Public Health Care Policy Essay

The bill I have decided to look at is charge H. R. 1983: States’ Medical Marijuana Patient Protection Act. This bill was supported by Barney Frank from Massachusetts. This bill requires a rescheduling of weed and to concede each states controlling on its’ clinical use. This bill would change government laws to preclude capture or provocation of patients endorsed cannabis in any express that the state law permits. There would be insignificant expense in actualizing this bill as the government is spending a lot of assets to authorize this law just as hold detainees in offices. As of now there is a contention between some state and government laws regarding the matter of clinical maryjane. As per PopVox.com there are as of now no associations contradicting this bill, while it records a few associations embracing it. Right now the associations supporting this bill are the National Organization for Reform of Marijuana Laws, Marijuana Policy Project, the Drug Policy Alliance, Americans for Safe Access, Americans For Forfeiture Reform, and WinLiberty. This bill, as I would like to think, will influence the medicinal services economy extraordinarily. In the event that this bill passes it will, generally, make another medication for the clinical world. Presently, patients that are recommended cannabis are at risk for getting captured or bothered by the central government whether the patients state laws permit it or not. This bill will offer capacity to the state. In the event that this bill passes, it will carry another medication to the field of clinical medications without the expense of building up the medication. Most new medications that enter the market are protected to offer motivating force to pay significant expenses for innovative work, while maryjane has just been made, investigated, and created. The hindrance to section will be low as weed is low in cost to develop and is popular. On the off chance that H.R. 1983 passes, the open living in states that permit clinical cannabis will be liberated from dread of discipline of the national government, which will bring down the â€Å"price† of being recommended pot in permitting states. The interest for weed would increment and lead to an expansion in gracefully. It would empower the market to adjust itself to the harmony of flexibly and request. Since there is no patent on the medication, boundaries to section would be insignificant. With the expense so high to sell and purchase maryjane for any utilization, different substitutes for cannabis can build their costs. The interest is high for torment the board, craving enhancers, just as tension medication prompting significant expenses for medications, for example, Valium, Vicodin, Lortab, Percocet , and others which cannabis has been demonstrated to be utilized for substitutes. On the off chance that the legislature would permit states to lead on the lawfulness of cannabis, the medication would get simpler to purchase and sell in specific states. This would prompt lower hindrances to section and cost of selling bringing costs down for all maryjane substitutes. At present, the central government is falsely keeping down the flexibly of the medication and the purchasers, prompting dead weight reduction. This arrangement will permit the individuals who might want to flexibly the medication however don’t need to follow through on the significant expense to enter the market and lower the value that buyers need to pay to purchase pot. The legislature will likewise set aside cash at present being spent on authorization of weed control. I accept the administration is being approached to pass this bill since shoppers, dealers, and the administration profit by this bill being passed; lower costs for every one of the three, diminishing dead weight reduction, and expanding salary toward the legislature in deals charge. The failures in this bill might be providers of weed substitutes. They will be compelled to bring down their costs to make up for higher flexibly of their medications substitute. There might be numerous externalities of the legitimization of maryjane. With weed having a lower cost, stogie and cigarette smokers could move to smoking pot rather than tobacco. Fines might be made for driving affected by the medication as we have with liquor. There would be more examination toward weed for the wellbeing dangers and advantages. In view of my investigation of this bill, I see more constructive outcomes than negative. There would doubtlessly be different externalities that have not been recorded, and there might be different issues of medication control that would need to be actualized. As I would like to think, giving the states’ rights to legitimize or authorize control is a less expensive progressively productive approach to deal with the market for pot.

The influence , the importance of time management and Cooperative Essay

The impact , the significance of time the board and Cooperative learning upon me as an educator to be and the students of EFL (Learning through gathering, pair work in study halls) - Essay Example An instructor can oversee time proficiently in a study hall by arranging, decreasing desk work, planning of schedules, calendars and time table that kill exercise in futility and disarray, distribute free task, use learning focuses, get ready seatwork that permits the educator to work in little gatherings and keep up a situation in homeroom that empowers understudy to have a smooth change starting with one action then onto the next. Amateurs and veteran instructors can expand their encouraging time with effective utilization of time by surveying factors that devour time and along these lines educators can build their educating time. An instructor can be a decent study hall director by appointing work to volunteers, assistants and understudies and spare the additional time for other important understudy related work (Time Management 2009). Time the executives empowers an educator to perceive the measure of time required to finish significant errands all the time. Prioritization of exercises is caused basic and assignment of time for discretionary exercises to can be made through successful time the executives. This offers a chance to stay away from immaterial errands of lesser importance that devour additional time and draw in the instructor pointlessly. Compelling time the executives streamlines the timetables of the instructor and gives more opportunity to achieve the destinations of educating with diminished pressure. Very much arranged encouraging timetable protects the understudies from an ineffectively sorted out day at school. An instructor can monitor the day by day showing routine by examining time the executives issues with associates (Making time for progress). Further, educators are liable for the achievement of understudies. The powerful usage of class time decreases the nervousness of educators and upgrades the presentation of understudies. Instructors will have some additional time toward the finish of the class to reflect and survey the theme got the hang of during the class on an efficient day (Time Management 2008). The hugeness of a teacher’s exercise time the board ought not be

Answers To Questions Fall 2007

Answers To Questions Fall 2007 Hi folks, Here are answers to the questions posted in my blog over the last month or two. I apologize in advance to the folks who have asked chances-related questions I dont have enough information to answer those without your entire application in front of me, in the context of the overall applicant pool. Thats why chances-related questions are simply impossible to answer outside of selection committee. To everyone who asked score/grade-related questions, here are the general answers: I got 7xx on some test. Should I retake it? Probably not, especially if the rest of your application is compelling. 7xx will make us confident in your academic abilities, at least as far as standardized testing goes. I got less than 7xx on some test. Should I retake it? Plenty of people get into MIT with some scores that are lower than 7xx. Consider your scores in the context of your overall application and use your best judgment. If you decide to retake one or more tests, you have nothing to lose, because well use your highest scores regardless of when you received them. But only you can decide if its worth your time/money/effort/etc. My scores are xxx and my grades are xxx. Should I apply EA or RA? Again, totally up to you. There is no admissions advantage to applying in one period versus the other. If youre deferred, you can submit additional materials for RA consideration, such as your senior year first semester grades. English is not my first language. Should I take the SAT I or the TOEFL? Take whichever test you feel youll do best on. Or take both well use whichever score puts you in the most favorable light. Remember that regardless of which you choose, you will still have to take the SAT IIs one in math, and one in science. - Vijay wrote: How many international transfer applicants are generally admitted to MIT, and what is the usual admit rate for international transfer applicants? The admit rate for transfer students both domestic and international is generally quite low. MITs retention rate is very high, so few spots open up for transfers each year. Last year several hundred transfer students applied; from this pool MIT admitted 16. Any student who is thinking of transferring to MIT in the future should mirror MITs freshman year as much as possible when selecting his or her coursework. Please see the General Institute Requirements page for further guidance. - Becca wrote: I had my interview almost a month ago, and its still not on MyMIT. I tried contacting my EC about it, but havent heard anything back. Any ideas? You asked this awhile ago and Im late in responding sorry! Hopefully it has shown up by now, but if not, let us know. Generally speaking, sometimes it takes awhile for things to show up on MyMIT. Remember that ECs are volunteers, and many of them are quite busy with work, travel, etc., so its possible that the EC simply hasnt had time to file his/her report yet. - Dustin wrote: By your post, do you mean that admitted students definitely can stay overnight in March, or just that the admitted have priority? Essentially both. Admitted students have priority, and if an admitted student gives our office enough notice, I cant see any reason why we wouldnt be able to accommodate him or her in March. - Mangy Matt, PSU 11 wrote Might a prospective transfer participate in [the overnight program], or is it exclusively for freshman applicants? Im fairly certain that the program is only open to freshman applicants. :-( - Milena 11 wrote: Can freshmen host pre-frosh too? I want to host someone adventurous enough to want to give Senior Haus a try! Absolutely! :-) - Sanja wrote: Im taking 3 SAT subject tests (Math, Physics and Literature) and all three scores will be sent to MIT. Will my lower Literature score hurt application or you wont even look at it since MIT asks for only 2 tests? This wont hurt you, no worries. - Caitlin wrote: Do you know anything about sending in essays separately? The MyMIT account sent my Part II before Id attached the essay. You can send anything youd like to us at the address at the bottom of the screen. Just be sure to include your full name and birthdate. (And I liked your vegetable metaphor. :-) - Domenzain wrote: What if I tend to write meticulously enough for a paper to seem dj revised? As long as its your true voice coming through, I wouldnt worry about it. - Eldrick wrote: Do you mind to furnish me with more information about what kind of person MIT basically is looking for? And how can I actually get to catch the eye of the admission officer when i send in my application? Please see this page. It does a great job of explaining what sort of folks are best matched to the MIT community. - Sarthak wrote: I would like to know whether the process of granting financial aid at MIT is the same, or different, for U.S. and international undergrad students does MIT meet 100% of the need of international students? Yes, MIT is committed to meeting 100% of the demonstrated need for each student it admits, whether domestic or international. - Emma wrote: Ive recently been getting frustrated over the MIT essay topics because they do confine you into choosing one topic or the other, thus ruling out an essay that I wrote for my other top choices that Im really sure represents me well. So Im just curious why did MIT choose these two topics specifically, and do you know how the admissions at MIT would review essays differently than, say, Harvard, which does give you the option to choose A topic of your choice?' We find that our essay choices work well for us in bringing out a students character and personal qualities. Having said that, if youre proud of an essay that youve written for another school, by all means submit it to us in the optional essay field (yes, we do read those just as carefully!). - Self-Advocator wrote: MIT Office of Admissions, will you hate me if I send in a resume listing my community service? Because Ive done so much more than just 5 activities during high school. But I wont send it in if it will give you guys an automatic reason to reject me! You are welcome to send in a resume, just not in lieu of our application question that asks you to choose up to five things that meant the most to you in high school outside of the classroom. - Ginger wrote: I was at MIT and was told by a tour guide that my teacher recommendations need to come from a teacher whos known me for at least a year and has had me in junior or senior year. Is this true, or can I submit a recommendation from a sophomore year teacher? There is no requirement that the rec come from a junior year or senior year teacher. Choose teachers who know you well, thats really all that matters. Having said that, my advice would be to choose a teacher from sophomore year only if youve maintained a relationship with that person since. I imagine youve done a lot of growing in the last couple of years, and your rec writers should be able to comment on that even if they havent actually had you in the classroom since 10th grade. - Ally wrote: I have a question for you regarding the optional Tell us about something that you have created essay. Does this have to be something unique? Say, for example, that I really love to bake apple pies (I dont, but use your imagination). Could I write my optional essay on a pie that Id made, even if it had been from a recipe in a cookbook and had little or no relation to math or science? Absolutely, and people do this all the time. The question is intentionally left open to your interpretation. - Akshay wrote: I have a question about length of the essay. My essay is around 550 words. Are the admissions counselors going to get mad over that? and Anon wrote: It took me 25 words extra on the long essay to say what i needed to say. Bad? Good? Indifferent? These have got to be the most stressful 25 words of my life. :P Definitely not a problem. We dont actually count the words, so if your essay is a little bit over the limit, no one will notice. If its significantly over the limit, however, it will be fairly easy to tell. - Anonymous wrote: There doesnt seem to be an area for the required-but-not-core-classes section of the self-reported course work and there wasnt enough room in the Additional Classes for all the art/computer/PE/Health/Theory of Knowledge classes I took. Should I just fill them in other spaces? You can simply add them to any of the optional-info parts of the application. Well find them. :-) - Haya wrote: Why doesnt MIT accept the National Merit Scholarship money? I asked Daniel to respond, and he wrote: We do accept National Merit Scholarship money, but we do not match it. Some colleges choose to match the amount National Merit awards to students, but these are mostly colleges who do not meet full need. Since we do meet the full need of every applicant, there is no room in the budget to add a match; it is already contained in the MIT Scholarship award. We do allow students to reduce their loan/work amount by the amount of the outside scholarship, however, which means that a student who receives a National Merit Scholarship has to work or borrow less than someone who doesnt. - Tina wrote: For the first essay prompt about overcoming a situation that seemed like the end of the world, does the situation have to be serious? Or can it be something that was discouraging while I was a child but seems funny now? Its intentionally left open to interpretation so your idea is totally fine. To everyone remember that all of the prompts on our application are simply there to help you tell us a lot about yourself so were not terribly picky about how you interpret the essays and short answer questions, as long as your answers help us get to know the real you. - Anonymous wrote: could i know that approximately how many applicants to MIT were there from India and how many were accepted? Im not sure of the breakdown by country, but the statistics for international applicants are here. - Chris wrote: I am a transfer student who switched his major. On one MIT admissions site it says that I am ineligible for transfer if ive been at my current college for more than 5 semesters (which I will be upon my applying for transfer), the other site says that I need to spend at least 4 semesters at MIT to be eligible (which I will be upon applying). Are they both correct? Im not involved with transfer admissions, so I just walked over to their office to ask them about this. The official answer was if the student is within a year and a half of graduating from his or her institution, then he or she would not be eligible to transfer to MIT. So if I understood correctly, its not so much whether or not youve been there for five semesters, but whether or not you could graduate in three more. - Taylor wrote: Would it be best to include an essay that demonstrates my love of math and science or an essay that talks about something unique that I do? I want to make myself stand out, but I also want to make sure MIT knows that I love Chemistry. The essay is really about personal qualities and character giving the selection committee a window into who you are and what makes you tick. Sounds like either of your choices would do a good job! - Kate wrote: I just sent in my application online and it completely ruined the format of my essay taking out all quotation marks and making reading it very confusing. I uploaded a plain text file as my essay that was formatted with indentations and spaces between the paragraphs, but on viewing it in PDF, all the formating and quotation marks are gone. Is there any way to fix this or will this just be a hard-learned lesson? and Zhexi wrote: I just have a quick question on submitting the essay. So basically, when i try to preview my application everything up to the essay looks fine. However, when i get to the essay it looks like someone was beating me over the head with a skillet as i wrote it (which is NOT that case ;). Do you know what i should do to correct this problem? I know that formatting is an issue with our PDF generator, and I apologize. If formatting is important to your essay, please print out a copy and mail it to us with a brief note explaining that you wish for that version to replace the one you submitted online. - Applicant wrote: Do 3-letter words count in the word counting process. My English teacher claims they do not. Yes, three-letter words count. :-) - Jacob wrote: Hi im a sophomore at cass technical high school and am striving to go to MIT. but i know my english has always been a challege for me and have never done real well on standarized tests and was wondering if you could give me tips on writing better and for my vocabulary skills as well. Id talk with your teachers about this theyll be able to give you much better advice than I. - Dan wrote: I was planning to write an essay, which would describe a particular day of my life, but is not exactly the answer to either of the prompts. Once I started writing it, it became quite obvious that 500 words is definitely not enough to say what I want to say. On the other hand, I feel that I could write a 500 word essay that described one particular side of me. I know that the first essay is way too long (1000 2000) words, but the smaller one would not show all of what I want to show about myself. I have been trying to make decision about what to do, but I just keep going in circles about it. Any advice? and Anonymous wrote: What about 800ish words ack, i have no idea what to cut! You should definitely try to stick to the word limit (going a bit over is okay, but 1000 words would not be). If your current topic is really giving you trouble, Id advise you to cut all but your favorite paragraph and build an entirely new essay out of it. When I wrote my own college essay, I had the same problem I was writing about a day in my life, and it was way too long, and a very helpful teacher chose one particular 2-minute moment and said write your whole essay about this moment forget the rest of the day. It worked beautifully. - Anonymous wrote: I just submitted my application BUT I found one mistake I put 2007 instead of 2006 :[ Do you think if I call the admissions office, they can change it for me? Definitely. :-) - Taylor wrote: Is there a deadline for the midyear grade report? It says to turn it in as soon as the grades are available, and says that you realize some wont be available until January 1st. But I cant get my grades until January 21st. Should I turn in first quarter grades instead of first semester? Youre welcome to turn in quarter grades and then follow up with the midyear grades when they become available. Many students do this. - Brian wrote: My school does not provide any AP courses, but I took the AP exams. In question 8, Should I write the name of AP exams instead of the AP course names, or should I just leave everything in blank and only send the AP scores through College Board? I would list the AP Exams youve taken (and your scores) in #8 and then use #14 to explain why the courses do not appear in your self-reported coursework or transcript. - Anonymous wrote: when it says application materials can be turned in a few days late, does that include the essay? No. - Inshaf wrote: I am an international student hoping for the class of the 2012. I need to know whether January test scores (TOEFL) are accepted without any penalty imposed on the applicant. No penalty, but please see Stephanies question for more detailed information Stephanie wrote: The next test date for SAT2 is in January. I found out that MIT accepts January SATs on a case by case basis. I would like to know how and to whom I could send my explanation for this so that I am considered as one of those case by case bases. What we mean by that is that well use everything in our possession to make a decision when the time comes. The reason we say case by case basis is because we cant always depend on the various testing services to get us January scores in time (although often it works out just fine). But you certainly dont need to apply for consideration or anything like that on our end. If we have the scores, well use them! - Jacob wrote: Regarding the following If we are missing required scores at the time of EA selection, well simply defer an applicant to Regular Action (with no penalty, of course) and consider him/her at that time, once the scores have reached us does this mean that we automatically get deferred if you dont have our test scores? Unfortunately, yes. We cannot make an admissions decision without the required test scores. - Molly wrote: How do you attach a resume to an online application? Should I just mail it in? Thats probably the best way to do it. - Anonymous wrote: Is it still alright to send in the second part online on Nov 1st? Like can I send it an hour before midnight before Nov 2nd? Definitely. A lot of people do just that. :-) - Anonymous wrote: It has been more than 3.5 weeks that I sent my Secondary school transcript but MIT has not yet recieved it. Should I wait for more time? and David wrote: Regarding deferring EA applicants if scores arent in: Will the same happen if a teacher recommendation is sent later? The teacher I asked to write the recommendation is swamped with other students as well, but would like time to write more than just a generic recommendation for me. If she turns it in late, will they wait, defer my application, or reject it? and Sad wrote: Its been 2 months since I gave the Toefl (25 August) and MIT hasnt yet recieved it!!!!! What shud I do???????? Please see Joannes message about deadlines. No worries! - BB wrote: Is it ok if i submit BOTH part 1 and part 2 on oct 31st? Or did part 1 have to be submitted earlier? Nope, thats fine. - Andrew wrote: I am a International student from Jamaica. This is now my second year in college in the US and i am strongly cosidering transfering to MIT for fall 08. My last SAT score was not strong and im scheduled to retake them December first. Also, I will take the SAT 2s (math and physics) In january. Will the SAT 2 scores be accepted at the end of January? It will take a while for me to go back home and get my secondary school transcripts from jamaica. How flexible is the due date for these transcripts? My secondary school GPA is not very strong, but i have excelled in the leadership and co-corricular activities. Also, since my college experience in the US, I have performed superbly academically and have done summer projects and research. Will MIT consider my average high school performance a problem, or will they consider my current performance more heavily? See a few answers up for info on January scores, but since the transfer deadline is later, I cant imagine it would be a problem. You should have plenty of time to get your transcripts in prior to the March 15th transfer admissions deadline (the only one available to intl applicants). For transfer applicants, your current performance in college will certainly be more important than your performance in high school, but without seeing your entire application, I couldnt tell you for sure how much of a factor your high school performance would be in the transfer committees decision.

Analysis Of The Movie Interstellar By Christopher...

Interstellar by Christopher Nolan, 2014. Did you know that Interstellar was filmed without a green screen? They brought in real spaceship pieces and built their own set to make it seem more real and try to keep the audience hooked. Christopher Nolan was a splendid director for Interstellar. From the movie Interstellar, he won the Empire Award for Best Director. Some of the main characters are: Cooper (Matthew McConaughey), Murph (little girl: Mackenzie Foy), Tom (boy: Timothee Chalamet), Donald (John Lithgow), Brand (Anne Hathaway), Doyle (Wes Bently), Remilly (David Gyasi), Professor Brand (Michael Caine), Murph (old lady: Ellen Burstyn), Tars (Bill Irwin), Case (Josh Stewart), Murph (same age as cooper when he left: Jessica Chastain), Tom (grown man: Casey Affleck), Mann (Matt Damon). We are also going to look at the fundamentals of film form, genre conventions, the elements of narrative, the elements of design, cinematography and lighting, and casting actors. Before we watch a movie, you might have a good idea what the m ovie is about just from looking at the cover or seeing the trailer or even because it’s by the director that created one of your other favorite movies. We have expectations of how it’s going to be before we really even start watching it especially with the movies created today. Everyone watches a couple different genres of movies and they have the form of those genres in their head. There are a few things that determine that form of a

Was William Taft an Effective President - 552 Words

A fat guy stuck in a bathtub? Or an effective President? Though President Taft was mostly thought of as the man who had to be lifted out of the bathtub, in reality, he was much more than that. President William Howard Taft was the 27th President of the United States. But, was he any good? Although Taft is not a famous president (aside from the only thing that people actually remember him for), he did make some very important contributions to our country. Persistence and intelligence are two of the most important qualities of an effective president. President Taft had both of these qualities, and that is part of what made him an effective president. Even before his presidency, Taft was a lawman. His first venture into politics and law was becoming Assistant Prosecutor of Hamilton County, Ohio. In 1887, he was appointed judge of the superior court in Cincinnati. At age 32, he became the Solicitor General of President Benjamin Harrison. He was the youngest person to receive this position at the time. From 1901 to 1904, he was the first civilian Governor-General of the Philippines. The last position he held before his he became president was Roosevelt’s secretary of war in 1904. All of these positions gave him political experience, which prepared him for presidency. Taft was extremely intelligent. As a young adult, he attended Yale College. He graduated 2nd in his class and received a bachelor’s degree in law. He was also highly educated in politics. His proposals asShow MoreRelatedThe Progressive Era Of The Revolutionary Era1723 Words   |  7 PagesWhich of the primary features of grassroots Progressivism was the most essential to the continued growth and success of the reformist movement? Why? The root of the Progressive Era comes from the emergence of industrialism in the United States had created some terrible problems and they wanted to work together to change the U.S government. Therefore, address the problems that had come about from the Industrial Revolution. The progressive era was all about making advances in a better society, the featureRead MoreThe Gilded Age1159 Words   |  5 Pagesclasses, and government authority, were issues carried into the early 20th century. Resulting from these issues were those that emerged, causing a reform movement, the Progressive Era. These leaders included Woodrow Wilson, incumbent President William Howard Taft, Theodore Roosevelt, and Eugene V. Debs. These candidates in the Presidential Election of 1912 campaigns were dominated by the reform efforts. While the candidates had the similar desire to reform the nation, their plans contrasted in theRead MoreWilliam Howard Taft : The President Of The United States2349 Words   |  1 0 PagesWilliam Howard Taft served one term as the 27th President of the United States from 1909 until 1913. While he is perhaps best known for his plump figure and the embarrassing bathtub incident he endured while in the White House, Taft is also the only person in United States history to have held both the offices of President and Chief Justice of the Supreme Court. Prior to securing the Republican Party’s presidential nomination and subsequently winning election in 1908, Taft served in various judicialRead MoreThe President Of The United States1342 Words   |  6 Pages The President of the United States is often referred to as the most powerful person in the world. This position offers presidents a unique opportunity to reach a large audience and to command its attention. Presidents frequently use this advantage as a â€Å"bully pulpit† to persuade citizens and to vote for favored legislation. Theodore Roosevelt first used the term bully pulpit to describe the way he used the press to prod legislators to accept his policies. Although this tactic was used to strengthenRead More Theodore Roosevelt Essay4300 Words   |  18 PagesTheodore Roosevelt Theodore Roosevelt was fond of quoting an old African proverb that admonished people to speak softly and carry a big stick. Ironically, it was his thunderous voice that made him president, earned him enemies and brought him friends. That voice also made him the bulwark of the Progressive Movement. On October 27, 1858, Roosevelt was born on East Twentieth Street in New York City to Martha Bulloch, who he described as a sweet gracious, beautiful Southern Woman andRead MoreThe Revolution Of The United States865 Words   |  4 Pages From 1900 to 1920 a political group called the progressives demanded change and more government involvement after the gilded age where there barely was any action taken by the government. While the progressives were becoming more and more popular among politicians and people they brought reform and change to the United States. The progressives brought change through industries, social movements and the economy. The progressives, (as their name suggests) brought progress to America that forever changedRead MoreThe Civil War And Reconstruction1357 Words   |  6 Pageshuge process of reconstruction to unifying and reconstructing the war-torn state. The nation still remained utterly divided between North and South in essentially all aspects of life in cluding religion, race, and government. President Andrew Johnson,who succeeded President Abraham Lincoln enacted various policies in order to unite the country. These policies included friendly policies that pardoned Southerners while also restoring democracy. The reconstruction brought the necessary reparationsRead MoreImperialism Cartoons Vs. Japanese Imperialism1537 Words   |  7 Pagesan imperial power. Their ultimate goal was to influence other areas around the world for their own benefit, interest, and advancement. 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Morality was used to justify or excuse the actions andRead MoreTheodore Roosevelt : The First Modern President Of The United States Essay1187 Words   |  5 PagesTheodore Roosevelt is widely thought of as the first modern President of the United States. The influence that the office has today began to develop during Roosevelt’s time in office. His impact is one that will not be forgotten. Theodore Roosevelt made many great contributions to the world. He was born into a prestigious and wealthy family on October 27, 1858 in New York City. He was given the nickname Teddy by his parents Theodore and Martha Bulloch Roosevelt and his three brothers and sisters

Against Abortion Free Essays

Abortion’s should be illegal throughout the world because it is cruelty and mean for killing an unborn child it is unnecessary for an adult to do such a cruel thing. An abortion is a issue affecting our society. Many people feel that abortion’s is a situation that should be done because they have been raped, or health issues that will hurt the mother’s life. We will write a custom essay sample on Against Abortion or any similar topic only for you Order Now Killing innocent children is unethical especially the way the procedures are done. The child that is growing inside the woman’s stomach should be born and live a great life.Abortion’s is a highly controversial and debatable matter life and death are related. People also think about the mental and emotional state of the family. Abortion’s can emotionally and physically mess up a women’s life, mind, and their body. I learned that abortion’s can also give a woman breast, uterine, and cervical cancer. Abortion is the worst thing a woman can do against human dignity. It is a crime against life. Nobody has the right to kill or hurt a new living being. Abortion’s is immoral and it should not be legalized, many countries fight against it. Abortion’s is also a threat to the mother’s life and their health.A woman can suffer an infection or internal bleeding, she can also become sterilized the permanent to bear a child. Abortion’s not only kills the baby but it may kill the mother too. If the mother is using drugs she could suffer dangerous side effects and give the mother severe pain. Many complications are common after abortion’s, like inflammation of the reproductive organs. None of the methods women use to abort are completly safe one of the most common methods used is suction aspiration. Great care must be taken to prevent the uterus from being damaged , which would cause hemorrhage.Another method used for babies as old as twenty four weeks, is the Dilation and Evacuation. Although against abortion’s arguments will help people reach a reasonable decision on the issue . If each side was represented, it is likely people would become in favor of a ban on abortion when facts are the issue instead of a false play in people emotion’s. In those cases especially,is unfair to punish an innocent fetus merely for the irresponsible adults. I think some circumstances would make them legal. In the situation of rape I don’t believe that abortions should be legal because the act of sex was forced upon the person.Because of this, I think that the person who was raped should be able to choose whether she wants to keep the baby or not. Abortion’s such as adoption, which is far preferable to destroying a life it has to develop naturally. There is a moral between a fetus to save the mother’s life, or where pregnancy results rape, for another, and pregnancy from irresponsible sexual activity without appropriate precautions guard against pregnancy. In my conclusion against abortion’s is that abortion’s is like pro’s and con’s abortion’s is one of the most high debates in the political and social arena. How to cite Against Abortion, Papers

Differences Between Counseling and Psychotherapy Essay Example For Students

Differences Between Counseling and Psychotherapy Essay Counseling Theories August 3, 1995 Running head: Coun. v. Psychotherapy Counseling v. psychotherapy is there a difference between the two? This paper will attempt to prove that there are several Differences Between Counseling and Psychotherapy Essay. While counseling and psychotherapy have several different elements in each, the following information will also attempt to show the reader that there are some areas where the two overlap. At times this was a confusing topic to research. A fine line distinguishes the two topics and one must look hard to see this line. Definition of Counseling One survey taken by Gustad suggests a definition of counseling where he included three key elements. Counseling is a learning-oriented process, carried on in a simple, one to one social environment, in which a counselor, professionally competent in relevant psychological skills and knowledge, seeks to assist the client by methods appropriate to the latters needs and within the context of the total personnel program, to learn more about himself, to learn how to put such understanding into effect in relation to more clearly perceived, realistically defined goals to the ` end that the client may become a happier and more productive member of his society (1957, p. 36). In lay terms counseling can be described as a face to face relationship, having goals to help a client to learn or acquire new skills which will enable them to cope an d adjust to life situations. The focus is to help a person reach maximum fulfillment or potential, and to become fully functioning as a person. Definition of Psychotherapy Psychotherapy is the process inwhich a therapists assists the client in re-organizing his or her personality. The therapist also helps the client integrate insights into everyday behavior. Psychotherapy can be defined as more inclusive re-education of the individual (Brammer Shostrom,1977). Objectives of counseling The objectives of counseling according to the Committee on Definition, Division of Counseling Psychology, American Psychological Association are to help individuals toward overcoming obstacles to their personal growth, wherever these may be encountered, and toward achieving optimum development of their personal resources (Arbuckle, 1967). In a paper written by Dr. T. Millard, it is stated that Counseling provides clarity and a positive and constructive venue for the individual to sensibly examine the instinctive-emotional and rational (or irrational) motives which determine the drive, content, and even the form of human conduct. This shows the part which counseling plays in a clients treatment. Objectives of psychotherapy According to Everett Shostrom (1967) , the goal of psychotherapy is to become an actualizer, a person who appreciates himself and others as persons rather than things and who has turned his self defeating manipulations into self fulfilling potentials (p. 9). Shostrom also feels that awareness is the goal of psychotherapy, The reason is that change occurs with awareness! (1967 p. 103). Shostrom feels that awareness is a form of non-striving achieved by being what you are at the moment,l even if what you are means the phony manipulative role that we all play sometimes for external support (1967 p. 103). Professional opinions Not all therapists feel that there is a distinction between counseling and psychotherapy. C.H. Patterson feels that it is impossible to make a distinction, He feels that the definition of counseling equally applies as well to psychotherapy and vice a versa. Donald Arbuckle (1967) argues that counseling and psychotherapy are identical in all essential aspects. Others believe that there is a distinction. Psychotherapy is concerned with some type of personality change where counseling is concerned with helping individuals utilize full coping potential. IN Donald Arbuckles work he included Leona Tylers thoughts on the differences between counseling and psychotherapy. Leona Tyler attempts to differ between counseling and psychotherapy by stating, to remove physical and mental handicaps or to rid of limitations is not the job of the counselor, this is the job of the therapist which is aimed essentially at change rather than fulfillment (Arbuckle 1967). Brookdale Community College Essay Differences between counseling and psychotherapy One of the major distinctions between counseling and psychotherapy is the focus. In counseling, the counselor will focus on the here and now, reality situations. During psychotherapy, the therapist is looking into the unconscious or past. A .

Logic Of Logic Essays - Religious Controversies, Magic, Witches

Logic Of Logic Logic Test 1. The most obvious unscientific theory that I can think of today, would be religion. Religion is possibly one of the biggest influences in our lives, and there is no scientific way to even prove that it exists. I asked a few friends of mine, who are religious, why they believe in a God. The first that I asked hemmed and hawed and when I finally had to threaten him to spit out an answer, he said, ?I don't know.? The next person I asked answered a little more intelligently by saying, ?I just don't believe that we all came here without any divine help. I don't believe in the Big Bang theory, and believing in God fills in a lot of gaps for me.? None of the people I spoke with fit this next category, but I believe that there is one last group of people who practice religion. These people practice it because they really believe in God, and many claim to be able to ?feel? him. I am not saying any of these people are right or wrong, but I can say that none of them can prove there is a god. This belief is not empirically verifiable, nor is it testable. The first group who practice religion just because it is the socially expedient thing to do, do not worry about justifying whether or not there is a god. He just knows that he is expected to show up in church on Sunday. The second group who believes in religion over the Big Bang theory, or look to religion for answers that Science cannot answer yet aren't any closer. They see two possibilities for how we got here. There is the Big Bang theory, or this God thing. They really don't believe in the Big Bang theory, so that must mean the other alternative, God, must be right. The last group that really believes in God has no proof either. They say, ?I feel God with me!? How do they know that it is in fact God that they are feeling. Maybe their lunch didn't set well with them. They feel something, don't know exactly what it is, and come to assume that it is God. 2. This next example of an unscientific system is one that is no longer practiced, but it is a perfect example of the ignorance of humans and their willingness to embrace anything that will make them feel superior. Back in Mid evil times, people would burn women at the stake who had different ideas then the societal norm. They would call these women witches. How does one prove another a witch? In this time period, any woman found thinking differently from society, would be branded a witch and burned at the stake. By these standards how many woman today would be witches. I think far more then I can imagine. It is funny, almost comical trying to imagine the mindset of the people who did these things long ago. I can just see someone thinking, ? Ok, so, she's not like me, she's not like everyone else?.so, that must make her different. Ok, so if she's different from me, and I'm normal, what could she be. She must be a Witch!!!!? Once again there is no empirical evidence proving her a witc h, and there is no way they could prove her a witch. Some tried to prove it by creating tests, like throwing the ?witch? into a lake and if she doesn't try to swim she isn't a witch, and if she tries to swim to stay alive, she is a witch. It is downright hilarious. There is no real way to test if she is a witch. This was just societies very unscientific system of weeding out people who did not fit their norms. Logic Test 1. The most obvious unscientific theory that I can think of today, would be religion. Religion is possibly one of the biggest influences in our lives, and there is no scientific way to even prove that it exists. I asked a few friends of mine, who are religious, why they believe in a God. The first that I asked hemmed

Urbanization essays

Urbanization essays As United States was entering the new century (1900) there had been many changes to the States. The industrial expansion was bringing many immigrants to America. Many of these immigrants were moving to the new big cities to be with their own people, and to work at the factories. Among other changes America was becoming an urban society, instead of a rural society, as many youths from the farms were also being drawn to the cities. Women reformers were tackling the problems of slums (tenement houses), employment, and the right to vote for women. Also at this point in time the United States of America was emerging as an industrial and military world power. The rise of industrial revolution greatly increased the national wealth and the need for cheap labor. The newly arriving immigrants filled this need for many corporations and businesses. Most immigrants had little or no money to buy land, so they would settle in the cities where they would work for very low wages, most believing that they would work until they were able to afford to buy land. (Tindall pg.936-37) Most immigrants spoke or knew little English, so this made them easy targets for hiring agents who kept a large percentage of their wages. As the cities grew and land became scarce the designers had to build upward to accommodate all the new arrivals and the results were tenement houses. These houses were nothing more than slums and cause infectious diseases to spread rampantly. Mortality rate for these immigrants were very high due to the conditions they were force to live in and many babies died before their first birthday. (Tindall pg.9) Because of the awf ul conditions that immigrants lived in, several reformers felt they had to help them (immigrants) and fought for changes to be made. The reformers started settlement houses and at first they believed that this could be the cure for the slums, unfortunately this would not be the case. So t...

The Issue of power in the story The Road To Salvation by Premchand and Research Paper

The Issue of power in the story The Road To Salvation by Premchand and Punishment by Rabindranath Tagore - Research Paper Example In Punishment, on the other hand, Tagore describes the inequalities of gender relations in rural India, which may as well reflect the problem of sexism that continues to put women in a powerless position in society in many parts of the world. While both Tagore and Premchand sharply presents the power relations among humans in society during their respective times though, they also push the concept that unfair or unequal arrangements could be corrected either through fate or through non-violent appeals to conscience of the dominant force. In this regard, both short stories did not dwell on the issue of genuine justice as administered by the legal institutions in society. Although these are quite effective in arousing people about the issue of unfair power relations, these fail to encourage them to seek justice. Instead, both stories have the intention of dousing cold water on any emotional reaction to unjust power structures. However, these also did not provide ideas on the alternative actions that can be taken rather than to simply accept the concept that there are those who are powerful while the rest are fated to be subjugated. These are the reasons why a situation where people are passive and docile despite their oppr ession and exploitation exists. Economic wealth is proportionate to political power and social influence. As portrayed in both short stories, economic status is the basis for the clout that one yields over others in the community, a premise that is not only valid in the historical setting in Premchand’s and Tagore’s works but is also true for the rest of the modern world. Such clout or power, on the other hand, is mainly used to further make one richer and to protect his valuable properties. The perpetuation of one’s power therefore is a necessary step to sustain one’s preferred way of life. Even without an established political

The SWOT Analysis of Beyond Product Essay Example | Topics and Well Written Essays - 1000 words

The SWOT Analysis of Beyond Product - Essay Example The Beyond company has a significant strength from the Peter, who is a vital shareholder and has experience in the business. The participation of Peter in the business plan completion helped him to win the competition that provides knowledge he used to formulate business the strategy that helps in achieving their objectives of introducing the snowboards in the market. His partner who had complementary financial and accounting skills also helped in the product and business plan development. The Italian and Belgian engineering companies and the significant chemical company motivated Peter to develop hybrid binding with positive features that proved that the market was ready for a new product. However, the company faced severe challenges in product development and marketing strategies because it was costly, and the company was limited to financing methods. Meanwhile, lack of assurance to the inventors due to slow product development of the product in the market caused Peter to lose the only partner, who was supporting the company financially. The beyond product has a significant opportunity of achieving its mission to provide a range of high-quality products by allowing business angels to invest their equity of pounds 300,000. Meanwhile, the company will encounter potential threats from generating the interest of importers at the ISPO fair because the sales would be much lower than expected that will jeopardize the future of the company. The snowboarding is the quickest growing sport in the United State with the average growth rate of 11.4 percent that will offer Peter a sizeable market opportunity for its products. Meanwhile, there are seventeen million snowboarders active globally that account for every one-third of the total winter sports population, and since the peter product is designed for this purpose it will benefit from these buyers.

Rebound Tenderness in Diagnosis of Appendicitis in Children

Rebound Tenderness in Diagnosis of Appendicitis in Children Abdominal pain is a common presentation within the accident and emergency department [A+E] and specialist nurses working in this environment need to be familiar and confident in dealing with this presentation (Hibberts and Bushell 2007, Pines, Pines, Hall, Hunter, Srinivasan and Ghaemmaghami 2005). Abdominal pain can be associated with a wide variety of surgical and nonsurgical conditions, with the most prevalent cause being acute appendicitis (Lin, Chen, Chung, Ho, and Lin, 2009). The diagnosis of appendicitis is formulated from subjective and objective data including a patients history, abdominal examination, laboratory investigations and signs and symptoms. This assignment will critically analyse the clinical skill of testing for rebound tenderness and its relevance to diagnosing appendicitis in children. The clinical diagnosis of acute appendicitis in children is difficult for many practitioners (Broek, Ende, Bijnen, Breslau and Alkmaar, 2004). Between the years 2008 and 2009 the number of patients presenting to A+E within the UK who were diagnosed with appendicitis was 44,244 (NHS Information Centre, 2009). This equates to almost 0.3% of all presentations in A+E over one year. Approximately 9,300 of this population were between the ages of 0 and 14 years old (NHS Information Centre, 2009). However up to 25% of these 9,300 children with suspected appendicitis have a normal appendix at operation (Smink, Finkelstein, Garcia-Pena, Shannon, Taylor, and Fishman, 2004). Furthermore, the 25% of paediatric negative appendectomies now result in considerable clinical and economic costs to the NHS (Koepsell, 2002). These substantial figures are one of the primary reasons for specifying this assignment on children. In addition, the scope of practice within A+E covers paediatrics for many adult q ualified nurses and adult trained nurse practitioners. It is therefore imperative that the knowledge base for all A+E staff encompasses paediatrics at an advanced level as well (Cleaver, 2003). The overall accuracy for the clinical examination in diagnosing acute appendicitis has been reported to be between 54% and 70% in children (Birkhahn, Briggs, Datillo, Van Deusen and Gaeta, 2006). In addition Whisker, Luke, Hendrickse, Bowley and Lander (2009) suggest that only 4% of children have a miss-diagnosis of appendicitis in specialist paediatric centres, compared to 20% in district general hospitals. Despite the uncertainty of the diagnosis and the cost of miss-diagnosis to the NHS, appendicitis requires urgent treatment (Williams, et al., 2009). This is due to the risk of perforation, which occurs in approximately one third of cases in children (Neilson, et al., 1990). Therefore the need for a good clinical assessment at first contact in A+E is needed to provide a correct management plan and reduce on costs for the NHS. An abdominal examination should be performed where possible in a warm, well lit room with the patient well-draped and relaxed (Bickley, 2009). Initially the practitioner should undertake inspection, auscultation and percussion of the whole nine sections of the abdomen (Lippincott Williams and Wilkins, 2008). The final aspect of the abdominal examination should be palpation as this has the potential to be the most painful (Allan, 2008). Palpation is a process which should always be commenced away from the site of pain, as this will allow the patient to gain some reassurance from the practitioner and help them to relax (Bickley, 2009, Hibberts and Bushell, 2007). The practitioner should utilise the palmer surfaces of the fingers to identify any abnormal signs (Bickley, 2009). More specific palpation techniques can help to diagnose appendicitis, such as rebound tenderness (Bickley, 2009). This is performed by pressing slowly and firmly to a specific area and then withdrawing them quickly (Bickley, 2009). Practitioners should observe the patient and ask if pain was worse on pressing or letting go (Hibberts and Bushell, 2007). However, Bickley (2009) suggests that if any of the previous examinations such as light or deep palpation are positive then this should not be undertaken as it will cause undue pain for the patient. The whole process of abdominal examination in children follows the same system as in adults. However, the causes of abdominal pain in children are often different, encompassing a broad range of acute and chronic diseases (Bickley, 2009). Therefore it maybe pertinent to suggest that more emphasis should be placed special techniques such as checking for rebound tenderness rather than abdominal palpation and testing for rebound. The initial discovery and accreditation of rebound tenderness (also known as Blumbergs sign) is credited to a German surgeon called Jacob Moritz Blumberg (1873 1955). Many articles make reference to Blumbergs sign; however there appears to be no relevant literature, research or evidence base to support this surgeon was the gentleman who discovered this sign (Mantzaris, Anastassopoulos, Adamopoulos and Gardikis, 2008). A study undertaken by (Williams, et al., 2009) showed that out of 98 children who had acute appendicitis 91% had right lower quadrant tenderness on palpation however only 30% had rebound tenderness. Another study by Lin, Chen, Chung, Ho, and Lin (2009) also suggested that 43.4% of the 53 children examined with appendicitis had rebound tenderness. So both these studies suggest that positive rebound tenderness is an indication of an acute appendicitis in children and therefore cannot be ruled out of an initial differential diagnosis. Golledge, Toms, Franklin, Scriven and Galland (1996) specifically evaluated the â€Å"cats eye symptom† (pain going over a bump in the road), the cough sign, right lower quadrant pain to percussion, rebound tenderness and guarding. The data from this evaluation suggested that rebound tenderness had a likelihood ratio of 7.4 compared to the other signs which had likelihood ratios of between 1.1 and 4.1. This data therefore suggests that rebound tenderness is a very useful sign in the diagnosis of acute appendicitis, but that the other signs and symptoms are not (Moyer, et al., 2001). Overall rebound tenderness is useful sign for diagnosing appendicitis when there is a high suspicion of appendicitis and is accompanied with other diagnostic indicators (Moyer, et al., 2001). Another presentation to be considered in relation to abdominal pain and rebound tenderness is the duration of the pain experienced by the child. A study undertaken by Oshea, Bishop, Alario and Cooper (1988) involved 246 children from 13 to 18 years old who presented to the emergency department with a history of less than one week of abdominal pain. Results showed that the likelihood ratio of pain was greater when the child had the pain for more than 12 hours (Likelihood ratio: 1.3) compared to less than 12 hours (Likelihood ratio: 0.64). Later in the study pain duration was evaluated at less than 24 hours and more than 24 hours, with their likelihood ratios being 0.83 and 1.2 respectively. When compared to Andersson, et al. (1999) study of 502 patients aged 10 to 86 the greatest likelihood ratio was 1.7 at 7-12 hours after onset of pain. Based on both studies it is very difficult to see how duration of pain can lead to the diagnosis of appendicitis. Therefore, practitioners must not allow the duration of pain to prevent any further investigation into the diagnosis (Moyer, et al., 2001). Another symptom which could possibly indicate the diagnosis of appendicitis is fever (Gwynn, 2001). Cardall, Glasser and Gusss (2004) study evaluated two hundred and ninety three people aged between 7 and 75 who presented to the emergency department with suspected appendicitis. Temperatures were classed at greater than 99oF or less than 99oF. The study showed that 27% of patients whos temperature was 99oF. When the results were analysed in terms of specific temperature intervals, the highest likelihood ratio (3.18) was found in patients with temperatures greater than 102  °F. However, Bergerons (2006) study on clinical judgement suggests there is no clinical value with temperature as there is minimal sensitivity and specificity in the diagnosis of appendicitis. Therefore, as with duration of pain duration and levels of WBCC, temperature as a single entity has little diagnostic utility in the diagnosis of appendicitis unless it is combined with other signs and symptoms such as rebou nd tenderness (Cardall, Glasser and Guss, 2004). For many years laboratory tests such as white blood cell count (WBCC) leukocytes and C-reactive protein (CRP) have been used to support a diagnosis, but the considerable overlap with other inflammatory conditions accounts for the low specificity and positive predictive value of these tests (Stefanutti, Ghirardo and Gamba, 2007). Recent studies on adult patients who present with clinical signs and symptoms indicating acute appendicitis, show that appendicitis can be excluded if both leukocyte count and C-reactive protein value are normal (Gronroos, 2001). However, Stefanutti, Ghirardo and Gamba, (2007) suggest that only a few studies have been reported in paediatric patients and the role of WBCC and CRP in excluding acute appendicitis in children has not been confirmed. According to Andersson et al. (1999) children who present with signs and symptoms of appendicitis such as rebound tenderness and have a WBCC of 15000 only moderately increases the estimated risk of appendicitis. This t herefore shows that only at the extremes of the WBCC does this diagnostic indicator appear useful (Moyer, et al., 2001). Therefore, contrary to adult patients, normal leukocyte count, WBCC and CRP value cannot effectively exclude acute appendicitis in children. Another usual predictor of appendicitis is vomiting (Bergeron, Richer, Gharib and Giard, 1999). The study by Andersson et al. (1999) calculated the likelihood ratio for appendicitis in a patient with vomiting compared to one with no vomiting to be 1.8. In addition Reynolds and Jaffe (1992) study suggests that a combination of four predictors including; vomiting right lower quadrant pain, abdominal tenderness, and abdominal guarding. More specifically 97% of the 377 children studied who were diagnosed with appendicitis had two or more of these predictors. Therefore, a patient who presents to A+E with less than two of the above predictors is quite unlikely to have appendicitis. Alvarado (1986) conducted a retrospective study of 305 patients hospitalised with abdominal pain suggestive of acute appendicitis. Signs, symptoms, and laboratory findings were analysed for specificity, sensitivity, predictive value, and joint probability.Their importance, according to their diagnostic weight, was determined as follows: localized tenderness in the right lower quadrant, leukocytosis, migration of pain, shift to the left, temperature elevation, nausea-vomiting, anorexia-acetone, and direct rebound pain (Alvarado, 1986). This scoring system shown below is deemed by many surgeons as an easy aid for supporting the diagnosis of acute appendicitis (Khan and Rehman, 2005). A study undertaken by Baidya, Rodrigues, Rao and Khan (2007) investigated the diagnostic accuracy of Alvarado scoring system. The results showed that a score of >7 for an appendicitis was 88.2% correct in diagnosis. However, the diagnostic accuracy of an Alvarado score Despite recent advances in knowledge and diagnostic investigations, a population-based analysis in the United States found that the incidence of unnecessary appendectomy has not changed (Flum, Morris and Koepsell, 2001). Therefore to increase diagnostic accuracy, new modalities such as ultrasound scans have been introduced (Broek, Ende, Bijnen, Breslau and Alkmaar, 2004). Kaneko and Tsuda (2004) conducted a 10-year study using ultrasound scans to diagnose appendicitis in children and are convinced that ultrasound scans can identify inflamed appendices with 100% sensitivity and can also determine the severity as well. However Smink, Finkelstein, Garcia-Pena, Shannon, Taylor and Fishman (2004) suggest that the use of ultrasound has not decreased negative appendectomies as similar negative rates were present over a decade ago. Therefore on the basis of the available evidence, patients presenting to A+E with a strong clinical case of appendicitis should be referred direct to the surgeon without an ultrasound. In addition to the use of ultrasound scanning the use of computed tomography (CT) has been recently studied and evaluated. There are currently two perspectives in the literature regarding the use of CT scan for the diagnosis of acute appendicitis: one supporting its routine use due to the decreased incidence of negative appendectomies, and the other one against its routine use due to the increased cost and delay in surgical management (Ceydel, Lavotshkin, Yu and Wise, 2006). In addition the benefits of imaging eliminating inpatient observation and unnecessary surgery must be weighed against the malignancy risk from radiation, as well as discomfort of rectal contrast administration (Smink, Finkelstein, Garcia-Pena, Shannon, Taylor and Fishman, 2004). Ceydel, Lavotshkin, Yu and Wises (2006) retrospective study showed that the negative appendectomy rate was much less in patients who had CT scans (7.6%) compared to the non CT scan group (24%). Therefore clinicians within A+E use their cl inical judgement and place emphasis on the importance of routine history and an accurate physical examination utilising CT scans for atypical cases of acute appendicitis (Gwynn, 2001). Currently within the A+E department there is no specific pathway or tool for ruling in acute appendicitis in paediatrics. In addition Birkhahn, Briggs, Datillo, Van Deusen and Gaeta (2006) suggest that no major medical association or professional organisation currently endorses a standardised pathway for the evaluation of patients with suspected appendicitis. With up to 25 % of children having negative appendectomies it is therefore of clinical and financial value to consider the use of a scoring system to admit or discharge children who present with a possible acute appendicitis. Current systems are in place for other potential conditions such as myocardial infarctions, pancreatitis and pneumonia. These other systems have been audited locally and nationally and are currently working well within the trust, therefore the plans to introduce the Alvarado scoring system will be put forward in the next review of clinical practice meeting between nursing and medical staff. To conclude, this assignment demonstrates that for an emergency department practitioner in a fast paced A+E setting, the accurate diagnosis of acute appendicitis remains a challenge for the paediatric age group. An accurate history and physical examination, which as highlighted can be challenge in younger patients plays an important role in the diagnosis of early acute appendicitis (Mallick, 2008). Physical clinical signs elicited upon examination provide the practitioner with a good insight to expected diagnosis. However, the usefulness of rebound tenderness as a single examination has minimal clinical value. The whole patient picture which encompasses an accurate history, clinical examination, laboratory investigations and possible diagnostic imaging is therefore vital to providing a correct diagnosis. The use of clinical scoring systems like the Alvarado score can be a cheap and quick tool to apply in emergency departments to rule in acute appendicitis. This scoring system includes many aspects such as clinical history, rebound tenderness and laboratory investigations. This allows for observation and critical re-evaluation of the evolving clinical picture. Its application improves the overall diagnostic accuracy and consequently reduces negative appendectomies (Khan and Rehman, 2005). In clinical cases where the practitioner is unsure if the actual diagnosis is acute appendicitis other diagnostic imaging studies such as ultrasound and CT may be undertaken. This must only then be considered once a thorough clinical examination has not provided any indication for acute appendicitis and the benefits out way the risks. References NHS Information Centre. (2009). Primary diagnosis: summary. Retrieved November 21, 2009, from Hospital Episode Online: http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937categoryID=202 Allan, B. (2008). History and examination (3rd ed.). Philadelphia: Mosby. Alvarado, A. (1986). A practical score for the early diagnosis of acute appendicitis. Annals of Emergency Medicine, 15 (5), 557-564. Andersson, R., Hugander, A., Ghazi, S., Ravn, H., Offenbartl, S., Nystrà ¶m, P., et al. (1999). Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. World Journal of Surgery, 23 (2), 133-40. Baidya, N., Rodrigues, G., Rao, A., Khan, S. (2007). Internet Scientific Publications. Retrieved December 22, 2009, from The Internet Journal of Surgery: http://www.ispub.com/journal/the_internet_journal_of_surgery/volume_9_number_1/article_printable/evaluation_of_alvarado_score_in_acute_appendicitis_a_prospective_study.html Bergeron, E. (2006). Clinical judgment remains of great value in the diagnosis of acute appendicitis. Canadian Journal of Surgery, 49 (2), 96-100. Bergeron, E., Richer, B., Gharib, R., Giard, A. (1999). Appendicitis is a place for clinical judgment. American Journal of Surgery, 177, 460 462. Bickley, L. (2009). Bates Guide to Physical Examination and History Taking (10th ed.). Philadelphia: Wolters Kluwer Health / Lippincott Williams and Wilkins. Birkhahn, R., Briggs, M., Datillo, P., Van Deusen, S., Gaeta, T. (2006). Classifying patients suspected of appendicitis with regard to likelihood. The American Journal of Surgery, 191, 497-502. Broek, W., Ende, E., Bijnen, A., Breslau, P., Alkmaar, D. (2004). Which children could benefit from additional diagnostic tools in cases of suspected appendicitis? Journal of Paediatric Surgery, 39 (4), 570-574. Cardall, T., Glasser, J., Guss, D. (2004). Clinical value of the total white blood cell count and temperature in the evaluation of patients with suspected appendicitis. Academic Emergency Medicine, 11 (10), 1021-1027. Ceydel, A., Lavotshkin, S., Yu, J., Wise, L. (2006). When should we order a CT scan and when should we rely on the results to diagnose an acute appendicitis? Current Surgery, 63 (6), 464-468. Cleaver, K. (2003). Developing expertise the contribution of paediatric accident and emergency nurses to the care of children, and the implications for their continuing professional development. Accident and Emergency Nursing, 11, 96 102. Flum, D., Morris, A., Koepsell, T. (2001). Has misdiagnosis of appendicitis decreased over time? A population-based analysis. Journal of the American Medical Association, 286, 1748-1753. Golledge, J., Toms, A., Franklin, I., Scriven, M., Galland, R. (1996). Assessment of peritonism in appendicitis. Annals of the Royal College of Surgeons England, 78, 11-14. Gronroos, J. (2001). Do normal leukocyte count and C-reactive protein value exclude acute appendicitis in children? Acute Paediatrics, 90, 649- 651. Gwynn, L. (2001). The diagnosis of acute appendicitis: Clinical assessment versus computed tomography evaluation. The Journal of Emergency Medicine, 21 (2), 119-123. Hibberts, F., Bushell, C. (2007). Physical assessment in gastroenterology abdominal examination. Gastrointestinal Nursing, 5 (7), 24 30. Kalan, M., Talbot, D., Cunliffe, W., Rich, A. (1994). Evaluation of the modified Alvarado score in the diagnosis of acute appendicitis: a prospective study. Annals of the Royal College of Surgeons, 76, 418-419. Kaneko, K., Tsuda, M. (2004). Ultrasound-based decision making in the treatment of acute appendicitis in children. Journal of Paediatric Surgery, 39 (9), 1316-1320. Khan, I., Rehman, A. (2005). Application of Alvarado scoring system in diagnosis of acute appendicitis. Journal of Ayub Medical College Abbottabad Pakistan, 17 (3), 17-21. Koepsell, F. (2002). The clinical and economic correlates of misdiagnosed appendicitis: Nationwide analysis. Archives of Surgery, 137, 799-804. Lin, C., Chen, J., Chung, T., Ho, Y., Lin, W. (2009). Children presenting at the emergency department with right lower quadrant pain. Journal of Medical Science, 25, 1-9. Lippincott Williams and Wilkins. (2008). Assessment made incredibly easy Philadelphia: Wolters Kluwer Health / Lippincott Williams Wilkins. Malik, K., Khan, A., Waheed, I. (2000). Evaluation of the Alvarado score in diagnosis of acute appendicitis. Journal of College of Physicians and Surgeons Pakistan, 10, 392-394. Mallick, M. (2008). Appendicitis in pre-school children: A continuing clinical challenge: A retrospective study. International Journal of Surgery, 6, 371-373. Mantzaris, D., Anastassopoulos, G., Adamopoulos, A., Gardikis, S. (2008). A non-symbolic implementation of abdominal pain estimation in childhood. Information Sciences, 178, 3860-3866. Moyer, V., Elliott, E., Davis, R., Gilbert, R., Klassen, T., Logan, S., et al. (2001). Evidence Based Paediatrics and Child Health. London: BMJ Books. Neilson, I., Laberge, J., Nguyen, L., Moir, C., Doody, D., Sonnino, R., et al. (1990). Appendicitis in children: Current therapeutic recommendations. Journal of Paediatric Surgery, 25 (11), 1113-1116. Oshea, J., Bishop, M., Alario, A., Cooper, J. (1988). Diagnosing appendicitis in children with acute abdominal pain. Paediatric Emergency Care, 4, 172-176. Owe, T., Williams, H., Stiff, G., Jenkinson, L., Rees, B. (1992). Evaluation of the Alvarado score in acute appendicitis. Journal of the Royal Society of Medicine, 85, 87-88. Pines, J., Pines, L., Hall, A., Hunter, J., Srinivasan, R., Ghaemmaghami, C. (2005). The interrater variation of ED abdominal examination findings in patients with acute abdominal pain. American Journal of Emergency Medicine (23), 483-487. Rehman, I., Burki, T. (2003). Alvarado scoring system in the diagnosis of acute appendicitis in children. Journal of Medical Sciences, 11, 37-41. Reynolds, S., Jaffe, D. (1992). Diagnosing abdominal pain in a paediatric emergency department. Paediatric emergency care, 8, 126-128. Smink, D., Finkelstein, J., Garcia-Pena, B., Shannon, M., Taylor, G., Fishman, S. (2004). Diagnosis of acute appendicitis in children using a clinical practice guideline. Journal of Paediatric surgery, 39, 458-463. Stefanutti, G., Ghirardo, V., Gamba, P. (2007). Inflammatory markers for acute appendicitis in children: are they helpful? Journal of Paediatric Surgery, 42, 773-776. Whisker, L., Luke, D., Hendrickse, C., Bowley, D., Lander, A. (2009). Appendicitis in children: A comparative study between a specialist paediatric centre and a district general hospital. Journal of Paediatric Surgery, 44, 362-367. Williams, R., Blakely, M., Fischer, P., Streck, C., Dassinger, M., Gupta, H., et al. (2009). Diagnosing ruptured appendicitis preoperatively in paediatric patients. Journal of American College of Surgeons, 208 (5), 819 825.

Particular social system Essay

Ethics is the discipline that deals with the good and the bad as well as with the moral duty and responsibility of an individual. It can also be defined as the study of the choices made by individuals as regards right and wrong (Marie, 2005). Ethics is mainly concerned with the philosophy that results in a particular behavior. Ethics are of different types, and they differ in terms of their application in different contexts. Ethics state the working of a particular social system. They point towards the utilization of morality. At birth, as indicated by Be The Dream (2009), everyone is practically a blank slate. The period of infancy is characterized by total emptiness. The only skill an infant is equipped with is crying in order to attract the attention of the other people. Infants are contented with just lying watching the world revolve around them until they need something. However, as life progresses, individuals develop values in accordance with what they have previously learned or gone through (Be The Dream, 2009). The main intent of developing ethics is to set up the capacity to come up with rational judgment and ethical decisions. The whole process of personal ethics development is continuous and goes on through out life (Marie, 2005). Personal ethics, morals and values go hand in hand. Values are beneficial aspects learned from childhood, either as a result of interaction with the environment or from parents. Morals are the inherent beliefs that develop from the values system of the way an individual should react in a particular situation (Fairleigh Dickinson University, 2010). Ethics, on the other hand, are characterized by an individual’s reaction to difficult situations. Ethics play a major role of testing the morals of an individual. Personal ethics are instilled by the culture, environment as well as the background in which an individual is brought up (Fairleigh Dickinson University, 2010). Family values in addition to traditional values are very important in the upbringing of a child. These values play a major role in assisting an individual develop personal ethics at a very tender age. Various personal ethics include: honesty, loyalty, punctuality, open-mindedness, self respect as well as respect for others and fairness (Marie, 2005). Hatcher (2007) states that the expression of one’s ethics is not always comprehended in the global context at large, immediate surrounding, or even among the closest family members. This is mainly as a result of the difference in the development of personal ethics. Personal ethics develop early in life through interaction with family, church, school, and other members of the general community. All these people play part in helping one mold his/her beliefs (Hatcher, 2007). Personal ethics are established through unconscious observations as well as experiences of childhood. Personal ethics narrate values that help an individual make sense of his/her life. They enable one to make moral decisions that are not inclined towards the good of an individual but to all people. An ethical person undergoes extensive internal battles, trying to figure out whether his or her actions will negatively impact on others. Personal ethics enable individuals to make decisions that are meant for the benefit of all. They act as an innate factor that enable individuals make rational and morally correct decisions (Hatcher, 2007).

Competitive Analysis

Competitive Analysis One of the few advantages Japed has over its competitors is that they are t he most welkin hot dog stand in Vancouver. As they were awarded â€Å"Best of Vance feed' 3 years consecutively. Shops located at the YVES airport, Robinson Street, and Richmond d has proven to be very successful towards the company. These locations provide easy ace usability for potential consumers. The airport provides people from all over the world to g Arab a quick bite before their next flight. What better thing to grab than a cultural fusion hot do g a customer has never tried before?The convenience of Japed makes it easier for busy pep el, and hence why the restaurant location is on Robinson . While providing convenience for cue stokers, Japed also brings a unique taste to the market. This unique taste can be thou ought of as an advantage over other hot dog vendors/ restaurants. This differential advantage in culture can attract many consumers roaming around the area. The North Am erican culture e for comfort food usually consists of hamburgers, fries, and most importantly for Japed; hot dogs.This is one of the main reasons why Japed was able to gain its popularity; an teeth nice, distinct, flavors fusion of one of the most loved snacks in North America. The difference between Japed and other hot dog stands are the unique vary ties that they offer. Such as Spading signature hot dog topped with Tertiary sauce e, mayo and seaweed, these are the kinds of ingredients that makes their products unique . The price range of Japed starts from $5 for a simple hot dog $12 for a full meal inch duding its specialty hot dog, fries and a drink.Japed faces numerous competitors in d owe Anton Vancouver and many other food trucks, but with the increase of Japanese rest rants in the area, Sapwood's business has grown significantly. Japed has become very pop alular as the people of Vancouver have grown a love for Japanese cuisine. Other food trucks provide cuisines such as Mexic an cuisine are slightly more pricey than Japed. The price varies around $7 $14, despite the price, although the quantity that is given is also fulfilling, we have found the reputation, value and the taste oft he product Japed offers is on par with or surpasses other food stand competitors.Alone g with the product, Japed has the highest number of food stands in Vancouver, thus gig vying them a location advantage and easy accessibility over its competitors. The countless mount of flavors is also a major advantage that Japed possess. Currently with 13 SP Cecilia and 7 traditional hot dogs, as well as a separate category of fries, Spading menu pr vides customers an abundance of choices compared to other competitors. The main competitors of Japed are the other neighboring street vendors a ND obviously, other hot dog stands.Other vendors that have their own cultural TA set such as Mexican, Greek, Chinese or Persian are also a threat towards them. Fast food restaurants such as McDonald's, Church's Chicken and Wendy are also great threats to Jaw padded. The rice range for a burger in McDonald's is around 5 dollars and the meal is ABA UT 8 dollars and this is one of the reason why Japed is making less profit comparing to chain deed fast food restaurants. Fasted chains such as McDonald's and Wend's have been established for a longer time. They are very welkin to society and that's the greatest competitive a advantage they have.Established competitors usually take advantage of using television com Americas to advertise their new product or even a special package deal. Since Japed is q tie new compared to bigger fast food chains such as McDonald's, their locations are r stricter to only downtown Vancouver and Richmond Birdhouse strain station. They are no t as exposed as other fast food chains that have been around for a longer time. Spading AC accessibility is strictly towards the people roaming around downtown and Richmond Bright use strain station.Even with the excepti onal taste and popularity of Japed, there will be a few downsides. One of the few is that not all people like hot dogs. This difference I n taste may cause slower sales compared to competitors who do not only have hotdogs, but burgers, wraps, or salads. However, during the Winter Olympics that was held in Vance ever, Japed has experienced their busiest time with nearly 1 00 people lining up at one Tim e for the Japanese style hotdogs everyday, showing how they can provide sales with eve n only the menu selection of hotdogs, fries or drinks.In conclusion, after analyzing Spading competitive advantage we can see that t they are continually a very successful local food vendor comparing to other local of odd vendors, but must take further steps in order to grow internationally. Although there are n onerous factors that they must take carefully into consideration in order to further progress t heir business successfully.

Chemical Physical Changes

Chemical and physical changes are related to chemical and physical properties. Chemical Changes Chemical changes take place at the molecular level. A chemical change produces a new substance.  Another way to think of it is that a chemical change accompanies a chemical reaction.  Examples of chemical changes include combustion (burning), cooking an egg, rusting of an iron pan, and mixing hydrochloric acid and sodium hydroxide to make salt and water. Physical Changes Physical changes are concerned with energy and states of matter. A physical change does not produce a new substance, although the starting and ending materials may look very different from each other. Changes in state or phase (melting, freezing, vaporization, condensation, sublimation) are physical changes. Examples of physical changes include crushing a can, melting an ice cube, and breaking a bottle. How to Tell Chemical Physical Changes Apart A chemical change makes a substance that wasnt there before. There may be clues that a chemical reaction took places, such as light, heat, color change, gas production, odor, or sound. The starting and ending materials of a physical change are the same, even though they may look different.