Begin your Annotated Bibliography Essay Example | Topics and Well Written Essays - 1250 words

Start your Annotated Bibliography - Essay Example The article additionally guaranteed that it has been seen that individuals in affection have an elevated level of the pressure hormone cortisol and lower levels of the synapse serotonin. This investigation detailed that sentiment inspires an entire range of feelings with differing powers. A person in affection would encounter delight when the sentiment is at its pinnacle and demolition when the sentiment closes. The darling additionally sees himself distinctively at various occasions during the sentimental scene. At first, an individual may feel shaky while seeking after the object of his warmth, being uncertain of how different feels about him. At the point when he effectively gains the fondness of his sentimental accomplice, certainty level is reestablished or even expanded. Moreover, Slater explained that affection animates the creation of dopamine. This dopamine is liable for making an extraordinary vitality, thrill, centered consideration and inspiration to win rewards. Slater clarified that dopamine empowers the person to be sufficiently lively to remain up throughout the night, be striking, splendid and dangerous. He at that point portrayed that as the connect ion between sweethearts turns out to be increasingly genuine, the hormone oxytocin is discharged. This hormone advances a sentiment of association and holding. It is for the most part connected with sentiments of closeness as a rule felt when one grasps a drawn out companion. This hormone is additionally discharged when a mother nurture her baby. This article surveyed that the expanded degree of confidence is an immediate advantage of sentimental connections. The article refered to the advantages of cozy connections. Cozy connections energize the self as it makes a difference one handle the difficulties in life, for example, managing disappointment and mishaps. All the more significantly, keeping cozy connections decreases the effect of loathsome beneficial encounters. Cozy connections lead to sentimental connections. This article gives the multifaceted proof which demonstrates that men will in general spot more

Elmer Gantry Essay Example For Students

Elmer Gantry Essay Most of all books are junk. Sinclair Lewis’ Elmer Gantry is an extraordinary book since it has validity, an ageless topic, and it has the important activity. Any book that can do that is an incredible book. The believability of Elmer Gantry is something that will keep this book interminably incredible. Despite the fact that the real timeframe is dated, the plot isn't dated. A great many people can identify with the various characters in the book. Elmer is a pretentious football player who feels that he is higher than any religion. Be that as it may, individuals attempt, and effectively convert him. He endeavors to satisfy two bosses from the start: his indecencies and God. He in the long run settles on the choice to live by God, obviously he will infrequently mess around with his old indecencies, particularly infidelity. A great many people know somebody who is this way and still in some way or another succeeds in spite of the fact that he shouldn’t have. In spite of th e fact that Elmer is more extraordinary than the individuals the peruser is probably going to know, he is as yet a truly sound characters. Something else that makes this an immortal novel is that it has the required activity to pull in the peruser who just needs amusement. Elmer regularly gets into battles that will keep the peruser in the edge of their seat. He will confront chances that most would flee from, yet in addition has times when he calls it quits from a battle, for example, when Brother Naylor and Brother Bains go up against him about â€Å"fooling around† with Lulu. It additionally has enough open doors for the cutting edge individual to consider sex in spite of the fact that it doesn’t graphically state what occurs. This makes all the intimate moments up to the peruser which may excuse them or relish on them. A book with this mix of sex and savagery makes it a book that it is even reasonable for simple perusing for the individual who wouldn't like to get the hang of anything. At long last, Elmer Gantry is an immortal book since it has a widespread subject: people will consistently sin. It is most clearly observed through Elmer, in spite of the fact that it is seen in different characters also. Elmer has had a background marked by creating an uproar and being a skeptic. He changes over, yet at the same time endures similar issues. He despite everything beverages, smokes, and has easygoing sex. He gets blamed for playing with one of the parishioners of his first church, and when he can get away from that experience, he at that point gets kicked out of theological college for drinking. He takes a break as an agent, however finishes back in the service, this time in a voyaging evangelism appear, kind of the ancestor of TV preachers. He gets off of smoking and drinking, however is as yet a miscreant, which is his significant character imperfection. He inevitably gets hitched, and pays attention to his proclaiming. In any case, he despite everything submits infidelity with in any event two ladies. What's more, exactly when the peruser believes that he is going to clean his demonstration, he gets once more into the cycle toward the finish of the novel. In spite of the fact that he is the most productive delinquent in the novel, he has organization. Jim, his first obvious companion, has no different indecencies as Elmer. Sharon is an adulteress and Frank is a rationalist. Everybody in this story has indecencies that they won't, or can't, surrender. That is valid with all people, which is the thing that makes the subject all inclusive. Everybody should peruse a book like this since he can take in something from it. Be that as it may, many traditional preservationist Christians need to edit this book since they state it assaults the Christian religion and is in poor taste. They are totally off-base, notwithstanding. They should hold onto this book as a notice on what not to do. 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Pregnancy And Infection Samples for Students †MyAssignmenthelp.com

Question: Talk about the Pregnancy And Infection. Answer: Pregnancy and contamination The above research article portrays about the multifaceted nature of the insusceptible reaction happening at the hours of pregnancy of a lady. The insusceptible reaction by the placenta for explicit pathogens influences the weakness of the lady to irresistible illnesses (Mor Cardenas, 2010). It is important to evaluate the collaboration of the pathogenic organisms with the placenta and its reactions to make a fitting prophylaxis treatment. Looks into in regards to this issue have been finished by numerous researchers. This subject has been inquired about by Gil Mor, Ingrid Cardenas, Vikki Abrahams, and Seth Guller, who had been investigating in the branch of Obstetrics, Gynecology and Reproductive sciences. They have concentrated on the urgent inquiry whether the maternal insusceptibility goes about as a companion or adversary during pregnancy. They have attempted to build up another worldview for the fetal - maternal insusceptible response during pregnancy and furthermore the immunological reaction of the mother to different pathogens. As per the creator, their principle challenge is to illuminate the immunological confusions of pregnancy for conveying the proper treatment to the patients with pregnancy (Mor et al., 2011). During pregnancy the human desidua comprises of enormous number resistant cells, for example, the macrophages, the administrative T cells and the characteristic executioner cells. At the hour of the primary trimester the dendritic cells, the NK cells and macrophages penetrates the desidua and totals around the trophoblast cells that are attacking. decrease of the resistant cells ends the pregnancy (Pazos et al., 2012). In this manner the erasure of the macrophages represents a hindering impact on the placental turn of events. This paper depicts the allograft worldview recently portrayed in the paper article. As indicated by the presumption of Sir Peter Medawar, Placenta is really an allograft that communicates proteins got from fatherly qualities and consequently ought to be dismissed under typical immunologic conditions however with the expanding information about placental science, it tends to be valued that placenta is increasingly similar to a transplanted organ (Robbins Bakardjiev, 2012). The trophoblast and the maternal invulnerability have advanced in an agreeable manner to assist each other for the achievement of the pregnancy. As per the Racicot ey al., (2014), there are sure immunological periods of pregnancy. The phases of pregnancy are include d by incomparable fiery situations. The first and the third trimester are genius fiery and second trimester a mitigating. During the primary stage the blastocysts need to attack the uterus epithelial coating for the implantation, break the endometrial tissue, which is again trailed by the replacement of the trophoblast of the endothelium and the vascular smooth muscles of the veins of the mother for a satisfactory fetal blood gracefully. The second immunological stage comprises of a fast fetal development. In the last immunological stage there is an inundation of the insusceptible cells. The professional fiery condition causes uterus compression, removal of the child and placenta dismissal. This strife of provocative reaction influences the host microorganism collaboration and takes into account various kinds of contaminations in would be moms (Mor et al., 2011). An article identified with this theme is pregnancy and contamination by Athena P. Kourtis, M.D., Ph.D., Jennifer S. Peruse, M.D., M.P.H., and Densie J.Jamieson, M.D., M.P.H. The paper had been distributed from the Division of the conceptive wellbeing and advancement, Centers of the illness control and anticipation, Atlanta and the Department of the study of disease transmission and Biostatistics. Kourtis et al.., 2014, have expressed that in contrast with the non pregnant ladies, pregnant lady are increasingly helpless to diseases by infections like flu, hepatitis E and Herpes Simplex infection. Pregnancy is included by its resilience towards the placenta and the baby, which permits the development of the outside tissue without dismissal (Kourtis et al., 2014). The expanded degree of Estrogen and the progesterone may smother the humoral invulnerability by stifling the creation of the B cell in the bone marrow. The inadequate insusceptible reaction towards viral contaminations lies in the degree of the cell invulnerability (Kourtis et al., 2014). The inappropriate resistant reaction to the viral antigens during the incubation time frame happens because of the move in the T-partner cells from the Th-1 and the Th-2 cytokine (Silasi et al., 2014). The principle point of both the papers is to comprehend the immunological strides of pregnancy and the host organism connection so as to make reasonable preventive drugs and prophylaxis for forestalling diseases and pregnancy misfortune. References Kourtis, A. P., Read, J. S., Jamieson, D. J. (2014). Pregnancy and disease. New England Journal of Medicine, 370(23), 2211-2218. Mor, G., Cardenas, I. (2010). The safe framework in pregnancy: a novel complexity.American diary of conceptive immunology,63(6), 425-433. Mor, G., Cardenas, I., Abrahams, V., Guller, S. (2011). Irritation and pregnancy: the job of the safe framework at the implantation site. Archives of the New York Academy of Sciences, 1221(1), 80-87. Pazos, M., Sperling, R. S., Moran, T. M., Kraus, T. A. (2012). The impact of pregnancy on foundational insusceptibility. Immunologic research, 54(1-3), 254-261. Racicot, K., Kwon, J. Y., Aldo, P., Silasi, M., Mor, G. (2014). Understanding the intricacy of the safe framework during pregnancy. American Journal of Reproductive Immunology, 72(2), 107-116. Robbins, J. R., Bakardjiev, A. I. (2012). Pathogens and the placental post. Current feeling in microbiology, 15(1), 36-43. Silasi, M., Cardenas, I., Kwon, J. Y., Racicot, K., Aldo, P., Mor, G. (2015). Viral diseases during pregnancy. American diary of conceptive immunology, 73(3), 199-213.

Swimming History Essays - Swimming, Aquatics, Freestyle Swimming

Swimming History Swimming was imagined before written history. People found how to swim by mishap. An individual likely fell into the water and battled to shore utilizing a hound paddle stroke. There was an Egyptian symbolic representation for swimming dating from 2500 BC. The antiquated Greeks and Romans made swimming a significant piece of their military preparing programs. There have been known swimming challenges that were sorted out in Japan as ahead of schedule as the first century BC. During the Middle Ages in Europe, swimming declined in notoriety. Individuals felt that the water was tainted and a wellspring of infection. Not every person dreaded the water, be that as it may, Louis XI supposedly swam every day in the Seine. During the mid nineteenth century, swimming delighted in a restoration, particularly in England, Lord Byron swam the Dardanelles stream, to demonstrate that the fanciful legend Leander could have done it. Composed serious swimming started in England during the 1840s. In 1844 the English were shocked when two American Indians showed the effectiveness of a strategy for swimming like the advanced slither. The British despite everything swam with the head over the water, a remainder from the days when individuals accepted that the water was defiled. An overhand stroke was brought into England in 1873 by J. Arthur Trudgen, who had seen South American Indians utilizing this technique to swim truly quick. At the point when the ripple kick was presented, the advanced Australian creep was conceived, and this stroke has since gotten the most normal and most significant swimming stroke. Wellness COMPONENTS To swim well u need to realize how to facilitate your arms and legs to get you through the water. From the outset you will most likely need to have exercises. Likewise to swim u need readiness and just gravity. Swimming likewise requires parity and snappiness now and again. Not much is had to know whether you need to swim. Swimming improves heart and lung proficiency, upgrades muscle quality and perseverance, improves adaptability, and lessens pressure. It's simple on the joints, and uses a bigger number of muscles than generally other types of activity. Albeit swimming consumes a lot of calories, recreational swimmers will in general lose less weight than would be normal from other sorts of oxygen consuming action. Researchers state that cool water expels heat from the body, invigorating craving to keep the body warm. Presentation to cold water may urge the body to keep up fat stores for protection. To get thinner by swimming, its important to eliminate the calories you eat, and to swim quick enough and long enough. Swimming can consume in excess of 660 calories an hour when performed effectively and makes less wounds joints and muscles than high impact exercise or on the other hand running. It takes just three hours per seven day stretch of arduous swimming to improve adaptability, increment quality and manufacture cardiovascular continuance. Swimming gives a decent high-impact exercise if 25% of the absolute laps are performed at most extreme power. Be that as it may, just 5% of the individuals who swim do as such at a vigorous pace. Albeit scarcely any uncertainty the oxygen consuming advantages of swimming, contemplates looking at swimming with running, results found that swimmers lost less muscle versus fat than joggers. Evidently swimming causes an alteration in how vitality is scorched, coming about in the consuming of a larger number of starches than muscle to fat ratio. One explanation may be that swimmers hold more muscle versus fat to protect and keep up body heat. Nonetheless, swimming works both the upper and lower body which running doesn't. WHAT IS THE SINGLE MOST IMPORTANT COMPONENT TO MASTER IN YOUR SPORT? Clarify HOW THIS IS Achieved. Beyond what half of all Americans can't swim. Drownings guaranteed 5,200 American lives in 1990 and is the fourth driving reason for incidental passings for kids under 5. Many feel figures are really higher, since passings happening after revival or hospitalization as a rule aren't credited to the first suffocating. Numerous lives could be spared if individuals would simply figure out how to swim. Right swimming doesn't fall into place easily for the body and can't be educated overnight. Those swimmers who are depleted after a large portion of a lap need more guidance. The most widely recognized swimming issue is inaccurate breathing which makes people use more vitality than would normally be appropriate. Organizing relaxing with legitimate head turn is the way to capable swimming. Legitimate guidance is the main way you can become familiar with this, it is the key part to swim well. WHAT IS UNIQUE ABOUT YOUR SPORT? The most extraordinary thing about swimming is the real hustling in the water, you plunge off squares and swim as quick as possible in the same number of various styles and lengths. Book index Swimming. Grolier Multimedia Reference book. Cd ROM. 1996 ed Absolute inundation swimming Arcticles by Terry Luaghlin

Definition and Examples of the Fallacy of Equivocation

Definition and Examples of the Fallacy of Equivocation Evasion is an error by which a specificâ word or expression in a contention is utilized with more than one significance. Its otherwise called semantic quibble. Contrast this and the related term ofâ amphiboly, where the uncertainty is in the syntactic constructionâ of the sentence instead of only a solitary word or expression. Contrast additionally and the term polysemy, which alludes to when a solitary word has more than one importance, andâ lexical vagueness when a word is equivocal in light of the fact that it has more than one significance. Quibble is a typical deception since it frequently is very difficult to see that a move in significance has occurred, note writers Howard Kahane and Nancy Cavender in their book Logic and Contemporary Rhetoric. The sugar business, for example, when promoted its item with the case that Sugar is a basic part of the body...a key material in a wide range of metabolic procedures, ignoring the way that it is (glucose) not customary table sugar (sucrose) that is the crucial sustenance (Wadsworth, 1998). In a more extensive sense,â equivocationâ refers to theâ use of obscure or unclearâ language, particularly when the expectation is to delude or misdirect anâ audience. Combatting the Fallacy You have to find setting behind the elusive terms and a contentions attestations when attempting to battle a quibble deception. Theâ fallacy of equivocationâ occurs especially inâ argumentsâ involving words that have an assortment of implications, such asâ capitalism, government, guideline, swelling, sadness, expansion,â andâ progress, note authors Robert Huber and Alfred Snider in their book Influencing Through Argument. To uncover the deception of evasion you give exact and specificâ definitionsâ ofâ terms,â andâ showâ carefully that in one spot the meaning of the terms was unique in relation to the definition in another (IDEA, 2005). Investigate the accompanying ridiculousâ syllogismâ example given in the book Informal Fallacies: Towards a Theory of Argument Criticisms by Douglas N. Walton: An elephant is an animal.A dim elephant is a dark animal.Therefore, a little elephant is a little animal.Here we have a relative term, little, that movements importance as indicated by the unique situation. A little house may not be taken, in certain specific circumstances, as anyplace close to the size of a little bug. Little is an exceptionally relative term, in contrast to dark, that movements as per subject. A little elephant is as yet a moderately huge creature. (John Benjamins, 1987) Exploring prevarication paradoxes in a discussion rivals contentions will be more troublesome than one that is promptly obvious to be not genuine like the abovementioned, however errors like this are beneficial to battle, as getting the opportunity to see behind the drapery and find truthâ is significant, for instance, while looking for people groups (or government officials) thought processes behind what they endorse.â Another territory to delve into is dubiousness of a case or when a term is left unclear. For instance, when President Bill Clinton guaranteed not to have sexual relations with Monica Lewinsky, his announcement may have implied one specific act yet was introduced so that it showed up he trusted individuals would gather his disavowal of a wide range of sexual contact. Next, search likewise for words taken outside of any relevant connection to the issue at hand from a unique book or discourse and wound around to mean some different option from what the individual implied.

Literary Pet Peeves When Characters Preach

Literary Pet Peeves When Characters Preach Everyone has literary pet peeves. For some, it’s the precocious child narrator. Some people can’t deal with it when the author breaks the fourth wall. Perhaps you get a little stabby when confronted with linked short stories. For me, the most irritating, infuriating, rage-inducing Literary Thing is the preachy book that uses the conversations of the characters as a mouthpiece for the author’s Message-With-A-Capital-M. I don’t mean preachy like the Anne of Green Gables, let’s all just be nice and have bosom friends and plant gardens kind of preachy. In fact, preachiness in a kid’s book doesn’t really bother me at all. It’s when the preachiness is masquerading as literary fiction that I get a little eye-rolley. When I can point to a book and say, “this was used by the author to explain his/her world view,” a book has passed the preachiness threshold. More specifically, if a selection of dialogue or a speech given by the narrator (or worse, a dream a character has) can be added to the end of the sentence, “The moral of the story is ___,” the author is preaching. It doesn’t even matter WHAT is being said. Whether it’s Shug Avery’s dialogue-driven explanations of the nature of God in The Color Purple or John Galt’s ridiculous 70-page defense of heartless capitalism in Atlas Shrugged, the whole Using Your Characters’ Conversations To Make a Moral/Political/Religious Point is pet peeve-tastic. It’s lazy. Just write an essay.* This can be a truly unpopular opinion in circles of readers who are in books for their “improving” capabilities. I’m not that reader. I’m in it for a good story and for excellent writing that makes me appreciate what language can do. I’m not in it to be directly told what to think by a character while they’re doing the laundry or addressing the multitudes. I’m not saying that I’m not open to new ideas or thought processes that are presented in fiction- I’m just not open to them when they’re presented cheaply and without subtlety. I need to be quietly drawn in by the prose, gently led to your conclusion (or even better, given the opportunity to arrive there myself). Am I alone here? Among your literary pet peeves, does this one factor in your reading life? *Moralizing in Victorian-or-older novels isn’t as bothersome to me because that was where the evolution of literature was at the time. I feel like storytelling has moved on by now. Sign up to Unusual Suspects to receive news and recommendations for mystery/thriller readers. Thank you for signing up! Keep an eye on your inbox.

Quality and Safety in Practice - Free Essay Example

Explain what will be expected in this presentation i.e the role played by parties in quality, safe patient care on daily basis. Introduction The contributions made by nurses to healthcare as well as the wellbeing of the society, is at the very least incalculable (Vincent, Coulter, 2002). As the concept of healthcare moves towards a value- based care across the board, nurses tend to play a crucial role in ensuring the quality as well as the safety of patients care. For instance, as a nurse, I tend to be extremely passionate when it comes to providing my patients with the best possible care. Explain what you mean by quality and safety in health care. State the importance of quality and safety in health care The case There’s this situation which I had to deal with, a 70- year old man who walked into the hospital with a number of health complications, which resulted from his difficulty in breathing. The patient immediately collapsed upon reaching the hospital State the case you experienced as a nurse. Do not forget to state the age of the patient and how you came across him Summary of the case This old man was facing several health complication due to his age. He never had his inhaler with him and was all alone not accompanied by his family or friends. I had to attend to him after collapsing as we waited to be attended by a doctor. Explain the health complications the patient was undergoing. Also do not forget to mention the steps you took   in ensuring the safety and quality of the patient. Role played by the nurse in the patient care situation As a nurse, I tend to be extremely passionate when it comes to providing my patients with the best possible care. What I could do to the old man at that very moment was to perform a CPR on the patient. I then checked the patients breathing, I loosened his tight shirt, and I helped the patient use an inhaler. Cont. Later on, I continued to monitor the patients breathing, until the doctors were able to operate on him. Fortunately, the operation became a success, the patient was admitted for a few days so as to allow the doctor to monitor his vitals. I offered counseling to the patient after which he was discharged upon the doctor’s prescription Explain the aid you granted to the patient in ensuring his safety in his breathing problem. Also do not forget to explain the advise you gave to the patient on ways that can assist him improve his health condition. Role played by the patient in their own quality- or safety related situation After counseling the patient, the patient agreed to be using an e- scale. It will help the patient manage his medical condition at home. The device is used when the patient experiences heart failure or difficulty in breathing. Cont. He will step on the scale to check on his weight. The e-scale   will in turn will send alerts instantly to the healthcare professionals when the weight of the patient surpasses the desired range (Laschinger, Leiter, 2006). Describe some of the measures you gave to the patient that will assist in managing his condition while away from a health i.e. use of the e-scale. Besides,explain how the e;scale works on the patient with the breathing difficulties while away from ahealthcare centre. Relationship between patients care and the outcome The need for detailed information on the relationship between patient’s quality of care and the outcomes is one primary results of the recent changes in the United States healthcare system. Such changes tend to reflect the increased expectations of patients, coupled up with pressure to stop the increased costs (Black, et.al, 2011). Cont. Patient care and patient outcome are directly related to each other. In our situation, due to provision of his quality of care to the patient, the outcomes were also positive, The patient was able to survive the operation as well as the quality of care. How the care environment affects the situation The Impact of environment on outcomes and patient satisfaction is all based on the idea that a perfect environment not only promotes healing as well as environment but it also prevents the patient from falling. Moreover, a dynamic environment puts a lot of emphasis on the best practices in the control of infections by placing sinks as well as sanitizers at the point of reference (Laschinger, Leiter, 2006). Cont. In our case, the hospital setting which was the care environment played a huge role in promoting the patients safety. For instance the hospital had access to facilities which prevented the patient’s breathing, the patient was also operated on as soon as possible thus increasing his chances of survival. Give details on the contributions of a perfect environment to the well being of the patients health conditions. In this case state the hospital setting as an environment which attributed to your patients safety. A quality care model A quality care model was employed, however, in our situation I believe the delivery of care to the patient was quantified within the model â€Å"structure and process which is equal to outcome†. The structure in the delivery of healthcare may be referred to as the organizational structures in the hospital. An example of such a structure is the Joint commission for Accreditation of healthcare organizations (JCAHO). Cont. The process in this case refers to the patient interventions performed by the healthcare practitioners. For instance, the CPR and the first aid which I had to perform on the patient, the doctors operation and the medical prescription which result into an outcome. Moreover, outcome, refers to the aftermath of the patient’s interaction with the healthcare providers (Black, et.al, 2011). An example of an outcome is the mortality rate which is associated by the operation procedures as well as the doctor’s medical prescription. State a structure process that was applied in the patient’s case ensured delivery of quality healthcare. Eg (JCAHO). Explain what the model entails in ensuring quality and safety patients care. Give a example of a first aid performed to the patient   which ensured best results to the patient. Give a case on the use of CRP which resulted a reduction of mortality rates.   Actions taken to improve future outcomes Given the complicated nature of improvement in the outcomes as well as the high requirements for building as well as maintaining a continuous quality improvements in the number of outcomes, it’s no surprise that health systems tend to feel overwhelmed by the situation. In order to improve the future outcomes, the action that I plan to take is to educate the patient on the quality of care and safety Cont. I also plan to counsel my patients on the do’s and don’ts in order to improve their safety. The other action which I plan to undertake is to vote for an increased number of nursing staff, in order to reduce the number of undone tasks due to excessive workloads. A similar case is a research study conducted, featuring the Australian healthcare settings that demonstrated an increase in the number of the patient’s work load increases the chances of the patient dying with the first one month of the patient’s admission. Cont. Moreover, findings from the research report showed that an increase in the number of staff decreased the rate of patient’s mortality (Vincent, Coulter, 2002). Hopefully, with an increased number of nursing staff, the number of nurse’s workload is probably going to decrease thus increasing the chances of the patient’s survival. Explain measures that the health care practitioners need to apply in order to ensure continuous quality and safety to the patients. Also explain the need to have more nurses. This will ensure better services to the nurses at all time. Increase of the nurse practioners will also reduce the rate of patients mortality.

A New Kind of Structure. Research and Development, Pfizer

a new kind structure A Case Study Presented to the Faculty of the Department of Business and Management College of Management and Economics of the Visayas State University ______________________________________________________ In Partial Fulfillment of the Requirements in MGMT 101: Concepts and Dynamics of Management ______________________________________________________ Submitted by: GROUP I (Write your Group Number) (Names of Members in Alphabetical Order with Family Names First, followed by the First Name, then Middle Name) Submitted to: Mr. Stephen Alexeus G. Baltazar Date of Submission CASE STUDY ANALYSIS Title Page Acknowledgement Table†¦show more content†¦CURRICULUM VITAE (CV) Please make formal Curriculum Vitae per member and attach formal pictures. Please make a uniform format for the Curriculum Vitae. 16. PAPER SIZE Your output should be written in an 8.5 by 13 inch LONG WHITE bond paper. 17. MARGINS Left = 1.0†, Right = 1.0†, Top = 1.0†, Bottom = 1.0† 18. FONT TEXT Times New Roman 19. FONT SIZE Size 12 20. FONT STYLE Regular. Please Use ITALICS in emphasizing some text. Headings or Sub-headings should be in BOLD letters. 21. LINE SPACING Paragraphs must be 1.5 line-spaced and in-between paragraphs at 1.5 line-spacing. 22. PARAGRAPH ALIGNMENT Choose JUSTIFY in aligning your paragraphs. 23. INDENTION Indent your paragraphs. 24. PAGE NUMBER Page numbers should be placed in the lower right corner of the bond paper. 25. COVER OF THE OUTPUT Your final output should be placed in a long sliding folder. The colors of the sliding folder are as follows: Decision-Making: Designing Dollars --- BLUE Planning: Mastering the Plan†¦Priceless --- GREEN Organizing: A New Kind of Structure --- YELLOW Leading: Radical Leadership --- RED Controlling: Baggage Blunders --- ORANGE 26. NUMBER OF PRINTED COPIES One copy is required per case. 27. POWERPOINT PRESENTATION Each group is required to make a powerpoint presentation for their assigned case only. 28. 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What Is a Dependent Variable in Science

A dependent variable is the variable that is tested and measured in a scientific experiment. It is sometimes called the responding variable. The dependent variable gets its name from the fact that it depends  on the independent variable. As the experimenter manipulates the independent variable, a change in the dependent variable is observed and recorded. Dependent Variable Examples Imagine that a scientist is testing the effect of light and dark on the behavior of moths by switching a light on and off. The independent variable is the amount of light, and the dependent variable is the moths reaction. A change in the independent variable (amount of light) directly causes a change in the dependent variable (moth behavior). Another example of a dependent variable is a test score. How well you perform on a test depends on other variables, such as how much you studied, the amount of sleep you had the night before, whether you had breakfast that morning, and so on. The manipulation of these independent variables has an effect on the dependent variable (the test score). In general, if you are studying the effect of a certain factor or the outcome of an experiment, the effect or outcome is the dependent variable. If you measure the effect of temperature on flower color, temperature is the independent variable—the one you manipulate—while the color of the flower is the dependent variable. Graphing a Dependent Variable When independent and dependent variables are plotted on a graph, the independent variable is usually measured along the x-axis and the dependent variable along the y-axis. For example, if you were examining the effect of sleep on test scores, the number of hours participants slept would be plotted along the x-axis, while the test scores they earned would be plotted along the y-axis.

The Bill Of Rights And The Amendment Of The Constitution

In 1976, The Declaration of Independence was signed by Thomas Jefferson and included the Bill of rights that provided us with Freedom (Schweikart, 2004). The bill of rights was established so each citizen is equally treated and allowed to share their idea and not be disgraced for it (Bodenhamer, 1993). The first ten amendments to the constitution of the United States established basic American civil liberties (Schweikart, 2004). The Bill of rights and the amendments of the constitution were written about the same time by the same people. The Bill of Rights and amendments both focused on limitation of state tyranny. The Bill of rights has been used for defining civil liberties in their own constitution (Bill of Rights, 2015). The Bill of rights is a document consisting of the constitution’s first ten amendments (Yero, 2006). What is a bill of rights? The Bill of Rights are sections of the constitution, which include the first ten amendments of the constitution. On September 25, 1789, Congress transmitted to the state Legislatures twelve proposed amendments to the Constitution, Numbers three through twelve were adopted by the states, later name the Bill of Rights (Schweikart, 2004). The Bill of rights plays a central role in America’s law and government. The Bill of rights lists specific freedoms that the government cannot threaten or take away (U.S. Bill of Rights, 2015). When the constitution was written, many states already had a bill of right established (Yero, 2006).Show MoreRelatedThe Bill Of Rights By James Madison And Influenced By George Mason1078 Words   |  5 Pageswhich the bill of rights was written by James Madison and influenced by George Mason was the United State of America in the late seventeen hundreds. The bill of rights has many differences from an amendment. The constitution is the bases of the bill of rights. The federalist and the anti federalist had different views in which the bill of rights came into play. Many people in the United States did not want a government that reflected the England government. One will look at what is the bill of rightsRead MoreUnited States Of America Constitution845 Words   |  4 PagesUnited States of America Constitution The United States of America is by far the most successful Republic governed country in the world and has managed to survive for over 223 years. The success can be contributed to the foundation that the farmers created, which is the United States Constitution. The framers knew that with time the needs of the people would evolve due to changes in society. 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The Qualities Of Effective Leaders Are Good Communication...

INTRODUCTION â€Å"Leaders are people who do the right things; managers are people who do things right†. – Professor Warren. Leadership is the art of getting someone else to do something you want done because he wants to do it. – Dwight D. Eisenhower. Leaders help others and themselves to do right things. They make an inspiring vision, set way, and create something new. A perfect leader is a person who creates an inspiring vision of future, motivating and inspiring others, managing the proper delivery of vision, coaching and building a team to achieve that vision. The qualities of effective leaders are good communication skills, motivating teams, bringing together strong teams, taking right risks at the right time and goal setting. Leadership is proactive, problem solving, looking forward and not getting satisfied with things as they are. People believe and admire in the leaders because they are expert in what they do. Leaders also make sure they manage the change effectively. 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Life Insurance Free Essays

.. TABLE OF CONTENTS STRATEGIC MARKETING PLAN DEFINES SALES SUCCESS IN TWO LEADING LIFE INSURANCE COMPANY Target companies: AVIVA Life Insurance Pvt Ltd. We will write a custom essay sample on Life Insurance or any similar topic only for you Order Now 1] Executive summary: The research is to be conduct how each company has performed in sales and the improve effectiveness of selling process. Research objectives and aims are to compare the performance of the AVIVA and HDFCSLI. As this research studying based on the Indian market, the research is proceeding in Bangalore, which is one of the main city in India. Research mythology is proceeding under collecting data of the current status of the both company and from the people to know the brand awareness and the purchasing behaviour when buying life insurance policies. THE BACKGROUND OF THE INDUSTRY Companies rating can be identified as follows:- A++,A+ are superior companies. A or A- good companies B. is growing company C- means position is not good. D is below the standard (minimum). E rate is company is taking the help from the state to run the business. LITERATURE VIEW Sales management and customer satisfaction: Influence of Advertising on Sales: This is a very important fact in life insurance industry as, their most of sales advertising by the salespersons. Draw back of a company can be happen due to the lack of communication and the problems in communicating with the consumers. Influence of Sales promotions on sales Sales promotions has taken an increasing share of the marketing budget, at the expense of advertising,because promotion can achieve a measurable increase in short term sales , which advertising cannot. There is a tension between the short term effects of promotion and the long term effects of advertising. This results in confusion in marketing community. How ever, there is a desirable effect on sales market from promotions. The main intention to promote sales is to attract the customers attention. Doing promotions in life insurance industry is can be following To extend the user base To reward and retaining existing customers To introduce trail of new product and by cashing and on the establish brand To counter competitor’s offer To clear inventory To enhance brand value To survive under the high pressure of competition, companies tend to do more and more creativity on their sales promotions by adding promotion tools. Promotions tools which can be use in life insurance industry are, Games and contests Lucky draw Gifts Attractive offers for the policies RESEACH PROBLEM: *STUDY AIMS AND OBJECTIVES*: To analyze the potential of Life Insurance in Investment Industry. To get the better understanding of various Life Insurance Product. To compare the performance of the AVIVA and HDFC To evaluate various need of customers for Life Insurance and their To study the brand awareness of the AVIVA and HDFCSLI The levels of trade support achieved, such as point of sales display. IMPORTANTS OF THE STUDIES RESEARCH DESIGN AND METHODOLOGY Research Design: Research Design that is followed in this report is sampling which is the most appropriate technique because Bangalore is a big city. The sample numbers were not overlapping in areas then these selected with ultimate sample consisting of all units whole Bangalore 10 potential areas ere selected and are picked randomly from these area. Thus the total sample of 300 was taken and analyzed. Research Methodology: Research methodology is mainly concentrating following questions. Evaluating the sales and marketing methods, personnel sellings , telephone selling ,postal orders, etc , that each of the retailer’s used , as well as determining the effectiveness of these sales methods. Determining how effective these methods we re in supporting and communicating each company’s product and company image Determining who are the customer and potential customers in each company. This is to establish their perception of the company , as well as their attitudes to its image in comparison to those of its competitors. Determining the intermediaries in the market place This is to establish why these intermediaries selected the company and its services, rather than the services of its competitors. In addition, the research evaluated how the company image enhanced the over all sales processes , through all the company communications. Contact with head office, agents and inspectors , promotional material sent to intermediaries , and information on new products , proposal forms , company information, etc Determining the insurer’s own agents and sales force This was to determine whether those members of the sales team were communicating the right image and sales message effectively. In addition, this research is designed to determine whether their sales techniques and methods were ‘synergistic’ with other aspects of the marketing mix, such as advertising and promotions All the findings are based on the survey research method. Data Collection Methods: 1. Primary Data: Questionnaire Detail analysis of data collected through questionnaire: To evaluate various need of customers for Life Insurance and their Purchase behaviour. To know the level of brand awareness of the company among the Consumers. Limitations of the study As this research is focussed on limited group and a limited area space it is not enough to study the production success of the world wide company. Sales rofit can be different according to the area , culture and people. As it is not possible to cover the whole india and also whole Bangalore, results could be limited. Richard M SwILSON , Colin Gilligan with David pearson (1992) David jobber, Geoff Lancaster – 7thedition ‘’ selling sales management’’ Carl McDaniel , Roger Gates (1999) ‘’ marketing research’’ Robin Birn (1992) ‘’The effective use of marketing research (1992) David jobber ‘’ selling sales str ategy ‘’ Gorden wills (1974) ‘’ strategic issues in marketing ‘’ Colin Mclver (1984) ‘’case study in marketing’’ Journal of marketing (2009) volume 25 Cunliff bolling (1969) ‘’sales management’’ Giep Franzen (1999) ‘’Brand Advertising’’ William G. Zikmund (2003) ‘’ Exploring marketing research Bill Donaldson (1998) ‘’ sales management’’ Martin lindstrom (2005) ‘’ Brand sense’’ Bill Donaldson (1988) ‘’ sales management’’ Terence A. Shimp ‘’ Advertising and promotion’’ www. AVIVA. co. in www. hdfcsli. co. in Google search How to cite Life Insurance, Essays

of Eukaryotic Organelles 10/1/96 Essay Example For Students

of Eukaryotic Organelles 10/1/96 Essay Essay of Eukaryotic Organelles10/1/96The mitochondria has an eggshape structure. The mitochondria consists ofan inner and outer membrane. The outer membrane is what shapes theorganelle to its egglike shape. The inner membrane which folds inwardmakes a set of shelves or cristae that allow the reactions of themitochondria to take place. The more the mitochondria makes these reactionsthe more the inner membrane folds. This happens because the mitochondrianow has more surface area connecting it to its surroundings. The processesthat the mitochondria make are to break down the high energy organicmolecules into smaller more useful packages. The endoplasmic reticulum is a network of tubes and channels thattransport and with the help of ribosomes produce proteins. The roughendoplasmic reticulum contains ribosomes which are not present in thesmooth endoplasmic reticulum. The rough endoplasmic reticulum allows thecell to produce proteins. The smooth endoplasmic reticulum is used in thedetoxification processes in the cell and the transitional endoplasmicreticulum is used to breakdown glycogen to glucose. The endoplasmicreticulum is versatile and grows and shrinks according to the cellsactivities. Chloroplasts which are found in plant cells are used in the process ofphotosynthesis. They fall into the category of plastids but they aredifferentiated in that they contain chlorophyll. These organelles producechemical reactions from the energy that the sun gives them. The Golgi complexs structure is made up of many flattened membranes sacsthat are surrounded by tubules or vesicles. These are called thecisternae. The golgi complex accepts vesicles from the endoplasmicreticulum and modifies them for usage in the cell. The golgi complex isused to distribute materials which help form the cell membranes. They alsoassemble the membranous material by producing glycolipids andglycoproteins. The golgi complexes also hand their vesicles materials forsecretion. The golgi complex could not do its job without the help ofvesicles. Vesicles bring and send the organelle its materials.

A View To A Death In The free essay sample

Morning Essay, Research Paper Jeremy Childs Paper 1 2/29/00 A View To A Death In The Morning History is full with separate categorizations of the human universe and the kingdom of the wild. Hunters, Philosophers, and authors throughout clip have drawn a all right differentiation between the wild universe and the universe of Homosexual sapiens. However, is this differentiation simply a justification to do runing a morally right enterprise? Possibly mankind rationalizes the ultimate end of the Hunt in order to supply himself with a loophole or scapegoat-a manner to finally divide his being from other non-human animate beings. In order to to the full understand Matt Carmill # 8217 ; s definition of what hunting is, we must see the cogency of the countless efforts of adult male to separate between his universe and the wild universe. In England during the seventeenth century, hunting was still considered a marker of upper-class position. This thought furnished a theoretical account for European rule over the remainder of humanity merely as adult male exercised his rule over the carnal land by runing ( Carmill 142 ) . Rene Descartes recognized human existences as queerly composite entities, portion head and portion affair ; but he regarded all other things as either pure affair ( like a stone ) or pure head ( like and angel ) . The animals, he insisted are wholly made of body-stuff-and so they have no feelings or esthesiss ( Cartmill 95 ) . For the pure fact that we can non understand the mystery of nature may hold been what primed world to divide him from the carnal universe. The premises mankind conjures about the animate being land assistance in the creative activity of two distinguishable universes. For case, Descartes writes # 8220 ; All human existences no affair how dull or stupe, even lunatics, can set up assorted words together and manner them into a discourse through which they make their ideas understood. Contrariwise, no animate being nevertheless perfect of good bred can make anything of the kind. This is non simple because they lack the right organ, because magpies and parrots can larn to arrant words every bit good as we can? and people born deaf and mute-who are a least every bit handicapped as the animals are-have the usage of contriving their ain marks, with which they communicate? All of which proves that the animals have less ground than people, but that they have no ground at all ( Cartmill 95 ) . Man # 8217 ; s mind and personal haughtiness seem to make a false sense of high quality over his sort and non-human animate beings. Mankind celebrates diverseness within his ain species by invariably sorting single differences. What adult male does non look to recogn ize is that he is merely another species among many species. Possibly Social Darwinism can explicate where some of adult male # 8217 ; s ceaseless efforts to exert rule over the Earth. Herbert Spencer believed that development meant advancement ; that is, development had a intent, it was the mechanism by which flawlessness is approximated. He indicated that the ultimate development of the ideal adult male is logically certain-as certain as any decision in which we place the most inexplicit religion ; for case that all work forces will decease? Progress, hence, is non an accident, but a necessity. Alternatively of civilisation being unreal, it is a portion of nature, all of a piece with the development of the embryo or the flowering of a flower ( Spencer ) . For Spencer, societies evolve merely as beings do ; therefore, the impression of endurance of the fittest society came to be called Social Darwinism. Humans in society like other animate beings in their natural environment, stru ggled for endurance, and merely the most fit survived. The thoughts expressed by Spencer are frequently falsely associated with Charles Darwin. We can clearly see that the thought of endurance of the tantrum trial had an impact on mankind’s high quality composite. Mankind has misconstrued Darwinian theory of development to be synonymous with progress-or that world has progressed to the pinnacle of nature’s graduated table. Aristotle classified worlds as the lone beings that possessed a rational psyche, which implied that worlds were more evolved than workss and non-human animate beings. However, development does non intend advancement toward flawlessness. Development is merely an adaptative agencies for endurance in a specific environment. Harmonizing to Darwin Evolution is nil more than descent with alteration. Those beings with features most contributing to survival under the fortunes will go on to last and reproduce. Mankind is non the end point of development as many of us want to believe ; instead development has no specific end or way. No individual being is any longer evolved than any other. Both human existences and angleworms have evolved to their fullest potency a t this point in clip. As worlds and non-human animate beings proceed through clip, each species will accommodate the necessary traits conducive to survival in their specific environment. Matt Cartmill writes # 8220 ; Throughout Western History the Hunt has been defined as a confrontation between the human universe and the wild. Giving up the differentiation between those two universes means flinging the whole system of symbolic significances that have distinguished runing from mere abattoir and given it a particular importance in the history of western thought. If the border of nature is a hallucination, so runing is merely carnal killing? # 8221 ; ( 234-244 ) . If we remove the differentiations between adult male # 8217 ; s universe and the carnal land, we begin to recognize that adult male is simply another animate being species bing within, non apart from, nature. Our civilization is partly responsible for world # 8217 ; s belief that his being is exalted and hence removed from nature. Possibly the mystical qualities of nature are portion of what prompted adult male to separate the wild universe from his ain universe. Mankind separates from himself what he can non gestate or explicate as a manner of cut downing the tensenesss of the unaccountable. Human existences prefer what is clear, familiar, and interpretable. Man feels safe and secure in his civilised universe, whereas the enigma of nature becomes the # 8220 ; wild. # 8221 ; Although the Romantics enjoyed the mystery of nature, they still attempted to separate it from the human universe. Rousseau writes, # 8220 ; Nature seems to desire toe conceal from human eyes it # 8217 ; s existent attractive forces, of which work forces are all excessively small cognizant and which they disfigure when they are within reach # 8221 ; ( Cartmill 116 ) . This transition does non connote that all work forces are barbarians that enjoy destroy nature ; instead it merely sheds some visible radiation to why we define runing as a confrontation between the human universe and the wild. Hunting, as with any other athletics is merely another manner for adult male to divert himself until he grows bored and attempts some other external stimulator. As a species, adult male is destructing nature, yet the incrimination is frequently erroneously placed on the huntsmans. The symbolism of the Hunt, whether it is the enjoyment of nature, the events that precede the putting to death, or the putting to death itself are nil more than justifications that provide us with a supposed rational reply of why we engage in such activities. Morality need non be factored into this issue, or any other. Regardless of what the huntsman # 8217 ; s motivations are, person else will ever hold some kind moral expostulation. Although world can construct citations and predi ct the conditions, he still does non put him apart from nature. He merely exists in an environment that is within the bounds of nature. Hunting so seems to be nil more than animate being violent death, which likely would non be done if the huntsman # 8217 ; s lone arms were his head and a lance.

Baby Boomers Are Jealous Essay Research Paper free essay sample

Baby Boomers Are Jealous Essay, Research Paper Baby Boomers are Covetous Stephen M. 10/30/96 Professor Shockley Generation X # 8217 ; Ers have been described as # 8220 ; fanatically independent persons pathologically ambivalent about the hereafter, and brimming with unsated yearnings for permanency, for love, and for stuff possessions. # 8221 ; ( Lauren, p.64 ) This less-than-flattering description of our coevals has since been expanded by the media to the point that myself and my equals are described as a clump of apathetic shirkers unconcerned with household values, godless faultfinders resentful of the preceding coevalss. Since Douglas Coupland # 8217 ; s Book Generation X came out in 1991, many things have been said about the twentysomethings. Labeled by Coupland and the media as Generation X. Although the name has stuck, Coupland # 8217 ; s book is virtually impossible to happen. Why is that? Could it be because Generation X describes us, me, everyone who was born between the old ages of 1963-1983 as # 8220 ; white and privileged and populating in a suburb near you # 8221 ; ( Giles, p4 ) . We will write a custom essay sample on Baby Boomers Are Jealous Essay Research Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In add-on, Ad Age referred to Generation X # 8217 ; Ers as # 8220 ; That misanthropic, purple-haired blob watching TV. # 8221 ; ( Giles, p2 ) What makes our coevals so particular, is that we have proven them all incorrect. Generation X consists of those between the ages 13 and 33 old ages of age. We as a group have become the productive, interested, and hardworking persons that we are today. We have grown to recognize that the hereafter # 8217 ; s undiscovered state is expecting our reaching, and is at that place for the pickings. It isn # 8217 ; t at all dry that during our short lives the universe has seen so many alterations. Through the work of our coevals and the reactions of the Baby Baby boomers coevals, we have helped turn this universe into a new age of wisdom ; a cut-the-crap, truth seeking coevals, both richer and poorer because of it. Do non experience threatened, nevertheless, our hereafter, our coevalss hereafter, and the hereafter of the human race, is in the custodies of the most informed coevals to day of the month. Turning up in an of all time shrinking universe. X # 8217 ; Ers largely portion an restlessness with racism, greed, and ignorance ( Lauren, p. 70 ) . The common usage of the computing machine opened the of all time spread outing skylines to the main roads of the universe throughout internet. Fact be known Gen X is neither white, nor rich, nor do they all live in a suburb near you. 70 per centum of X # 8217 ; Ers are white, while 13 per centum are black, 12 per centum Hispanic, 4 per centum Asian, and 1 per centum are Native American ( Giles, p4 ) . In add-on, harmonizing to a recent study conducted by the sociology section at the University of Maryland, Generation X # 8217 ; Ers can now be classified by the term? Neat # 8217 ; ( Carnoy, p.80 ) Dr. John P. Robinson late supervised a telephone study and concluded that 57 per centum of 18- to 29-year-olds said that holding a neat and clean house was # 8220 ; really of import # 8221 ; to them ( Carnoy, p. 80 ) . When compared to the Baby boomers, merely 48 per centum of the 30- to 49-year-olds felt the same manner ( Carnoy, p.80 ) Examples turn outing that Generation X is non a clump of? shirkers # 8217 ; are prevalent all through our society today. Swing, Might, Paper, Curio, and myriad other magazines are all published by X # 8217 ; Ers, for X # 8217 ; Ers. T.A.G. officially known as? The Alternative Group # 8217 ; is after representation. # 8221 ; For excessively long our demands ( Generation X ) have gone ignored in our local, province, and national authoritiess. In truth, we hope to be a grassroots lobbying force for our a Ge group.† ( TAG, Aims ) Adam Werbach ( 23 ) is take a breathing new life into the Sierra nine, America # 8217 ; s oldest, largest, and most in-between elderly environmental group. Thousands of X # 8217 ; Ers are starting up all over the topographic point, taking the reins of society and softly altering America. # 8220 ; Young People are less commited to their occupations now. My male parent started working for AT A ; T every bit shortly as he graduated from college and he merely retired last twelvemonth, at 55, I don # 8217 ; t know anyone my age who is likely to hold the same state of affairs. These yearss, three or four old ages is the longest anyone stays at one company. Peoples want more out of life than merely a occupation. They want to be making something they love, and they want to travel up fast. It # 8217 ; s no longer a mark of failing to go forth a occupation after a short stretch. Now, it shows that you # 8217 ; rhenium ambitious. # 8221 ; ( Schiman, Swing ) # 8220 ; The Boring Twenties: Turn Up, Crybabies. You # 8217 ; rhenium America # 8217 ; s Luckiest Generation. # 8221 ; Headlined the Washington Times ( Giles, p2 ) Unfortunately, but we aren # 8217 ; t America # 8217 ; s luckiest kids. More than two-thirds of today # 8217 ; s college and university pupils receive some kind of fiscal aid during their academic calling ( T.A.G. , Aid ) . It is no admiration so, that when the Congress begun talk of # 8220 ; cutting # 8221 ; fiscal assistance, many campuses across the state made their voice heard loud and clear. On top of that, many alumnuss come ining the work force did so during the recession of 1990-1991. # 8220 ; Today the mean full- clip wage for a male between 25 and 34 is $ 26,197 ; the norm for a female is $ 21,510 ( Giles, p.4 ) For Generation X # 8217 ; Ers to turn up in places where the divorce rate even hit 50 % ( Leveridge, p15 ) the could be considered Americas unluckiest kids. The recent revival of retired people traveling nearer to college campuses is amazing. The figure of Gen X # 8217 ; Ers that want inter action with the retirement community is alone ( Harris, P. 57 ) . After all this is said and done, Generation X has far surpassed proving their worth to the baby-boomers. Could the Baby-boomers nostalgia of the? good ol yearss # 8217 ; be the finding factor in the changeless bombardment of our coevals. One twenty-four hours they will calculate us out, but by so it will be excessively late. It is the thrust, finding, and inspiration that our coevals has, that will let every individual one of us conquer, and neer be conquered. It is besides this which brings us together, and defines us a coevals, Generation X. Plants cited Atwan, Robert, erectile dysfunction. Our Times. 4th Edition Boston: Bedford 1995 Carnoy, David. # 8220 ; Into the Great Divide. # 8221 ; Swinging: September 1996: 80-81 Forrest, Bret. # 8220 ; Douglas Coupland: Ideas and Reality # 8221 ; Swinging: July/Aug 1996: 75 Giles, Jeff. # 8220 ; Generalizations X. # 8221 ; Our Times. Ed. Robert Atwan. 4th edition. Boston: Bedford, 1995 Goldman, Debra. # 8220 ; Generalizations X. # 8221 ; Our Times. Ed. Robert Atwan. 4th edition. Boston: Bedford, 1995 Harris, Lou. # 8220 ; Family Values. # 8221 ; Swinging: September 1996: 81 Lauren, David. # 8220 ; Who We Are. # 8221 ; Swinging: April 1996: 62-72 Leveridge, Brett. # 8220 ; Men My Mother Dated # 8221 ; Might: Nov/Dec1996:16 Liu, Eric. # 8220 ; Generalizations X. # 8221 ; Our Times. Ed. Robert Atwan. 4th edition. Boston: Bedford, 1995 Schiman, Ben. # 8220 ; Work Life. # 8221 ; Swinging: September 1996: 80 T.A.G. , # 8220 ; Electoral Objectives # 8221 ; Http: //www.mindspring.com/^tag/electorial_ objectives.html: 1-2 T.A.G. , # 8220 ; Procuring the Future of Student Financial Aid # 8221 ; Hypertext transfer protocol: //www.mindspring.com/^tag/electorial_objectives.html: 1

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Two Recent Technological Advances In Endoscopy Nursing Essay I am currently working at a day case endoscopy unit, the two advances in endoscopy procedures I will be looking at are, scope guide and minimal sedation. I will be assessing patients at the day case endoscopy unit I currently work at by participating in procedures which use scope guide and minimal sedation. During this period, I will be emphasising at the improvements in the care and safety of patients, to see how these have improved quality of patient care and diagnose problems at ease. Endoscopist, Nurses and Surgeon depend largely on advancement in technology for delivering enhanced patient care and ability to diagnose problems at ease. The application of computer-assisted image guidance technology to the Endoscopic surgical procedures allow creation of new methods to address the challenges by providing the needed 3-D imager that ultimately improves accuracy, efficiency and safety during procedures. (Daniel L Farkas et al 2008). Scope guide 3-D imager, is a non contact form which uses a low intensity magnetic field to display a real time 3 dimension view of the position and orientation of the colon scope with the abdominal cavity by means of detromagnetic transmission coils built into the colonoscope insertion tube. 3 D imager that ultimately improves accuracy, efficiency and safety during procedures (Daniel L. Farkas et al 2008). The scope guide 3 D imager assist in identification of the correct combination of manoeuvres necessary to straighten out the loops o nce formed Olympus 2008. A consultant Endoscopist London UK commented about scope Guide 3 D imager when we started to develop the electromagnetic imaging technology for scope guide. I envisioned a system that would allow colonoscopist to feel as comfortable as a tourist driving through the most unpredictable city with the assistance of a safety navigation system he commented today scope guide does just that i.e. improving colonoscopy by providing a real time 3 dimensional display of colonoscope position and configuration, the endoscopist no longer need to rely on guess and feel to determine the orientation of an inserted scope, scope guide will change the why you see colonoscopy, 3 D imager is an essential part of quality colonoscopy. 3 D imager is able to show shape both from lateral and anterior view direction simultaneously in split screen mode. The use of this scope guide eliminates the hazard of radiation for patients, doctors, this makes the 3 D imager ideal for daily clinical usage and for training purpose. (Yamamate (2008) and Koichin et al, (2008) both stated that is pain free colonoscopy possible? The greatest advantage of this new technology is that when using insufflators air is an enemy. The 3 D imager gives easy visualization and manoeuvres and to orientate the scope along the colon. Easily it avon loops and whenever loops occurs straightening it on and takes less time unlike long time procedures. 3 D imager couple with EVIS EXERA 11 260 series system delivers images in high definition. There are certain scopes that can be used with the 3 D imager which deliver image on the scope guide monitor in three dimensional, which make it possible for the patient watches it on the screen. No sedation sometimes or individual sedation given, patient tolerate the procedure well with aid of the scope guide makes the procedure quicker, safer and comfortable for most patients. The use of this 3 D imager is done by attaching the cord from the guide monitor to the scope, which transmits a current to the scope and shows on the 3 D imager monitor showing where the scope is, if there are loops in the colon, and serves as a guide to the endoscopist. 3 D imager is safe and effective equipment for treatment of making colonoscopy less painful especially in patients with long colon or loopy colon, whereas procedures are abandoned most times when patients cannot tolerate it because its very painful and far fear of perforation. Some of the producing real time 3D imager is that it is capable of producing real time 3D image display of position and orientation of the colonoscopy. The endoscopist no longer needs to rely on guess work or fluoroscopy to determine the configuration of an inserted scope. The Scope Guide 3-D imager uses a low intensity magnetic field to display a real time 3-dimension view of the position and orientation of the colon scope with the abdominal cavity by means of electromagnetic transmission coils built into the colonoscope insertion tube. The scope guide assist the endoscopist in the identification of the correct combination of manoeuvres necessary to straighten out the loops once formed (Olympus, 2008) It shows the correct ways to manoeuvres and straightens complex looping. It is completely safe for daily usage due to the electromagnetic transmission coils within the scope creates a low intensity magnetic field. It generally reduces pain during colonoscopy which enhance advance total cave of patient in today endoscopy procedures. It helps in giving quality care throughout the procedure for the patient, endoscopist and nurses, it eliminates the hazard of radiation from X-ray during colonoscopy, but with the 3 D imager scope guide, X-ray is no longer required. It helps to reduces time during procedure by making complicated procedure easy, hence less lengthy procedure, it helps their ability in pain management of their painful. The scope guide can be dangerous if the cords are not well attached to the scope, which could give a false picture. The nurse plays an important role in the care of the patient before during and after 3 D imager scope guide is used. In my unit all the advantage of scope guide demonstrated at Solna conference for all endoscopists in UK and Ireland can be seen practically every day since the colonoscopist started using the equipment. We have three procedure rooms running and the unit is having only one Scope Guide 3-D Imager. It is now a competitions between the endoscopist, as to who will use the equipment even when the procedure is not too difficult as some might claim but because it give them easy visualisation and manoeuvres and to orientate the scope along the colon. Easily they can avoid loops and whenever loop occurs straightening it on was very easy and takes less time unlike before when we do not have the equipment. All the noise and shout of pains by the patient during colonoscopy procedures has drastically reduced since the introduction of the equipment in the unit, and nurses job in the procedure room has become less stressful unlike before. When a patient requires the use of 3 D imager scope guide due to post hysterotory operation or very difficult previous colonoscopy because of looping, we care for them in the following way. Initially the patient is admitted for an outpatient procedure and checked in, consented, during consenting the doctor will explain to the patient for the need of using the 3 D imager what difficulties involved in manoeuvring the scope and patient during the use of it, repositioning of the patient to get a good view and to minimise the looping if that why, hence the patient will sign the consent form (nursing and midwifery council 2008), British Society of Gastroenterology 1991, 2008) (BSG guidelines) sedation is given via intravenous (IV) route and if to give any emergency injection if need be. A nasal catheter sponge is also attached to the patient for oxygen administration. The patient is given blue knickers for privacy and because of repositioning to prevent unnecessary exposure of patient (privacy and dignity). The patient is firstly positioned on the left lateral with knees bent towards the chest, meanwhile monitory if the oxygen saturation, pulse and blood pressure are checked throughout the procedure. The patient is talked through the procedures, informing the patient when to expect more pain when negotiating the flexures of the colon. The monitor of the scope guide cord is then attached to the scope to be used, and right setting done which brings on the light on monitor of the scope guide. Sedation and if possible muscle relencant i.e. antispasmodic or analgesic is administered through the intravenous route, everyone i.e. the doctor and nurses in the room will wear an apron, gloves and goggles (Health and Safety Executive 1992). The Endoscopist will reconfirm from the nurse whether the constant the procedure, the scope guide must be checked and the cotside on the left hand side is let down and the flexible plate is placed near the patients stomach and to be sure no damage and plate well placed prior to start of procedure. The big movable plate should be put in right position and not on the chest or let (Aorn 2004). During the procedure the scope guide setting is changed as the patient is repositioned which should be visually seen on the monitor to give a right direction of the scope in the colon and monitored. The procedure time, the patient is observed and monitored for abdominal pain and possible sweating or vasovagal reactions. The pain level of the patient is assessed which will determine whether to top up the sedation , pain reliever or antispasmodic injections by the endoscopist, through the nurse in there is there as the patients advocate, the cardiac arrest trolley with the defibrillator should be ac cessible within easy reach (BSG 2003). Post care of the patient should be monitored for severe abdominal pain caused by 3 D imager (Malick 2006). The patient will be wheeled on the trolley to the recovery ward and continuous monitory of the observations and vital signs for any of the complication must be recorded and documented. During the consenting time, the patient must have been provided with verbal and written instructions emphasising on observations for severe pain and bleeding (in case of perforation), if any unexpected symptoms arise, they should go to accident and emergency immediately (Norton et al 2008). In the endoscopy unit where I work, 3 D imager scope guide was implemented late last year, through its a new technology its own. This initially course some problems because some of the medical team I work with, some will say leave the cortside up, some say let it down because of the insufficient training on the use of the imager. Even on repositioning the patient, some medical team do not know where the arrow on the monitor should be which will affect the image. In treating conditions or scoping patients who has had hysterectomy or with lots of looping in the colon, I have observed the differentiation between when the scope guide is used and when not. The colonoscopist find it much comfortable for the patient and each visualisation and manoeuvres, loops avoided easily and easily straightening, loops if it occurs, the scope guide used may delivers images in high definition. The scope guide has gradually wins the heart of most Endoscopists in my unit for less lengthy time on one procedure. The use of the scope guide there is no need of colonoscopy procedure under X-ray i.e. between barium Enemy or CT scan this eliminates the hazard of radiation for patients. My unit is regards as one of the best bowel cancer screening unit due to the use of scope guide 3 D imager. The procedure is quick, safer, painless and comfortable for most patients, this has really encouraged patient to come for the screening process at my unit. 2nd assignment Minimal sedation is given according to patients preferences in procedures (BSG 2008) such as gastroscopy, brochoscopy flexible sigmodoscopy, colonoscopy, stent insertion to my unit, minimal sedation is mandatory for endoscopic retrograde cholangiopancreatograph patients (ERCP). Minimal sedation is a method of sedation which was formally known as conscious sedation. In this case, its a technique in which no pain relievers are used therefore making patient to be awake an aware during unpleasant procedure without too much discomfort experience for successful endoscopy, general anaesthesia and minimal sedation used, but minimal sedation is much a safer method to control pain and anxiety during procedures (Rex 2006). In my unit, minimal sedation is used for most procedures done i.e. both lower and upper gastro intestinal endoscopies, formally in my workplace 6 8 mg midazolam was used which is no more used. The report of the rapid response (2008) the maximum dose of midazolam is 5mg which is now the most recent practice in my unit. Minimal sedation has been used and accepted because it does not require an anaesthetist, which is more economical this technique is very useful for endoscopist in providing a better examination which improves patients comfort and amnesic effect (Regula and Sokol-Kobielska 2008). The drug of choice because of its rapid onset, short duration of action is Midazolam, it provide an amnesic effort and help to relax the patient (Norton et al 2008). The most common benzodiazepines are diazepam and midazolam, majority of Endoscopist prefer to use midazolam because of it fast onset of action and high amnesic effect (National Guidelines Clearing House 2003). During procedures the group called benzo diazepams are used either alone or in combination with an opiate e.g. pethidine or fentanyl, when it is been used alone the occurrence of respiratory complication with either midazolam or fentanyl is fairly low. Contrary, the implications increases when both drugs are given in combination.