Thursday, November 28, 2019
Twelfth night A monologue from the play by William Shakespeare Essay Example For Students
Twelfth night A monologue from the play by William Shakespeare Essay A monologue from the play by William Shakespeare VIOLA: I left no ring with her. What means this lady?Fortune forbid my outside have not charmed her.She made good view of me; indeed, so muchThat, as methought, her eyes had lost her tongue,For she did speak in starts distractedly. She loves me sure; the cunning of her passionInvites me in this churlish messenger.None of my lords ring? Why, he sent her none.I am the man. If it be so, as tis,Poor lady, she were better love a dream.Disguise, I see thou art a wickednessWherein the pregnant enemy does much.How easy is it for the proper falseIn womens waxen hearts to set their forms!Alas, our frailty is the cause, not we,For such as we are made of, such we be.How will this fadge? My master loves her dearly;And I (poor monster) fond as much on him;And she (mistaken) seems to dote on me.What will become of this? As I am man,My state is desperate for my masters love.As I am woman (now alas the day!),What thriftless sighs shall poor Olivia breathe?O Time, thou must untangle this, not I;It is too hard a knot for me t untie. We will write a custom essay on Twelfth night A monologue from the play by William Shakespeare specifically for you for only $16.38 $13.9/page Order now
Sunday, November 24, 2019
Causes of Texas Independence
Causes of Texas Independence Why did Texas want independence from Mexico? On October 2, 1835, rebellious Texans took shots at Mexican soldiers in the town of Gonzales. It was barely a skirmish, as the Mexicans left the battlefield without attempting to engage the Texans, but nevertheless the Battle of Gonzales is considered the first engagement of what would become Texas War of Independence from Mexico. The battle, however, was only the start of the actual fighting: tensions had been high for years between the Americans who had come to settle Texas and the Mexican authorities. Texas formally declared independence in March of 1836: there were many reasons why they did so. 1. The Settlers Were Culturally American, Not Mexican Mexico only became a nation in 1821, after winning independence from Spain. At first, Mexico encouraged Americans to settle Texas. They were given land that no Mexicans had yet laid claim to. These Americans became Mexican citizens and were supposed to learn Spanish and convert to Catholicism. They never really became Mexican, however: they kept their language and ways and culturally had more in common with the people of the USA than with Mexico. These cultural ties with the USA made the settlers identify more with the USA than Mexico and made independence (or US statehood) more attractive. 2. The Slavery Issue Most of the American settlers in Mexico were from southern states, where slavery was still legal. They even brought their slaves with them. Because slavery was illegal in Mexico, these settlers made their slaves sign agreements giving them the status of indentured servants ââ¬â essentially slavery by another name. The Mexican authorities grudgingly went along with it, but the issue occasionally flared up, especially when slaves ran off. By the 1830s, many settlers were afraid that the Mexicans would take their slaves away: this made them favor independence. 3. The Abolishment of the 1824 Constitution One of Mexicoââ¬â¢s first constitutions was written in 1824, which was about the time that the first settlers arrived in Texas. This constitution was heavily weighted in favor of statesââ¬â¢ rights (as opposed to federal control). It allowed the Texans great freedom to rule themselves as they saw fit. This constitution was overturned in favor of another that gave the federal government more control, and many Texans were outraged (many Mexicans in other parts of Mexico were, too). Reinstatement of the 1824 constitution became a rallying cry in Texas before the fighting broke out. 4. Chaos in Mexico City Mexico suffered great growing pains as a young nation in the years after independence. In the capital, liberals and conservatives fought it out in the legislature (and occasionally in the streets) over issues such as states rights and the separation (or not) of church and state. Presidents and leaders came and went. The most powerful man in Mexico was Antonio Là ³pez de Santa Anna. He was president several times, but he was a notorious flip-flopper, generally favoring liberalism or conservatism as it fit his needs. These problems made it impossible for Texans to solve their differences with the central government in any lasting way: new governments often reversed decisions made by previous ones. 5. Economic Ties with the USA Texas was separated from most of Mexico by large swaths of desert with little in the way of roads. For those Texans who produced export crops, such as cotton, it was far easier to send their goods downstream to the coast, ship it to a nearby city like New Orleans and sell them there. Selling their goods in Mexican ports was nearly prohibitively hard. Texas produced a lot of cotton and other goods, and the resulting economic ties with the southern US hastened its departure from Mexico. 6. Texas Was Part of the State of Coahuila y Texas: Texas was not a state in the United States of Mexico,à it was half of the state of Coahuila y Texas. From the beginning, the American settlers (and many of the Mexican Tejanos as well) wanted statehood for Texas, as the state capital was far away and difficult to reach. In the 1830s, the Texans would occasionally have meetings and make demands of the Mexican government: many of these demands were met, but their petition for separate statehood was always denied. 7. The Americans Outnumbered the Tejanos In the 1820s and 1830s, Americans were desperate for land, and often settled in dangerous frontier territories if land was available. Texas has some great land for farming and ranching and when it was opened up, many went there as fast as they could. Mexicans, however, never wanted to go there. To them, Texas was a remote, undesirable region. The soldiers stationed there were usually convicts: when the Mexican government offered to relocate citizens there, no one took them up on it. The native Tejanos, or native-born Texas Mexicans, were few in number and by 1834 the Americans outnumbered them by as many as four-to-one. 8ââ¬â¹.à Manifest Destiny Many Americans believed that Texas, as well as other parts of Mexico, should belong to the USA. They felt that the USA should extend from the Atlantic to the Pacific and that any Mexicans or Indians in between should be kicked out to make way for the rightful owners. This belief was called Manifest Destiny. By 1830, the USA had taken Florida from the Spanish and the central part of the nation from the French (via the Louisiana Purchase). Political leaders such as Andrew Jackson officially disowned rebel actions in Texas but covertly encouraged Texas settlers to rebel, giving tacit approval of their deeds. The Path to Texas Independence Mexicans were keenly aware of the possibility of Texas splitting off to become a state of the USA or an independent nation. Manuel de Mier y Tern, a respected Mexican military officer, was sent to Texas to make a report on what he saw. He gave a report in 1829 in which he reported the large number of legal and illegal immigrants into Texas. He recommended that Mexico increase its military presence in Texas, outlaw any further immigration from the USA and move large numbers of Mexican settlers into the area. In 1830, Mexico passed a measure to follow Terns suggestions, sending additional troops and cutting off further immigration. But it was too little, too late, and all the new resolution accomplished was to anger those settlers already in Texas and hasten the independence movement. There were many Americans who immigrated to Texas with the intention of being good citizens of Mexico. The best example is Stephen F. Austin. Austin managed the most ambitious of the settlement projects and insisted his colonists adhere to the laws of Mexico. In the end, however, the differences between the Texans and the Mexicans were too great. Austin himself changed sides and supported independence after years of fruitless wrangling with the Mexican bureaucracy and about a year in a Mexican prison for supporting Texas statehood a little too vigorously. Alienating men like Austin was the worst thing Mexico could have done: when even Austin picked up a rifle in 1835, there was no going back. On October 2, 1835, the first shots were fired in the town of Gonzales. After the Texans captured San Antonio, General Santa Anna marched north with a massive army. They overran the defenders at the Battle of the Alamo on March 6, 1836. The Texas legislature had officially declared independence a few days before. On April 21, 1835, the Mexicans were crushed at the Battle of San Jacinto. Santa Anna was captured, essentially sealing Texas independence. Although Mexico would try several times in the next few years to reclaim Texas, it joined the USA in 1845. Sources Brands, H.W. Lone Star Nation: the Epic Story of the Battle for Texas Independence. New York: Anchor Books, 2004. Henderson, Timothy J. A Glorious Defeat: Mexico and Its War With the United States. Hill and Wang, 2007, New York.
Thursday, November 21, 2019
Banking Essay Example | Topics and Well Written Essays - 4000 words
Banking - Essay Example Depository insurance can be obtained instantly and they are not traded debts since bank incentive take risks and they have no discipline from market prices. Depository insurance have a role of disciplining the management and reduction moral hazard that is, infinite maturity infers that deposits can rapidly disappear; leading to moral hazard; sequential examination also gives a benefit to monitor such services(Pastre?, 2007). Depository insurance helps in ensuring less costly and unnecessary liquidations, duplication of deposits are avoided through monitoring and less probability of runs on solvent thus reducing shock to supply of money at macro level. Depository insurance relates to bank runs in that without monitoring of projects may be vulnerable resulting into socially uneconomical of projects. Allman (2006) describes the lender of the last resort as that institution which is willing to give loans as a last option to banks or other financial institutions that are undergoing financ ial problem that is considered highly risky. Such a firm is usually the countryââ¬â¢s central bank. The lender of the last resort produces currency at its discretion to support institutions facing financial problems. ... Since they provide liquidity assistance they help curb the insolvency problem. The lender of the last resort therefore, eases smooth bank runs through recapitalizing the insolvent banks. This helps the financial institutions to enhance their consumer protection. In conclusion, both depository insurance and lender of the last resort have the one thing in common in that they tend to protect various financial institutions from insolvency challenges leading to efficient and effective bank runs. Essay Two An economic theory is a concept or an idea put forward to explain various economic aspects that exist in the world economy. Economic theories are those specifically, these theories explain the aspects in line with monetary effects and financial aspects related to the management and utilization of scarce resources exhaustively (Allman, 2006). The major theories that illustrate the existence of bank include: Economies of scale theory Here, transaction prices at core tend to increase this i s due to fixed cost of evaluating assets thus reducing average costs of trading. This shows that individual cannot at any time diversify perfectly since, bank pool risk and diversify portfolio are cheaper and that the payment services are also cheaper (Pastre?, 2007). A special situation is where liquidity insurance and economies of scale in risk pulling is experienced. Liquidity focuses on the banks cashable deposits as assets are long term and illiquid. Therefore, banks as pools of liquidity gives people with insurance in opposition to idiosyncratic shocks that they can only observe. Banks also protect borrowers from early encashment of loans. Asymmetrical information theory This involves screening to overcome adverse selection whereby intermediaries screen the quality
Wednesday, November 20, 2019
Summary of Chapter 1_The End of Risk-Free Rate Assignment
Summary of Chapter 1_The End of Risk-Free Rate - Assignment Example This is because the bonds provide funds for healthcare, education, law enforcement as well as other public requirements. The most common theories associated to risk free rate and from which other valuations are derived include modern portfolio theory (MPT) and the capital asset pricing model (CAPM). Additionally, the risk free rate functions in rare occasions since the MPT maintains that there is only one risk-free rate, which is the risk-free rate asset that pays a low rate. The risk free rate is used by MPT to determine the optimum portfolio. At the basic level, risk is said to be the probability of outcomes or events and is divided into three main categories that include absolute, default and relative risk. There have been attempts to use alternatives to the risk-free rate such as the T-bill that remains the best option since it was the closest investment to a short-term riskless security. The main reason why the risk-free rate has changed is the catastrophic events happening in most developed countriesââ¬â¢ economies that include credit market collapses, stock market collapses, and wars. The valuation level of the risk-free rate can be determined or judged through the Fisher equation. The idea that treasury bills have yielded zero or negative in certain periods indicates that there is no real risk-free rate. On the other hand, there have been increased debts in major governments and the development of other aspects such as debt mutualization. This is because of realization of too little growth versus intense debts. In some instances, the total debt has exceeded the total GDP. Without growth, fiscal consolidation proves futile. Fiscal measures should be permanent to help in reduction of debt. If austerity is followed, it could take approximately 10 years to realize results. Debt ratio might increase by attempting to reduce it through austerity, which adds risk premium to government bonds over time. The market demand for safe assets has
Sunday, November 17, 2019
Foundation of Theology Essay Example | Topics and Well Written Essays - 2500 words
Foundation of Theology - Essay Example All the official teachings of the Church and the official documents of the Church must have their basis on these foundations of Catholic Theology. One of such official Church document is the Vatican 11 document. An analysis of the 16 documents in the Vatican 11 document shows that all the documents are based on the foundations of Catholic Theology. This paper analysis four of the 16 documents in Vatican 11 document and shows how the fathers in the Vatican 11 Council based their teachings in these four documents on the foundations of Catholic Theology. These four selected documents are Lumen Gentium, Sacrosantum Concilium, Gaudium et Spes, and Orientalium Ecclesiarum. Each of these documents deals with different and particular aspects of the life of the Catholic Church. The selected documents are well analysed and the basis of the documents on the foundations of Catholic Theology are given. Dogmatic Constitution on the Church (Lumen Gentium) The document Lumen Gentium is the document in Vatican 11 documents that gives the dogmas of the Church. An analysis of this document shows that the document is based on the foundations of Catholic Theology. To begin with, the document, Lumen Gentium, is deeply rooted in the Sacred Scriptures, i.e. every chapter of the document has its basis on the Sacred Scriptures. ... Lumen Gentium continues to show how Jesus Christ sent the gift of the Holy Spirit to the disciples on Pentecost day. The Holy Spirit, therefore, is the real authority behind the teachings of the Church for it is him who empowered and enlightened the disciples. This therefore shows that the dogmatic constitution of the Church (Lumen Gentium) has its origin in the Holy Spirit and it is, therefore, the revealed truth of God to His people. Having shown the origin of the dogmas of the Church based on the teachings of the Scriptures, the document explains the various roles of the people of God, i.e. the laity, the bishops, the priests, and the consecrated people/the religious people. All the roles of these groups of people in the Church of Jesus Christ are explained according to the teachings of the Scriptures. In nutshell, all the content of lumen Gentium is based on the Scriptures. The content of the Lumen Gentium is also rooted in the traditions of the Church. For instance, on the teach ings on the Blessed Virgin Mary and her role on the economy of Salvation, Lumen Gentium draws heavily on the traditions of the Church. Lumen Gentium confirms that Mary is, indeed, the mother of God. This confirmation is perfectly in line with the traditions of the Church that teaches that Mary is, indeed, Theotokos (Mother of God). The document also confirms that the Blessed Virgin Mary was a virgin before and even after the birth of Jesus Christ. This teaching is found in the traditions of the Church, but not directly from the Scriptures. On the role of Mary on the economy of Salvation, Lumen Gentium teaches that by obeying to be the mother of God, the Blessed Virgin Mary cooperated in the work of salvation and her role, therefore, is not merely
Friday, November 15, 2019
Problems Of The Aging Health And Social Care Essay
Problems Of The Aging Health And Social Care Essay for death from cancer, Management of the elderly cancer patient becomes complex because other chronic conditions, such as osteoarthritis, diabetes, chronic obstructive pulmonary disease (COPD), and heart disease, must also be considered in their care. The attitude of health care providers towards older adults affect their health care. Unfortunately, research indicates that health care professionals are significantly more negative in their attitudes towards older patients than younger ones. This attitude must change if the health care provider is to have a positive interaction with the elderly patient. These attitude appear to be related to the pervasive stereotyping of the elderly, which serves to justify avoiding care and contact with them, as well as being reminders of our own mortality. Ageism is a term used to describe the stereotyping of and discrimination against elderly persons and is considered to be similar to that of the racism and sexism. It emphasized that frequently the elderly are perceived to be repulsive and that a distaste for the aging process itself exists. Ageism suggests that he majority of elderly are senile, miserable most of the time, and dependent rather than independent individuals. The media have also influenced on going stereotypical notions about the elderly. Health care providers must learn to appreciate the positive aspects of aging so that they can assists the elderly in having a positive experience with their imaging procedure. PHYSICAL, COGNITIVE, AND PSYCHOSOCIAL EFFECTS OF AGING The human body undergoes a multiplicity of physiologic change second by second. Little considerations is given regarding these changes unless they are brought on by sudden physical, psychological, or cognitive events. Radiographers must remember that each elderly person they encounter is a unique individual with distinct characteristics. These individual have experienced a life filled with memories and accomplishment. Young or old, the definition of quality of life is an individual and personal one. Research has shown that health status is an excellent predictor of happiness. Greater social contact, health satisfaction, low vulnerable personality traits, fewer stressful life events have been linked to successful aging. Self-efficacy can be defined as the level of control one has over ones future. Many elderly people feel they have no control over medical emergencies and fixed incomes. Many have fewer choices about their personal living arrangements. These environmental factors can lead to depression and decreased self-efficacy. An increase in illness will usually parallel a decrease in self-efficacy. The elderly may experience changing roles from life of independence. The family role of an adult caring for children and grandchildren may evolved into the children caring for their caring aging parents. It is also a time of loss. Losses may include the death of a spouse and friends, as well as loss of income due to retirement. The loss of health may be the reason for the health care visit. The overall loss control may lead to isolation and depression in the elderly. Death and dying is also an imminent fact of life. The aging process alone does not likely alter the essential core of human being. Physical illness is not aging, and age-related changes in the body are often modest in magnitude. As one ages, the tendencies to prefer slower-paced activities, take longer to learn new tasks, become more forgetful, and lose portions of sensory processing skills increase slowly but perceptibly. Health care professionals need to be reminded that aging and disease are not synonymous. The more closely a function is tied to physical capabilities, the more likely it is to decline with age, whereas the closer a function depends on experience, the more likely it will increase with age. Joint stiffness, weight gain, fatigue and loss of bone mass can be slowed through proper nutritional interventions and low-impact exercise. The importance of exercise cannot be overstated . Exercise has been shown increase aerobic capacity and mental speed. Exercise programs designed for the elderly should emphasized increased strength, flexibility, and endurance. One of the best predictors of good health in later years is the number and extent of healthy lifestyles that were established in earlier life. The elderly person may shown decreases in attention skills during complex tasks. Balance , coordination, strength and reaction time all decrease with age. Falls associated with balance problems are common in the elderly population, resulting in a need to concentrate on walking. Not overwhelming them with instructions is helpful. Their hesitation to follow instructions may be fear instilled from a previous fall. Sight, hearing, taste and smell are all sensory modalities that decline with age. Older people have more difficulty with bright lights and tuning out background noise. Many elderly people become adept at lip reading to compensate for loss of hearing. For radiographers to assume that all elderly patients are hard of hearing is not usual; they are not talking in a normal tone, while making volume adjustments only if necessary, is a good rule of thumb. Speaking slowly, directly, and distinctly when giving instructions allows older adults an opportunity to sort through directions and improves their ability to follow them with better accuracy. Cognitive impairment in the elderly can be caused by disease, aging, and disuse. Dementia is defined as progressive cognitive impairment that eventually interferes with daily functioning. It includes cognitive, psychologic, and functional deficits including memory impairment. With normal aging comes a slowing down and a gradual wearing out of bodily systems bit it does not include dementia . Yet the prevalence of dementia increases with age. Persistent disturbances in cognitive functioning, including memory and intellectual ability, accompany dementia. Fears of cognitive loss, especially Alzheimers disease, are widespread among older people. Alzheimers disease is the most common form of dementia. Therefore health care professionals are more likely to encounter people with this type. The majority of elderly people work at maintaining and keeping their mental functions by staying active through mental games and exercises and keeping engaged in regular conversation. When caring for pati ents with any degree of dementia, verbal conversation should be inclusive and respectful. One should never discuss the patients as through they are not in the room or are not active participants in the procedure. One of the first questions asked of any patient entering a health care facilities for emergency service Do you know where you are and what day it is? The health care providers need to know just how alert the patient is. Although memory does decline with age, this is experienced mostly with short-term memory tasks. Long-term memory or subconscious memory tasks show little change over time and with increasing age. There can be a variety of reasons for confusion or disorientation. Medication, psychiatric disturbance, or retirement can confuse the patient. For some older people, retirement means creating a new set routines and adjusting to them. The majority of elders like structure in their lives and have familiar routines for approaching each day. PHYSIOLOGY OF AGING Health and well- being depend largely on the degree to which organ systems can successfully work together to maintain internal stability, With age, there is apparently a gradual impairment of these homeostatic mechanisms. Elderly people experience nonuniform, gradual, ongoing organ function failure in all systems. Many of the body organs gradually lose strength with advancing age. These changes place the elderly at risk for disease or dysfunction, especially in the presence of stress. At some point the likelihood of illness, disease and death increases. Various physical diseases and disorder affect both mental and physical health of people of all ages. They are more profound among elderly people because diseases and disorders among older people are more likely to be chronic in nature. Although aging is inevitable, the aging experience is highly individual and is affected by heredity, lifestyle choices physical health, and attitude. A great portion of usual aging risks can be modified with positive shifts in life style. In elderly, the aging of the organs systems is one of the process where they need to understands and there are as list below: Integumentary systems disorders Nervous systems disorders Sensory systems disorders Musculoskeletal systems disorders Cardiovascular systems disorders Gastrointestinal system disorder Immune system decline Respiratory system disorder Hematologic system disorders Genitourinary systems disorders Endocrine systems disorders. THE RADIOGRAPHERS ROLE The role of the radiographer is no different than that of all other health professionals. The whole person must be treated, not just the manifested symptoms of an illness or injury. Medical imaging and therapeutic procedures reflect the impact of ongoing systemic aging in documentable and visual forms. Adapting procedures to accommodate disabilities and disease of geriatric patients is a critical responsibility and a challenge based almost exclusively on the radiographers knowledge, abilities, and skill. An understanding of the physiology and pathology of aging, in addition to an awareness of the economic the social, psychologic, cognitive, and economic aspects of aging, are required to meet the needs of the elderly population. Conditions typically associated with elderly patient invariably require adaptations or modifications of routine imaging procedures. The radiographer must be able to differentiate between age related changes and disease processes. Production of diagnostic image s requiring professional decision making to compensate for physiologic changes, while maintaining the compliance, safety, and comfort of the patient, is foundation of the contract between the elderly patient and the radiographer. RADIOGRAPHIC POSITIONING FOR GERIATRIC PATIENTS The preceding discussions and understanding of the physical, cognitive, and psychosocial effects of aging can help radiographers adapt to the positioning challenges of the geriatric patient. In come cases routine examinations need to be modified to accommodate the limitation, safety, and comfort of the patient. Communicating clear instructions with the patient is important. The following discussion addresses positioning suggestion for various structures. The common radiography examinations for geriatrics are: Chest Spine Pelvis/hip Upper extremity Lower extremity CHEST The position of choice for the chest radiograph is the upright position; however, the elderly patient may not be able to stand without assistance for this examination. The traditional posteroanterior (PA) position is to have the backs of hands on hips. This may be difficult for someone with impaired balance and flexibility. The radiographer can allow the patient to warp his or her arms around the chest stands as a means of support and security. The patient may not be able to maintain his or her arms over the head for lateral projection of the chest. Provide extra security and stability while moving the arms up and forwards. When the patient cannot stands, The examination may be done seated in a wheelchair, but some issues will affected the radiographic quality. First, the radiologist need to be aware that the radiograph is an anteroposterior (AP) instead of a PA projection, which may make comparison difficult. Hyperkyphosis can result in the lung apices being obscured, and the abdomen may obscure the lung bases. In sitting position, respiration may be compromised, and the patient should be instructed on the importance of a deep inspiration. Positioning of the image receptor for kyphotic patient should be higher than normal because the shoulder and apices are in a higher position. Radiographic landmarks may change with age, and the centering may need to be lower, if the patient is extremely kyphotic. When positioning the patient for the sitting lateral chest projection, the radiographer should place a large sponge behind the patient to lean him or her forward. Sitting Chest PA Chest Standing SPINE Radiographic spine examinations may be painful for the patient suffering from osteoporosis who is lying on the x-ray table. Positioning aids such as radiolucent sponge, sandbags, and a mattress may be used as long as the quality, of the image is not compromised. Performing upright radiographic examination may be also appropriate if a patient can safely tolerate this position. The combination of cervical lordosis and thoracic kyphosis can make positioning and visualization of the cervical and thoracic spine difficult. Lateral cervical projections can be done with the patient standings, sitting, or lying supine. The AP projection in the sitting position may not visualized the upper cervical vertebrae because the chin may obscure this anatomy. In the supine position the head may not reach the table and result in magnification. The AP and open-mouth projection are difficult to do in wheelchair. The thoracic and lumbar spines are sites for compression fractures. The use of positioning blocks may be necessary to help the patient remain in position. For the lateral projection, a lead blocker or shield behind the spine should be used to absorb as much scatter radiation as possible. Lateral Spine PELVIS/HIP Osteoarthritis, osteoporosis, and injuries as the result of falls contribute to hip pathologies. A common fracture in the elderly is the femoral neck. An AP projection of the pelvis should be done to examine the hip. If indication is trauma, the radiographer should not attempt to rotate the limbs. The second view taken should be a cross-table lateral of the affected hip. If hip pain is the indication, assist the patient to internal rotation of the legs with the use of sandbags if necessary. Immobilization device are place to the patient foot. UPPER EXTREMITY Positioning the geriatric patient for projections of the upper extremities can present its own challenges. Often the upper extremities have limited flexibility and mobility. A cerebrovascular accident or stroke may cause contractures of the affected limb. Contracted limbs cannot be forced into position, and cross-table views may need to be done. The inability of the patient to move his or her limb should not be interpreted as a lack of cooperation. Supination is often a problem in patients with contractures, fractures, and paralysis. The routine AP and lateral projections can be supported with the use of sponges, sandbags, and blocks to raise and support the extremity being imaged. The shoulder is also a site decreased mobility, dislocation, and fractures. The therapist should assess how much movement the patient can do before attempting to move the arm. The use of finger sponges may also help with the contractures of the fingers. Hand Projection Lateral Wrist LOWER EXTREMITY The lower extremities may have limited flexibility and mobility. The ability to dorsiflex the ankle may be reduced as a result of neurologic disorders. Imaging on the x-ray table may need to be modified when a patient cannot turn on his or her side. Flexion of the knee may be impaired and required a cross-table lateral projection. If tangential projection of the patella, such as the Settegast method, is necessary and the patient can turn on his or her side, place the image receptor superior to the knee and direct to central ray perpendicular through the patellofemoral joint. Projections of the feet and ankles may be obtained with the patient sitting in the wheelchair. The use of positioning sponges and sandbags support and maintain the position of the body part being imaged. AP Ankle Projection Lateral Ankle Projection PATIENT CARE Patient care must be apply to geriatric patient because they all are all fragile where their bone can easily broke or they can be easily fainted during the examination. For communications, take time to educate the patient and his or her family, speak lower and closer, and treat the patient with dignity and respect. Transportation and lifting patient are also be need because geriatrics patient is not stronger than normal person. If possible, give the patient time to rest between projection and procedures. Avoid adhesive tape because elderly skin is thin and fragile. Provide warm blankets in cold examination rooms, use table pads and hands rails and always access the patients medical history before contrast media is administered. Take time with the patient Immobilization Device CONCLUSION The imaging professional will continue to see a change in health care delivery system with the dramatic shift in the population of persons older than age 65. This shift in the general population is resulting in an ongoing increase in the number of medical imaging procedures preformed on elderly patients. Demographic and social effects aging determine the way in which the elderly adapt to and view the process of aging. An individuals family size and perceptions of aging, economic resources, gender , race, ethnicity, social class, and the availability and delivery of health care will affect the quality of the aging experience. Biologic age will be much more critical than chronologic aging when determining the health status of the elderly. Healthier lifestyles and advancement in medical treatment will create a generation of successfully aging adults, which in turn should decrease the negative stereotyping of the elderly person. Attitudes of all health care professionals, whether positiv e or negative, will affect the care provided to be growing elderly population. Education about the mental and physiologic alterations associated with aging, along with the cultural, economic and social influences accompanying aging, enables the radiographer to adapt imaging and therapeutic procedures to the elderly patients disabilities resulting from age-related changes. The human body undergoes a multiplicity of physiologic changes and failure in all systems. The aging experience is affected by heredity, lifestyle choices, physical health, and attitude, making it highly individualized. No individuals aging process is predictable and is never exactly the same as that of any other individual. Radiologic technologists must use their knowledge, abilities, and skills to adjust imaging procedures to accommodate for disabilities and disease encountered with geriatric patients. Safety and comfort of the patient is essential in maintaining compliance throughout imaging procedures. Implementation of skills such as good communication, listening, sensitivity, and empathy, all lead to patient compliance. Knowledge of age-related changes and disease process will enhance the radiographers ability to provide diagnostic information and treatment when providing care that meets the needs of the increasing elderly patient population.
Wednesday, November 13, 2019
Artificial Contraception :: essays research papers fc
There are many forms of artificial contraception. I am going to discuss some of those forms and the Churchââ¬â¢s opinion. Condoms, or rubbers, are shaped like a balloon and are made of a special kind of rubber. Condoms prevent sperm from reaching the cervix. They are placed over the maleââ¬â¢s erect penis before intercourse. They are 80-90% effective. No prescription is needed to use them. They protect against STDââ¬â¢s. They are more protective in preventing AIDS, then preventing pregnancy. They are not fully effective because they can break, have defects, be slippery, or it can be too old. Spermicides such as: creams, foams, vaginal supporsitones, and vaginal film form a chemical barrier that kills or makes the sperm inactive, which makes it impossible to become pregnant. They are 80% effective. It is available without a prescription and provides some STD protection. Effectiveness is increased if used with condoms. Vasectomies are common for men. The tube that carries the sperm is cut and tied which prevents sperm from being ejaculated. It is 99% effective This procedure is permanent and is done through a small incision near the testicles. It does not affect sexual arousal. A cervical cap is a soft rubber dome that forms a barrier to prevent sperm from reaching the cervix. The spermicidal gel kills the sperm. It is 85% effective. It may give some protection against chlamydia and gonorrhea. The diaphragm does the same thing as a cervical cap and is 85% effective. It is a flat rubber-like disk which has to be fitted from a doctor. It is placed inside the womanââ¬â¢s vagina before having intercourse. It is often used with cream or jelly that is placed around the edge of the diaphragm. There is a very high failure rate because sometimes they are not fitted or inserted correctly. They create fewer health risks for women. It may reduce the risk of cervical cancer and provides some STD protection. There are also injections for men and women. In men, a dr ug is injected into the sperm duct to disable the sperm for a period of time. Depo-Provera injections that contain the hormone, progesterone is injected and it prevents the release of an egg from the ovary. It is 99% effective. It is long lasting and highly effective. It also protects against uterine cancer. But it does not protect against STDââ¬â¢s. Female condoms are 75-85% effective but 95% effective if used correctly.
Sunday, November 10, 2019
Solubility Curves
Water Chemical formula- H2O State at room temperature- Liquid Colour- Clear Melting point- 0oC Boiling point- 100oC Water- good solvent and a range of substances will dissolve in it. What happens when a sugar lump dissolves in water? When the sugar dissolvesâ⬠¦ -The moving water molecules crash into the sugar particles -The sugar particles then break away from the crystal and into the water -The sugar and water particles then mix and diffuse evenly throughout.Copper sulphate- blue crystals, hydrated because they have water trapped within them. When they are heated this water evaporates, the crystals become dehydrated and turn white. Equation for this Reaction. CuSo4 5H2O ââ¬â> CuSo4 + 5H2O Solute- Solid which is dissolving Solvent- liquid in which the solute dissolves Solution- the solute and solvent mixed together Sodium hydroxide- Soluble Copper Oxide- insoluble Calcium hydroxide- Insoluble Silver iodide- insoluble Aluminium nitrate- solubleMost ionic substances will dissol ve in water but covalent substances usually wont dissolve. Solubility of a solute = mass of a solid required to a saturate 100g of water at a particular temperature. Calculating Solubility 2g potassium chlorate dissolves in 20g water at 28oC what is its solubility? 2 x 100/20 = 10. 0g potassium chlorate/100g water 4g potassium sulphate dissloves in 30g water at 50oC what is its solubilty? 4 x 100/30 = 13. 33g potassium sulphate/100g water 0g sodium chloride dissolves in 75g water at 10oC what is its solubility? 30 x 100/75 = 40g sodium chloride/100g water Solubility Of Gases Carbon dioxide is the gas which is dissolved in fizzy drinks to make the fizz. What happened when you placed sprite in a boiling tube and gave it a shake? The sprite fizzed up. What happened after you heated the sprite then gave it a shake again? If fizzed just a little Carbon dioxide is more soluble in cold liquid. The solubility of gases decreases as the temperature increases.
Friday, November 8, 2019
The Super Project Essay Example
The Super Project Essay Example The Super Project Essay The Super Project Essay Similarly, had the firm not engaged this excess capacity in the production of Super, it is likely that it would have been put to another productive use (probably In the production of Jell-O, a product line whose production levels have recently Increased substantially). For these reasons, the proportional use of the costs associated with the Jell-O building (66. 6%) and agglomerate (50%) must be added as Opportunity Costs; this also necessitates certain assumptions regarding CA tax shields and depreciation (see Appendix 8). Overhead Cost Allocation: The Stand Alone principle requires that a reject par If It is using resources from other departments. However, since overhead spending decisions at SGF are made separately from decisions to Increase volume (p. 444), projects should be evaluated on an Incremental basis. Since overhead cash flows (utilities, etc. ) are the same whether or not the project is accepted, charging overhead to the project would be inappropriate in this case. ROOF: ROOF at SGF is calculated by dividing the 10-year average profit before taxes by 10-year average funds employed. In essence, SGF Is using the Average Accounting Return (EAR). There are 3 major problems with this approach: first, the method uses accounting numbers rather than real cash flows; second, because It Is an average, the timing of cash flows (I. E. When inflows/outflows occur) is not taken into account; third, the 40% ROOF is chosen somewhat arbitrarily. The EAR method may entice managers to only choose projects that are profitable in the near term, rather than evaluating them based on their long-term value and contribution. The first period only depreciates by 5% while the next nine will depreciate by 10%. After all the depreciation has occurred there will just be the salvage value remaining for the capital asset. With depreciation being paid each year there is a tax shield created. A tax shield is a deduction in income taxes that result from taking an allowable deduction from taxable income. To find out how much the tax shield the Super Project has, just take the amount of depreciation for that period and multiple it by the tax rate (52%). The tax rate used was the average tax rate over the past 10 years. Cost of Debt and cost of equity help get different rates that are an important factor in figuring out the weighted average cost of capital (WACC). Cost of debt gives the interest rate General Foods would pay for all the current debts. While the cost of equity is the minimum rate of return that they must offer shareholders to keep them investing in their company. The Super Project has cost of debt of 1. 57% and cost of equity of 13%. This helps figure out the WACC which is the rate we expect to pay on average to all security holders to finance our assets. The WACC for the super project is 11. 77% which is less than the 13% rate of return that the shareholders are looking for. This tells us that the Super Project might not be the best idea. NPV is still the best measure for capital budgeting so we went ahead and did the calculations for it. To figure out the net present value we have to first figure out the cash flow. In 1968 we get earnings before income taxes of $283. This is the $643 total investment minus the $360 cost for test markets that we see as a sunk cost and are not including it as part of the Super Project. The cash flow generates positive revenue for the Super Project but we still have to factor in that the Super Project is eroding 20% of Jell-O causing their revenues to decrease along with their cash flow. After cash flow is figured out we are finally able to see what the NPV is. When calculating NPV you have to get the sum of discounted cash flows and add it to the initial investment. For the Super Project we get $298. 4 discounted cash flow + (653) fixed investment = (354. 6) NPV. With the NPV being a negative number, we know to reject the super project.
Wednesday, November 6, 2019
Reagans Popularity essays
Reagans Popularity essays Ronald Reagan presided over the United States from 1981 to 1989. Even though the country was experiencing major economic and social problems, he was popular for the majority of the time he was in office. Throughout his presidency, he and his administration worked continuously to build his image as a true American. Partially because of his image, the public ignored the rise in unemployment, the drop in salaries, the increase of people living in poverty, the increase of children born out of wedlock, and the rising number of people in jail. Reagan was popular because the public was focussing on his image and his promises, not what was actually happening. Ronald Reagans inaugural speech had a patriotic theme. In it, he stated that the country, which had unlimited potential, was limiting itself by jeopardizing its future. Striving to create a sense of confidence, he pledged to cut taxes and end deficit spending and to restore the glory of the United States (35). He sensed what the public wanted, and he promised to achieve it. Throughout his terms, he wanted them to feel that life was improving, whether it actually was or was not. Reagans image played a key role in his popularity. To his oath taking on inauguration day, he wore a formal suit. The public approved of his formal attire; his glamorous image seemed to promise that prosperity and security were in store. His good looks and sense of humor won over the public, and his self-confidence persuaded them to trust in him. His acting ability allowed him to convince his audience that everything he said would happen; the audience automatically trusted him to take care of them. To give him the appearance of a hard worker, his staff released a daily schedule that showed him working long hours. To protect his image, his staff allowed him to take part in few news conferences. His strong, self-confident image would be shattered if the public saw his confu...
Sunday, November 3, 2019
Corporate Finance and Risk Essay Example | Topics and Well Written Essays - 3000 words
Corporate Finance and Risk - Essay Example While Cheapmart has had a successful history in the United States and most West European nations, the company has faced some issues in Germany and Japan due to compliance issues with local legislation. Cheapmart is known for providing low cost retail products and is popular with millions of consumers as a cheap alternative for day-to-day groceries. The company sources a major chunk of its products mostly from cheap producers especially in the Far East and South East Asia and relies immensely on sound management for providing quality products at the cheapest prices to its customers. The ability of ââ¬ËCheapmartââ¬â¢ to offer products at highly competitive prices can be attributed directly to its rapid growth as well as a highly efficient logistics system that the company has established with suppliers across the globe enabling it to secure cheap and fresh goods. Cheapmart is also a source of employment with the local communities where it operates. The Account history for Cheapmart has been sourced from its Annual report that provides information on various financial parameters such as Assets (A), Liabilities (D), Total shareholder Equity (E), Earnings before Interest and Taxes (EBIT) and the Interest payment (I). The overall financial performance of the company in terms of these variables during the financial year 2009 has been stated below. Matrices from page 17 to 30 have also been included. The only difference is that the pdf explains the process in a step by step manner and most are in fact exercises for the user. The cumulative probability table and thereafter provides a composite outlook.) From an overall perspective, Cheapmart operates under three market conditions namely good, average and bad. The prospects of sales depend on per-capita consumer spending and the average consumption of a customer in kilos per year (since Cheapmart is primarily a grocery chain). Financial risk: Alan Hippe, CEO of Continental, noted that the total
Friday, November 1, 2019
Human Nutrition-Supersize Me Movie Review Example | Topics and Well Written Essays - 750 words
Human Nutrition-Supersize Me - Movie Review Example This is so huge that it is only second to smoking as a leading, preventable cause of death. In 2007-2008 the estimated prevalence for the years 2007 ââ¬â 2008, in US has been calculated at 33.8% meaning 33 people out of every hundred must lose weight (Flegal et al, 2010). In the movie another interesting concept had been put forward. American children know more about Ronald McDonald than the forefathers of USA which was shown in one of the scenes where Spurlock shows a couple of pictures to 1st grade children in Worcester, MA. This is due to variety of reasons. Strong media advertising campaign by the company which in 2001 amounted to 1.3 billion dollars. If Britney Spears and other celebrities campaigned for something healthy rather than for ââ¬ËPepsi colaââ¬â¢, then parents would have a good chance in talking some sense into their children. Another interesting thing to note in this movie was a notion that children associated themselves with happy memories of the playhouses accompanying most of the McDonald outlets and later on in life whenever they saw the place, those thoughts are recalled and hence a perpetuation of the cycle of dining at the same place over and over again. Food programs have been shown to be deficient in most of the school s with less focus over fresh fruits and vegetables although costing the same. Physical activity needs of the children must be addressed appropriately in schools with more attention brought to the states who have the highest obesity rates like Mississippi. As part of my personal experience I remember visiting a McDonalds outlet in downtown Manhattan with my parents. I was a 1st grader at that time. I had time of my life that day and still the family album contains my photographs with Ronald McDonald and my happy meal toys. Though I remember losing some of the toys to another kid, still, it did not put me off enough to not think of this place when I am an adult. Those warm feelings come back to me
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