Monday, August 24, 2020

Sulphuric acid is dibasic Essay Example

Sulphuric corrosive is dibasic Essay Example Sulphuric corrosive is dibasic Paper Sulphuric corrosive is dibasic Paper Showing that sulphuric is dibasic: Aim: The point of I will likely exhibit that sulphuric corrosive is dibasic. Presentation: Acid is a substance that responds with a base to shape a salt and water also a base is a substance that responds with a corrosive to frame a salt and water. Lewis (a researcher) expresses that a corrosive is an aggravate that acknowledges a couple of electrons from a base and a base is an atom or a particle that gives a couple of electrons to a corrosive. Acids taste acrid and are destructive and bases are tricky. ? Corrosive + Base I Salt + Water Acid + Metal I Metal Salt + Hydrogen gas Forecast: I foresee that sulphuric corrosive, H2SO4 is dibasic in light of the fact that it structures two hydrogen (H+) particles in a watery arrangement. It is the atom of sulphuric corrosive which changes to sulfate particles (SO42-) and hydrogen particles (H+) when disintegrated in water. In any case, hydrochloric corrosive is monobasic as it just structures one hydrogen (H+) particle in a fluid arrangement. To demonstrate this, I am going to do two distinct investigations that include a titration and assortment of a gas. I expect that it ought to require me a large portion of a volume of sulphuric corrosive to kill sodium hydroxide, NaOH than HCl in titration. In the assortment of gas, I hope to gather twofold the volume of gas when metal responds with H2SO4 than that of delivered in the response with HCl. To keep aggravation substances from interacting with my skin Method: Titration: 1. Pour in 100cm3of sulphuric corrosive and 100cm3of Sodium hydroxide in two separate measuring glasses and name them with their relating names, H2SO4 and NaOH. 2. Flush burette first with refined water then with modest quantity of H2SO4 while tap is as yet shut. Leave a portion of the corrosive and run it through the tap. 3. Close the tap and clip the burette. Ensure it is secure. 4. Utilizing channel pipe, fill burette with H2SO4. 5. Likewise, wash conelike jar with refined water first and afterward with NaOH. 6. Tie pipette filler with pipette and fill in 25 cm3 of NaOH and read lower meniscus. 7. Hold pipette above funnel shaped jar and evacuate the pipette filler which will permit NaOH to run down into it. 8. Put a whit tile underneath burette. 9. Include hardly any drops of phenolphthalein in the funnel shaped cup containing NaOH and spot it on the tile. 10. Open the tap completely and permit the corrosive to stream and simultaneously twirl the cone shaped carafe. 11. On the off chance that the shade of arrangement is going lighter, turn the tap with the goal that solitary drops of corrosive stream into the cone shaped carafe. 12. Continue including the drops until one final drop changes the shade of the answer for boring. 13. Close the tap with that last drop and record the perusing of the corrosive that was utilized in a table. 14. Rehash a similar methodology 3 additional occasions and locate the normal volume of corrosive utilized. 15. Do the very same method from stage 1 to 13 however utilizing HCl rather than H2SO4. 16. See the figure underneath for how to set up the contraption.

Saturday, August 22, 2020

Hypercompetition free essay sample

Case Analysis 03: Hyper-Competition: Pepsi Vs Coke Name:Roll No. _________________ Question 1) Based on the Hypercompetition: Pepsi Vs Coke story, Do you concur with Pepsi’s charges that Coke attempted to decimate their business by poaching the administrators, autonomous bottlers, brand ministers, circulation accomplices and institutional customers through unlawful methods? Legitimize your reasons. I concur with the claims by Pepsi that Coke has attempted to crush their business by poaching the administrators, free bottlers, brand diplomats, conveyance accomplices and institutional customers through unlawful methods. Rivalry is legal till the point it conveys no malafied expectations to hamper the different competitior’s business. The claims by Pepsi can be supported by the accompanying focuses: 1. Coke purposedly focused on the whole deals group of Pepsi to work for Coke with expanded compensation and payments so they would be attracted to penetrate their agreement with Pepsi and hold hands with Coke. Along these lines Coke would be effective in hampering its competitor’s business and get hold of a bigger piece of the overall industry by the interim Pepsi recruits an appropriate deals group set up. We will compose a custom paper test on Hypercompetition or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Coke would likewise have the benefit of knowing Pepsi’s exchange mysteries and other operational and distribuition information. Coke was so solid in its focusing on that they had designated an individual explicitly to contact workers and offer them unlimited free passes to end their agreement with Pepsi and join Coke. 2. Coke investigated every possibility to give a set back to current situation of Pepsi. Coke was fruitful in affecting the representatives of Goa Bottling Private Ltd. to end their agreement with Goa Bottling and join Coke as there was a switch in establishment of the organization from Coke to Pepsi. At that point additionally Coke has looked at the business group with the goal that it could in a roundabout way delayed down Pepsi’s business by decimating its bottler’s deals group. 3. Indeed, even till poaching of representatives and workers of autonomous bottlers could be viewed as Coke’s goal of improving its own business however then Coke was likewise fruitful in prompting the brand represetative of Pepsi to join with Coke. Indeed, even Coke moved toward the music specialist to break their agreement with Pepsi and work with Coke. It resembled Coke attempted to chop down all parts of Pepsi that would develop towards progress. Coke could have gone for some other brand diplomat or support some other occasion for its promoting, for what reason was it that coke needed to remove every one of that was with Pepsi. It is vey clear that it was totally done to pulverize Pepsi’s business. Pepsi did likewise catch up with a composed proof of the issue that Coke had offered one of its appropriation partner’s a measure of 25 lakhs in addition to satisfy any of their necessities as against breaking of their contarct with Pepsi. This proof was qiute a solid one to demonstrate Pepsi’s charges against Coke. Coke has over and over attempted to hamper Pepsi’s business straightforwardly and in a roundabout way through legal or unlawful methods as its goals got lucidity from the third point as state above. Question 2) If you were the CEO of Pepsi, how you would have reacted to the systems embraced by the ground-breaking contender like Coke as described in the story? In spite of the fact that Coke had received solid procedures to hamper the matter of Pepsi, yet Pepsi couldn't simply sit back with work force and money related misfortune to see Coke building enormous domain on the establishment that was fundamentally worked by Pepsi. On the off chance that I were the CEO of Pepsi, I would have embraced the accompanying methodologies to react to Coke’s systems: 1. Coke had hampered Pepsi’s market as it were. The circumstance requested Pepsi to stand up to Coke with comparative methodologies as business cannot trust that legitimate judgment will be passed. ***********

Autobiography Of Adolf Hitler Essay Example For Students

Life account Of Adolf Hitler Essay Outrage and contempt can be delivered with such little honesty it is terrifying. Adolf Hitlers work, Mein Kampf, is loaded up with such rage and hatred. A huge number of individuals got tied up with his thoughts without halting to scrutinize the legitimacy of his work. Considering right now numerous Germans were freezing, starving and experiencing a tremendous financial downturn very little must be said to get individuals on Hitlers side. Hitler offers numerous bogus expressions and gives no proof to back a significant number of them, he essentially finds the Jews as something to fault Germanys issues on. In Hitlers work he additionally repudiates himself on various events. On the off chance that individuals had halted to consider what Mein Kampf was truly saying these falsies and slip-ups would have been taken note. Adolf Hitler offers numerous expressions trying to bring out displeasure towards individuals of the non-Aryan race, however he gives no evidence to back up his announcements. All the incredible human advancements of the past became debauched on the grounds that the initially imaginative race ceased to exist, because of tainting of the blood, states Hitler. That is just an announcement and that's it. There is no proof that the Greek or Roman Empires fell because of cross-reproducing, and if there is Hitler gives no such data. Hitler additionally says, All that we respect on the planet today, its science, its specialty, its specialized turn of events and revelations are the results of the inventive exercises of a couple of people groups, and the facts may confirm that their first in quite a while must be ascribed to one race. There are numerous revelations in all zones referenced which were made by various races; there isn't one prevailing race answerable for all advances on the planet today. Likewise, Hitler despite everything fails to give confirmation or guide to back up his announcements. Hitler furnishes the peruser with numerous thoughts and convictions yet no realities or certainties making his work a fairly invalid piece. Adolf likewise offers expressions that negate his own thoughts. The possibility that Jews thought of this insane idea that Man can control even nature, is referenced by Hitler. Strangely, with his plan to free the universe of all races that arent Aryan, he is it could be said likewise attempting to control nature. By attempting to control nature, Hitler appears to concur with the thoughts of the Jews in spite of putting them down. He additionally accepts that individuals who take in the Jewish prattle just have a unimportant thought, and an over the top thought. Incidentally however, the sum total of what Hitler has is a thought, and a ludicrous thought at that. He cant conceivably call the expressions of the Jews simple thoughts since his sentiments that the Aryan race is predominant are likewise just thoughts. It might be said at that point, Hitler is reprimanding himself, taking everything hes saying and expelling all respectability from it. He likewise discusses how a transgressi on against the desire of the Eternal Creator will be retaliated for. All things considered, murder is most likely a transgression, regardless of whether its one individual or millions, immediate or backhanded, it is a wrongdoing against the manifestations of God. Remembering, Hitlers proposal of decimating any race other than the Aryan race is additionally a transgression against the desire of the Eternal Creator, so without a doubt it will also be retaliated for. There are some other intriguing articulations made by Adlof that when perused can confuse the peruser with respect to how anybody might trust it. Hitler expresses that any old climber or good loafer can't ascend by shrewd ways to oversee his national confidants, yet that, by the very significance of the obligation to be accepted, incompetents and weaklings are alarmed of. Abnormally notwithstanding, Hitler figured out how to prevail upon part of a country in a shrewd manner. Additionally he is calling his adherents weaklings and incompetents, that doesn't give them particularly credit. Hitler additionally points out that to put it plainly, the consequences of miscegenation are consistently the accompanying: (a) The degree of the unrivaled race gets brought down; (b) physical and mental degeneration sets in, in this way driving gradually however consistently towards a dynamic evaporating of the crucial sap.This articulation is outright dumb. First off he gives no instances of precisel y how the degree of the prevalent race is brought down. Likewise it essentially isn't a reality, only an idiotic articulation. In short Hitler essentially composed a lot of inane garbage. .u66eb8761efd1eaba5dd63758456beaf9 , .u66eb8761efd1eaba5dd63758456beaf9 .postImageUrl , .u66eb8761efd1eaba5dd63758456beaf9 .focused content region { min-stature: 80px; position: relative; } .u66eb8761efd1eaba5dd63758456beaf9 , .u66eb8761efd1eaba5dd63758456beaf9:hover , .u66eb8761efd1eaba5dd63758456beaf9:visited , .u66eb8761efd1eaba5dd63758456beaf9:active { border:0!important; } .u66eb8761efd1eaba5dd63758456beaf9 .clearfix:after { content: ; show: table; clear: both; } .u66eb8761efd1eaba5dd63758456beaf9 { show: square; progress: foundation shading 250ms; webkit-change: foundation shading 250ms; width: 100%; mistiness: 1; progress: obscurity 250ms; webkit-progress: haziness 250ms; foundation shading: #95A5A6; } .u66eb8761efd1eaba5dd63758456beaf9:active , .u66eb8761efd1eaba5dd63758456beaf9:hover { murkiness: 1; progress: darkness 250ms; webkit-change: obscurity 250ms; foundation shading: #2C3E50; } .u66eb8761efd1eaba5dd63758456beaf9 .focused content region { width: 100%; position: relat ive; } .u66eb8761efd1eaba5dd63758456beaf9 .ctaText { outskirt base: 0 strong #fff; shading: #2980B9; text dimension: 16px; textual style weight: striking; edge: 0; cushioning: 0; content design: underline; } .u66eb8761efd1eaba5dd63758456beaf9 .postTitle { shading: #FFFFFF; text dimension: 16px; textual style weight: 600; edge: 0; cushioning: 0; width: 100%; } .u66eb8761efd1eaba5dd63758456beaf9 .ctaButton { foundation shading: #7F8C8D!important; shading: #2980B9; fringe: none; outskirt span: 3px; box-shadow: none; text dimension: 14px; textual style weight: intense; line-tallness: 26px; moz-fringe range: 3px; content adjust: focus; content improvement: none; content shadow: none; width: 80px; min-stature: 80px; foundation: url(https://artscolumbia.org/wp-content/modules/intelly-related-posts/resources/pictures/basic arrow.png)no-rehash; position: outright; right: 0; top: 0; } .u66eb8761efd1eaba5dd63758456beaf9:hover .ctaButton { foundation shading: #34495E!important; } .u66eb8761efd1 eaba5dd63758456beaf9 .focused content { show: table; stature: 80px; cushioning left: 18px; top: 0; } .u66eb8761efd1eaba5dd63758456beaf9-content { show: table-cell; edge: 0; cushioning: 0; cushioning right: 108px; position: relative; vertical-adjust: center; width: 100%; } .u66eb8761efd1eaba5dd63758456beaf9:after { content: ; show: square; clear: both; } READ: Shakespeare on the Scene-An Examination of Romeo EssayAdolf Hitlers work Mein Kampf began a development that changed the world. In the event that individuals had not allowed incognizant in regards to wrath and disdain cloud there minds, they would have seen the absence of pugnacious honesty held in his composition. Hitler fills his work with opposing and bogus articulations and definitely no realities, and accordingly a country is torn, and the world is always showed signs of change. On the off chance that solitary individuals would have placed some idea into the perusing of Mein Kampf, history would have been vastly different. Book reference:

Friday, August 21, 2020

Sample Population Assignment Example | Topics and Well Written Essays - 2000 words - 2

Test Population - Assignment Example Besides, the way where one individual is chosen will be free of how the other individual will be chosen (Walsh and Wigens, 2003). The advantage of utilizing an arbitrary example is that there is the speculation of the populace one is keen on the investigation. For this situation, the populace is of around 1,000 workers and out of the 1,000 100 will be chosen to sum up the 1,000 representatives. Moreover, the choice strategy will utilize straightforward irregular example where every individual will be picked haphazardly and by some coincidence (Torgerson and Miles, 2007). In that, every individual has a similar likelihood of being picked at any phase all through the testing procedure. In this manner, the procedure will be fair-minded as the workers of that are picked without deciding a specific trademark. The examination study will have information sources that will give genuine data revealing insight into how workers can utilize the web based life as a stage to raise complaints. The information sources will assume a vital job in the examination, as they will clarify the hypothetical idea of web based life and how it has been abused in the association. In this manner, the data gathered or information gathered will be contrasted and what the data gave by the example populace and build up whether there is a connection between the information. Moreover, the information source will be utilized to improve or stress on what the members give during the research.â

Thursday, July 23, 2020

Its not too late for some last minute tips COLUMBIA UNIVERSITY - SIPA Admissions Blog

Its not too late for some last minute tips COLUMBIA UNIVERSITY - SIPA Admissions Blog Processing and reading applications gives a whole new perspective on the admissions process.   When you’re going over hundreds of papers in a day it’s hard to understand why people make the same mistakes with their applications over and over.   At the same time it wasn’t that long ago when I was an applicant myself and I remember the pressure, conflicting instructions from different schools and competing advice from friends and colleagues.   If you are finishing up your application for the February 5th deadline, here are some tips and answers to frequently asked question to help the process go more smoothly on your end as well as ours. 1)           We do not need your official score reports from the TOEFL or GRE/GMAT.   There is a place to self-report your scores on the application. Once you have been accepted, we will ask for your official report, but if you have submitted unofficial scores to us there is no need to contact our office to see if we have received a report for ETS. 2)           You must answer the second essay question. We recognize that many schools offer an “additional information” question as an option to address special circumstances that may have affected your grades, scores or professional history. While this is one way to use this question, we really want to get to know all our applicants on a personal level, which is why the question is required. For suggestions on what types of information to include, you can read my earlier blog post here.   3)           We do not have a minimum GRE score or GPA. SIPA is a competitive program so you are encouraged to put your best foot forward in your application. However, there is no floor under which we will not consider your application.   This is because many of our students are several years out of undergrad and have had time to mature or hone skills they may not have had five or ten years ago. The one exception to this is our hard rule of at least a 100 score on the TOEFL (or 7.0 on the IELTS).   As SIPA classes are taught in English there is a minimum level of proficiency necessary to participate and contribute. 4)           We do not consider supplemental materials. While we all admire the family pictures, PhD theses and audio visual aids that are sent into the admissions office every season, we do not consider them as part of your application. We realize that other schools, particularly those in other countries, have differing policies, but please do not waste time producing or shipping these materials on our account. We have thousands of applications to consider and so for the sake of our time as well as fairness to other applicants, we consider all of the required application materials and nothing more. 5)           Do not waste words in your essays. It is hard enough to confine your professional experiences and goals to a 600-word limit, so you need to be strategic about the way you write. Do not waste essay space rehashing information that is available elsewhere in your application, for example your name or the grades you received as an undergraduate. In addition, we want to hear from you, not Gandhi or John F. Kennedy. If you choose to include a quotation in your personal statement make sure that it is necessary and supports your personal story. I can’t wait to read your applications.   Good Luck!

Saturday, June 27, 2020

Accounting - Capital Investments Essay - 550 Words

Accounting - Capital Investments (Essay Sample) Content: Accounting - Capital Investments Name:Course:Professor:Date Due:IntroductionCapital investment decision is part of the Capital budgeting that is making critical decisions to maintain the long term investments of the firm. There are several factors that increase the risks when making capital investment decisions. Risk is the uncertainty that is connected to different forms of investments depending on the type of investment that is being considered and the conditions of the operations. Economic and market conditions are on e of the factors that face most investments. Economic risks stem from the consumer spending habits and saving abilities. Other factors are the inflation and unemployment levels. Market conditions are the factors that may hinder free movement of goods, restrictive trade protocols and the availability and the supply of labour and raw materials. Taxes and interests rates are also part of the factors that must be considered when making major capital inve stments decisions. These factors influence the cash flow of a project. (Arnold, 1996)Other internal management risks that involve the decisions of the management like the portfolio balance also have to be considered. A firm involves combination of portfolio assets and since the returns and the risks associated with these assets are not the same. A firms portfolio of assets affects the risks of the firms portfolio. The decision to invest in a particular class of shares only posses a very big risk to the company. (Dorfman, 1997) To invest only in one class of shares increases the risks more than when the shares are distributed to several classes of different types of shares. The shares of a company that have different classes of shares are well placed to cope with different impacts on the stock market. A decision to diversify the classes of shares and in different investment options widens and reduces the impact of any risks associated with the stock market.A milestone is a particula r event that is normally placed at the completion stage to mark its end or completion of the work or phase. It not only shows the distance travelled but it also denote the general direction of the travel as a key decision concerning the milestone may alter the route and the project plan.When a milestone has been combined with a PERT (Program Evaluation and Review Technique) or the CPM (Critical Path Analysis) it allows the management to make accurate determination of the projects period schedules and the exact determination of slacks or floats. Milestones are used to determine and monitor progress. Their major limitation is that they only indicate progress on the critical path only and does not reflect the activities of the non critical path activities. (Drury, 1992)The fall of large multinational corporations like the Lehman brothers in 2008, have made Americans to...

Friday, May 22, 2020

The Holy River of India-River Ganges - 9512 Words

The Ganga, especially, is the river of India, beloved of her people, round which are intertwined her memories, her hopes and fears, her songs of triumph, her victories and her defeats. She has been a symbol of Indias age-long culture and civilization, ever changing, ever flowing, and yet ever the same Ganga. - Jawaharlal Nehru, First Prime Minister of India, born in Allahabad on the Ganges Ganges (Hindi Ganga), major river of the Indian subcontinent, formed in the southern ranges of the Himalaya, in northern Uttar Pradesh State, India. The Ganges is mainly in India, but also flows through Bangladesh before emptying into the Bay of Bengal. The river, about 2,510 km (1,560 mi) long, rises in a snowfield called THE GANGOTRI GLACIER,†¦show more content†¦The people of the Ganges basin are of mixed origin. In the west and centre of the region Turks, Mongols, Afghans, Persians and Arabs intermingled with the original Aryans, while in the east and south (the Bengal area) the people originate from a mixture of Tibetan, Burman and hill peoples.. Pilgrimage sites are particularly significant along the river. At the confluence of the Ganges and and the Tamuna tributory near Allahabad a bathing festival in January and February attracts hundreds of thousands of pilgrims. Other holy pilgrimage sites along the river include Haridwar, the place where the Ganges leaves the Him alayas, and Allahabad, where the mythical Saraswati river is believed to enter the Ganges. Water from the Ganges is used to cleanse any place or object for ritual purposes. Bathing in the river is believed to wash away ones sins. To bathe in the Ganga is a lifelong ambition for Hindus and they congregate in incredible numbers for the Sangam, Sagar Mela and Kumbh Mela festivals. It is believed that any water that mixes with even the smallest amount of Ganges water becomes holy with healing powers. Hindus also cast the ashes of their dead in the river in the belief that this will guide the souls of the deceased straight to paradise According to Hindus the river Ganga is sacred. It is worshipped by Hindus and personified as a goddess, who holds an important place in theShow MoreRelatedA Brief Note On Germ Free Water And The Ganges River1512 Words   |  7 PagesThe Ganges River is 1,560 miles long, this river runs through about 48 towns. the ganges river flows through China, India, Nepal and Bangladesh. The Ganges river basin is one of the most fertile and densely populated in the world and covers an area of 400 000 sq miles (1 000 000 sq km). Hindus respect the Ganges river with the holiest of regards. This holy river was named after the goddess Ganga, who is believed to be the daughter of the mountain god Himalaya. now, think about all the people in thoseRead MoreGlobal Water Crises Around The World And The Effects They Have On People Who Inhabit Those Regions1631 Words   |  7 Pagesissues of inadequate sanitation, untreated sewage in groundwater, and holy rivers being polluted due to a host of reasons. Th ese problems are occurring in both rural and urban areas, and are affecting more than 80% of the Indian population who depend on water polluted with untreated sewage, nitrate, and agricultural runoff for basic survival needs, (The Huffington Post). As the leader of the Ministry of Water Resources, River Development Ganga Rejuvenation, I hope that some of the solutions outlinedRead MoreThe Ganges River : Indias Ancient Culture And Civilization1315 Words   |  6 Pages The Ganges River, which is popularly known by its own Hindu name—Ganga, is the symbol of India’s ancient culture and civilization. This river is the most sacred river in Hinduism. People believe that taking a dip into the water of the Ganges will purify their souls from all committed sins in the past, so they can go to heaven. The Ganges River flows from the top of the southern side of the Himalayas in the state of Uttarakhand. In the article, â€Å"Ganges River,† the author Jay Yett says, â€Å"The GangesRead MoreGanges River Essay examples1575 Words   |  7 Pagesï » ¿Additional Research: Ganges River Omo Tribe Ganges River In Hindu culture, there are many famous rivers that we hold dear because of their spiritual significance. Ganga is one of them. Lets take a closer look at where this great river starts from. It all begins at the Gangotri Glacier, a huge area of ice (five by fifteen miles), at the foothills of the Himalayas (13,000 ft) in northern Uttar Pradesh. This glacier is the source of the river Bhagirathi, which joins with the river Alaknanda to formRead MoreThe Significance of the Ganges River983 Words   |  4 PagesThe river Ganges is as sacred as a temple, the length of the river Ganges is circumambulated by pilgrims. The significance of the ascent through tirthas within the river Ganges and how it is linked to bhakti, samsara and the Hindu pilgrimage will be examined with regards to myth, ritual and symbol. The myth used will be the descent of the goddess Ganga through Shiva’s hair and the rituals which follow the myth. The conclusion will be based on a reflection on the contemporary state of the River GangesRead MoreAncient Indi The Ancient Indian Civilization1369 Words   |  6 PagesAncient India The ancient Indians were highly influenced by the Ganges river, in fact that was one of the reasons they stayed around so long. This river gave them fertile soil, and also played a big role in their religious practices. The ancient Indian civilization lasted from 3300 BC to 1500 BC. (Kokila) Ancient India had very broad social pyramid requirements and the classes were servants, farmers, warriors and king, and the highest class which was above the king. If it were not for the Ganges RiverRead MoreEssay on Analysis of Stilles Ganges Next Life878 Words   |  4 PagesBathing in the Ganges is a religious tradition that is an integral part of daily life in India. It represents a purification of the soul, as Stille states, â€Å"†¦[A] river that, because of its divine origin, is pure and purifies all those faithful who immerse themselves in her,† (598). However, presently, there exists a dilemma that threatens the survival of this tradition: the poor condition of the river. T he river is polluted with â€Å"raw sewage, human and industrial waste, the charred remains of bodiesRead MoreLike Water To Religion. In The Book, Think World Religions1351 Words   |  6 Pagesreligion. Each religion has its own connection to water and its purity. For example, in Hinduism, they praise seven sacred rivers, the Ganges, the Yamuna, the Godavari, the Sarasvati, the Narmada, the Sindhu and the Kaveri. The Ganges river is the river is the dominating river in India. It is deemed as sacred and holy. In this river, individuals are made purer. Likewise, in this river, impure individuals are made pure again. Individuals that follow this faith seek purification while during going throughRead MoreCritical Importance of Attending a Large-scale Religious Event 641 Words   |  3 Pagescycle, Hindus gather at the Ganges River for a religious festival. The festival is called the Kumbh Mela, and it draws crowds of over thirty million people at the banks of the Ganges. Everyone g athers in large numbers because they believe that long ago, four drops from the nectar of immortality spilled from a pitcher (kumbh) in the heavens while the Gods battled demons in a twelve-day fight. The drops of nectar fell in four locations around India near the Ganges River. During this twelve-year cycleRead MoreThe Question of Universal Suffering and Salvation as Presented in Shusaku Endo’s Deep River1696 Words   |  7 PagesEndo’s Deep River opens up an unsettling encounter with the spiritual vision of India described through the experience of five Japanese travelers from vastly different backgrounds each of whom faces a troubling personal crisis. By exploring the depth of the human need to understand ourselves and our purpose in life, Endo illuminates his appreciation of the workings of grace from a God present in the sufferings of humanity. Endo delves deep into the human condition through his characters that reflect

Monday, May 18, 2020

What Did Hitler Believe

For a man who ruled a powerful country and affected the world to such an extent, Hitler left behind relatively little in the way of useful material on what he believed. This is important, because the sheer destructive magnitude of his Reich needs to be understood, and the nature of Nazi Germany meant that, if Hitler wasn’t taking the decisions himself, then people were ‘working towards Hitler’ to do what they believed he wanted. There are big questions like how could a twentieth-century country embark on the extermination of its minorities, and these have their answers in part in what Hitler believed. But he left no diary or detailed set of papers, and while historians have his rambling statement of action in Mein Kampf, much else has to be discerned detective style from other sources. As well as lacking a clear statement of ideology, historians have the problem that Hitler himself didn’t even have a definitive ideology. He had a developing mish-mash of ideas pulled from across central European thought, which wasn’t logical or ordered. However, some constants can be discerned. The Volk Hitler believed in the ‘Volksgemeinschaft,’ a national community formed of racially ‘pure’ people, and in the specific case of Hitler, he believed there should be an empire formed of just pure Germans. This had a twofold effect on his government: all Germans should be in the one empire, and so those currently in Austria or Czechoslovakia should be bought into the Nazi state by whatever manner worked. But as well as wanting to bring ‘true’ ethnic Germans into the Volk, he wanted to expel all those who didn’t fit the racial identity he imaged for Germans. This meant, at first, expelling gypsies, Jews and the sick from their positions in the Reich, and evolved into the holocaust—an attempt to execute or work them to death. The newly conquered Slavs were to suffer the same fate. The Volk had other characteristics. Hitler disliked the modern industrial world because he saw the German Volk as an essential agrarian, formed of loyal peasants in a rural idyll. This idyll would be led by the Fuhrer, would have an upper class of warriors, a middle class of party members, and a vast majority with no power at all, just loyalty. There was to be a fourth class: slaves composed of ‘inferior’ ethnicities. Most older divisions, like religion, would be erased. Hitler’s và ¶lkisch fantasies were derived from 10th-century thinkers who had produced some và ¶lkisch groups, including the Thule Society. The Superior Aryan Race Some 19th-century philosophers weren’t content with the racism of white over blacks and other ethnicities. Writers like Arthur Gobineau and Houston Stewart Chamberlain derived an additional hierarchy, which gave white skinned people an internal hierarchy. Gobineau theorized a Nordic derived Aryan race who were racially superior, and Chamberlain turned this into Aryan Teutons / Germans who carried civilization with them, and also classed Jews as an inferior race who were dragging civilization back. Teutons were tall and blond and the reason Germany should be great; Jews were the opposite. Chamberlain’s thinking influenced many, including the racist Wagner. Hitler never explicitly acknowledged Chamberlain’s ideas as coming from that source, but he was a firm believer in them, describing the Germans and the Jews in these terms, and wishing to ban their blood from intermixing to maintain racial purity. Anti-Semitism No one knows where Hitler acquired his all-consuming anti-Semitism, but it wasn’t unusual in the world Hitler grew up in. Hatred of Jews had long been a part of European thought, and although a religious-based anti-Judaism was turning into a race-based anti-Semitism, Hitler was just one believer among many. He appears to have hated Jews from a very early point in his life and considered them corrupters of culture, society, and Germany, as working in a grand anti-German and Aryan conspiracy, identified them with socialism, and generally considered them vile in any way possible. Hitler kept his anti-Semitism concealed to some extent as he took power, and while he swiftly rounded up socialists, he moved slowly against the Jews. The cautious actions of Germany were eventually pressurized in the cauldron of the Second World War, and Hitler’s belief the Jews were barely human allowed for them to be executed en masse. Lebensraum Germany had, since its foundation, been surrounded by other nations. This had become a problem, as Germany was rapidly developing and its population was growing, and the land was going to become a vital issue. Geopolitical thinkers such as Professor Haushofer popularized the idea of Lebensraum, ‘living space,’ basically taking new territories for German colonization, and Rudolf Hess made his only significant ideological contribution to Nazism by helping Hitler crystallize, such as he ever did, what this Lebensraum would entail. At one point before Hitler it had been taking colonies, but to Hitler, it became conquering a vast eastern empire stretching to the Urals, which the Volk could fill with peasant farmers (once the Slavs had been exterminated.) A Misreading of Darwinism Hitler believed that the engine of history was war, and that conflict helped the strong survive and rise to the top and killed off the weak. He thought this was how the world should be, and allowed this to affect him in several ways. The government of Nazi Germany was filled with overlapping bodies, and Hitler possibly let them fight amongst themselves believing the stronger would always win. Hitler also believed that Germany should create its new empire in a major war, believing the superior Aryan Germans would defeat the lesser races in a Darwinian conflict. War was necessary and glorious. Authoritarian Leaders To Hitler, the democracy of the Weimar Republic had failed and was weak. It had surrendered in World War 1, it had produced a succession of coalitions which he felt hadn’t done enough, it had failed to stop economic troubles, Versailles and any number of corruptions. What Hitler believed in was a robust and god-like figure who everyone would worship and obey, and who would, in turn, unite them and lead them. The people had no say; the leader was the one in the right. Of course, Hitler thought this was his destiny, that he was the Fà ¼hrer, and the ‘Fà ¼hrerprinzip’ (Fà ¼hrer Principle) should be the core of his party and Germany. The Nazis used waves of propaganda to promote, not so much the party or its ideas, but Hitler as the demigod who would save Germany, like the mythical Fà ¼hrer. It was nostalgia for the glory days of Bismarck or Frederick the Great. Conclusion Nothing Hitler believed was new; it had all been inherited from earlier thinkers. Very little of what Hitler believed had been formed into a long-term program of events; the Hitler of 1925 wanted to see Jews gone from Germany, but it took years before the Hitler of the 1940s was willing to execute them all in death camps. While Hitler’s beliefs were a confused mishmash that developed into policy only over time, what Hitler did do was unite them together in the form of a man who could unite the German people into supporting him while he acted on them. Previous believers in all these aspects had been unable to make much impact; Hitler was the man who successfully acted on them. Europe was all the poorer for it.

Thursday, May 7, 2020

The National Communication Association ( 2015 ) - 767 Words

The National Communication Association (2015) describes communication as a distinct discipline that includes an inquiry by social scientists, humanists, and critical and cultural studies scholars. Furthermore, the presentation of communication may appear in several forms such as textbooks, electronic publication, and academic journals. Also, understanding of how one communicates is continually expanding. The representation of the collaborative and ongoing message between individuals, an individual and a group of individuals with the goal of understanding how individuals communicate is the transaction model. Two types of communication include verbal or non-verbal (National Communication Association,2015) Therefore, it is imperative for teachers to be highly skilled in the areas of listening, speaking, reading and writing. Hence, transmitting knowledge, skills and values as they communicate care for their students while motivating them to learn (Silver, 2015). Also, skillful instructors are leaders who can receive information, comprehend it and articulate themselves at a high-level. Therefore, developing communication strategies is crucial for both educators as leaders and their students. Additionally, plans for communicating information related to a specific issue, vent a situation, or audiences are communication strategies (Silver, 2015). Furthermore, communication strategies function as the blueprints for interacting with the public, stakeholders, or even colleagues.Show MoreRelatedThe National Social Advocacy Association859 Words   |  4 PagesIntroduction The National Social Advocacy Association is seeking a grant to establish an innovative, comprehensive social advocacy, intervention, and advance treatment programs in healthcare facilities serving or providing Alzheimer’s patients. One that will help stimulate the â€Å"Central Nervous System and Peripheral Nervous Systems sensory† nerves which will increase the cognitive and mobility functions in Alzheimer’s Patients Marieb, (2006). The objective is to educate or provide education for studentsRead MoreThe For A Standardized Provider1089 Words   |  5 Pagesprovider handover structure: Using staff nurse descriptions of information needed to deliver competent care. Journal of Continuing Education in Nursing, 43(6), 261-266. American Nurses Association (ANA). (2012). The Value of Nursing Care Co-Ordination. United States of America: American Nurses Association (ANA). Available at: http://www.nursingworld.org/carecoordinationwhitepaper [Accessed 16th February 2016] Audet, A. M. and Patel, S. (2012). The Care Coordination Imperative:Read MoreEffects Of Policy On Client Populations From Diverse Backgrounds1095 Words   |  5 Pagesconsists of mostly Hispanics and African Americans (C. Garrett, personal communication, September 9, 2015). Majority of the families served are low-income. There is also a large number of single-parent homes (C. Garrett, personal communication, September 9, 2015). The population served by Head Start are considered a vulnerable population based on economic and social disadvantages (C. Garrett, personal communication, September 9, 2015). B. As mentioned before Hispanics and African Americans are over representedRead MoreThe Importance Of The Apn Professional Development Plan1705 Words   |  7 Pagesaugment motivation in supporting activities including communication, education, research, recognition, and advocacy. The educational requirement for advanced nursing practice is a master’s level education in a program or track leading to APN licensure, including graduate degree-granting and post-graduate certificate programs with established educational standards and attainment of the APN core, role core and population core competencies (National Council of State Boards, 2012). APN’s acquire increasedRead MoreInterview . Interviewee Expertise. M.Lang Has Worked With1079 Words   |  5 Pagesexperiences include working as a physical therapy assistant, assisted living activities director, and activities specialist (M.Lang, personal communication, March 5, 2017). Depending on either her role as director or specialist, the number of clientele served at a time ranged from 20 to 40 individuals from the young old to the oldest of old (M. Lang, personal communication, March 5, 2017). M. Lang advice for someone entering the field is two-fold. â€Å"First you must be the best version of your self in orderRead MoreCase Study : Multiple Sclerosis ( Ms )1186 Words   |  5 Pages Reseach Paper of Multiple Sclerosis Zuemil De Jesus Claudio Universidad del Este Pharmacotherapy for Pharmacy Technician II Professor: Sonia Rivera March 15, 2015 Research Paper of Multiple Sclerosis The first case of multiple sclerosis (MS) was found in 1849. This disease is not contagious, but epidemiologists have identified some factor such as gender, generics, age, geography and ethnic background that may help determine what cause this disease. MS affects more than 2.3Read MoreEssay On Loan Officer1075 Words   |  5 PagesEducation Education level is a critical component every employer examines when searching for an employee to fill a position. With that said, the Bureau of Labor Statistics (2015) concurs that the majority of loan officers have a bachelor’s degree in either finance or business. It is not specified whether or not a Bachelor of Arts or Bachelor of Science is preferred. Mortgage loan officers (and loan officers in general) take classes in economics, accounting, English, mathematics, marketing, amongRead MoreThe Scope Of Practice For The Health Care Field Nationwide1101 Words   |  5 PagesMissouri, where I currently reside. Expanding the scope of practice also remains an issue for the health care field nationwide. Stakeholders that I can identify include The American Association of Colleges of Nursing (AACN), The National Organization of Nurse Practitioner Faculties (NONPF), APRN Consensus Work Group, National Council State Boards of Nursing (NCSBN), APRN Advisory Committee, along wit h other health care organizations, health care educators, and health care providers nationwide Read MoreHealthcare Information Systems Technologies Are Changing The Way Nurses Care For Patients Essay1482 Words   |  6 PagesDiscussion The use of healthcare information systems technologies are changing the way nurses care for patients. The American Nurses Association (ANA) describes the role and responsibility of the nurse as, the protection, promotion, and optimization of human health and wellbeing, through the diagnosis and treatment of human response to illness and injury. Nurses combine the art of caring, the science of medicine, to facilitate healing, alleviate suffering (ANA, 2010). Nurses practice caringRead MoreThe Main Reason For The Failure1682 Words   |  7 Pagesdeals in history of the organization in 113 years. Culture eats strategy for breakfast (Peter Drucker refered to by Katzenbach and Leinwand,2015) would be rightly utilized as a part of this connection. The way of life winning inside of the organization s surroundings and how certain things work around in a spot were more towards the American association which created disappointment. Such a methodology neglected to work in the countries of Belgium, Spain and France. The way of life so embraced

Wednesday, May 6, 2020

The World Of The Epic - 2222 Words

The world of the epic seems to be in a setting where the wilds are essentially everywhere and around people; mostly uninhabited and quiet. Gods are more distant and lenient towards humans in the epic on most occasions, but they are more wrathful in their fury. However, they are rather fickle in their judgment; some want to save the humans or some want to wipe them out, they cannot pick so easily. In a lot of cases, the gods favor humans for their effort and at other times, they would be envious of the human’s accomplishments (Sandars). Monsters are less common and more often mistaken for demigods or minor gods. Gilgamesh and Enkidu are demigods made from several gods unlike later Greek heroes, who hail from a single god. In the beginning, Gilgamesh represents humanity at its finest; beautiful, intelligent, and determined to reach beyond the boundaries of civilization. Jealous of his human status and godlike attributes, another group of gods conjured Gilgamesh’s equal, Enkidu. Man raised from beasts and hills, Endkidu is the unknown factor of humanity, mysterious, curious, the unexplored, and humble. The reunion of the humanity and the unknown creates dynamics where both sides would advance, as in Gilgamesh’s quest for immortality further opens after the defeat of the forest guardian. Yet, Many of these noble quests often end up fruitless; with the death of Enkidu from the hands of one of the major gods and ultimately letting the flower of everlasting youth slipping away,Show MoreRelatedFrom The Norton Anthology Of World Literature Book The Epic Of Gilgamesh 865 Words   |  4 PagesThose Meddling Gods Through the sampling of readings from The Norton Anthology of World Literature book, one could come to the realization that in a majority of those stories, the deities seem to influence or even control the outcomes of the heroes, often in a negative manner. In the first epic, Gilgamesh encounters the gods at various times, and in The Iliad, the gods manipulate the Greeks and the Trojans for their own desires and wants. Two understand how the gods influenced our hero, GilgameshRead MoreBeowulf : An Epic Poem Derived From Old World Storytelling Traditions1090 Words   |  5 PagesMs. Michelle Boykin EH 203 (Fall 2015) First Essay: Beowulf October 5, 2015 Beowulf: An Epic Poem Derived from Old World Storytelling Traditions The classic poem Beowulf recorded by a monk during eleventh century A.D., and of unknown authorship, is thought to have been passed down over time through oral traditions of storytelling, popular during that period in history. Most likely the listeners and retellers of these types of these stories would have been warriors themselves, much likeRead More Ghost Soldiers: The Forgotten Epic Story of World War IIs Most Dramatic Mission, by Hampton Sides554 Words   |  2 PagesI could honestly say that this was an intense, prominent, and grand interpretation of what I think the most audacious exploits of World War II, the book Ghost Soldiers: The Forgotten Epic Story of World War IIs Most Dramatic Mission, by Hampton Sides. It was a specified mission of 121 specialized US Army Rangers that would go behind enemy lines into dangerous territory to perform rescue missions of 513 POWs, many of the survivors were of the infamous Bataan Death March. The main thesis of this bookRead More12 Lite rary Piece1670 Words   |  7 Pages12 Literary piece that have Influenced the World 1. The Bible or the Sacred writings: This has become the basis of Christianity originating from Palestine and Greece 2. Koran: The Muslim bible originating from Arabia 3. The Iliad and the Odyssey: These have been the source of Myths and Legends of Greece. They were written by Homer. 4. The Mahabharata: The Longest epic of the world. It contains the history of religion in India. 5. Canterburry: it depicts the religion and customs ofRead MoreAnalysis Of The Epic Of Gilgamesh 903 Words   |  4 Pageswits has observed, are only fables that men have agreed to admit as true†¦1† No other genre is more appropriate to Voltaire’s quote than the epic. Epics in media are presented with high stakes, memorable heroes, and thought-provoking messages. They originated in preliterate societies and among the first epics is the ancient Mesopotamian poem called â€Å"The Epic of Gilgamesh†. Written during the Third Dynasty of Ur, â€Å"Gilgamesh† tells the adventures of the eponymous king as he befriends an intended rivalRead MoreChris Kyle : The Characteristics Of An Epic Hero871 Words   |  4 Pagesare the most divine people in the world, but they are never truly recognized as epic heroes. When people hear the word epic hero they think of the ancient warriors of Greece, Rome, and Troy or a story about other fictional persons/ animals do ing amazing things to help people. The veterans around us are the real epic heroes though. They often slip underneath the radar though because it can be hard to recognize someone who is truly humbled by their service. These epic heroes are the ones that willinglyRead MoreThe Modern Epic of Batman Essay731 Words   |  3 Pages An epic is a long narrative poem that tells the exploits of an epic hero. Epics are comprised of an epic hero and an epic battle between good and evil. The earliest known epic today is The Epic of Gilgamesh. This tale is about Gilgamesh’s search for eternal life. Although epics have been around for thousands of years, the epic tradition still has an enormous impact on modern writing and film. In fact, Batman, a story about Bruce Wayne trying to conquer all criminals in Gotham, can be seen as modernRead MoreThe Search for Immortality in the Epic of Gilgamesh Essay1500 Words   |  6 Pages The fear of death and the search for eternal life is a cultural universal. The ideology surrounding immortality transcends time and a plethora of cultures. The theme, immortality appears in stories from the Epic of Gilgamesh, which was composed by ancient Sumerians roughly around 600 B.C., to present day works of fiction in the twenty first century. Gilgamesh, a figure of celestial stature, allows his mortal side to whittle away his power after the death of Enkidu. Undeniably, defenseless beforeRead MoreHospital Home For A 647 Bed Acute Care Hospital1247 Words   |  5 Pagesthrough offices and QuickCare walk-in centers throughout the region.They serve most of Berks County Pennsylvani and West Reading. The Reading Hospital was rated number 24 out of 250 of the best hospitals in Pennsylvania according to, US News and World Report. (Reading Hospital and Medical Center)The ownership of the hospital is public. They offer an extensive variety of services such as, orthopedic services, p ediatrics a regionally recognized heart center, primary care, and women’s health. TheyRead MoreEssay about John Miltons Paradise Lost as Christian Epic1147 Words   |  5 PagesParadise Lost as Christian Epic John Miltons great epic poem, Paradise Lost, was written between the 1640s and 1665 in England, at a time of rapid change in the western world. Milton, a Puritan, clung to traditional Christian beliefs throughout his epic, but he also combined signs of the changing modern era with ancient epic style to craft a masterpiece. He chose as the subject of his great work the fall of man, from Genesis, which was a very popular story to discuss and retell at the time

Background of Daoism and Confucianism in China and its Influences Free Essays

Confucianism has been very essential in the preservation of the Chinese civilization. It is embodied by the teachings of Confucius and Mencius, supported by the followers until the modern ages. The Neo-Confucianists of the Sung and the Ming periods instilled some teachings of Daoism’s naturalism (Wen-shun, p. We will write a custom essay sample on Background of Daoism and Confucianism in China and its Influences or any similar topic only for you Order Now 123) Confucianism shaped the national character of what we know as the China of today. It has also permeated the aspect of the society which involves family, arts and literature, and all the virtues of human relationship. All that embraces the Confucian teachings worked in two ways. It affected the ideologies and way of thinking of the writers who still follow the tradition, and even those who are not into it. Daoism took over the disordered state of the country, where there is man’s disappointments in his personal life, which can be associated to worldliness. On the other hand, Confucianism came victorious in times of tranquility and success (Wu-Chi, 1990, p. 4) The western beliefs contribute to the deviation of the anti-Confucian literary artists who influence a lot the people of China. Even the normal people of the modern times instill to them the reasons of not inclining themselves anymore on the Confucian dogma. Because of these western influences, the influence exerted by Confucianism in modern China has gone lower dramatically. The promotion of science in modernization, together with the growth of democratic thoughts made Confucianism unsuitable to modern China (Wen-Shun, 1992, p. 200). Still, many political thinkers agree, like for example, Ch’en, that dealing with modernization does not require involvement of the western or any foreign ideas. China’s modern world has increasing debates whether the influence of Confucianism has a negative impact on the country’s economic development. Confucianism teaches that the profit orientation of a government or a society negates virtue, which is emphasized by capitalism. Confucius continues in his articulation against the capitalistic China that he would not engage himself on such wrongdoings even if it is for the betterment of the society (Killion, 2006, p. 32). Daoism thrives on achievement of perfection against the politics of imperial administration (Woodhead, 2001, p.93). Perfection is equated to immortality; the ‘dao’ or ‘The Way’ being the force of the universe where people are inclined to be one to it. Dao is a metaphysical, at the same time, philosophical conception, which is synonymous to the ‘nature’ being used by the Greeks. The meaning creates thinking about generation and regeneration which controls the existence of things in the moral influence. In Confucianism, the principle of the ‘heavenly order’ is emphasized, while in Daoism, it is only ‘The Way’ itself. Daoism created a number of hermetic traditions. In addition to it, the traditions of the lay liturgy have also been influenced. The highlight of their teachings is on the exorcism and healing. Under the emperors, these teachings were approved, and have turned from a heart of texts to a canon law. The presence of Daoism in the China today does not articulate optimistic speculation that the age-old Daoism has come back in the modern China. They have no doubt that it is still the Daoism in the past that revolves around China in the modern times. There is a struggle against the anti-religious policies and government officials who create misinterpretations of the Daoism dogma. The Chinese local culture has been influenced by Daoism, that it lives in every home. The negative aspect is that the local policies and the openness of controlling these local policies control the balance regarding the religion’s existence. Even so, Daoism influence the school systems and the medical systems in China that leads them to the road of modernization (Pui-tak, 2006, p. 47). It still lives in the rural areas of China, although many Daoists are being oppressed by the government. How to cite Background of Daoism and Confucianism in China and its Influences, Papers

Complementary And Alternative Therapies Against Disease

Complemntary and alternative therapies are often used to enhance health and fight disease.Discuss the advantages nd disadvantages of complementary and alternative therapies. INTRODUCTION Cancer is defined as an abnormal and pathological condition that affects a part or all of an individual. The disease is most caused by abnormalities in cell division and its cycle at various stages. The abnormal proliferation of the cells leads to cancer and is the one of the major cause that kills the patients across the world (COLIN, DM et al., 2001). Various approaches of the treatment are available for the treatment of disease that include conventional mode (MALCOLM, RA , 2001) and alternative (novel) approaches of drug delivery (RAYMOND GERT, 2008). The conventional mode includes administration of anticancer drugs in the form of injections (chemotherapy), surgery, radio therapy or combination of both. The treatment is associated with adverse events that include hair loss, unwanted exposure to healthy cells, anaemia and proneness to infections. The side effects limit the treatment and reduce the patient compliance. Hence novel approaches (alternative) would be used in the treatm ent of cancer. The present paper describes the alternative approaches for the treatment of cancer to enhance the health and decrease the incidence of cancer. ALTERNATIVE APPROACHES Drug loaded liposomes: Anticancer drug (Doxorubicin, Doxil) used in the treatment of Kaposis sarcoma, ovarian cancer and multiple myeloma (LUDWIG et al., 2007). The drug loaded vesicular system after injection into blood; they enter the tumour site through leaky vasculature and release the drug in the neoplastic tissue. Immunotherapy: The anticancer drug is loaded in a liposome or nanoparticles and they further tagged with an antibody. The antibody recognises the tumour site and binds with antigens. Eventually the drug is released and penetrated into the tumour. The nanocarriers may be coated with polyethylene glycol to circulate the delivery system quite long time. Targeted therapeutics (Monoclonal antibodies, Mab): The Mabs obtained from single strain of antibodies such as rituximab (Rituxan/MabThera) and trastuzu Mab (Herceptin) recognizes the antigens that are over expressed on the surface of tumour. Vaccines: The vaccination with an autologous cell based vaccine, Sipuleucel-T. The vaccine stimulates the patients immune system to produce T-cells against antigens. The vaccine serves as a first line treatment in the prostate cancer and is administered by intravenous infusion at weeks 0, 2 and 4 (LAWRENCE BRUCE, 2012). Gene-directed enzyme prodrug therapy (GDEPT) The tumor cells are transfected with a gene for an enzyme that is produced at the cancer site and activates a systemically delivered prodrug. Then the active drug is liberated and elicits its pharmacological action Antibody-directed enzyme prodrug therapy (ADEPT): The anticancer prodrug, an enzyme and a Mab are linked together. The Mab directs the antigenic substances that are over expressed on tumour site and supports in binding. The enzyme converts the prodrug to active drug and it further shows the anticancer activity (NALAN, 2011). Advantages Doxil liposomes are effective against wide variety of cancers. Since the leaky vasculature present only in tumour, the drug release takes place in tumour rather than healthy cells. Mabs are effective and better cytotoxics compared to anticancer agents. They selectively and specifically bind with the tumour antigens and elicit the anticancer property. Hence the health cells are not affected and the individual would be benefitted from its selective action Vaccines stimulate the body to produce the T-Cells and they act against the antigenic substances. Hence no side effect would be anticipate to the healthy cells as the antigens are only present on cancerous tissue GDEPT and ADEPT are the promising technologies to deliver the drug selectively to the target tumour site. Hence adverse events can be minimized. Disadvantages Doxil formulation show toxicities such as hand and foot syndrome and the patient develops doxorubicin resistance Nanocarriers may release the drug in unwanted site i.e., healthy tissue due to the structural lysis. Mab are expensive and increases the cost of therapy. Vaccines are available for prostate cancer and not available for other types of cancers The technologies, GDEPT and ADEPT are at initial stages and have to be proved clinically for their efficacy and safety CONCLUSIONS The alternative approaches for targeting cancerous tissue were discussed along with the advantages and disadvantages. The approaches are associated with low incidence of adverse events compared to the conventional modes of treatment. The complimentary or alternative modes are desired to enhance the patients health. REFERENCES COLIN, DM., CYNTHIA, B-P., ALAN, DL CHRISTOPHER, JLM. (2001) Cancer incidence, mortality and survival by site for 14 regions of the world. World Health Organization page 1-47 Retrieved from https://www.who.int/healthinfo/paper13.pdf LAWRENCE, D-C BRUCE, T (2012) Prostate cancer overview. Part 2: metastatic prostate cancer British Journal of Nursing, 21(18) p S23-S28 LUDWIG, H., STRASSER-WEIPPL, K., SCHREDER, M ZOJER, N (2007) Advances in the treatment of hematological malignancies: current treatment approaches in multiple myeloma. Ann. Oncol. 18, ix64-70. MALCOLM, RA (2001) Cancer from Encyclopaedia of Life Sciences Retrieved from https://web.udl.es/usuaris/e4650869/docencia/segoncicle/genclin98/recursos_classe_(pdf)/revisionsPDF/Cancer.pdf NALAN, U (2011) New approaches to treat cancer- what they can and cannot do Biotechnology Healthcare Winter, p. 25-27 RAYMOND, MS GERT, S (2008) Liposomal nanomedicines as anticancer therapeutics: Beyond targeting tumor cells International Journal of Pharmaceutics 364, p 258-264

Monday, April 27, 2020

Leviathan And Behemot Dinosaur, Dialect, Or Diety Essays - Monsters

Leviathan And Behemot: Dinosaur, Dialect, Or Diety The Leviathan and The Behemot: Dinosaur, Dialect, or Diety From the Romans to the Greek to the Kush to the Egyptians, folklore has been handed down from generation to generation. In most cases this folklore transcends any one religion and carries over into the next. Much like the Romans adopting and perverting Greek folklore, so too has most every religion known to exist. Likewise, from most mythology come stories of great, monstrous beasts, like the kraken and Cerberus. Such beasts are the leviathan and the behemot of ancient Hebrew lore. These great creatures are mentioned in the book of Job, which is speculated to be the oldest book of the Bible. Many have chosen to simply write it off as outdated language, while others believe it may be a dinosaur, and still others believe it to have been created to be the king of the fish and animals, created by God on the fifth day. It is also thought to be ancient folklore that has been carried over from before monotheism. Such is the mystery of the leviathan and the behemot. One question left to the creation myth is the existence of dinosaurs. There is overwhelming proof of these great lumbering beasts, but there is no direct reference to them in the Old Testament. These beasts that once walked the earth millions of years ago have been over looked by many Hebrew scholars. Yet, in the book of Job, there are references to creatures that could have been described dinosaurs. One such reference is that of the Behemot. The Behemot is a creature of great size and power. In Job 40:15 the Behemot is described as eating grass like an ox. Later in verse 17 it is said to bend its tail like a cedar. The reference to limbs like bars of iron gives reference to a gray complexion. Many believe that this is a reference to creatures such as the Brachiosaurus and the Diplodocus (Scott). Much, the same is the true nature of the leviathan. This creature's curious description leads one to believe that it is no mere reptile. In chapter 41 verse 22-23 God speaks to Job saying In his neck abides strength and terror dances before him./ The folds of his flesh cleave together, firmly cast upon him and immovable. God also describes its teeth as being surrounded by terror and the scales of its back are knit as tightly as a seal. Truly this is something far different from any creature today. Research has shown that there is a family of dinosaur, the plesiosaur, that closely matches the description given in chapter 41 of Job. This beast arose during the Triassic period and continued on until going extinct at the close of the Mesozoic era. The most common of the plesiosaur had a small short head and a long limber neck. Characteristic of all these extinct beasts was their broad solid bodies and paddle like legs, much like the mythological Loch Ness monster. These creatures ranged from ten to sixty feet and had interlocking teeth that were well adapted to catching large sea animals for prey. The order of plesiosaur most likely to be related to the Hebrew leviathan wa s the kronosaur. The kronosaur was the predecessor of today's alligators and crocodiles. The most unique qualities of this ancient monster were its short neck and its large skull, the largest of which was measured at nine feet (Lycos). Yet, even with this mounting evidence to support the existence of dinosaurs in the Bible, many scholars chose to ignore it. Unlike many topics in the Bible that are questionable, the topic of the leviathan and the behemot has gone, for the most part, undebated by religious scholars. Many have chosen to write these creatures off as an outdated dialect. Many scholars see the leviathan as no more than a common crocodile, even though the scriptures describe a creature much more massive and monstrous (Smith). The word leviathan itself is an unknown word. No longer in use, save its Biblical references, many believe this word to be a part of a dialect that went extinct long ago. There is no literal translation of the word,

Sunday, April 12, 2020

Sample Graduate Course Essay

Sample Graduate Course EssayIf you are in a position to do so, you can also offer a sample graduate course essay to those who are interested in your degree program. There are lots of reasons why you want to do this and it's an opportunity for you to give back to the school and to show what you can offer them. As a matter of fact, you can have a sample written by a professor that you respect to give to someone who has made it big in the field.But of course, it is not just any sample graduate course essay that you can offer. If you think about it, you will find that there are several things that you need to consider. For instance, the fact that the essay is being offered may make it a difficult topic to write as well as one that requires some editing.The main thing that you need to look at is that there should be sufficient written material to provide you with the level of detail that you need. That means that you must have adequate facts and relevant examples. So, the first thing you need to do is to find out how many people are actually looking at your project and how many have passed. From there, you can either do a survey or you can actually contact people on your list.The reason why this is necessary is because you will be getting more input into the project from the people that you have invited. Of course, you will also be able to ask them some questions that will help you formulate your topic. The information that you get can also be used for that purpose.Once you know how many people are participating in the project, you will have an idea of how much information you need to provide on each of them. Of course, that should also include the person's qualifications and personal experience.When it comes to the essay itself, you should also make sure that it is very relevant to what is already written on the paper that you are writing. Of course, you also have to make sure that it can stand on its own.It is only when you make sure that you are not cheating your self as well as your graduate student is involved will you have no problem completing the project. This is because of the fact that you will not only be being serious but also genuine.

Thursday, March 19, 2020

Learn Your Options If Youre Kicked out of College

Learn Your Options If You're Kicked out of College Being kicked out of college happens more often than many people think. Students are dismissed for many reasons, including cheating, plagiarism, poor grades, addictions, and inappropriate behavior. What should you do if you find yourself holding a dismissal letter? Know the Reason(s) for Your Dismissal Chances are your letter of dismissal was sent after a long series of negative interactions with professors,  staff, or other students,  so you probably have a pretty good idea of what went wrong. However, its still important to be sure your assumptions are correct. Were you kicked out of college because you failed your classes? Because of your behavior? Be clear about the reasons for your dismissal so youll know what your options are in the future. Its easier to ask questions and make sure you understand the reasons now than it will be one, two, or even five years in the future. Know What, If Any, Conditions There Are for Your Return First and foremost, confirm if youll be allowed back at the institution. And if you will be permitted to return, be clear about what youll need to do to be eligible to enroll again. Sometimes colleges need letters or reports from doctors or therapists to avoid the possibility of the same issues arising for the second time. Figure out What Went Wrong Did you not go to class? Act in a way that you regret now? Spend too much time on the party scene? Beyond awareness of the actions that resulted in your dismissal, its important to know what caused those actions and why you made the choices you did. Really understanding what led up to and resulted in being kicked out is perhaps the most important step you can take toward learning from the experience. Make Productive Use of Your Time Afterward Being kicked out of college is a serious black mark on your record. How can you turn a negative into a positive? Start by learning from your mistakes and bettering yourself and your situation. Get a job to show youre responsible; take a class at another school to show you can handle the workload; get counseling to show you no longer will make unhealthy choices with drugs and alcohol. Doing something productive with your time will help indicate to prospective employers or colleges that being kicked out of college was an unusual speed bump in your life, not your normal pattern. Move On Being kicked out of college can be hard on your pride, but know that people make mistakes of all kinds  and that the strongest people learn from them. Acknowledge what you did wrong, pick yourself up, and move on. Being extra harsh on yourself can sometimes keep you stuck in the mistake. Focus on whats next in your life and what you can do to get there.

Monday, March 2, 2020

Reviewing Prefix, Suffix, and Root Word Vocabulary

Reviewing Prefix, Suffix, and Root Word Vocabulary This exercise will give you practice in recognizing and using common prefixes, suffixes, and roots. Instructions For each sentence below, study the one word thats in bold print. See if you can identify the root word (or base) along with any prefixes and/or suffixes that are attached to it. After you have filled in all the blanks, compare your answers with those below. We watched a preview of the new Pixar movie.Root: ____________​Prefix: ____________The dancing cat was seen by more than two-million YouTube viewers.Root: ____________Suffix: ____________The teacher handed out paper hearts to the students who had done extra work.Root: ____________Suffix: ____________The magician made the rabbit disappear.Root: ____________Prefix: ____________At the end of his performance, the magician made a graceful bow to the audience.Root: ____________Suffix: ____________Shyla asked the magician for his autograph.Root: ____________Prefix: ____________Because of the lightness of the breeze, the sailboat moved quite slowly.Root: ____________Suffix: ____________Despite the heaviness of his backpack, Jack raced up the hill.Root: ____________Suffix: ____________Some dogs are shy or unfriendly, and they might bark or snap if you try to pet them.Root: ____________Prefix: ____________Suffix: ____________Esther quickly reopened the door and called for her cat.Root: ____________Prefix: ____________Suffix: ____________ We stood on a bluff overlooking the ocean.Root: ____________Prefix: ____________Suffix: ____________In todays world, no part of the globe is unreachable.Root: ____________Prefix: ____________Suffix: ____________My father never let anyone see him dressed informally.Root: ____________Prefix: ____________Suffix: ____________Everyone thought that Mr. Darcy was the proudest, most disagreeable man in the world.Root: ____________Prefix: ____________Suffix: ____________Preschoolers should have plenty of opportunities to run, play, and listen to stories.Root: ____________Prefix: ____________Suffix: ____________The speaker pointed out the unfairness of blaming high schools for the poor preparation of college freshmen in reading, writing, and math.Root: ____________Prefix: ____________Suffix: ____________ Answers Below are the answers to the exercise: Root:Â  viewPrefix:Â  pre-Root:Â  viewSuffix:Â  -ersRoot:Â  teachSuffix:Â  -erRoot:Â  appearPrefix:Â  dis-Root:Â  graceSuffix:Â  -fulRoot:Â  graphPrefix:Â  auto-Root:Â  lightSuffix:Â  -nessRoot:Â  heavySuffix:Â  -nessRoot:Â  friendPrefix:Â  un-Suffix:Â  -lyRoot:Â  openPrefix:Â  re-Suffix:Â  -edRoot:Â  lookPrefix:Â  over-Suffix:Â  -ingRoot:Â  reachPrefix:Â  un-Suffix:Â  -ableRoot:Â  formalPrefix:Â  in-Suffix:Â  -lyRoot:Â  agreePrefix:Â  dis-Suffix:Â  -ableRoot:Â  schoolPrefix:Â  -preSuffix:Â  -ersRoot:Â  fairPrefix:Â  un-Suffix:Â  -ness

Saturday, February 15, 2020

Dell Computers Case Study Example | Topics and Well Written Essays - 4250 words

Dell Computers - Case Study Example According to Technical Business Research (TBR) Quarter 2, 2007 Corporate IT Buying Behavior & Customer Satisfaction Study: x86-based Servers, Dell rank first in customer satisfaction for standards based servers, beating even HP and IBM. According to TBR, "Dell's overall weighted score improved 1.1 percent sequentially, while HP and IBM declined by 1.5 and 0.8 percent, respectively. Dell was the only systems provider to show an improvement in TBR's latest study, with customer satisfaction scores increasing in eight of the nine attributes measured, including server management, phone support, delivery time, value and ease of doing business." (Dell Named No. 1 in Server Customer Satisfaction 2007). Literature Review Customer contentment and Dell: Customers are the ultimate judges and creators of success or failure of a company. They are the veritable force behind flourishing enterprises. In the area of selling computer and related products, they exert importance in areas of quality and service of product lines. Dell is a company which produces good quality products for millions of customers all over the world. In the words of the founder of Dell, Michael Dell - "Our business is about technology, yes. But it's also about operations and customer relationships." (Michael Dell quotes 2009). From the beginning he had a bright view about the customers' needs. He kept the price of the products to an affordable range and started giving choices to select the product parts of their interest. Customer contentment is always related to the quality of the product and the affordability. In case of consumer electronic goods, especially in computer and related products, support and after-sales service is of huge importance. It is indeed a challenging... This paper describes the history of creating the Dell computer and the use of it in UK. First and foremost, â€Å"Dell was founded in 1984 by Michael Dell on a simple concept: by selling computer systems directly to customers, we could best understand their needs and efficiently provide the most effective computing solutions to meet those needs.† Michael started his company when he was a student in University of Texas at Austin with a capital of $1,000. At that time he named his Company as PC’s Limited. He dropped out of school in order to concentrate fulltime on his business. During 1985, his company developed a personal computer with its own design. It was termed as Turbo PC and it was sold for less than $800.The company started providing custom assembled ordered units on the customers’ selection with lower prices than of the other branded PCs. Dell, Inc. has a strong market share in UK.. All the ranges of their products are sold in the UK market. Main products sold in UK are PCs, Laptops, Servers, Network Equipments and other peripheral devices. From the starting of Dell in UK, it gave wide publicity to its products in media. Affordability is the leading aspect it implements in marketing. All the customers are well educated and hence, the technical details are mentioned in the classifieds. As UK is a developed country, the customers have special interests in high end technology and design. As the time goes, the customers’ attention goes more towards the quality and performance, rather than its price.

Sunday, February 2, 2020

Sourcing Decisions of Arts and Media Organizations Essay

Sourcing Decisions of Arts and Media Organizations - Essay Example Likewise, the process of fund raising and donations has rather become a commercial activity that not only has resulted in more and more charity events but has also created a market within that is funded by such large organizations. The amalgamation of social services and media and arts has been an eminent result. Hence the market for sponsorships has thrived. These can be seen by the famous charity events by BBC and FOX news (Dan 2011). Thus, activities like fundraising, donations and sponsorships are of strategic importance to such organizations which is why sourcing decisions are of integral importance to not only a firm’s financial standing but also to its public relations. It has no become a necessity to get the charity events sponsored or to sponsor a charity event for that matter, as it adds to the reputation and good will of the company. Likewise, firms involved in fundraising are evaluated on the basis of their participation in social activities and on this has become marketing an essential marketing tactics to broaden their customer base and reach of the brand. Fundraising events or sponsorships act as a contact point for several untapped markets and increases brand loyalty of the existing customer base (Pope 2010). Therefore, sourcing decisions are imperative. ... These may include the extended reach of its brand awareness, the objective to increase its brand exposure by having logos placed on the event’s advertisements or simply the motif of profit maximization. These objectives might sometimes conflict with the objective of the firm especially if the event is a charity event (Pope 2010). In that case both the parties will aim for different incentives thus the marketer must provide more substance than just logo pasting. Moreover, the commercial benefit of the sponsor may often be in direct conflict with the firm’s strategic goals. Hence rounds are negotiations are often common when sourcing decisions are made which however incur much costs for the firm (Simmons 2006). Therefore, the most crucial step is the decision to choose from the various candidates. A firm must choose the sponsor who is the best fit with the company’s strategic goals as well as its public image. The Consumer Involvement theory suggests that consumers make purchase decisions based on the level of involvement they have with the brand and includes the aspects of consumer behaviour like amount of time spent on choosing the product or service, research about the specific product or service, asking friends and family etc. therefore, like the advertisements and promotions, sponsorships should be based on such considerations (Krohmer 2011). Given the nature of arts and media products and services, which are high involvement decision making processes involving emotion rather than rational, the sponsorship should be based on consumers’ preferences of the emotional brands that they associate themselves. Hence if an organization is unable to identify the purchase decisions of its

Saturday, January 25, 2020

Parkinsons Disease and Tourettes Syndrome Essay -- Biology Essays Re

Parkinson's Disease and Tourette's Syndrome Parkinson's Disease is a literally crippling neurodegenerative disorder, manifested in about 1% of the aged population. People who have Parkinson's Disease gradually lose control of their movements; specific symptoms include, "tremor, slowness of movement, stiffness, difficulty in walking, and loss of balance." (1) Evidence strongly suggests that Parkinson's Disease is the result of severe cell loss in the substantia nigra. This brain structure is principally involved in the production of dopamine. (2) Dopamine, among other functions, is the neurotransmitter involved in initiation of movement. Hence, the link between dopaminergic cell loss and cessation of voluntary movement, as manifested in Parkinson's Disease, seems established. (3) However, the applicability of this link seems to not end with Parkinson's Disease. If a severe deficit in dopamine induces cessation of movement and baseline levels of dopamine make voluntary, normal movement possible, can an excess of dopamine, or inc reased effectiveness of dopamine, lead to involuntary manifestation of movement? Potentially, a marked excess, or increase in effectiveness, of dopamine will lead to a loss of control of movement, just as a shortage of dopamine will. However, in the former case, movement should be involuntarily manifested. If such manifestations indeed were observed, it would be interesting to see if, in fact, dopamine excess, or dopamine at all, plays a role. Indeed, involuntary movements, commonly referred to as tics, are the primary symptoms of a disease called Tourette's Syndrome. The syndrome, named after the person who first described it, Gilles de la Tourette, "is a complex neurobehavioral disorder characteri... ...8,9,10) It is noteworthy, that these drugs, when used at excessive dosages, may lead to side effects such as muscular rigidity, tremor, slow movement, and other symptoms, which are very similar to the symptoms accompanying Parkinson's. Also, these side effects can be counteracted by administration of l-Dopa, a drug commonly given to overcome severe 'freezing' in Parkinson's patients. This evidence completes the picture that was anticipated when beginning to look at Parkinson's and a possible functional opposite. Normal movement does not suffice to serve as an opposite of Parkinson's; the severe tics accompanying Tourette's Syndrome, however, do. The evidence form drug studies and binding research serves to elucidate the connection. Internet Sources: http://www.jneurosci.org/cgi/content/abstract/17/9/3168 http://www.mentalhealth.com/drug/p30-o01.html#Head_1 Parkinson's Disease and Tourette's Syndrome Essay -- Biology Essays Re Parkinson's Disease and Tourette's Syndrome Parkinson's Disease is a literally crippling neurodegenerative disorder, manifested in about 1% of the aged population. People who have Parkinson's Disease gradually lose control of their movements; specific symptoms include, "tremor, slowness of movement, stiffness, difficulty in walking, and loss of balance." (1) Evidence strongly suggests that Parkinson's Disease is the result of severe cell loss in the substantia nigra. This brain structure is principally involved in the production of dopamine. (2) Dopamine, among other functions, is the neurotransmitter involved in initiation of movement. Hence, the link between dopaminergic cell loss and cessation of voluntary movement, as manifested in Parkinson's Disease, seems established. (3) However, the applicability of this link seems to not end with Parkinson's Disease. If a severe deficit in dopamine induces cessation of movement and baseline levels of dopamine make voluntary, normal movement possible, can an excess of dopamine, or inc reased effectiveness of dopamine, lead to involuntary manifestation of movement? Potentially, a marked excess, or increase in effectiveness, of dopamine will lead to a loss of control of movement, just as a shortage of dopamine will. However, in the former case, movement should be involuntarily manifested. If such manifestations indeed were observed, it would be interesting to see if, in fact, dopamine excess, or dopamine at all, plays a role. Indeed, involuntary movements, commonly referred to as tics, are the primary symptoms of a disease called Tourette's Syndrome. The syndrome, named after the person who first described it, Gilles de la Tourette, "is a complex neurobehavioral disorder characteri... ...8,9,10) It is noteworthy, that these drugs, when used at excessive dosages, may lead to side effects such as muscular rigidity, tremor, slow movement, and other symptoms, which are very similar to the symptoms accompanying Parkinson's. Also, these side effects can be counteracted by administration of l-Dopa, a drug commonly given to overcome severe 'freezing' in Parkinson's patients. This evidence completes the picture that was anticipated when beginning to look at Parkinson's and a possible functional opposite. Normal movement does not suffice to serve as an opposite of Parkinson's; the severe tics accompanying Tourette's Syndrome, however, do. The evidence form drug studies and binding research serves to elucidate the connection. Internet Sources: http://www.jneurosci.org/cgi/content/abstract/17/9/3168 http://www.mentalhealth.com/drug/p30-o01.html#Head_1

Friday, January 17, 2020

Care Of Patients Health And Social Care Essay

In this assignment, I shall choose a patient from my arrangement, this will be backed with a principle for my chosen patient. This will besides do reference of the importance epidemiological information, within this I will show an apprehension of the aetiology of common long term conditions. I will exemplify the nursing model used and physical, psychological and societal appraisal of my selected patient. In relation to the appraisal this will besides include the needed attention of patient being discussed. I have selected a patient from a South London Healthcare Trust. In order to keep confidentiality anonyms have been used to protect the patient ‘s individuality. The ( NMC ) emphasises that we as nurses, must esteem people ‘s rights to confidentiality CHECK ( 2008 ) . Mr B is 51-year-old adult male. He works as a bricklayer on a edifice site. He has two boies whom are aged 21and 25. He is separated from his married woman who is the biological female parent to his two boies, and now has a new spouse. His avocations are ; reading, socializing, and disbursement clip with his boies. Mr B is a really pleasant gentleman who enjoys his life, and makes the most out of it. Mr B admitted to gorging on intoxicant occasionaly. Mr B became dependent on intoxicant, and was diagnosed with alcoholic liver disease in 2006. After go toing many support groups, which helped him a great trade, he became clean and free of intoxicant dependence. Sadly, his Dendranthema grandifloruom lost her conflict to malignant neoplastic disease his Dendranthema grandifloruom. Intelligibly, Mr B found this difficult to cover with, and accordingly turned to alcohol as a header mechanism.EpidemiologyI feel that alcoholic liver disease ( ALD ) is going progressively common in acute infirmary scenes, this may be due to the immense addition in orgy imbibing. Harmonizing to ( NHS Clinical Knowledge Summaries, intoxicant abuse in England is prevailing, 33 % of which are work forces, and 16 % of adult females, which may hold damaging affects to their wellness. ( EBP ) . I believe my chosen subject will assist both my hereafter practise and my ain apprehension of ( ALD ) . ( ALD ) is highly common in England. Approximately 90-100 % of people who drink the exceeded recommended bound have alcoholic fatty liver disease ( National Health Services Choices 2009 ) . These statistics single-handedly are highly high, which accordingly means that Mr B is immense hazard of roll uping ( ALD ) . It is known that every bit much 1 in 5 people who drink, will develop liver cirrhosis ( NHS Choices 2009 ) . Immediately this places Mr B at an unmeasurable hazard of roll uping liver cirrhosis, as he was chiefly admitted to hospital with inordinate ingestion of intoxicant. It has been found that work forces are more likely dice from liver disease, this may be because their intoxicant consumption is much greater than adult females. However, this demonstrates that Mr B ‘s hazard of mortality is going peculiarly refering. The mortality rate of alcoholic liver disease has risen by over two-thirds ( 69 % ) in the past 30 old ages, which makes intoxicant one of the most common cause of decease, together with high blood force per unit area, and smoke. This is a significantly high addition in the figure of deceases related to alcoholic liver disease. Subsequently, this contributes to many factors associating to Mr B ‘s alcoholic liver disease, it is evident that his mentality is highly hapless harmonizing to these statistics. Evidence has been found that there is a high prevalence in developing liver cirrhosis in people age 40 or over. Furthermore, as Mr B is over the age of 40, which indefinitely shows he is a high hazard of developing liver cirrhosis. As there is a high prevalence of grownups who consume intoxicant in ( U.K ) , every bit much 90 % ( REF ) . This entirely does non stand anybody in good position, allow entirely Mr B as he has a history of intoxicant abuse. There appears to be a immense spread in recognition of the day-to-day benchmark, and if people measure there alcohol units ( National Statistics 2006 ) . Mr B ‘s deficiency of instruction demonstrates that is unable to construe how much he is advised to imbibe, which may hold led to his inordinate imbibing. 1 in 16 people are admitted to hospital with intoxicant related unwellnesss ( ref2 ) It is known that greater intoxicant consumed, the higher hazard of unwellness, such as oesophageal malignant neoplastic disease, which increases significantly one time the intoxicant consumption exceeds more than 3 drinks per twenty-four hours ( NICE/Health Development Agency 2005 ) . Mr B ‘s old consumption of intoxicant indicates that may be a possible hazard to oesophageal malignant neoplastic disease. This presents a secondary hazard to him as he already has ( ALD ) .Q.1 AssessmentAny intervention and care given must be given with the patient ‘s ain demands and penchants should be taken into history. A patient with an acute unwellness should be made cognizant that they have the right to do informed determinations about the attention that receive, together with their health care professionals. However, if a patient does non hold the mental capacity to do determinations themselves ( Dep artment of Health 2001 ) . Nursing is to advance wellness, mending, growing and development, and to forestall disease, unwellness, hurt, and disablement. When a individual becomes sick or handicapped, nursing is guaranting that a individual ‘s hurt and agony is kept to a lower limit, and enable people to grok and to cover with their unwellness or disablement, its intervention and effects. When decease is foreseeable, the rule of nursing is to guarantee that the best quality of life is maintained until its terminal ( 2003 ) . An appraisal is a methodical, purposeful and synergistic procedure that strengthens every characteristic of nursing attention ( Heaven & A ; Maguire 1996 ) . This is where a both nurse and patient indentify the patient ‘s demands and anxiousnesss, whereby individualized attention is given. Roper-Logan-Tierney theoretical account specifically for nursing is widely used in pattern throughout the United Kingdom, it is besides used in many nursing schools, which demonstrates the relation between theory and pattern in nursing ( Roper et al 2000 ) . Although all 12 Activities of day-to-day life ( ADL ) are every bit of import when measuring a patient, I shall merely do reference of a few due to the limited sum of words. Mr B Obs Initially B ‘s external respiration was absolutely within normal scope. However, as his status deteriorated his external respiration was compromised. It was inevitable that he required O therapy, to assist help his external respiration. In order for his lungs to have sufficient sum of O ( o2 ) , it was of import he was sat vertical. His respiratory rate was 35 breaths per minute. The deepness was hapless, which was apparent due the fact of the attempt he used to take a breath in and out. Royal Marsden CHECK It is cardinal that patients observations are obtained on the initial appraisal or at the clip of their admittance, which will assist place any important alterations their observations. ( Nice 2007 ) . Elimination is another activity of day-to-day life, which I felt was compromised. Mr B had a urine catheter, to help him with go throughing piss, and so we could detect his end product closely. Fluid balance is critical when a patient is acutely ailing, it is of import that this is observed ( ref ) . Mr B was able to travel to the lavatory independently on admittance to infirmary. As he became acutely ailing, this became more of a battle, and he was unable to make this himself. I felt his self-respect was compromised due to his illness/condition deterioration. However, I managed to keep this to the best of my ability, esteeming his self-respect throughout my clip caring for him. The Nursing and Midwifery Council ( NMC ) emphasises that we as healthcare professional must handle people who we care for as persons and esteem their self-respect ( 2008 ) . This meant that he was unable to extinguish independently, which accordingly diminished his independency. In order for Mr B to recover his mobility, we had to chiefly handle his ( ALD ) , so he could so reconstruct this. Harmonizing to ( NMC ) It is critical that we support people in our attention, guaranting they care for themselves, in order to heighten and keep their wellness ( 2008 ) . I felt that Mr B ‘s mobility was another ( ADL ) which was doing a immense concern. As Mr B was in the acute stage of his ( ALD ) he became encephalopathy, which caused his mobility to diminish ( ref ) . His reduced mobility was holding a knock on consequence on his independency, doing him to go farther down and withdrawn. Mr B ‘s physical wellbeing was doing a immense concern. His hepatic brain disorder induced by the harm to his liver, which depleted his mobility. Hepatic brain disorder is a neuropsychiatric, whereby the liver has been harm due to inordinate imbibing. In hepatic encephalopathy ammonium hydroxide is non being converted into carbamide, which should usually be excreted by the kidneys, accordingly it so enters the systemic circulation ( Zimmaro & A ; Sawchuk, 2004 ) . Ref med n surg Consequently to Mr B holding alcoholic liver disease, he had oesophageal varices. This is whereby a composite of Byzantine venas at the inferior terminal of the gorge, are enlarged and swollen as a consequence of the portal high blood pressure. If left untreated Mr B may be capable to an oesophageal or stomachic variceal rupture, which may do hypovolemic daze ( ref ) . HB As Mr B has portal high blood pressure, this means he is a high hazard of a Gastrointestinal bleed ( GI Bleed ) . A ( GI ) bleed is where portal high blood pressure occurs when there is an obstructor in the intra- or extrahepatic circulation ( REF ) . Psychologically I feel that Mr B ‘s physical demands were been depleted due to his chronic condition/illness. On admittance to infirmary, Mr B was highly malnourished, dehydrated and presented with self-neglect, which was provoked by his overly imbibing. Harmonizing to Maslow ( 1943 ) , these are all basic physiological demands. Mr B had late lost his Dendranthema grandifloruom to malignant neoplastic disease, which led to imbibing intoxicant overly. He felt he ne'er grieved decently, or spoke to anyone about his loss. I feel that this was a important contributing factor to his backsliding. Ref bereaves ) . Prior to his mourning he had been clean and free of intoxicant. Attending a support groups for alkies, such as alcoholic anon. may hold prevented his backsliding * ( REF ) . Consequently, this may hold helped him to get by with the loss of his Dendranthema grandifloruom, and assist beef up his ability to get the better of his alcoholic dependence. Mr B feels that he is socially excluded from society as he has been unable to work due to his illness/condition. As a nurse, it is cardinal that I help in back uping him, so he feels included in society, which may be done so by reffering him to an occupational healer. ( OT ) consume Whilst measuring Mr B, he disclosed that when he was turning up his pa consumed intoxicant overly. He feels that this had a immense impact on him, act uponing him follow his pa behaviour. It is known that if a people have parents ‘ who misuses intoxicant, so they have greater hazard of following these traits ( ref ) . Preventive steps will assist ease Mr B in act uponing his kids from following his drinking civilization. Socio-economic background may hold immense deduction in the execution of the effects of inordinate ingestion of intoxicant. I feel that this may be a immense barrier for Mr B to hold on the constructs of the damaging effects of intoxicant abuse. As a health care it is critical that I simplify the possible long term wellness effects of inordinate intoxicant comsumption. ( Ref )Q3.Required attentionAt present, there is no national service model ( NSF ) for liver disease patients. The primary attention trusts view in liver patients, is that they are non a immense precedence. Specialists stressed that liver patients are being left out on National Health Service ( NHS ) financess, which means that they will be at greater hazard ( REFFFBBC ) . However, there is National Institute Clinical ( NICE ) Guidelines in topographic point in order to assist supply quality attention to those enduring with ( ALD ) . Shaw et al indentified an assessment tool for patients enduring with intoxicant backdown, which establishes the badness of their backdown, and what appropriate intervention is required ( 1981 ) . The assessment tool used is the Clinical Institute Withdrawal Assessment for Alcohol Withdrawal ( CIWA-A ) , which is scored Mild-20.4, Moderate 24.2, and Severe 29. In regard to the appraisal tool, Mr B had a assortment of the typical backdown symptoms, which were ; shudders, sudating, hallucinating, and agitation, which meant he scored 20 & gt ; .Nonetheless, this presented a important hazard, if left untreated may take to complications. Mr B was treated as per protocol, which is ; Librium is benzodiazepine minor tranquilizers drug, which is used for short-run anxiousness, and should non be used long-run ( bnf 2010 ) . Harmonizing ( NICE ) guidelines the protocol intervention for anxiousness is 10 mgs Three times daily ( TDS ) , and may increased if necessary to 60-100 mgs daily in divided doses. The dosing government is a fixed dosage, get downing on twenty-four hours one at 20-30milligrams ( MGS ) four times daily, twenty-four hours two 20-30mgs three times day-to-day, twenty-four hours two 20-30mgs twice daily, and twenty-four hours four 20-30mgs one at bedtime. There is besides a symptoms triggered dose as required ( PRN ) , this depends on the badness of the symptoms. Benzodiazepine acts on receptors in the cardinal nervous system ( CNS ) to originate the action of gamma-aminobutyric acid ( GABA ) , which is a neurotransmitter. ( GABA ) receptors have at least two benzodiazepine receptors, which are named BZ and BZ2, when stimulated they enhance the repressive action by the ( GABA ) ( Alan et al. 2004 ) As Mr B ‘s brain disorder was impacting his degree of consciousness, it was significantly of import that we carried out his neurological observations. Neurological observations is whereby an appraisal and rating of an person ‘s unity and map of an person ‘s nervous system ( Rowley & A ; Fielding 1991 ) .CHECK WEB His status has meant that he is temporarily paralyzed, doing his musculuss to weaken, decreasing his physical strength. As a consequence he may potentially necessitate physical therapy. ( ref ) Education can be An probe that may be done to discourage if there is any obstructor in the portal venous system is an angiography, which establishes the cause and site of obstructor. It is besides critical that Mr B has an endoscopy, which will uncover gastro-oesophageal varices. It is of import that Mr B ‘s haemoglobin is closely monitored, this will bespeak if there is any signifier of bleed or obstructor ( Miller et al 2006 ) . PHARM Ascitess is another clinical manifestation of hepatic cirrhosis. It is where serous fluid is repeatedly produced in the peritoneal cavity.. This is when an accretion of fluid in the abdominal pit enters quicker than it can be returned to the circulation by the capillaries and lymphatics. If this is left untreated, the accretion of fluid will compromise Mr B ‘s critical variety meats, doing it hard for them to map. One of the mechanisms of ascites is hypoalbuminemia, whereby the liver is unable to synthesise albumen. It is of import this fluid is drained from the abdominal pit. There are two interventions which are used to run out this extra fluid. One is, an anti-diuretic called spriolactone, which is a loop water pill. Ref bnf This is done so by the interpolation of an ascitic drain. ref Anderson et al defines that the disposal of whole blood or any of its constituents into the blood stream, to rectify or handle any clinical abnormalcies ( 1994 ) . Mr B was given Human Albumin Solution ( HAS ) transfusion to modulate is hypoalbuminemia. Harmonizing to the ( BNF ) 20-25 % of concentrated solution of ( HAS ) may be used to obtain a diuresis in hypoalbuminaemic, it is of import whilst a patient receives this plasma replacement, their unstable balance is closely monitored ( 2010 ) . FBC REF Patients with alcohol-related liver disease are frequently malnourished, which accordingly has disadvantageous effects in their endurance ( Mendenhall et al.1984 ) KEISER MODEL As intoxicant abuse is going a immense load on the national wellness service ( 2000 ) . NICE guidelines stated that when such patients present themselves to hospital, it is of import that they are referred to the appropriate health care professional, which will guarantee they receive equal support ( 2010 ) . On admittance Mr B was referred to the intoxicant specializer nurse ( ANS ) , who deal with the intervention, after attention, and followup. Mr become nutritionally depleted as a consequence of his intoxicant liver diease, it was indispensable that was introduced some signifier of nutrition. ( Lechtenberg & A ; Warner ) states that Nutritional support must be offered, and see implementing a nasogastric tubing eating ( NG ) ( 1992 ) . KIASER MODEL The Kaiser theoretical account is to assist guarantee that there is a strategic and systemic attack towards those with ( LTC ‘s ) . It focuses in instance direction on the most vulnerable people with ( LTC ‘s ) . Mr B degree of attention is disease specific direction, which is ( flat 2 ) , this encompasses tracts and protocols. As mentioned earlier in the assignment there is presently no ( NSF ) for people with alcoholic liver disease. However, there are ( NICE ) guidelines to help in supplying attention for people with ( ALD ) . Mr B was populating independently prior to his admittance, with no input from multidisciplinary squad ( MDT ) . Planing the discharge on Mr B meant I had to look at the wider facets of his illness/condition. I feel that the execution of societal services would be highly benifical to Mr B. A referral to a liver nurse specializer I feel that Mr B would profit from a support group such as alkies anon. , which may assist diminish his hereafter admittances to infirmary. The Alcohol Needs Assessment Research Project ( ANARP ; Department of Health, 2005 ) identifies three classs of alcohol-use upsets. The clinical grounds reappraisal showed that benzodiazepines were more effectual than placebo for the bar of craze tremens and intoxicant backdown seizures26. The mean cost for handling patients with AAW across all trusts in England and Wales was estimated to be ?219 per in-patient day181. Acute intoxicant backdown hypertext transfer protocol: //www.patient.co.uk/doctor/Alcohol-Related-Problems.htm barr A. Drink: a societal history London 1998? ? ? ? ? ? ? ? ? ref orford j. inordinate appetencies: psychological position of dependences 2nd edition chichester: wiley 2001 hypertext transfer protocol: //www.nhs.uk/Conditions/Physiotherapy/Pages/How-does-it-work.aspx You must back up people in caring for themselves to better and keep their wellness Shaw JM, Kolesar GS, Sellers EM, Kaplan HL, Sandor P. Development of optimum intervention tactics for intoxicant backdown, I: appraisal and effectivity of supportive attention. J Clin Psychopharmacol. 1981 ; 8:382-389. British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary. 58 erectile dysfunction. London: United kingdom: BMJ Group and RPS Publishing ; 2009. DO NOT REF BELOW hypertext transfer protocol: //books.google.co.uk/books? id=q4qMwXJm4iwC & A ; pg=PR13 & A ; dq=Roper+N+etal+ ( 1996 ) +The+elements+of+nursing+a+model+for & A ; hl=en & A ; ei=BPYDTfPxJoyU4gbfwsWTCg & A ; sa=X & A ; oi=book_result & A ; ct=result & A ; resnum=1 & A ; ved=0CDMQ6AEwAA # v=onepage & A ; q & A ; f=false Fatty liver disease is reversible. If you stop imbibing intoxicant for two hebdomads, your liver should return to normal. Alcoholic liver disease is widespread in England. It is estimated that: 90-100 % of heavy drinkers have alcoholic fatty liver disease oneA in fourA drinkers with fatty liver disease will develop alcoholic hepatitis one in five drinkers with fatty liver disease will develop cirrhosis A heavy drinker is person who on a regular basis exceeds the recommended hebdomadal bound for intoxicant ingestion. This isA 3-4A units of intoxicant a twenty-four hours for work forces, andA 2-3A units for adult females. Womans are more likely to develop alcoholic liver disease, but work forces are more likely to decease from it, perchance because work forces tend to be heavier drinkers. In 2008, there were 4,764 deceases in England and Wales due to alcoholic liver disease. Three-fourthss ofA these were work forces. Death ratesA linked to alcoholic liver disease have risen by over two-thirds ( 69 % ) A in the lastA 30 old ages. This makes alcohol one of the most common causes of decease, along with smoke and high blood force per unit area. Fatty liver disease and hepatitis can develop at any age. Cirrhosis normally develops in people aged 40 or over.A However, instances of cirrhosis have been reported in people of all ages, including adolescents. NHS Clinical Knowledge Summaries, intoxicant abuse. hypertext transfer protocol: //www.cks.nhs.uk/patient_information_leaflet/Alcohol_misuse Aped hypertext transfer protocol: //www.statistics.gov.uk/CCI/nugget.asp? ID=1027 & A ; Pos=1 & A ; ColRank=2 & A ; Rank=1000 Roper N etal ( 1996 ) The elements of nursing a theoretical account for hypertext transfer protocol: //www.nmc-uk.org/Nurses-and-midwives/The-code/The-code-in-full/ hypertext transfer protocol: //www.nice.org.uk/nicemedia/live/12995/48989/48989.pdf hypertext transfer protocol: //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_103161.pdf hypertext transfer protocol: //news.bbc.co.uk/1/hi/health/2660977.stm Heaven C.M. & A ; Maguire P. ( 1996 ) Training hospice nurses to arouse patient concerns. Journal of Advanced Nursing 23, 280AÂ ±286. International Council of Nursing ( 2007 ) www.ICN.ch/definition. Anderson, K.N. , Anderson, L.E. & A ; Glanze, W.D. ( explosive detection systems ) ( 1994 ) Mosby ‘s medical, Nursing, and Allied Health Dictionary, 4th edition. Mosby, St Louis, MO. Galbraith, A, Bullock, S, Manias, E, Hunt, B & A ; Richards, A92004 ) Fundamentalss of Pharmacology, Second Edition, Essex, Pearson Education Limited hypertext transfer protocol: //www.nice.org.uk/nicemedia/live/11810/35950/35950.pdf hypertext transfer protocol: //www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_103653.pdf hypertext transfer protocol: //www.rcn.org.uk/__data/assets/pdf_file/0008/78569/001998.pdf hypertext transfer protocol: //qjmed.oxfordjournals.org/content/93/5/291.full Mendenhall CL, Anderson S, Garcia PP et Al. Short-run and long-run endurance in patients with alcoholic hepatitis treated with oxandrolone and Pediapred. New England Journal of Medicine. 1984 ; 311 ( 23 ) :1464-1470. Lechtenberg R, Worner TM. Entire ethanol ingestion as a ictus hazard factor in alkies. Acta Neurologica Scandinavica. 1992 ; 85 ( 2 ) :90-94