Critical Thinking and Ethics Essay

Critical thinking is a concept that is derived from the application of the cognition toward the separation of the most likely when one is presented with a set of possibilities, while ethics is used in reference to the perception of what is right or wrong in a defined situation (wisegeek.com). A relationship between critical thinking and ethics can be seen in the sense that the individual will have to think of several methods for approaching the issue of ethics, eliminating the most likely approach until he or she settles on that which will be the most acceptable for the situation. Another way of viewing the issue of the link between critical thinking and ethics is by considering the manner in which an individual can differentiate between his or her own personal ethical concepts and that of the organization. That is to say that people have their own ethical foundations that they must be able to categorize in a separate compartment from that of the organization (wisegeek.com). The principles and rules of critical thinking are applicable to ethical reasoning. One reason is because ethical reasoning is also culturally and religiously influenced and may at times suffer from misreading the environment or the desired accomplishments of actions. In addition, there are certain rules and guidelines of logic. If everyone followed the rules and guidelines of logic, there would still be a need for ethical decision-making. The reason is because morals and beliefs, such as religion or nonreligious beliefs, play a role in rules and guidelines of logic. In conclusion, critical thinking and ethics play a significant role in an individual’s critical thinking, morals and beliefs. Although the relationship between the two have many similarities, it is important that we have a clear understanding of the differences as well. References Ruggiero, V. R. (2012). Thinking critically about ethical issues. (9th ed.). Upper Saddle River, NJ: McGraw-Hill Education. Retrieved from

Understand Your Role

It makes nonsense to admit errors as it prevents harm to others by 3/5 early and immediate actions errors as it prevents harm to others by nearly immediate actions Question 9 Understand working relationships in health and social care Describe your responsibilities to the individuals you support [ ] Assist people with self-medication and implement care plans as prescribed, and to ensure those with a requirement are washed, dressed, fed and ready for daily activities. [ ] Provide in-home support with health issues and daily living tasks such as washing dressing, eating, transport and budgeting. Assist with the delivery of activities to enhance the physical, social, emotional and intellectual development of those in your care. ] Provide companionship and support during daily activities for those who are sick or aged. Work with a team of health professionals, family, friends and careers to implement a programmer of support.Assist those needing support with domestic activities such as eat ing meals and showering Question 10 Explain how a working relationship is different from a personal relationship [ ] A working relationship depends on many factors, including unprofessional- ism, skills and knowledge and a hierarchy of individuals, some with specialist skills needed for specific functions. A personal relationship may find a skilled arson, such as a consultant, being captained by a bricklayer in cricket, where a different set of loyalties exist [ ] A working relationship depends on many factors, including professionalism, lack of skills and knowledge and a hierarchy of individuals, some with specialist skills needed for specific functions.A personal relationship may find a skilled person, such as a consultant, being captained by a bricklayer in cricket, where a different set of loyalties exist [ ] A working relationship depends on many factors, including professionalism, skills and knowledge and a hierarchy of individuals, some tit specialist skills needed for specif ic functions. A personal relationship may find a skilled person, such as a consultant, being captained by a bricklayer in cricket, where a different set of loyalties exist [ ] A working relationship does not depend on many factors, including professionalism, skills and knowledge and a hierarchy of individuals, some with specialist skills needed for specific functions.

Case study Example | Topics and Well Written Essays - 500 words - 118

Case Study Example The movement of a company to a place with lower taxation regulations allows it to capitalize on the legislations present and attain as much investment and revenue from its activities. This provides it with a better way of looking at things and provides new opportunities that will boost its future investments (Lamb, 2012). Political motivation could also be a boost as it works on strengthening commitment to that country and providing more strength to its corporation. It will build good repute with the new economic aspects present to provide better commitment. It also positions the company as a global player and provides different investors with investment opportunities (Bischoff-Turner, 2008). The most important goal is to provide new avenues that will boost a country’s position in terms of employment opportunities. Relocations will see a loss of revenue, loss of jobs and more doubts about the country’s potential to sustain economic growth and development (Bischoff-Turner, 2008). High-quality service provisions may lack in the new area, and that could influence the company negatively as it seeks to attract new clients and provide them with quality services. It is always important to look into the impact this will have on its service provision (Lamb, 2012). The movement of a HQ from one country or city to the next will depend on the benefits noted in that particular area. The problem with this is the inability to generate the required amount to sustain the business in the new area and lack of stringent measures to pursue a competitive edge in the new area (Lamb, 2012). If these were sorted out, it would be good to move. The company will also move if the intended gains are both in terms of revenue and investor visibility. If the gains are more to the company and shareholder investments, the movement will be ideal, and the HQ will be relocated (Bischoff-Turner, 2008). Setting the right

Big Bull Moose Derbies Essay Example | Topics and Well Written Essays - 2250 words

Big Bull Moose Derbies - Essay Example The operation of the big bull moose derbies will be conducted in a similar manner to the other contests that have already been allowed under the governing statue. These derbies will be conducted throughout the duration of the annual moose season by licensed individuals that have managed to successfully acquire all the proper documentation as dictated upon by the State of Alaska showing that they will stay within the set moose season legal boundaries. Individuals that wish to participate in the derby will be required to purchase a derby ticket to the moose season’s open day. The derby’s winner will be based on the spread of the bull antlers, with the winner being the who manages to harvest the bull having the widest spread or size that has been legally taken. This winner will receive a predetermined cash prize that will be based on the overall proceeds that are netted by the fund raiser. All participants that enter a bull will be entered into the derby’s prize dra w regardless of the antler spread of their bulls (housemajority.org, 2014). The Hose Bill 268’s sponsoring statements also points out that the Tanana Valley Sportsmen Association (TVSA) which is the association that will be responsible for using the derby to raise funds is a nonprofit organization that is concerned with the hosting and training of a number of competition events on behalf of several local high schools as well as on behalf of the nationally ranked University of Alaska Nanooks Rifle Team. Some of the school and community events that are normally hosted by the association include gun safety and personal protection classes, biathlon competitions and trainings as well as NCAA tournaments. By passing the House Bill 268 allowing for Big Bull Moose Derbies to be operated in much the same way as other contests, the TVSA will be able to easily raise funds that will be used in supporting the activities of both the TVSA club

Auditing Essay Example | Topics and Well Written Essays - 1000 words - 6

Auditing - Essay Example The alternative adopted by the audit assistant is the information related to the Club casino has been carefully removed as far as its referencing is concerned. On the other hand, provision for safeguarding the information of the organization may be created against the leakage of information either by the professional or any employee associated with the company.1 ii) The duties of the company secretary cannot be performed by the engagement partner of Ace Limited audit because the engagement partner is not well versed with the work performed by the company secretary of the company. Moreover, the engagement partner is already assigned the tedious task of audit reporting, maintaining relation with the client. However, an engagement partner can be linked to other companies, so the laws that the company abides by should not be disclosed to an external individual as this may violate the law of confidentiality. As an alternative course of action to this violation the company should safeguard itself by appointing any close member from the company itself, like the internal auditor of the company. This way less chances will be there for the internal information of the company to leak out.2 i) Slipway Limited is in a situation where the company is facing constant decline for the past two years and the scope of cost cutting also seems difficult due to the purchase of imported machineries. These machineries were purchased so as to increase falling operations by carrying out the operations of the company more effectively. The bank providing loans to the company may be at whelm of an audit risk, whereby the documents of the company have every possibility of being overstated than the actual financial statements of the company. The audit risk particularly affects the transaction in the financial statement of accounts which portrays wrong information about the current financial position of the organization. However, the three

Ancient Sumer and Egypt Essay Example | Topics and Well Written Essays - 500 words - 124

Ancient Sumer and Egypt - Essay Example However, sometimes due to their knowledge especially the scribes, they conflicted with king’s directives. This is because of their critical managerial roles in the entire empire though they revered the highest office’s authority (Hansen & Kenneth 34). Ancient Sumer Empire believed in various family gods, which they attributed with the responsibility of managing nature through each having distinct roles (Hansen & Kenneth 34). Some of these gods embrace Ninhursag, Nunurta, Inanna, Enki, Enlil, and Inanna (Bancroft-Hunt 44). The most powerful deity in Ancient Sumer was the storm god because he had the strength to control floods and storms that affected their livelihood as a farming empire. In addition, the human king played an essential role, which is being an intermediary between the people and the Sumer’s citizens. Sumerians preferred urban life despite the majority of them depending on farming. They also spoke one language, which they used as a form of identifica tion and belonging regardless of emanating from the diverse city-states (Donn, & Don 17). Ancient Egypt’s political authority revolved around the Pharaoh whom the people deemed was a son of Ra (deity of the sun) (Steele 12). Therefore, according to the citizens, Pharaoh was more of god than a mere mortal man in the entire empire (Steele 12). He also assumed the entire empire’s power though he exercised his decrees via the priests and other holy men who belonged to a noble group (Steele 12). Taxation also existed all through the empire whereby citizens gave out their respective portions to the government based on yields or profits they attained (Steele 35). Failure to comply with taxation rules, the government subjected the convicted to forced labor and slavery with the intention of catering for the portions they did not pay.

Boston University as One of the Institutions of Higher Learning Essay

Boston University as One of the Institutions of Higher Learning - Essay Example Since I was young, I had been yearning to join a medical school which will enable me to achieve my long-term goal. Boston University is one of the institutions of higher learning with a very good medical school. Therefore, joining this institution will provide me with an opportunity to interact with sharp minds and people whom we share the same dreams. In addition, the institution has invested heavily in research materials. Medical courses require extensive reading and research. Therefore, the university has the best platform to enable the students to carry out their researches. Moreover, it is well known for being the best university when it comes to the sciences. This is because it has well-equipped science laboratories, libraries, and other important facilities to support science courses. The school is also known for having highly qualified lecturers who are able to get the best out of the students. Therefore, being in this institution will be a rare opportunity to be taught and s upervised by the best minds that we have in the country. The location of the university meets my personal plans. The university is located in the city and near my house. This will lower my cost of being in the institution (Kydd 34). Besides the location, the university offers the best academic and consultations services that help the student to choose the right classes that ensure that they succeed in the medical school. Therefore, I am looking forward towards joining the alumni of this renowned institution who are known for their remarkable contribution towards making the society a better place to live in.

Congressional Earmarks Research Paper Example | Topics and Well Written Essays - 250 words

Congressional Earmarks - Research Paper Example Soft earmarks are those earmarking processes that allow the congressmen to be able to allocate this money, without having to conform to any legal binding. This leaves a big loophole in the budgeting process, and the congressmen are able to take advantage of this and therefore make it difficult for any process to be utilized to hinder this. As Williamson (2009) argues, since the main problem as seen is the fact that there is no clear legislation regarding the issue, the only solution that would offer a firm solution, would be one that would make it possible for this process to be controlled by the law. Having another body to control this process, will only add another layer of corruption and inconvenience, and will therefore never help. Since the American democracy is built around the constitution and the rule of law, embedding this issue in the law would be the only way to have a successful system, which will be able to make sure that earmarking is not abused by the members of

Paragraph for each of the following three topics Essay Example for Free

Paragraph for each of the following three topics Essay Write one paragraph for each of the following three topics. The entire assignment consists of three paragraphs and should fit in less than one page 1. Why is Capaneus (Inferno 14) so important in understanding the psychology of the sinners in hell? 2. Identify the political and religious issues Dante faces in Inferno 19. 3. Define the allegorical representation of Lucifer (inferno 34) Submit no later than Friday, October 17, 12-noon Make sure you do not go off topic. Be direct and concise, and follow the directions below. Directions for assignments and exams. Assignments consist of three topics, each topic to be developed in a concise paragraph. When you write your assignments and exams, make sure that what you write is based exclusively on the material covered in class, and make specific references (direct text citations for the exams) to the readings covered in class. Do not write information that is not relevant to the topics. Be direct and concise. Before you submit your assignments get rid of anything that does not belong to the topic. Understand the topics before you write, and check it after to make sure you do not go off topic. If you notice that you are writing a summary of a plot, you are off topic. If you receive a low grade for your assignments or exams, you were too vague, or failed to limit your answer to the given topics. Do not repeat the same mistake in future assignments and exams. The course grade is based on the two assignments (13% each) and the two exams (36% each) Exams and assignments must be submitted through Safe Assign Other Information: Assignments and exams must be completed and submitted by the due date Write your assignment in a word processor using any of the Word formats (.doc, .docx). If you do not have Word, convert your document to .rtf format. Your submission must be typed double spaced, font: size 11 or 12. (Do not send documents with the .dat extension) You must write your name and student ID on the upper left corner of your papers. Assignments and exams will be posted five days before they are due and deleted after they are returned to students. All graded assignments and exams will be returned to you only in class. If by any chance you are absent the day they are returned, you can get them during the Assistants office hours for a limited time. Always keep a copy of your assignments If you do not see your grade on Blackboard after it has being returned, contact me immediately, no later than a week from the day grades are posted. Keep a hard copy of your papers until you receive your grade. If you have any problem with your grades, you must resolve it within one week. You cant ask me to review your grades after one week from the day grades are posted. Make sure you have a Stony Brook e-mail address on file with the university, otherwise you will not receive important communication.

Research Is Like Cooking Essay Example for Free

Research Is Like Cooking Essay Research is like cooking isn’t anyone can learn the skills needed for great research, for many college students, cooking is like research in another way, instead of cooking great homemade meals who is sometimes take shortcuts and sell for what is quick easy in familiar, sort of like when we use our old familiar tools like google and Wikipedia for our research. Why do we take shortcuts and settle for males of ramen noodles and pop tarts, there a lot of reasons, sometime were just too busy don’t have enough time to cook a formal meal, sometimes we leave things to the last minute anymore stuck making a meal with whatever we have on hand, with research we found that students advise others students to start early. So that they are stuck writing a research paper with only the resources they can find the night before the papers did many of the same guidelines that apply to cooking apply to doing research, in cooking as in research you have to plan ahead and know what you want to make, good cooking and good research both depend on quality ingredients, to write a great research proposal you will need to find high quality resources and just like you can create a full meal out of only a few ingredients you need a variety of resources to craft a convincing research proposal. Finally just like the best restaurants in the city, such as Altavista or/and Altagracia restaurant make meals that they themselves would want to eat, you will find you do your best research when you pick a topic that you care about, a big part of planning ahead is knowing what you are making, you have to have a recipe, the same is true for writing a research proposal, you have to have a topic in a general plan for what kind of paper you want to write an outline of your research argument can serve as your recipe and it will have the added value of telling you what kinds of resources and ingredients you need to write your proposal. The next step to follow is to go shopping, just like you turn your recipe into a shopping list, you need to turn your research outline into a list of the type of resources you need, by creating a shopping list you are taking control of the kinds of resources that you will use in your research proposal; instead of just settling for what you can find a way you have on hand and remember that the researcher doing is likely to require more than just books, you may need newspaper journal articles or you may want to consult some items in your library. One very important step in both cooking and research is the taste testing stage. Great chefs do lots of taste testing so that they can find just the writing the ingredients, but in the older making you need to do the same for your research, you should plan in looking at plenty of books articles in abstracts before you settle on the resources that you actually need. Now you have your recipe and all the ingredients you need, it is time to create your meal. Remember that a great recipe calls for the chef of mix the ingredients together, just right so that they work together to create the final product, the same is true with the research proposal, you can’t just throw your resources into your paper, you need to suit the size them and relate them to one another and you need you to put your own garnish on your meal, put your own voice in your research proposal, so that is not just a summary of all your sources, if you remember the research is like cooking and then a requires a planning a recipe and great ingredients, you will produce research that is like the equivalent that you do a great meal. Bon appetit The studied topics help me to understand and have a broader idea about what we have to do at the moment to write a research proposal, because de resources used for a good research is not to go at any school and see what happen only, you need to have a preconception about what you are going to do or search, besides that, is important to identify the kind of research are you going to do and all the studied topics give me the stages and the instructions in order to do a good research proposal.

Cross Cultural Management A study on Cadbury and Kraft Merger

Cross Cultural Management A study on Cadbury and Kraft Merger In the current era of globalization with the advancement in the technology, communication and the channels to access the external business world; the process of business has changed drastically. Corporate personnel and industry professionals are making effective decisions and are developing efficient strategies to sustain their competitive advantage in the market. Many new management disciplines like IT management, corporate governance, mergers acquisition, business continuity management and such new principles are becoming prominent. There are various reasons that are pointed out by the corporate firms which are behind these management concerns. They include cost cutting measures through economies of scale, global expansion, risk reduction, effective and efficient management practices and so on. Merger Acquisition is one of the effective ways to invest to gain market share and to expand the business. They help in global expansion, cutting costs, new knowledge and expertise acquisition, identification of niche areas across the global market, extension of customer base, accessing new technologies and many. Dealing with the integration of two similar or different companies, it also involves certain difficulties and issues to handle. Although companies are pursuing MA aggressively, it is found that 60-80% of them are financial failures regarding their performance in the stock markets or obtaining high profits (Salame, 2006). Through this study, I tried to understand the various management issues and concerns involved in the merger acquisition process with the help of Cadbury and Kraft merger. Kraft-Cadbury Merger: The Kraft takeover of Cadbury did not happen in a simple routine manner. It involved various management issues which had proved this event likely to shape future public policy towards acquisitions and corporate governance. The initial steps towards this strategic decision of acquiring Cadbury started in the year 2007 on 3rd October when Cadburys Somerdale factory plans that announced its to shut down the factory with a loss of 500 jobs and to invest the production in the Bourneville Plant of Birmingham to the new plant in Poland. In the year 2009 on September 7th, Irene Rosenfeld, Chairman and CEO of Kraft stated that Kraft would be in a position to continue the Somerdale factorys operations without closing the plant and thus preserving United Kingdoms manufacturing jobs. But this statement given by the Kraft was not taken as granted by the Cadbury workforce before the takeover. The National Officer of the Unite the Union, which is a representative body of Cadbury workforce, Jennie Formby compared Kraft statement with the line there is no meat on the bones at all saying that there is no real intention of Kraft to come and save the jobs. Finally in the year 2010 on 19th of January, Cadbury announced the bid offer made by Kraft to its shareholders and the takeover is finally concluded on 2nd of February, 2010. But to the shock of the public and the stakeholders, Kraft, after a week of its confirmation of the takeover, announced that it would not be capable enough to maintain the Somerdale factory open and would like to approve the decision made by the Cadburys senior management to discontinue its operation. This decision made by Kraft immediately after the takeover led towards criticism. Marc Firestone, Executive President of Kraft Industries Inc. and Irene Rosenfield, CEO asserted their decision saying that before making a public statement Kraft was not aware of various factors like the internal structure of building, products of Cadbury in that facility, status of machinery and others (Mergers, acquisitions and takeovers, 2010 ) In this dramatic way, the whole process of acquisition of Cadbury by Kraft has been done making it an event that can shape the future endeavors of public towards takeovers, acquisitions and corporate governance. Inside Story of Cadbury and Kraft before Takeover Cadbury has faced many ups and downs throughout its journey especially under the visionary leadership of Todd Stitzer. Todd Stitzer working successfully for 20 years for Cadbury Schweppes has played a key role as a master mind behind the acquisitions of soft drinks industries made by Cadbury in US. He was later appointed as the chief strategy officer by John Sunderland to the confectionary side to achieve the similar success. The then competitors in the chocolates and sweets industry were the international companies Nestle, Mars, Kraft, Wrigley, Ferrero and Hershey. Stitzer said that acquisitions alone would not solve the problems of Cadbury. He said that the revenue growth model has to be revitalized to gain in the financial performance. Stitzer had developed many strategies, took some visionary steps and led Cadbury gain the business world with his strategic thinking. Stitzer and his management team aimed at the global domination in the Confectionary world, while the stakeholders w ere much worried about the financial performance. Overall with all his visionary leadership abilities and strategic decision making capabilities, Cadbury Schweppes split into pure confectionary leader Cadbury. Nelson Peltz, founder of the hedge fund Trian Fund Management also had his own role in the business of Cadbury. Irene Rosenfield, CEO, Kraft Food Industries Inc. had a keen interest in the confectionary business and proposed an offer to buy Cadbury to Carr, Chairman of Cadbury after Sunderland. Carr without consulting the stakeholders had refused the offer but Peltz who still owned the shares in the Cadbury with discussion and negotiation with Kraft finally made Cadbury lose its independence in January 2010. Impact of the Merger Cadbury-Kraft merger which involved a high dramatic and strategic process as discussed above has got its own pros and cons. Before analyzing the performance after a year later the takeover, there are certain agreements on which the takeover is being implemented. These include aspects like the brand name of Cadbury would be continued; previous commitments, pension arrangements would be honored and such, for at least two years. Regarding the business performance, the combined business has achieved profitable results despite of the difficult economic climate outside. It had improved the sales by 13% compared to 2009 and also has sold 300 million bars more comparatively. They improved and modified the corporate structure so as to combine the Cadburys successful chocolate history with the Krafts brand heritage. The combined systematic approach would create value and would help in economic and internal growth (Kraft Foods completes Cadbury takeover, 2010 ). There is high capital investment, support and commitment seen in the Cadburys RD sites so as to improve the combined business performance and the products. As we know, every coin has two sides; every decision would have pros and cons. As discussed above, the withdrawal made by Irene Rosenfield regarding the Somerdale factory led to the criticism from the workforce. Similar reaction is seen even after the takeover with many employees departing from the Cadbury. Kraft is trying to improve the relationship with local authorities so as to increase the employment opportunities. Due to the change in the working culture, a feeling of fear is seen among the employees to express their views and opinions. Kraft says Cadbury being a firm of values and heritage; we try to combine our efforts in bringing job satisfaction to employees and to outperform the market as well. (Update on progress made since Kraft Foods acquired Cadbury, 2011) To conclude, Kraft taking over Cadbury is not just acquiring an excellent company but establishing a strong connection with the public; so it has to work hard to prove and show the combined benefits of Cadbury and Kraft Foods.

The Joys of Studying Literature :: College Admissions Essays

The Joys of Studying Literature One of the main joys of studying English is what could be called its liberating ambiguity. With Science or, to a greater extent, Mathematics, there is often only one ‘right’ answer, and all else is wrong. Even where there may be some scope for divergence, that scope is often minute; the answer must be correct to a specific number of decimal places and/or certain range of digits. English, however, is an almost boundless field of possibilities in which one may argue as one pleases, so long as one is able to back up that argument. Even if the argument is somewhat radical or unexpected, it can be argued, and indeed read, with as much reverence as a more standard or typical answer if the evidence to support the claims is there. This ambiguity is what gives a real sense of freedom to studying, in particular, literature, but also extends of course to more language-oriented aspects in certain cases. For, although one is unlikely to contest the purpose of a particular grammatical function, one may discuss how the use of that particular function, or indeed the lack of it, can highlight deeper issues within a text. Thus it is possible to construct an argument based simply on the lack of, for example, a certain function or word. To be able to argue about what is effectively not there indicates that the world of criticism is one of much opportunity and open possibility. One could not, for example, write an essay so easily on the lack of river names on a map or of the implications of not writing out an equation in full. Another aspect of studying English which makes it so enjoyable is that one is able to use this licence of ambiguity with a range, and indeed a choice, of texts. As well as studying the numerous prescribed texts, one is able to make reference to one’s broad reading experience, or even, in certain cases, base an essay or argument upon a favourite text. It is also possible

Super Elevations :: physics science

Have you ever been driving down the road and approach a turn too fast? What happens? You and the car undergo centrifugal force and you as well as the car are pushed away from the turn, or up the grade also know as a superelevation. An engineer must balance this force raising the grade on one side of the road. It should be noted that under theoretical observations steering would be effortless but in order to provide these ideal conditions the friction factor would be zero and the vehicle weight would balance the centrifugal force ¹. In the real world we have friction and cannot afford to build the extremely steep slope of ËÅ"30 º every time we need an off ramp or horizontal curve. In order for the operator to comfortably maneuver a curve there are several variables that must be accounted for, the radius of the curve, friction and velocity. Radius length may depend on sight distance and right of way, or property lines as well as sight distance. Friction depends on the surface properties of various materials and climate. The slope and velocity are usually dependent on the variables just described. While building and designing these roads, it is industry standard to put 1/3 of the change in grade within the horizontal curve and 2/3 of the transition length on the tangent. In Layman’s terms, by the time the car approaches the first part of the curve, 2/3 of the grade has already been built. This assures smooth transition for the driver to maneuver the curve ³. In order to get a better idea of what kind of friction coefficients are used in Alaska, we can look at the Badger Road Interchange construction project on the Richardson Highway ². The nortbound on ramp (from Badger Road) will have a speed limit of 35 mph a radius of 135 meters and a superelevation of 5.5%. From this data one may find the friction coefficient, ( µ) to be equal to 0.10. Another example taken from the same project, observed from the off ramp in the south bound lane will have a radius of 253 meters, a super of 6% and a speed limit of 45 mph  µ was observed to be 0.09, which is just enough traction to make these corners at the posted limit. A friction coefficient that small leads the author to assume the engineers designed these turns to be taken under extremely slick conditions.

Tall Buildings

The aspiration to construct tall buildings is not something new. They have always been used to demonstrate control and wealth. In the world of tall buildings, the design and construction and life safety are the most important aspects of offering a fictional building. The life safety of the occupant of buildings is very essential as today most tenants are worried more and more about how safe the building is? Issues such as unplanned fire, earthquakes, floods and terrorist attacks are major concerns. Such disasters have proved to cost millions of economic, financial and human loss.These disasters tend to have enormous effect on the construction industry; and professionals such as architects, fire engineers, structural engineers, insurers and emergency workers from all over the world were called to discuss the issue and find solutions. Their have been several procedures derived in order to attain security against fire It is not possible to attain the required level of safety by followin g one procedure. Thus several procedures if performed together prove to be helpful in attaining certain results against fire.Most of the fascinating tall buildings and there integrated systems that have reached a level of safety during several events such as the world trade centre1 and 2, the emirates tower in Dubai and many others. â€Å"Understanding the role, limitations and interface between systems is fundamental to system selection. Complementing to systems side of building design is the operating feature or human interface that supplements these sophisticated systems† (Craighead, 2003). To sustain the level of safety and quality it is necessary that security systems are designed with exceptional attention at the time when the design of the building is designed.Then there is the maintenance to keep fire security up to date and in working conditions these systems are to be checked and tested from time to time on regular basis. This paper will offer a review and descripti on of all of these aspects linked to high rise buildings. This study has been researched and developed in order to find requirements concerning fire safety in tall buildings, along with determining the relation between good designs and improving safety of tall buildings and occupants.Aims and ObjectivesAims:The aim of this paper is to provide an understanding of how a better informed design of tall buildings can address fire safety requirements. In particular, it seeks to identify how fire can affect the safety of a tall building and its occupants, It also examine the existing and emerging design solutions and legislation to address the problems and threats of fire safety in tall buildings. According to The New Civil Engineer, â€Å"The WTC disaster has caused us all to think hard about the best actions to take to make tall buildings safer,† (Forest and Wainwright 2002).To improve the overall safety of tall buildings, this research will view a specific aspect of fire emergenc y in more depth. This aspect is related with the comparison of using stairs and elevators in case of an emergency.Objectives:The main objectives or topics of this paper that I have evaluated briefly and thoroughly as per requirement are as following:1. Introduce fire behaviour in tall buildings and how it spreads.2. Outline the consequences for human lives and physical resources.3. Discuss how poor design of tall buildings has caused fire.4. Examine how good design like a balanced approach in using stairs and elevators with respect to the number of floors is useful in minimizing losses during fires.5. Synthesise the main points and outline the recommendations for the design of tall buildings.Hence after evaluating and analysing the sub topics mentioned above in an organized manner it can be expected that we would achieve the desired aims. To thoroughly evaluate the every objective we need to conduct proper research and use appropriate methods to achieve the desired results.Research MethodologyA number of sources have been used to compile this paper. The lists of references are outlined at the end of this paper. In main approaches were selected for this study, which includes:1) Collection of secondary data about history, evolution, development of the design and safety issues in tall buildings and identify how they relate to each other. This included the analysis of books, journals, internet sources and other relevant publications. In addition, codes, standards and regulations which have impacted on fire safety in buildings were also reviewed.2) Analysis of a case study illustrating examples of high rise buildings relating to their success and failure during a fire. This also entailed the examination of design solutions to fire safety.Chapter #2: Literature ReviewThis chapter focuses on the analysis of existing literature on the good designs in relation to tall building. The chapter even revolves around fire behaviour and means of escape in case of fire from tal l buildings. This chapter begins with the importance of tall buildings and what kind of threats pose these magnificent structure, the chapter moves on further with the concepts of good and bad design.At the end of the chapter some legislations and laws are discussed. Tall Buildings Defining a building as being tall and magnificent can be done through the number of floors it has by general people. Then there are terms used that include ‘skyscraper’ and ‘high rise’ these terms are generally used to describe tall building therefore I researched to understand these terms and found meanings that were equally vague:â€Å"Very tall modern building, usually in a city† (Cambridge International Dictionary of English, 2003).â€Å"A very tall building with many storeys† (Word Net, 2003).â€Å"A tall modern building with a lot of floors† (Cambridge International Dictionary of English, 2003).After focusing on dictionaries I spend some time researchin g from books, Skyscrapers have fascinated mankind since the start of civilization.It is not possible to define them by using specific terms linked just to the height or to the number of floors. â€Å"The height of a building is a matter of a person’s or community’s circumstance and their consequent perception† as Stafford-Smith said. Therefore, no definition of tall building can be generally applied.However, the structural engineers define a tall building â€Å"as one that, because of its height, is affected by lateral forces due to wind or earthquake to the extent that the forces play an important role in their structural design† as Stafford-Smith said. (Tall Building Structures: Analysis and Design) Advantages of Tall Buildings Tall buildings are designed to supply the requirements of an intended occupancy such as residential, commercial or both together. They are not the only way to attain high density but they can in situations such as small areas of a city where land is limited.Moreover, tall buildings are usually situated or placed near the public transport nodes which reduce the necessity for car use. many people agree that they are advantageous . They can as well take part in a positive part in the design of the city centre by marking places of public, commercial or cultural importance. Also, Refurbishing and reusing the actual unoccupied space can allow the positive flow-on effects of regeneration to be spread more all over the city centre, and as long as they are well designed and located, they can be a positive way to develop in urban areas. (Construction Technology for Tall Buildings)In the early stages of planning a building, the whole design team has to agree on one form of structure to satisfy all the requirements considering the safety and fictional matters. Thus buildings not only help in developments and give accommodation to a huge number of people it gives employment opportunities during the construction of the b uilding. (Tall Building Structures: Analysis and Design) Disadvantages of Tall Buildings With advantages tall buildings have many disadvantages, the disadvantages include the existence of too many occupied floors on top of each other means a big concentration of occupants, personal and business property.Which result in a huge possible fuel weight of the building? The disadvantages that it has to face in case of accidental fire is the likelihood of a great uncontrolled fire rising presents danger in tall buildings as it is a vertical structure. There will be delays in reaching the area to provide assistance for example if there will be a fire in the upper floor of the tall building it will be difficult to reach that floor and provide help.In a case of fire, it is difficult for all the occupants to leave the building by using lifts, staircases and emergency exits at once. The access of the fire department can be limited from both outside and inside the building. High rise buildings ha ve natural forces that affect on the fire and smoke movements such as wind which increase the stack effect due to the height of the building, this stack effect can move a large amount of uncontrolled heat or smoke through the building.Problems Faced By Buildings under FireThe construction of tall buildings is much more important than before, as design safety is becoming paramount to avoid the unacceptable loss of lives and the collapse of buildings. Therefore, the construction of tall buildings needs a better approach, combining better design and technological solutions. These solutions should be designed to avoid the collapse of tall buildings, when the supports for one floor of the building fail, causing the failure of the lower floors.To address this issue, recent studies suggest that tall buildings should include a ‘collapse’ floor every 10 storeys, this floor will be able to carry the weight of the floors on top. Modern buildings are at risk to fire because of the steel structural material that looses half its strength at 6000C, which can be easily reached when a building burns. To prevent this, we need to design strong and non-brittle buildings in order to absorb the shock without fracturing the structure of the building. . (Construction Technology for Tall Buildings)Design Plan and Safety Precautions for Fire SafetyThere are many fire life safety systems and equipments that can be used in order to make sure that the building is safe to use and that occupants can be evacuated safely and quickly, and that the right measures are taking at the right time. In order to understand what is required for a typical high rise building it is advised to review the laws, codes and regulations. The construction of skyscrapers necessitates more detailed planning to prevent errors from occurring in the lifecycle of it.Since September 11th 2001 in New York, design teams are more conscious about the health and safety of the community. Buildings are growing tal ler to supply the demand for more space. It is evident that stairs provided in tall buildings as a means of escape are not sufficient. Consequently, there is a need for alternative means of escape from tall buildings in case of a fire. Architects and engineers must provide better solutions when designing tall buildings, as recent event such as 9/11 revealed that existing safety measures are inadequate.For instance, major consideration should be given to how long it takes to get everyone out of a building on case of a fire, taking in consideration that the public cannot, in general, use lifts. . (Construction Technology for Tall Buildings) The planning of tall buildings is an essential procedure, particularly where the environment has old historic buildings. The process become so difficult in this case, and its not just to do with height, it is more to do with the difficulty of integration between the two different types.Consequently, it is important to ensure that the building will have a nice effect on the environment and produce a relaxing surrounding. (Tall Building Structures: Analysis and Design) Tall buildings are difficult to build, not just for the safety issues, but also the required services such as elevators, plumbing, wiring, stairs, air-conditioning ducts. In addition to greater beams and columns, buildings require more elevators than short buildings. So, the construction of tall buildings makes business sense but necessitates huge architectural and engineering efforts.(Tall Building Structures: Analysis and Design) The design and construction of future high-rise towers requires wide knowledge of good architectural principles; strong floor plates; Complex structural life-safety and building systems that have to be followed correctly. Key to this is through a well planned and better informed design process. According to the Triz journal Toru Nakagawa Staircases must be designed and built not just to be suitable, comfortable, and securely guarded fo r daily use, but also secure as emergency escaping ways in situations such as fire.They should be designed in a way to prevent the chimney effects as well as flame, smoke, and toxic gases when fire occurs. Moreover, the staircase should be a kind of ‘Internal Staircase' and of a ‘Separated' type of ‘Internal Staircase’; to avoid the rising of fire and to keep it as an escaping. In addition, the windows of the staircase should be opened widely in case of fire; these windows can be used as the entrance for rescuing activities. These windows should open remotely at the control centre of the tall building.According to the Ingenta connect by J. Y. Richard Liew â€Å"Design codes for fire safety in buildings can be either a prescriptive type or performance-based type. It is recognized that performance-based codes provide greater advantages over the prescriptive codes which allow designers to use the fire engineering methods to assess the fire safety of the struct ure. However, as the assessment of the whole structure performance is not easy, most codes currently used are still prescriptive codes or a combination of prescriptive codes and performance-based codes.The key feature for implementing the performance-based fire design codes is the assessment of the fire resistance of the structure†. (Liew, 2004) According to Will Pank, Maunsell Ltd Herbert Girardet, Urban Futures Greg Cox, Oscar Faber Ltd in practice, The Corporation of London,† Individual tall buildings are analysed in relation to their design to develop a rationale for fire engineering. The proposed fire solutions or requirements of the intent of the regulations. The main consideration is:The adequacy of means to prevent fire.Early fire warning by an automatic detection and warning system.The standard of means of escape.Provision of smoke control.Control of the rate of growth of a fire.The adequacy of the structure to resist the effects of a fire.The degree of fire con tainment.Fire separation between buildings or parts of buildings.The standard of active measures for fire extinguishment or control.Facilities to assist the fire service.Availability of powers to require staff training in fire safety and fire routines such as registration or licensing procedures.Evacuation ProcessWhen the raising of a fire alarm is occurred, the main entrance should receive the elevators according to the European evacuation plans. During an emergency, only stairs should be allowed for the evacuation purpose. Furthermore, the stairs may not be an efficient way of evacuation, especially for elderly and disabled persons. In this regard, three phases can be created from the time of an emergency until an area of safety is reached by all the people. In this regard, recognition time, reaction time, and egress time are the abovementioned three phases of an emergency.When the building has not been egress by the people, the time has been referred as the pre-movement time. The signs of danger influence the length of this period. In addition, type of the building, as well as, alarms are some other factors that influence the pre-movement time of an emergency. For instance, long pre-movement time might be observed during the night time in an apartment building. Three times longer, as compared with the actual movement time has been considered for the determination of pre-movement time according to a number of studies.After the recognition time, awareness of the emergency is attained by the occupants. Before the giving of fire alarms, one of the most critical parts of the emergency has been considered the recognition time. Information about the situation, as well as, source of the emergency is required by the people during the reaction time. The reaction time is often affected by the training for emergencies. Until the area of safety has not been reached by everyone, people move out of the building during the actual movement phase of an emergency.Determinatio n of the egress time has been concentrated by the evacuation studies due to the availability of its theoretical estimates. In this regard, figure 2 has illustrated the building filling, as well as, evacuation times with relation to the different up-peak handling capacities. For instance, thirty-three minutes was the building filling time, as the up-peak handling capacity was fifteen percent. At this stage, nineteen to twenty-two minutes was the average egress time. (Siikonen and Hakonen, 2003)

Lululemon Athletica

Last week I read a story about yoga clothes-maker/fashion brand Lululemon and their fairly blatant disregard for any sort of overweight or plus-size consumers. In short, they admitted that selling to women who wear size 12 and smaller is an important business strategy for them, and that it's based on â€Å"design, capacity and operational perspective. † That video seems to only anger some customers more. One wrote in response, â€Å"On one hand you are bashing us for being fat and on the other hand bashing us for maybe trying to do something about it.Should my fat ass' squeeze nto a small size Just so I can say I own a pair†¦ no! † In a video, Chip Wilson, the founder of athletic label Lululemon has apologized for suggesting that women's fat thighs were to blame for a line of yoga pants being recalled for being too sheer lululemon has released the video statement below from CEO Chip Wilson. It's Just shy of a minute, and if you were expecting an apology, this isn't it. The message is confusing, and â€Å"I'm really sad for the repercussions of my actions† seems like an apology to lululemon employees, not the consumers.He closes with a cryptic request o â€Å"stay in the conversation. † What do you think? Are you buying it? So he ended up blaming the customer for the quality control problem within the company, and that's what enraged the customers So, the media spoke to lulu enthusiasts and the customers went right ahead and said we have no interest in buying lulu products any more. Lululemon doesn't have the obligation to manufacture yoga pants but blaming customers for their defective see through pants wasn't cool either. The rules: 1 . A second chance comes after one error, not several. 2. You don't turnNamaste into nasty unless you want a serious time out. 3. Never blame mommy's thighs for anything, ever. Just how bad things can get when you refuse to own up to mistakes and choose to blame and insult others instead. Wilson's eyes appear slightly moist, his voice shaking. He seems to be apologizing to his colleagues and appealing for calm, but fails to address any of his controversial comments specifically. The glitches cost the company millions of dollars, damaged its reputation and depressed its share price. The recall continues to weigh on the company's performance, resulting in late deliveries. Lululemon Athletica Last week I read a story about yoga clothes-maker/fashion brand Lululemon and their fairly blatant disregard for any sort of overweight or plus-size consumers. In short, they admitted that selling to women who wear size 12 and smaller is an important business strategy for them, and that it's based on â€Å"design, capacity and operational perspective. † That video seems to only anger some customers more. One wrote in response, â€Å"On one hand you are bashing us for being fat and on the other hand bashing us for maybe trying to do something about it.Should my fat ass' squeeze nto a small size Just so I can say I own a pair†¦ no! † In a video, Chip Wilson, the founder of athletic label Lululemon has apologized for suggesting that women's fat thighs were to blame for a line of yoga pants being recalled for being too sheer lululemon has released the video statement below from CEO Chip Wilson. It's Just shy of a minute, and if you were expecting an apology, this isn't it. The message is confusing, and â€Å"I'm really sad for the repercussions of my actions† seems like an apology to lululemon employees, not the consumers.He closes with a cryptic request o â€Å"stay in the conversation. † What do you think? Are you buying it? So he ended up blaming the customer for the quality control problem within the company, and that's what enraged the customers So, the media spoke to lulu enthusiasts and the customers went right ahead and said we have no interest in buying lulu products any more. Lululemon doesn't have the obligation to manufacture yoga pants but blaming customers for their defective see through pants wasn't cool either. The rules: 1 . A second chance comes after one error, not several. 2. You don't turnNamaste into nasty unless you want a serious time out. 3. Never blame mommy's thighs for anything, ever. Just how bad things can get when you refuse to own up to mistakes and choose to blame and insult others instead. Wilson's eyes appear slightly moist, his voice shaking. He seems to be apologizing to his colleagues and appealing for calm, but fails to address any of his controversial comments specifically. The glitches cost the company millions of dollars, damaged its reputation and depressed its share price. The recall continues to weigh on the company's performance, resulting in late deliveries.

Imaging In Diagnosis Pancreatic Cancer Health And Social Care Essay

Pancreatic malignant neoplastic disease and its patterned advance, Drake et Al ( 2005 ) suggest pancreatic malignant neoplastic diseases are aggressive and occur most frequently in the caput, cervix and uncinate procedure of the pancreas. Malignant tumor of the pancreas affect more work forces than adult females and are associated with intoxicant maltreatment, diabetes, familial pancreatitis and smoke. Neoptolemos ( 2009 ) goes onto explain that age is an overpowering factor sing pancreatic malignant neoplastic disease which accounts for approximately 5 % of all malignant neoplastic disease instances. Harmonizing to Hanno et Al ( 2008 ) pancreatic malignant neoplastic disease is thought to impact 10 people in 100,000 every twelvemonth. Marieb and Hohhn ( 2010 ) suggest that malignant neoplastic disease of the pancreas is serious as it seldom causes symptoms until it is really advanced and hence is difficult to observe and handle. As pancreatic malignant neoplastic disease is frequently advanced by the clip it is diagnosed, often metastases are present. Due to this the forecast of pancreatic malignant neoplastic disease is frequently really hapless and is associated with a high mortality rate ( Jackson & A ; Thomas, 2005 ) . Imaging Pancreatic Cancer Johnson ( 2005 ) suggests that one time a patient has presented with a suspected pancreatic carcinoma, they should instantly have an Ultrasound Scan ( US ) of the liver, bile canal and pancreas. Harmonizing to Jackson and Thomas ( 2005 ) ultrasound scans use high-frequency sound moving ridges, that when returned from variety meats create a signal. After transporting out an ultrasound scan, if the findings suggest a malignance may be present farther imagination would be recommended. A Assortment of surveies are available, including: Endoscopic Ultrasound ( EUS ) Computed Tomography ( CT ) Magnetic Resonance Imaging ( MRI ) Endoscopic Ultrasound ( EUS ) Europiums can be used in the diagnosing, presenting and resectability of pancreatic carcinomas ( DeWitt et al, 2004 ) . EUS is considered to hold a higher sensitiveness when observing tumors located in the caput of the pancreas compared to observing tumors located in the organic structure or tail of the pancreas ( Shami & A ; Kaheleh, 2010 ) . Legmann et Al ( 1998 ) suggest that EUS has high sensitiveness when observing little pancreatic tumors. Many writers support this and DeWitt et Al ( 2004 ) travel on to explicate that EUS is superior to other modes as it can pick up tumors even smaller than 25mm. By observing little tumors early on, EUS can find whether farther trials are needed and hence set uping the patient ‘s direction. EUS contributes to the direction of the patient by assisting to be after and steer drainage processs ( Dietrich, 2006 ) . EUS is considered to hold a high sensitiveness when turn uping lymph node metastasis and vascular infiltration ( Shami & A ; Kahaleh, 2010 ) . Each relevant construction that can be affected by pancreatic malignant neoplastic disease can be assessed utilizing EUS. Gress and Savides ( 2009 ) further explain that EUS can be used to separate the relationship between the mass and next vascular constructions to measure the resectability. Harmonizing to Faigel et Al ( 1997 ) EUS guided all right needle aspiration is used for both local theatrical production and accurate tissue diagnosing in one process. Williams et Al ( 1998 ) support this and explicate that the process is a superior mode for the sensing of metastases and provides an accurate diagnosing of pancreatic malignances. An ultrasound transducer is attached to the caput of an endoscope and passed through the patient ‘s oral cavity to obtain images of the internal variety meats. EUS provides the chance to look at the GI wall beds and the surrounding variety meats ( Shami & A ; Kahaleh, 2010 ) . Rosch et Al ( 1991 ) explain that because of the close propinquity of the transducer to the internal organ of involvement, accurate and elaborate images are produced. Harmonizing to Lowry et Al ( 2008 ) pancreatic malignant neoplastic diseases often appear hypoechoic and arise from the bright, hyperechoic parenchyma of the pancreas. The lodgers of a malignance are frequently irregular ; nevertheless, there is normally a differentiation between a normal and malignant pancreas ( Figure 1.0 & A ; 1.1 ) . Despite showing a malignance, Lowry et Al ( 2008 ) further explains that its visual aspect can on occasion mime an inflammatory procedure of the pancreas. Figure 1.0 Figure 1.1 Figure 1.0 EUS showing a mass in the organic structure of the pancreas with engagement of the superior mesenteric vena. ( Taken from: Kwon & A ; Scheiman, 2006 ) . Figure 1.1. EUS showing a mass of the caput of the pancreas blockading the common gall canal. ( Taken from: Erickson, 2010 ) . Guidelines mentioning to pancreatic lesions issued in 2005 suggest that any lesion found in the pancreas, irrespective of its size requires further diagnostic rating. The guidelines go on to state that EUS findings entirely are non sufficient when naming lesions within the pancreas as it is unable to find whether they are malignant ( Barclay, 2005 ) . Guidelines set out by the British Medical Ultrasound Society ( 2009 ) say that Ultrasound equipment sound should merely by used by people who are to the full trained and have an apprehension of the thermal and mechanical bio-effects of ultrasound. Prior to EUS scrutinies, patients will be required to be nil by oral cavity for 6 hours. Patients will be given instructions sing the process and asked relevant inquiries associating to their wellness and allergic reactions. EUS processs are carried out under witting sedation, a cannula will be inserted into the patient ‘s arm so this and any other medicine can be inserted intravenously ( Soper et Al, 2008 ) . During the process, patients will be required to lie on their side. Harmonizing to Soper et Al ( 2008 ) scrutinies of the pancreas require high frequence echography ( 7.5- 12 MHz ) and get down by turn uping the aorta at the degree of the gorge to measure the pancreatic canal. Soper et Al ( 2008 ) further explain that the organic structure and the tail of the pancreas can so be visualised. Harmonizing to Soper et Al ( 2008 ) one time patients have recovered, they are discharged and able to restart their usual diet. Current research suggests that developments in EUS will travel beyond all right needle aspiration. Enerson ( 2005 ) believes that less invasive endoscopy equipment, which is capable of imaging variety meats next to the GI piece of land, will be developed and offer a new way sing the intercession procedure. Europiums can raise some issues with respects to the patients. First, the process requires patient engagement ; nevertheless it can be really uncomfortable and do the patient to experience ill doing the scan to be abandoned ( Shami & A ; Kahaleh, 2010 ) . It is besides necessary to calm the patients when set abouting a EUS process, doing patients to go really dying. Talley ( 2007 ) besides suggests that patient medicines are an issue as they may non be able to take it at the regular clip due to the readying for the test ; these include diabetes and anti-coagulant medicines. Computed Imaging Kwon and Scheiman ( 2006 ) suggest that Computed Tomography ( CT ) is the mode of pick when diagnosis and presenting pancreatic malignant neoplastic disease. CT provides outstanding word picture of the abdominal variety meats and is widely used to place abdominal multitudes. Jackson and Thomas ( 2005 ) correlative this by composing how CT provides first-class anatomical item when imaging primary tumors and environing local invasions. In relation to the direction of patients, it is necessary to find the resectability which can be established by the presence of vascular engagement ( Kwon & A ; Scheiman, 2006 ) . CT is considered the preferred mode for presenting due to the usage of contrast sweetening. Kwon and Scheiman ( 2006 ) explicate how a big endovenous dye bolus which enhances venous and arterial constructions is injected into the patient to accurately foretell surgical resectability. CT presenting can find how advanced the malignant neoplastic disease is and hence alter or dete rmined patient direction. The information acquired from a CT scan is interpreted and displayed on a computing machine as an image. Harmonizing to Jackson and Thomas ( 2005 ) every pel is assigned a CT figure that is compared to that of H2O and displayed on a graduated table of units know as Hounsfield units. Each figure represents a shadiness of Grey which demonstrates the composing, nature and denseness of tissues. The graduated table below ( Figure. 2.0 ) shows the Hounsfield units assigned to each tissue type. Figure 2.0 The Hounsfield graduated table of CT Numberss. Taken from: Jackson & A ; Thomas ( 2005 ) . Harmonizing to the Hirshberg Foundation ( 2010 ) utilizing a scope of Greies and associating them to the Hounsfield graduated table, creates a elaborate image of the pancreas. Von Hoff et Al ( 2005 ) further explains that on a CT scan compared to the normal pancreas, pancreatic carcinomas typically appear hypodense ab initio and so isodense in the ulterior phases. Secondary marks of a pancreatic carcinoma are clear on a CT scan, such as dilation of the pancreatic canal and the common gall canal, wasting of the pancreas and narrowing of next vascular constructions. Figure 2.1 A CT scan showing a ill enhanced mass in the caput of the pancreas. Taken from: Jackson & A ; Thomas ( 2005 ) . Due to the usage of ionizing radiation, guidelines province that CT scans are merely to be carried out if requested by an appropriate accredited wellness supplier and supply sufficient medical information to warrant the scan ( Berland, 2006 ) . Guidelines suggest that when transporting out a CT scan steps should be put in topographic point to cut down the patient dosage and when possible, an alternate scan should be carried out ( Radiation protection, 2000 ) . The guidelines go on to province that CT scans of the venters should non be carried out on pregnant patients unless sound clinical grounds are given. Pancreas protocols for CT scans say patients should imbibe a liter of H2O 20 proceedingss prior to a scan. Pretorius et Al ( 2006 ) says patients should be changed into a gown and take all jewelry. Patients will so be asked to reply relevant inquiries associated with their wellness. Bruening et Al ( 2006 ) add that patients are positioned supine on the bed with their weaponries raised above their caput. Patients have a cannula inserted in their arm in order to shoot contrast intravenously. Lowry et Al ( 2008 ) suggests that scans should get down at the xiphoid and coating at the iliac crests. Scans are carried out pre-contrast and so at a 40 and 70 2nd hold one time the contrast has been added. Bruening et Al ( 2006 ) further explain that 120 Kv and between 165 and 240 ma should be used to transport out the scans. Developments in CT scanning allow for it to be combined with Positron Emissions Tomography ( PET ) to supply extra information. Although they are non used routinely for pancreatic malignant neoplastic diseases they can assist to polish a intervention program ( O'Reilly, 2010 ) . PET scanning combined with CT scanning can be used in the diagnosing and theatrical production of pancreatic malignant neoplastic disease by showing sites of malignant neoplastic disease or redness in the organic structure ( figure 2.2 ) ( O'Reilly, 2010 ) . Figure 2.2. A combines PET/CT image showing an increased consumption in the pancreas CT can do issues sing the patient as it provides the patient with high doses of ionizing radiation and involves the disposal of endovenous contrast stuff. Lisle ( 2007 ) further explains that the iodized contrast media used in CT scanning can do jobs from the patient if their nephritic map is deficient or if they have an allergic reaction. Magnetic Resonance Imaging ( MRI ) Magnetic Resonance Imaging involves the debut of a radiofrequency pulsation to excite the H protons. Harmonizing to Jackson & A ; Thomas ( 2005 ) once the radiofrequency pulsation is turned off, the protons relax and return a signal to the sensor spiral which when paired with a computed creates an image. Harmonizing to Miura ( 2006 ) MRI offers first-class soft tissue contrast and besides the ability to analyze the pancreatobiliary system non-invasively. Miller et Al ( 2006 ) correlative this and suggest that MRI scans are utile in the rating of elusive, non-contour deforming pancreatic multitudes. Miura ( 2006 ) suggests that Gd enhanced scans are superior to CT when observing little tumors in the pancreas. Greenberger et Al ( 2009 ) further suggests that ; MRI has high sensitiveness when picturing the degree and features of a mass. MRI scanning is utile when measuring local tumor extension and vascular engagement and Miura ( 2009 ) suggests MRI has equal or better truth when presenting pancreatic carcinomas. Harmonizing to Neoptolemos ( 2009 ) MRI scanning can lend towards the direction of the patient by supplying information about the best attack for drainage and stenting. MRI is used in the appraisal of intervention response and the sensing of complications and return. This farther contributes to patient direction by finding the extent of the intervention needed ( Von Hoff et Al, 2005 ) . MRI scans can farther assist to find the appropriate intervention as it is better able to place surgical campaigners by qualifying little liver metastases every bit good as peritoneal and omental metastases ( Miller et al, 2006 ) . A normal Pancreas shows every bit high signal strength on a T1 fat suppressed scan due to the presence of acinous proteins ( Miller et al, 2006 ) . Typically on pre-contrast and post-contrast T1 weighted images, pancreatic carcinomas show lower signal ( hypointense ) compared to normal pancreatic parenchyma ( Figure 3.0 ) . Characteristics of a pancreatic carcinoma on a MRI scan consists of the expansion of the pancreatic caput with distension of the pancreatic and common gall canal and wasting of the organic structure and tail of the pancreas ( Semelka, 2010 ) . Harmonizing to Van Hoff et Al ( 2005 ) tumors are best visualised straight after the disposal of Gd as they stand out against the normal pancreas as hypointense ( Figure 3.1 ) . Fatty abnormalcies within the pancreas can frequently look as a malignant neoplastic disease on CT and EUS scans, MRI nevertheless can distinguish the features and separate a fatty abnormalcy from a malignant neoplastic disease ( Miller et al, 2006 ) . Figure 3.0 A Magnetic resonance image showing a carcinoma affecting the pancreatic caput and falsifying the superior mesenteric vena. ( Taken from: Van Hoff et Al, 2005 ) . Figure 3.1 A Gd enhanced, T1 weighted fat suppressed scan shows several pealing enhanced liver lesions ( short white pointers ) proposing liver metastases. Dilated pancreatic canals are besides demonstrated ( white pointer ) every bit good as a ill defined mass in the pancreatic caput ( black pointer ) . The white pointer caput shows a bilious stent. ( Taken from: Miller et al, 2006 ) . Figure 3.0 Figure 3.1 Magnetic Resonance Cholangiopancreatography scans ( MRCP ) can be performed as an option to Endoscopic retrograde Cholangiopancreatography ( ERCP ) . MRCP scans examine the ductual constructions of the liver and the pancreas and are a critical procedure when looking at dilation of the canals in peculiar ( Jackson & A ; Thomas, 2005 ) . MRCP scanning is a utile tool when exposing the ‘double canal ‘ mark in patients with clogging icterus which can bespeak a mass in the caput of the pancreas, nevertheless MRCP provides no information in the theatrical production of a pancreatic carcinoma. Siegelman ( 2010 ) suggests that vascular engagement and liver metastases are better detected on non-MRCP pulse sequences. Roth and Seeram ( 2002 ) state how guidelines province that anyone being scanned should be carefully screened in order to guarantee their safety within the MRI scanner. This should affect questionnaires to find whether patients have any metallic implants or gait shapers that could be affected by the magnetic environment. FDA guidelines besides province that as the safety of MRI when imaging a fetus has non been identified, patients should be advise in order to do an informed determination about go oning with the scan ( Roth & A ; Seeram, 2002 ) . Prior to a MRI scan, patients will be changed into a infirmary gown and take lose jewelry. Roth and Seeram ( 2001 ) explain that patients will make full out questionnaires in order to declare themselves fit for the scan. Patients will be fitted with a working venflon in order to administrate contrast. The patient will be supine on the tabular array with the respiratory bellows underneath them and connected at the top. The cardiac spiral will be placed onto the patient at the degree of the liver. The patient will come in the scanner pess first and be centred at the xiphoid. A assortment of sequences are so carried out including: Axial and coronal T2 weighted scans Axial T1 gradient reverberation scan Axial and coronal unenhanced fat suppressed T1 weighted scan Axial and coronal fat suppressed Gd enhanced T1 weighted scans MRCP ( Miller et al, 2006 ) . Semelka ( 2001 ) suggests that the hereafter will see the correlativity of CT and MRI images in the diagnosing of pancreatic malignant neoplastic disease. Semelka ( 2001 ) further explains that by uniting CT and MRI images, a better and more comprehensive nature of look intoing the pancreas will be available. Lisle ( 2007 ) suggest that issues rise as patients are unable to be scanned if they are fitted with a cardiac gait shaper as the magnetic current can do it to halt. Patients that have metallic implants, such as joint replacings are besides unable to be scanned as the magnetic Fieldss are so strong. In add-on to this, claustrophobia proves to be a great patient issue as the scanner is narrow and scan times are long. Overall, Miller et Al ( 2006 ) suggest that even though CT is the constituted imagination techniques for the rating of pancreatic carcinomas, the superior contrast declaration of MRI may break detect lesions of the pancreas. They go on to propose that MRI is superior to CT as it can be used without the demand of iodized contrast. Besides, MRI is able to set up the nature of the mass unlike EUS and CT. CT nevertheless, is quicker and more tolerable than MRI scanning and uses the Hounsfield graduated table to supply accurate images of the pancreas and the environment vascular engagement. Due to the intimacy of the transducer to the internal variety meats, EUS provides elaborate images that can find whether a mass is present. However, it is invasive and uncomfortable for the patient and can non distinguish between a malignance and a fatty mass. Word count: 2,898 ( Not including images amounting to merely over half a page ) .

Hypnosis. Psychological and Physical Aspects of Hypnosis

| Hypnosis. Psychological and physical aspects of hypnosis. Hypnosis is a natural state of mind that can be used for many purposes, in different settings. Nowadays research in the field of hypnosis and associated areas has blossomed and there are valuable evidence that hypnosis has real and measurable affects on both body and mind. During this essay I will be describing what is hypnosis including what the psychological and physical aspects of hypnosis are, further I will be discussing the role of relaxation in hypnotherapy. We experience the â€Å"hypnotic state† in everyday life and it often occurs without recognition as such. It is believed that our mind can drift from alert state into different level of consciousness whenever we do activities in automatic mode, like driving, jogging, taking a shower, walking, etc. These are hypnotic-like trances. The main differences between these sorts of trance and clinical hypnosis are specific motivation and suggestions to achieve some desired results. Therapist may use hypnosis to explore patient’s unconsciousness, to identity whether past events or experiences are associated with causing a problem. One of the most accepted axioms of hypnotherapy that nothing can be done with hypnosis that cannot be done without. Barber (1969) offered considerable experimental evidence for â€Å"Anything you can do I can do†¦ † At the same time, since hypnosis occurs spontaneously in therapy as well as in ordinary life it is impossible to ignore the part played by hypnosis in the service of the patient. It is important to understand that no two individuals will have identical experience as they progress from the state of alertness to a deep trance. The impact of hypnosis on a person's subsequent actions is dependent upon how suggestible that particular individual happens to be, a quality that can differ from one person to the next. Each person experiences the hypnotic phenomenon in his or her own way. However, it has been recognized that suggestions during the hypnosis could influence the physical processes in the body and in the brain. The earliest references of hypnosis date back to ancient Egypt and Greece. Both cultures had religious centres where people came for help with their problems. Hypnosis was used to induce dreams, which were then analysed to get to the root of the trouble. The man who most people associate with the beginning of hypnosis is an Austrian doctor Franz Anton Mesmer (1733-1815). Mesmer believed that a â€Å"cosmic fluid† could be stored in inanimate objects, such as magnets, and transferred to patients and cure them of illness. Eventually Mesmer discarded the magnets and regarded himself as a magnet through which a fluid life force could be conducted and transmitted to others as a healing force. He incorporated that into the theory of â€Å"animal magnetism†. Despite the fact that no evidence supports the existence of that theory, he had tremendous success. Mesmerism became the forerunner of hypnotic suggestion. Meanwhile, the marquise de Puysegur, believed that the â€Å"cosmic fluids† was not magnetic, but electric, that generated in plants and animals. Puysegur used the natural environment to fill his patients with healing electric fluid. During that activity some of the patients entered a somnambulistic state (a deep trance). The marquis had discovered the hypnotic trance, but had not identified it as such. Another forward thinker in the mid 1800 was a professor at London University, John Elliotson (1791-1868), who use the hypnotic state to relieve pain during the surgical operations. In India, a British surgeon, James Esdaile (1808-1859) recognised the enormous benefits of hypnosis for pain relief and performed hundreds of major operations using hypnosis as his only anaesthetic. This was accomplished by inducing the trance state to the patient weeks before the surgery and offering posthypnotic suggestions to numb the part of the body on which the operation was to be performed. The next real pioneer of hypnosis in Britain in the late 1800s was James Braid (1795-1860), who gave mesmerism a scientific explanation. He believed mesmerism to be a â€Å"nervous sleep† and coined the word hypnosis, from Greek word Hypnos, meaning sleep. He discovered that getting a patient to fixate upon something was one of the most important components of putting them into a trance. The French scientists were also taking the interest in the subject of hypnosis, and many breakthroughs were made by Ambroise Leibeault (1823-1904), a neurologist Jean Martin Charcot (1825-1893) and Charles Richet (1850-1935). Ambroise Leibeault and Hippolyte Bernheim (1837-1919) were the first who asserted that expectation is a most important factor in the induction of hypnosis and suggestibility is its essential symptom. The work of another Frenchman, Emile Coue (1857 – 1926), was very interesting. He is most famous for the phrase ‘Day by day in every way I am getting better and better'. His technique was one of affirmation and his idea was that the imagination is always more powerful than the will. Sigmund Freud (1856-1939) was also interested in hypnosis at this time. He was using it in his work, but eventually abandoned it in favour of psychoanalysis. With the rise of psychoanalysis in the first half of this century, hypnosis declined in popularity. Milton Erickson (1901-1980) is considered the leading authority of clinical hypnosis. Nowadays Erickson approach to hypnosis without question is the most effective. There are many physical and psychological problems can be effectively controlled by the use of hypnosis. Patients suffering with chronic illnesses such as cancer, arthritis, stroke and multiple sclerosis can benefits from hypnosis in many ways. In all this entire spectrum of diseases, pain is one of the most common symptoms. The most distressing an aspect of pain is the loss of control the patient feels. Through hypnosis is possible to show patients how they can use their own mind to change the subjective feeling of pain, restoring that sense of control and make patient feel empowered. Increased self-esteem, developing more positive attitude may even decrease the use of pharmacological agents. When done properly, hypnosis holds several advantages over drugs. It has no side effects, while drugs can leave a sense of dependence for the patient. Hypnosis not only gives the ability to relieve the pain, but removes the ever-present fear of pain’s return. For certain types of breast and thyroid surgery, a combination of hypnosis and local anaesthesia can aid in the healing process, and can reduce drug use and time spent in the hospital, according to studies reported at Euroanaesthesia 2011 in Amsterdam. According to the researchers, women who were hypnotized spent a few minutes more in the operating room (122 vs. 116  min), perioperative drug use was reduced, as was time in the recovery room and in the hospital. No patient in the hypnosis group converted to general anaesthesia during surgery. The major benefit is that hypnosis is modifying the cognitive response to sensation points, changing the expectations and reducing stress. Hypnosis can be especially helpful when dealing with diseases that have psychosomatic aspects, such as psoriasis, eczema, asthma. Study reviled that using hypnotherapy can improve those conditions. It concluded that the greater the depth of hypnosis the patient achieved the greater the improvement in patient’s condition. Using the relaxation techniques and post-hypnotic suggestion to discharge anxiety can significantly reduce the stress, which is a well known trigger for psychosomatic disorders. Hypnotherapy deals with psychological and physical disorders in variety of way. There are countless types of suggestion that can be given to patients while there in trance. Patients can even be age-regressed back to a time before they have been ill, injured or distressed and then received comfort and reassurance followed by relief. Imaginary, visualisation, metaphors are also the key factors in hypnosis. Through training the mind to imagine the desired outcome can help bring the desired result. This technique has great success in sport and help to achieve the peak performance. Relaxation is the first resource in hypnotherapy intervention that enhances the process of healing and recovery. Researchers have shown that being to tense or living with too much stress has a significant negative impact on our life. It can lead to physical illnesses and many psychological issues. The effect from relaxation on our body and mind is enormous. Relaxation in hypnotherapy helps in 3 ways; its completely turning off the sympathetic nervous system, changing our reaction to stressful events and build up our parasympathetic nervous system. The first goal in hypnosis is to achieve a very deep state of relaxation where our mind is more focused and the connections between our thoughts, emotions and behaviour are clearer. This type of therapy is very helpful to reduce anxiety, distress and fear. This is can be done in a trance state by guiding the patient through imaginary and visualisation. Once a patient is able to get into that state, the goal becomes lengthening the period of relaxation and teaching the patient how to control these internal images on his own. Most people will feel certain degree of anxiety in everyday life. Such feeling are generally reasonable and appropriate and it is only if that anxiety is exaggerated in intensity or duration, prevents to perform a required task or interfere with person’s life to a significant degree, than it is begins to regard as pathological reaction. Not surprisingly, using relaxation techniques can be very effective when patient get the rising heart and panic attack. This is another category of pathological anxiety reactions that includes phobic attacks to spiders, mice, rats, snakes, lizards and other creatures. Patients with such phobic reaction may be taught to rehearse so that every time they begin to get the racing heart signifying panic to that person, they begin to use their learned techniques of imagery to put their mind in a more relaxed place. The relaxation techniques can be used along with biofeedback instrument to increase the effectiveness of relaxation. Biofeedback is a tool which gives immediate and objective evidence to the patient of his ability to control such processes as heart rate, breathing rate, skin temperature, skin resistance and blood pressure. To those patients who are able to response moderately well to hypnosis, it offers a means of achieving some degree of voluntary or self-mediated control over these pathological reactions. It is important to ensure that anxiety is not the expression of underlying depression or major psychiatric disorder that is not yet manifest. Hypnosis has both a diagnostic and therapeutic role in eating disorders. For example, during hypnosis patients can uncover their past traumas or feeling of deserving self-punishment. Dr. Moshe S. Torem describes introducing hypnosis to eating disorders patient initially in the form of self-hypnosis, framed as a technique to improve calmness and relaxation. It appears that hypnotherapy is quite popular and sufficient way that could help you to illuminate negative behaviour patterns or bad habits. Focused relaxation techniques are used to modifier person behaviour and change the way one thinks about addictions and habits that affect the quality of life. Hypnosis connects modern practice with practices that have been used by ancient Egyptian and enlightened Zen masters. It informs our understanding of how the mind connects with the body, as well as how conscious mind connect with the unconscious. Hypnosis can be applied in physical and psychosomatic disorders in many ways. First, it can be effective in reducing pain and discomfort. Secondly, hypnotic techniques can contribute substantially to the reduction of distress, anxiety and fears. Thirdly, it can be employed to influence the psychological processes that can give the power and the ability to patients to improve their life in an infinite number of ways. Hellmut W. A. Karle and Jennifer H. Boys 2010. Hypnotherapy. A Practical Handbook Journals online. Journal of Health Psychology. The physical, Psychological and Social Impact of Psoriasis. Josie Hadley and Carol Staudacher 2002. Hypnosis for Change. Michael Heap and Windy Dryden. Hypnotherapy. A Handbook Medscape CME Nursing. Journal online. Euroanaesthesia 2011. , Combination of hypnosis and local anaesthesia for certain types of breast and thyroid surgery. www. ibshypnosis. com Clinical hypnosis: Something for you? By Olafur S. Palsson, Psy. D. www. hypnosisexpert. co. uk Top 5 Most Effective Uses for Hypnotherapy. By Anna Aengel 2010 www. systemthinker. com Hypnosis Past, Present and Future: Its Medical and Psychiatric Applications by Howard Ditkoff M. D. www. innerhealhstudio. com Relaxation Therapy For Body and Mind. By Candi Raudebaugh.

The case study is about a project to open a new Tesco Super Store

The is about a project to open a new Tesco Super Store - Case Study Example E. Stockwell (Simms, 26). The company expanded rapidly opening several stores from 1929 and eventually went public in 1947 when it was listed on the London Stock Exchange as Tesco Stores (Holdings) Limited. The company continued to grow through various acquisitions during the 1950s and 60s such as the acquisition of 70 Williamson's stores, 97 Charles Phillips stores, 212 Irwins stores, and 200 Harrow Stores outlets. At present, the company has continued to experience growth and success making a market leader within the grocery and general products retail market. The company’s stores are branded differently based on the location, size, and mode of acquisition. The main store brands are Tesco Extra, Tesco Metro, Tesco Express, Tesco Superstores, Tesco Homeplus, Dobbies, And One Stop. This paper aims to present the key elements involved in managing a successful project involving the opening of a new Tesco Superstore. It will discuss the key stages and associated tasks that will b e required in order to ensure overall success of the entire project, the project management processes and techniques that should be applied during the life of the project, and the important skills and competencies required by the project manager and team to achieve a successful project. Key stages and associated tasks required to ensure overall success of the project A project is usually described as a temporary group activity that is intended to produce a unique result, product, or service (Project Management Institute, 5). As such, a project is a plan of work that is aimed at bringing a beneficial change and is therefore expected to have a defined beginning and an end, and bears a scope of work that usually is unique and entails a lot of uncertainty (Prabhakar, 4). In addition, a project has several times, cost, and quality constraints and requires a multi-disciplinary team to carry out the project to its end. In order for a project to be successful, it must: Deliver the required benefits and outcomes expected by the organization, major stakeholders, delivery partners, and any other stakeholders involved in the project. Stay within the set out time targets and financial budgets; Engage the correct people and utilize the resources available within the organization and elsewhere appropriately (Cleland and Roland 176). Produce and realize deliverables that adhere to the agreed requirements; Have the necessary risk management skills and techniques required to manage adequately any risks that may arise and could jeopardize its success; Take into consideration of any changes that could occur in the manner in which the organization operates and all the diverse needs of the employees and other key stakeholders who shall be impacted by the various changes that may arise from the project. Five main stages of a project that must be undertaken in order to achieve success, namely: Initiating Under this stage, the management within an organization identifies a key busines s problem facing the organization or a unique opportunity that the organization could pursue and a possible business case that could provide a possible solution is identified. One needs to understand the environment within which the business operates in to be able to identify the scope of the project and the

Traffic Cameras Research Paper Example | Topics and Well Written Essays - 1250 words

Traffic Cameras - Research Paper Example Such offenses are chargeable in the courts of law as stipulated by the laws in the constitutions of the given State. In an attempt to avoid hazards and negative outcomes associated with the absence of traffic cameras at major road intersections, the governments should install the gadgets to reduce accidents and enhance security among other benefits. Road traffic collisions are accountable for 1.2 million deaths and approximately 50 million injuries annually according to the approximations by the World Health organization (Cinnamon et al. 1). Cinnamon et al. claims that motorists and pedestrians from frequent observations commit road rule violations at signalized intersections. The accidents are a major drawback to the various states as it leads to loss of scarce human resource through the deaths that normally occur. In addition, mechanical and infrastructural destructions that the intersection accidents bring along lead to infrastructural related losses and thus derail a State’s economy. A designed means of observing and monitoring traffic flow along the intersections can help in minimizing the frequency of the accidents’ occurrence. Therefore, most of the states with the need to eliminate accidents along the intersections should install the traffic cameras in order to help reduce the losses accompanying it. An argument about the sure effectiveness of the installation of the traffic cameras is relevant. A pilot installation is essential in addition to the numerous researches done that fully advocate traffic cameras as the best mechanism in reducing associated accidents. Due to the higher need to reduce the number of traffic accidents in major road intersections, installation of traffic cameras is recommendable. The Federal Highway Administration (FHWA) calculates that the traffic along the intersections causes more than 100,000 crashes and 1000

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Expo 2020 Dubai - Essay Example According to the research findings, the Dubai Expo is anticipated to attract up to 25 million visitors 70% of whom who are expected to be from overseas. The Dubai Expo will be unique since it will be the first Expo whereby the majority of the visitors will be from other countries. The Expo will be held from 20 October 2020 to 10 April 2021 and during this time, the country will launch its Golden Jubilee celebration. It will also serve as a springboard whereby an advanced and sustainable vision for the coming decades will inaugurate. The pronounced exhibition apprehended in London in 1851 initiated the many World Expos that have occurred after it. It served as a symbol to the events of the world focusing to strengthen connections, celebrate cultural diversity and appreciate its technological advancements. World Expos have become a key meeting point for the global community. They also form a platform where people share innovations and discuss important matters such as the global econom y, sustainable development, and improve living standards. Home expos are held at an interval of five years, and they bring together millions of people and help them explore and discover new ideas. The events are attended by nations, international organizations, and business, and that offers a pool of ideas and innovations. Each World Expo is a spur for economic, cultural and social revolution and generates vital heirlooms for the host town and nation. For instance, Shanghai 2010 World Expo facilitated in transforming a heavily industrial city-center area into a booming cultural and commercial district.

MPH503 - Infertility and Public Health Module 1 - SLP Essay

MPH503 - Infertility and Public Health Module 1 - SLP - Essay Example ay, infertility is a global problem and â€Å"It is estimated that one in six couples face difficulties in conceiving† (Major causes of infertility, 2009, para.1). The major cause of infertility among men is due to the tube blockage or any obstructions in the tubes which take the sperm, problems with the sperms like low sperm counts, inability of the sperm to move through the tube and an abnormal shape of the sperm and sperm allergy which means the immune reactions of the sperm. Infertility among females is because of some of the factors like growing of uterus lining to the outside of the uterus, ovulation problems, female tube blockage and developing chromosomal abnormality by way of damaging eggs. There are three ways to treat infertility and they are intake of medicine, conducting surgery and doing artificial insemination. It is found that the treatment is very effective among many couples. Northern California fertility Medical Center provides In Vitro Fertilization and Vasectomy Reversal and Infertility Treatment for the people who are inflicted with infertility throughout the world. In Vitro Fertilization which is â€Å"known as assisted reproductive technology, or ART, the ability of physicians to retrieve mature eggs from a woman’s ovaries and fertilize them outside of the body before returning them to the uterus has made it possible to overcome many causes of infertility.† (Assisted reproductive technologies: In vitro fertilization, 2008, para.1). It is the fertilization in glass and it has a number of stages in this process like ovulation induction, egg retrieval, fertilization and embryo placement. Washington State Nursing Association is an organization dedicated to provide quality nursing practice and education and in the treatment of infertility it also uses reproductive technology to meet the needs of the patients all over the world. West Texas Physicians Assistant Association and Alaska Midwife Association are very distinguished associations for

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Discourse community - Essay Example ut Chelsea FC is how they care about their fans and the community and how it is different than a lot of other clubs which only look for winning the league. For example, The Chelsea FC foundation supports children in elementary school by providing them with â€Å"Quality Effort Award†, which is a free program that is meant to be used in classrooms by teachers to motivate their students for their creative thinking and rewarding the children for good performance. Chelsea FC is a big discourse community that shares the same goals and purposes with fans. Swales defines a discourse community as a group of people who communicate with each other by words and conversation to be able to reach their goals that they all share. The discourse community also has their own lexis and they communicate in one language. In Chelsea FC, there are common goals that the whole community shares. The first is winning the premier league, champions league, FA cup and the Capital One Cup. These are some of the goals that the community has and there are also other goals like inspiring children, and making their fans happy. Therefore, I can say that Chelsea FC discourse community shares the same goals. What is special about this club is that the coach of the team who is known to be one of the best coaches in soccer history Jose Morinho placed a rule as soon as he moved to the club that all members of the team including staff and players must discuss after training the issues they should do and fix problems if there are any. Jose Morinho knows how important it is to communicate with the team mates and staff such that he made a rule that whoever is absent or tardy has to pay a fine even if it was the coach himself. Chelsea FC discourse community makes sure to provide most ways possible for people to give them feedback. They use a lot of different ways to receive this feedback for example, Chelsea FC account on Twitter, Chelsea FC T.V, Chelsea FC Facebook and Chelsea FC Instagram account. They