Poetry essay Example | Topics and Well Written Essays - 750 words - 1

Verse - Essay Example ‘Kubla Khan or, A Vision in a Dream †A Fragment’ is in Coleridge’s words a fantasy in an opium-instigated dream. The sonnet shows the splendid prospects of imaginative creation spontaneously. In any case, the sonnet should have experienced a great deal of keen adjusting and altering since the second it took structure. It talks about the ethereal delight vault the Chinese Emperor Kublai Khan requested to be worked in due regard for his situation as a King with the perfect authorization. Coleridge asserts that the glorious vision of the joy vault came to him in his fantasy and he attempted to depict it in words yet was upset by a guest before he could finish it. Coleridge’s central concern is on the marvel of creation which rises above solid structures. Alluding to the â€Å"damsel with a dulcimer†, he considers: â€Å"Could I resuscitate inside me/Her orchestra and tune,/To such a profound enjoyment twould win me,/That with music uproarious and long,/I would fabricate that arch in air†¦Ã¢â‚¬  The unfathomable magnificence of the joy vault of marble, the provincial environmental factors and the glorious music fills in the poet’s vision with the minutest subtleties, and his endeavor to reproduce and deify all these in refrain structure gets unmatched idyllic statures as a dream on the inventive procedure. Wordsworth’s sonnet, ‘I Wandered Lonely as a Cloud’ is another example of a transient encounter fuming into the poet’s reasonableness to remain always in his graceful thoughts. The vision of multitudinous daffodils â€Å"Tossing their heads in carefree dance† is a typical scene around Lake Ullswater. Be that as it may, the sight that he saw with his sister Dorothy leaves an enduring impression in him, maybe regarding the second that he altogether appreciated. It isn't the magnificence of a solitary daffodil however the effect they made in influencing in the breeze in such abundance that makes the writer wonderstruck. Besides, as the last verse

A Tale of Two Cities Essay: From Abused to Abuser :: Tale Two Cities Essays

From Abused to Abuser in A Tale of Two Citiesâ â  All through the novel, A Tale of Two Cities , Charles Dickens’ judgment and depiction of France, the Revolution, and the individuals themselves experiences some essential changes. Dickens is consistently in charge of the peruser by effectively arriving at his objective of driving the peruser by the hand through a progression of feelings and thoughts exuding from the plot and its characters. During the initial hardly any parts of â€Å"Book the First,† Dickens has the peruser identify with the situation of the French ordinary people. Be that as it may, when the upset starts, he does a turn around. Through account, scenes, and discourse, the peruser begins to consider both the blue-bloods and the discouraged as indeed the very same in good and political culpability. Charles Dickens unequivocally accepts that the French Revolution was unavoidable in light of the fact that the privileged had abused and ravaged the poor until they were headed to outrageous measures. No place is that more clear than in Dickens’ depiction of the Marquis St. Evremonde. This aristocrat is the perfect example of childish benefit. He is heartless and has no regard forever. This is particularly clear when he mercilessly runs down a blameless youngster with his carriage. â€Å"But for the last burden, the carriage would presumably not have halted; carriages were frequently known to drive on, and desert their injured, and why not?† In installment for the bother, Monseigneur tosses a solitary coin to the child’s parent. How well this exemplifies precisely how cold and unsympathetic such a large number of the gentry had become. Dickens has only contempt for the oppressive conduct of the honorability, with their absence of confidence, their childishness, a nd their good ways from the real world. In any case, Dickens’ all-seeing eye at that point bolts on the plebeians, whom he compares to creatures: â€Å"The rodents had crawled out of their gaps to look on, and they stayed searching on for hours.† But these characteristics were likewise credited to the Marquis who, precluding the humankind from claiming poor people, became subhuman and brutal himself. â€Å"A huge barrel of wine had been dropped and broken in the road ... . A few men bowed down, made scoops with their two hands joined, and tasted ... Others, people, plunged in the puddles with little cups of mangled stoneware, or even with cloths from women’s heads, which were crushed dry into infants’ mouths.† The similitude is very much taken.

An Alternative for Alcoholics and Divorce

An Alternative for Alcoholics and Divorce April 09, 2019 Carlo107/Getty Images   More in Addiction Coping and Recovery Methods and Support Overcoming Addiction Personal Stories Alcohol Use Addictive Behaviors Drug Use Nicotine Use Alcohol abuse has probably ended more marriages and broken up more families than we will ever know. If you have been considering seeking a divorce because of your spouses drinking problem, hold on! There may be other options available. If you are just plain sick and tired of being sick and tired and dont know what to doâ€"if everything you have done to help the alcoholic has only seemed to make things worseâ€"and you are at your wits end, divorce can seem like the only reasonable choice. I often receive emails from readers saying: I dont know what to do! I cant take it anymore. I just want it to stop! Im thinking about leaving him, but I really still love him. Besides, when he is not drinking, he really is a nice guy... Give Al-Anon a Try If the above statement sums up your situation, you may benefit from this suggestion: Go to an Al-Anon Family Group meeting. Why? Because the people you will find in the Al-Anon meeting rooms understand, as perhaps few others can, exactly how you feel. They have been there too, but they have discovered that they can find contentment and even happiness, whether the alcoholic is still drinking or not. As it says in the opening statement, read at most Al-Anon Family Group meetings: We urge you to try our program. It has helped many of us find solutions that lead to serenity. So much depends on our own attitudes, and as we learn to place our problem in its true perspective, we find it loses its power to dominate our thoughts and our lives. The family situation is bound to improve as we apply the Al-Anon ideas. Without such spiritual help living with an alcoholic is too much for most of us. Our thinking becomes distorted by trying to force solutions, and we become irritable and unreasonable without knowing it. Contributing to the Family Problem Putting the problem in its true perspective is how Al-Anon has helped many thousands of its members understand the cunning, baffling, and powerful disease of alcoholism and how it has affected every member of the family, and how Al-Anon has saved many a marriage. There are thousands of stories about how spouses who thought there was no hope for their marriage or the alcoholic in their lives, have found a priceless gift of serenity by using the tools that Al-Anon has given them. Many Al-Anon members find, after reading the Al-Anon books and going to meetings and talking with others, that the alcoholic was not the only one in the family contributing to the chaos. Many find that their reactions, behavior and attitude toward the problem had become part of the problem without them even realizing it. Nothing to Lose When they changed their attitudes about the problem and their reactions to the alcoholic, it made a big difference in their lives, and sometimes in their marriage. Perhaps leaving the alcoholic and seeking a divorce is the best option in your particular situation. But, before taking such a drastic step, give Al-Anon a chance. It is recommended that you go to at least six meetings before making up your mind about Al-Anon because each meeting is differentâ€"even in the same room. Besides, what do you have to lose? There are no dues and fees in Al-Anon and, as an old saying goes, If after six meetings you decide that Al-Anon is not for you, we will gladly refund your misery.

A Literature Review On Alzheimer s Disease - 2495 Words

This literature review will start off by first covering the area of dementia by going through the different types of dementias that currently exist within our health care cycle, then it will solely concentrate on Alzheimer’s disease, what it is and the symptom’s regarding it. The second part of the literature review will solely concentrate on the carer aspect covering the following areas, Impact of Alzheimer’s disease caregiving, Caregiver physical and general health and Caregiver interventions that may improve caregiver outcomes. Types Of Dementia Alzheimer’s Disease This is known as the most common form of dementia and also accounts for an estimated 60% to 80% of cases however about 40% out the 80% of the cases solely involve†¦show more content†¦If we take a deeper insight towards vascular dementia we often come to the conclusion that it often occurs when one has blood vessel damage or blockage leading to strokes and bleeding of the brain. Taking the time to look at the past of this disease there is evidence to suggest that vascular dementia was used to exclude a diagnosis of Alzheimer’s Disease and vice versa however as time has moved on that particular practise is no longer considered ‘consistent’ along with the pathologic evidence allowing the public to educate that the brain changes of both dementia co-exist with each other. Dementia With Lewy Bodies When looking at individuals with dementia with lewy bodies we often come across with the symptoms that are found within Alzheimer’s disease but we must emphasise that within the symptoms of dementia lewy bodies it is likely that one will

Reflection Of Sybil - 1496 Words

Sybil is about a woman who receives treatment over the course of 10 years for her multiple personalities. Part one of the book starts with Sybil in her chemistry classroom, the crash of glass makes her head throb. It takes her back to broken glass in the drugstore, and the broken glass in the big dining room. Both times there had been an accusing voice: â€Å"You broke it.†(Sybil pg. 23). At this time Sybil was not sure why she would disappear, and come to in random parts of the city, or states. She knew that every time she would black out she had to get as much done while she was still herself. New York was Sybil’s safe haven, not because she was away from her mother, but because Dr. Wilbur, her psychiatrist, was there. Dr. Wilbur made it a†¦show more content†¦Hattie would also shove various objects into Sybil’s vagina, trying to justify her actions she would tell her men would do the same to her. Part three: Unbecoming, Dr. Wilbur brings Sybils father in, Willard, to discuss his marriage with Hattie. He realizes Hattie was the one responsible for Sybil being locked in the wheat bin. He now knows why Sybil screamed when the buttonhook was used on her shoes. He insisted that he had no knowledge of the abuse happening when he was gone, but he firmly believes that Hattie was capable of committing such horrific acts. By this time Dr. Wilbur has met Peggy Lou, Peggy Ann, Vicky, Mary, Marcia, Vanessa, Mike, Sid, Marjorie, Ruthie, Helen, Sybil Ann, Clara and Nancy. Sybil, however, has not met a single one. Sybil continues to lose time, with the others taking over. Dr. Wilbur tapes Sybil’s other personalities in hopes she will watch them so all of their memories will combine, and Sybil can become one. The tape brings back some of Sybils own memories about her mother and Willow Corners, and awakens something deep in her. She realizes that the others are real and not figments of her imagination. Part four, Reentry, After her suicid e attempt, Dr. Wilbur reluctantly gives Sybil sodium pentothal, which relieves Sybils anxiety but also unleashes some of Sybils repressed memories. The flood of memories shoves Sybil farther away from integration. She begins to recall some of the others and starts to realize thatShow MoreRelatedThe Art Museum s Gallery 71433 Words   |  6 Pagesart history evident in 18th century Europe. Figures Amongst Ruins (Ruins with Sybil) is a 25.5 inch by 19.5 inch painting (â€Å"Figures Amongst†) that hangs in the far corner of the art museum s Gallery 7. It’s calming colors and stunning depiction of decayed ruins captures my attention. The history for Ruins with Sybil increases the value of its power of captivation. Giovanni Paolo Panini, the painter of Ruins with Sybil, was born in Italy in 1691(â€Å"Panini, Giovanni Paolo†). He originally worked asRead MoreBeauty : The Beauty Of Dorian By Oscar Wilde866 Words   |  4 PagesDorian stands as an example to the same. To Dorian, the painting portrays everything that goes on in his life. His crimes and moral degeneration are all mirrored in the painting. The Victorian society was a boiling broth of vices. The novel is a reflection of what existed in the then society. Though Wilde held the view that art was not obliged to carry a moralistic meaning or meant to teach, however, is novel The Picture of Dorian Gray can easily be classified as a tragedy and identified with ChristopherRead MoreAestheticism In Oscar Wildes The Picture Of Dorian Gray1532 Words   |  7 Pagesaccept Lord Henry’s philosophy and will instead come to value human emotion over art and beauty. However, just as Lord Henry views Dorian as a work of art rather than a human being, what Dorian admires about Sybil is her abilities as an actress - her portraying an ideal rather than her true self. 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His odiousRead More The Conscience of Dorian Gray in Oscar Wildes The Picture of Dorian Gray2865 Words   |  12 Pagesin Oscar Wildes The Picture of Dorian Gray Much of the criticism regarding The Picture of Dorian Gray by Oscar Wilde has dealt with Dorian Gray’s relation to his own portrait (Raby 392). While some may argue that the portrait represents a reflection of Dorian Gray’s character, this is only a superficial analysis of the novel and Dorian’s character. While Dorian Gray’s true character never changes, it is his own perception of his character (his conscience) that is reflected in the changing faceRead MoreAnalysis of Oscar Wilde ´s The Picture of Dorian Gray590 Words   |  2 Pagesart and life do share a conjoined relationship conflicts are more likely to arise, as portrayed in The Picture of Dorian Gray. Wilde expresses that the artist himself can mistake art for life while being under the influence that his artwork is a reflection of his soul. Basil Hallward is under this impression as he refuses to exhibit Dorian Gray’s portrait despite Lord Henry Wotton’s forcefulness. He claims that the portrait of Dorian Gray does not reveal Dorian, but in fact reveals himself and allRead MoreEssay on Finding a Way Out: J.D. Sallinger1755 Words   |  8 Pagesin the 1950’s. He reflected his own personal life in all his fictional stories and several of Salinger’s fictional characters appear to be alter egos at various stages of his life. The autobiographical fiction â€Å"A Perfect Day for Bananafish† is a reflection of Salinger’s own war experience and his marital infidelity. The story focuses on the main character Seymour Glass, who is a veteran of World War 2 and consequently a victim of Post-Traumatic Stress Disorder. As a result of the traumatic ev entRead MorePeter Temple the Broken Shore Views and Values Essay982 Words   |  4 PagesJoe Cashin, his lone-crusader type protagonist, to assert his view that the justice system shouldnt be inaccessible to certain demographics. Through the development of other characters Temple is able to both provide readers with a well-rounded reflection of the varied societal views and values held by rural Australian citizens as well as touch on other issues that arent as central to the plot such as; modern day familial dynamics, homosexuality and the subsequent homophobia always seems to be nippingRead MoreThe Gothic Elements in the Picture of Dorian Gray4109 Words   |  17 Pagestrue state of mind because it changed its appearance according to the immoral deeds Dorian had done. By doing so, it became the indicator of the decay of Dorian Gray. Dorian’s inner self, as it was remarked in The Gothic Tradition in Fiction: â€Å"the reflections thrown back at the viewer from portraits reveal the inner self, as eyes in this literature reveal the soul. †, was clearly reflected in his portrait. Under Lord Henry’s influence, Dorian’s change in his mental state and moral values was dramaticRead MoreModern Society as a Reflection of the Picture of Dorian Gray by Oscar Wilde1460 Words   |  6 PagesPhilosophers Stone written by J.K. Rowling incorporates not only the original gothic theme of immortality and fear of death, but also many central motifs and character’s that parallel Wilde’s original text. Modern societies desire to live forever as a reflection of Dorian Gray’s lust for immortality. Gothic fiction’s mesmerisation of its Victorian audience can be pinned to the â€Å"fears connected with the ongoing upheaval of a culture† (3) that was often reflected in supernatural or satirical stylising of

An Overview of Peace and Conflict Free Essays

AN OVERVIEW OF PEACE AND CONFLICT DEFINITIONS: Peace is often seen as the converse of war. i. e. We will write a custom essay sample on An Overview of Peace and Conflict or any similar topic only for you Order Now peace and war as two sides of the same coin. Hence the definition of peace as the absence of war, and that of war as the absence of peace The problem with this definition is that it does not explain everything about peace and war For example even in situations of war, some conditions of peace still prevail. E. g. in spite the long years of hostilities between the Israelis and Palestinians, both have been able to reach a peaceful agreement on the use of their water resources. Secondly, the definition does not take into account the issue of structural violence, in the words of John Galtung. According to Galtung, war represents only one form of violence, which is physical, open and direct. The others form of violence has to do with social conditions of life. This consists of †¢Poverty †¢Exclusion †¢Intimidation †¢Oppression †¢Want †¢Fear and †¢Other forms of psychological pressure So from this analysis, it is possible not to have peace even where there is no war. This is the situation in countries where there is acute poverty, police brutality, oppression of the poor by the rich, use of power to intimidate people by those in power. Even where there is no war in such societies, they may not experience peace (Ibeanu) OTHER VIEW OF CONFLICT: †¢Conflict as the pursuit of incompatible interests and goals by different groups †¢Conflict occurs as a struggle over values. The values may be in terms of physical of material possessions or resources, status or power. (Louise Coser) †¢Central to conflict is the issue of perception. When one party perceives the action of another as preventing or blocking the attainment of a goal, conflict is said to occur. Therefore the two ingredients necessary for conflict to occur are: ? Perceived goal incompatibility ?Perceived opportunity for interference or blocking. In other words, conflict occurs when an intended action is perceived to be inimical or detrimental to the realization of one’s objective Generally perception is a product of man’s physiological, cognitive and cultural dispositions which of course differ from person to persons, and from one environment to another. Therefore, we can say that conflict is inevitable to the extent that it is fundamental to the existence of any institution, body or society It is inevitable because human beings are naturally different from one another in their attitude, perception and orientation. But conflicts could be destructive if not properly handled. Hence we often sat that the way and manner conflicts are resolved differentiates one organization or society from another. VARIOUS PERSPECTIVE OF PEACE †¢To the Instrumentalists: Peace is a means to an end. Here the absence of war serves the objective of social progress and development. In other words, where there is peace, society will experience positive transformation in all facets of life. 2. TO THE FUNCTIONALISTS: Peace has a social function of integration and order. That peace is fundamental if society is to function properly. If not the social and political system will experience stress, and then brake down. 3. TO THE PHILOSOPHERS: Many philosophers interpret peace as a natural, original, God-given state of human existence. i. e. , the pre-corruption state of man in society, as God established it. This is the God’s created state of perfection. EXAMPLES OF PHILOSOPHERS †¢St. Augustine of Hippo: He distinguished between â€Å"two cities†, namely; The city of God, founded on perfect heavenly peace and spiritual salvation; and the Earthly city of man, founded on acquisition and possessive mentality of man, but corrupt and always in conflict. †¢John Rousseau: He sees from the angle of a state of nature, the original state of existence of man where there are no desires, where men were naturally good, free and enjoy tranquility. But this atmosphere was corrupted by human desire and greed for private property †¢THOMAS HOBBES His argument was that peace is a product of the state of nature where life was poor nasty, brutish and short, and where society was in a state of perpetual war. For men to overcome this sorry state, they resolved to establish a social contract in which each gave up his/her right to self defiance to powerful force (what he called the leviathan) above all to which all were subject, thus creating a more peaceful and orderly life †¢THE HEDONISTS AND UTILITARIANS Argue that human beings naturally seek happiness and avoid pain, and consequently prefer peace to war and violence. PLATO: He addresses the social context of peace. He sees justice as the most fundamental basis of ordered social life. For him, justice is the basis of peaceful social life. Justice is given to each his or her live. Plato defines society in terms of three classes of people: – Workers – engaged in production – men of appetite – Soldiers – defend the society – men of cour age -Rulers – Govern the society – Men of Knowledge Each must operate within his area of competence, and where this does not operate, he sees injustice †¢SOCIOLOGICAL PERSPECTIVE OF PEACE The Sociologist also addresses the social context of peace †¢The Sociologist sees peace as a condition of social harmony, the absence of social antagonisms †¢Peace to the sociologist, is a condition in which there is no social conflict and individuals and groups are able to meet their needs and expectations This is achieved through the establishment of structures to perform certain basic functions of society; for example a society must service, it must educate it citizens, produce goods government and its often provide security for its members. To achieve these structures such as schools, industries, parliaments, courts and armed forces are established. †¢Therefore to the sociologists, peace is achieved where these structures perform their functions adequately †¢TO THE MARXISTS: †¢Conflict is a product of dialectical materialism †¢It is a product of the structure of rewards in the society †¢It is a reflection of the nature of class and class struggle †¢This breeds a struggle for the control of the means of production in the society †¢The result of the attendant inequality is in two folds; Violence perpetrated by the upper class on the oppressed – Violence engineered by the oppressed against the ruling class – revolutionary violence. Hence the phrase â€Å"Those who make peaceful change impossible make violent change inevitable† †¢Political Perspective of Peace †¢Politically peace is synonymous with political order when the political structures are stable, we talk of peace in the society: †¢Peace is also seen as a political condition that makes justice possible. The colapse of the political structures lead men to seek other route to enforce their will. These may be in the form of Mob action, demonstration, strikes or even military coups To ensure peace therefore the political structures must be stable and effective to extent that they perform their role. Politically, these must guarantee citizens participation in the political process; ensures tolerance of opposing views; and encourage bargaining and negotiation. Also politically speaking, peace suggests that government does not rely on coercion and the instruments of force (such as army, police) in dealing with citizens Instead people willingly accept and obey the dictates of government Peace in this sense connotes mutual consent and agreement to respect the rules governing a society whether locally or internationally. But the question is whose order? Must every political order be sustained just to ensure peace (e. g. The Nazis, Mobutus, Abacha) How to cite An Overview of Peace and Conflict, Essay examples

Telehealth Ubiquitous Computing Bandwidth -Myassignmenthelp.Com

Question: Discuss About The Telehealth Ubiquitous Computing Bandwidth? Answer: Introduction Telehealth is a project that is introduced for improving the process of providing healthcare services in rural public hospitals. This project is to deliver a high quality heath service irrespective of the geographical barrier. Telehealth is software that operates in a real time basis, and is a cost effective solution. It is an alternative to the traditional way of offering the healthcare services (Steele Lo, 2013). The use of this Telehealth software is expected to improve the patients outcome and driving greater efficiency in terms of the ways in which the healthcare services are delivered. This software will link all the emergency department of the nearest hospitals with the help of videoconferencing with an aim of delivering 24*7 emergency services in the rural areas as well. Use of a cloud-based solution in the software is an effective way of accessing and storing all the records of the hospitals and the patients (AlZain, et al., 2012). The report discusses various aspects of th e using a cloud based solution in the project. Non-Functional Requirements A systems non-functional requirements help in identifying the requirements that judge the vital operation of a system. This includes the system requirements, hardware or software requirements, and constraints. Functionality Functionality is an important aspect in identifying the non-functional requirements of Telehealth project as it analyzes the needs of the customers (Jain Nandakumar, 2012). The major non-functional requirement is ensuring the proper security of the Telehealth system. This is essential to improve the security of the customers data stored in the system. Furthermore, since the system is to be generated for linking all the management departments of the hospitals, it is essential to consider the throughput of the system. A system development with high throughput is therefore, another non-functional requirement. Usability The non-functional requirement associated with the usability of the system determines how effective the product is from a users point of view. Since the project is to be developed for providing emergency healthcare services to the people of rural areas, the user interface should be simple and easy to use. Furthermore, the users of the system should be able to access and use the emergency services without any hazards and therefore, it is essential to implement a system that comes with proper step-by-step guidance about its operation. Reliability The system to be implemented should be reliable enough so as to provide and uninterrupted emergency services to the people in rural areas. Therefore, having an option of data backup and recovery is an essential non-functional requirement. Since the system is to be implemented on cloud, it will not be an issue to enforce a proper disaster recovery option for implementation of a reliable Telehealth system. Performance The project is very important and crucial as it aims at delivering a system that will link all the emergency healthcare centers across the rural region and provide emergency services to the patients via video conferencing. The After-Hours Urgent Care Telehealth project should therefore provide uninterrupted services to its clients. Ensuring a minimum response time of the system to be developed is therefore and important non-functional requirement. Another advantage of implementing the system in a cloud platform is an increased memory space of the system, which is another major non-functional requirement. Supportability The proposed system is a completely new venture. Therefore, important non-functional requirements of the project include testability, extensibility, serviceability and configurability of the system. The After-Hours Urgent Care Telehealth system should support all these non-functional requirements of the system (Krupinski Bernard, 2014). Apart from these main non-functional requirements, the project should further consider the design constraints, implementation requirements and physical requirements of the system. Functional Vs Non-Functional Requirements A system cannot be implemented without considering the functional requirements of the system unlike the non functional requirements. Ensuring proper security needs is another major function requirements. The Telehealth should be secure for storing a sensitive data of the patients. In order to ensure implementation of a secure system, proper authentication and authorization levels are to be enforced in the system for eliminating the risk of unauthorized data access. Therefore, authentication is one of the major functional requirements of the project. Non-Functional requirements of the system on the other hand ensure smooth operations of the system (Chung et al., 2012). Both functional and non functional requirements are needed to be considered for proper system implementation. The cloud based solution: Hybrid Cloud Environment The project aims at providing emergency healthcare services to the customers and therefore, ensuring proper security and confidential of the patients data is a major functional requirement of the system. The cloud environment chosen for implementation of the After-Hours Urgent Care Telehealth is hybrid cloud environment. This is because the hybrid cloud environment provides certain additional benefits over the private and public cloud environment. The use of public cloud environment would not be suitable for this project. This is because the project links all the emergency departments of the nearest hospitals via video conferencing. Therefore, this will include storage of confidential data of the patients and the hospital. Since the pubic cloud is accessible by all, it is very vulnerable to attacks (Chen Zhao, 2012). Therefore, implementation of Telehealth project in public cloud environment is not an effective idea. Implementation of the system in a public cloud environment however could have been a cost effective solution. The private cloud environment on the other hand provides a distinct and a secure cloud solution (Galibus Vissia, 2015). However, there are certain constraints associated with the implementation of this project in a private cloud environment. The major drawback of using private cloud is that for increasing the security essentials of a system, private clouds allows only a specified client in accessing the information stored in the system or operating the system. If the After-Hours Urgent Care Telehealth project is implemented in a private cloud environment, it will constrict the accessibility of the system. Furthermore, the cost of implementing a system in a private cloud is higher in comparison to the public cloud as it requires an installation of a dedicated network for a particular system for enhanced security (Li et al., 2013). Therefore, it is not recommended to implement the project After-Hours Urgent Care Telehealth in a private cloud environment. Hybrid cloud consists of the features of both public and private cloud environment. Hybrid cloud ensures proper data security and therefore patients as well as hospital data can be securely stored in the system. Since hybrid-cloud consists features of both public and private cloud, the private network of hybrid cloud ensures data security while the public network increases the accessibility of the system (Li et al., 2015). Therefore, it is recommended to implement the project in a hybrid cloud environment. Strength The strengths of hybrid cloud are as follows- The hybrid cloud environment ensures proper security and confidentiality of the data. Therefore, use of hybrid cloud in system implementaion would be beneficial for protecting the privacy and confidentiality of the data stored in the system (Kulkarni et al., 2012). Use of hybrid cloud in implementation of the system will be a cost effective solution for the organization. The public network of the hybrid cloud can be leveraged from a service provider that will in turn reduce the total IT equipment cost of the project. The hybrid cloud environment provides easier and secure access to the stored datain the system. Therefore, it is safe to implement the Telehealth project in the hybrid cloud environment. Weakness The data movement to and fro of the public and private cloud is vulnerable to outside attacks. Attackers can target this data movement in order to steal the confidential information stored in the system. The implementation cost is grreater than that of implementing the system in a public cloud environment. The sensitive and confidential nature of the patients data can be therefore be kept secured by using proper authorization and encryption for managing The chosen SDLC Approach: Predictive SDLC The SDLC or software development life cycle approach is an important consideration in implementation of a software. SDLC approach defines the stages involved in development or implementation of a software. The details about predictive and adaptive SDLC are as follows (Balaji Murugaiyan, 2012)- Predictive SDLC Predictive SLDC approach provides a detailed overview of the stages involved in implementation of a project. Therefore, in this approach the all the stages of project development are pre planned before the project reaches its execution phase. Predictive SDLC model can therefore be used in project implementation that has a predetermined and clear scope and requirements. The scope of the project implemented using predictive SDLC approach however, cannot be modified once the project reaches its execution phase (Mahalakshmi Sundararajan, 2013). The pros of using a predictive SDLC in implementation of this project are as follows (Rittinghouse Ransome, 2016)- Predictive SDLC approach ensures completion of the project within the scheduled time. Since the phases of the project are pre determined, it becomes easier to track the project progress. The budget estimation of the project becomes easier and accurate as the project requirements remains clear since the project initiation phase. It becomes very difficult to make modifications in the project while its implementation The feedback path is generally absent in predictive SDLC. Adaptive SDLC Adaptive SDLC unlike predictive SDLC does not define the entire project in the initiation phase. The schedule of the project can be modified while the project execution. The pros and cons of adaptive SDLC are as follows (Tuteja Dubey, 2012)- The project does not follow a fixed schedule or plan and therefore project improvement becomes easier. Presence of feedback path helps in big fixing prior to the deployment of the system There remains a risk of project not being implemented within the set schedule Budget of the project remains inconsistent. Therefore, it is recommended for this project to use a predictive SDLC approach as the requirements and scope of the project is clear. Conclusion Therefore, it can be deduced that the Telehealth project should implement the system in a hybrid cloud, as it will provide proper data security. Furthermore, the project needs to be implemented using predictive SDLC approach for ensuring the project completion within scheduled time. Since the scope and requirements of the project is clear, predictive approach will be best for implementing the project. References AlZain, M. A., Pardede, E., Soh, B., Thom, J. A. (2012, January). Cloud computing security: from single to multi-clouds. In System Science (HICSS), 2012 45th Hawaii International Conference on (pp. 5490-5499). IEEE. Balaji, S., Murugaiyan, M. S. (2012). Waterfall vs. V-Model vs. Agile: A comparative study on SDLC. International Journal of Information Technology and Business Management, 2(1), 26-30. Chen, D., Zhao, H. (2012, March). Data security and privacy protection issues in cloud computing. In Computer Science and Electronics Engineering (ICCSEE), 2012 International Conference on (Vol. 1, pp. 647-651). IEEE. Chung, L., Nixon, B. A., Yu, E., Mylopoulos, J. (2012). Non-functional requirements in software engineering (Vol. 5). Springer Science Business Media. Galibus, T., Vissia, H. E. R. M. (2015). Cloud storage security. Proc NSCE, 2014, 123-127. Jain, A. K., Nandakumar, K. (2012). Biometric Authentication: System Security and User Privacy. IEEE Computer, 45(11), 87-92. Krupinski, E. A., Bernard, J. (2014, February). Standards and guidelines in telemedicine and Healthcare. InHealthcare(Vol. 2, No. 1, pp. 74-93). Multidisciplinary Digital Publishing Institute. Kulkarni, G., Gambhir, J., Patil, T., Dongare, A. (2012, June). A security aspects in cloud computing. In Software Engineering and Service Science (ICSESS), 2012 IEEE 3rd International Conference on (pp. 547-550). IEEE. Li, J., Li, Y. K., Chen, X., Lee, P. P., Lou, W. (2015). A hybrid cloud approach for secure authorized deduplication. IEEE Transactions on Parallel and Distributed Systems, 26(5), 1206-1216. Li, Q., Wang, Z. Y., Li, W. H., Li, J., Wang, C., Du, R. Y. (2013). Applications integration in a hybrid cloud computing environment: Modelling and platform. Enterprise Information Systems, 7(3), 237-271. Mahalakshmi, M., Sundararajan, M. (2013). Traditional SDLC Vs Scrum MethodologyA Comparative Study.International Journal of Emerging psychology and Advanced Engineering,3(6), 192-196. Rittinghouse, J. W., Ransome, J. F. (2016). Cloud computing: implementation, management, and security. CRC press. Steele, R., Lo, A. (2013). Telehealth and ubiquitous computing for bandwidth-constrained rural and remote areas.Personal and ubiquitous computing,17(3), 533-543. Tuteja, M., Dubey, G. (2012). A research study on importance of testing and quality assurance in software development life cycle (SDLC) models. International Journal of Soft Computing and Engineering (IJSCE), 2(3), 251-257

The Trajectory of the World War

Balance Redox Reaction Example Problem

Balance Redox Reaction Example Problem When balancing redox reactions, the overall electronic charge must be balanced in addition to the usual molar ratios of the component reactants and products. This example problem illustrates how to use the half-reaction method to balance a redox reaction in a solution. Question Balance the following redox reaction in an acidic solution: Cu(s) HNO3(aq) → Cu2(aq) NO(g) Solution Step 1: Identify what is being oxidized and what is being reduced. To identify which atoms are being reduced or oxidized, assign oxidation states to each atom of the reaction. For review: Rules for Assigning Oxidation StatesAssigning Oxidation States Example ProblemOxidation and Reduction Reaction Example Problem Cu(s): Cu 0HNO3: H 1, N 5, O -6Cu2: Cu 2NO(g): N 2, O -2 Cu went from oxidation state 0 to 2, losing two electrons. Copper is oxidized by this reaction.N went from oxidation state 5 to 2, gaining three electrons. Nitrogen is reduced by this reaction. Step 2: Break the reaction into two half-reactions: oxidation and reduction. Oxidation: Cu → Cu2 Reduction: HNO3 → NO Step 3: Balance each half-reaction by both stoichiometry and electronic charge. This is accomplished by adding substances to the reaction. The only rule is that the only substances you can add must already be in the solution. These include water (H2O), H ions (in acidic solutions), OH- ions (in basic solutions) and electrons. Start with the oxidation half-reaction: The half-reaction is already balanced atomically. To balance electronically, two electrons must be added to the product side. Cu → Cu2 2 e- Now, balance the reduction reaction. This reaction requires more work. The first step is to balance all atoms except oxygen and hydrogen. HNO3 → NO There is only one nitrogen atom on both sides, so nitrogen is already balanced. The second step is to balance the oxygen atoms. This is done by adding water to the side that needs more oxygen. In this case, the reactant side has three oxygens and the product side has only one oxygen. Add two water molecules to the product side. HNO3 → NO 2 H2O The third step is to balance the hydrogen atoms. This is accomplished by adding H ions to the side that needs more hydrogen. The reactant side has one hydrogen atom while the product side has four. Add 3 H ions to the reactant side. HNO3 3 H → NO 2 H2O The equation is balanced atomically, but not electrically. The final step is to balance the charge by adding electrons to the more positive side of the reaction. One the reactant side, the overall charge is 3, while the product side is neutral. To counteract the 3 charge, add three electrons to the reactant side. HNO3 3 H 3 e- → NO 2 H2O Now the reduction half-equation is balanced. Step 4: Equalize the electron transfer. In redox reactions, the number of electrons gained must equal the number of electrons lost. To accomplish this, each reaction is multiplied by whole numbers to contain the same number of electrons. The oxidation half-reaction has two electrons while the reduction half-reaction has three electrons. The lowest common denominator between them is six electrons. Multiply the oxidation half-reaction by 3 and the reduction half-reaction by 2. 3 Cu → 3 Cu2 6 e-2 HNO3 6 H 6 e- → 2 NO 4 H2O Step 5: Recombine the half-reactions. This is accomplished by adding the two reactions together. Once they are added, cancel out anything that appears on both sides of the reaction.   Ã‚  Ã‚  3 Cu → 3 Cu2 6 e- 2 HNO3 6 H 6 e- → 2 NO 4 H2O 3 Cu 2 HNO3 6H 6 e- → 3 Cu2 2 NO 4 H2O 6 e- Both sides have six electrons that can be canceled. 3 Cu 2 HNO3 6 H → 3 Cu2 2 NO 4 H2O The complete redox reaction is now balanced. Answer 3 Cu 2 HNO3 6 H → 3 Cu2 2 NO 4 H2O To summarize: Identify the oxidation and reduction components of the reaction.Separate the reaction into the oxidation half-reaction and reduction half-reaction.Balance each half-reaction both atomically and electronically.Equalize the electron transfer between oxidation and reduction half-equations.Recombine the half-reactions to form the complete redox reaction.

Why the operational level labour motivation is low in SkillsFootwear Dissertation

Why the operational level labour motivation is low in SkillsFootwear - Dissertation Example Moreover, according to Lloyd (2005, pp.929 – 943) the firm’s competitive advantage was its skilled labor and workmanship as the products were fully handmade. The organization had a total of 110 employees who reported to their middle level managers who reported to the entrepreneur thus having a comparatively flat organizational hierarchy. The operational level workers were on daily wages, which were the industry average rates. The management however received monthly wages. The Sri Lankan shoe industry has a total of 30 medium scaled and 3000 small-scaled manufacturers. The industry produces a wide range of shoes from canvas, sports and leather shoes and is also exporting finished products to EU and USA. As per a research done by the Development of Board Sri Lanka, the shoe industry witnessed a decline from 2007 onwards but the 2010 witnessed a surge in the export market due to the growth in the local tourist sector. However, the workforce in the industry is n issue. This is because the skill is making shoes completely by hand. But this is a difficult task and most firms have not incorporated technology into the process of production, which is not very lucrative for the workmen. According to Lloyd (2005, pp.929 – 943), this is because their production level is low and the firm cannot deliver larger orders and often cannot meet deadlines. Thus the craftsmen are not given enough bonuses and motivations. This in turn has caused the workers to drift away from the skill and the skill is not being handed over to their children. Moreover, the basic pay scale, recognition in society and the living standards of these workmen are not high which is yet again a de-motivating factor. The skill of these workers is safeguarded neither by the industry people nor by the government and this is a threat to the industry. Adding to this, there is not enough training and technology in the footwear industry especially in the SME sector. 2.2 Motivation The motivatio n level of the workers in the footwear industry of Sri Lanka is generally low. This is because the government and the industry have not given it enough importance, as they do not realize the power of labor. There is underproduction in the industry and it is primarily due to the fact that the labor are not working at full capacity nor are they receiving state of the art training in technological advancements. According to Lloyd (2005, pp.929 – 943), motivation is the essence and the core of management and is an effective tool to make the labor force perform more meaningfully. Motivation is important to produce the drive in a labor to give his 100% when he is working. Without motivation, a worker with the potential to produce 100% may not be able to do so as he doesn’t have the drive to do so. According to Hofstede (2005),

Management Essay Example | Topics and Well Written Essays - 2500 words - 5

Management - Essay Example Figure 1 shows how this disruptive model works. The focus of this paper is to ascertain the secrets of success in sustaining long-term performance and growth; in essence, how to become an innovator. In MGT class, we have asserted that it is no simple matter for a firm to be a long-term innovator and that accomplishing this requires capable performance in corporate strategy, culture, architecture, leadership and decision making (taken from topic question). During the process of researching this paper, the realization I came to is that sustainable growth comes from many different factors but they are all under one subheading: This one heading encompasses the myriad of topics that were and still are discussed in MGT. These areas also contain the seeds of creating sustainable growth and innovation in companies. I will discuss how these areas manifested in various companies for their betterment or their detriment. My position is that I agree with Christensen and Raynor in that disruptive sustainable growth, while not yet fully experienced by any company to date (except possibly for Microsoft), is within the realm of possibility. Sustainable growth and innovation is a product of one seamless thread of business concept and application from top to bottom. How this thread is severed can come from many different areas, one of the most important being from the management team level. Executives are charged with the task of creating profit in various business and product lines within their companies. How does a manager allocate his time and resources to do this? For me, the concept of disruptive growth is a Rosetta stone in this topic. To me, it holds within it the essence of growth and success along with chaos theory. These two concepts create a complexly rich look at how managers can conceptualize and manage their businesses without forcing control onto their businesses. Chaos theory ‘deals with unpredictable complex systems’ (â€Å"What is Chaos

Iron Deficiency Anemia and Early Childhood Caries

Iron Deficiency Anemia and Early Childhood Caries Association between iron deficiency anemia and early childhood caries Tommy Ye Background: Early childhood caries (ECC) and iron deficiency anemia (IDA) are a global health problem in both the developing and developed countries such as China, India, United States (US) and the United Kingdom. ECC is a term coined by the Centers of Diseases and Control (CDC) at a 1994 workshop â€Å"in an attempt to focus attention on the multiple factors (i.e. socioeconomic, behavioral, and psycho-social) that contribute to caries at such early ages, rather than ascribing sole causation to inappropriate feeding methods (Colak, 2013).† As the American Academy of Pediatric Dentistry states, ECC can be only be defined as â€Å"the presence of any smooth surface caries for children under the age of 3 and the presence of one or more smooth surface lesions in any primary maxillary anterior teeth for those 3 to 5 years of age (or a dmft [decay, missing, filled, teeth] score of ≠¥ 4 (age 3), ≠¥ 5 (age 4), or ≠¥ 6 (age 5))† (Schroth, 2013). These are the same definitions and criteria that most dental practitioner used to assess children of early childhood caries. ECC commonly starts off as a demineralization of the enamel, which leads to severe decay in mostly the cervical regions of primary maxillary incisors and then later into the other anterior teeth. The decay, in some cases, can also affect the labial and/or lingual surfaces of the maxillary anterior teeth. The etiology of ECC is very complex and is considered multifactorial, but one commonly accepted etiology is the â€Å"associat[ion] with frequent consumption of fermentable carbohydrates and improper bottle- or breast-feeding practices (Tang, 2012).† Anemia is the reduction of the total circulating red cell mass below the normal limits, which in return reduces the oxygen-carrying capacity of the blood and ultimately tissue hypoxia and ischemia. Anemia is classified by either its cause (hemolytic anemia, thrombocytopenic anemia, etc.) or its RBC size (macrocytic, microcytic anemia). Nearly half of anemia cases are caused by iron deficiency anemia (IDA), where IDA is â€Å"the consequences of the lack of iron for hemoglobin synthesis (Shaoul, 2011).† IDA is prevalent among young children and pregnant women. If left untreated, IDA can lead to the mental and physical development of children and increased death and morbidity of the other anemic patients. Diagnostic exam used to establish the diagnosis of IDA is the peripheral blood smear. With the blood smear, we want to analyze â€Å"ferritin, hemoglobin, and Mean Corpuscular Volume (MCV), as they are key biochemical indicators of iron status (Schroth, 2013).† As you can see above, both ECC and IDA are very similar health problems that can both affect children and the patients’ quality of living tremendously. Some studies have shown that â€Å"dental caries and its resulting discomfort and pain can interfere with proper nutrition including iron intake, causing IDA (Shaoul, 2011).† This research has shown that there is some connection between ECC and IDA. Despite the fact that ECC and IDA are global health problems declared by the World Health Organization (WHO), there is not enough strong evidence to highlight the close relationship between the two conditions and the mechanism used to explain this deadly relationship. In this report, I aimed to use my clinical case and analysis of multiple studies to prove my point that there is a strong association between iron deficiency anemia and early childhood caries and that more needs to be done to address this concern in terms of dental management and treatment. Introduction of F.B. and her presentation of condition or risk: F.B., a 25-year-old woman with a history of iron deficiency anemia and early childhood caries, presents to New York University College of Dentistry (NYUCD), for a dental check up. She takes no medication for her anemic condition and review of the CBC from her MD were all within the normal limits. On exam, she needs several restorations and multiple fixed prosthodontic works. Methodology: Clinical Question: In ECC patient, will patient with iron deficiency anemia increase their chances of having more dental caries and periodontal problems in the future, compared to patient without a significant medical history? PICO: Pà ¯Ã†â€™Ã‚  ECC patient, Ià ¯Ã†â€™Ã‚  patient with iron deficiency anemia, Cà ¯Ã†â€™Ã‚  patient without a significant medical history, and Oà ¯Ã†â€™Ã‚  increase their chances of having more dental caries and periodontal problems Literature Search: Literature searches were done in PubMed using the keywords â€Å"iron deficiency† and â€Å"anemia† with the Boolean operator â€Å"and.† Literature Review: From the literature search, I found three articles that were applicable to the clinical question and the aim of this report. The three articles are listed below: â€Å"Association between iron status, iron deficiency anemia, and severe early childhood caries: a case-control study† by Robert J. Schroth et. al â€Å"The Association of childhood iron deficiency anemia with severe dental caries† by Ron Shaoul, et. al â€Å"Relationship between dental caries status and anemia in children with severe early childhood caries† by Ru Shing Tang, et. al The goal of Schroth’s study was to investigate the relationship of the different iron and hemoglobin levels btn the ECC and caries-free patients. In order to do such a thing, Schroth and the others decided to perform a case control study. They recruited 266 children, where 144 of them have ECC and the last 122 of them are caries-free. ECC patients were all recruited from Winnipeg, Canada between October 2009 and August 2011. All of these children fulfilled the inclusion criteria where they must have â€Å"severe tooth decay involving multiple primary teeth necessitating rehabilitative dental surgery under general anesthetic (GA) (Schroth, 2013).† The caries-free patients were the control group and were recruited from the same area and time period. They all â€Å"underwent a dental assessment, without radiographs, by [the researchers] to ensure they were caries-free (dmft = 0) (Schroth, 2013).† Both the ECC and the caries-free patient must be healthy and are less than 72 months of age; the average age of all the participating children were 40.8 à ¯Ã¢â‚¬Å¡Ã‚ ± 14.1 months. Schroth and the others collected demographic data by making the parents of the children answer an interviewed questionnaire regarding their â€Å"child’s nutritional habits, use of supplements, physical and oral health, oral hygiene and dental habits, socioeconomic status (e.g. household income), and family demographics. (Schroth, 2013).† Afterward, they collected serum samples of all but 4 children in the operating room by the attending anesthesiologist. From the laboratory results, Schroth and the others were able to obtain the necessary data to arrive at the following conclusions: Children w/ ECC had significantly lower ferritin status and hemoglobin levels than caries-free children Children w/ ECC had significantly greater odds for iron deficiency and iron deficiency anemia than caries-free children This conclusion helped to reinforce and help to support the authors’ claim that there is an indeed an association between iron deficiency anemia and early childhood caries. The authors do not understand the reasons why that is the case, but they hypothesized that it might be due to the body’s inflammatory response that accompanies from dental caries. They believed that â€Å"inflammation associated with ECC may trigger a series of events which ultimately leads to the production of cytokines, which may, in turn, inhibit erythropoiesis and thus reduce the level of hemoglobin in the blood (Schroth, 2013).† Dental caries may also cause severe pain and discomfort for the ECC patient, which may, in turn, caused the patient to eat less and hence the low iron level. Ultimately, the decrease in hemoglobin and iron are the main contributor to anemia or IDA. The purpose of Shaoul’s study was to investigate the differences in the levels of hemoglobin (Hb), iron, and other anemic indicators before and 4-6 months after an ECC dental restoration. In order to do such a thing, Shaoul and the others decided to perform a case control study. They recruited 155 children, where 33 of them are the control group, who visited the dental clinic for treatment for ECC at Bnai Zion Medical Center in Haifa, Israel between January 2007 and September 2008. All of these children fulfilled the inclusion criteria where they have to all be healthy with no chronic diseases and all within the age range of 3-18 years old who are presented with ECC and microcytic anemia that are caused by IDA. The exclusion criteria â€Å"included chronic or acute illness, known blood dyscrasia, any known form of haemoglobinopathy, children who had undergone abdominal surgery or had been diagnosed with malignancy (Shaoul, 2011).† The 30 children that were selected, as the control group, must meet these additional inclusion criteria where they must be presented for an elective minor surgery such as inguinal or umbilical hernia repair, orchiopexy and circumcision and is also caries-free upon examination. For the other 122 children, the surfaces of all their erupted teeth were assessed with the DMFTS index and they must have â€Å"had six or more teeth that required restoration treatmentâ€Å" to be actually included in this study (Shaoul, 2011). In order to consider the confounding variables that may skew the results of their study, Shaoul and the others collected the age, sex, height, weight and the number of teeth that needs to be treated from both groups. Afterward, they obtained 5 mL serum samples of two groups before and 4-6 months after an ECC restorative procedure. From the laboratory results, Shaoul and the others were able to obtain the necessary data to arrive at the following conclusions: ECC and caries-free children had significantly low BMI, Hb, iron, ferritin, MCV, and RDW (or red cell distribution width) levels before an ECC restorative procedure There are significant differences between the Hb, iron, ferritin and RDW levels 4-6 months before and after an ECC restorative procedure This conclusion highlighted that there is an association between iron deficiency anemia and early childhood caries. In addition to that, this study have also demonstrated that a dental treatment of a ECC lesions can effectively restore the anemic indicators to a non-IDA level, without the need of any supplemental iron. The authors are unsure how there is an association between IDA and ECC, but they hypothesize that it might be due to malnutrition (which can explain the low BMI in the results) or due to inflammation from dental caries. The objective of the last study by Tang et. al was to evaluate the nutritional status of an ECC patient and the relationship with IDA. In order to do such a thing, Tang and the others decided to perform a case control study. They recruited 101 children between 2 and 5 years of age who visited the Department of Pediatric Dentistry of Kaohsiung Medical Center. All of these children fulfilled inclusion criteria where they must be diagnosed with ECC according to criteria established by the American Academy of Pediatric Dentistry. The exclusion criteria included â€Å"children with medical problems, mental or physical disabilities, and those who had been born prematurely (Tang, 2012).† Demographic information such as sex, income, body weight and height were obtained from most parents except 50 parents who did not provide their income via a questionnaire. The surfaces of all the children’s erupted teeth were assessed with the DMFT and DEFS indices. In order to adjust for the confounding variables that can skew the result of the study, Tang and others obtained the age, gender, BMI, and mother’s education. Besides obtaining the demographic information, Tang and the other also collected blood serum from all but two participants. With this sample, Tang and the others were able to arrive at the following conclusion: Children with ECC had significantly greater odds for anemia and IDA and are independently associated with each other. This conclusion demonstrated that children with ECC are at an even higher risk than caries-free patients for anemia and IDA and that this association between ECC and IDA is a very deadly combination that needs to be addressed as early as possible by pediatric dentists and pediatricians. The authors do not understand the etiology behind this association but they provided their own hypotheses behind it. They argued that children with ECC cannot consume iron-rich and vitamin-C rich food because of the pain and discomfort they felt and as a result, they are forced to rely on softer food that does not impinge on their teeth by drinking lots of cow’s milk. Furthermore, because the children with ECC have lots of dental caries, they are suffering from inflammation from these caries that may â€Å"induce the production of cytokines that suppresses the synthesis of Hgb (Tang, 2012).† In relationship to the Literature analysis form (LAF) adapted from Dr. Ralph V. Katz of NYUCD, (presented below) the above three articles all lack a null hypothesis and can contribute to a moderate statement of causation for being a case control study. All authors have clearly separated the independent variables by using a control group, eligibility criteria, and adjusted statistical analyses such as the Chi-square and T-test in the first and third study and T-test in the second study. Almost all of the findings were of statistical significance (P Description of F.B.: F.B. emigrated to the U.S. at age 15 from Albania with her parents, in pursuit of the American Dream. She drinks socially and do not smoke. She is a dental student at NYUCD. Upon entering dental school, F.B. had poor oral hygiene where she did not floss regularly but brushes twice a day. She consumed a heavy carb-rich diet. Her iron deficiency anemia has been better controlled through a well-balanced diet that includes iron and folate intake. This had been confirmed via a CBC, where all anemic indicators were within the normal limit. She had no other significant medical history. Her vital signs were within the normal limits as well. Discussions: The general consensus of the three articles clearly indicates that there is clearly a relationship between ECC and IDA and that more studies needs to be done to determine the actual etiology behind this association. Despite all the evidence that show that there is an association, the studies including the above three articles that are available are just not substantial to show a strong causation. In addition, the limitations in each of studies that I described above are also making these articles less convincing to incorporate into our dental practices. Conclusion: Despite the fact that the studies do not show a strong causation for the association between ECC and IDA, the evidence is convincing enough that warrants further research and questions among the dental and medical communities throughout the world. The evidence also helped to answer my clinical question if ECC patient with IDA (in this case, patient F.B) will increase their chances of having more dental caries and periodontal problems in the future. As you can see from the results provided by the three articles, there might be some connection between ECC and IDA and can cause more dental decay or worsen the patient’s IDA condition if left untreated, which was noted in Shaoul et. al’s studies. These results prompted me to make some modifications of my dental management for patient F.B. I would put patient F.B. on more frequent recall and on an aggressive fluoride therapy due to her past ECC history. I will complete all dental restorations or restore any defective restorat ions prior to performing any prosthodontic work. To make sure that she understands the association between ECC and IDA, I would also make sure to monitor her blood count frequently and reinforce oral hygiene instructions. Works Cited Çolak, H., Dà ¼lgergil, Ç. T., Dalli, M., Hamidi, M. M. (2013). Early childhood caries update: A review of causes, diagnoses, and treatments.Journal of Natural Science, Biology, and Medicine,4(1), 29–38. Doi:10.4103/0976-9668.107257 Tang et al. (2012), Relationship between dental caries status and anemia in children with severe early childhood caries. Kaohsiung Journal of Medical Sciences, 29, 330-336. Schroth et al. (2013), Association between iron status, iron deficiency anaemia, and severe early childhood caries: a case–control study. BMC Pediatrics 13(22), 1-7. Shaoul et al (2011), The Association of childhood iron deficiency anemia with severe dental caries. Acta Pediatrica 101, e76-9. Appendix: LAF: Photographs of F.B.

The Case Of A Complaining Customer – Executive Summary

The new computer system has been installed to provide easy, convenient and time saving services to customers, however it appears that Presto Cleaners may have caused unnecessary unhappy and complaining customers by imply not following a few simple steps, such as making sure their staff was trained appropriately, had tested the system and provided themselves with a backup plan. As a result of this the company now have a unhappy customer who's demanding compensation and need to take appropriate action in whichever way the operations manager feels appropriate to resolve the situation, and what is most beneficial for their company.Why Is Mr. Shelton upset? What should be done toreadors his complaint? On 28 July Mr. Shelton drops off Hess laundry to Preston cleaners. A new computer yester was introduced to him and he was requested to fill out a card, detailing special requirements or services required. A ID number was also request by presto cleaners and also for the customer to purchase a special bag to drop of Hess laundry. Using the new system, Mr. Shelton would now simply just drop of Hess laundry at the store and return to pay, hassle free apparently. Unfortunately when the customer returned to collect Hess clothes he found them to be missing.He felt the old system was quicker and easier and he wasn't happy with the new service and also very angry that Hess clothes was missing. Mr. Shelton was missing 4 shirts, 2 blouses, 1 suit and 1 skirt. Mr. Shelton complains firstly in the store personally and then contacts the store when he hears no information about Hess clothes. He struggles to communicate with anyone at presto cleaners and leaves several voice mails for the company president compensation in the form of full refund for the cleaning, full refund for 4 shirts that he purchases after the laundry goes missing and a full apology.Mr. Shelton clothes have been given to another customer and the only solution the store have is to wait and hopefully the clothes wi ll be returned. Mr. Shelton is very angry and frustrated. As the mistake has been made by presto cleaners they should take full responsibility. The response the customer should have received is being apologized to but the floor staff upon realization that the store had lost the clothes. An empathetic attitude should be shown to him at all times and he has been inconvenience and let down.The customers calls should have been responded to as ignoring him only aggravates him worse, and communicating with the customer keeping him informed of progress even if none.. The store should be checked for the missing items and customers who dad collections on the same day be contacted if possible. An apology should be made to the customer, and a refund for the cleaning service offered. A comprehensive quality improvement upland for Presto Cleaners. Based on the information presented in this case, a massive improvement on their survive quality is necessary. Presto Cleaners thrives to offer custome rs a competitive privet high quality reliable service. ‘ Goal 1: Set up a continuous improvement program, develop a TTS. Goal 2: Refer to theorists to help develop business plans. Trucker's Theory of Business – in brief Trucker characterizes the assumptions that comprise an organization's Theory of Business by stating:†These assumptions are about markets. They are about identifying customers and competitors, their values and behavior. They are about technology and its dynamics, about a company's strengths and weaknesses. These assumptions are about what a company gets paid for.Management to take refresher course in operations and customer service management Goal 5: Company needs to provide total quality management, At its core, total quality management (TTS) is a management approach to long-term success through customer satisfaction. In a TTS effort, all members of an organization participate in improving processes, products, services, and the culture in which the y work. The methods for implementing this approach come from the teachings of such quality leaders as Philip B. Crosby, W. Edwards Deeming, Armband V. Figment, Koru Chickasaws, and Joseph M. Curran.Total quality management can be summarized as a management system for a customer-focused organization that involves all employees in continual improvement. It uses strategy, data, and effective communications to integrate the quality discipline onto the culture and activities of the organization. The Primary Elements of TTS are: Customer-focused Total employee involvement Process-centered Integrated system Strategic and systematic approach Continual improvement Fact-based decision making Communications Goal 6: Customer satisfaction and loyalty lead to profit and growth, feedback system to be brought in.

Discuss the training requirements for Higher Level Teaching Assistants Essay

Higher level teaching assistants (HLTAs) have an increased level of responsibility. They usually undertake more complex tasks and tend to work more independently than other classroom-based staff. Under the direction of a teacher, they often plan, prepare and deliver learning activities to individual pupils, groups and (in the short term) whole classes. They also assess, record and report on pupils’ progress. They act as a special assistant for a specific subject (f.e. literacy, ICT, sign language), group (young children, teenagers, special needs, gifted and talented) or department and help develop support materials. In order to do this effectively, the HLTA must understand the aims, content, teaching strategies and intended outcomes. They likewise need to have a solid knowledge of the curriculum to make sure they teach to a high standard as well as a diverse portfolio of learning strategies and styles to enable each pupil to fulfil their potential. HLTAs should always have hig h expectations of all their pupils and respect them whatever their background (be it cultural, social, religious, linguistic or ethnic). It is expected that they support the inclusion of all pupils in the learning activities in which they are involved. HLTAs should also be able to work collaboratively with their colleagues and to liaise sensitively with parents and carers, acknowledging their role in pupils’ learning. HLTAs should be aware of the legal framework underpinning teaching and learning and although not required to have a detailed knowledge of it, HLTAs should be aware of their statutory responsibilities and where to gain information, support and assistance when and if they need it.  They should be familiar with their school policies and procedures, f.e. equal opportunities policy or procedures for health and safety. They should know the legal definition of Special Educational Needs and be familiar with the guidance about meeting SEN given in the SEN Code of Practice. HLTA are also required to achieve a nationally recognised qualification at level 2 or above in English / literacy and maths / numeracy to demonstrate that they are confident in these subjects and in teaching them to others. It is also required that HLTAs have a sound knowledge of ICT to advance their pupils’ learning and to be able to use ICT tools for their own as well as the pupils’ benefit. The term ICT i s wide-ranging and includes internet, interactive whiteboards, cameras, printers, scanners, video and DVD. HLTAs should be familiar with age-related expectations of students, including being able to discuss development stages form birth to teenager including speech and language stages. To become an HLTA, the candidate must demonstrate that he / she has the skills, knowledge and experience to take on the role and that he / she is familiar and understands all 33 nationally agreed professional standards. Furthermore, he / she should also have previous experience of working with children of a relevant age. Last but not least, each candidate needs to have a recent enhanced DBS check done to comply with the UK legal requirements.

The Effects Of Carbon Dioxide On Our Oceans - 1179 Words

Our oceans absorb almost twenty-five percent, each year, of all the carbon dioxide that human activity emits into the air. Scientists originally believed that the idea of our oceans absorbing extra carbon dioxide that is in the air was a positive idea, because it would deter global warming. But, they soon came to the realization that this absorption process was having similarly disastrous effects, as global warming does, and it what happening to our oceans. This phenomenon, of our oceans taking in the excess carbon dioxide from the atmosphere, leads to ocean acidification; a term used to describe how our oceans are becoming increasingly more acidic over time. However, just in the past 200 years, ocean acidification has increased by thirty percent, and this number will only continue to increase due to our current rate of industrialization. Carbon dioxide is one of the major greenhouse gases, and is one of the most common gases found in the earth’s atmosphere. Carbon dioxide is released into the atmosphere in mass amounts by human activities and then absorbed by our oceans. The main way that carbon dioxide is added to the atmosphere is by the burning of fossil fuels and deforestation. Increased energy composition and with the industrialization age, beginning in the 18th century, has led to a drastic spike in the burning of fossil fuels and therefore the release of carbon dioxide into the atmosphere. The main emitters of carbon dioxide are cars, airplanes, and factoriesShow MoreRelatedThe Effects Of Climate Change On Human And Natural Systems Essay1487 Words   |  6 PagesCarbon Sequestration The rapid change in our climate due to anthropogenic forces has caused the Earth’s average temperature to rise to an unparalleled level in human history. The amount of carbon dioxide in the atmosphere, as well as the cyclical processes of the Earth and Sun, affect the warming of our oceans and atmosphere. 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The scientists say this is, a consequenceRead MoreShellfish And Zooplankton Such As Foraminifera And Pteropods1692 Words   |  7 Pagesto build their exoskeleton, in the ocean are disturbed by the increased amounts of carbon dioxide that is being absorbed. This new absorption is causing some parts of the ocean to become unsaturated with this important compound, and therefore making them less available to the calcifying organisms that need them. Without these protective shells, organisms are unable to survive, leading to a rapid decrease in their populations. Not only does this increase in ocean acidity result in shell degradationRead MoreClimate Change Of Global Warming924 Words   |  4 Pages Figure 0.1 shows the different effects of global warming. Global warming is the warming of our planet at an extreme rate. The Earth’s climate has warmed by 7.8OC since 1880. (Quick facts about science, 2015). What causes global warming? The cause of global warming is the carbon dioxide. 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