Thursday, November 28, 2019

Slow and Steady Wins the Race free essay sample

My heart rate increases and the sweat drips on the purple and white uniforms. The team no longer became visable. I take a sharp left turn, look around, and pause, only to notice that no one is near. I am lost. I reverse to see other team mates following. Wrong way, I guess, I say nonchalantly. They all groan and curse under their short breaths. Coach Locke records my time. 19:56. I am a failure. Brutality struck when our senior leader instructed us to jog a twelve minute, one and a half mile cross country warm up. That imitation of the fat girl running behind the pack depicted in movies appeared true. Additionally, my nine minute mile splits felt worse. I told myself I would quit by the third week; I went to practice everyday for the rest of the season. Summer 2007 marked a new beginning cross country conditioning. The team traded in sleep to better themselves and sacrificed joy for a few hours of agony. We will write a custom essay sample on Slow and Steady Wins the Race or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page We met every morning and trained harder than before. However, I knew that in order to keep up, I would need to try. Eventually, as the summer wore on, my times decreased and I kept up with the fastest runners. A year later, I run the same course. Except, Im a more experienced and capable athlete. I hold my head high for those two elongated miles and I refuse to let anyone pass. The pain bolts through my legs but I do not mind. I finish with a smile on my face. 15:26. Eighth overall. Perfect; a spot on varsity. Ive struggled throughout the past year to achieve the best time possible. Ive PRed(personal record) countless times, Ive tolerated numerous asthma attacks, and I ran Rim Rock (the hardest cross country course in Kansas). Ive survived it all. Ive achieved it all, Ive endured it all, Ive won it all. Slow and Steady Wins the Race free essay sample â€Å"Michael.. repeat these words back to mesaucer, cinnamon, coat, snake and dictionary.† I said â€Å"What?..oksaucer, cinnamon, coat, ummm†¦Ã¢â‚¬ ¦.† This was the moment where the school specialist knew that something was wrong. It was fifth grade and I was having problems in school including trouble hearing, reading, taking tests and paying attention in class. My teachers took notice of this and decided to test me for an Individualized Educational Program (IEP). After testing, they determined I had hearing and reading comprehension problems. Assistance immediately began with speech classes during the day and tutoring after school in English and Math. Throughout the years, I built skills to overcome my learning disability.It was a slow, methodical process but I knew that I could do it and succeed with good grades. By the time I was a freshman in high school, I was well on my way to performing at the same level as students without IEPs. We will write a custom essay sample on Slow and Steady Wins the Race or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page I continued to build on my foundation by managing my workload with new study habits that were taught to me by high school specialists. Fast forward to junior year in which I received an award for academic achievement in maintaining above a 3.4 GPA all four quarters. Receiving this award really inspired me and made me realize that I can do anything with hard work and dedication. Senior year I am taking a rigorous course load for me, but I am willing to put everything into it to prove that I am a smart and hardworking individual.

Sunday, November 24, 2019

Business VCE essays

Business VCE essays Describe how the business communicates internally and externally. A business communicates internally with staff members. Most employees have a desktop computer, which allows them to send and receive letters, reports, trading documents and other messages quickly and accurately. All documents can be stored on disks, which saves on filing and storage space. Email is used widely for internal and external communication because is it quick and reliable. Fax machines are very popular for sending written documents, diagrams and pictures. As the fax machine is linked to the telephone line, it is a cheap, accurate and quick way of communicating. If head office wanted to speak to a member of staff lower down the line, they would have to e-mail, write a letter, or send a memo. Whereas if a member of staff wanted to get a message to head office they would have to speak to their manager, who would speak to their manager and it would work further up the line until the message got to head office. A business communicates externally with customers, suppliers, the public and shareholders. To communicate with customers, Adams would write a letter, telephone, or perhaps e-mail. If a customer made a complaint by letter then the staff would write a letter back. To communicate with suppliers, Adams uses telephone to order what products they want, or maybe they could use e-mail because it is cheap and reliable. To communicate with the public, Adams would use visual aids such as posters and billboards to advertise the company and draw in customers. They could also advertise using radio or television. How does communication help the company meet its business objectives? Being friendly and helpful to the customers and public will make customers want to go there and buy the goods Adams provide. Adams has to build a relationship with its customers, so they are familiar and welcoming. Good communication between the staff at Adams an ...

Thursday, November 21, 2019

Crime and Justice law Essay Example | Topics and Well Written Essays - 2500 words

Crime and Justice law - Essay Example The influence of judiciary starts from the point of conviction of an offender or a violator to the sentencing as well as their rehabilitation, if required. Let us now discuss about the UK judicial system, observing the proportionality and authenticity of its sentencing law. It is a known fact that UK does not have a written constitution. That gives it the space for its flexibility, which leads to the huge number of amendments; every amendment is deeply correlated with the judicial decisions on the substantial cases. Hence, as far the UK judicial system is concerned, it does not only hold the responsibility to convict and decide the case but it is also responsible for its manipulative decision on a case which reflects in the policy making Take for example, the R v Templecase, the Court of Appeal held that a basis of plea should normally be expected to set out the facts, different to those in the prosecution papers, on which the defendant is prepared to admit his guilt.   The court c ommented adversely on placing undue reliance on an unsigned basis of plea and drew attention to the importance of the guidance in the case of R v Underwood that recommended on the use of the responsibility for alerting the prosecutor to areas of dispute rests with the defense.1 In addition, as a result of the case R v H and Others, it was decided and regulation was made that if a defendant wishes to be sentenced on a basis which is not agreed, the prosecution advocate should invite the judge not to accept the defendant's version unless he or she gives evidence on oath to be tested in cross-examination.   In such circumstances the defence advocate should be prepared to call the defendant and, if the defendant is not willing to testify, subject to any explanation that may be given, the judge may draw such inferences as appear appropriate.2 Judicial system of UK Having a vital responsibility given to the court, it has to be approachable to a quality decision making simultaneously nee d to maintain a companionate relation with public. The judicial system needs to provide security to both physical as well as psychological fear emerged due to frequent violence. Hence, the judicial body has the duty to segregate the categories of level of crime and criminals, followed by its conviction and decision for the required sentencing. Further, the duty binds the body to design a secure rehabilitating plan for criminals, so that the general public will be safe from reoccurrence of violence from the convicted criminals. To establish the proportionality of the English sentencing law we need to explore its previous sentencing system. Let us take the example of R v Reynolds and others3.   In this case, the prosecuting advocates were made aware of the impact of statutory provisions simultaneously avoid wrong judgment. The prosecution advocate may also offer assistance to the court by making submissions, in the light of all these factors, as to the appropriate sentencing range. To secure obedience with the above mentioned responsibilities, the prosecutor is required to prepare a plea and

Wednesday, November 20, 2019

Of the Natural Condition of Mankind Essay Example | Topics and Well Written Essays - 1250 words

Of the Natural Condition of Mankind - Essay Example This is why Hobbes suggests that we lock our doors and that even though there be enforcement of laws we still take precautions. I implore you, gentleman and the like unlock your doors and let civility in.[ Can we know our minds This thing that exists beyond time or space. And does this knowledge free us. And yes we are made accountable to all things that ensue from our innate needs and wants as well as our positive goals dreams or thoughts. And then the question is, "Are the only worthwhile dreams, goals, desires and thoughts the only ones no one else wants" Are we that self-regarding According to ideas of political thought even our so called selfless acts are based on the desire to be seen in a better light. Therefore what we do for others still benefits us. This constant state of war is not necessarily mental but may be derived our of a more basic and life preserving need for us as humans to be in a state of homeostasis. "A dream deferred makes the heart sick." Though a higher power may be established no such agreement for a standard of living may be made unless a person, of their own free will agree to submit to that higher power. And if such higher power may be submitted to namely God. The glue that holds it all together is love. For where there is no law according to Hobbes there can be real free will. Love. Against such there is no law[Holy Bible]. It may be pertinent therefore to establish those that love first obeying the one command that overrules all else. Then there can be real freedom. Imagine a man that were in the world alone. Everyone else is asleep. According to Holy Scriptures it states do not awaken love before it so desires. Yet love does arouse one to a deeper consciousness. You become aware that there is more than just you, your needs, your desires and your wants. A child can not yet understand this. That is, if we agree with Piaget's level of development. Whoever gets to it first. It goes beyond the strongest. It goes beyond will. It comes with intelligence. It is bred within the genes. Thus, this may be why marriages are one way to form alliances, treaties or pacts. The passions that incline men to peace again is not fear of death but love. Ignorance vs. denial. Is ignorance really bliss If therefore, a love such as Christ can compel us it motivates us. It drives us. The whip is good for one thing- training and conditioning but left to one's own devices it is good for not much else. Because the perfect standard is not worldly or based on human ability the perfection still stands. This perfection can never be tainted because it is our of our reach. All fall short of the glory of God. A law that forbids one until they have knowledge of such law is a flawed argument. It is like the tree of good and evil. Once Adam and Eve ate of the tree their eyes were open. Is it ignorance or is it marriage that is bliss Neither! Love is blissful. Though a slave has no rights or personal properties they do have the ability, the power, the capacity and freedom to love. Against such there is no law. St. Thomas Aquinas supports this argument by stating that one need not be smart to understand God- Who is love. Contrary to Hobbes statement that out of fear, or fear of punishment but it is out of deep regard for the safety and protection of another. Again love protects. Fear is

Monday, November 18, 2019

Falling in Love Essay Example | Topics and Well Written Essays - 500 words

Falling in Love - Essay Example I was looking at the most beautiful crescent blue eyes with long fringed eyelashes. My whole world had come tumbling down with dazzling stars! ‘Are you okay?’ He had enquired in a deep husky concern that had sent a shiver of excitement down my spine. I was dumbstruck and could only nod. I could feel my world going round and round. I was staring and then a little coughing woke me up from my stance. The guy was smiling and offered his hand. I took his hand and stood up. I could not look into his eyes for I was still very embarrassed at being caught staring in such a public place! He was gently pushed me towards the perfume section and before I could protest, he had bought two bottles of the Chanel 5, one having the smell fragrance as the one which was smashed into thousand pieces and the other one which I had wanted but could not afford. He then took me for a cup of coffee and I can still remember how the hours had flown. It was mutual love at first sight. Falling in love is total magic because it completely changes you and makes you feel at the top of the world. You find the things to rejoice in the most weirdest of situations and cry at the drop of a hat. It seems as if the nature rejoices in your happiness and lets you discover things about you that you were never aware of. Indeed, I did not know that I could become a book lover but then I had not met the love of my life! It is funny but I had become a highly cheerful and optimist person from the shy individual who would always be looking at the gloomiest aspect of things. I wonder if other people also discover whole new world of good things when they fall in love. My love had also become my soul mate. He told me much later that he had also experienced the same magical moments and had loved my silence with the same passion as he had loved my voice which he found to be very soothing. He was quite stressed

Friday, November 15, 2019

Effectiveness of Oxygen Therapy for Cardiac Problems

Effectiveness of Oxygen Therapy for Cardiac Problems Oxygen therapy is the administration of oxygen at a higher concentration than that of ambientair. The main intention of this process is to either treat or prevent the symptoms and manifestations of hypoxia. Oxygen therapy decreasesthe work of breathing by increasing alveolar oxygen tension. As an essential part of clinical practice, oxygen therapy is widely used in cardiac care. Despite all thiswide uses of this therapy have been criticalin cardiac care. Studies have provedthat excessive use of oxygen, results incritical conditionsinthe areas that it is applied. This essay aims at examining the concentration required, different conditions, where it could be needed and the effects of use of high concentration oxygen for the client with chest pain. When there is airway obstruction as a result of cardiac effects such as asthma, pneumonia, breathing system of the client becomes complicated. This client can only breathewhen the oxygen level climbs above a setlevel. This will maintain functional ability and at the same time minimize the chest pain, which may have been caused by breathing problem. It is very important to note that there are several causes or condition that may arise to chest pain(FritzFaber, 2012). The different approachesproposed, suggestthat these statementsandsolutions do not conform withthe available evidence in the cardiac care. Also, inthe treatmentof a patient with cardiacproblems, the main issueto be consideredis the balance ofevidence for both the safety andefficiency of oxygen administrationin cardiac care. Arterial oxygen tension is one of thesigns todeterminant coronary artery tone. Slightincrementin arterial oxygen reducescoronary flow irrespective of priorsaturation(Atar, 2010). The human study of patientswith cardiac problems hyperoxia from concentrated oxygentherapy reducescoronary blood flow(Atar, 2010). Administering oxygen therapyto patients with myocardial infarction, oxygen therapy canreduce cardiac outputvolumes, and blood pressure and vascular resistance(Atar, 2010). Thereevidencein determiningsafety and efficiency ofoxygenadministration in cardiac care. The evidence supportsuseofoxygentherapyin minormyocardial infection resultsinincreaseddeath rates tothe patients. Research has approved that resuscitation from cardiac arrest; administration of high oxygenresults in hypoxia. Thisis directly associatedwith more deaths to patients incomparison to either normoxia or hypoxiaproblems. Continuoususe of oxygen therapy in cardiac careis harmful to the patient of cardiac problem and this approach is not the best. It is recommended that, the administration of oxygentherapyshould be at the level of 96% to keepstandardizedsaturation(BerstenSoni, 2009). Also, oxygen needbe administeredfordefinitecardiac cares, in which benefit of oxygen therapyoutweighs the risks it may impose to the patient. Healthcare professionals should take into account that the method, doseand delivery periodis clearly speltand patient’s reaction to oxygenadministration is thoroughly monitored (FritzFaber, 2012). Since oxygen is a drug, its administration requires a medical order. Each of the episodes of oxygen delivery should be ordered on the medicationchart either as on-going or one-off treatment. There are some conditionsthat should be examined before the nurse initiatesoxygen. First, the nurse should realize that the patient hasbreached expected normal parameter of oxygen saturation, also a medical review is required within thirty minutesand then at the time of the medical review, the right prescription of oxygen should be written. Before the selection of the delivery method, caregiversshould check at the individual flow meter for where to read the ball when setting the flow rate (Straface et al. , 2008). Some of the flow metersmay register greater than the maximum flow indicated in the meter in the case of the ball being set above the highest amount(Hunt, 1999). The nurse is required to use caution when adjusting the flow meter. All of the high concentration or delivery requires humidif ication. The selection ofthehumidification will depend on the oxygen delivery system in use. It should be noted that, air entrainment devices are not effective when it comes to delivering FiO2that is greater than 50%. Administration of high concentration of oxygen to clients with chest pain may worsen the pain, when breathing elevated pressure of oxygen is extended for a longer period(Myers et. al. , 2008). There has been a growing debate and concern on the administration of high oxygen concentration to those clients with chestpain(FreyShann, 2003). Traditionally, for over a decade, patients who complained of chest pain were instantly administered high flow of oxygen, this process initially started when medics realized that oxygen would ease myocardial ischaemia in patients with acute coronary syndrome (ACS). Also, highoxygen concentrationmay cause atelectasis. The alveolirelies onnitrogen topreservesurfactantcreationand alveolarpower. The high concentrationof oxygen, when administered may wash out nitrogen and leave the alveoli susceptible to a lack of gas asthegas diffuses to blood(Shekhar et. al. , 2010). It is important to note that; high oxygen concentration to thosepatients with cardiac problems, do not yield much advantage. Thispractice quickly became a routine in patients presenting with acute chestpain(Robyn and Coffee, 2012). Recently there has been a report indicating that harmful effects of high flow of oxygen in ACS patients where the patient may not be hypoxic. High flow of oxygen has previously been associated witha reductionof cardiac output, attribute to arterial vasoconstriction and also it increases systemic vascular resistance. Inmorerecent evidence, systematic review shows that the routine use of high concentration on chest painmay lead to greater infarct size increasing the risks of mortality. From a physiological perspective, treatment of ACS’ patientswith oxygen seems reasonable. For apatient suffering from ACS, there isalack of myocardial perfusionsand less oxygenation of the myocardium. In thiscontext, itseems logical to increase the oxygenation of the blood. Thistreatment is not well thought and can lead topatient harm, if not well monitored. The bottom line is that, the drug that is often usedcan cause harm if it is given without a good reason, when there isless saturationof oxygenin apatient’s blood, oxygen cannot help them with shortness of breath, and it may hurt them instead. The same idea holds truefor the neonates and any ofpatients with ongoing tissue injury from MI, stroke or trauma it is true that oxygen can be badwhen not wellmonitoredin administration (Myers et. Al. , 2008). The hemodynamic effect of high flow of oxygen in the myocardial was explored bygroups to improve on the cardiac care. The cardiovascular response to high concentration of oxygen was primarily attributed to arterial vasoconstriction; this has been demonstrated in retinal blood vessels. This method was also thought to be the reason behind the reduction in renal blood flowofcerebral blood flowwith oxygen therapy. Research has demonstrated that high concentrationof oxygen cannot increase itstransport inpatients with arterial oxygen saturation to a level of less than 90%. This is explainedbythe notionthat the reduction in cardiacoutput in excess leads toincreases in oxygen content. In patients with arterial oxygen saturation of less of 90%, this shows that oxygen administration increased oxygen transportation(CampbellSilver, 1998). This is due to both increased cardiac output and oxygen content. In therecent years, researchers have providedclearand direct evidence that the administration of high flow oxygen reduces coronaryartery blood flowfor the stable patient with ischaemic heart effect. This evidence wasprovided over a decade ago, and this has been confirmedthe method of high oxygen concentration may change, but the effects of oxygen on the cardiac care remainthe same. In conclusion, it is important to note that it is not clear whether routine administration of oxygen in patients’ with cardiac problemsin relation to chest pain has all the positive impacts on the outcome(Hunt, 1999). This systematic review challenges the status quo predicted by the international guidelines on the treatment of the chest pain caused by cardiac problems. The argument of reduced mortality due to administration of concentrated oxygen topatients with cardiac problem is disturbing. There is no need to administer a method of treatment on a patient in which the negative impacts outweighs the gain. The different approaches in tackling this major problemofchest paingives a clear evidence and explanationofthe conditions in which a patient is to be administered with concentrated oxygen. Before any treatment is done forpatientswith chest pain, caregiversshould try to understand the cause of the pain(CampbellSilver, 1998). For example, the pleuritic pain is triggeredby ches t movement and it is severe during coughing. Splinting the chest wall will help in reducing the discomfort of coughing. Cardiac care is involved with a lot of approaches that need to be looked at before treatment is undertaken. References Frey, B. , Shann, F. (2003). Oxygen administration in infants. Archives of Disease 2in Childhood Fetal and Neonatal Edition, 88, F84 F88. Bersten, A. Soni, N. (Eds). (2009). Ohs Intensive Care Manual 6th Edition. China: Butterworth Heinemann Elsevier Campbell, E. ; Baker, D. , Crites-Silver, P. (1998) Subjective Effects of Humidification of oxygen for delivery by nasal cannula ChestVol 93: 2 289 – 293 Shekhar, R. , N. Garg, A. Chockalingam, A. Tharakan, and A. Senthilkumar. (2010)A Young Adult With Atypical Chest Pain. Chest138. 4 MeetingAbstracts: 95A-95A. Print Beyar, R. (2009)Acute Cardiac Care-From Symptoms to Diagnosis and to Interventions. Acute cardiac care11. 3: 129-130. Print. Clark, R. A. , Neil, C. (2012):Can the Cardiac ARIA Index Improve Cardiac Care for Australias Indigenous Population?. Journal of Cardiac Failure18. 8:S89-S90. Print. Hunt, J. m. (1999):Cardiac sugical patients’ expectations and experiences of nursing care in the intensive care unit. Australian Critical care12. 2:79. Print. Fritz, A. , Faber, P. (2012). Chronic cardiac chest pain. Continuing Education in Anaesthesia, Critical Care Pain, 12(6), 302-306. Straface, A. L. , Myers, J. H. , Kirchick, H. J. , Blick, K. E. (2008). A Rapid Point-of-Care Cardiac Marker Testing Strategy Facilitates the Rapid Diagnosis and Management of Chest Pain Patients in the Emergency Department. American journal of clinical pathology, 129(5), 788-795. Atar D. (2010)Should oxygen be given inmyocardial infarction? BMJ; 340: c3287.

Wednesday, November 13, 2019

History and Eradication of Smallpox Essay -- Biology Medical Biomedica

History and Eradication of Smallpox The smallpox virus has affected the human species for centuries. It has been recorded as early as 1350 BC in ancient Egypt.The smallpox disease is caused by the Variola virus which only inhabits the human organism. There are two forms of the disease major and minor. The major has a mortality rate of 20-40% of untreated individuals. Though major and minor eventually run the same course and the outcome is the same, the major has symptoms that are distinct from the minor form, including hemorrhaging both internally and externally. Early treatment of the disease was variolation, and was the only method of treatment until the vaccine was discovered by Edward Jenner. The World Health Organization (WHO) eradicated smallpox in 1979. There is still no effective treatment for the disease after contraction. The speckled monster, the killer of both kings and peasants, once considered the most terrible minister of death; smallpox had ravaged the world for centuries. The virus emerged from an unknown source, however there is belief that it originated in Africa and then eventually spread to India and China. The first documented case of smallpox was dated in 1350 BC during the Egyptian-Hittite war.(Emedmag,2002) The course of the pandemic turned towards Europe in the 5th to 7th century and begun it destruction in major European cities in the 18th century. Classified as a pandemic during the 18th century, smallpox was located on almost the entire world save Australia and a few isolated islands. Smallpox did not only impact medical history, but also was a great influence in politics as well. Smallpox was known as the killer of peasants and kings, showing no biasness in its selection of victims. Skin lesions ... ...n stopped for almost 15 years. If terrorists were to use the Variola virus, the world would be virtually at the mercy of the smallpox disease. History and Eradication of Smallpox 9 References: Barquet, N. Smallpox: The Triumph over the Most Terrible of the Ministers of Death. Volume 127, Issue 8, Pages 635-642. Brannon, H. 2005. History of Smallpox: The Rise and Fall of a Disease. About Dermatology. July 26,2005 http://dermatology.about.com/cs/smallpox/a/smallpoxhx.htm Brilliant, L. B. 1985. The Management of Smallpox Eradication in India. Ann Arbor, MI:University of Michigan Press. Fenner, F., D. A. Henderson, I. Arita, Z. Jezek, & I. D. Ladnyi. 1988. Smallpox and Its Eradication. Geneva: World Health Organization. Hopkins, J. W. 1989. The Eradication of Smallpox: Organizational Learning and Innovation in International Health. Boulder, CO: Westview Press.