Wednesday, August 26, 2020

The Destructive Power of the Media Essay -- Argumentative Persuasive T

The Destructive Power of the Media   â â I have the most lovable little cousin named Alexandra, whom I love with everything that is in me. One day I was upset when she revealed to me that she was fat. She was 4 years of age at that point. I was paralyzed and had no clue about what to state to her, so I just revealed to her that she is a sound young lady and that she needs to not to stress over that. I attempted to consider where she would concoct this idea, and sooner or later I recalled a discussion that her mom and I had. We were discussing how pleasant it was the point at which we were more youthful and we didn't need to work at being flimsy. Her mom said something regarding being fat and Alexandra more likely than not been tuning in. This made me consider how I came to act naturally cognizant about my body. I arrived at the resolution that it is simply something that each lady needs to experience in any event one time in her life. However, why, would could it be that makes each lady need the ideal body? I cont emplated this inquiry for some time, yet I was confounded. Soon thereafter I started to peruse the Cosmopolitan and I started focusing on the commercials in this exceptionally well known lady's magazine; I was delighted at the point the publicists use to attempt to get ladies to purchase their item. One ad was for a mixed beverage called Tequiza. The commercial analyzed the calories and the fat substance of that drink to the calories and fat substance in another well known mixed refreshment. I am under age, however I am an understudy so I won't untruth and state that I don't drink now and again, yet when I do drink I don't stress over how much fat or what number of calories I am taking in. To me this notice was totally absurd and as opposed to making me need to purchase the item I have now pledged... ... by giving us how cheerful it will make us. They shape our way of life by revealing to us that we need to be hitched in light of the fact that the individuals promotions are and they are unfathomably cheerful. They likewise shape our way of life by setting the standard for the manner in which we look. All ladies at one point in their life are unsure in light of the fact that they don't resemble the models in promotions. Promotions are the motivation behind why ladies fixate on their weight and the manner in which they look. I don't think about a great many people, yet I do realize that I would prefer not to face a daily reality such that notices mention to me what I need or how I should look.   Works Cited  Super Bowl Clutter. Editor and Publisher. Vol. 127, Issue 6 (1994): 6. Signorielli, Nancy and Douglas McLeod. Sexual orientation Stereotypes in MTV Commercials: The Beat Goes On. Journal of Broadcasting and Electronic Media. Vol. 38, Issue 1 (1994): 91.

Saturday, August 22, 2020

A Law Unto Themselves

A Law Unto Themselves A Law Unto Themselves A Law Unto Themselves By Maeve Maddox I heard somebody on the radio allude to a specific gathering of individuals as being â€Å"a law into themselves.† The main adaptation of this phrase I’m acquainted with is â€Å"a law unto themselves.† The articulation gets from Romans 2:14. Various English interpretations of the Bible render the expression as â€Å"a law unto themselves,† yet some utilization an alternate relational word, as to or for. Here are three interpretations: For when the Gentiles, which have not the law, do ordinarily the things contained in the law, these, having not simply the law, are a law unto.- King James Version (KJV) Undoubtedly, when Gentiles, who don't have the law, do ordinarily things required by the law,â they are a law for themselves, despite the fact that they don't have the law.- New International Version (NIV). For when Gentiles, who don't have the law,â by nature do what the law requires, they are a law to themselves, despite the fact that they don't have the law.- English Standard Version (ESV) The section alludes to Gentiles who, in spite of the fact that they did not have the law that had been given to the Jews, had their own laws that showed them how to live nobly. The relational word unto is a fossil. It once had a few implications, including a portion of the advanced implications of into, be that as it may, by the eighteenth century, its utilization had gotten out of date in standard discourse aside from the figure of speech â€Å"to be a law unto oneself.† Note: The word unto, which means to, is once in a while heard in a raised strict setting, as in We cry unto the Lord. The cutting edge utilization of â€Å"a law unto themselves† contrasts in significance from the manner in which it is utilized in the Bible section. In the scriptural setting, the Gentiles are seen as complying with an alternate law, yet probably their law applies to every one of them. In present day use, â€Å"to be a law unto oneself† proposes that the individual or individuals so portrayed disregard laws that apply to every other person, doing however they see fit, on the off chance that they were exempt from the laws that apply to everyone else. Here are a few models from the Web: The NYPD may implement the law, however they’re additionally a law unto themselves.- The Guardian. They [the khap panchaya] accept theyre incomparable, a law unto themselves.- The Times of India.â The Soviet Politburo was a law unto itself.- The Washington Post The CIA: A Law Unto Itself-The Nation Nicole Kidman Law Unto Herself-New York Magazine Here are some non-colloquial utilizations that utilization the relational word into rather than unto: French servers are a law into themselves-TripAdvisor Side interest Lobby takes steps to make strict adherents a law into themselves.- UCLA law teacher. Its a genuine arrangement quandary since individuals start to accept they can be simply the [sic] law.- Another law teacher. Note: The citations from the law teachers showed up in paper articles; the issue of subbing into for unto may lie with the correspondents or their editors. In the event that a speaker doesn't wish to utilize age-old unto, the colloquial decision of relational word is plain to: French servers are a law to themselves. Interest Lobby takes steps to make strict devotees a law to themselves Its a genuine approach predicament since individuals start to accept they can be a law to themselves Need to improve your English shortly a day? Get a membership and begin getting our composing tips and activities every day! Continue learning! Peruse the Expressions class, check our famous posts, or pick a related post below:The Royal Order of Adjectives 40 Synonyms for â€Å"Lie†50 Words with Alternative Spellings

Friday, August 21, 2020

What Admissions Committees Are Really Looking For

What Admissions Committees Are Really Looking For Writing a college admissions essay can be a daunting task. Like it or not â€" its the one part of your college application packet that gets the most attention and often is the most time-consuming. Even with a perfect GPA and academic record, some of the best students fail to get into the top college of their choice because of one reason: They didnt stand out from the crowd of other applicants. With hundreds of other students applying who have equally perfect academic records, how can your admissions essay put you at the front of the line of other qualified students seeing your spot at the college of your choice?Or worse â€" if your grades are less than stellar, how can you use the opportunity to show the admissions committee that you have more potential than your academic record shows? The answer, of course, is to write an admissions essay that catches their attention. Admissions committees are aware that some of the best potential students might not be good test-takers; they know th at the sum of your worth and potential is not only made up of your grades and standardized test scores.The introduction is keyIt goes without saying that your introduction is like meeting someone for the first time â€" its the first impression thats crucial. For this reason, you should spend the most time arranging and tweaking your introduction, letting the body and conclusion take secondary importance. You need your readers attention, and if you dont get it with the introduction, you wont get it at all.So tell a story, start with a question â€" find a perfect hook to grab your readers attention. Make your reader want â€" no, NEED â€" to read more, out of curiositys sake. When youre writing and planning, keep the following words in mind: unique, engaging, creative, and bold.Look at the two examples below:As a lifelong learner, I realize that education is important to achieve ones goals in life. After graduating high school, I have researched the best option for me to continue my ed ucation, and XYZ University is that place.I dont remember much about her, but what I do remember has stuck with me. Often quoting passages from books and stanzas from poems, my Grandmother was a woman who showed me that life without Art, Poetry, Music, and the beauty of Language, is really no life at all.Do you see the difference?Which paragraph was more engaging? Which made you want to read more? If you say the second one, then you can know that youre in good company â€" thats what the admissions committee wants to see.Imagine that you are the one sitting in an office all day, reading over stacks of essays in order to determine which is the most qualified student. You will read over paragraphs upon paragraphs of accomplishments, community service, and organizational affiliation. The paragraphs will start to all sound the same until suddenly, the opening of an essay breaks the monotony and is a breath of fresh air, with information that shows a particular student is different, and t hat he or she is able to stand out in a crowd.Make sure that essay is yours.Big words dont mean big thoughtsApplicants who think that using a thesaurus will make their writing shine tend to miss the point of what the admissions committee wants to see. Using difficult words and advanced language is not nearly as important as having a voice that engages your reader. Writers who tend to use a thesaurus sound stuffy, formal, or worse. Remember: impress your audience with your style, not your word choice.Stick with the highlightsIf you have volunteered at 20 different community service events or organizations, dont list them all. Likewise, if you received several academic awards, dont use two paragraphs to discuss it. Generally, admissions committees use some variation of the following approach when writing their essay prompts:Tell us what sets you apart from other applicantsTell us what academic successes youve hadTell us why you want to go to XYZ UniversityTell us what youll have to of fer if youre acceptedIf youve had few accomplishments, then focus on the other points. If youve had several accomplishments, this is much more difficult than it sounds. Rarely should you spend more than one paragraph discussing these accomplishments, so determine which ones reiterate the point that youre uniquely qualified. Also, consider using a blanket statement such as, in addition to achieving several awards for academic excellence, I have also been given the opportunity to work with Teach for America as a student mentor. There will most likely be a place on your application to list these awards separately, leaving you more room in your admissions essay to focus on what the committee wants to see.Praise the schoolAdmissions committees tend to be made up of alumni and former faculty members. The politics of who lets whom in the door can be especially difficult at Ivy League schools, or schools with limited space in renowned programs. For this reason â€" and since you never know w ho might be reading your essay â€" make it a point to focus your conclusion on why that particular university is the one for you. Do a little research, find examples of prestigious graduates, and get to know the points that make this particular school/program the best. Conclude your essay with an expression of your desire to be a part of such distinguished alumni. In this case, flattery goes a long way.

Sunday, May 24, 2020

Background And Introduction Of Kingsgrove High School

Background and Introduction Kingsgrove High School is a comprehensive, co-educational secondary public school in the Rockdale region. According to the data presented on the My School website, students are predominately from low socio-economic backgrounds with a below average school Index of Community Socio-Educational Advantage (ICSEA) of 988 (Myschool, 2014). Kingsgrove High School also has 85% of students with Language Backgrounds Other Than English (Myschool, 2014). More than half of the total regional population (54.4%) speaks a language other than English at home (ABS, 2011). The school incorporates a P C into the school culture. However, Kingsgrove High School has a higher level of EAL/D students (85%), which means there are potentially more students requiring support. As such, it is an essential call for funding to a research project Engaging Parents from EAL/D Background in School Cultural Activities. Our project will take reasonable and achievable steps to design, implement and evaluate what stimulate parental engagement in ‘school life’ and how to engage in the school culture. Research suggest that children benefit from family-school collaborations that provide parents with opportunities to shape their children’s learning (Krejci, 2002). Working with parents collaboratively shown a positive impact on students’ learning outcome (Swap, 1987). This literature review will explore the existing research that frame the issues of what stimulates parental engagement in

Thursday, May 14, 2020

Tilapia; from the Nile to the World - Free Essay Example

Sample details Pages: 4 Words: 1208 Downloads: 3 Date added: 2017/09/12 Category Advertising Essay Did you like this example? Abstract This study addressed the potential of tilapia aquaculture as a major contributor to food production and poverty alleviation all over the world. To encompass this subject, tilapia history, origin, aquaculture potential, constraints, current and future production levels were reviewed. Tilapias are native to the River Nile and Africa in general then they were introduced and disseminated worldwide. Positive aquacultural characteristics of tilapia made tilapias the most cultured species worldwide now and in the near future. Tilapia world production is expected to reach 3 million tons this year 2010. Thus, tilapias could make a significant contribution to the livelihoods support especially in the tropical and subtropical countries. Key words: Tilapia, Oreochromis, Sarotherodon, introduction, production, River Nile. INTRODUCTION Tilapia is the second world wide cultured species after carps. They are also known as â€Å"Aquaculture Chicken† as they are present in all continents except Antarctic. Tilapia culture goes back to the ancient Egyptians who cultured Nile tilapia in ponds around 5000 years ago as indicated by paints on the walls of Pharaohs’ tombs. Don’t waste time! Our writers will create an original "Tilapia; from the Nile to the World" essay for you Create order Moreover, tilapia has a Hilogryphs and was known as in. t. Aristotle named it as â€Å"Nile Tilapia† or fish of the Nile; 300 years BC. Thus, Tilapia is native to the Nile River (Fig. 1) and to Africa in general (1 and 2). Tilapias were then introduced to many countries in the 1950s and 1960s as a wonder fish. Although tilapia had certainly, a major impact on aquaculture developments in Asia and the Pacific since the 1970s, there are some claims that tilapias are invasive and affected the native species in the natural water ecosystems. However, there is scant explicit evidence to indicate that tilapias have been overly destructive environmentally (6). Such claims frightened and prevented some countries such as Australia to introduce tilapia culture to their lands. Therefore, the objective of this study is to review tilapia production, the constraints hindering global tilapia culture and to discuss the suggested solutions as well as future perspectives. Fig. 1 Map of the River Nile Taxonomical classification Recently, there are 3 main genera of tilapia (under family Cichlidae) according to the reproductive behavior; Oreochromis (Females only are mouth brooders), Sarotherodon (both males and females share in the process of mouth incubation of eggs, larvae and frys) and Tilapia (substrate breeders) (Figs. 2 3). Before 1970s, all tilapia species were categorized under 1 genus; tilapia. Commonly, tilapia nilotica is still used by some scientists who don’t accept the modern classification (1). Fig. 2 The most common Tilapia species and hybrids Fig. 3 Reproductive behavior of tilapia; Oreochromis niloticus Introduction of tilapia to Asia and to the world Although aquaculture is considered an old tradition, modern aquaculture is essentially a post-1950 phenomenon. O. niloticus became the preferred tilapia species for aquaculture in the region (3). Although it is difficult to assess whether this species has made a significant contribution to the animal protein needs of rural Asian communities, it certainly had a major impact on aquaculture developments in Asia and the Pacific since the 1970s. Twelve tilapia species (six Oreochromis spp. ; two Sarotherodon spp. ; and four Tilapia spp. ) and one hybrid have been introduced into 30 Asian countries. Of the species introduced to Asia, O. mossambicus and O. niloticus are by far the most important from both production and scientific points of view. These species are now widely distributed in most of Asia and occur in natural and quasi-natural waters making them a part of the fish fauna of most of tropical and even sub-tropical Asian aquatic environments (4). The red tilapia, a hybrid between strains of O. mossambicus x O. niloticus is currently considered as important to aquaculture in Asia (5). In general, Tilapias have been introduced into over 90 countries worldwide, with a global distribution second only to common carp. Although tilapia has been associated with adverse environmental impacts, detailed analysis of the literature suggested that other factors, such as over fishing, environmental degradation from land-based activities, and changes in hydrological regime have probably been more responsible for adverse impacts. It is clear that numerous factors working together can impact biodiversity. It is also clear that tilapias, as a group of alien species, have made a significant contribution to food production, poverty alleviation and livelihoods support in Asia and the Pacific. In spite of the wide-scale introduction into Asian waters, there is scant explicit evidence to indicate that tilapias have been overly destructive environmentally (6). Thus, Asian countries are major producers and consumers (7) Tilapia Production The current aquaculture production (2002) of tilapias is about 1. 5 million tones, the great bulk of which takes place in Asia accounting for nearly 80 percent of the total world production. It is important to note, however, that tilapia culture in Africa and South America is also increasing. Prior to the mid-1990s, the yield of tilapia from capture fisheries was greater than that from aquaculture. Currently, the later accounts for approximately 2. 5 times the production from capture fisheries. Tilapia aquaculture production increased from 28 000 tons to 1. 504 million tons globally from 1970 to 2002; in Asia and the Pacific, production increased from 23 000 tons to 1. 192 million tons equivalent to an annual growth rate of 13. 2 percent and 13. 1 percent, respectively. In contrast, capture fisheries for tilapias have grown at the rate of 3. 5 percent per annum. China alone produces nearly half of the world tilapia production followed by Egypt, Indonesia, Philippines, Thailand and Taiwan (Fig. ). Tilapias can be reared in ponds, tanks, cages and rice fields. Fig. 4 The highest ranked countries in Tilapia production Constraints of Tilapia culture †¢Over-population due to early sexual maturity of tilapia. †¢Cold sensitivity. †¢Vulnerability for toxins of blue green algae in case of tilapia monoculture. †¢Claims of invasiveness of tilapia. Suggested solutions a nd useful practices †¢Production of monosex tilapia via Genetic hybridization. †¢Avoid hormonal monosex production. †¢Sterilization. †¢Polyculture with predators like catfish. †¢Crossing with cold resistant strains such as O. ureus. †¢More research is still needed to mitigate the sensitivity to blue green algae’s toxin. CONCLUSIONS AND FUTURE PERSPECTIVES Positive aquacultural characteristics of tilapia as their tolerance to poor water quality, easy spawning, biological controllers for aquatic weeds and mosquitoes as well as the fact that they eat a wide range of natural food organisms make tilapias the most cultured species worldwide now and in the near future. Tilapia world production is expected to reach 3 million tons in this year 2010 (Fig. 5) (double of tilapia production in 2002). Thus, tilapias could make a significant contribution to food production, poverty alleviation and livelihoods support all over the world especially in the tropical and subtropical countries. Fig. 5 Future global tilapia production from aquaculture REFERENCES 1- SRAC; Southern Regional Aquaculture Center (1999): â€Å"Tilapia Life History and Biology†. SRAC Publication No. 283. 2- www. miami-aquaculture. com 3- Smith, I. R. and Pullin, R. S. V. (1984): â€Å"Tilapia production booms in the Philippines†. ICLARM Newsletter 7: 7 9. 4- Pethiyagoda, R. (1994): â€Å"Treats to indigenous freshwater fishes of Sri Lanka and remarks on their conservation†. Hydrobiologia 285: 189 201. 5- Welcomme, R. L. Vidthayanon, C. (1999): â€Å"Report on the impacts of introductions and stocking in the Mekong Basin and policies for control. Management of Reservoir Fisheries in the Mekong Basin†, Phase I. Phnom Penh, Cambodia, Mekong River Commission, 62 pp. 6- De Silva, S. S; Subasinghe, R. P. ; Bartley, D. M. ; Lowther, A. (2004): â€Å"Tilapias as alien aquatics in Asia and the Pacific: a review†. FAO Fisheries Technical Paper. No. 453. Rome, FAO. 2004. 65p. 7- Kevin Fitzsimmons (2008): â€Å"Global Update 2008: Tilapia Production, Innovations, and Markets†. Orlando, FL, Aquaculture America, Feb 2008.

Wednesday, May 6, 2020

A Lot Of People See Gun Control In Every Way, Shape And

A lot of people see gun control in every way, shape and form as taking a bit of our freedom away. Others do not have an issue with gun control. Gun control is an issue of safety, education, race, and politics. Most gun owning Americans believe that just because certain people do not know how to use their freedom of having control over their own guns does not mean everyone else should have their freedom of gun control and ownership taken away by liberal politicians, most who have not even owned or shot a gun in their whole entire life. The Second Amendment of the United States Constitutions says that the people have the right to bear arms and it is not to be infringed. There is a reason why it is in the Bill of Rights and there is also a†¦show more content†¦Therefore, when a person is going to commit a crime upon someone they might think twice about what they are going to do, because they have no idea if that person is carrying a gun or not. The United States has become very restrictive when granting a person to own guns. Certain states have come up with the Shall Issue law, which prevents anyone to own, or carry firearms if that person has a criminal record with a felony or has a mental disorder. Many states even require a permit to carry a concealed gun in public. Most people learn about responsibility during their childhood and what they learn reflects what they do and how they act when they get older and become adults. Children that live in a good household tend to have better understandings of life and respect other people and their lives. Children would also have a better idea of recreation, for example hunting, and for a mean of protection from criminals. On the other hand, the children who grow up in problematic homes and that have uncaring parents, who are usually criminals themselves, tend to turn to crime. They are just doing what they believe is right, since that is how they were raised. So, we need to educate children about the potential dangers of firearms if they are not respected and treated with care. Most Americans who believe that more guns equal more crime are afraid of the people who carry guns in public places, openShow MoreRelatedGun Control And The Rights Of A Free State1195 Words   |  5 PagesCameron Rose Mrs. Rose P.5 Gun Control, Research Paper 25 February 2016 â€Å"A well regulated militia, being necessary to the security of a free state, the right of the people to keep and bear arms, shall not be infringed† (Bill of Rights, 1791). As said by our founding fathers, over two centuries ago, the right to own guns will not be taken away. However recently, there has been a push for a ban on guns, due to the increase in school shootings, homicides, and suicides over the years. Because of thisRead MoreThe National Rifle Association of America Essay1159 Words   |  5 Pagesis going on right now with the NRA and the issues that they are defending. Ever since the NRA was founded, it has been doing things to help out the people of this country and to shape the country itself. There are so many controversies that are going on today in politics that are the center of the NRA’s philosophy. The NRA does a lot for the people of this country by impacting the lives of millions of Americans, through its many organizations. Not to mention, th e NRA is a non-profit organizationRead MoreWe Have The Right Of Bear Arms1449 Words   |  6 Pageswho think that guns kill and cause violence and murders. The protesters like to blame the gun for what people do, the gun doesn’t shoot itself, and it’s the ignorant person behind it. America is known for their gun power and strength and if you take that all away then countries will be able to attack us more easily. The key is to be responsible with guns, which would make no problems. It is not easy to stop the crimes but we can always make an effort to. The main reasons we need guns in this countryRead MoreHandmaids Tale - Power and Control1210 Words   |  5 Pagesplace of power and control in the opening chapters of The Handmaid’s Tale?’ The Republic of Gilead is the fictional country which Margaret Atwood chose as the setting for her dystopian novel, The Handmaid’s Tale. We can infer from the first chapter that Gilead is within the borders of the USA from the fact that ‘old’ blankets still said US: this hints that some sort of major catastrophe has occurred before the time of the novel to change this. The first few chapters suggest a lot about the settingRead MoreTaking a Look at Gun Control1226 Words   |  5 Pagesproduction. I am against waivers for private colleges because it does not work for the less fortunate part of the economy that cannot afford a way of transportation, for their child to get to the private school. 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According to the National Institute for Mental Health, an at-risk person is one that a person that has demonstrated or expressed theRead MoreAn Analysis Of George Orwell s The World Of A World Surveillance 970 Words   |  4 Pagesmade in which there is no such thing as privacy. You are just being watched every day on what you do and say and if you do something that disturbs the government there s a punishment. You can t hide nor try to run away because there is no way to escape. Big Brother is watching. Th ere is telescreens everywhere. If you try to uncover what Big Brother is trying to do, you will be caught and executed. The party wants to control the past, present, and future. You are not allowed to have a diary; theirRead MoreEating Disorders and the Media Essay1287 Words   |  6 PagesAmerican writer Allen Ginsberg once said: Whoever controls the media-the images-controls the culture. Nothing could be truer, the media has always influenced fashion and body shape. But whats remarkable now is how much the media affects body image, and how willing and eager people are to mess with Mother Nature. (Underwood, par.2) Although there are other factors that contribute to eating disorders the media can partially be blamed for the millions of people with eating disorders because it promotes andRead MoreDemocratic Vs Democrats Vs Republicans824 Words   |  4 PagesDemocrats vs. Republicans!!! I suppose there must have been a time when these two parties co-existed respectively. Well the aftermath of the George Bush era has shown a lot different scenario. Most notably upon the heels of President Barack Obama being elected to two consecutive terms in 2008 and 2012. Hence, this is when the true division of a supposedly fruitful country showed its true colors. The Unwelcomed Guest In November of 2008, Barack Obama became the first African-American man toRead MoreVideo Games: Another World or Reality?1658 Words   |  7 Pagesof the all American adults play video games, with one in five playing every day (Marcovitz 13). There are some who think that video games promote real-life violence. Newport, Tennessee 2003, a 15-year old and 13-year old took their fathers .22 caliber rifles and opened fire on an interstate highway. Before this event, earlier that day they had been playing Grand Theft Auto III. It was the 13-year olds idea to steal the guns and go shoot at the real thing, instead of the virtual thing. When they

Tuesday, May 5, 2020

Advanced Care planning & Palliative Care-Free-Sample for Students

Question: Write an essay on Advanced Care planning and Palliative Care. Answer: With the advancement of age, diseases and disorders become all the more rampant in the elderly population that further necessitates the requirement to resort to definite healthcare interventions to combat the situation. In this context, advanced care planning (ACP) plays a pivotal role by virtue of which measures in keeping with the patients goals, beliefs, values and preferences are maintained to promote healthcare even in the absence of the lack of communication of the patient to take decisions. Thus, satisfaction of both the client as well as the family members may be achieved through ACP and has gained prominence in the end of life care facilities when the patient is incapable of deciding for themselves (Mullick, Martin Sallnow, 2013). Palliative care directed to treatment for terminally ill patients through a multidisciplinary approach often resorts to ACP for guiding effective patient care through a more integrative and clear infrastructural framework (Imam et al., 2016). Howe ver, it is imperative to maintain ethical virtues for achieving optimal outcomes that favors the use of ACP for palliative care. Matter related to ACP calls for great attention and sensitivity from the healthcare staff associated as their actions directly affect the decision making process while strategizing therapeutic interventions for the patient. Cooperation of the healthcare personnel, care workers, family members and the patient is indispensable in this regard to offer holistic solutions to the patient. Abidance by the ACP in end-of-life care is crucial to respect for and acting in conformity with the patients preferences so that there occurs no breach in autonomy of the patient (Stevenson ODonnell, 2015). In case of patients afflicted by life threatening diseases such as cancer, heart failure and other debilitating neurological disorders are likely to be represents restriction in their activities of daily living whereby ACP becomes even more relevant and suitable for application. Lack of decisiveness on the patients part in such situations accentuates the urgency for taking measures consistent with the ACP. Information about the prognosis for uncertainty in the setting must be provided through active engagement of the patient in discussion surrounding goals and values. For fostering further care provision review and recommendations have been suggested. A consensus must be reached to drive positive changes for patient care (Brinkman-Stoppelenburg, Rietjens van der Heide, 2014). Thus, it is important to maintain the ethical and legal guidelines for harboring best possible outcomes for patient having ACP. Growing volumes of data in the recent times have provided insights on the issue related to ageing and the associated health problems that arise parallel to the process of advancing age in the geriatric population. Introduction of ACP has paved the way for fostering better healthcare service for persons in palliative care but requires complex and multifaceted approach involving participation of healthcare professionals, patients, caregivers under the framework of legislature and healthcare system (Lovell Yates, 2014). Hence, following of suitable strategies is vital to provide adequate resources and opportunities for patients to ensure quicker recovery through comprehensive, pertinent interventions. References Brinkman-Stoppelenburg, A., Rietjens, J. A., van der Heide, A. (2014). The effects of advance care planning on end-of-life care: a systematic review.Palliative medicine,28(8), 1000-1025. Imam, T., Jones, T., Afolayan, S., Raje, S. (2016). Advanced care planning in the elderly, are we doing it?.Clinical Medicine,16(Suppl 3), s19-s19. Lovell, A., Yates, P. (2014). Advance care planning in palliative care: a systematic literature review of the contextual factors influencing its uptake 20082012.Palliative medicine,28(8), 1026-1035. Mullick, A., Martin, J., Sallnow, L. (2013). An introduction to advance care planning in practice.Bmj,347, f6064. Stevenson, L. W., ODonnell, A. (2015). Advanced Care Planning

Saturday, April 4, 2020

Are Freuds Theories Of The Oral And Anal Personalities Like essays

Are Freud's Theories Of The Oral And Anal Personalities Like essays This question immediately raises the problem, "how are we to determine which parts of Freudian theory are 'good'?" Freud may well have argued that the evidence he documented from his psychotherapy sessions was sufficient, whilst behaviourists would demand that the various aspects of a theory could only be recognised as 'good' after being exposed to the full rigours of the scientific method. I personally don't feel that one can hope to design a repeatable experiment that will decisively illustrate the existence of, for example, the Oedipus complex. On the other hand I feel that we cannot simply accept a theory that has been moulded to fit a certain experimenters observations, coloured as they must be by their own personality, prejudices, and society. Therefore in this essay I will examine the empirical evidence from studies conducted on these most controversial of Freud's theories, and where that evidence appears on balance to give support to that particular theory, I will accept it a s 'good'. As I said earlier some will regard this measure of worth as too lax to be of any use, whilst others will object to the application of science to the process of personality development, a process that is infinitely complex and unique, and so beyond science. Freud's theories of the oral and anal personality are centred around the idea that the infant is able to experience sexual sensations, and that the basis for these sensations changes during early development. If an infant is over or under stimulated during one of these stages fixation will occur, and certain personality traits will develop. The oral personality, according to Kline (1984) consists of two not entirely opposed constellations of traits, the optimistic oral, associated with late weaning, and the pessimistic oral, associated with early weaning. As both situations cause fixation at the oral stage, many traits are common to both types. Goldman-Eisler (1951) conducted a study, th...

Sunday, March 8, 2020

HP essays

HP essays Hewlett-Packard Company (HP) provides IT products and solutions covering infrastructure, personal computing and access devices, imaging and printing. HP trades on the New York Stock Exchange (NYSE) and trades under the symbol HPQ. HP recorded revenues of $73.1 billion during fiscal year ended October 2003, an increase of 29.1% over fiscal 2002. The increase is mainly due to the acquisition of Compaq. This is considered to be the largest merger integration in the history of our industry (Fiorina, 2003 HP Annual Report) The Balance Sheet analysis will consist of three parts. I will first analyze HPs liabilities, followed by equity, and finally, assets will be discussed. Current Liabilities and Long Term Debt Hps Current liabilities have increased over a three year period. Mainly, this is due the Compaq merger. Taking a closer look at how current liabilities are disclosed we can see that this increase is due mainly on an increase in Accounts payable and Other Accrued liabilities. As we can see from the following exhibit we can see a decreased in other current liability accounts. Current liabilities: 2003 2002 Change Notes payable and short-term borrowings 1,080 1,793 Decrease Accounts payable 9,285 7,012 Increase Employee compensation and benefits 1,755 2,012 Increase Taxes on earnings 1,599 1,529 Increase Deferred revenue 3,657 3,260 Increase Accrued restructuring 709 1,309 Decrease Other accrued liabilities 8,545 7,395 Increase Total current liabilities 26,630 24,310 Increase Employee compensations have been reduced by $247 million. This is because HP historically used stock options and other forms of equity-related compensation as key components of their total rewards employee compensation program in order to align employees interests with the interests of the stockholders, encourag ...

Friday, February 21, 2020

Genetic Health information Critical thinking questions Assignment - 1

Genetic Health information Critical thinking questions - Assignment Example 4). The genetic code found in our DNA, has many potential insights for individual resistances and susceptibilities to diseases. The HGP is quite distinct from other biomedical research because it has been defined by a series of very quantifiable and concrete goals. For example, it has been used to construct physical and genetic maps. These maps have been used as vital research tools and have proved to be invaluable in determining more than 100 genes involved in diseases such as achondroplasia, breast cancer, colon cancer, and Huntington disease. HGP has simplified the human genetic code as well as animals and plants in a four-letter alphabet. These chemical constituents of each DNA molecule are A (adenine), C (cytosine), G (guanine) and T (thymine). The project has been able to explain that there are 23 pairs of chromosomes in each human cell, and each contains millions of these nucleotides. Through the project, it has been proved that there are 3 billion nucleotides. Studies on these chromosomes have been used clinically to explain to expectant mothers if they are going to give birth to a baby boy or girl. HGP has led to improved techniques of genetic screening for various diseases before birth. A genetic library has been created. This library contains genetic information of relatively homogeneous regions in human DNA. Therefore, individuals do not have considerable variability at this locus. If it is found out that a genetic disease is produced from a specific allele or mutation being present, screening can be done to identify who the individuals are. It is now possible to determine the chances that a child might inherit genetic disorders associated with parents by analyzing the parental gamete DNA. This has allowed genetic disorders to be corrected before birth. Research is also being carried on rapid selection and insertion of DNA into human individuals; these may soon lead to reproduction

Wednesday, February 5, 2020

Homeless Veterans Essay Example | Topics and Well Written Essays - 1000 words

Homeless Veterans - Essay Example To save the veteran homelessness, everybody has to join hands. Being in the army is no easy job, and everybody of us knows the implications of such a dangerous profession. Dealing with stressful situations on the battle field and experiencing one of the worst kinds of human slaughter, the thought of war brings with it grisly images for the veterans even when they have returned home. Almost every one of the army men faces extreme depression and Post Traumatic Stress Disorder (PTSD) once their numbness begins to lift. For some war veterans it has even taken a decade before the effects of the war have emerged plunging them into complete darkness. This is helped by little or no support from the government which even though has made independent organizations such as the U.S. Department of the Veteran Affairs (VA) but no real improvements can be observed on ground. This fact is further supported by the figures given by the U.S. Department of Housing and Urban Development that on a single n ight in the United States at least 62,619 war veterans are homeless and living on streets or in shelters (National Coalition for Homeless Veterans). Another 1.4 million veterans are suspected on the verge of homelessness due to various reasons. Is that how we return our services to people who had once served us? If the issue of fixing homelessness for war veterans is not treated as a grave emergency, things can be safely assumed as getting out of control. Though the VA argues on successfully providing shelter, medication and other services to the war veterans, which is even true to some extent, but the number of veterans still homeless indicates huge loopholes. Once the US troops in Afghanistan start returning home, will they as well be welcomed by similar homelessness? Taken the fact that the VA could not get the 62,619 war veterans off the road, little hope can we have for the 63,000 troops. The matter to address veteran homelessness is also barred by political circumstances. Some of the confidential Pentagon reports have suggested that the United States has no intention of evacuating all of its troops from Afghanistan as soon as 2014; it intends to stay much longer. However, even if we expect a fourth section of soldiers from our army, they easily exceed the number that is already homeless. Thus solutions covering a much wider ground are needed to not just home the existing war veterans but any of the future ones as well. To reduce veteran homelessness an array of measures will have to be taken. An organization or two supported by another few cannot alone fight the consequences of such a grave matter. Veterans do not just need shelter but immense psychological and physical support, taken their horrendous experiences at the battlefield. Most of these men have faced extremely unpleasant situations – after all a war has nothing pleasant to it – and as a result they are at a very high risk of developing psychological disorders. Though people argue that families should be responsible for the health of the veterans once they return, they fail to recognize the fact that many of these ex-soldiers have severed ties with their families after the long time-period spent abroad. We have clear evidences of wives leaving their veteran husbands for other guys since their husbands could not provide for them. As veterans find it difficult to acquire jobs after their services in the army,

Monday, January 27, 2020

Treatment for Digoxin Overdose

Treatment for Digoxin Overdose B. Trimble Digoxin Overdose Digoxin is derived from the leaves of a digitalis plant (foxglove). Some plants have chemicals that can cause symptoms similar to digoxin if eaten, such as lily of the valley and oleander. Digoxin is a substrate of P-glycoprotein. Drugs that induce or inhibit P-glycoprotein in the intestines or the kidneys have the potential to alter digoxin pharmacokinetics (Katzung, Mastes, Trevor, 2012). Digoxin increases the strength of heart contractions by inhibiting the activity of the enzyme ATPase. ATPase controls the movement of calcium, sodium, and potassium into the heart muscle. ATPase increases the amount of calcium in heart muscle, which increases the force of contractions. Digoxin slows the electrical conduction between the atrium and ventricles of the heart and slows ventricular contractions. Digoxin is eliminated through the kidneys and should be reduced in dosage in patients with kidney dysfunction (Katzung, Mastes, Trevor, 2012). Medications such as verapamil, quinidine, Amiodarone, indomethacin, spironolactone, Alprazolam and itraconazole can increase drug levels and the risk of toxicity of digoxin. Furosemide and other diuretics that reduce blood potassium or magnesium levels may predispose patients to drug induced abnormal heart rhythms. Saquinvard and ritonavir increase the amount of digoxin in the body and may cause toxicity (PubMed, 2013). Assessment of the severity of toxicity and etiology (accidental, unintentional, or deliberate overdose) altered drug metabolism due to decreased renal function or interaction with other drugs is necessary. Consideration of factors that influence treatment include age, medical history, chronicity of digoxin intoxication, severity of heart disease, and/or renal insufficiency and ECG changes (Katzung, Mastes, Trevor, 2012). Symptoms of digoxin toxicity include anorexia, nausea, vomiting, diarrhea, visual changes, cardiac arrhythmias (1st degree, 2nd degree â€Å"Wenckebach†, or 3rd degree heart block), atrial tachycardia with AV block, AV dissociation, accelerated junctional, unifocal or multifocal premature ventricular contractions, ventricular tachycardia, and ventricular fibrillation (Patel, 2011). Toxicity is usually associated with levels greater than 2 mg/ml. Low body weight, advanced age, impaired renal function, hyperkalemia, hyper-calcemia, or hypo-magnesium may cause d igoxin toxicity. Other symptoms may include decreased consciousness, decreased urine output, difficulty breathing, and overall swelling (Brunton, Chabner, Knollman, 2011). Treatment will consist of emergency protocol if outside the hospital; this includes calling emergency medical services and CPR. Once the patient is in medical care, the treatment will depend upon the severity of symptoms and levels of digoxin in the body. Laboratory testing will include serum electrolytes, digoxin levels, and thyroid function tests. The patient will be placed on continuous cardiac monitoring with a 12 lead ECG obtained (Brunton, Chabner, Knollman, 2011). The primary focus is to correct electrolyte levels; if hypokalemic administer potassium to reach a level of 4.0 to 5.5 mmol/L. Activated charcoal will be administered either orally or per nasogastric tube in order to bind undigested digoxin. If bradycardic and symptomatic, atropine may be given intravenously. Peak cardiac effects of digoxin occur 3 to 6 hours after ingestion. Gastrointestinal symptoms precede cardiac manifestation. Neurological symptoms like fatigue and malaise are common. Visual disturbances occur with aberration in color vision, mostly yellow-green. Activated charcoal binds to the digoxin and prevents recirculation to the enterohepatic circulation. Cholestyramine may be used for chronic toxicity in patients with renal insufficiency. Continuous hemodynamic monitoring includes the ECG and 12 lead EKG (Brunton, Chabner, Knollman, 2011). Prompt measurement of electrolyte levels (potassium, calcium, digoxin, BUN, creatinine, and CMP). Sodium bicarbonate may be administered to correct metabolic acidosis along with glucose and insulin to enhance potassium uptake by the cells (Brunton, Chabner, Knollman, 2011). Magnesium may serve as a temporary antiarrthymic until digifab is available. Hypomagnesium increases myocardial digoxin uptake and decreases cellular sodium/potassium ATPase activity. Digibind (digifab or digoxin immune Fab) is an immunoglobulin fragment that binds with digoxin. In acute intentional overdose digibind (40 mg reconstituted with 4 ml sterile water) is administ ered 4 to 6 vials as a loading dose over 30 minutes as an emergent IV bolus. The bolus is followed by 0.5 mg/minute for 8 hours and then 0.1 mg/ minute for 6 hours (Patel, 2011). For patients with chronic toxicity that are dependent on digoxin, the initial dose is twice the bolus. This avoids complete reversal of clinical effects of digoxin. Response is typically within 20 to 30 minutes after infusion, elimination half- life is around 16 hours. Digoxin levels are unreliable for one to two weeks after therapy. Complications in long-term digoxin users, who receive digibind treatment administration are that it may precipitate worsening of heart failure as reversing the beneficial inotropic agent of digoxin causes hypokalemia and atrial arrhythmias with rapid ventricular response (Katzung, Mastes, Trevor, 2012). Hypokalemia has occurred in patients treated with standard therapy as well as with Fab fragments. Clinically adverse phenomena have occurs in patients with immunotherapy. Other untoward effects of Fab include anaphylaxis and serum sickness, this is because it is a sheep protein, but this is uncommon. Recrudescence of digoxin toxicity is possible within 7 to 14 days because Fab is eliminated more rapidly than digoxin released from tissue binary sites. Plasmapheresis may be performed or the agent reinstituted in such cases (Patel, 2011). If hemodynamically stable, bradycardia and supraventricular arrhythmias may be treated with observation and supportive measures. Ensuring hydration to optimize renal clearance, administering gastrointestinal binding agents may be used. For patients with rate related ischemia or neurological unstable digiFab is the treatment of choice (PubMed, 2013). In unstable premature ventricular contractions, lidocaine may be effective. In ventricular tachycardia the best response is to digiFab, but phenytoin and lidocaine are useful if Fab is ineffective or unavailable (Brunton, Chabner, Knollman, 2011). They depress the enhanced ventricular automaticity without significant slowing of AV conduction. Phenytoin may reverse digoxin induced prolongation of AV nodal conduction. Phenytoin has been shown to dissociate the inotropic and dysrhythmia actions of digoxin, suppressing digoxin tachycardia without diminishing the contractile affect and can terminate SVT induced by digoxin. Doses for lidocaine are 100 mg bolus with an infusion of 1 to 4 mg/minute. Phenytoin dosage is 100 mg every 5 to 10 minutes up to a loading dose of 15 mg/kg. Magnesium sulfate dosage is 2 gram over 5 minutes followed by an infusion of 1 to 2 g/hour, with magnesium levels drawn every one to two hours. Atropine may be given for bradycardia to improve sinus and AV node conduction by inhibiting vagal activity (Brunton, Chabner, Knollman, 2011). Phenytoin may reverse digoxin induced prolongation of the action potential in myocardial cells and may suspend tachycardia, prolongs effective refractory period, and depresses spontaneous depolarization in ventricular tissue. Lidocaine is a class IB antiarrthymic that increases the electrical stimulation threshold of the ventricles, suppressing the automaticity of conduction through the tissue. It combines with sodium channels and inhibits recovery after repolarization, resulting in decreased myocardial excitability and conduction velocity (Brunton, Chabner, Knol lman, 2011). Magnesium sulfate possesses properties that slow the rate of sinoatrial node impulse formation and prolong conduction times (Brunton, Chabner, Knollman, 2011). Prevention of unintentional overdose (accidental overdose, interaction with other medications, or the altered metabolism due to renal insufficiency) is mostly through patient education. Instructing the patient in the correct dosage of the medication; that blood tests will be necessary to ensure appropriate dosage; suggesting daily recording of heart rate and blood pressure. Advise the patient that many drugs interact with digoxin, and to inform the physician and pharmacist of all medications, including over the counter and herbal medications, and if started on a new prescription. Advising the patient to report any sign/symptoms associated with digoxin toxicity. Review signs and symptoms of toxicity with the patient. If the overdose were intentional, the patient would need the same consults as any other patient undergoing treatment (cardiologist, nephrologist, medical toxicologist, regional poison control center) as well as psychiatric consult. Follow up appointments with the patient to monitor drug and electrolyte levels. Reference Brunton, L., Chabner, B., Knollman, B. (2011). Goodman Gilmans:The Pharmacological Basis of Therapeutics (12 ed.). McGraw-Hill. Katzung, B., Mastes, S., Trevor, A. (2012). Basic Clinical Pharmacology (12 ed.). McGraw-Hill. Patel, V. (2011). Digitalis toxicity. Retrieved from Medscape: http://www.emedicine.medscape.com/article/154336-overview PubMed. (2013, Janurary). Digitalis toxicity. Retrieved from PubMed.gov: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001218

Sunday, January 19, 2020

The Birth Of An American Super Essay -- essays research papers fc

The Birth of an American Super Hero Heroes have been an important part of American history. They gave adults and especially young children something to strive for and believe in. Some heroes are real and some are imaginary. Real heroes can be presidents, soldiers, or even a parent. The imaginary hero's can be from books, comic books, or movies. One of the most popular hero's of our time is an imaginary hero created for the pages of comic books. The creation of this hero we all know as Superman took hard work, creativity, determination, and plenty of luck. Jerry Siegel and Joe Shuster were the two Jewish-American teenage boys who created Superman. Jerry Siegel was the writer and Joe Shuster was the artist. Siegel and Shuster met at the age of sixteen while working on their high school newspaper. They made a number of attempts creating the Superman character. The first attempt utilized a bald middle aged man with advanced mental abilities. The next attempt was closer to the Superman we now know. He was younger and had hair but was not an alien with super powers. 'The ultimate version of Superman was born one night in 1934, when Siegel found new ideas coming so fast that he couldn't sleep'; (Daniels 21). Seigel and Shuster collaborated on these ideas and created comic strips created for the Sunday comics. Seigel's new Superman came from a planet called Krypton. 'This was the first benevolent alien created'; (Daniels 21). He wore tights for a futuristic appearance and the cape...

Saturday, January 11, 2020

Using Animals in Disease Research

Using Animals in Disease Research People all over the world have different opinions on whether animal testing is an ethical way to research drugs and treatments or not. Almost every medical advancement has involved using of animals including discovery of penicillin, organ transplantation, vaccines etc. Scientists should use animals in disease research because nowadays it is the only right way to develop drugs, treatments and cures for diseases and to be sure that new products are safe to use.The first reason why animals should be used in lab testing is that it is the best way to do the research not on human beings but on something that is very similar to humans by chemistry, cell structure and organization. Only drug testing on animals will shows maximally closest result to what will happen in the human's body. Perhaps we weren't be able to cure even very common diseases in present-day medicine without using animals in researches. The second reason why scientists should use animals i n their researches is that animal’s rights are still protected and they don't feel pain during the testing.According to Foundation for Biomedical Research, the Public Health Service Act, Federal laws, and Animal Welfare act controls the removal of pain. All animals used in procedures always relieved from pain by anesthesia. A well-treated animal provide more reliable scientific results, which is the goal of all researchers. The last reason why using animals in research is necessary is that human beings are more important than animals. Animals quickly reproduce itself and they have short life cycle that help scientists to study effects of the drugs on several generations. Also animals can be donors of organs for humans.The society knows many facts in a last few years about transplanting of animal`s organs into human body. The opponents of using animals in disease research might say that scientists could discover drugs using alternative methods such as computer models. However, scientists should see the drug action in all system of living organism to be sure how it works. Using animals in lab testing and researches is necessary because alternative methods are currently not as reliable. Testing drugs and treatments on animals will someday help scientists find the cure for diseases like Alzheimer, AIDS, and cancer.

Friday, January 3, 2020

Religion And The Establishment Clause A Look At Sex...

Religion and the Establishment Clause: A Look at Sex Education Policy Carsen Jenkins Sex education in public schools is an extremely controversial topic within the current United States climate. Many states heavily regulate the curriculum, creating restrictions on what teachers can and cannot discuss. When looking at these restrictions, specifically on teaching about sexual orientation and promoting abstinence until marriage, there seems to be connection with religious ideas of sex and sexuality. Many different religions have strong views of abstinence or chastity along with adverse opinions regarding homosexuality. Additionally, many states require the promotion of abstinence until marriage along with active criticism of homosexuality. If these requirements are indeed rooted in religious belief, it is imperative to examine the establishment clause, which prevents any state organization from promoting or establishing a religion. Previous litigations have applied the Lemon test to determine whether a law or regulation is violating the establishment clau se. To pass this test, a law must have a secular purpose, have a predominantly secular effect, and not foster excessive entanglement between government and religion. After researching the state requirements for sex education in Alabama, Texas, South Carolina, and Utah, the legislation does not have a clear secular purpose nor a primary secular effect, consequently violating the establishment clause. The first step inShow MoreRelatedThe Constitution Is The Highest Level Of Law1858 Words   |  8 PagesFirst Amendment addresses several personal freedoms. The first clause of the First Amendment, the establishment of free exercise of religion clause, was the focus on taking legal action in education. There have been many cases and disputes that argue the appropriate government relationship in relation to religion. 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