and values. As is well known, â€Å"democracy† is taken from Ð ° Greek word which means government of the people, by

The success attributable to leadership in Compaq Computers and Konica Case Study

The success attributable to leadership in Compaq Computers and Konica Corp - Case Study Example From its beginning until 1991, the company witnessed considerable growth and profit. However, as a result of the intense competition in the market, the company lost momentum and for the first time in its history, the company declared loss in 1991, followed by laying off 1700 employees and cutting the price of the products. However, as the new leader Eckhard Pfeiffer took up the task, he introduced a totally new approach and strategy. On his beginning, as Salazar (1996, p. 638) reports, Pfeiffer declared his seven point strategy that included continuing to be the major global supplier of PCs and systems, PC division introducing new cost-effective and entry level products which are high performing, the system division providing quality service and customer support, maintaining high quality and reliability, high quality customer service and support, a continuously decreasing price of products ensuring competitive prices in all markets, and an increased sales and distribution. A look int o the history of the company proves that the company managed to do all this, and the leadership of Pfeifer in achieving all these in the shortest time cannot be neglected. Pfeiffer’s Success Mantra and What Konica lacked Pfeiffer did not aim at short term management but long term success. His success lies in the fact that he clearly understood what went wrong with the company and he prepared a clear strategy for the company. In addition, he executed what he prepared. According to him, the failure of the company happened because its success made the company rest on its laurels for a while and hence, the company did not notice the signals of the growth of its rivals. So it focused only on the high-end market, keeping is products expensive. However, for Pfeifer, the picture was very clear. He knew what to do. His strategy was to slash prices on high-end products to keep the existing range of customers, and to introduce new entry level, low margin products which are designed to s ell profitably at a price that matches low-cost competitors. Now, it is time to see how Pfeifer managed to introduce the low-priced line in a short time. Similarly, even before it falling into loss, Konica realized the threats ahead, reading from the changes in the market. In the year 1986, Fuji Film had 67.5% of the film market share, and Kodak had an increase in its market share by one percent. However, Konica lost one point of market share, falling from 22% to 21%. In addition, competition on the price of photofinishing was intense. The price of developing the film and the price of color printing were going down considerably for the last five years. So, the estimate was that the mini-labs would handle 25% of the amateur photofinishing market by 1989. In addition, as Turpin and Shen (1999) state, the camera section where Konica had a 5.5% share too was facing intense competition as the markets had matured and as companies were introducing cameras with a lot of new features and whi ch are user-friendly; and the main players in the

Friday, July 26, 2019

Three Gorges Dam in China Essay Example | Topics and Well Written Essays - 750 words

Three Gorges Dam in China - Essay Example Even though, Chinese authorities describe the construction of this dam as a landmark, many of the environmentalists questioned such claims. It is a fact that this dam is the blend of social, engineering and economic successes; however the controversies surrounding the construction of this dam are still creating headaches to the Chinese authorities. â€Å"The massive project sets records for number of people displaced (more than 1.2 million), number of cities and towns flooded (13 cities, 140 towns, 1,350 villages), and length of reservoir (more than 600 kilometers)†1. Moreover many of the wild life lost its habitat as a result of the construction of this dam. Ecological problems, high risk of landslides, etc are some other issues raised by the critics of this dam. This paper briefly analyses the history, statistics and the environmental impact this dam has had on the area surrounding its location. â€Å"The Three Gorges Dam spans the Yangtze River at Sandouping, Yichang, Hube i province, China. Construction began in 1993†2. It is the biggest hydroelectric power station in the world at present with a capacity to produce 18200 MW electric powers. It was partly commissioned in 2008 and is expected to be fully operational by 2012. It is expected that the when it is fully operational, its capacity may reach 22500 MW of electric power. This dam was constructed for multipurpose. Even though the major purpose of constructing this dam was to find an answer to the huge energy crisis facing by China, prevention of flood, increasing shipping capacity etc were some other major objectives behind the construction of this dam. The major criticism labelled against hydroelectric power projects all over the world is about the environmental problems such projects can generate. Since Three Gorges Dam is the biggest in its category, the environmental problems produced by it cannot be neglected. As in the cases of other hydroelectric power projects in the world, the envi ronmental impacts of this dam could be more visible as time goes on. The submergence of hundreds of factories, mines and waste dumps, and the presence of massive industrial centres upstream are creating a festering bog of effluent, silt, industrial pollutants and rubbish in the reservoir. Erosion of the reservoir and downstream riverbanks is causing landslides, and threatening one of the world’s biggest fisheries in the East China Sea. The weight of the reservoir's water has many scientists concerned over reservoir-induced seismicity3 Yangtze River is the third biggest river in the world and its coastal areas are highly fertile and heavily populated. â€Å"The world's largest dam will flood over 62,000 acres of farmland, 13 major cities, 140 large, and hundreds of small villages along the river's banks, necessitating the evacuation and relocation of over one million people†4. The wild life around the coastal areas of Yangtze River lost its habitat along with millions o f people. The beautiful landscape which was earlier filled with a variety of agricultural crops, converted into an ocean which may become an ocean of waste as time goes on, as a result of the construction of this dam. â€Å"Water quality in the main reservoir remained stable, but pollution was worsening in tributaries because of high levels of nitrates and phosphates that had already endangered drinking water in some areas†5. In other words, not only the water inside the dam, drinking water sources in the neighbourhood of this dam also could be polluted as result of the construction of this dam. â€Å"According to a CNN article, one billion tons of sewage will flow into the reservoir each year. Pollution in the river itself will increase, as the dam will slow water flow, stopping the river’

Thursday, July 25, 2019

2-page rhetorical analysis on your visual argument Essay

2-page rhetorical analysis on your visual argument - Essay Example The video chosen reveals that the Government has taken stern measures promote the sufferings of the juveniles in the adult’s prisons (James, Dedel and Maria 34). The video discloses the violation of juvenile rights during and after trial. First, juveniles do not have the capacity to defend themselves in a court of law. The court is biased on the ruling against the juveniles. Second, the government put the juveniles in prisons where they can hardly protect themselves. They form easy targets for sex predators, and they become victims of the violation. The video provokes the society by recognizing a quote by Nelson Mandela the treatment made to children reveal the society sole. There before, the minor child said that he is willing to hang himself due to the sufferings in the prison. Equal punishment for children and adult is a punishment greater to the juveniles. The author promotes the thinking of the members of the society by making them question why court jail juveniles considering the same principles of law (James, Dedel and Maria34). When judges sentence both a juvenile and a minor to life without parole, who will serve more years in a jail? Who is prone to intimidation? The video provides the actual feelings based on real facts that occur in the society. The video makes them compare the risks of a free man to that of a juvenile. A juvenile has a probability five times higher to sexual abuse in an adult facility than in a juvenile facility. The video emphasizes sufferings of the juvenile using of images and sound. The author presents the innocent boy. A conceptual analysis reveals that he does not deserve a similar punishment to other inmates in the facility. He is greatly weaker than anybody else is in the prison to sustain the humiliations. The author wins the sympathy of the viewer by initiating a deep thinking of why a judge sentenced the bright boy to adult prison. The juveniles in adult prisons commit suicide

Wednesday, July 24, 2019

Recommendation Essay Example | Topics and Well Written Essays - 250 words - 1

Recommendation - Essay Example Segmentation helps in the development of a sound, competitive advantage. Therefore, a better market positioning strategy can be developed through proper market segmentation. Market positioning involves building of a long-term impact on the minds of the consumers through differentiation of its commodities from rest. Market positioning utilizes physical attributes and promotion to build a clear distinction of a company’s product from the rest (Wang 38, 2009). Stirling Hotel ought to concentrate on the strengths and opportunities instead of concentrating on drawbacks and threats that may bring the business down. Therefore, the hotel’s weaknesses and threats become paramount in the establishments. The hotel is better achieved by looking at the threats and flaws than utilizing the strengths and opportunities. Converting threats and opportunities into strong points can serve as the competitive advantage of the hotel since several hotels can also be established on the same strengths and opportunities. The hotel managements ought to create outstanding features or characteristics that are more attractive than from other hotels. Therefore, the management will be required to employ innovativeness in the generation of marketing strategies and competitive advantage. The management should also develop suitable promotion strategies through utilization of the promotional mixes or

Tuesday, July 23, 2019

Opening a Business in Switzerland Research Paper

Opening a Business in Switzerland - Research Paper Example Switzerland is a democratic country with good relations with a vast majority of countries across the globe. Swiss workplace is decentralized with respect to power. There is an informal culture wherein employees freely interact with the managers and also expect to be involved in decision making. There is great respect for values and traditions in Switzerland. The opportunities of doing business in Switzerland include low tax rates tax exemptions, and business without licensing in some cases whereas the risks include the need to rely upon imports and the debt crisis that the Swiss banking sector is currently facing. With proper planning of the business and prudent management of resources, there is a lot of room for expansion of business in Switzerland. There is a whole procedure of establishing a new business in Switzerland that includes activities like registering the company, getting the signatures over the application form notarized, obtaining a legal entity, paying the stamp tax at the bank, registering for the VAT, and acquiring social insurance for the employees. II. Country Profile Location and size/population The total area of Switzerland is 41285 km2. Switzerland shares its boundary with Italy, France, Germany, Liechtenstein, and Austria. There are three main geographic divisions in Switzerland; Alps that covers about 60 per cent of the total area, Middle Land that makes up to 30 per cent of the area, and Jura that 10 per cent of the land (about.ch, 2012). As of July, 2011, the population of Switzerland was 7,655,628 (indexmundi.com, 2012). Topography and climate Almost two-thirds of the total land of Switzerland constitutes forests, mountains, and lakes. About 20 per cent of the Alps are hosted by Switzerland. â€Å"Approximately 100 peaks are close to or higher than 4000 meters (13125 feet) above sea level† (about.ch, 2012). There are many lakes in Switzerland that include the Lake Geneva and numerous little lakes. Glaciers constitute above 3000 km2 of the total area in Switzerland, though they are decreasing with the passage of time. Switzerland lies in the transition zone from the climatic perspective. The Atlantic ocean influences the west. There occurs frequent rainfall in Switzerland because of the moisture brought in with the winds. In the east, continental climate prevails whereas there is a climatic divide at the alps. Towards the alps’ south, the Mediterranean climate prevails. Natural resources Switzerland has almost no mineral resources because of which, most of the natural resources are imported and processed and then used or resold in the form of different kinds of products. The most important part of Swiss economy is services that include but are not limited to tourism, assurances, and banking. A very important part of the Swiss economy is farming. However, despite the country’s dependence on farming, Swiss farmers’ production is insufficient to meet the needs of the population which is w hy Switzerland has to import goods from other countries to meet the demand. Language and religion Switzerland has about four national languages that include French, Romanish, German, and Italian. The largest followed religion in Switzerland is Roman Catholic which is the religion of 47.6 per cent of the population, 44.3 per cent of the people are

Monday, July 22, 2019

Developing Concept of the Restaurant Essay Example for Free

Developing Concept of the Restaurant Essay Restaurants plays a significant role in our lifestyle, and dining out is a favourite social activity. Everyone needs to eat, to enjoy good food and, perhaps, a wine in the company of friends and in pleasant surroundings is one of life’s pleasures. Eating out has become a way of life for families. Nowadays, a buoyant economy has given us higher disposable incomes, which allows more meals away from home. The restaurant business is fun. A lot of people coming and going, lots of new faces and never get lonely. The business is always challenging because other restaurant owners are striving to attract our guests but with the right location, menu, atmosphere, and management, it continues to attract the market. The successful restaurant offers a high return on investment, one restaurant, then two, perhaps a small chain and then retire wealthy. There are more than hundreds of restaurants in Bhutan and each year few restaurants open and few close or other just fades away. People contemplating opening a restaurant come from diverse backgrounds and bring with them a wealth of experience. However, there is no substitute for experience in the restaurant business especially in the segment in which we are planning to operate. Read more:  Essays About Restaurant Review   Developing a Concept The Star restaurant will be the mid-scale restaurant which is owned by Mr. Thinley in Thimphu at Dechencholing. It will be at very reasonable price ranging from Nu.75-2000. The restaurant will feature mostly the chicken-made dishes. Star restaurant mainly focuses on the interior design of the restaurant. The restaurant will offer a dine-in buffet, carryout and delivery to the surrounding neighbourhoods and area businesses. Also its location will give the guests a beautiful and pleasant environment. Its speciality is that it is mainly targets the celebrities so everyone can meet their own favourite celebrity. While preparation of the guests’ order, the latest songs will be played and in having their meal acoustic music of jazz will be played so they can relish their mind. The furniture used will be in the shape of the star with a background colour of black. The floor carpet will be in the shape of the stars twinkling in the night. The ceiling will be the 2D image of the stars. My Restaurant The Star restaurant will be about 2-Storeyed with a mission stated below: Mission: The Star restaurant is a great place to eat, combining an intriguing atmosphere with excellent, interesting food. The mission is not only to have great tasting food, but have efficient and friendly service because customer satisfaction is paramount. We want to be the restaurant choice for all families and singles, young and old, male or female. Employee welfare will be equally important to our success. Everyone will be treated fairly and with the utmost respect. Happy employees make happy guests. We will combine menu variety, atmosphere, ambiance, special theme nights and a friendly staff to create a sense of place in order to reach our goal of overall value in the dining/entertainment experience. We want fair profits for the owners and a reward. Feasibility study Location: Location is a primary goal in running a business like services industry. The star restaurant’s location is in Dechencholing, Thimphu Bhutan. The Starr Restaurant will be located at the top of the palace where the parking is available with a clear sign board .The disposal income of the resident is not that much higher but they love to dine out. With the modernization, Dechencholing is now town plan B. And the population is accelerating as Royal Body Guards increases year by year. Their trend as of now is that they love eating and their children love to visit discotheque. Location of the Star Restaurant is more convenient for the people of the Dechencholing to visit as it will be connected with the road. Market: The market is a fundamental for the operations of the restaurant without market it is same like season without winter. As of now there is no restaurant that offers what guests’ demand. There are some restaurant that is of low quality and mostly those restaurant offers beverages and fast food like pizza, Chana and Samosa etc. So if the Star restaurant is operating in Dechencholing, it will be a monopoly and it will be of high quality that satisfies what guest demand. Competition: Business without competition will take advantage of offering poor quality with a high price. Competition occurs when two or more organizations act independently to supply their products to the same group of consumers. So there is no similar restaurant that offers the services like the Star restaurant. Only thing is if the pricing is high people of that place will not come to the Star restaurant. If not there is no competitor but in the future it might occur. Trends of locality: The current trend of the Dechencholing people is that they go to the main town to enjoy a meal from the restaurant, to have fun, to celebrate birthdays and so on. Also the monks from Tango monastery and Pangri Zampa go to the main town to enjoy their meal. The royal bodyguards go to the main town to dine out with their families. So the Star restaurant will solve those problems by offering better services than the restaurants in the town areas.

Character Analysis of Thomas Gradrind in the Hard Times Essay Example for Free

Character Analysis of Thomas Gradrind in the Hard Times Essay Thomas Gradrind is the first character presented in the book Hard Times by Charles Dickens. He is one of the central figures through whom the author weaves a web of intricately connected characters and plotlines. The main central features of his character are his monotone attitude and appearance that is mechanized. Mr. Gradrind’s opening speech to a group of young students during the opening scene embodies his dryness and the hard fact that he impounds in his student’s heads.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Gradrind is best described physically as an obstinate carriage, square coat, square legs, square shoulders by the narrator, which is suggestive of Gradrind’s unrelenting rigidity (Dickens, 2001, p.47). During the first few chapters, Gradrind expounds his philosophy of calculating his rational self interest. He believes that human nature can be governed by complete rational rules. He is also ready to weigh and measure any parcel of human nature and be able to tell what it comes to. He lives by a joyless, pure memorization approach to education and life.   In the novel, his dull approach regarding education is shown: Now, what I want is, Facts. Teach these boys and girls nothing but Facts. Facts alone   Ã‚  Ã‚  Ã‚   are wanted in life. Plant nothing else, and root out everything else. You can only form the minds of reasoning animals upon Facts: nothing else will ever be of any service to   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   them. This is the principle on which I bring up my own children, and this is the    principle on which I bring up these children.   Stick to Facts, sir! (Dickens, 2001 p.47) By this philosophy, he was able to triumph financially and socially. Even his way of living as a hardware merchant is an implication of his fixation on hard material reality. He also became a member of the Parliament and this position allowed him to indulge his interest tabulating data about people from England. Though he is not a factory owner, he evinces the spirit of Industrial Revolution as he treats people like a machine that can be reduced to a number of principles of science.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Although it seems that the narrator’s description of Gradrind seems depressing, the latter also undergoes significant change in the novel which later catches the narrator’s sympathy. This is when Louisa confessed to Gadrind that something really important is missing in her life and that she is unhappy about marrying Bounderby. This makes Gradrind realize that the education system that he has is not perfect. This is also proven when he learned that Tom, his son, robbed the bank of Bounderby. After Gradrind realizes his failures, he admits to himself that he is really sorry for relying too much on facts. The dilemmas of his children made him feel and learn love, compassion and sorrow. He later becomes a humble man and making his facts and figures in greater connection with the virtues of faith, hope and charity.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Throughout the book, Thomas Gradrind was a man who clings to facts and statistical objects as the only truth. He believes that these are the important things that should be dealt with in order to achieve a healthy productive life. This makes him somewhat closed-minded since he solely sticks to his own vision of truth about life. He can be quoted as a perfectionist who strives to make his children perfect and raised them with perfection. Ironically, his children cannot absorb all that he was feeding.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Thomas Gradrind lives in a reality where he always depends on meanings and calculations. This trait of his was shown in his dialogues such as this: Herein lay the spring of the mechanical art and mystery of educating the reason without stooping to the cultivation of the sentiments and affections. Never wonder.   By means of addition, subtraction, multiplication, and division, settle everything somehow and never wonder† (Dickens, 2001 p.89) This implies that he has a scientific and mathematical approach to life.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   After being a prominent citizen of Coketown he later becomes one of the Parliament members. This gives him a chance to implement a one-sided practical philosophy on local schools. He is often viewed as rationalist, self-centered and cold. In raising and teaching children like Louisa, Tom, Jane, Adam, and Malthus, he sees to it that they are equally practical. They are also always forbidden to nurture emotions and fill their minds with imaginations. He also views love and forbearance as a means of regulating facts and figures. Not until Louisa runs to him in full distress of the impending misfortune when she marries Bounderby that he realizes the limitations of his philosophical notions about hard facts. Despite his stubbornness and fixation on logic, Gradrind is a great father to his children. He raised his kids well because he always wanted the best for them. He does things which he thinks will benefit their individuality. Thus, after hearing Louisa’s troubles, he makes it a point to change himself and support her in her agony. For his children, he learned to repent for his wrongdoing and became ready to change his ways that caused his children’s unhappiness.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The main conviction of Gradrind in the story is his utilitarian point of view regarding facts and figures. Being a man of facts and figures, utilitarianism is manifested in his view of every individual. Rather than see people as a unique person, he develops a general view of people, which focuses on their productivity and usefulness in the society as a whole. He feels that everything in life can be measured through universal calculation and tabulations. Everything can be computed, from interior designing to marriage.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Further analysis of Gradrind’s character suggests that he also mirrors the way people think during the era of industrialization. Charles Dickens wanted to explain to his readers the ideals and disadvantages of industrialization. Thomas Gradrind is an embodiment of how an individual embraces the beliefs and practices of industrialization. The way factory owners think during the time of industrialization is shown in the character of Gradrind. They are only after the monetary gain rather than the individual worth of the workers.   Dickens created an enduring tale that reflects the issues of an era filled with historical transformation.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The philosophy of utilitarianism and its connection to industrialization is given enough meaning through Thomas Gradrinds character. After practicing the fact philosophy, his daughter Louisa made him realize that something is more important than the lessons of facts and figures. Before the novel ends, she ends up confessing to her father that â€Å"there seems to be nothing here but languid and monotonous smoke† (Dickens, 2001, p.78). She complains how mechanized the way her father raised her that brought her such misery.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   It is in the near end of the novel that Gradrind realizes and sees his errors. He feels sorry for the way his children suffered his ideological principle. For the first time he did not dwell on facts and figures and humbly felt sorry for what he did, Dickens used Gradrind to tell readers how to understand that there is more to life than facts and figures. He wanted to use Gradrinds character to show that everyone can change even the industrialized society during that time. Thomas Gradrind can be viewed by readers as character of change. He changed his philosophical ideals in place of something more important—his family’s happiness. Each individual has his or her own set of principles. Although it is worth sharing with others, it should not be shared to the extent of imposing it to others to follow. It should also not be used to manipulate other people. Gradrind can be an eye opener for many people who live under the influence of abusive power and authority. Louisas case made a turning point on her fathers life and paved the way for a better life for his children. Work Cited Dickens, Charles. Hard Times. Norton Critical Edition 3rd Ed. 2001.

Sunday, July 21, 2019

Case Study Of A Patient With Diabetes Mellitus Nursing Essay

Case Study Of A Patient With Diabetes Mellitus Nursing Essay Patient Mr. NCS is a 53 year old Chinese man with the height of 1.72m, and weighs 82kg where his BMI is 27.7kg/m2 (overweight). Patient runs his own business and is currently staying with his wife and 3 children. He claims that he does not smoke and does not drink at all. According to the patient, the paternal side of his family has family history of hypertension and kidney failure where else for the maternal side, hypertension was known to be the family history. Patient has no known drug or food allergy. Patient was known to have had hypertension 15 years ago and also a history of pulmonary tuberculosis 35 years ago. Patient denied of being diagnosed with diabetes mellitus in the past. As for drug history, patient was only on 10mg of lovastatin (tablet) once at night and according to the patient, he was compliant to the medication. 1.2 Clinical Progress Patient was admitted into Accident and Emergency department and complained of shortness of breath (SOB) and mild giddiness. He also complained of having chest pain and a first episode of shortness of breath earlier before he was admitted into the hospital. On examination, he was found to be alert and conscious. Venous blood gas sampling was done and pH was found to be 7.306 (low), pCO2 was 44.2mmHg, pO2 was 45.8mmHg and HCO3 was 24.7mmol/L. Blood pressure was found to be 157/95mmHg, pulse rate was 72bpm, SPO2 was 97%, body temperature was 35.4 °C and respiratory rate was 21 breaths per minute. Reflo value was also obtained and it was found to be 17.1mmol/L and blood ketone was 0.9. Lungs were clear and abdominal was soft and non tender. Cardiovascular testing was done and it showed dual rhythm no murmur. The initial impression of this patient by the general practitioner in the hospital was impending diabetes ketoacidosis. Patient was immediately given 6 units Actrapid subcutaneousl y and the GP also planned to give O2 3L/min and to prescribe GTN 1/1 subcutaneously and Aspirin 1/1. Later on day 1 of admission, patient complained of increased in sweating, shortness of breath, body weakness and vomiting for 3 times in the morning. Patients blood pressure was 123/76, pulse rate was 82bpm, SPO2 was 99% and respiratory rate was 20 breaths per minute. When patient was asked, he mentioned that he has not done body check up and blood pressure measurement for at least 5 years now. Later in the afternoon, patient complained of excessive sweating and lack of appetite for the past 3 days. Patient then denied of having any chest discomfort or shortness of breath, headache and abdominal pain. Besides that, patient also complained of having polyuria and needed to wake up more than 3 times at night for micturation. He also complained of having polydypsia, lethargic and vomiting for 2 times in the morning. Patient was examined and he was found to be alert and conscious where he responded fully to Glasgow Coma Scale (GCS). Patient was also found to have good hydration and his ca pillary refill time (CRT) was less than 2 seconds. Vital signs were obtained and temperature was back to normal, 37 °C, blood pressure was 151/69, SPO2 was 97%, pulse rate was 88bpm and reflo value was 14.6. The management plan by the local GP was to continue monitoring the reflo value, prescribe 10mg lovastatin (tablet) once at night and 10mg amlodipine (tablet) once daily and have the patient to rest in bed. As patient was able to tolerate orally, IV drip was off and patient was allowed to take fluid orally. On day 2, patient was found to be comfortable. However, patient complained of having poor oral intake and that he was sweating profusely. He was still feeling mild giddiness and lethargic but no more chest or abdominal pain. Vital signs were observed and temperature was 37 °C, blood pressure was 128/84, pulse rate was 96bpm and reflo was 14.9mmol/L. Fundoscopy was also done and patient was found to not have any signs of retinopathy and chest X-ray was found to be clear. The management plan for day 2 was to continue 10mg amlodipine once daily, allow fluid intake orally, continue reflo monitoring 4 hourly and to trace and review the fasting blood sugar (FBS). On examination, patient was found to be alert and responded well to the GCS with the score of 15/15. Blood pressure was taken and it was 145/100 when patient was lying down and 130/90 when patient was standing. Renal profile was normal except for low potassium level of 3.0mmol/L. Impression for this patient was newly diagnosed d iabetes mellitus. Further management plan for this patient was to conduct a stress test on patient after discussing with the specialists and to monitor patients blood pressure for both lying down and standing up position 4 hourly for a day. Further plan was to start 500mg metformin (tablet) twice daily, 150mg aspirin (tablet) once daily, 20mg lovastatin (tablet) once at night, trace urine full examination microscopic examination and to refer the patient for diabetic counseling. Besides that, local GP also decided to off amlodipine and to change it to 4mg perindopril (tablet) once daily. Table 1 : Patients laboratory findings on Day 2. Sodium 129 mmol/L à ¢Ã¢â‚¬  Ã¢â‚¬Å" [135 145mmol/L] Potassium 3.0 mmol/L [ 3.5 5.0mmol/L] Creatinine 83  µmol/L [27 62  µmol/L] Glucose fasting 14.1 mmol/L [3.9-5.0mmol/L] Total Cholesterol 5.7 HDL 0.82 Triglycerides 6.7 AST 24 IU/I [10-37IU/I] ALT 45 IU/I [10-65IU/I] Bilirubin 11  µmol/L [2-24  µmol/L] INR 1.03 Trop I 0.02 CKMB 0.5 Disease Overview and Pharmacological Basis of Drug Therapy. Disease Background The prevalence of diabetes mellitus (DM) varies vastly from population to population and throughout the whole wide world. In United Kingdom (UK) itself, diabetes prevalence increased from 2.8% in the year of 1996 to 4.3% in the year of 2005. The incidence of type 2 DM showed an increase from 2.60/1000 person-years in 1996 to 4.31/1000 person-years in 20059. As much as the incidence of DM is increasing, it was estimated that up to half a million more have not had their condition diagnosed and treated10. Diabetes mellitus (DM) is a disorder in which blood glucose level is persistently above the normal range. This hyperglycaemia is thought to be due to either deficiency of insulin secretion or resistance to the action of insulin, or it could also be a combination of these6,7. DM is classified into four different types which include Type 1 DM, Type 2 DM, DM due to specific mechanisms and diseases and lastly, gestational DM8. Only type 2 DM will be discussed further here. Type 2 DM is normally caused by a combination of insulin resistance and decreased insulin secretion to overcome the resistance. It is the more common form of DM and it comprises of approximately 90-95% of the total DM cases8. The common risk factors associated with type 2 DM include increasing age, high caloric intake, overweight, central adiposity and sedentary lifestyle8. In type 2 DM patients, insulin secretory peaks every 5-10 minutes seen in normal subjects are hardly or absolutely not seen. In normal cases, when intravenous glucose is administered into a humans body, this will stimulate normal insulin secretion and is illustrated by a biphasic pattern, with an initial peak rising immediately 3-5 minutes after the administration, and lasted for 10 minutes, then followed by a deliberat e and more progressive phase, which lasts throughout the glucose infusion period. In type 2 DM, initial phase insulin secretion is not seen and the late phase occurs later and to a lesser extent11. For the diagnosis of DM, hyperglycaemia must be established before confirming that the patient has DM. Persistent hyperglycaemia needs to be confirmed and in order to do so, at least two plasma glucose measurements must be taken on separate days. There are three different types of plasma glucose test that can be used which include casual plasma glucose, fasting plasma glucose and oral glucose tolerance test (OGTT). According to WHO, there are three main criteria to be met to confirm diabetes in patients. The first would be symptoms of diabetes which include thirst, polydipsia, loss of weight and polyuria are seen in patients and their casual plasma glucose à ¢Ã¢â‚¬ °Ã‚ ¥ 11mmol/L. The other two would be if patients fasting plasma glucose à ¢Ã¢â‚¬ °Ã‚ ¥ 7.0mmol/L and patients 2-hours plasma glucose à ¢Ã¢â‚¬ °Ã‚ ¥ 11.1mmol/L during OGTT being conducted by giving the patient 75g of glucose load6. OGTT is the most effective test to detect glucose metabolism disorder where it assesses the rate of glucose excretion after administration of glucose. OGTT is strongly recommended when fasting blood glucose is within 7.0-7.8 mmol/L in the diabetic range where OGTT is practical to clarify the diagnosis6,8. Summary of Drugs Pharmacology Aspirin Aspirin with the dose of 150mg is used as an anti-platelet agent or as prophylaxis to cardiovascular events. The mechanism of action of aspirin as an anti-platelet agent is strongly associated with the permanent inactivation of prostaglandin synthase and cyclooxygenase12. It also inhibits the formation of thromboxane in the platelet concurrently. The common side effects of aspirin include bronchospasm, gastrointestinal haemorrhage and also other forms of haemorrhage13. Lovastatin Statin reduces the risk of cardiovascular disease events without taking into account of the serum cholesterol concentration and is often used as the drug of first choice in the primary and secondary prevention of cardiovascular disease. The mechanism of action of statins involves competitive inhibition of 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase, which is the enzyme involved in the synthesis of cholesterol13. As liver is the major site of cholesterol biosynthesis, it appears to be the main target organ for the statins14. Statins can cause several muscular adverse effects which include myositis and other side effects include gastrointestinal disturbances, sleep disturbances, dizziness, paraesthesia, fatigue, sexual dysfunction and alopecia13. Metformin Metformin is so far the only biguanide available in the market now. It is an antihyperglycemic agent that improves glucose tolerance in patients with type 2 DM by decreasing both the intestinal absorption of glucose and the hepatic glucose production, and improves insulin sensitivity in the tissues. Metformin was also found to have potentially favourable effects on decreasing serum lipid levels and fibrinolytic activity15. Gastrointestinal side effects such as nausea, abdominal pain and diarrhoea are common with metformin and may persist in some patients13. Lactic acidosis due to metformin is rare, and the risk of this complication is higher in patients with renal impairment13,15. Amlodipine Amlodipine falls in the calcium channel blockers group which act by interfering with the inward entrance of calcium ions via slow channels present in the active cell membranes. They act mainly on the myocardial cells and the vascular smooth muscle cells which then lead to reduction of myocardial contractility. It affects both the electrical impulses and vascular tone within the heart where they may be depressed or diminished13. 2.2.5 Perindopril Perindopril is an angiotensin converting enzyme (ACE) inhibitor where it acts by inhibiting the conversion of angiotensin I to angiotensin II. ACE inhibitors are the preferred initial drug to be used for hypertension13. ACE is the enzyme that converts angiotensin I to angiotensin II where angiotensin II causes increase blood pressure, systemic vasoconstriction, Na2+ and fluid retention and etc16. Thus, ACE inhibitors act by directly blocking the formation of angiotensin II and also increase the bradykinin level at the same time. This results in reduced vasoconstriction and increased vasodilation through the release of bradykinin. The common side effects of perindopril include profound hypotension, dry cough, angioedema, rash and gastrointestinal disturbances13. Actrapid (Soluble Insulin) Insulin plays an important role in the regulation of carbohydrate, protein and fat metabolism where it helps to increase the glucose utilization in human body. Actrapid, soluble insulin, is a short acting form of insulin where it is normally injected into patients 15 to 30 minutes pre-meal. Actrapid is normally given in emergency cases especially in patients suspected with diabetic ketoacidosis4. It is normally administered subcutaneously as it gives a rapid onset of action (30 to 60 minutes) and a longer duration of action of up to 8 hours. One of the potential problems of insulin is hypoglycaemia where patients can be advised on how to avoid it13. 2.2.7 Glyceryl Trinitrate (GTN) Nitrate plays a key role in the prophylaxis and treatment of angina. It causes direct relaxation on vascular smooth muscles and also dilation of the coronary vessels which improves oxygen supply to the heart. Dilation of the blood vessels results in reduction of preload and afterload and thus, myocardial oxygen consumption is reduced17. Sublingual form of GTN is one of the most effective drugs to provide a fast symptomatic relief of chest pain but it is of short duration of action. Dose of 300mcg is appropriate as the starting dose for patients who have not used GTN before previously. Side effects of nitrates include postural hypotension, tachycardia, dizziness, throbbing headache and possible nausea, vomiting, flushing and heartburn13. 2.2.8 Oxygen Oxygen is normally prescribed for patients experiencing hypoxia to raise the alveolar oxygen tension and to lessen the workload of breathing in patients. There are generally four types of oxygen therapy which include long term oxygen therapy, short burst oxygen therapy, emergency oxygen and ambulatory oxygen. It is commonly given in emergency cases to achieve oxygen saturation within the normal range, just like in this case. The administration of the correct oxygen concentration is important as inappropriate concentration of oxygen may result in serious or fatal outcomes13. Evidence for Treatment of The Condition. Metformin Metformin is one of the main therapeutic drugs used in managing Type 2 DM and many clinical studies have been conducted to support the clinical use of metformin in the management of type 2 DM. In one of the Cochrane Review, it confirms that metformin as a single agent is one of the key therapeutic options for type 2 DM in patients with overweight or obesity problems, as it may prevent some cardiovascular complications events and mortality as well. Just as mentioned in this patient, he is a newly diagnosed diabetes patient who is overweight and he was given metformin 500 mg twice daily. In the study, 29 trials with 5259 participants were included in the analysis, comparing metformin (2007 participants) with sulphonylureas (1167), placebo (702), diet (493), thiazolidinediones (132), insulin (439), meglitinides (208), and glucosidase inhibitors (111). Obese patients who are given metformin as blood glucose control agent showed a superior benefit than glibenclamide, chlorpropamide, or insulin for any diabetes-related consequences (P = 0.009), and for mortality (P = 0.03). Besides that, patients assigned to metformin as a single therapy showed a significant greater benefit for blood glucose control, weight, dyslipidaemia, and blood pressure18. Besides that, the Comparative Outcomes Study of Metformin Intervention versus Conventional (COSMIC) study was done to compare the incidence of serious adverse effects, mortality and hospitalization in patients receiving metformin and also those who are on other usual care treatments. Among the patients, 7,227 of them received metformin and another 1,505 of the patients received usual care. To the end of the study, there were only 89.7% of the metformin group and 76.9% of the usual care group remained receiving their initial intended treatment. Serious adverse events were reported in 10.3% of the metformin group and in 11.0% of the usual care group, where both the groups reported similar adverse events. Cardiovascular events were found to be the most ordinary cause of death in DM patients where 0.7% occurred in metformin group while 0.9% in usual care group19. A population-based cohort study was also done to study on the mortality rates with the use of sulphonylureas compared to metformin. The mean age of the patients was 66.3 ±13.4 years old where 43.4% were female and their mean length of follow-up was 4.6 ±2.1 years. A greater risk of mortality was observed with higher daily doses of the first-generation sulfonylureas and glyburide but not metformin20. 3.2 Insulin secretagogues (Sulphonylureas and Meglitinides) Sulphonylureas is another group of antidiabetic treatment used after metformin in Type 2 DM. Patients blood glucose level remained high on day 2 and thus should be monitored closely after administering metformin. If blood glucose level has not been brought down, addition of sulphonylureas or meglitinides should be considered. The sulphonylureas act by enhancing insulin secretion. The sulphonylureas act at the pancreatic ÃŽÂ ²-cell membrane by causing closing of ATP-sensitive potassium (K+) channels. Closure of the channels occurred when sulphonylurea binds to the sulphonylurea receptor (SUR) subunit of the K+ channel. Meglitinides, which is not a sulphonylurea, act through the same mechanism where it also binds at the sulphonylurea binding site. Examples of sulphonylureas include tolbutamide, gliclazide, glibenclamide and glimepiride. Meglitinides is referred as an alternative to sulphonylureas as it does not cause additional stimulation of insulin excretion when patient failed to respond to maximal dosage of sulphonylureas. Examples of meglitinides include repaglinide and nateglinide21. Adding on a sulphonylurea or meglitinide to metformin as a therapy to type 2 DM was found to have a better control of blood glucose level. 318 patients (61 from metformin group, 126 from glimepiride group and 131 from glimepiride + metformin group) completed the study to compare the effectiveness of metformin monotherapy, glimepiride monotherapy and the combination treatment in controlling blood glucose level. It was found that the greater efficacy of combination treatment in reducing HbA1c levels than either glimepiride alone (p Comparison was conducted in a study where 124 patients were randomly given either repaglinide 1 mg daily or glimepiride 1 mg daily. The dose of study drug was given over an 8 week titration duration, which then followed by a 12 months treatment length. FPG levels, HbAlc values and PPG levels significantly fall from baseline in both groups after 6 and 12 months of treatment. However, after 12 months, fasting plasma insulin (FPI) levels on the other hand were significantly increased in the repaglinide group (p So far, the most commonly reported adverse event in sulphonylureas was hypoglycaemia. 605 people over 34,052 person-years were diagnosed with hypoglycemia during sulphonylurea therapy, which equals to an annual risk of 1.8%24. There is also high risk of hypoglycaemia in diabetic patients who are taking ACE inhibitors at the same time. Therefore, the use of sulphonylureas in this patient should be used in caution as he is currently taking perindopril as his anti-hypertensive drug. Several studies suggested that there is an increase in mortality due to cardiac events in patients treated with sulphonylureas. In one of the studies, 120, 4138 and 1537 patients were given a first-generation sulfonylurea, glyburide monotherapy and metformin monotherapy respectively. 24.8% of the total deaths were found to be due to an acute ischaemic event. Those given first-generation sulfonylurea monotherapy had the highest mortality (67.6 deaths per 1000 person-years), compared with metformin monotherapy users (39.6 deaths per 1000 person-years). As higher doses are used, higher rates of death are observed as compared to those who are on lower doses20. Other less common side effects of sulphonylureas include weight gain, nausea, diarrhoea, gastrointestinal pain and cutaneous reactions such as rashes, urticaria and pruritus21. Further Management Thiazolidinediones, gliptins (GLP-1) mimetic, also known as exenatide and insulin administrations are the further management in type 2 DM if the above oral anti-diabetic agents are not able to control the high blood glucose level. Pioglitazone and rosiglitazone are examples of thiazolidinediones where they are the newer oral anti-diabetic agents which are more expensive but present better adverse effects profiles. A thiazolidinedione can be added on instead of a sulfonylurea as second-line therapy if sulphonylurea is contraindicated or not well tolerated or it can be added on to the sulphonylurea therapy if metformin is contraindicated. Another recommendation is to add on a thiazolidinedione to metformin plus sulphonylurea when the blood glucose is not well controlled and the use of insulin therapy is not suitable25. Two randomised trials were conducted and in the first study, 317 patients who are already on metformin received an add-on therapy of pioglitazone at the dose 15-45 mg/day and another 313 patients received gliclazide at the dose 80-320 mg/day instead. In the second study, 319 patients who are already on sulphonylurea therapy were randomly assigned to receive add-on therapy of pioglitazone at the do se 15-45 mg/day and another 320 with metformin at the dose of 850-2,550 mg/day. After 2 years, the mean reduction in HbA1c from baseline was found to be 0.89% for pioglitazone and 0.77% for gliclazide addition to metformin. The reduction in mean FBG after 2 years was statistically significant between the two add-on therapies where a decrease of 1.8 mmol/L for pioglitazone and a decrease of 1.1 mmol/L for gliclazide was seen (p Another option is adding on a GLP-1 mimetic agent as third-line therapy to first-line metformin and a second-line sulfonylurea25. Effectiveness of exenatides in bringing down the blood glucose level in type 2 DM patients was extensively studied. One of the studies includes patients at the age of 22-76 years old and had type 2 DM treated with at least the maximally effective dose of a sulfonylurea as monotherapy for at least 3 months. After a 4 weeks single-blind, placebo period, 377 patients were randomized (60% men, age 55 ±11 years, BMI 33 ±6 kg/m2, HbA1c 8.6 ±1.2%) and began either at 5  µg subcutaneous exenatide twice daily(before breakfast and dinner; arms A and B) or placebo for 4 weeks. Patients in arm B were then increased to 10  µg bd of exenatide. At week 30, HbA1c changes from baseline were -0.86 ±0.11, -0.46 ±0.12, and 0.12 ±0.09% ( ±SE) in the 10- µg, 5- µg, and placebo arms respectively (p à ¢Ã¢â‚¬ °Ã‚ ¤ 0.001). FPG values also showed a significan t reduction in the 10- µg arm compared to the placebo arm (P à ¢Ã¢â‚¬ °Ã‚ ¤ 0.05) 28. If all else fails to control blood glucose, insulin therapy should be introduced in patients with poorly controlled type 2 DM. It was believed that there is possibility that the oral anti-diabetic agents mentioned above might be useful in combination with insulin therapy in enhancing better blood glucose control, reducing insulin dose requirement, or minimizing side effects of insulin therapy. A study was conducted to compare the efficacy of adding once-daily basal insulin with switching to twice-daily premixed insulin in type 2 DM patients uncontrolled by oral anti-diabetic agents (OADs). It was a 24 weeks period clinical trial where 371 patients with poor glycaemic control (FBG à ¢Ã¢â‚¬ °Ã‚ ¥120 mg/dl, HbA1c 7.5-10.5%) were randomized to once-daily morning insulin glargine plus glimepiride and metformin or to only 30% regular/70% human NPH insulin (70/30) twice daily without any OADs. It was found that mean HbA1c decrease from baseline was significantly better in the presence of O ADs than the one without OADs (p = 0.0003). More patients reached HbA1c à ¢Ã¢â‚¬ °Ã‚ ¤7.0% without confirmed nocturnal hypoglycemia (45.5 vs. 28.6%, p = 0.0013) with glargine plus OAD than with only 70/30 NPH insulin. In addition, decrease in FPG was greater with glargine plus OAD (p Conclusion In this patient, he was newly diagnosed with type 2 DM and was given metformin 500mg twice daily initially to control his high blood glucose level, which was appropriate according to the guideline. If blood glucose is still not well controlled, changing of medication or further management as above should be considered. As hypertension and overweight are risk factors of DM, hypertension should be well managed in this patient and the patient should be advised on complying with his medication. Besides that, patient should also be advised on healthy diet and lifestyle to control his weight.

Saturday, July 20, 2019

Choosing the Humane Road Essay -- Philosophy Afghanistan Essays

Choosing the Humane Road Sophocles, writing in the 5th century BC, created his works as he experienced both the Persian and Peloponnesian Wars. These wars were focused around pride and greed, two vices that continue to drive violence in the 21st century. In Sophocles’ work Oedipus the King, Oedipus must come to new understanding of the self in relation to others to truly see himself and to understand the world. The lesson that Oedipus must learn is a lesson that yearns to be acknowledged and embraced still today. Like the Persians, Spartans, and Athens, the United States must, if it wants to be successful as a nation and world power, consider the other as the self. Americans must believe in the oneness of humanity, and they must appreciate the connection that makes everyone in the human race part of a common family. Until the United States views the world in this fashion, it will continue to engage in self-destruction similar to that of Oedipus and of those engaged in war in Sophocles’ time. To fully understand the comparisons that will follow, it is first necessary to understand the history of the Persian and Peloponnesian Wars, as well as the history of the United States’ engagement in war. The Persian Wars took place from about 499-479 BC; these battles were fought between the Greeks and the Persians, who lived in the area of the modern day Iran. After numerous battles and minor victories, the Athenians were ultimately successful in defeating the Persians with the help of the Spartans. Following this war, the Athenians and the Spartans became friends because together they had successfully defeated the Persians. In 431 BC, however, the Athenians violated their peace treaty with the Spartans, and, as a result, a civil wa... ... placed the U.S. at another critical crossroads in its history, but many Americans seem to be blind, like Oedipus, to the choices and consequences that lie before them. Until Americans view the Afghan people and all people around the world as equal to themselves, the inevitable consequences, discord, violence, and war, will continue. Works Cited CNN. "Jere Van Dyk: A Historical Perspective of the Fight Over Afghanistan." CNN Online 25 Sept. 2001. 14 Nov. 2001. <http://www.cnn.com/2001/COMMUNITY/ 09/25/van_dyk/index.html>. Rosenblum, Mort, "U.S. Once Backed ‘Freedom Fighter’ bin Laden." The Times Agrus Online 20 Sept. 2001. 23 Nov. 2001 <http://timesargus.nybor.com/Archieve/ Articles/ Article/34086>. Dawoud, Khaled, "American Connection." Al-Ahram Weekly Online 27 Aug. 1998. 23 Nov. 2001 <http://www.ahram.org.eg/weekly/1998/392/foc11.htm>.

Friday, July 19, 2019

King Tut Essay examples -- essays research papers

King Tutankhamen The Boy King King Tutankhamen ,or King Tut, was one of the youngest kings to reign over any country. “The Boy King'; is best remembered for his magnificent funeral treasures, including his elaborate golden burial mask. King Tut achieved a measure of immortality through his glittering burial treasures.   Ã‚  Ã‚  Ã‚  Ã‚   King Tut was an Egyptian pharaoh of the 18th dynasty who reigned from about 1348 to 1339 BC. His name can be spelled a variety of ways including Tutankhamen, Tutankhamon, or Tutankhamun. There is an enigma, though, surrounding his name. Researchers have no idea where it came from because his parents are unknown. He became king during the period of readjustment that followed the death of his father-in-law, the pharaoh Akhenaton. The boy king married Akhenaton’s third daughter to strengthen his claim to the throne and took the name Tutankhaton meaning “gracious of life is Aton.'; After less than three years of residence at Akhetaton he changed his name to Tutankhamen. Because Tut was only nine or ten when he became pharaoh the direction of the state was devolved onto an older official named Ay. ( He succeeded Tut when he died.)   Ã‚  Ã‚  Ã‚  Ã‚  When Tut was alive, however the Egyptians had a flair for playing games and telling stories. All Egyptians enjoyed contests and stories, but the wealthy pursued those pastimes with an elegant flourish. Royalty such as Tut, was portrayed on the walls of his tomb playing the game senet, which reenacted the quest for eternal fulfillment after death. This game is played on a checkerboard table with thirty squares arranged in three parallel rows. Each of two players has an equal number of counters (ranging from five to seven) in two series of different shapes. The counters are moved with sticks or small bones.   Ã‚  Ã‚  Ã‚  Ã‚   The goal of the game is to get across the board with your counters following an S-shaped path while outrunning or blocking those of your adversary; the game is won when you get all your counters off the board. The fifteenth square and the last five squares bear images or hieroglyphic inscriptions that denote a special status, either favorable or unfavorable, for the counter that lands on them. Winning this game allows the deceased to overcome any difficulties involved during his journey and to &... ...khamen’s name meant. Imn = Amun, Tut = Image, Ankh = Living. This is the meaning of his last name, Living image of Amun.   Ã‚  Ã‚  Ã‚  Ã‚   “Can see anything ?'; “Yes,'; Carter replied, “wonderful things.'; Such were the words of Howard Carter on February 17, 1923 as the archaeologist peered into the 3500 year old darkness of Pharaoh Tutankhamen’s burial chamber and forever altered the scope of man’s imagination. Carter and his team of the world’s most eminent archaeological experts uncovered what are undoubtedly among the greatest riches of this or any known time. The name Tutankhamen, in reality a relatively insignificant young king, has become legendary and has furthermore assumed a position in our vocabulary and cultural ethos rivaled by few other figures of ancient history. Of the events which directly followed that momentous day in 1923, we are utterly baffled. By 1929, twenty-two people who had been either directly or indirectly involved in the exhumation of Tut and his treasures were dead, in most cases, of undiagnosable causes. Was this just a flook or was it the curse of King Tutankhamen.

Depression Essay -- Depressed Illness Psychology Essays

â€Å"Mom is sad all the time. She cries a lot. Sometimes she doesn’t get up in the morning. She stays in bed until late in the afternoon with covers pulled up around her ears. At first I didn’t worry. She’d stay in bed for a day or two and then get up again, and I’d think she was better. But after a couple of weeks, she didn’t eat much any more, and she stayed in her room most of the time†Ã¢â‚¬ ¦Ã¢â‚¬ ¦ â€Å"She has something called depression† (DenBoer, Helen 1-2).   Ã‚  Ã‚  Ã‚  Ã‚  Most people today do not think that depression is an illness. In fact most people think that depression is a moral failure. â€Å"Some 400,000 patients are treated for depression in the United States annually, most as outpatients and most by non-psychiatric physicians† (Hollister, Leo E 80). In 1989, major depression cost the nation at least $27 billion in medical care, worker absenteeism, and related costs. In 2002, â€Å"as many as 14 million people in the United States had symptoms of depression, resulting in a prevalence rate of 3% to 7% of the general population. This led to a loss of approximately $40 billion dollars a year in productivity (Breen, Robert and McCormac, Rupert 1). Everyone at one time or another has felt depressed, sad, or blue. Being depressed is a normal reaction to loss, life's struggles, or an injured self-esteem. But sometimes the feeling of sadness becomes intense, lasting for long periods of time and preventing a person from leading a normal life. In fact depression is often considered a "female disease," since affected women reportedly outnumber men by four to one. Yet male depression may be more. â€Å"Many men try to hide their condition, thinking it unmanly to act moody. And it works: National studies suggest that doctors miss the diagnosis in men a full 70% of the time† (Real, Terrance 1). But male depression also stays hidden because men tend to express depression differently than women do. Depressed women are more likely to talk abut their problems and reach out for help, while depressed men will often turn to some action or substance for relief. Men often attempt to escape pain by overusing alcohol or drugs, working exces sively or seeking extramarital affairs. They go into isolation, withdrawing from loved ones, and they may lash out, becoming irritable or violent (Real, Terrance 1). The American National Institute of National health has defined depression as an illness that invo... ...,000 possible; many suicides are not reported† (Hollister 80). Suicide often isn’t listed as the cause of death, even if it suspected as it doesn’t reflect the number of people who commit suicide by not eating, by abusing alcohol and medications, or by simply losing the will to live. Because of the low energy levels and impeded thought process that accompany severe depression, a patient may be unable to act on their suicidal thoughts at first. Close monitoring in such cases is very important. Depression in all its forms affects a lot of people around the world. It is an illness that has gone untreated and unrecognized for a long time. Depression affects the lives of the people affected and puts a burden on the community and family members. It is important for everyone to recognize that depression is an illness that requires treatment and assistance. It is perhaps the most common medical condition seen by primary care physicians today, and rapidly evolving drug therapy present management challenges. However at least newer medications are good, helpful and carry fewer risks with small side effects. Accurate diagnosis still remains the main focus point for effective patient care.

Thursday, July 18, 2019

Mechanical Engineering and Agriculture Essay

Engineering is a rapidly developing career field. There are many reasons why I would like to become an engineer. I am interested in SIUE’s Mechanical Engineering program. Mechanical Engineering is an exciting career field. In my youth, I was constantly designing and building an assortment of contraptions out of LEGO’s and K’NEX pieces. These objects included rollercoasters, cars, buildings, tractors, and many other machines. Growing up on a farm, I have always been interested in agriculture. There are many reasons why I’m interested in the Mechanical Engineering program at SIUE. This program offers many challenges to its students while providing them with numerous opportunities to design and build many machines and devices. I have three cousins who are engineers. One of my cousins is a civil engineer, and the other two are mechanical engineers. The first mechanical engineer designs air ducts for commercial buildings. The second designs plastic containers for a variety of companies. While these are not related to my career interest, it shows the broad amount of jobs available to a mechanical engineer. This is another reason why this program interests me. In today’s economy, knowing there’s about a ten percent unemployment rate, the ability to have a very wide range set of skills is nearly a necessity. While building small toys out of plastic pieces is much different than designing the next rollercoaster, it is how I originally gained so much interest in engineering. At the age of seven, I received a rollercoaster K’NEX set for Christmas. We opened presents at about nine on Christmas Eve. By the time we were done, it was almost ten. I stayed up building the roller coaster and finished in about an hour and a half. The design was not very complex; however, it was taller than me at the time. I also built as many cars as possible out of my LEGO’s. The fact that it was always interesting, and still is, is the main reason why I am interested in engineering. Agriculture has had a major influence on my life. I live on a farm, and many people know the ups and downs of farm life. The fact that this career could give me the ability to work at a company like John Deere or Caterpillar is very exciting. Once I graduate, I plan to work in an agriculture related field. I have grown up around it and want to see the look on my dad’s face when I design him a better tractor or combine. The salary that comes with these jobs is also a bonus since I’m used to money being short at times. Engineering is one of the most interesting and broadest career fields today. I am very interested in Mechanical Engineering at SIUE. Whether I was building K’NEX rollercoasters or LEGO cars, I have been building since my youth. Growing up on a farm has given me background for my career interests and has been an important factor in choosing my major

Wednesday, July 17, 2019

Alexander Hamilton and the founding of the Nation Essay

the Statesn historyIntroduction black lovage Hamilton was a very controversial man of his days and he was a gifted solon who was brought down by serious faults of arrogance, uttermost(a) candor and stubbornness. Hamiltons c atomic number 18er and flavor history were marked by a hammy rise to heroism, tragedy and scandal (Hamilton & Morris, 1957). as yet his contributions argon still evident. As the repository of the Treasury in the turbulent advance(prenominal) years of the state, Hamilton spearheaded the transformation of young demesne into industrial powerhouse. American experience is a 2-hour accusative which features actor Brian F. O Byrne, Tony pillage winning Broadway who is the most controversial base father in America. American see brings to life most persuasive stories of the ago which inform peoples appreciation of the coetaneous world. This characterisation is more than clean a history lesson due to its attending to Hamiltons peccadilloes and psycholog y (Nelson, 2011). Hamiltons domain life and to a fault the policies that he advocated are granted plenty of attention since they are very interesting. The most fascinating involvement is the comparison which is inevitable between and so and today, and how conflict of ideas that started soon after the contemporary nation was instituted is still evident (Hogeland, 2007). Hamilton wedded his entire life on creating the get together States to be a better nation. The documentary shows how united stated was able to develop quickly from the newborn nation at a lower place the watch of Hamilton becoming the ace of the strongest economies nigh the world, making the Louisiana Purchase a reality, the size of the united states doubled, the building of railroads and canals, and nerve of heavy industry which helped in fueling the development of the largest cities in join states (Murray, 2007). The picture palace overly shows how Hamilton advocated for a central regime that was stro ng and an economy based upon manufacturing ideas and doctor which was deemed as radical by umteen individuals. He advocated for comparison, opposed slavery and overly led to birth of a two-party system in America (Hamilton & Frisch, 1985).ReferencesNelson, S. (Director). (2011). American experience Documentary. united states PBS Distribution.This film covered Hamiltons pathetic life, one that had more than its share of tragedy, heroism and scandal. It also shows the achievements and his contributions towards developing get together States.Hamilton, A., & Morris, R. B. (1957). Alexander Hamilton and the entry of the Nation. New York Dial Press.This accommodate illustrates the short life lived by Alexander Hamilton and also how he founded United States. In this check the book explains his many contributions and developments that transformed United States for the better.Hamilton, A., & Frisch, M. J. (1985). Selected writings and speeches of Alexander Hamilton. Washington Amer ican Enterprise Institute for Public policy Research.This book shows Hamiltons speeches and writings. I t also shows the policies that he advocate including how he was fighting for equality and opposing slavery.Hogeland, William. Inventing Alexander Hamilton. Boston Review 326 (Nov/Dec 2007) 21-24This name how Alexander Hamilton founded and veritable America from being a light(a) nation to a strong nation. This article also depicts his life and many policies that he initiated to develop the United States.Murray, J. A. (2007). Alexander Hamilton Americas forgotten founder. New York Algora Pub..This book also shows Hamiltons controversial life and also many policies that he advocated towards achieving equality for all and for a better United States.Source document

Tuesday, July 16, 2019

An Analogy of a Plan Cell to a Country

An Analogy of a Plan Cell to a Country

A cell wifi device can be a literary fantastic means to remain connected when traveling inexpensively.the president in a country know its important information, he good gives out laws that have to be carried out by the people and leads the own country mitochondria-power plant- this is the ‘powerhouse of the cell or city.The mitochondria logical and the power plant both provide the energy for the great city or cell to use. mitochondria short breaks down food molecules and convert how them to energy for cells. power nuclear plant generate and supply energy for the country.The medical clinic differs depending on where you reside.vacuoles store materials for the cell. stores around the country. it stores necessay materials such as food and clothes for people Ribosomes/ Food producing factory (protein factory)- the ribosomes and more food producing factory are both where the production of binding proteins occur. ribosomes produce protein from information extract from the dna giv en by the nucleus.

The first early stage of the cell cycle is called interphase, that is the longest period of the five.If you have got a unlocked phone, when in China you can merely receive a SIM card that was regional.Mobile cellular phones are regarded as a mixed blessing.A weaker cell would lead to an imbalance.

The best way Lysosomes Work epithelial Cells wish to consume as a way to how find energy to perform their job.Shared intranasal drug use armed might be a risk aspect.The aim of a lysosome is to complete break down molecules and waste goods though it has a few purposes that are higher secondary too.Crafting a decision to summarize ideas and your different points provides a way for your viewers get in contact with you to secure more additional information or to look into the topic.

But an analogy describes one thing that is particular keyword with respect to another to emphasize the ways.If youre trying to past compare strategies be sure that you give take a look at our comprehensive guide on such promotions and the Verizon Fios bargains.A couple essential own plans wont, which usually means you wouldnt have the mental ability to use your cell phone whatsoever worth while there.The precise value of your radiation treatment is dependent on mental health cares cost where you live which sort of electromagnetic radiation therapy you get and what number of different treatments youll need.

Monday, July 15, 2019

How Personal Can Ethics Get Essay

hash out how face-to-face differences and preferences suffer electric shock organisational morals. make-upal honorable motive argon moral philosophy of an governing body. check to (Butts & Rich, 2008) The morality of an constitution refers to an organic law hear to watch its missions and determine, separate determine that could let tension, test outperform solutions to these tensions, and arrange the trading operations to accommodate its set. In transaction with large number from every(prenominal) walks of life and diverse morals it rout out comfortably come out up a bridge, amid ones think ofs and beliefs. afterwards either we argon who we argon consort to the Stages of keen study developed by Lawrence Kohlberg who is better know in the line of psychology of ethical ratiocination fashioning and demeanour. peerlesss protest soulfulnessal beliefs and principles git wedge their proceeding surround if they be trustworthy, exemplifie s a overconfident mental attitude, discipline surface with slew (internal and out-of-door in the compute environment), dependable, and and so forth This peril case of mortal is somebody who would be considered to direct a bulky usurpation in an organization, because of the values and beliefs they dis shrink from in the clear place. meanwhile a mortal, who is seen as rude, has a prejudicious attitude (towards great deal in and external of the work environment), lacks integrity, and unoccupied (always doing something upper-handed to thump by), the chances of that person beingness the downf all in all of an organization is 80/20, delinquent to the particular this person is psyche who doesnt value others well-being, because of the banish morals they conditioned.A persons professional ethics argon erect an blowup of their learned exclusive ethics. personalised differences and preferences tinct organizations all the time, which is why it is so essential ethics, play a describe place so that unethical behavior doesnt go unnoticed. treat how organizational policies and procedures nooky meet ethics. organizational policies and procedures brush aside support both a haughty and invalidating regard with regards to ethics. An organization may take hold a positivistic touch on if policies and procedures are base on good argument ethics.

Sunday, July 14, 2019

Color Marking Assignment

gestation Ma, since Steinbeck first-year draw her is a goddess charwoman in the book. In this chapter, the pregnancy is displayed by Ma. As she has to joint recompense(a) base on b only told(prenominal)s to turkey cock, the youngster for whom she has shown the around affection, she is sorrowful. I wanna relate ya ag personal, turkey cock. I wanna imagine, n mavintheless if its ony my fingers that remember. You got to go away, gobbler. And she too gave him 7 dollars. 7 dollars, at that date in such a dread environment, 7 dollars is bulky number, she gave to tom turkey, be stimulate shes touch active him. You put one across the silverYou got no right to ca expend me paroxysm. buns Steinbeck is victimisation this maternal quality to cheering the large roll in the hay female parent has been fine-looking to their children. unconstipated in the welt condition, tear megabucks in the poisonous situation, they so far will to wonder their children and approve them more than fuck anyone else. gobblers persuasion maybe proof lector has sensed the mixture in gobblers timber. His person and tactile property is maturement since the get of Casy. Here, Steinbeck writes egress the ruling of tom turkey during that effect to certify subscriber what tom is mentation is all approximately Casy.He is opinion almost all what Casy say. precisely in a flash I been inferin what he said, an I crapper remember all of it. He in addition catch what Casy said that a familiar personalt got a spirit of his own, notwithstanding ony a share of a double one. tom turkeys thinking a submitle helps to signal the finis tom do which is to uphold what Casy had make laterwards in the chapter. tom turkeys determination Here, in the cave, tom turkey told Ma his decisiveness. He plans to come on and hopefully perfect the arrive at that Casy started. tomcat wants to prepare a feign to put up extinct the p lum wage. tin Steinbeck social occasion toms decision at broad last send off his character enactment for tom since gobbler is at his hand-to-hand patch to universe egotism actualized. And at this bill Steinbeck everywherely helps ref to happen step forward how a instinct has been increase during the acrimonious cartridge clip and suggests that gobbler is one of the gazillion commonwealth who has kaput(p) done these and know the a comrade aint got a brain of his own, but ony a serviceman of a large reason. explanation Steinbeck uses a serve compass point comment in this chapter. As Ma cathode-ray oscilloscope aside ot learn Tom The apparent motion stopped, and after a long snatch that it capability assimilate been a stump. Here, Steinbeck helps reviewer earn that after Tom killed devil cops and Casys death, Tom is vivification like a rabbit. Tom is privacy and staying along so that he can think and ensconce to have-to doe with what C asy had started. indeed Steinbeck in any case use fact explanation Her orbit hand show his lead in the lightlessness and her fingers locomote down to his nose, and whence over his left cheek. This shows reader the applaud Ma has give to Tom, the vastness of mothers whap which Steinbeck cerebrate to express.

Saturday, July 13, 2019

Sam 342 unit 5 Essay Example | Topics and Well Written Essays - 250 words

surface-to-air missile 342 unit 5 - turn up poserIts functions from social class I to percent sequence triple castrate in spirit although the heart value of the brass section roost the same.At a green age players goat be exploited and their snap spate suspension from preparation to sports only, thus they aptitudeiness pass away favored sports persons alone in massive manoeuver they might dissect to get an educate and alter citizen. To vex and custody a break on practices common in al one-third divisions, the determination of NCAA has self-possessed frequently greatness in the departed hardly a(prenominal) decades.The fondness value of early(a) maestro sports tie or ordinations atomic number 18 to a greater extent(prenominal) orientated towards their cause present of beliefs, report and achievements. The derriereonic principals they act upon by be more(prenominal) align towards profitability, triumph in results, payload to s ports and the heroism that can receive victories to the club or the association. In equality with NCAA the sum total determine of paid clubs or associations are more centric towards commercialism turn NCAA plays a more benevolent occasion and strives for safeguarding the interests and ensuring advancement of junior sports person from hit free radical take aim to university aim go towards a lucky calling in the selected master

Friday, July 12, 2019

Financial Fragility, Capital Regulation and Bank Testing Essay

pecuniary Fragility, jacket crown enactment and brim scrutiny - act typefaceAs the parole grittylights slang mergers send away shorten the embody of mathematical operation and growing stage setting of activities hence modify them to bid tradeplace and mount runniness. This history examines the effect of wedge mergers on commercialise and keep liquid and their interactions during the pecuniary crisis. The activities of the coin bank find out their might to take on foodstuff place and documentation liquid. Investors favour sozzled institutions that they get the picture as being less(prenominal) uncivilised because they argon more or less horse barn during the periods of the sparing downturn.This writing outlines that liquid state jeopardy is the happen that a grumpy plus or portfolio may non be change in the grocery store speedily in aver to beat a loss, and it results from ambivalent liquid state. runniness stakeiness co uld every be refer equal to(p) to the commercialize liquid state or support liquidity. securities industry liquidity is the delimitate whereby the assets bay windownot be traded in the foodstuff due to leave out of liquidity in the market. The market liquidity slew flow suddenly, interlinked with instability, throw away ropiness crossways securities, co-varies with the market, and is dependant on escape valve to prize. financial support liquidity refers to placidity with which traders can withstand keep for assets. The investors look at portfolio surety with graduate(prenominal) increases in grounds the market is illiquid and require return premium for an illiquid protective covering in a berth where the stallion market is illiquid. atrophied banks rate high risk to the investor because they may not be able to check backing during the periods of the frugal downturn.

Thursday, July 11, 2019

Violence and Its Impact Upon Adolescents Research Paper - 1

military force and Its wedge Upon Adolescents - inquiry newspaper publisher causa, this do-nothing potenti eachy hold in swell up-nigh very(prenominal) august effect on them it is critic entirelyy substantial to do precisely what is hysteria, the polar forms that teenager office hobo potentially take, and the wide-ranging effectuate of ferocity on adolescents. consort to The term abandon starting signal appe bed in french at round the send-off of the thirteenth carbon and was positively use to specify a venomous and brainish person. It was excessively utilise to follow to assign a power affinity that is aimed at throttle or subjecting an other(a)(prenominal) person. everyplace the centuries that followed, ferocity was accustomed a fundamental comp championnt part by occidental refinings where on one had it was seen to sort of ferociously mark off the excesses of personnel and openly tell it to be illegitimate, However, on the other hand , westbound civilization was as well seen to construct madness a earlier terrific station where it was legitimized so as to bear out the actions of knights who were oblige to molt furrow in the terrific estimableification of the orphans and widows as well as stand the just causes of the Christian kings against the Infidels, and tip everyplace makers (Muchembled 7-9).The savagery of all adult male dealings was veritable as be a cosmopolitan mixer lecture in amplification to its creation considered to be short mean(prenominal) and quite an prerequisite in nearly horse opera societies up until the 17th century. tour ethnic ideals office build step by step evolved over time, madness is seen to even so do work a braggart(a) aim in forward-looking smart set and evenly requires flock of all ages hailing from the contrary walks of life. The violence perpetrated against the novel hoi polloi is demonstrate to be specially distressful as it give the sack significantly affect their proximo victimization and negatively relate the coming(prenominal) pitying society.The Transactional perplex of exploitation This increase simulate is seen to greatly show the grandness of the roles that are seen to be play by two the environs and the tike in the decisiveness of the baby birds

Wednesday, July 10, 2019

Copyright Law Essay Example | Topics and Well Written Essays - 250 words

secure faithfulness - seek manakinThe Sony expulsion makes it change to devour controls on right of first publication legal philosophys assault. It get ahead evidences it heavy to nullify the far-flung sacramental manduction of media files. fit to the Sony expulsion, media exploiters mickle everlastingly crap supernumerary situations during which they nookie package media files without infringing the applicable habitr policies. It relates to bonus violation as foreign to causative infractment. It does non render all substance abuser liable(predicate) for an exertion of usurpation pull by other person. In the event of Sony, it did non deliberately assist users to infringe on the bare saved by copyright laws. Sony did non submit its products to users that it had communicate companionship was infringing the rights defend by law (Strowel, 2009). The exception implies that causative misdemeanor does non go whenever in that location is no use in all probability to pasture to infringement. The Sony exception does not wear in the reference of Joe. Joe now abets infringement through the website that allows user dissemination of files. Although Joe does not avow nub shared by users, his website help acts of