Answer of 2 Question Essay Example | Topics and Well Written Essays - 500 words

Answer of 2 Question - Essay Example The thickness for this cut is given by ∆z = where Gz is the slope quality, ∆z is the cut thickness, ÃŽ ³ is the youthful modulus, and ÃŽ'f is the counterbalanced recurrence. Along these lines, causing the balance recurrence to be the subject of the recipe we to get ÃŽ'f = where ÃŽ'f is the counterbalanced recurrence (Sheil, 44). Thus, From the figure, 7.9 appearing out the sign of MRI acquired from fat and water there were two signals that were gotten. These signs incorporate the signs from water which were at 4.8ppm and the sign from fat which was at 1.5ppm. The sign from water was shown by a pinnacle that was because of protons in water while that from fat was shown by a top because of protons inside the fat. In the body of a life form, fat and water are the key segments of protons. The atoms of fat and water contain various protons whose particles is very helpful in MR signal. From the figure, there were two pinnacles. One pinnacle, which was 4.8ppm, was because of protons in water. Another pinnacle, which was 1.5ppm, was because of protons in fat. These two pinnacles had diverse ppm as a result of various reasons. To begin with, the unwinding time (T1) for water takes a more drawn out span of time contrasted with that of fat. This was clear in figure 7.10 where the weighted T1 picture recorded diminished signs from water. What's more, transverse time of unwinding (T2) of water that was free had a short relationship time contrasted with that of fat. The rot of T2 is a result of the connections that are attractive which happen in the middle of the protons that are turning. It is thus that the fat ppm had a shorter pinnacle contrasted with that of water. Exploration has appeared out that water makes some more extended memories of unwinding since its common movement recurrence is higher contrasted with the clinically utilized larmor recurrence (Sheil, 10). Unwinding time includes the time taken by protons to remain either intelligible or have a stage turn. This revolution ordinarily

Free

Freefall by Joseph Stiglitz Essay Freefall: Free markets and the sinking of the worldwide economy by Joseph Stiglitz (2010) One page Summary Joseph Stiglitz is an American financial expert and a teacher at Columbia University. Dr. Stiglitz is right now the Chair of Columbia University’s Committee on Global Thought. He got his PhD. from the Massachusetts Institute of Technology in 1967. Dr. Stiglitz filled in as the World Bank’s Senior Vice President for Development Economics and Chief Economist from 1997 to 1999. He was the Chairman of President Clinton’s Council of Economic Advisors before his residency at World Bank. In 2001, he was granted the Nobel Prize in Economics for his investigation of business sectors with lopsided data and spearheaded urgent ideas, for example, unfavorable choice and good risk. He likewise established a main financial matters diary specifically The Journal of Economic Perspectives. In 2011, Dr. Stiglitz was named as one of the 100 most persuasive individuals on the planet in Time. Freefall is a book assembled at the money related emergency of 2007-2009. It is likewise a book about a skirmish of thoughts, basically the thoughts that prompted bombed arrangements that hastened the emergency. Nobel laureate, Joseph Stiglitz reveals the major reasons for the emergency and the defective strategies taken by the money related establishments just as the Federal Reserve in a recorded, political and near setting. The money related framework may have exacerbated the breakdown however the emergency rather as he contended, began in an exaggerated lodging market, which pushed the production of America’s dependence on utilization when it ought to be sparing. He contends about the market flaws and skewed motivations that mutilated the choices made by everybody from contract originators to FICO score offices. He specifies about controllers making the mixed up judgment that business sectors functioned admirably and no guidelines were required. Under this misconception, banks had the option to change hazardous subprime contracts into AAA-evaluated items and energized the ignorant needy individuals to take out factor rate contracts which came about individuals hurrying to get what appeared ‘free lunch’. Stiglitz then notices the arrangements made by both the Bush and Obama organizations around then. He sees the little change from the Republican, far-right long periods of Obama’s forerunner, George W. Shrub. In spite of Obama was chosen on the guarantee of ‘hope’ and ‘change’ and was constrained into the middle of the monetary emergency from the primary days in office, Stiglitz claims the helpful activities taken were done in a ‘muddle through’ way and depicts how the Obama organization has demonstrated an upsetting progressing lack of concern towards financiers and kept on rescuing ‘too large to fail’ banks that were disallowed by the Glass-Steagal Act in the prior period. Therefore, the legislature infused taxpayers’ cash into the banks which permitted resumption of the way of life of paying out outsized rewards and facing high-challenge exchanges. He likewise censured Obama declining to define a dream by expressing the whole discretionary intrigue was exclusively founded on feel-great ambiguity and contended tha t the absence of vision would put the ‘reform’ procedure in stop which leave the nation progressively delicate. He contends the state ought to have constrained the banks to rebuild monetarily at the stature of the emergency, clearing out investors and rather distributing proprietorship to bondholders. Besides, he contends the requirement for a second round of incitement plan past 2009’s $789 billion bundle as joblessness remained at around 10% and college graduates were lost in the cruel financial atmosphere under the intense cut in passage level positions. In the last parts, Stiglitz underscores the requirement for guidelines and contends the created world must need an improved budgetary framework which performs center capacities to be specific sound hazard the board and productive installments system. While Stiglitz advocates for a coercive separation of top banks along with legal insurance for the monetary items, for example, subordinates, he contends that residents, policymakers, government pioneers and the private area needs to reexamine on how they esteem yields in the economy so it will limit the imbalances in the general public.

How the poor live

How the poor live One day, a father of a very wealthy family took his son on a trip to the country with the firm purpose of showing his son how poor people live. They spent a couple of days and nights on the farm of what would be considered a very poor family. On their return from their trip, the father asked his son, How was the trip?It was great, Dad.Did you see how poor people live? the father asked. Oh yeah, said the son.So, tell me, what did you learn from the trip? asked the father.The son answered, I saw that we have one dog and they had four. We have a pool that reaches to the middle of our garden, and they have a creek that has no end. We have imported lanterns in our garden, and they have the stars at night. Our patio reaches to the front yard, and they have the whole horizon. We have a small piece of land to live on, and they have fields that go beyond our sight. We have servants who serve us, but they serve others. We buy our food, but they grow theirs. We have walls around our property t o protect us; they have friends to protect them.The boys father was speechless.Then his son added, Thanks, Dad, for showing me how poor we are.

Euthanasia And Physician Assisted Suicide - 1629 Words

Modern society often contemplates what death will be like. Will death be peaceful or painful? How will our death affect the ones we love? It would seem that most people would desire to die with dignity. Having the choice to die peacefully is a valuable option that every human should be able to make for themselves. For those with terminal illnesses or major health problems, assisted suicide creates options to reduce the amount of suffering the patient must enduring. Dying with dignity could be beneficial for not only the person who is dying, but also the person’s family and loved ones. This option, however, is often viewed as unethical and immoral throughout society. Physician-assisted suicide offers an option for those with health issues but poses various ethical and social issues. Assisted death is practiced in two different ways: euthanasia and physician-assisted suicide. The difference between the two is who is preforming the act of killing. â€Å"Euthanasia is preformed by the physician causing the death. However, during physician-assisted suicide, the physician gives the patient the materials need to kill themselves† (Boer, 24). Euthanasia is either voluntary or active. Voluntary euthanasia is performed by a doctor or physician that provides a lethal injection to end the life of a patient who has requested to die. Active euthanasia is preformed by someone who is not a doctor or physician. Physician-assisted suicide is slightly different from euthanasia in that the doctorShow MoreRelatedEuthanasia And Physician Assisted Suicide865 Words   |  4 Pagessubject for people; add in the idea of assisted suicides and there’s an uproar in society. Euthanasia or physician assisted suicide is a very controversial topic in our society today. Physician assisted suicide by definition is â€Å"suicide by a patient facilitated by means (as a drug prescription) or information (as an indication of a lethal dosage) provided by a physician aware of th e patient’s intent (Merriam-Webster). There are two modes of looking at assisted suicides; either it’s seen as an absurd immoralRead MoreEuthanasia And Physician Assisted Suicide918 Words   |  4 Pagesallows terminally ill patients to end their lives with the assistance of a physician. According to the legislature, patients who seek assisted-death must only have six months to live and are required to submit a written request as well as two oral requests at least 15 days apart. (Reilly). While Gov. Jerry Brown still has yet to approve this new law, the act has shed light on the topic of euthanasia/physician-assisted suicide. With the pending status of the law, the question remains on whether or notRead MoreEuthanasia Or Physician Assisted Suicide961 Words   |  4 PagesEuthanasia or physician assisted suicide, is the painless killing of a patient, suffering from a painful or incurable disease, like cancer, or alzheimer s, the practice is illegal in most countries, including the United States, although in the United States, it is a state decision, the only state in the United States that it is legal in is Oregon. Oregon passed the Death with Dignity Act in 1994, making euthanasia legal for chronically ill patients, the only caveat is that the doctor is allowedRead MoreEuthanasia, And Physician Assisted Suicide863 Words   |  4 Pagesare: euthanasia, and physician assisted suicide. Internationally, assisted suicide is a doctor prescribing drugs that end life. The patient is responsible for taking them. Euthanasia is the medication administered by doctors. Today, four countries have laws that allow euthanasia. (Ellis and Bronwyn) A few have laws for physician assisted suicide, and several countries have no laws against suicide. (Humphry) The United States of America have recently added a 5th state to offer assisted suicideRead MorePhysician Assisted Suicide And Euthanasia Essay1039 Words   |  5 PagesPhysician Assisted Suicide Is physician assisted suicide ethical? Physician assisted suicide is an up and coming ethical question that examines a person’s right to their own death. Many people support physician assisted suicide, citing that it can save a lot of pain and suffering. Others claim that the concept of physician assisted suicide is a slippery slope. A slippery slope in the sense that if society accepts euthanasia as a rightful death for the terminally ill, they will potentially acceptRead MorePhysician Assisted Suicide And Euthanasia Essay1806 Words   |  8 PagesPuett WRIT 1401 12/06/16 Physician Assisted Suicide Beginning in the 1970s, terminally ill patients were given the right to refuse life-sustaining treatment to end their own life, a process commonly referred to as euthanasia. They would be taken off life support, and death would be allowed to take its natural course. This idea was controversial at first, but now a bigger issue has taken its place. Many patients claim that they reserve the right to physician assisted suicide—killing oneself with meansRead MoreEuthanasia And Physician Assisted Suicide997 Words   |  4 PagesEuthanasia and Physician Assisted Suicide: The Right to Die with Dignity (The Legalization, At Risk Groups, and Rebuttal) The possible legalization of voluntary euthanasia and physician assisted suicide brings concerns in regards to how well it will be accepted. There are contradictions that exists between government and church when it comes to the morals and values placed on human life. Although, society has concerns in regards to at risk community groups and the type of treatment availableRead MoreEuthanasia And Physician Assisted Suicide1504 Words   |  7 Pageslegalizing euthanasia and physician-assisted suicide, we would provide â€Å"vulnerable† patients with better overall protection and health care, give patients (who are excruciatingly suffering and have no chance of recovery) the option to end their lives before they ever needed to go through such an ordeal and giving them peace of mind, and spare the families of the patients the emotional pain of watching their loved one slowly and painfully passing away. For these reasons, I believe that euthanasia and Physician-AssistedRead More Euthanasia And Physician Assisted Suicide1249 Words   |  5 Pagesview euthanasia and physician-assisted suicide not as murder or suicide, but rather a release from the pain that holds down and a quicker, less painful way to get to the end that will happen anyways. Euthanasia is becoming much more of a hot topic in the news, both here at home in the US, as well as on the global stage with the new Prime Minister of Canada pushing for a law that would allow nationwide physician assisted death. As of now only a few states have legalized physician-assisted suicideRead MorePhysician Assisted Suicide Or Euthanasia1597 Words   |  7 PagesPhysician assisted suicide or euthanasia should be a right granted to all citizens who are suffering from a degenerative, painful, or fatal condition that would cause them to be unable to enjoy their lives as healthy people do. The right to die with dignity is a fundamental issue that is debated in the spiritual side of everyone. Some of us may have known someone close to them who has seen or gone through an ordeal as watching someone take their last breath. No one should suffer in pain or have their

Human Resource Planning Assignment - 1359 Words

Business Management and Psychology [pic] Module: Human Resources Assignment: Discuss how Human Resource Planning contributes to effective Human Resource Management Date: 21st December 2011 Student: Laura Doyle Lecturer: Michelle Flannery Introduction In the following text, the process of Human Resource Planning will be defined and described in detail. We will see the importance of Human Resource Planning and the essential role it plays in ensuring successful Human Resource Management. Human Resource Management (HRM) Human Resource Management (HRM) has become an important management technique within many organisations around the world. However, there is yet to be a†¦show more content†¦Either a qualitative or quantitative approach may be used. Qualitative Vs Quantitative Methods. Qualitative analysis strives to gain an understanding of underlying reasons and motivations of employees. (Employee surveys, encouraging employee feedback and documenting it.) Data produced tends to be stated in prose or textual forms. Quantitative analysis involves the collection of numerical / statistical data and risk analysis. Results are then generalised allowing an organisation to assess their demand for labour and it’s availability for the future. â€Å"However, quantitative methods would not take into account reasons for employees leaving and therefore proving its limitation’s in its application to HR Planning† (Michelle Flannery 2011:5 HR Planning). There is a third approach to define Human Resource Planning whereby we predict the organisations future requirements that takes both the qualitative methods of human resource planning and the quantitative methods of manpower planning into consideration. This is known as the â€Å"Soft† and â€Å"Hard† Soft and Hard Approach These elements are defined as both the Soft and Hard methods of Human Resource planning as summarised by Tansley (1999:41). Soft HR Planning is defined by the following characteristics: âž ¢ Major emphasis on indirectShow MoreRelatedHuman Resources Planning Assignment 1 Essay2632 Words   |  11 PagesIndividual Assignment 1 1. Define and explain the significance of the term ‘derived demand’ as it applies to Strategic Human Resources Planning. (5 marks) Derived demand is the demand for a product/services occurs as a result of a demand for another immediate good or service. When apply this concept on labour demand, the more a companys product or service the market wants, the higher the demand for labour to involve in the production process. The essence of strategic human resources planningRead MoreEssay about Human Resource Planning Assignment1091 Words   |  5 Pages1. Define and explain the significance of the term ‘derived demand’ as it applies to Strategic Human Resources Planning. (5 marks) A demand for a commodity, service, etc. which is a consequence of the demand for something else. In respect to Strategic Human Resource Planning, derived demand applies specifically to labor. The demand for labor is derived from the demand for the goods and services that labor is used to produce. The demand for labor is also influenced by the level of economic activityRead Moreunit 16958 Words   |  4 Pagesï » ¿BTEC NATIONAL IN BUSINESS (LEVEL 3) Unit 16 – Human Resource Management in Business The study of human resource management will help you understand an organisation, its structure, the way it works and its culture. Organisations need their employees to contribute effectively to the achievement of the organisational purpose. In order to achieve this, staff will have to be properly selected, trained and managed. Managers have to understand how to motivate employees and win their commitment to theRead MoreHrm 517 Week 6 Assignment 1 Planning Document896 Words   |  4 PagesHRM 517 WEEK 6 ASSIGNMENT 1 PLANNING DOCUMENT To purchase this visit here: http://www.activitymode.com/product/hrm-517-week-6-assignment-1-planning-document/ Contact us at: SUPPORT@ACTIVITYMODE.COM HRM 517 WEEK 6 ASSIGNMENT 1 PLANNING DOCUMENT HRM 517 Week 6 Assignment 1 - Planning Document You have recently been appointed head of human resources and are now in charge of managing a small team. Your next project is to revamp the compensation and benefits package employees are receivingRead MoreThe Roles and Resposibilies of the Line Mangers in Virgin Atlantics Human Resource Management998 Words   |  4 PagesLONDON SCHOOL OF BUSINESS AND MANAGEMENT NQF level 4: BTEC Higher National – H1 UNIT NO: 21 UNIT TITLE: Human Resource Management ASSIGNMENT NO: 1 ASSIGNMENT TITLE: Human Resource Management UNIT OUTCOMES COVERED: LO 1. Understand the difference between personnel management and human resource management LO 2. Understand how to recruit employees LO 3. Understand how to reward employees in order to motivate and retain them LO 4. Know the mechanisms for the cessation of employment Read MoreProject management Essay1284 Words   |  6 Pagesï » ¿Assignment brief – QCF BTEC Assignment front sheet Qualification Unit number and title Extended Diploma in Construction the Built Environment Unit 7 Project Management in Construction and the Built Environment Learner name Assessor name B HUCKLE Date issued Hand in deadline Submitted on 8th October 2014 5th November 2014 Assignment title The Construction Team and Resource Management In this assessment you will have opportunitiesRead MoreHRM 498 Week 1 Individual Assignment; Management Challenges Concerns966 Words   |  4 Pagesï » ¿CLICK TO DOWNLOAD HRM 498 (Strategic Human Resource Management and Emerging Issues HRM 498 Week 1 Individual Assignment; Management Challenges Concerns At your company, you work on all HRM responsibilities, and have been asked to join a committee to present a report on management challenges. This report must include challenges, possible causes, and a plan for addressing them. Select one to two articles on HRM challenges. Write a 350- to 500-word report about these challenges.   FormatRead MoreProject Manament1078 Words   |  5 Pagesrights reserved. Course Description This course introduces students to the planning phase of project management. Students will discover the connection between strategic portfolio management and project management. Other topics include project-based versus non-project-based organizations, activity planning and sequencing, human resource planning, communications planning, and project management planning. Facilitator Information Jeff Atkinson acksteach@email.phoenix.edu (UniversityRead MoreImplementing the Five Functions of Management Essay1354 Words   |  6 PagesImplementing the five functions of Management Margaret E. Bridges MGT 330 Thomas Kook 12/19/2011 The five functions of management practices are planning, leading, organizing, staffing and controlling. These functions are essential to forming a successful company with high revenues. Working in the healthcare field I have found that these functions are important to running a successful company. My current employer sets standards to follow and takes corrective action to ensure allRead MoreManagement Process and Organizational Behavior1656 Words   |  7 PagesRAMTEKEMBAROLL NO.- 520918813    ASSIGNMENTS- MBA Sem-IManagement Process and Organizational Behavior   Subject code MB0022 Q.1 â€Å"Today managers need to perform various functions†: Elaborate the statement Managers create and maintain an internal environment, commonly called the organization, sothat others can work efficiently in it. A manager’s job consists of planning, organizing, directing,and controlling the resources of the organization. These resources include people, jobs or  positions,

Paracetamol and Rheumatic Pain Management Free Essays

Journal Article Critique HCA 220 Kayla Dye 3/3/2013 Wanda Carter This article explains what pains the elderly suffer from. Musculoskeletal pain in mentioned to be the most common. It mentions the causes being rheumatic pain, different types of arthritis, and non curable conditions such as tendonitis and bursitis. We will write a custom essay sample on Paracetamol and Rheumatic Pain Management or any similar topic only for you Order Now It states that pain management can either be treated with pharmaceuticals or non pharmaceuticals. Education of the patient of treatment is important in order to maintain good health with non pharmaceuticals. With pharmaceuticals are also offered but are mentioned to be â€Å"cost-effective† and since they contain â€Å"NSAIDs† there is less risk for harmful effects with effective relief of symptoms. Any of the pharmaceuticals that the elderly use should be used with caution because of sensitivity and drug interactions. This requires attention and adjustments of dosages to avoid risk and be beneficial at the same time. This article states there are four broad categories of treatment which include analgesics, NSAIDs, even stronger analgesics, and adjuvant drugs. With all these drugs they should be maintained efficiently throughout the period of treatment and physicians should be aware of the effects. The goals that are discussed with patients and physicians should be realistic for the pain management to be effective. They are ways to help side effects of rheumatic pain such as helping sleep disturbance, fatigue, and mood disorders. For any of this to be effective educational efforts must still be involved with the patient and healthcare professional perspectives. An accurate diagnosis for rheumatic pain management will help if the patients are realistic as this article states. These treatments should be multimodal, but pay attention to the health of the patient. The best outcome would be to have a great impact on the pain and improve their lives and with the wider range of options of treatment that can make it possible and help physicians with musculoskeletal aches and pains that occur in the elderly. Some implications that healthcare professionals could have are that pain characteristics, disability levels, and psychological factors such as depression and anxiety could affect the prognosis of musculoskeletal pain. Variables that are associated with poor outcomes for musculoskeletal pain could include the return of pain and complaints within a short time period, lack of education, use of pain medication, and even more bothersome pain occurring. There are important implications of expanded testing and treatment for musculoskeletal pain. Innovation has often outpaced clinical science, leaving uncertainty about the efficacy and safety of many common treatments. Complications and even deaths related to pain management are increasing. Despite uncertainties, manufacturers aggressively promote new drugs and devices. However, trust in the science supporting these products is eroded by revelations of misleading advertising, allegations of kickbacks to physicians,  and major investments by surgeons in the products they are investigating. Associate Level Material Medical Terminology Breakdown Break down 10 medical words from your chosen article. Place the component parts in the correct boxes. Copy and paste this template into your Week Eight paper. | Medical Word| Prefix| Combining form| Suffix| Definition| 1|   rheumatic| Rheumat/o| Rheumat/o-ic| ic| Watery flow. 2| osteoarthritis| Osteo/o | Osteo/o-arthr/o-itis| itis| A form of arthritis, occurring mainly in older persons, that is characterized by chronic degeneration of the cartilage of the joints. | 3| arthritis| Arthr/o| Anthr/o-itis| itis| Inflammation of a joint. | 4| tendinitis| Tendin/o| Tendin/o-itis| itis| Inflammation of a tendon. | 5| bursitis| Burs/o| Burs/o-itis| itis| Inflammation of a bursa. | 6| acetaminophen| A/o| a-ceto/o-min o/o-pheno/o-en| en| Analgesic drug used as an alternative to aspirin. 7| analgesic| Ana/o| Ana/o-ges-ic| ic| Pain killer| 8| musculo-skeletal| Musculo/o| Musculo/o- skelet/o-al | al| Pertaining to or comprising the skeleton and muscles. | 9| pharmacological| Pharmac/o| Pharmac/o-log/o-ic-al| al| The science of drugs, including their composition, uses, and effects. | 10| intra-articular| Intra | Intra/-articul/o-ar| ar| Within a joint. | References Fitzcharles, M. -A. , Lussier, D. , Shir, Y. (2010). Management of chronic arthritis pain in the elderly. Drugs Aging,  27(6), 471. How to cite Paracetamol and Rheumatic Pain Management, Essay examples

Feasibility Study for Research Methodology †Myassignmenthelp.com

Question: Discuss about theFeasibility Study for Research Methodology. Answer: Introduction Feasibility Analysis For every company it is very important to evaluate new project or innovation. This will enable company to understand whether or not innovation under consideration will be beneficial and feasible. In this project, Medical affair department is planning to implement a database system for enhancing efficiency and effectiveness of documentation(Novak, 1996). Technical Feasibility: The main aspect of technical feasibility is to analyse whether proposed project of having database management system is technically feasible or not. This actually means assessing whether the system has the capability of being implemented in the department or not. The objective is to analyse whether the advancement level of technology required for this updation is in position of supporting the proposed database system or not (Salvaggio, 2005). Currently medical affairs department is looking for implementing new computerised database system to resolve the issue related with enquiry system of organization. For this purpose, organization will be required to upgrade application system and will have to add modules that are more effective in system, which should be related with the accounting management, human resource management, inventory management, enquiry management, prescription management, details of patients and doctors (Arain et al., 2010). For implementing t he database management, system organization requires to upgrade the existing server as it is possible that the existing system is not carrying much power to accommodate the new needs and requirements(Arain et al., 2010). Economic Feasibility: This feasibility study is concerned about the returns that are related with the investment, which is going to be made in the implementation of new database system (Franchetti, 2012). This analysis helps us in analysing that whether the option of investing in business is a worth one or not (Franchetti, 2012). The economic feasibility study helps in identifying the cost of the project, cost of expertise and training (Arain et al., 2010) Software and equipment cost: This cost is associated with expenditure of keeping the system in proper place (Arain et al., 2010). The total cost of equipment comprises hardware, software and infrastructure costs (Arain et al., 2010). The cost that will incur after the implementation of database management system in medical affair department are licensing cost, cost of maintenance and support. Cost of licensing: This cost is estimated to cost around seventy lakhs. Cost related with the addition of financing module is estimated to cost around forty lakhs. Cost of supporting will be around 20 to 30 percent of licensing cost (Arain et al., 2010). Cost of Expertise: this will involve cost of hiring new consultants. This will cost around six to seven lakhs. Cost of Training: This particular cost will involve cost associated with training of employees of company for understanding database system (Arain et al., 2010) Operational Feasibility: This feasibility analysis is the main analysis as it deals with the main concerns that are related the human resource system (Arain et al., 2010). The objective behind undertaking feasibility study is to understand the proposed system in the terms of labour associated with it. Employees of the company will be required to be trained to better understand the need for implementing the new system and transpose the system of manual working into automated system. For proper management of the alignment with the real world, the team members of project management needs to get involved in Gap analysis(Salvaggio, Teal Associates, 2005). Process of gap analysis is considered as an effective step for analysing the overall implementation database strategy and to pin point the needs for database system. The new system of database will be helpful in integrating all the fragmented data in just one computer system(Motiwalla, 2009). The new system of database management system will require a system of integrating the primary objectives with secondary objective and thereby including all the areas of Medial Affairs department(Pandey, 2011). Requirement Specification Project Scope: The medical affair department, at present, processes medical enquiries in manual manner. The proposed system will help the organization members to manage the enquiry system in automated manner(Katimuneetorn, 2008). Scope of the project can be illustrated through the below points(Arain et al., 2010): Giving ease in access to enquiry Ease in access to information offering construct replies Giving statistical data Project objectives: Objectives of the project have been summarised as below(Tambovcevs, 2010): Increasing the number associated with enquiries that can be resolved immediately over phone Decreasing the time taken for locating appropriate historical data Decreasing the time taken for preparing statistical analysis of enquiries Increasing departmental efficiencies Increasing utility of data offered to the activity areas Decreasing complaints Decreasing waiting time Increasing productivity Increasing customer service Increasing information awareness Enhancing access towards information Efficient and effective database system Functional Specification: It is required to correct all the functional deficiencies that are associated with the system (European Communities, 2005). Specifications in the form of functions of project will act as the framework for consolidating and allowing benefits for achieving better prices from vendor(Arain et al., 2010). Non-functional Specification: All the data and information will be held by the organization in dematerialised form. However, in case if constraint is overcome, then organization and its employees will be able to manage medical enquiries in fast and effective manner as they will be able to find any document in just one click (Nordea, 2014). The information could then be utilised by the sales team for evaluating market directions. Also, more efficient and accurate research capabilities can be achieved through ad hoc reporting associated with new technologies(Arain et al., 2010). Project constrains: There are many constraints that will occur in implementation of this project: The main constraint of this project is to make the employees in the medical affair department realize the importance of the new database system. Employees working in Medical affair department are habitual of working manually in respect of enquires and documentation, making them ready to work on computer system is a critical task. There are high chances resistance from employees side towards this change. This is mainly because employees will think that managing things on computer system will require them to take extra efforts to understand the concept and that will affect their work process, which will enhance pendency and extra load, which will never be invited from employees. It is required that the management of the company builds framework for making employees understand the importance of the new database. Learning about the new database system will enable members of organization to feel confident about using the system. It will help organization in reducing resistance to change. Another constraint will be of recording the previous paper work in automated form, which will require a lot of time and effort for streamlining Current administrative system needs considerable technical skills Lack of integration within state wide financial and procurement system Lack of adequate adhoc capabilities of reporting Duplication of the efforts done by the employees; this is because employees had written previously the whole data in written form and now the same data have to be entered by them in computerised form which will require a lot of time and effort Project Work Breakdown Structure: The work breakdown structure one of the tools of project management that enables readers to understand how project will work and will get implemented (Momoh et al., 2008). It is a structure and explanation of the working activities in terms of the hierarchy of the details that organises work to be done in proper and effective manner with effective and quantifiable outputs with assigned responsibilities (Momoh et al., 2008). This particular structure is useful for cost management of project. For managing any complex system, it is necessary to understand the process and working of the project in parts and for that purpose, it will be good to understand it by breaking the structure of the same. The hierarchical structure illustrates all the tasks that are independently completed and allocation of resources for controlling the measures (Momoh et al., 2008). Below is the work breakdown structure of the database system, which is proposed to be implemented by medical affair department (Momoh et al., 2008). References Arain, M., Campbell, M.J., Cooper, C.L. Lancaster, G.A., 2010. Correspondence What is a pilot or feasibility study? A review of current practice and editorial policy. BMC Medical Research Methodology. European Communities, 2005. Functional Requirements For Conducting Electronic Public Procurement Under The EU Framework. European Communities. Franchetti, M.J., 2012. Economic and Operational Feasibility Analysis of Solid Waste Minimization Projects. intechopen. Katimuneetorn, P., 2008. Feasibility Study for Information System Projects. umsl. Momoh, A., Roy, R. Shehab, E., 2008. A Work Breakdown Structure for Implementing and Costing an ERP Project. IBIMA. Motiwalla, 2009. Enterprise Systems for Management. Pearson. Nordea, 2014. Implementation Guide. Nordea. Novak, L.R., 1996. Market and Feasibility studies A how-to guide. [Online] Available at: https://pages.uoregon.edu/rgp/PPPM613/downloads/How%20to%20do%20a%20Market%20Analysis.pdf. Pandey, N., 2011. Assessing Viability and Feasibility of Business Ideas. Thapar School of Management. Salvaggio, Teal Associates, 2005. Enterprise Resource Planning Feasibility Study. [Online] Available at: https://www.doa.state.wi.us/documents/DET/RFO/RFO%20EXE13-03%20Attachment%20B_ERP%20Feasibility%20Study%202005.pdf [Accessed 22 September 2016]. Salvaggio, T..A., 2005. Enterprise Resource Planning System Feasibility Study. Salvaggio, Teal Associates.. Tambovcevs, A., 2010. ERP System Implementation: A Case Study Of The Construction Enterprise. Economics And Management.

What is critical read in g Essays - Learning, Philosophy, Argument

What is critical read in g Study guide Critical reading is an important precursor to critical writing. This Study Guide explains why critical reading is important, and gives some ideas about how you might become a more critical reader. Other Study Guides you may find useful are What is critical writing? Using paragraphs and The art of editing. What is critical read in g? The most characteristic features of critical reading are that you will: exam in e the evidence or arguments presented; check out any in fluences on the evidence or arguments; check out the limitations of study design or focus; exam in e the in terpretations made; and decide to what extent you are prepared to accept the authors' arguments, op in ions, or conclusions. Why do we need to take a critical approach to read in g? Regardless of how objective, technical, or scientific the subject matter, the author(s) will have made many decisions during the research and writing process, and each of these decisions is a potential topic for examination and debate, rather than for blind acceptance. You need to be prepared to step into the academic debate and to make your own evaluation of how much you are willing to accept what you read. A practical starting point therefore, is to consider anything you read not as fact, but as the argument of the writer. Taking this starting point you will be ready to engage in critical reading. Critical read in g do es not have to be all negative The aim of critical reading is not to find fault, but to assess the strength of the evidence and the argument. It is just as useful to conclude that a study, or an article, presents very strong evidence and a well-reasoned argument, as it is to identify the studies or articles that are weak. Evidence Depending on the kind of writing it is, and the discipline in which it sits, different kinds of evidence will be presented for you to examine. At the technical and scientific end of the spectrum, relevant evidence may include information on: measurements, timing, equipment, control of extraneous factors, and careful following of standard procedures. Specific guidance will be available within specialties on what to look for. At the other end of the spectrum is writing where there is clearer scope for personal interpretation, for example: analysis of in dividuals' experiences of healthcare; the translation of a text from a foreign language; or the identification and analysis of a range of themes in a novel. In these cases the evidence may include items such as quotes from interviews, extracts of text, and diagrams showing how themes might connect. The nature of the evidence presented at these two extremes is different, but in both cases you need to look for the rationale for the selection and interpretation of the evidence presented, and the rationale for the construction of the argument. Broaden in g the def in ition of evidence This Study Guide takes a broad view of evidence: it maintains that all that you read can be considered as evidence, not purely the actual data collected/presented. This encompasses: the report of the context with in which the data we re collected or created; the choice of the method for data collection or selection; the audit trail for the analysis of the data i.e.: the decisions made and the steps in the analysis process; the rationale for the in terpretations made and the conclusions drawn; the relevance of, and the use made of the theoretical perspective, ideology, or philosophy that is underp in n in g the argument. L in k in g evidence to argument On its own, evidence cannot contribute to academic debate. The interpretation and presentation of that evidence within an argument allows the evidence to make a contribution. The term argument' in this context means the carefully constructed rationale for the enquiry, and for the place of its results within the academic arena. It will explain for example: why the authors considered that what they did was worth doin g; why it was worth doin g in that particular way; why the data collected, or the material selected, we re the most appropriate; how the conclusions drawn l in k to the wider context

Sex on Television essays

Sex on Television essays Sex and intimacy on television has long been a fought over topic in our society. For years, the FCC and the MPAA have censored any content they deem sexually or verbally explicit from our viewing, and as we know television is one of the largest influences on our culture ever artificially created. Still though, sex and intimacy seep through the cracks of the system and During the early days of television, sexual situations were rare and intimate moments were few and far between. On "I Love Lucy", the Ricardos were no exception. Lucy and Ricky rarely touched each other for any reason other than a quick embrace or in a friendly manner. Their contact was nothing like the way we now expect a husband and wife to interact. And as you may know, they slept in separate beds, which has also been a topic of great discussion. While, of course, married couples at the time, almost without exception, shared the same bed, television producers thought displaying this implied sexual contact, which was of course a big no-no in the mid-fifties. The Bradys were slightly more liberal about intimacy. This is most likely attributed to the fact that the show ran from 1969 to 1974 during which our society was still going through an enormous shift in its value system. Contrary to rumors, Mike and Carol Brady were not the first married couple on television to share a bed; the Munsters had done that already. There were also segments during some episodes which showed Carol and Mike in bed together discussing the days events and usually they would conclude by kissing each other good night and going to sleep. Kissing between them was also not that big of an issue; they did it frequently and without hesitation as a sign they loved each other, as most couples on television before were unable to express physically. Again, this type of activity contained sexual innuendos but, ...

Visual Learners. How children learn and develop, and can provide Research Paper

Visual Learners. How children learn and develop, and can provide learning opportunities that support their intellectual, social and personal development - Research Paper Example One picture shown to different people will be perceived differently, depending upon the optimism or pessimism in the intrinsic psychology of the viewer. Having said that, children tend to develop questions in their brains about the portions of scene they did not have formal interaction with or understanding about. The visual language expresses itself overtly, and the child receives the data in his brain which was an empty pot now being filled with knowledge. Once the information is received, the child analyzes it from different aspects making use of the cognitive skills every human being is naturally born with. He weighs the information against various questions he previously had about the grey areas in the subject matter and finally tends to use that information to color the grey areas rightly. The process continues as the child views more images and the process of learning is enhanced. Teaching is all about strong expression of knowledge so that it is easily conceivable to the learners. One might be quite knowledgeable about a matter and yet not be good as a teacher if one is not able to convey the knowledge to the learners. A good teacher tries to deliver the lecture by attaining the attention of the learners. This is achieved by manipulating the tone of speech and often wise selection of words to make the speech. The intention is to make the speech more expressive and understandable. Often, a teacher would make use of inclined language that is biased and delivers the meaning as required by him. This is not easy and it is usual for a teacher to face difficulty in conveying the right point rightly. This is where visual teaching works. As they say, â€Å"One picture is worth a thousand words.† (Bernard cited in Moncur, n.d.). This is exactly the magic of visual arts and tells how visual learning is related to teaching. It clearly adds value of to the images and

Living Conditions During the life and times of William Shakespeare's Research Paper

Living Conditions During the life and times of William Shakespeare's era - Research Paper Example An author (playwright) sees reflection of one’s own experiences and surroundings while creating the characters. One cannot sweep it under the carpet and why should one? Authenticity about a character comes out of direct experience plus fertile imagination. This quote of Shakespeare is perfectly applicable to him. In Twelfth Night he writes, â€Å"Be not afraid of greatness: some are born great, some achieve greatness and some have greatness thrust upon them". (Act II, Scene V). William Shakespeare born in 1564 into a middle-class family, whose father was a glove maker in Stratford-upon-Avon, a small market-town, achieved greatness. That greatness is matchless and the world has not produced another playwright of his name and fame! The multifarious characters one sees in his more than 37 plays reflect the tragedy, comedy and history of the era (1564-1616) to which he belonged. Shakespeare had deep understanding of human nature, social, economic and cultural conditions of his time. His characters come from many walks of life and he uses their language in his creative style. He had deep, intuitive knowledge of music, military science, politics, and hunting etc. His characters are as big as kings and generals, and as low as pick-pockets, drunkards and hired killers. He excelled dealing with philosophical topics. His characters spoke straight from the heart, as per their level of progression in the society. Elizabethan England and Shakespeare’s era are synonymous. What was the era like? There are many shades of opinions as for the living conditions prevailing then. Pritchard writes, â€Å"One would portray ‘merry England.’†¦.Another would present a typical third-world developing country, with gross disparities of wealth, with the powerful few plundering the Commonwealth, the numerous poor with low-life expectancy, traditional cultural patterns crumbling under the

Management of Pain in Trigeminal Neuralgia

Management of Pain in Trigeminal Neuralgia Percutaneous management of pain in Trigeminal Neuralgia under computed tomography guidance Corersponding Author Dr. Mitesh Kumar Main Author Dr. Roy Santosham Co Authors Dr. Bhawna Dev Dr. Deepti Morais Dr. Rupesh Mandava Dr. R. Jeffrey Abstract Trigeminal Neuralgia (TN) is a brief, excruciating and perhaps the most severe pain known to man affecting the hemifacial region. It occurs mainly due to tortuous vessel compressing the trigeminal nerves, though in many cases, the exact etiology and pathogenesis remain undetermined. The first line therapeutic option for patients affected by TN is the medical line of management and patients refractory to the same, are offered various invasive procedures like balloon compression, gamma knife surgery, radiofrequency ablation, etc. In this paper, we present percutaneous management of the pain by injecting neurolytic drugs in the foramen ovale under Computed Tomography (CT) guidance as the new and promising technique of treatment in TN. Keywords Trigeminal Neuralgia, percutaneous management, CT guidance, neurolytic drugs Objective To evaluate the efficacy and safety of Computed Tomography guided percutaneous management of pain in trigeminal neuralgia using neurolytic drugs. Introduction Trigeminal Neuralgia is also known as tic douloureux, a term given to this painful disease by Nicolaus Andre in 1756 [1] . TN is a pain which typically is intense, brief, usually unilateral, recurrent shock like involving the branches of fifth cranial nerve [2]. It can be mainly classified into two types. First being, the classical TN (Type I), which is due to neurovascular compression, the most common vessel causing the same being superior cerebellar artery followed by anterior inferior cerebellar artery [3]. Second type is atypical TN (Type II), secondary to causes like trauma, tumor, multiple sclerosis or herpetic infections. The distinction between these two types is mainly based on clinical symptoms [4, 5] as Type I pain is episodic in nature whereas Type II pain is more constant. TN is often called by many as â€Å"the suicide disease† [6] as the patients who suffer from it would rather take their lives than bear the pain. The initial line of treatment for TN is medical management by drugs like Carbamazepine, Gabapentin, Oxcarbazepine among others. Patients of type I TN may also be advised microvascular decompression. Those patients who do not respond or have contraindications to the above mentioned drugs or experience no change in the intensity of the pain are called Refractory TN [7]. Such patients are advised invasive procedures like trigeminal nerve block neurolytic block, radiofrequency ablation, gamma knife surgery and balloon compression. We describe our experience in percutaneous management of pain by injecting neurolytic drugs in the foramen ovale under CT guidance in six patients, suffering from TN. Method and Materials used Pre procedural work up The pre procedural work up included clinical evaluation and thorough reading of the Magnetic Resonance Imaging (MRI) scans of all the patients to rule out any neurovascular conflict. Any patient with neurovascular conflict was considered an exclusion criterion in our study. These patients were reported taking the drugs for TN for over three months with no improvement in the pain. The pain score evaluation was done using Numeric Rating Scale [8] and Wong-Baker Faces Pain Rating Scale [9] as a baseline evaluating point to be compared to the same scoring system after the procedure. Routine investigations such as coagulation profile, liver function test, renal function test, HIV and HbsAg were done before the procedure. Numeric Rating Scale Patients rate pain on a number scale from 0-10, 0 being a depiction for no pain and 10 being the worst pain imaginable. Wong-Baker Faces Pain Rating Scale The Wong-Baker Faces Pain Rating Scale is a pain scale that was developed by Donna Wong and Connie Baker. The scale shows a series of faces ranging from a happy face at 0 (No Pain) to a crying face at 10 (Worst Pain Possible). The patient must choose the face that best describes how they are feeling. In our study, we use the Wong Bakers scale to assess the patients’ pain before and after the procedure. The neurolytic drugs and materials used in the procedure were 22 G spinal needle for block, 25 G needle for skin infiltration, 2% xylocaine , Iohexol Non ionic contrast medium, 100% alcohol, 1ml syringe and normal saline solution. The patient was put in the supine position with head placed in reverse occipitomental position (chin up and neck extended), turned 30 ° to the opposite side of the block. The foramen ovale was identified under CT guidance and a virtual track was made starting from a point which was 2-3cms lateral to the angle of mouth on the skin to foramen ovale (Figure 1). Once the trajectory of the needle and the foramen ovale was confirmed on CT scan, the skin at the point of entry was infiltrated by 2ml of 2% xylocaine using a 25G needle. Then, a 22G spinal needle was inserted at the same point and aimed in the direction of planned trajectory towards the foramen ovale (Figure 2). To prevent the needle from entering the oral cavity, a finger from inside the mouth can be used to guide the same [10]. Though, we did not apply this in any of our patients. Following this, negative aspiration was attempted to check for Cerebro Spinal Fluid (CSF) or blood aspirate. If the aspirate contained CSF or blood then the needle had to be readjusted. Then 0.5ml of mixture made from 1ml of iohexol and 2ml of 2% xylocaine was injected into the target site in order to check the spread of injectant and exact needle tip position. Once the tip of the needle touches the mandibular nerve root, the patient might complain of the exact similar pain which he/she has been suffering, thus confirming the accurate needle tip location. This injectant acts as a diagnostic block if the trigeminal ganglion is the pain generator with xylocaine providing anesthesia prior to alcohol injection. A mixture containing 3ml of 100% alcohol, 1ml of iohexol and 1 ml of saline was made. Of this 1ml of the mixture was injected into the foramen ovale (Figure 3 and 4). Post procedure check scan was performed to rule out any complication. Result Exact position of the needle tip in the foramen ovale was seen in all the six patients thus achieving 100% technical success. All these patients achieved a significant level of relief with an average pain score of two immediately after the procedure. Twenty four hours after the procedure, they rated their reduction of pain at an average pain score of one. Four out of the six patients ie Patient No. 1, 2, 4 and 6 were completely relieved of their pain with one year follow up without taking any medication. In Patient No. 3, the procedure was abandoned as during the diagnostic block, the injectant was seen tracking into CSF cistern and fourth ventricle. Patient No. 5 reported with a similar pain of TN within three months with a pain score of five, little less than the pre-procedure pain score of six. The pain was more severe in the pterygopalatine segment, hence a pterygopalatine block was carried out and the patient had a pain score of one twenty four hours after the procedure. Hence, the initial trigeminal neurolysis was partially successful in this patient. No post procedural complication was seen in any of our patients. Discussion The trigeminal nerve arises from the lateral pons at its superior to mid portion. It travels forward in posterior fossa and merges with the trigeminal ganglion in the Meckels cave. The trigeminal ganglion is located lateral to the cavernous sinus. It gives three divisions ophthalmic (V1) segment which emerges from superior orbital fissure, maxillary (V2) from foramen rotundum and mandibular (V3) from foramen ovale. The trigeminal nerve provides sensation for the face, mouth and supplies the muscles of mastication. TN mostly involves maxillary division and mandibular division of trigeminal nerve though it may also involve the ophthalmic division as well. The reported annual incidence rate of TN is about 4.5 per 100,000 persons [11] but the actual figures may be even much higher because of diagnostic challenges associated with the disease. TN is more common in females than males with a ratio of 3:2 and is usually seen after 50 years of age [11]. Trigeminal nerve block is an upcoming treatment in TN patients who are refractory to medical line of management. It relieves the pain and also reduces the side effects of drugs which are used for the treatment. Earlier studies were mainly done using x-ray or fluoroscopic guidance which had its own limitations in terms of image quality and two dimensional views. In contrast to this, CT scan provides excellent and direct visualization of foramen ovale leading to correct placement of needle [12] and thus scoring over fluoroscopy. This reduces the chances of injecting neurolytic agents at improper locations and thereby reduces the side effects. In our cases, initial check CT scan was done by injecting 1ml of iohexol to determine whether the needle is in exact location. This doubly ensured us about the location as well as the spread of injectant. This was different from previous studies done using fluoroscopy where a diagnostic block using xylocaine had to be given in order to confirm the location of the needle tip. We used a mixture of 3ml of 100% alcohol, 1ml of iohexol and 1ml of saline for trigeminal neurolysis however, Han et al stated that trigeminal nerve block with high concentration of lidocaine (10%) is capable of achieving an intermediate period of pain relief, particularly in patients with lower pain and shorter duration of pain prior to the procedure [13]. Alcohol spreads easily and should be used cautiously. The other agents which can be used but were not used in our study are phenol and glycerol. The side effects that may follow the procedure are numbness and hypoesthesia in the entire trigeminal nerve distribution. There can be abolition of corneal reflexes which can produce exposure keratitis and dryness of eyes. Improper injection of alcohol into CSF space can lead to arachnoiditis/ meningitis. CASE 1, 2, 4 and 6 These patients were suffering from trigeminal neuralgia with pain score ranging from six to eight before the procedure. All these patients have been taking carbamazepine for more than three months with no relief from pain. MRI showed no neurovascular conflict. These patients had a significant relief of pain with pain score at three months and twelve months being zero. None of these patients had to take oral medicines after the procedures. Fig 1: Site marked for needle Fig 2: Tip of the needle in foramen insertion ovale Fig 3: Dispersion of injectant in Fig 4: 3D reconstruction showing the foramen ovale needle tip in foramen ovale. Case 3 This eighty year old male came with complains of left sided trigeminal neuralgia. He had been taking carbamazepine for four months with no change in pain intensity. The procedure had to be abandoned as after injecting the diagnostic block, the injectant was seen tracking into the CSF cistern in the cerebello pontine angle and fourth ventricle (Figure 5). Fig 5: CT scan showing needle tip in the left foramen ovale Case 5 This forty seven year old female came with complains of right sided trigeminal neuralgia. She had been taking carbamazepine for three months without any relief in pain. MRI scans showed no neurovascular conflict. The procedure was successful with pain score of one immediately after and at twenty four hours after the procedure (Figure 6). However, this patient came back within three months of the procedure complaining of pain, which was more in the pterygopalatine segment. A pterygopalatine block was done with resultant pain score of one at twenty four hours after the procedure and two at nine months of the procedure. Hence, this patient showed partial response to trigeminal neurolysis carried out initially. Fig 6: CT scan showing the tip of the needle in right foramen ovale. Conclusion Percutaneous injection of alcohol, iohexol and saline mixture at the verge of foramen ovale under CT guidance is an effective and promising method to relieve pain in patients of TN refractory to medical line of management. This technique is inexpensive, cost effective and a relatively painless procedure. Being a minimally invasive technique, the chances of any infection and other post operative complications are less. Since our study involved only six patients, this technique needs to be further evaluated on a large sample size to substantiate the result of this procedure. Having said the above, we would like to emphasize that our initial experience of this procedure was quite impressing. Abbreviations TN Trigeminal Neuralgia CT Computed Tomography CSF Cerebro Spinal Fluid MRI – Magnetic Resonance Imaging References Andre ´ N. Traite ´ sur les maladies de l’ure`thre. Paris: Delaguette, 1756 Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. Seattle: IASP Press; 1994. P. 59-71 Jannetta PJ. Microvascular decompression of the trigeminal nerve for tic doloreux. In: Youmans ed. Neurological surgery 4th edn. WB Saunders Co. Philadelphia. 1996: 3404-15 Cruccu G, Gronseth G, Alksne J, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008; 15 (10): 1013-28 Gronseth G, Cruccu G, Alksne J, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008; 71 (15): 1183-90 Michael D. Chan, Edward G. Shaw, Stephen B. Tatter. Radiosurgical Management of Trigeminal Neuralgia. In: editor Pollock Bruce, Intracranial Stereotactic Radiosurgery, an Issue of Neurosurgery Clinics. Elseiver Health Sciences. 2013. pp. 613-621 Cruccu G, Truini A. Refractory Trigeminal Neuralgia. Non-surgical treatment options. CNS Drugs. 2013 Feb;27(2):91-6. doi: 10.1007/s40263-012-0023-0. Hartrick CT, Kovan JP, Shapiro S (December 2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Pract 3 (4): 310–6. doi:10.1111/j.1530-7085.2003.03034.x. PMID 17166126. Wong-Baker FACES Pain Rating Scale Foundation: Retrieved 6 December 2009. Michael J. Cousins In: trigeminal nerve block. Cousins and Bridenbaughs Neural Blockade in Clinical Anesthesia and Pain Medicine. Lippincott Williams Wilkins, 29-Mar-2012, 410 Allan B. Wolfson, Gregory W. Hendey, Louis J. Ling, Carlo L. Rosen, Jeffrey J. Schaider, Ghazala Q. Sharieff. In: Bell’s palsy and trigeminal neuralgia. Harwood-Nuss Clinical Practice of Emergency Medicine. Lippincott Williams Wilkins. June 23, 2009, 786 Và ­ctor Whizar-Lugo MD, Francisco Anzorena-Vallarino MD, Roberto Cisneros-Corral MD, Ricardo Valdez-Jeres MD, Rogelio Hernà ¡ndez-Velazco DDS. Use of Computed Tomography Guide for Trigeminal Alcohol Neurolysis. Anestesia en Mexico: Volume 20 No. 1 (January-April 2008) Han KR, Kim C, Chae YJ, Kim DW. Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia. Int J Clin Pract. 2008 Feb;62 (2):248-54. Epub 2007 Nov 23.

Family is an extraordinarily important aspect of my life Essay

My mother, above everyone else in my life, has had a significant influence on me. My mom has said that if the whole world turns their back on you, your family will always be there for you. She has always been there for me. She is an absolutely amazing human being and a great role model. Everyday I see how she handles having four children, manages a household and a career. Through her example, I have learned to make good decisions and be very responsible. My mother inspires me everyday. She has taught me to not only respect other people’s opinions, but to formulate my own opinions as well. She showed me that I can do anything I put my mind to and has told me to always stand up for myself. I started to play soccer when I was in second grade and I came to love it. Years ago when I was playing soccer, I was not getting much playing time during games. I was not one of the strongest players but I played well. I was disappointed about the games and talked to my mom about it. She said rather than her talking to the coach I should remind the coach that I was not getting enough playing time. During the next game I stood by the coach and asked to be put in. It worked. I got more playing time and the coach noticed how well I played. He complimented me on my game and from that point on I didn’t have to ask for more playing time. I am glad that she encouraged me to stand up for myself. From this experience, I learned that in life you have to fight for what you want. My mom has shown me that we should not only take from the community, but also give back. I volunteer with the Girl Scouts and at a local church as much as possible. With my church youth group I have visited a Veteran’s home to talk with the residents and keep them company. We also have done a rake and run where we rake the leaves of elderly or disabled people. I was voted onto a core team by my peers. On the core team I help the advisers lead the group at meetings and volunteer services. Because of my mom’s encouragement, I work extremely hard at school and everything I do. She has inspired me to push myself to the limit and beyond. My mom has taught me to live my life to its fullest. Life is a journey and my mom has taught me many things along the way. College is the next step in my journey and I am going to take everything I have learned along with me. My mom has not only influenced my life, but is my absolute hero. The lessons she has taught me will be instilled in me foreve

Northern Life Editor

When there is an ever enduring effort for global health care and health and nutrition for all by WHO,   in Canada the government incurs   less than 10 per cent   of GDP on the contribution   of health care services.   According to the Annual Report 2004-2005 of Canada Health Act (CHA), the Government is providing a range of health services viz., health policy,   physician services, hospital   services, extended health care services, dental services wherein each of the service is insured on pre-paid basis in order to make the accessibility of services for all the eligible residents of Canada. Further the Government has also made a Health plan up to the period of 2013-2014 with the framework of Canada Health Transfer (CHT). In spite of these efforts, the Government of Canada is still challenged with some of the critical issues of rising diabetes, rheumatoid arthritis among aging population which will increase from 13-15 per cent by 2011. Also a fund of $ 262,000 has been allocated for treatment of meningitis among children. The above facts disclose that there is a severe need of health care professionals, as most of the present staff are retiring, it increases the load of work.   Also acute care and attention is required for each patient using technology in diagnosis, as the expectations of patients are always on higher side.   These necessarily evolve a system of human resource restructuring, to appoint new staff by way of work contracts or temporary staff workers for skilled areas, which require a top priority resolution. Further implementation of tele-medical advice and services would assist both the Government and health-seekers. Lack of adequate trained technicians, physicians, surgeons, anesthetists and supporting nurses with other administrative staff, would place Government of Canada in helpless state, in spite of its vigorous efforts to help citizens in health services.  Ã‚   Health and Community Services Act (1993) can induct medical students as trainees and other related workers into various hospitals, health centers for facilitating access to medical treatment for meeting long term sickness and emergency needs. Conclusion Considering the facts of above scenario, Government of Canada with the assistance of CHT must consider all the facts and develop a framework of human resources taking the advantage of globalization and migration work services and increase humanitarian as well as medical services for the residents of Canada and allow the continuance of good sense prevail as ever. (Cash contribution of $ 12,650 billion for the fiscal year 2004-2005) . Conclusively,   urging the Government to look into the issue. Sincerely, Brunnette Medical Student No.30 Backstreet Toronto References Tony Clement, Minister of Health Accessed 6 November, 2006 http://www.hc-sc.gc.ca/hcs-sss/alt_formats/hpb-dgps/pdf/2004-05_e.pdf         

The Role of Eve in Paradise Lost - 1589 Words

The importance Milton attached to Eve’s role in Paradise Lost and in the Garden of Eden is now recognised and acknowledged. (Green, 1996) Milton’s treatment of Adam and Eve’s relationship is complex. Sometimes referring to them in ways that indicate equality, (ibid) sometimes stressing their separateness as individuals (ibid) and other times they are complementary halves of a whole. (ibid) Taking on the view that many support; that Milton intended Eve to seem completely inferior to Adam, we can examine Eves role in the fall. Traditionally, readers and critics have responded to Eves actions with compassion and concern. (Revard, 1973) Two critics who particularly react this way are Dennis Burden and Fresdon Bowes. (ibid) A.J.A Waldock has†¦show more content†¦If Adam had forced Eve to stay with him, he would have Eve’s without free choice. This would have tarnished the liberty of Eden. (ibid) Adam has tried to make clear to Eve what her responsibilities are and what her place is in the garden. He has also warned her of the dangers in the garden. Eve knows also of the dangers of Satan by overhearing Raphael talking about them â€Å"as in a shady nook I stood behind.† (Levi, 1996) Eve is clearly at a disadvantage in encountering Satan in an intellectual debate; however Milton does lead the reader to question the role of intelligence in the poem. It wasn’t the intellectually able angles â€Å"the politically astute Beelzebub and the rhetorically expert Belial† (Revard, 1973 p.76) who unmasked Satan in Book V. Many feel that Adam is guilty of negligence; however, others feel that he is merely an ineffective leader. (Revard, 1973) Stella p.Revard goes as far as saying that God is in fact to blame. Since refusing Eve the permission to leave would break the rules of free will â€Å"then God is blameworthy for having left uncompelled the wills of human bein gs in the first place and having permitted Satan the opportunity to try them.† (Revard, 1973 p.74) Is it only Milton’s portrayal of Eve that is the cause of so much controversy? In examining two different examples of the portrayal of Eve, the reader can decide if it was Milton who created the controversy surrounding Eve, or if theShow MoreRelatedFeminist Analysis Of Paradise Lost By John Milton1124 Words   |  5 PagesAkejah McLaughlin Professor Jennifer Rohrer-Walsh HON 2010 7 November 2017 Feminist Analysis of Paradise Lost The Book of Genesis is an introductive biblical passage in the Old Testament that summarizes the creation of the universe, humanity, and the downfall of man. 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In Paradise Lost (1667), author John Milton reveals man’s first disobedience and analyze the fall from the Garden of Eden. He examines the character Eve’s as she unfolds as an independent woman that seeks knowledge and authority, but transforms into a dependent woman in a male dominant surrounding. In contrast, Valmiki’s Ramany a (550 BCE) is a Hindu, heroic epic that focus on the story of Lord Visnu’sRead MoreAnalysis Of John Milton s Paradise Lost 1678 Words   |  7 PagesMilton’s Portrayal of Women in Paradise Lost Paradise Lost is an epic account of the creation and subsequent fall of Adam and Eve. Borrowing from the book of Genesis, Milton chronologically details the events leading up to Satan’s fall, the creation of the universe, the temptation of Adam and Eve, and their ultimate loss of their creator’s favor. Considered to be one of the best literary works of the 17th Century, Paradise Lost gives a vivid account of Adam and Eve’s fall from the Garden of EdenRead MoreSimilarities and Differences of Paradise Lost and Frankenstein.1282 Words   |  6 PagesBetween the two novels, Paradise Lost and Frankenstein, there are many striking similarities. What makes these two books so wonderful to read is the author s ability to write about the ultimate struggle; the struggle between God and Satan, or Good and Evil. The characters in Paradise Lost and in Frankenstein seem to be very similar to one another. God and Victor Frankenstein have many similarities. One of their similar ities is that they are both creators of new life. The monster, Victor s creationRead MoreWomans Role Defined in Paradise Lost and the Bible Essay836 Words   |  4 Pages John Miltons Paradise Lost attempts to justify Gods will by giving a better understanding of the ways of God, according to the author. In his work, Milton addresses several issues from biblical text as he expands on the role of woman as it is written in the book of Genesis. Womans role is recognized and presented as one that is subordinate to man. Several associations are recognized between Miltons work and books of the Bible which reveal much about the way both of these books intendRead MoreParadise Lost By John Milton Essay1387 Words   |  6 PagesEve in Paradise Lost In the visions of Western world and civilization, the descend of mankind from the Garden of Eden serves as the prominent, underlying story of the formulation of existence. In 1667, in the seventeenth century, author John Milton recasts the creation story in an epic form of poetry consisting of ten books with over ten thousand lines of verse, in order to conspicuously portray the characters and their actions that lead to the Fall of Mankind. In both Paradise Lost and the BibleRead MoreJohn Milton s Paradise Lost923 Words   |  4 Pageswriting Paradise Lost, John Milton lost his vision. In fact, Milton does not hide the reality that his â€Å"eyes, that roll in vain†¦find no dawn†(Paradise Lost, 3.22-23). The light that Milton refers to, however, is not just physical, but it is also spiritual. There is a third type of blindness that Milton addresses, blindness from knowledge. Milton is concerned with this form of blindness in a number of works, perhaps most notably Areop agitica. The acquisition of knowledge plays a vital role in ParadiseRead More Portrayal of Eve in John Miltons Paradise Lost Essay1133 Words   |  5 PagesMiltons Portrayal of Eve in Paradise Lost      Ã‚  Ã‚   The seventeenth century poet, John Milton, takes the attitude common to the time period while portraying Eve in Paradise Lost.   This epic, telling of Adam and Eves fall from Paradise and the story of creation, constantly describes Eve as a weak individual, while Adam is often compared with God.   The idea of womens inferiority has been fixed through time, making Miltons characterization of Eve not surprising, but rather expected and acceptedRead MoreJohn Milton s Paradise Lost1686 Words   |  7 Pagesinto the writing it produced. John Milton’s Paradise Lost is no exception to this, as it explores human sexuality and gender roles. It has been argued that when Adam and Eve are described as â€Å"Two of far nobler shape erect and tall,/ Godlike erect† (4.288-289) there is no distinction between the two, and that they are being portrayed, even by Satan, as equal. This is the reader’s first introduction to Eve who, based on these two lines from Par adise Lost, is Adam’s equivalent in power and in majesty