How to write an advertisement analysis: October 2019

Wednesday, October 30, 2019

Snow Days on Campus Article Example | Topics and Well Written Essays - 500 words

Snow Days on Campus - Article Example I gathered a number of opinions on the impact of snow days in college. Albert, a student at the college, states that days enable them to have more time to spend in bed and watch Television and movies online. He also added that the day off released them from the busy class schedules hence allowing them to relax their minds. Additionally, Fred a student also confirms that on this day, they spend much time ice skating. As a result, students seem to enjoy on these days because they do not attend school and also at home they do not cover up for the time lost. Monica, a worker in the College, claims that snow days actually affect their working schedule because they have to use a lot of time clearing the ice, more so during cold days when the ice melts slowly. She adds that there pay is also affected when they miss working for more than two days as a result of snowing. For that reason, the workers, therefore, suffer during these days more so when it prolongs. Felix, a professor at the College, argues that the snow day deprives the time needed to cover the syllabus comprehensively. This is because one cannot make up for the time lost. Hence, this makes them give students too much information within a short period thus degrading the quality of education. He further argues that most of the concepts taught in college need some concentration and time which when not provided makes it harder for the students to comprehend. Professor Kathleen, who also teaches in the College, comments that she has had a rough time during the snow. She says snow days happening in early semesters cause students to miss the night classes that is a problem since students cannot be told to study by themselves. Since new materials need class time to be processed. She also points out that the school calendar is affected by the snow days.Ã‚ Ã‚

Monday, October 28, 2019

Personal Development Portfolio (PDP) for Education Studies

Personal Development Portfolio (PDP) for Education Studies This report aim is to develop and produced a Personal Development Portfolio (PDP). The Higher Education Academy (2010) defines PDP as a structured and supported process undertaken by an individual to reflect upon their own learning, performance and/or achievement and to plan for their personal, educational and career development. PDP group learning approaches, doing, recording, ideas, experiences, reflection and planning of goals to be achieved. It will help to understand and improve performance, identify qualities, skills and attributes and help to achieve these goals. 2.0 My profile I will now give a brief description of myself. I was born on the 20 February 1987 at 00.00 sharp. The doctor didnt know which date to insert on the birth certificate. However after consulting my parents, they decided to put my birth date on the 21 February 1987. I am a citizen on Mauritius a small tropical island in the Indian Ocean. My family consists of my father, mother, brother and sister. I am actually 23 years old. I did my O Level and A Level in 2004 and 2006 respectively. Furthermore, I started working as sales representation and promoted as sales executive after one year. In September 2007 I joined EIILM University for my degree program. I did my degree course in Bachelor in Business Administration and was graduated in July 2010. Please find attached my academic CV in the appendix 1. Mean while 2007- 2010, I have learned and experience many things. I have created my own event company in 2009 and went to different institution for training as internship. Finally after being graduated, I decided to join University of Hertfordshire for an Msc Management Program. The aim for doing the Masters program is to increase in maturity, learn new culture and extend my knowledge. My aim in life is to become a successful businessman and to have a big family. I did a personality test(2010) to understand what kind of personality suit me and results are: (SEE APPENDIX 2) Furthermore, to better understand my personality I decided to undertake various test such as learning style, leadership style, motivator test. Strength and weakness My strength are good communication skills, computer wizard, versatile, able to cope under pressure, can take quick decision. I work well in group and I am a good listener. I am punctual and am a good coordinator. I can convince people easily and put pressure on people where needed. I can adapt to change easily. My weaknesses are: I am very stubborn and I never leave a job without finishing it. I am sometimes short temper when people argue on wrong issue. I am usually a practical type of person and does not use the theory part in general. I generally get bored easily with repetitive or routine work. 3.0 Theories 3.1 Learning style Kolb (1985) in Mullins L.J. (2007) identifies a 4 learning style: Accommodative: strong preference for concrete experience and active experimentation. Divergent: Preference for a concrete experiences, but to reflect on these from different perspectives. Assimilative: prefers to swing between reflection and conceptualization and will use inductive reasoning to develop new theory. Convergent: Prefers to apply ideas, will take an idea and test it out in practice However, Fleming J. (2001) in Pritchard A. (2008) argued that there are four learning styles how people collect information: Visual: This kind of learners tends to learn by seeing things. Ex. Charts, graphs, diagrams, arrows, symbols, etc. Auditory: This type of learners prefers to learn by listening through lectures, tutorials, group discussions, etc. Reading: This type of learners prefer to learn through reading books, novels, magazines, newspapers, articles, etc. Kinesthetic: This kind of learners prefers to learn by practically doing things. They very good at remembering things and physical experiencing with memory. Moreover, Honey and Mumford in Marchington M and al. (2008) develop a similar learning style. They are classified as: Activists: learn best by active involvement in concrete tasks, and from relatively short tasks. Reflectors: learn best by reviewing and reflecting upon what has happened in certain situations (stand back, listen and observe) Theorists: learn best when new information can be located within the context of concepts and theories. Pragmatists: learn best when they see a link between new information and real-life problems and issues and put it into practice. Kolb (1985) model, Fleming J. (2001) model and Honey and Mumford learning model shows basically the same. Each one of them has a different way of interpreting the 4 types of learning style. I have done two learning style test which is the VARK learning questionnaire and the Honey and Mumford learning questionnaire. The results of both are illustrated below: Scores for VARK learning model questionnaire (2010) were: Visual: 3 Aural: 6 Read/Write: 4 Kinesthetic:5 (SEE APPENDIX 2A) Honey and Mumford learning model questionnaire (2010) score are: Activists: 2 Reflectors: 10 Theorists: 5 Pragmatists: 7 (SEE APPENDIX 2B) Both test proven that I am an aural and reflectors. It shows that I learn better by listening, experiencing things and thinking well. I always learn better by listening and processing it in my memory rather than reading or watching things. My past experience showed me that I am a Reflector because I think well before taking any decision. In the past I was not taking much time in thinking well before doing something, but with time I have developed a more reflector approach. This is because with experience people learn from their errors and improve them to be more productive and effective. Sir Winston Churchill (1965) said that Success is the ability to go from failure to failure without losing your enthusiasm. I have taken many good decisions in my life and these decisions were taken after having well thought and gather information. Examples are creating my own event company, joining University of Hertfordshire, choosing management field and my day to day activities. However, I would have liked to be a pragmatist because it is important to link out the theories with real life. I need to improve more on the pragmatist part to become a more successful person in the future. 3.2 Leadership style Leadership style is the approach used and way of providing direction, implementing plans, and motivating people. Lewin K. and al. (1939) identifies 3 different styles of leadership. Authoritarian or autocratic Participative or democratic Delegative or Free Reign Normally good leaders use a combination of the two or three styles, and bad leaders tend to stick with one style only. Essortment (2010) indicate 4 types of leadership style: Autocratic: manager retains as much power and decision-making authority as possible. It is a one way communication. Bureaucratic: manager manages by the book. Everything must be done according to procedure or policy. Democratic: is also called the participative style. It encourages employees to be a part of the decision making and work as a team. Laissez-faire: manager provides little or no direction and gives employees as much freedom as possible. Essortment (2010) and Lewin K. and al. (1939) identified mostly the same type of leadership style. Many other authors came out with similar leadership style and they have simplified it. I took a Quiz Whats Your Leadership Style (2010). The result of the quiz shows that my leadership style was a mixture of Authoritarian and Participative (SEE APPENDIX 3). Normally in life, I use more of participative leadership style. Tuckman B.W (1965) in Mullins (2007) defines group as the interactions within and between groups and the stable arrangement that results from them.This is because I believe in work in group and two way communications give better ideas and solution. I also use authoritarian leadership style not too often. Due to circumstances I have to adapt myself and use autocratic leadership style. Normally I use autocratic leadership style with Theory X people. McGregor (1957) in Beardwell I. and al (2004) indicate than Theory X people are people that has an inherent dislike of work and are very lazy to work on their own whereas Theory Y people physical and mental effort in work is as natural as play or rest. So I must make use of power to be able to make the Theory X people to work and form part of the group. 3.3 Motivators Hertberg (1950) in Davis, K. (1981) developed a motivational model and called it as two-factor model. It consists of: Maintenance factors: It includes work itself achievement, possibility of growth, responsibility, recognition. Motivational factors: It includes status, peer relations, relations with subordinates, relation with supervisors, quality of supervision, company policy and administration, job security, working conditions, pay, bonus and salaries. Another guru in theories of motivation is Abram Maslow. Maslow A. (1943) came up with a hierarchy of 5 level needs. Maslow A. says that people are motivated according to their needs. As people are always greedy in life, when they achieve physiological needs they will not be motivated by same reward. They will focus on the next level to safety needs and so on. I have undertaken a motivational behavior test (2010) and the results are as follows: (SEE APPENDIX 4) Actually I am a very motivated person. When I start something, I like to finish it for a self satisfaction. I sometimes have a strong drive for completing important tasks, but I will often not be driven if I do not feel the task is important enough. I am somewhat motivated by the possibility of a reward for completing a task. I like the sound of a reward (such as a promotion or winning a bet) but it only moderately helps me to focus on a task and get it done. I am motivated to avoid things that I dont like. 3.4 Myers Briggs type indicator The MBTI was developed by Isabel Briggs-Myers (1897 1979) and her mother Katherine Cook-Briggs. The teambuilding company (2010) says that MBTI is a mean to raise awareness and increase understanding of yourself and others in your team and to value the differences between you. At the end of the workshop you will write a personal action plan which will contribute to you and your teams development. In MBTI there are four polar extremes: Extrovert to Introvert (E to I) Sensation to Intuition (S to N) Thinking to Feeling (T to F) Judging to Perceiving (J to P) I undertaken the Myers Briggs Test and my result is as follows: Myers Briggs Test (2010) Results Extroverted (E) 58.82% Introverted (I) 41.18% Sensing (S) 67.74% Intuitive (N) 32.26% Thinking (T) 62.16% Feeling (F) 37.84% Judging (J) 64.71% Perceiving (P) 35.29% (SEE APPENDIX 5) My type is: ESTJ. This indicates that I am an Extroverted, Sensing, Thinking and judging person in life. Before taking a decision, I will gather as much information needed and think well based on actual figures. This will help to be more successful. In the past I have think well before choosing the management field. Ive chosen management field because business will search continuously for the best businessman to run its business. As I have created my own company and wish to be a very famous businessman in life, I have chosen the management field which will help me in improving my knowledge and experience. 3.5 Johari Window Luft J. et al (1970) in West, R. Turner, L.H. (2008) came up with a model named Johari Window. It helps to understand how known you are to yourself and others. There are four components in the window: Open self / Arena: It includes the behavior known by others and self. Hidden self / Facade: It includes the behavior known by self only. Blind self / Blind spot: It includes the behavior unknown by self and known by others. Unknown self: It includes the behavior neither known by self nor by others. I have taken the Johari window test and the results proven that I am a hidden self and mostly unknown self. It shows that people and I dont know about my behavior. This helps me work effectively in group and help to create a positive and friendly atmosphere. 3.6 Belbins team role Team building (2010) explains that: The team roles identified by Belbin are based on certain patterns of behavior that people exhibit within teams. These patterns of behavior can potentially have an impact on the performance of the team. There are nine team roles in Belbins model: Action Oriented Role: Implementer Turn ideas into action Shaper It is a goal directed person. The shaper dynamic like challenges and is courageous Completer/Finisher This strengths are meticulousness, attention to detail and the ability to meet deadlines. People Skills Oriented Role: Coordinator It enables and facilitates interaction and decision making. Team worker It is a good listener, being collaborative, co-operative, easy going and tactful. Resource Investigator It is an enthusiastic explores. Cerebral/Intellectual Role: Planter Its strength is in problem solving and out-of-the-box thinking. Monitor/Evaluator It is a good judgment and good strategic thinking ability. Specialist It is a single minded person and has a specific skill. I have undertaken the test of 123test (2010) of Belbin team role (2010) and my results are as follows: (SEE APPENDIX 6) The test shows that I have nine team roles are the Executive, Explorer, Innovator, Analyst, Driver, Chairman, Completer, Team player and Expert. 4.0 Conclusion Finally to conclude my PDP, I will prepare a SMART action plan for my future. SMART stands for: S Specific M Measurable A Achievable R Relevant T Timely I want to work either in a European countries or USA for 4- 5 years before going back to my country. The aim behind this is to enhance my knowledge and experience. I also want to do another Masters in accounting. This is because to be able to manage a company well, I will need to understand in dept all the cost and revenue of the company. Moreover, I would like to meet famous and successful businessman in the world and attend some of their talk so as to increase my experience. Based on the different personality test (motivators, leadership style, learning style, Johari window etc) completed, I would like to use the critics to improve myself in the future. Johari window will help me lots in the future because there are personality type in me which I havent develop and seen yet. Leadership style test also will help me. I will become a manager in the future, to be a successful one mean to adapt to situation. I will need to learn more how to use all the types of leadership style. 5.0 References: Essortment (2010) Style of leadership Available from [http://www.essortment.com/all/leadershipstyle_rrnq.htm] [Accessed 28/12/2010] Fleming J. (2001) Leadership Styles in Pritchard, A. (2008). Ways of Learning: Learning theories Learning Styles in the Classroom. 2nd edition. London: David Fulton Publishers. Hertzberg. (1950). Hertzbergs Two factor Model in Davis, K. (1981). Human Behavior at Work Organization Behavior. 6th edition. London: McGrawHill, Inc. Honey and Mumford Learning style in Marchington M. and Wilkinson A. (2008) Human Resource Management at work 4th Edition Devon: Short Run Press Honey and Mumford learning questionnaire (2010) Learning style test Available from [http://www.rapidbi.com/created/learningstyles.html] [Accessed 28/12/2010] Kolb (1985) Learning styles in Mullins, L.J. (2007). Management and organisational behaviour. 8th Edn Harlow: Pearson Education Lewin, K., LIippit, R. and White, R. K. (1939). Patterns of aggressive behavior in experimentally created social climates. Journal of Social Psychology, 10, 271-301 Luft, J. Ingham, H. (1970). The Johari Window in West, R. Turner, L.H. (2008). Understanding Interpersonal Communication: Making Choice in Changing Times. 2nd edition. Boston: Cengage Learning, Inc. Maslow A. (1943) Hierarchy of motivation needs Available from: [http://www.abraham-maslow.com/m_motivation/Hierarchy_of_Needs.asp] [Accessed 30/12/2010] McGregor (1957) Theory X and Y in Beardwell I., Holden L and Claydon T. (2004) Human Resource Management, A contemporary Approach 4th Edn Harlow: Pearson Education Motivational behavior test (2010) Available from: [http://www.learnmyself.com/personality.asp?p=Quick_Testpg=2u=MBx2x557627-29345x59eF5x1] [Accessed 29/12/2010] Myers Briggs Type Indicator test Personality test Available from: [http://sminds.com/cgi-bin/mbti.pl] [Accessed 03/01/2011] Personality Test (2010) Available from: [http://www.learnmyself.com/personality.asp?p=Quick_Testi=PIsh=y] [Accessed 03/01/2011] Quiz Whats you leadership style (2010) Available from: [http://psychology.about.com/library/quiz/bl-leadershipquiz.htm] [Accessed 04/01/2011] Sir Winston Churchill (1965) Failure and Success Quotes Available from: [ http://www.inspirationalspark.com/failure-quotes.html] [Accessed 03/01/2011] Team building (2010) Belbin Team Roles Available from: [http://www.teambuildingportal.com/articles/systems/belbin-team-roles] [Accessed 05/01/2011] The Higher Education Academy (2010) Personal Development Planning Available from: [http://www.heacademy.ac.uk/ourwork/teachingandlearning/pdp] [Accessed 05/01/2011] The teambuilding company (2010) Myers Briggs Type Indicator MBTI Available from: [http://www.teambuilding.co.uk/myers-briggs-mbti-team-theory.html] [Accessed 04/01/2011] Tuckman (1965) in Mullins, L.J. (2007). Management and organisational behaviour. 8th Edition Harlow: Pearson Education VARK test (2010) Learning style test Available from: [http://www.vark-learn.com/english/page.asp?p=questionnaire] [Accessed 28/12/2010] 123test (2010) Belbin team role test (2010) Available from: [ http://www.123test.com/team-roles-test/][Accessed 28/12/2010]

Personal Development Portfolio (PDP) for Education Studies

Friday, October 25, 2019

The Moral Implications of The Pardoner?s Tale and The Nun?s Priest?s T

During the Middle Ages, England was a nation in social chaos. Deception of every kind was rampart throughout the lands. Many people felt that there was a great need for moral improvement in society. In Geoffrey ChaucerÃ¢â‚¬â„¢s The Canterbury Tales he clearly brings to light his thoughts and concerns of Ã¢â‚¬Å"ethical cleansing.Ã¢â‚¬ No tale more fully expresses this idea than that of Ã¢â‚¬Å"The PardonerÃ¢â‚¬â„¢s TaleÃ¢â‚¬ and Ã¢â‚¬Å"The NunÃ¢â‚¬â„¢s PriestÃ¢â‚¬â„¢s Tale.Ã¢â‚¬ Ã¢â‚¬Å"The PardonerÃ¢â‚¬â„¢s TaleÃ¢â‚¬ suggests a profile of the Pardoner as a moral man, a man of God. The narrator is viewed as a wise, gentle, and truthful man who wants to share his story in a respectful tone. His story reveals his message, which is that greed leads to destruction and the corruption of all things good. The Pardoner appears to have beliefs that are consistent with the moral of the story. As he describes the journey of the three riders, he recognizes the evils of being greedy. Ã¢â‚¬Å"For it was utterly the manÃ¢â‚¬â„¢s intent/ To kill them both and never to repentÃ¢â‚¬ (255). He is perceived as a holy man who values truth and honesty. His tale describes the downfall in manÃ¢â‚¬â„¢s pride and arrogance. This is demonstrated through the irony of the three riders as they seek Death, whom they find when they plot against each other for selfish reasons and kill one another. Ã¢â‚¬Å"They fell on him and slew him, two to oneÃ¢â‚¬ ¦He took a bottle full of poison up/ And drank and his companion drank from it also and they both perishedÃ¢â‚¬ (256). The PardonerÃ¢â‚¬â„¢s prologue, however, reveals a man dedicated... The Moral Implications of The Pardoner?s Tale and The Nun?s Priest?s T During the Middle Ages, England was a nation in social chaos. Deception of every kind was rampart throughout the lands. Many people felt that there was a great need for moral improvement in society. In Geoffrey ChaucerÃ¢â‚¬â„¢s The Canterbury Tales he clearly brings to light his thoughts and concerns of Ã¢â‚¬Å"ethical cleansing.Ã¢â‚¬ No tale more fully expresses this idea than that of Ã¢â‚¬Å"The PardonerÃ¢â‚¬â„¢s TaleÃ¢â‚¬ and Ã¢â‚¬Å"The NunÃ¢â‚¬â„¢s PriestÃ¢â‚¬â„¢s Tale.Ã¢â‚¬ Ã¢â‚¬Å"The PardonerÃ¢â‚¬â„¢s TaleÃ¢â‚¬ suggests a profile of the Pardoner as a moral man, a man of God. The narrator is viewed as a wise, gentle, and truthful man who wants to share his story in a respectful tone. His story reveals his message, which is that greed leads to destruction and the corruption of all things good. The Pardoner appears to have beliefs that are consistent with the moral of the story. As he describes the journey of the three riders, he recognizes the evils of being greedy. Ã¢â‚¬Å"For it was utterly the manÃ¢â‚¬â„¢s intent/ To kill them both and never to repentÃ¢â‚¬ (255). He is perceived as a holy man who values truth and honesty. His tale describes the downfall in manÃ¢â‚¬â„¢s pride and arrogance. This is demonstrated through the irony of the three riders as they seek Death, whom they find when they plot against each other for selfish reasons and kill one another. Ã¢â‚¬Å"They fell on him and slew him, two to oneÃ¢â‚¬ ¦He took a bottle full of poison up/ And drank and his companion drank from it also and they both perishedÃ¢â‚¬ (256). The PardonerÃ¢â‚¬â„¢s prologue, however, reveals a man dedicated...

Thursday, October 24, 2019

Stroke In Symptomatic Carotid Stenosis Health And Social Care Essay

Purpose- The intent of this reappraisal is to look at the consequence of timing of the surgery on the hazard decrease from undergoing the process in patients that have diagnostic carotid stricture and have suffered old transeunt ischemic onslaughts or acute shots. What will be reviewed are the chief randomised control tests carried out in recent old ages and the guidelines obtained from such tests. The tests being the North American Symptomatic Carotid Endarterectomy Trial ( NASCET ) ( 2 ) the European Carotid Surgery Trial ( ECST ) ( 1 ) and a Population based survey of holds in Carotid imagination and surgery and the hazard of recurrent shot, ( the Oxfordshire survey ) ( 3 ) . Search methods- The writer used the University of Liverpool and Lancaster University library services to carry on the hunts every bit good as the universe broad web. Database hunts were conducted utilizing MEDLINE, PUBMED, Web of Science and OvidS. Cardinal words: shot, TIA, carotid endarterectomy, hazard, carotid stricture, timing, surgery, earlyConsequences:Decisions:IntroductionAn estimated 150,000 people have a shot with over 67,000 deceases attributed to stroke each twelvemonth in the UK. It is the 3rd most common cause of decease in England and Wales and histories for 9 per cent of all deceases in work forces and 13 per cent of deceases in adult females in the UK. It causes greater disablement than other chronic diseases and there are an estimated 300,000 people populating with moderate to terrible disablements due to shots. ( 4 ) In England shots cost the economic system & A ; lb ; 7bn. This includes NHS costs, station shot attention costs and cost due to loss of productiveness and disablement ( 4 ) . A shot can be defined as either ischemic or haemorrhagic. Both cause a break in the blood supply to the encephalon and rapid development of loss of encephalon map either due to spliting of a blood vas or as in the instance of carotid arteria disease the blocking of a vas either due to plaque formation or thrombus formation. Ischaemic strokes history for 70 % of all shots. ( 5 ) Ischaemia is the deficiency of O and glucose to the tissues and so the eventual decease of the tissue. The location of the ischaemia and the loss of encephalon map can be determined by the attendant effects such as hemiparesis or unilateral paralysis, the inability to organize or understand address and the loss of ocular Fieldss typically amaurosis fugax ( a transient monocular ocular loss ) . A transeunt ischaemic onslaught ( TIA ) is frequently referred to as a mini shot and is the consequence of break of blood flow temporarily to a portion of the encephalon ( 5 ) . This impermanent break of blood flow consequences in brief neurologic disfunction that persists for less than 24 hours. If the symptoms last for longer than 24 hours it is classed as a shot. Ischaemic shots and TIA are on occasion treated with thrombolysis, the pharmacological dislocation of coagulums, physical therapy, address and linguistic communication therapy and occupational therapy. For patients shown to hold carotid artery stricture surgery is besides an option. Carotid endarterectomy ( CEA ) is a surgical process performed to forestall shots in patients who suffer from carotid arteria disease. Patients may hold diagnostic or symptomless carotid arterial stricture which is contracting of an arteria in this instance the common carotid arteria ( CCA ) . The stricture is caused by coronary artery disease and plaque formation on the interior of the arteria ( 6, 7 ) . The plaque formation normally occurs at the bifurcation of the CCA and this so causes narrowing of the lms and/or the release of emboli in to the circulation which can so come in the internal carotid arteria and so the encephalon. This can so do a transeunt ischemic onslaught or a shot. The grade of stricture of the CCA determines how high the hazard is for such an event. Patients who have suffered a TIA should be to the full assessed utilizing the ABCD2 mark to find the hazard of farther shot and should besides undergo encephalon imagination ( 8 ) . Patients with an ABCD2 mark of 4 or more and where the vascular pathology is diffident so the encephalon imagination should be carried out within 24 hours of oncoming of symptoms. Those with an ABCD2 mark of less than 4 where the vascular pathology is diffident are classed as lower hazard of farther shot and should guarantee they undergo encephalon imagination with in 1 hebdomad of the oncoming of symptoms. The ABCD2 mark is a validated tool to measure farther shot hazard in patients with TIA, based on age, blood force per unit area, clinical characteristics such as failing, diabetes, and symptom continuance. Patients believed to hold suffered an acute shot should hold encephalon imaging done within 1 hr or Oklahoman where possible if there is an indicant for thrombolysis or if they fulfil other standards set out by the guideline development group ( GDG ) , ( 9 ) . Patients who have suffered a non-disabling shot or a TIA may be appropriate for carotid endarterectomy. Campaigners who are appropriate for carotid endarterectomy should undergo specialist appraisal and imagination of their carotid arterias within a hebdomad of the oncoming of symptoms.Literature hunt and methodThe writer used the University of Liverpool and Lancaster University library services to carry on the hunts every bit good as the universe broad web. Database hunts were conducted utilizing MEDLINE, PUBMED, Web of Science and OvidS. Key words and footings searched included shot, TIA, carotid endarterectomy, hazard, carotid stricture, timing, surgery, early. From the hunt articles were identified by ab initio seeking the term Ã¢â‚¬Ëœcarotid endarterectomy Ã¢â‚¬Ëœ which gave 3425 articles. This hunt was so narrowed down by adding in the term Ã¢â‚¬Ëœtiming Ã¢â‚¬Ëœ which narrowed the hunt to merely 17 articles. From analyzing the abstracts of the 17 articles 5 were chosen for their relevancy to the rubric inquiry, day of the month and surveies carried out. I chose these articles to reexamine because they all included informations collected sing the timing of carotid endarterectomy performed after patients suffered diagnostic carotid stricture in the signifier of a non-disabling shot or TIA. The surveies chosen are ; Urgency of Carotid Endarterectomy for Secondary Stroke Prevention: Consequences From the Registry of the Canadian Stroke Network ( Study 1 ) ( 10 ) , Population-based Study of Delays in Carotid Imaging and Surgery and the Hazard of Recurrent Stroke ( Study 2 ) ( 3 ) , European Carotid Surgery Trialists Ã¢â‚¬Ëœ Collaborative Group. Randomised test of endarterectomy for late diagnostic carotid stricture: concluding consequences of the MRC European Carotid Surgery Trial ( ECST ) ( Study 3 ) ( 1 ) , Timing of Carotid Endarterectomy in Patients with Recent Stroke ( Study 4 ) ( 11 ) , and Endarterectomy for Symptomatic Carotid Stenosis in Relation to Clinical Subgroups and Timing of Surgery ( Study 5 ) ( 12 ) .Literature ReviewStudy 1This survey identified patients from 12 shot Centres in Canada between 2003 and 2006. The cohort was retrospectively assembled from the patients in the register who had undergone CEA within 6 months of enduring a diagnostic event, des cribed as a TIA or an acute ischemic shot. Patients were excluded from the survey who had suffered optic events or posterior circulation events. It besides restricted its cohort to diagnostic patients by merely including patients with known diagnostic stricture contralateral to the symptoms or ipsilateral to the country noted on neuroimaging. This was to except patients operated on for symptomless stricture. This survey showed that of all the ischemic shots and TIAs on their register that met the standards, 10213, 6270, ( 61.4 % ) received imaging and of this 1011 ( 16.1 % ) were found to hold diagnostic carotid stricture of 50-99 % . Of these patients 177 ( 17.5 % ) underwent CEA within 6 months and excepting those patients with bilateral stricture left 105 patients for the survey. 80 % of the 105 of these had terrible stricture of 70-99 % and 20 % had moderate stricture of 50-69 % . Patients were shown to go to the exigency section in a average clip of 6.7 hours of the oncoming of symptoms ( interquartile scope 1.2-31.7 ) with 71 % geting within 24hours. Of the 105 patients 38 underwent surgery within 2 hebdomads, 53 within 1 month and the staying 26 3months or subsequently. The survey showed that the patients undergoing surgery within 2 hebdomads improved significantly over the survey period Ã¢â‚¬â€œ 18.2 % in 2003, 25 % in 2004, 45.5 % in 2005 and 44.8 % in 2006.Study 2

Wednesday, October 23, 2019

Bite Me: A Love Story Chapter 16

16. Being the Chronicles of Abby Normal, Nosferatu Well, that was dramatic. Ronnie is all crying and cowering in the other room because I drank a little of her blood. Fuck's sakes, you mopey emo-toy, cowboy the fuck up, you have quarts! What did she expect, she got to kill me, that's not free? I'm not like some easy death slut who lets you kill her for nothing, I am nosferatu, bee-yotch. That shit has a price. Her blood totally tastes like zit cream, too. I almost hurled. I know, trs cool, non? So, now that I am a dark and beautiful creature of unspeakable evil, I think I'm going to start a pay-subscription blog. Except I can only, like, advertise darkness and unspeakable evil, because I'm totally starting from the beginning on the beauty. First, all my tattoos are totally gone. Gone! Like wiped off. After I succumbed to the dark gift by taking a whole bottle of the Motherbot's sleeping pills, Ronnie hid me under a pile of blankets and stuffed animals in her room, and when I awoke at sundown and crawled from my sepulcher of Carebears and Muppets and whatnot, all my tats totally wiped off. Like the ink was pushed out on top of my skin. Now Ronnie has an Epileptic Elmo with more of my ink on him than I have. And my piercings healed up. My bars and rings are all in the carpet. Boobs? Still pathetic. I had so hoped to swoop down on Foo and totally flash my awesome vampyre cleavage on him. You know, like put on a bustier and really squish the girls out the top, then be all: BAM! Ã¢â‚¬Å"Check it out, Foo. Cower before killer dcolletage, and beg me to let you rub your handsome ninja face on it.Ã¢â‚¬ But no! Now he'll be all, Ã¢â‚¬Å"Oh, it looks like you dropped a couple of dimes down your shirt, vamp child. Can I help you with those?Ã¢â‚¬ So I suffer. And you can't get implants. I saw what happens when the Animals' blue hooker turned vampyre. You wake up and your implants are on the floor and you're all, Ã¢â‚¬Å"Hey, I blew like a hundred strangers to get those.Ã¢â‚¬ I'm only estimating. I'm sure the number of strangers will vary depending on prevailing suck and surgical rates in your area. (You acquire arcane medical knowledge when your mother is a nurse.) You can't have stuff removed either, you know, if that might be needed. Even my makeup is ruined from where Ronnie tried to smother me with a pillow, so that's going to take like an hour to fix. I had heard that sometimes even when you overdose on a whole butt-load of drugs, you don't always die because your heart won't stop, which is why you're supposed to put your head in a plastic bag. But I didn't want to because I had done Cleopatra eye makeup that was trs elegant so I would look hawt for my resurrection. So Ronnie was supposed to put her hand over my mouth and nose, just until I stopped breathing, then like fix my lipstick if it smeared. Because otherwise I'd be all girlfriend in a coma for weeks while the Motherbot whined about how she couldn't unplug me because of her guilt for treating me like an assbag and how she had never appreciated my dark complexity and inner beauty and whatnot, and I have too much shit to do for that. But Ronnie didn't even wait for me to pass out. I had just taken the pills with some Sunny D (because the nosferatu love us some irony), and I laid down on the floor like we had planned, so Ronnie could just roll my body under the bed to hide me from the deadly rays of the sun and Mom. So I'm grieving for the loss of my mortality and whatnot, when Ronnie, like, just throws a pillow on my face and sits on it. And I'm all, Ã¢â‚¬Å"Wait, wait, mmphff, mmphf.Ã¢â‚¬ And then she burned one-right in my face-one of those foul, vegan farts-because she's been a vegan ever since she had head lice and we shaved her head. (I don't know why. Something about garlic and parasites. She's insane.) Ã¢â‚¬ËœKayso, I decided that I could wait to receive the dark gift, and that Ronnie would have to die as soon as I got her off me. So she, like, burns another one! And she's skinnier than me. I don't know how she could even have it in her. And she's laughing so hard that she falls off of me and I make my move. Ã¢â‚¬ËœKayso, I'm chasing her around the house, going, Ã¢â‚¬Å"I'm going to peel off your skin and make it into boots and step in dog shit with them,Ã¢â‚¬ and other basic super-villain threats, and then things got all wiggly and the last thing I remember is I walked into the sliding glass doors to the balcony and kind of bounced off. And so tragically, I died young, and no one was there to grieve for me or shed tears for me or kiss my cold, lifeless lips and whatnot. But now I'm undead awesome. I think with practice, I will make a super, super-villain, and really, I'm okay with that, because there won't be any student loans like there would have been with my other career choice of tragic romantic poet. Ã¢â‚¬ËœKayso, now I must fix my makeup and pick an ensem and then wander the lonely night, searching for the Countess and the vampyre Flood, and maybe drop by the love lair to totally overwhelm Foo with my haunting and eternal but still small-chested beauty. Kthxbye. Being immortal rocks! I can type like demon speed! Fear me! L8z. THE EMPEROR The Emperor and the men shared a submarine sandwich on a bench by Pier Nine in the bright noonday sun as they watched a dark knife of a yacht glide into dock. She was just short of the length of a football field, all black, with stainless-steel trim-what the Emperor imagined a star-ship might look like if it were driven by sails. The sails on her three stainless-steel masts were mechanically furled into black carbon fiber shrouds, and the curved windows of her cockpit and cabin were blacked out. There were no crewmen on the deck. In all his years on and around the sea, the Emperor had never seen anything like it. Bummer flattened his ears and growled. Ã¢â‚¬Å"Easy, little one, it's only a sailing ship, and a beautiful one at that,Ã¢â‚¬ said the Emperor, although he thought it quite strange that there was no crew on deck to secure the mooring lines. A ship of that size, and more important, of that expense, would usually have half a dozen or more tying her up, but once parallel with the dock, attitude jets along the sides opened in the hull and gently pushed her into the dock. Jets on the far side pushed back so she stopped within six inches and hovered there, the jets firing just as needed to keep her from drifting. Three hundred feet of steel and carbon fiber, probably over twelve hundred tons, parked as easily and somewhat more smoothly than a Mini Cooper at a strip mall. Bummer ran to the edge of the breakwater and let loose with machine-gun volley of yapping, which translated, Ã¢â‚¬Å"Bad boat, bad boat, bad boat, bad boat.Ã¢â‚¬ A barking fit from his bug-eyed companion was nothing out of the ordinary, and normally the Emperor would have let it pass with a calming word, but there was still half a submarine sandwich to be eaten, and something had to be very much amiss for Bummer to leave the scene of a sandwich. Now Lazarus sniffed the chill wind coming off the Bay and whimpered, and tossed his head, then looked back at the Emperor, which translated from dog to, Ã¢â‚¬Å"Smells undead, boss.Ã¢â‚¬ The Emperor didn't understand what his companions were saying to him, but he suspected. He just wasn't ready to hear it. It had only been a few hours since the two police inspectors had dropped him off at the St. Francis Yacht Club, where the members allowed him and the men the use of the outer showers, and one of the members had purchased this lovely sandwich and presented it to them in thanks for their service to the City. Only an hour since he'd actually managed to straighten his neck out, after spending the better part of a night upside-down in a barrel. And only now, after a walk along the waterfront and a good meal, was the pain in his knees and shoulders starting to subside. He wasn't ready to go back into battle. Ã¢â‚¬Å"I am a selfish old man,Ã¢â‚¬ he said to the men. Ã¢â‚¬Å"A coward, worried for my own comfort, when my people are threatened. I am afraid.Ã¢â‚¬ But even as he said it, he was rising on his creaky knees, pushing himself up on the walking stick he'd retrieved only this morning from the Yacht Club, where he'd left it for safekeeping. The handle was carved out of ivory into the shape of a polar bear, and it fit the Emperor's hand like it had been made for him, although it had been a gift from a nice young man named Asher, who owned the secondhand store in North Beach, but that's another story. He wished there had been a blade in it, like the cane young Asher carried. Alas, he would have to face the black ship with only a stick, a sandwich, and his intrepid furry companions. He puffed himself blowfish style and headed up the dock, Bummer and Lazarus following along behind him, ears lowered, trailing a two-part growling harmony. A few people had gathered along the fence at the breakwater, and were pointing to the great ship. It wasn't so unusual that one might bring his day to a full halt, but if you were in the middle of a run or a brisk walk and needed a reason for a pause, the black ship would certainly fire the imagination long enough for you to catch your breath. Once at the ship, the Emperor was unsure of what to do. There was really no reason beyond Bummer's behavior to justify boarding her. And this ship was not of his city, therefore he could not claim dominion over it. He could hear the attitude jets firing just under the water, sporadically, to keep the ship in place. It was only a step, albeit a long step, and he'd be standing on the deck at her prow. Perhaps, having made the leap, a further course of action would occur to him. He backed up on the dock to take a run at it, or as much of a run as his advanced age and boiler-tank bulk would allow him, but as he announced Ã¢â‚¬Å"twoÃ¢â‚¬ on his count-down to launch, a tanned face surrounded by a tangle of blond dreadlocks popped up over the rail of the cockpit and a young man called, Ã¢â‚¬Å"Irie, mi crusty uncle, bringing us the jammin' grinds, yeah? I and I tanks ye colossal, but please to be waiting on the dock.Ã¢â‚¬ And the Emperor stopped. Bummer and Lazarus even stopped growling and sat and turned their heads in the manner of a doggie listening for a Ã¢â‚¬Å"foodÃ¢â‚¬ word amid a recitation of The Iliad. The young man vaulted over the black cowling of the cockpit and landed on the lower deck, his bare feet barely making a thump. He was lean and muscular, tanned a caf au lait color, with a tattoo of a humpback whale on his right pectoral muscle. He wore board shorts, despite the chill Bay air, a gold ring in his nose, and a series of them chasing down the rim of each ear. His dreadlocks fanned out around his head and shoulders as if they might be sun serpents looking for a way to escape. He leapt the gap to the dock, dazzled a blindingly white grin, and snatched the remains of the sandwich out of the Emperor's hand. Ã¢â‚¬Å"Ah, Jah's love on ye, Uncle, bringing de rippin' grinds to I'n'I after so long at sea.Ã¢â‚¬ Bummer barked and growled. The Rasta-blond had their sandwich. Ã¢â‚¬Å"Ah, me doggie, dreadies,Ã¢â‚¬ said the Rasta. Ã¢â‚¬Å"Jah's blessings on ye.Ã¢â‚¬ He knelt and scratched Bummer behind the ears. The stranger smelled of coconut oil, weed, and the undead, and Bummer was going to bite him as soon as he was finished having his ears scratched. Ã¢â‚¬Å"I'n'I be Pelekekona Keohokalole. Call him Kona, for short. Pirate Captain and lion of the briny science, don't cha know?Ã¢â‚¬ Ã¢â‚¬Å"I am the Emperor of San Francisco, protector of Alcatraz, Sausalito, and Treasure Island,Ã¢â‚¬ said the Emperor, who couldn't bring himself to be impolite to the smiling stranger, despite the black ship. Ã¢â‚¬Å"Welcome to my city.Ã¢â‚¬ Ã¢â‚¬Å"Ah, many tanks, Bruddah. Much respek on you, yeah? But you can't be going on that Raven ship, no. She kill you, brah. Automatic-kine kill. Dead, dead, too. Not walkin' around dead like them below.Ã¢â‚¬ Ã¢â‚¬Å"It goes without saying,Ã¢â‚¬ said the Emperor. FOO DOG The rats had been up and moving for about an hour when Foo heard the key in the front door. He put the soldering iron he was using in the wire holder and was turning toward the door when she was on him. He felt his vertebrae crack as her legs wrapped around him and he went over backward. Something caught the back of his head and something wet and coppery was shoved into his mouth: tongue. Panic vibrated through him and he felt he might suffocate, but then the smell: a mix of sandalwood perfume, clove cigarettes, and caff latte. Amid the panic, he'd sprung a first-rate erection, which he thrust against his attacker in defense. She pushed away and twisted up a handful of his shirt-front as he gasped for breath. Ã¢â‚¬Å"Rawr!Ã¢â‚¬ she rawred. Ã¢â‚¬Å"I missed you,Ã¢â‚¬ said Foo. Ã¢â‚¬Å"Your suffering has only begun,Ã¢â‚¬ Abby said. She wore a red tartan miniskirt over a black leotard with a low swooping neckline, a spiked dog collar, and her lime-green Converse Chuck Taylors, which she sometimes referred to as her Ã¢â‚¬Å"forbidden love ChucksÃ¢â‚¬ for no reason that he could ever figure out. Ã¢â‚¬Å"You're kind of crushing my ribs.Ã¢â‚¬ Ã¢â‚¬Å"That is because I am nosssssss-feratu and my powers are legion and stuff! Trs cool, huh?Ã¢â‚¬ Foo realized then that she had actually done it-she had somehow managed to change herself into a vampire. Her nose, eyebrow, and lip rings were gone, the piercings healed. The spider tattoo on her neck was gone as well. Ã¢â‚¬Å"How?Ã¢â‚¬ he asked, immediately trying to calculate her odds of survival. He'd talked to her yesterday on the phone and he was sure she would have mentioned the transition if she'd made it already, so she was in her first twenty-four hours. She might still be one of the ones who went insane and self-destructed, and even though Abby was short neither on insanity or self-destruction, it didn't mean he shouldn't try to save her. She kissed him again, hard, and as nice as it felt, he was hyper aware of whether she had broken the skin on his lips, or hers. So far, so good. She pushed him back, but then caught the back of his head again so it didn't bang the floor. She actually seemed a little more considerate now that she was dead, although not that much quieter. Ã¢â‚¬Å"Be patient, my love ninja, I will use you like the delicious manga-haired man-whore that you are, but first we have to try out my powers. Let some of the rats out of their cages and I will command them with my vampire psychic thoughts. I'll see if I can get them to clean the kitchen.Ã¢â‚¬ Okay, maybe they weren't out of the insanity woods quite yet, Foo thought. He said, Ã¢â‚¬Å"Yes, and then we'll see if we can get bluebirds to tie a ribbon in your hair.Ã¢â‚¬ Ã¢â‚¬Å"Snark not, Foo! You must obey me! I am the Countess Abigail Von Normal, queen bitch of the night, and you are my groveling sex slave!Ã¢â‚¬ Ã¢â‚¬Å"Are you a countess or a queen? You said both.Ã¢â‚¬ Ã¢â‚¬Å"Shut up, grommet, before I suck you dry!Ã¢â‚¬ Ã¢â‚¬Å"Okay,Ã¢â‚¬ said Foo. A wise man picks his battles. Ã¢â‚¬Å"Not that way, Foo. I mean that I will dominate you and you will do my bidding!Ã¢â‚¬ Ã¢â‚¬Å"Which will be different from any other day, how?Ã¢â‚¬ Ã¢â‚¬Å"Cease your banality and nerdardious questions, Foo. You are totally harshing my heady power over the night.Ã¢â‚¬ Ã¢â‚¬Å"It sounds like you bought a flashlight.Ã¢â‚¬ Ã¢â‚¬Å"That's it. I am going to beat your ninja ass.Ã¢â‚¬ She leapt off of him and made the Ã¢â‚¬Å"crouching tiger, rip your heart outÃ¢â‚¬ kung-fu posture that everyone who has seen a martial arts movie knows. Ã¢â‚¬Å"Wait! Wait! Wait!Ã¢â‚¬ Ã¢â‚¬Å"Ã¢â‚¬ËœKay,Ã¢â‚¬ said Abby, relaxing to the much less dangerous Ã¢â‚¬Å"slouching tiger chillin' with a bag of CheetosÃ¢â‚¬ stance, which is known by all who have ever snacked. Ã¢â‚¬Å"You need to feed, get your strength up first,Ã¢â‚¬ said Foo. Ã¢â‚¬Å"You're a vampire noob. You need to grow into your powers.Ã¢â‚¬ Ã¢â‚¬Å"Ha,Ã¢â‚¬ said Abby. Ã¢â‚¬Å"You speak like a mortal who can't possibly grasp the depth of the dark gift. I jumped over a car on the way here. And I totally ran faster than the F train. My Chucks are still warm with residual speediness. Go ahead, feel them. Lick them, if you must. Even now I can see this aura thing around you, which is like bright pink, and doesn't go with your fly hair and manly bulge.Ã¢â‚¬ Foo looked down. Yes, his bulge was betraying him. He said, Ã¢â‚¬Å"You should take it slow, Abby.Ã¢â‚¬ Ã¢â‚¬Å"Oh yeah, watch this!Ã¢â‚¬ In an instant she was across the loft at the kitchen counter, and in another instant she had shot back across the living room and hit the plywood covering the windows. There was nothing Foo could do. She might have lifted the couch, leapt up fifteen feet, and grabbed the open ceiling beams, or even turned to mist, if she'd figured out how to do that, but what she had decided to do to show her powers was blast through the quarter-inch plywood and land catlike on the street below. And that would have been badass, to be sure. What Abby didn't know was that while she'd been gone, the window guy had called, and he wouldn't be able to come out to fix the windows for two weeks, so Foo had replaced the quarter-inch plywood with three-quarter-inch plywood, and instead of it just being tacked at the corners with small nails, he had screwed it down with stainless-steel screws, so as not to leave any vapor gaps for the rats to make an escape. Foo cringed and covered his eyes. She was fast, and preternaturally strong, but ninety pounds of vampire is still only ninety pounds. Did she hit the plywood Wile E. Coyote style, then slide down? Wah-wah-wah. Oh no. She hit the plywood, which bent precipitously, then splintered a bit before springing back and rocketing her all the way across the loft to the back wall, and there, she made a petite Goth girl impression in the sheet rock before falling forward, flat on her face, and saying, Ã¢â‚¬Å"Fucksocks,Ã¢â‚¬ into the rug. Ã¢â‚¬Å"You okay?Ã¢â‚¬ asked Foo. Ã¢â‚¬Å"Broken,Ã¢â‚¬ said Abby into the rug. He knelt over her, afraid to turn her head to see what damage she might have done. Ã¢â‚¬Å"What's broken?Ã¢â‚¬ Ã¢â‚¬Å"Everything.Ã¢â‚¬ Ã¢â‚¬Å"I'll get you some blood out of the fridge. You should heal pretty fast.Ã¢â‚¬ Ã¢â‚¬Å"Ã¢â‚¬ËœKay,Ã¢â‚¬ said Abby, still face-down, not having moved since the initial impact. Ã¢â‚¬Å"Don't look at me, okay?Ã¢â‚¬ Ã¢â‚¬Å"No way,Ã¢â‚¬ said Foo, already in the kitchen. He took one of the plastic pouches of blood from the fridge and worked it back and forth. Ã¢â‚¬Å"Just a second. Don't move, Abs, you might have broken bones.Ã¢â‚¬ He quick-stepped into the bedroom, grabbed a capped syringe off the cabinet where he kept the chemicals, flipped off the cap, and injected the sedative into the bag. Ã¢â‚¬Å"Here you go, baby. Just drink this and you'll be fine.Ã¢â‚¬ Ten minutes later he heard someone coming up the stairs and realized that Abby had forgotten to lock the door. Jared bounded into the loft, stopped when he saw Foo kneeling over the prostrate Abby, who had a sizable pool of blood around her head, and began screaming. Ã¢â‚¬Å"Stop screaming!Ã¢â‚¬ barked Foo. Ã¢â‚¬Å"It's not her blood.Ã¢â‚¬ Jared stopped screaming. Ã¢â‚¬Å"What did you do to her?Ã¢â‚¬ Ã¢â‚¬Å"Nothing, she's fine. Would you move the maze off the bed and help me get her in there?Ã¢â‚¬ Sometime during the debacle, Abby's skirt had flipped up and Jared pointed at an oblong lump that ran across her bottom and partly down her leg under the black leotard. Ã¢â‚¬Å"What's that? Did she poop herself?Ã¢â‚¬ Ã¢â‚¬Å"No,Ã¢â‚¬ said Foo, wishing he didn't know what it was, but he had already checked for himself. Ã¢â‚¬Å"It's a tail.Ã¢â‚¬ Ã¢â‚¬Å"Whoa. Weird.Ã¢â‚¬ Ã¢â‚¬Å"Yeah,Ã¢â‚¬ said Foo.

Tuesday, October 22, 2019

Free Essays on The Electoral College

A major conflict concerning the electoral college lingers in America. The Constitutional Convention created the college in 1789 in hopes that it would be an adequate system (MacBride 29). The electoral college consists of senators and representatives who cast their votes for the state they represent. Those who feel that the college should remain as it is believe that the American people are too uninformed about election issues to vote. The argument for the modification of the college maintains that the people are not actually electing the president, but the larger states are. Ultimately, the majority of the United States citizens support the elimination of an electoral college that serves no purpose in the government. The argument in favor of the continuation of the electoral college holds that it represents an effective institution. First, the format of the college demonstrates its validity. The amount of electoral votes awarded to each state, extremely critical in elections, remains decided by the number of senators and representatives in Congress (Polsby 45). Many politicians find the existing system extremely efficient because they feel the electors well represent their constituents (Best 52). In addition, the electoral collegeÃ¢â‚¬â„¢s ability to efficiently serve its purpose provides a reason for its long existence. Ã¢â‚¬Å"An electoral system should produce a definite, accepted winner and avoid prolonged contests and disputes that create uncertainty and public turmoilÃ¢â‚¬ (Best 210). Moreover, never in the history of the electoral college has a controversy developed in which the college rejected Ã¢â‚¬Å"an individual who had an undisputed majority of the popular voteÃ¢â‚¬ (Best 52). Most importantly, those who agree with preserving the electoral college believe that election by popular vote, the alternative to the college, would create numerous deficiencies in the system. Election by direct popular vote would be Ã¢â‚¬Å"hazard... Free Essays on The Electoral College Free Essays on The Electoral College A major conflict concerning the electoral college lingers in America. The Constitutional Convention created the college in 1789 in hopes that it would be an adequate system (MacBride 29). The electoral college consists of senators and representatives who cast their votes for the state they represent. Those who feel that the college should remain as it is believe that the American people are too uninformed about election issues to vote. The argument for the modification of the college maintains that the people are not actually electing the president, but the larger states are. Ultimately, the majority of the United States citizens support the elimination of an electoral college that serves no purpose in the government. The argument in favor of the continuation of the electoral college holds that it represents an effective institution. First, the format of the college demonstrates its validity. The amount of electoral votes awarded to each state, extremely critical in elections, remains decided by the number of senators and representatives in Congress (Polsby 45). Many politicians find the existing system extremely efficient because they feel the electors well represent their constituents (Best 52). In addition, the electoral collegeÃ¢â‚¬â„¢s ability to efficiently serve its purpose provides a reason for its long existence. Ã¢â‚¬Å"An electoral system should produce a definite, accepted winner and avoid prolonged contests and disputes that create uncertainty and public turmoilÃ¢â‚¬ (Best 210). Moreover, never in the history of the electoral college has a controversy developed in which the college rejected Ã¢â‚¬Å"an individual who had an undisputed majority of the popular voteÃ¢â‚¬ (Best 52). Most importantly, those who agree with preserving the electoral college believe that election by popular vote, the alternative to the college, would create numerous deficiencies in the system. Election by direct popular vote would be Ã¢â‚¬Å"hazard...

Monday, October 21, 2019

Telemedicine essays

Telemedicine essays Telemedicine is the use of electronic communication and information technologies to provide health care when distance separates the medical professional from the patient. It includes using equipment such as telephones, fax machines or computers and interactive multimedia. Telemedicine transports medical information through telecommunication links, PCs, imaging equipment and specialized audio and video for the treatment and diagnosis of patients. It has the ability to improve health care over far and distant locations and reduce expenses. Telecommunication has been around for hundreds of years. However the exact time and date of when telecommunication use began in health care is not known. In spite of this, when telephones were invented physicians were amongst the first to adopt them. Einthoven, as well, who was the developer of the electrocardiogram, transmitted heart tracings through telephone lines from a hospital to his laboratory. He stated that he could foresee a drop in a patients heartbeat before the patients physician was aware of what happened. Telephones have been around for many years in the medical community and are still in use because of its simplicity and availability. Radio communication is also been around for a while and is mostly used in ships and boats which are in remote areas, to transfer medical information back and forth. It is said that telemedicine can date back to the 1950s when a two-way, closed circuit, microwave television psychiatric consultation between Nebraska Psychiatric Institute and a state mental hospital. The physician evaluated many patients and did group therapy over a distance. Later in the 1960s, a project was done in Massachusetts General Hospital and emergency departments at the airports where an interactive television microwave link was created between the two. The network included an electro-cardiograph, stethoscope and voice transmission abil...

Sunday, October 20, 2019

3 Major Ways Slaves Showed Resistance to Slavery

3 Major Ways Slaves Showed Resistance to Slavery Slaves in the United States used a number of measures to show resistance to slavery. These methods arose after the first slaves arrived in North America in 1619. Slavery created an economic system that persisted until 1865 when the Thirteenth Amendment abolished the practice. But before slavery was abolished, slaves had three available methods to resist slavery: they could rebel against slaveholders, they could run away, or they could perform small, daily acts of resistance, such as slowing down work. Rebellions The Stono Rebellion in 1739, Gabriel Prossers conspiracy in 1800, Denmark Veseys plot in 1822, and Nat Turners Rebellion in 1831 are the most prominent slave revolts in American history. But only the Stono Rebellion and Nat Turners Rebellion achieved any success. White Southerners managed to derail the other planned rebellions before any attack could take place. Many slave owners in the United States became anxious in the wake of the successful slave revolt in Saint-Domingue (now known as Haiti), whichÃ‚ brought independenceÃ‚ to theÃ‚ colonyÃ‚ in 1804 after years of conflict with French, Spanish, and British military expeditions.Ã‚ Slaves in the American colonies (later the United States), knew that mounting a rebellion was extremely difficult. Whites greatly outnumbered slaves. And even in states like South Carolina, where whites made up only 47 percent of theÃ‚ population by 1810, slaves could not take on whites armed with guns.Ã‚ Importing Africans to the United States to be sold into slavery ended in 1808. Slave owners had to rely on a natural increase in the slave population to increase their labor force. This meant breeding slaves, and many slaves feared that their children, siblings, and other relatives would suffer the consequences if they rebelled.Ã‚ Runaway Slaves Running away was another form of resistance. Slaves who ran away most often did so for a short period of time. These runaway slaves might hide in a nearby forest or visit a relative or spouse on another plantation. They did so to escape a harsh punishment that had been threatened, to obtain relief from a heavy workload, or just to escape the drudgery of everyday life under slavery. Others were able to run away and escape slavery permanently. Some escaped and hid, forming Maroon communities in nearby forests and swamps. When northern states began to abolish slavery after the Revolutionary War, the north came to symbolize freedom for many slaves, who spread the word that following the North Star could lead to freedom. Sometimes, these instructions were even spread musically, hidden in the words of spirituals. For instance, the spiritual Follow the Drinking Gourd made reference to the Big Dipper and the North Star and was likely used to guide slaves north to Canada. The Risks of Fleeing Running away was difficult. Slaves had to leave family members behind and risk harsh punishment or even death if caught. Many of the successful runaways only triumphed after multiple attempts. More slaves escaped from the upper south than from the lower south, as they were nearer to the north and thus nearer to freedom. Young men had the easiest time of running away because they were more likely to be sold away from their families, including their children. Young men were also sometimes hired out to other plantations or sent on errands, so they could more easily come up with a cover story for being on their own. A network of sympathetic individuals who helped slaves escape to the north emerged by the 19th century. This network earned the name the Underground Railroad in the 1830s. Harriet Tubman is the best known conductor of the Underground Railroad, helping over 200 other slaves escape after she herself reached freedom in 1849. But most runaway slaves were on their own, especially while they were still in the south. Runaway slaves would often choose holidays or days off to give them extra lead time before being missed in the fields or at work. Many fled on foot, coming up with ways to throw off dogs in pursuit, such as using pepper to disguise their scents. Some stole horses or even stowed away on ships to escape slavery. Historians are unsure of how many slaves permanently escaped. An estimated 100,000 fled to freedom over the course of the 19th century, according to James A. Banks in March Toward Freedom: A History of Black Americans. Slaves Retaliate With Ordinary Acts of Resistance The most common form of slave resistance was day-to-day resistance or small acts of rebellion. This form of resistance included sabotage, such as breaking tools or setting fire to buildings. Striking out at a slave owners property was a way to strike at the man himself, albeit indirectly. Other methods of day-to-day resistance were feigning illness, playing dumb, or slowing down work. Both men and women faked being ill to gain relief from their harsh working conditions. Women may have been able to feign illness more easily, as they were expected to provide their owners with children. At least some owners would have wanted to protect the childbearing capacity of their female slaves. Some slaves could also play on their masters and mistresses prejudices by appearing to not understand instructions. When possible, slaves could also decrease their pace of work. Women more often worked in the household and could sometimes use their position to undermine their masters. Historian Deborah Gray White tells of the case of a slave woman who was executed in 1755 in Charleston, S.C., for poisoning her master. White also argues that women may have resisted against a special burden under slavery, that of providing slaveholders with more slaves by bearing children. She speculates that women may have used birth control or abortion to keep their children out of slavery. While this cannot be known for certain, White points out that many slave owners were convinced that female slaves had ways of preventing pregnancy. Throughout the history of American slavery, Africans and African-Americans resisted whenever possible. The odds against slaves succeeding in a rebellion or in escaping permanently were so overwhelming that most slaves resisted the only way they could - through individual actions. But slaves also resisted the system of slavery through the formation of a distinctive culture and through their religious beliefs, which kept hope alive in the face of such severe persecution. Sources Banks, James A. March Toward Freedom: A History of Black Americans. Paperback, 2nd edition, Fearon Publishers,1974. Ford, Lacy K. Deliver Us From Evil: The Slavery Question in the Old South. 1st Edition, Oxford University Press, August 15, 2009. Franklin, John Hope. Runaway Slaves: Rebels on the Plantation. Loren Schweninger, Oxford University Press, July 20, 2000. Raboteau, Albert J. Slave Religion: The Invisible Institution in the Antebellum South. Paperback, Updated edition, Oxford University Press, October 7, 2004. White, Deborah Gray. Ã¢â‚¬Å"Let My People Go: 1804-1860Ã¢â‚¬ The Young Oxford History of African Americans, Hardcover, 1 edition, Oxford University Press, September 12, 1996.

Saturday, October 19, 2019

Finite Element Analysis Essay Example | Topics and Well Written Essays - 2000 words

Finite Element Analysis - Essay Example This is a comprehensive finite element study on an infinite plane in finding the stress concentration factor point A of the plane to obtain the longitudinal stress profile from the points adjacent to the hole. The study is also focused on giving the stress value in the point A of the plane. In doing the exercise, the convergence study of the element will be achieved. The method of analysis in this particular study is by ANSYS program. However, the method is compared to the Saint-Venant principle to create more clarity and credibility. Introduction FEA comprises of a computer representation of a design/material, which is stressed and examined for particular results. Finite element analysis is used in new product design, and accessible product elegance. A company is able to authenticate a recommended plans will be able to execute to the customerÃ¢â‚¬â„¢s provisions prior to manufacture/ assembly. Modifying an existing product or structure is utilized to qualify the product or structure for a new service condition. In case of structural failure, FEA may be used to help determine the design modifications to meet the new condition. The complete logical explanation for the state of stress caused by a hole in a plate is essentially and relatively complex. Since the study is focused on providing the actual stress on the finite element, the relation of the Saint-Venant principle and the study is directly useful in the comparison of the used model in the study. The principle states that the strain in the bodies at points that are sufficiently remote from the points of the applied load depends on the static resultant of the loads and not the distribution of the load. This comes to the realisation that the stress produced is a resultant of the point loads. The stress concentration is an increase in the stress along the cross section area that can be discontinued in this case by a hole in the plate. For instant, the distribution of the stress if there was no hole in the pla te will be non-uniform in the strain as the strain grows linear further away. In this study, the use of a quarter of the shape is used due to symmetry reasons. In this case, the solution is an analytical since the plate is infinite and large with a hole. Results from the simulation done will be compared with the solutions. Increasing the mesh density is useful to determine the closest solution to the problem. This is in line with making sure one knows the point of mesh refinement has reached. In this problem, the mesh density was increased by doubling the element from 12, towards 192 elements for each percentage error calculations. Objective The paper is focused using engineering method in providing a definite stress analysis on the longitudinal points of A and B using nodally average values obtained from the calculations. The main aim is to determine the stress concentration factor in the point A of the plate and the longitudinal stress in between points A and B. In the end of the study, one will be able to conduct a stress analysis with ANSYS without any difficulty as the procedures are stipulated in every step of the calculations. The results of the project will give the deflection, percentage error and the stress on the plate. The use of a quarter of the shape is utilized to produce the calculations of one part that will provide the merit to calculate the whole value of the plane.

Friday, October 18, 2019

Nursing course reflection Essay Example | Topics and Well Written Essays - 500 words

Nursing course reflection - Essay Example Throughout the course I have encountered intimidating as well as exciting activities; I have discovered quite a lot through my clinicals and after every session pieces of the puzzle seemed to fit together clearer. Yet I recognize I still have a long way to go to consider myself a guru in the field of nursing. I have learnt that nursing changes with and is changed by technological innovations; it is in constant change and technological changes affect nursing practices. Equally, ethical issues are widespread in nursing. I came to an understanding that the ultimate object of nursing students is attaining a particular confidence level attuned to their respective skill level to permit them to safely work within their practice scope while upholding capacity to address areas requiring further knowledge/training (Idczak, 2007). Before attaining this knowledge, I used to think that only the nurseÃ¢â‚¬â„¢s determination and decision making were significant in providing nursing services. And although I knew the importance of planning, I underestimated its value. Collaboration of all parties involved in patient care and particularly consideration of patientÃ¢â‚¬â„¢s needs are at the heart of nursing and planning is vital for effective service provision. Thus, my stance on service provision has changed. Previously I would only focus on the carer for evaluation of quality of nursing services but from now on I will be considering the characteristics of all parties involved in service provision, and I will emphasise on planning.

Writing Successful Essays Essay Example | Topics and Well Written Essays - 1500 words

Writing Successful Essays - Essay Example Coca-Cola became an international sensation and with the use of celebrities and now further trough their mobile units to connect more with people (dbase media, Coca-Cola Takes New Marketing Strategy) the brand has made good use of advertising. It also cosponsored major sports events such as the super bowl to its advantage. Through the expansion the company has made in setting up factories in developing countries Coca-Cola is able to cut down their cost of production due to cheap labor. However, the do manage to help the economy by creating new jobs as in Africa where 12000 jobs plus have been created (Coca-Cola, Supporting Small Business Development) and they donate a large amount to charity as well. Thus Coca-Cola not only manages to target their consumers through savvy use of advertising and marketing all the while increasing their sales but also helps the local economy of the countries they sell in making it an overwhelming brand. Following the three major concepts provided below as headings, create a model of argument structure by filling in more concepts related to the ones given here, then write down an argument about the structure you have created. Large corporations such as Coca-Cola have invested a large amount in taking the company from its small town business to a multi national corporation that it is today. With the expansion of the business the company has sought to set up factories in areas where it benefits them most in terms of costs and consumption. On the other hand, how exactly do companies such as these effect the economic health of the nation in which they build factories or decide to sell in. These effects could both be positive or negative. Coca-Cola has, from the time of its humble birth in 1886, till now has managed to take up a large amount of the global market for soft-drinks. It was concocted by Dr. John Stith Pemberton who sold the mixture at the local pharmacy at a

Smart Car Case Study Example | Topics and Well Written Essays - 2000 words

Smart Car - Case Study Example smart car; Should Mercedes rethink its ambitions in the small-car segment and what are the chances that the "smart" car will be a commercial success and ,finally, can the "smart" car sustain a competitive advantage in the competitive microcar market The paper would end with strategy based marketing recommendations to make MCC's strategic process of strategic choice and analysis with in organizations in relation to its competition. The paper also takes a theoretical look at strategy making within the marketing function in the smart car before making the above referred recommendations. Swiss watch making is recognized by one brand name: Swatch. Swatch made it possible for the Swiss watch industry to emerge out of a bankruptcy threatening recession in the 1970s, when over-confident manufacturers stuck to old technology ignoring the impact of new quartz technology which had allowed cheap, accurate watches from the Far East to capture the market. Swatch has traversed substantial distance since its formation in 1983, when the two Swiss largest watchmakers, ASUAG and SSIH, realized that under the onslaught of the new technology they were facing liquidation. Some of the prestigious brands such as Longines, Omega and Tissot, owned by these two watch makers, became ideal targets for foreign acquisition. The two companies panicked and decided to join hands and invited Nicolas Hayek, CEO of the business consulting firm Hayek Engineering, to organize the strengthening exercise. Hayek brought about one of the most amazing turn arounds in business health through his two pronge d strategy in the face of fierce criticism. He amalgamated the two companies to form SMH (the company changed its name to Swatch in 1998); the Hayek Pool - Hayek himself and partners from Swiss industry - took over the majority of the shares, and Hayek became CEO. Then he radically altered the production lines and marketing. The now well known plastic Swatch watch was launched in the Swiss market in 1983, with 12 models with a price range narrowly defined between 39 and 50 francs. The basic product design was simplified from over 90 components to just 51 components, and remarkably all components could be welded together by robots on a single assembly line - the first on Swiss watch manufacturing landscape. This reduced skilled labour cost to almost naught as a proportion whereas in contrast in traditional Swiss watch making, the same cost used to account for as much as 10 % or more of cost of finished product. This made Swatch highly competitive in world markets. To add simplificati on and rationalization of production was the marketing ingenuity of Hayek. Hayek has ensured that strategic marketing plays an

Thursday, October 17, 2019

Pluralism and Urban Regime Research Paper Example | Topics and Well Written Essays - 1250 words

Pluralism and Urban Regime - Research Paper Example Pluralists believe that direct democracy is unworkable and undesired. They operate under logistical manner where every citizen comes in a meeting to decide on political issues that require continuous and expert attention, which is common among the common citizens. Robert Dahl, a known pluralist, suggested in one of his writing that, the societies that we live in politics are like sideshows in the great circus of life. The common worry in the pluralism is that, common persons lack intelligence and direct democracy that is required in leadership. Urban regime on the other hand is the development of cities in order to provide a range of profound changes in the view of globalization. The urban governance in the modern world is catalyzed by technological and communication development, economic restructuring and the postmodernism reconstruction tendencies (Parker 247). The urban governance theory came to prominence in the publication of the Clarence stoneÃ¢â‚¬â„¢s study in Atlanta. Since t hen, the urban regime method has had an extensive use to determine the politics of a country both in North America and across the world. The urban regime recognizes the values and insights of the subjects. The urban regime has recognition from most of the countries, including North America, as totally involving the subjects. The system brings together the coalition partners through the available resources in either governmental or non-governmental limits (Davies 98). The system recognizes the political leaders as the channels through which resources can be mobilized to accomplish duties in the society. Robert Dahl is a sterling professor of political science and earned a degree in political science and a subsequent honorary doctorate in law. He contributed a lot in explaining the varieties of governance. He says that urban governance is a multidisciplinary natural phenomenon that describes both innovation and confusion among the majority who are governed. Dahl emphasized on the urba n politics as primarily concerned with urban political power many scholars thereof have also tried to explain what an urban regime is and who actually owns the town (485). The most important factor to put into consideration is whether the power has any relation to the ideal reasoning of the American democracy. Dahl developed the earliest theory about the urban politics. He held the same as an intellectual movement that is philosophical in nature. Dahl raised the main criticism as to why he held urban politics as the appropriate means of governance. He held that the elites at the top levels less remember the desires of the majority they have left behind. Thus, he emphasized the urban regime as the best forms of governance. On the issue of pluralism, Robert Dahl rejected the idea of democracy as an open form of governorship. He said that a dominant paradigm of a majority rule would endorse diverse cultural, economic, racial, and ethnic interest. All these would translate into lack of unity in the country and resulting into a division among the different groups. In addition, policies made by a group of people may conflict at the implementation stage (Smith 257). Generally, Dahl did not back the ideas of pluralist but instead emphasized on urban governorship as the most appropriate form of governorship. Clarence stone also had a say on the urban regimes and pluralism. He once wrote that,

Environmental Article Critique Example | Topics and Well Written Essays - 750 words

Environmental Critique - Article Example This indicates the insufficiency of empirical studies to identify effects of environmental tools on environmental performance. Empirical data for this research was obtained from cross-country data on various environmental tools such as taxation and government involvement as well as the environmental performance of such countries. Statement of Research Procedure Motivated by the need to engage in empirical study to obtain the link between environmental tools and performance, Im and Wonhyuk (2011) decided to obtain cross-country data in order to evaluate their research objectives, which was to evaluate the link between environmental tools and environmental performance through empirical data. Most of the empirical data in this study was obtained from the WorldÃ¢â‚¬â„¢s major economies. The data included mainly the involvement of the various governments through research and development or environmental governance impact of such government. After obtaining such data, Im and Wonhyuk (2011) decided to measure the performance of environmental governance whilst defining the environmental performance through literature review. ... In addition, econometric model was used to identify the correlation between dependent variable (environmental performance) and the independent variables (R&D and taxation). The econometric model included regression analysis, variance analysis; least squares procedures, and QUE estimates to provide the necessary covariance matrix for identification of error. Results of the regression analysis were presented using tables after which a discussions based on such results were conducted. The discussions were linked to various levels of success of applicable environmental policy tools within the global spectrum. Flaws in Procedural Design Despite having a beautiful research procedure in a bid to attaining their objectives, Im and Wonhyuk (2011) research was flawed within the procedural design. Firstly, the researchers did not mention it anyway other than the introduction on the research design. In other words, Im and Wonhyuk (2011) research did not provide for research methodology. Every re search conducted should explicitly provide research methodology, which will guide not only the researchers but also the users of the document into how the study was conducted. Another flaw was on the data analysis. Im and Wonhyuk (2011) just given the analyzed data after stating the statistical tools they had used. It would have been better if such econometric models were included within the research other than just mentioning them. Lastly, despite obtaining empirical data from the selected major countries, which they did not explicitly indicate, there was need to identify the sample size and sampling method of the major countries they though would effectively represent the entire globe. Analysis of Data Analysis of