Oil and Economic Change in Texas

Oil and Economic Change in Texas Oil and Economic Change, 1890 – 1945 History 226 Fall 2012 #14 I. Connections a. Memory i. Texans were more innovative and wanting to lead the march into the west. ii. Memory changes from southern memory to Alamo Texas revolution. 1. 1890-1945 attitude changed as Texas Economy grew b. Politics iii. Often been the case that politics either helps or hurts economic iv. Doesn’t have a federal government to actively enforce the 13th, 14th amendments. v. One of the reasons for astounding growth of Houston – federal investment.More willing to go to federal government or state government. vi. Government helps to make a more rational government c. The Beyond vii. Texas influenced by lower south as it moves toward succession. 2. Drug in by succession viii. Economic 3. Markets in Europe cotton 4. Inventions of machines empowered by Petroleum 5. Had there been no market, there would be no oil boom. a. Connections with all of these points. b. All part of the same puzzle 6. Connections between economic things and other prominent features. d. Slight decline in island communities ix.Going to the store, using the railroads through transportation x. Economic change had an effect on social change. 7. Parts of history, parts of transformation process II. Extension of the Market e. Transportation and communication xi. Revolution in the 1840’s 8. Extensive railroad construction and Texas has telegraph, radio and telephone. f. Money and banking xii. Technology of railroads and communications xiii. Texas after the civil war was land rich but cash poor. xiv. Flow of capital was investments. 9. Became easier, had the creation of a better money and banking system g.Consumer demand and supply xv. Someone has to work the system of supply and demand for petroleum. xvi. Production of cotton – much demands h. Texas was a place that had a relatively sophisticated banking system. xvii. Reinvest earnings into local banking econo my. i. Economic Colonialism? xviii. People who control the money and control momentum have an ordinant control over prices of transportation and colonialism. 10. Large corporations milked Texas 11. Texas was able to react to economic colonialism c. Texans in banking out of state banks could not do business in the state of Texas. i.Only Texas banks so money made in banking remained in Texas 12. xix. Making oil and leaving cake on stock car. 13. Put oil onto stock market. 14. Market becomes more sophisticated as money and banking increase xx. Same is true of consumer demand and supply 15. Cash only scores xxi. Modern consumer site – specialize in one or two things and buy what you need j. Greater stratigation – maybe we can make it up in land owner level. xxii. Poor got poor and the rich got richer xxiii. More people able to listen to radio and predict where cotton prices could go and what they could do.III. Role of the government and emerging Culture k. Financing of Tra nsportation and communication xxiv. Reason that Texas had a higher educational rating. xxv. Still have examples of public or private xxvi. Investment in infrastructure was important xxvii. Railroads paid for by public. 16. Periodically engaged in railroad expansion 17. On some level even though some didn’t make money. Texas as a whole made money. 18. Expands beyond simply growing cotton. – uses train. 19. Concentration in Fort Worth. d. Huge and efficient stock yards. e. Conducive for a big business like the shipyards became l.Regulation – East Texas Field xxviii. Dependable price for the freight that was brought in 20. Periodically engaged in railroad expansion 21. Over time railroad expansion expanded its duties 22. Huge pool that suddenly entered a market where the world had already entered the great depression 23. Sent east texas rangers into the rangers field to shut off price of petroleum. 24. Texas Railroad Commission f. Government was effective for the s uccess of the field of the Texas Economy m. Education xxix. Still have examples of public or private xx. Investment in infrastructure was important xxxi. Through 1945 there is a steady expansion by private schools, donors and universities. 25. Anti-colonialism – xxxii. Texas Anti-monopoly law – there was a great fear of standard oil. Fear of monopolized xxxiii. State attorney general aggressively applied n. Anti-colonialism xxxiv. Tired levels of education that we had never had before 26. High rate of return on investment xxxv. Opportunity for investment and income IV. Oil and the Multiplier Effect o. Corsicana and Spindletop xxxvi. 850’s-60’s, 70’s there wasn’t a lot of use for it. 27. Wasn’t until 1895 there was a significant field of oil. xxxvii. At first they didn’t know what to do with it but soon word got out and it began to be sold as fuel oil. 28. Instead of wasting a third of it in an oil field. 29. We’ll drill every salt owned in p. Connections, markets and government xxxviii. West Texas to East Texas xxxix. Ira and Anne Yates 30. Government provides ways for oil drillers. 31. Texas by 1945 was the number one producer of petroleum in the world. q. Expansion 1920 to 1945 xl.By 1945 Texas was number one producer in the world. 32. Geology and demands of drilling in Texas were particular in Texas 33. Houston in particular became sinners of not just petroleum companies. g. Expansion of petroleum possible. ii. Drilling, bowls, pike, storage facilities r. Industrialization and urbanization xli. Multiplier of more high tech, high skilled jobs. xlii. Goes into things like building big buildings and banks 34. Multiplier effect encourages industrialization and urbanization h. Hold autumn in your hand iii.Heor has an option of being a sharecropper 1. Spin off or multiplier effect. iv. Industrial effect. 2. The world is quite different in terms of opportunity V. The Rise and Fall of King Cotton s. Bla ckland Praries xliii. Cotton expands – more and more produce cotton. 35. Cotton was more sophisticated t. Connections, markets and government xliv. People who had the money owned it and made the money u. Cotton firms like Anderson Clayton xlv. By 1960 it was the worlds biggest cotton company 36. Perfected how to buy cotton as cheaply as possible i.How to sell cotton as cheaply as possible v. Doesn’t matter whether it is a nickel a pound or a dollar a pound. 37. Smart and understood the market v. Mechanization xlvi. Disrupted by the Great Depression 38. Price of Cotton is so low that the federal government acts to slow production. 39. Land owners take money, invest in machinery, education, better strains of cotton. j. Bulk of population, cotton no longer grown. k. Peak anchorage of the late 1920’s w. Cotton holiday of 1930 xlvii. Only 2% of the population xlviii. Economic change of a transformed society 40. After 1945 x. New Deal

Dick Hebdige’s work Subculture: The Meaning of Style

Dick Hebdige’s work Subculture: The Meaning of Style has had a great impact within the area of cultural studies as it manages to take the preceding theories of subculture one step further, and to pinpoint the differences between culture and subculture as well as to decipher the â€Å"the hidden messages inscribed on the glossy surfaces of style† (Hebdige, 18). Hebdige follows on the tracks of semiology as theorized before him by Saussure and Roland Barthes and tries to read and interpret the signs and the language of the subcultures that emerged in Great Britain after World War II, such as the punks, the mods or the skinheads.Also, he is inspired to a great extent by Levi-Strauss’s structuralist anthropology. What is really significant about Hebdige’s works though is that he applies the purely theoretical frame that had been constructed by the preceding authors directly to the different styles which appeared as forms of subculture. Thus, he tries to interp ret the outer signs which were displayed by each of the groups, from the punks to the skinheads, and reveal their social and cultural meaning.He uses clothing and hair styles, types of music or dancing and so on, as part of the language of the subcultures, in which the actual social meanings are inscribed. Thus, according to Hebdige although the social classes were said to have disappeared after the Second World War, they were actually simply transformed into ideological divisions from the mainstream. The classes thus formed were subcultures, that is, ‘marginal discourses’ which opposed the general tendency of the anonymous culture existing at that point in time:â€Å"It has become something of a clichà © to talk of the period after the Second World War as one of enormous upheaval in which the traditional patterns of life in Britain were swept aside to be replaced by a new, and superficially less class-ridden system [†¦] Nonetheless [†¦]class refused to disa ppear. The ways in which class was lived, however – the forms in which the experience of class found expression in culture did change dramatically.The advent of the mass media, changes in the constitution of the family, in the organization of school and work, shifts in the relative status of work and leisure, all served to fragment and polarize the working-class community, producing a series of marginal discourses within the broad confines of class experience. †(Hebdige, 54) As Hebdige emphasizes, the subcultural styles formed their own rhetoric by means of a certain way of living and of an ostentatious appearance, as a response to the particular cultural, social, political circumstances of the time.In brief, it can be said that these subcultural styles were a form of protest to the anonymous culture. Although sometimes their rhetoric, as in the case of the punks, was intentionally baffling and consciously aiming at meaninglessness, to the point that it seemed to  "work against the reader and to resist any authoritative interpretation,†(Hebdige, 89) it formed nevertheless a coherent symbolic order in itself.The subcultural groups represent, in Hebdige’s view, responses to the â€Å"contrary mythology of class†, that is, to the way in which class was alternatively proclaimed as gone and then reaffirmed by the media: â€Å"Rather the different styles and the ideologies which structure and determine them represent negotiated responses to a contradictory mythology of class. In this mythology, ‘the withering away of class' is paradoxically countered by an undiluted ‘classfulness', a romantic conception of the traditional whole way of (working-class) life revived twice weekly on television programs like Coronation Street.The mods and skinheads, then, in their different ways, were ‘handling' this mythology as much as the exigencies of their material condition. They were learning to live within or without that a morphous body of images and typifications made available in the mass media in which class is alternately overlooked and overstated, denied and reduced to caricature. †(Hebdige, 55) Thus, Hebdige sees subcultures as homogeneous and coherent forms of rhetoric, which go beyond the merely desire to shock the public opinion.In fact, as he theorizes, all the parts of the systems of symbols that make up a particular style are homologous, and they can be said to be as coherent as a’ whole way of life’: â€Å"In Profane Culture, Willis shows how, contrary to the popular myth which presents subcultures as lawless forms, the internal structure of any particular subculture is characterized by an extreme orderliness: each part is organically related to other parts and it is through the fit between them that the subcultural member makes sense of the world.For instance, it was the homology between an alternative value system (‘Tune in, turn on, drop out’), halluci nogenic drugs and acid rock which made the hippy culture cohere as a ‘whole way of life’ for individual hippies. †(Hebdige, 123) As Hebdige remarks the subcultures were actually strong constructs, which were usually meant as a response to a crisis situation, as is the case of the punks at the end of the 1970’s, whose rhetoric mimicked the chaos of the English social and economical life.The violent and obscene style was in fact a language in itself, in perfect accordance with the way in which swore or spoke: â€Å"There was a homological relation between the trashy cut-up clothes and spiky hair, the pogo and amphetamines, the spitting, the vomiting, the format of the fanzines, the insurrectionary poses and the â€Å"soulless,† frantically driven music. The punks wore clothes which were the sartorial equivalent of swear words, and they swore as they dressed — with calculated effect, lacing obscenities into record notes and publicity releases, i nterviews and love songs.Clothed in chaos, they produced Noise in the calmly orchestrated Crisis of everyday life in the late 1970 s[†¦]†(Hebdige, 125) Hebdige thus highlights the identity of language and style within the subcultural rhetoric. The punks for instance functioned as a current in which the meanings were not even fixed as such, although the general meaning behind the style was that ‘the forbidden is permitted’, as Hebdige comments: â€Å"If we were to write an epitaph for the punk subculture, we could do no better than repeat Poly Styrene's famous dictum: ‘Oh Bondage, Up Yours!’ or somewhat more concisely: the forbidden is permitted, but by the same token, nothing, not even these forbidden signifiers (bondage, safety pins, chains, hair-dye, etc. ) is sacred and fixed. †(Hebdige, 125)The subcultures were thus a way of subverting the anonymous, mainstream currents trough a form of stylistic rhetoric. The main discontents with the contemporary world were thus displayed by means of dress or discordant music for example, aiming at a deconstruction of traditional concepts or cultural facts.The subcultural styles didn’t target necessarily the values of a certain society, as it is usually believed, but rather those notions and cultural patterns that they found as incoherent and contradictory. They were actually an abstract embodiment of the outside chaos, and not a chaotic response to order, or a protest against order. Also, the subcultural streams aimed at emphasizing otherness and difference and their adherents were intentionally posing as aliens to society and wearing masks so as to avoid any categorization or prescribed identity:â€Å"They [the punks] played up their Otherness, ‘happening’ on the world as aliens, inscrutables. Though punk rituals, accents and objects were deliberately used to signify working-classness, the exact origins of individual punks were disguised or symbolically d isfigured by the make-up, masks and aliases which seem to have been used, like Breton's art, as ploys ‘to escape the principle of identity. ’ †(Hebdige,126) Another very important characteristic of the subcultural movements is, as Hebdige notes, the fact that they strived to confuse the usual divisions of race, gender and chronology by combining them in their style.The boundaries between the white and black cultures are progressively erased through the borrowings that the white cultures made from the black ones in their style: â€Å"[†¦] it is on the plane of aesthetics: in dress, dance, music; in the whole rhetoric of style, that we find the dialogue between black and white most subtly and comprehensively recorded [†¦]†(Hebdige, 96) The subcultures proceeded to mix up the separate elements of the mainstream culture, attacking thus the idea of identity and opening the way to difference and otherness:â€Å"Behind punk's favored ‘cut ups†™ lay hints of disorder, of breakdown and category confusion: a desire not only to erode racial and gender boundaries but also to confuse chronological sequence by mixing up details from different periods. †(Hebdige, 128) The important thing to note therefore is that in Hebdige’s theory the subcultures were deviations from the anonymous culture, aiming at decentralizing some of the most rooted concepts and ideas of society, and at establishing a new different order outside the stereotypes of society. All this was done through style, ranging from music to dressing and all the other means of expression.Style works therefore as a system of signs, as a text that must be read to grasp the meaning behind it. Obviously, Hebdige’s work deals with the subcultures in the modern epoch, after the Second World War. Therefore, there have been attempts to take his study further, so as it may capture the way in which subculture is manifested in postmodernism. Although the main subcultures that Hebdige discusses- the punks, the teddy boys, the mods, the skinheads, the Rasta men and so on, lost their force or even disappeared, some subcultural groups still exist today, although their structure seems to be different from that of the modern subcultures.The styles in the contemporary world are, to a great extent, the products of postmodernism and therefore imitate its main tenants, its fragmentation and hybridization. There are no longer entirely compact, coherent or well delimited subcultures like those identified by Hebdige, therefore the concepts he proposed remain mostly valid for the historical period he analyzed in his work. His approach is very enlightening for any cultural studies inquiry but it should be modified or continued so as to comprise the contemporary phenomena.

Acute Care Assignment Essay

1. Identify and discuss 8 aspects of Mrs. Lee pre-operative nursing care? It is an important role of a nurse to ensure that patients are prepared for surgery not only in a physical way but also in a psychological way so they have informed consent of the procedure being undertaken, have psychosocial support and are educated on the expected and unexpected outcomes. For Mrs. Lee, these 8 aspects of pre-operative nursing care may include: Providing psychological support: Because it is already stated that Mrs. Lee’s family is quite anxious, it may very well be also making her anxious about her surgery. Catering to the psychological support needs of a surgical patient will include being there for the patient and answering any questions relating to their fears and concerns regarding the surgery and the post operative period. The answers to these questions need to be honest and factual. If necessary, it may be arranged for Mrs. Lee’s spiritual adviser to come and speak with her also. Providing pain management information: Following on from the psychosocial support needs, one of the reasons that Mrs. Lee may be anxious could be due to the amount of pain she thinks she will be in post surgery or she may be even scared of developing a drug addiction to analgesics. Educating the patient on the types of analgesics they may be given is important, as is how the medication may be administered. Mrs. Lee could be provided with pain management brochures if they are available. Teaching techniques for preventing respiratory complications: As Mrs. Lee is having surgery and more than likely will be going under general anesthesia it is important to reduce any risk of potential respiratory complications by the use of deep breathing techniques, incentive spirometry and pursed lip breathing to assist and maintain an open clear airway. The patient should practice deep breathing exercises hourly with encouragement from the nurse for the first 2-3 days post surgery. Coughing exercises should also be done frequently to ensure the airways are free of secretions. Promoting activity and exercise: It is important to promote exercise and activity as inactivity may cause thrombi and emboli’s as well as respiratory complications which will lead to a delayed recovery time post op. As a nurse, we need to ensure our patients are well informed on activity and exercise post surgery because we do not want a potential DVT. Mrs. Lee will need to be informed that she may be required and encouraged to be out of bed and walking at 8 to 12 hours post op and that the time out of bed will increase daily, and that she will be given analgesia if she requires it. Preparing the surgical site: The nurse will be required to prepare the surgical site whether that be by shaving the area if the patient is rather hairy, washing the skin with antimicrobial soap, swabbing with antimicrobial solutions and wrapping the area in a sterile drape to protect from bacteria. Povidone-iodine is what is mostly used as an antimicrobial solution. The site for the surgery will be identified and marked with a texta (marker pen) which is usually done by the surgeon and verified by other staff e.g., the nurse and written in the documentation. It is important to identify right patient, right procedure and right site. Carry out the pre-operative routine: The pre-operative routine involves: identifying the patient and procedure with the use of arm and leg bands as well as documentation; fasting for 6+ hours ensures that the GI tract will be empty and non active preventing the risk of aspirating on undigested food; elimination of the bowel will reduce the risk of constipation and distention post surgery; consent signature is extremely important as your patient is signing a legal document agreeing to the surgery and it means that they understand the procedure at full; valuables are to be taken from the patient and placed in a secure place which is generally a locker that is locked or a safe. Often wedding rings that are left on the finger will be taped with hypo allergenic tape however they must be removed if there is a risk of oedema in the hands post surgery; allergies must be identified prior to the surgery, generally this would be done in the pre-admission clinic. Allergies must be written in red and the patient must have a red armband on them identifying what the allergy is if it is related to the surgery, dressings, treatment or medications; personal hygiene care involves  showering/bathing/mouth care including dental work and prosthesis which are removed because they may be a choking risk, cosmetics and nail polish; ted stockings may need to be applied and worn throughout the surgery to reduce the risk of a DVT. As a nurse we cannot put ted stockings on without a doctors order. Administer the pre-operative medication: Medications may be ordered as per the medication chart and need to be given to a patient pre surgery must be ready in time and when it is needed. If the patient is on medications prior to surgery, they must be withheld the morning of the surgery if it is elective surgery. There are some exemptions however that may include routine medications, which may be given with minimal water at least 2 hours before the scheduled surgery. Documentation: Is required before and after the patient is wheeled into theatre and to the recovery area. The documentation must be accurate, timely, correct and signed with your designation as it is a legal document. Observation and medication charts must be filled in and signed. The patient is unable to give the healthcare team any information therefore it is extremely important for the charts to be complete. (24 marks) 2. Identify and discuss the initial postoperative assessment and care required in this postoperative phase.  Mrs. Lee has just returned to the ward from the operating theatre and recovery. As she has just returned to the ward, it is essential to do a full set of observations on her (vital signs, neurovascular and neurological). To get a clear understanding of the normal baseline results for this patient, checking the observations chart would be very helpful with identifying and preventing possible issues and complications relating to Mrs. Lee’s surgery. The initial perioperative assessment includes the level of consciousness (GCS), respiratory rate (depth, sounds, chest movement), blood pressure, pulse rate, temperature, oxygen saturation level, pain assessment, condition and colour of the skin, circulation (peripheral pulses and sensation), condition and location of dressings, condition of suture line, condition of  drain tubes/catheters, muscle strength and response, pup il response (PEARL), level of comfort, level of activity and exercise and any postoperative instructions. If there were any abnormalities from the nursing assessment, interventions would be made. These observations will be taken every 15 minutes for the first hour then every half an hour for 2 hours, following once every 2 hours ultimately resulting in 4 times daily if there are no problems post op. Relating to the nursing care of Mrs. Lee, she has had a hip replacement so for her to achieve her normal level of ADL’s while she is in hospital will not be to the level that she is used to prior to her surgery. Mrs. Lee will be requiring assistance with personal hygiene including showering and toileting (both voiding and elimination). Encouragement for postoperative activity and exercise along with instruction from the physiotherapist may be needed as her surgery has affected the way she ambulates. Mrs. Lee may need to be positioned and turned every 3 to 4 hourly post surgery, as she may not feel up to getting out of bed yet due to her hip replacement. Positioning of Mrs. Lee may be painful for analgesia may be required when it comes to changing her position. Again, everything a nurse would be doing for Mrs. Lee requires documentation, whether that is in the nursing notes or the drug charts. Every nurse intervention needs to be documented signed and designated for legal purpo ses. (16 marks) 3. Identify and discuss the emergency management of this patient. First and foremost in an emergency situation I would go back to what I have learnt in first aid regarding DRSABCD as well as a primary and secondary survey. Since I have found Mrs. Lee unconscious, I would send for help automatically by pressing the emergency button above the bed and then call a MET call. There are no dangers and I have no response from Mrs. Lee as she is unconscious and I have already sent for help by pressing the emergency button and calling a MET Call. Mrs. Lee has a very low respiratory rate and is breathing very shallow so automatically I would put her on oxygen with a free flow mask with 8-15L of oxygen. Next I will assess her capillary refill, skin colour, blood pressure and pulse, which are also both on the low side. Mrs. Lee is unconscious so that brings her GCS from 15 down to  11; she is also febrile and has a high temperature. The secondary survey will look at the head, neck, chest, abdom en back and limbs. There has been no evidence of a fall in hospital and the head and neck don’t appear to be lacerated, fractured or bleeding. There is a small hematoma on the left frontal region of the head due to a fall prior to admission. The chest is normal, breathing is shallow and there are no abnormal breathing sounds. There is oedema in the abdominal cavity, possibly related to the hip replacement surgery. It is tender. All the abdominal organs felt normal with palpation, no abnormalities found. There is bright red blood coming from the redivac drain from the hip joint, which has soaked through x2 combine, and there is blood on the patient’s bluey, which has leaked from the wound site. The limbs appear to be slightly cyanosed possibly relating to the blood loss and capillary refill is slow. Peripheral pulses are weak. As Mrs. Lee has suffered from blood loss, it will be essential for the doctor to order a blood transfusion as well as fluids to bring the patient back to a level of stability. Management of what appears to be Hypovolemic Shock will be to keep the patient warm to lower the risk of hypothermia. Me dications such as dopamine may be given to increase blood pressure and cardiac output. An ECG will be given for cardiac monitoring due to the blood loss. Mrs. Lee will then be sent off for the following tests: FBE (full blood exam), LFT (liver function test), CRP (C-reactive protein test), chest x-ray, ABG (arterial blood gas test). 4. A) Discuss the nursing care of a patient on a blood transfusion with rationales to support your answers. Mrs. Lee had a FBE (full blood exam) and the results have come back indicating that she has a hemoglobin level of 50, which is extremely low so the doctor has ordered a blood transfusion. First and foremost for the blood transfusion to go ahead, we need patient consent, identification and cross matching. Prior to collecting the blood from the blood bank, Mrs. Lee would already need IV access set up as the blood can only be out of the fridge for 30 minutes. Before the transfusion is set up, checks must be made at the bedside in the presence of another nurse. These checks include right patient identification on the patient tag,  blood pack and documentation; blood product identification; and right blood group. It is also necessary to check the blood pack for any leakage, clots or abnormal colour. Before starting the transfusion you will need to do a full set of observations on Mrs. Lee to get a baseline incase there are any adverse reactions. Then you will need to prime the line with normal saline at 0.9% before you start with the blood transfusion. Once this is done and all documentation and checks are in place, you may start the blood transfusion. The nurse will start the transfusion off slowly and they will need to sit with Mrs. Lee for the first 15 minutes as that is when most adverse reactions occur and if everything is running smoothly and her vital signs are within her normal ranges, the nurse will be able to speed up the transfusion which generally will run over 2 to 3 hours. Observations will need to be done every 15 minutes for the first hour. B) Identify 2 complications that can arise from a blood transfusion. Two complications, which can arise from a blood transfusion, may be a febrile reaction (fever) or a severe allergic reaction (anaphylaxis). 5. Discuss the aspects relevant to Mrs. Lee’s discharge and provide rationales to support your response. Aspects that would be relevant to Mrs. Lee’s discharge are a continuity of care not only for Mrs. Lee herself but for her husband also since she is his primary career. To ensure the best care for Mrs. Lee, discharge planning would include Mrs. Lee herself, her family, doctor, nurses, physiotherapist as well as an occupational therapist. In order for Mrs. Lee to be discharged home, I would have an occupational therapist go out to her home and see if there were any necessary changes there would need to be made to ensure Mrs. Lee would have a lower risk of falling and be able to ambulate within her own home with the use of mobility aids. Help in the home could be contacted to come into Mrs. Lee’s home 3 times a week to help with ADL’s while also encouraging Mrs. Lee to be independent. If it were also possible, the daughter could temporarily stay at her parent’s home for a few weeks to assist with shopping, cooking, cleaning and making sure her mother was taking her  medications as well as her father. If her daughter were unavailable to do this, help in the home would be able to look after the cleaning side of things and meals on wheels may be able to be arranged for Mrs. Lee and her husband. The physiotherapist could make home visits in order to help Mrs. Lee with her exercises and to ensure her range of motion is getting stronger so she can ambulate, as she would have post hip replacement surgery. The royal district nursing service could be contacted to change the dressings on Mrs. Lee’s incision post discharge which would be more convenient to her as well as her family as they wouldn’t be having to arrange transport to go to the GP or clinic every few days to get the dressing checked and changed if need be. Prior to discharge from hospital , Mrs. Lee would need to be educated on the exercises she would need to do to regain strength in her hip, which the physiotherapist would explain and show to her. References: Books – Tollefson, J, 2012. Clinical Psychomotor Skills: Assessment tools for nursing students. 5th ed. Australia: Cengage Learning Australia Pty Limited. – Kozier and Erbs ‘ Fundamentals of Nursing’. (2012). 2nd edition. Pearson Internet – Hypovolemic Shock: An Overview, Dorothy M. Kelley https://elibrary.utas.edu.au/utas/file/05409184-2b96-23be-1aff-43a5cf934b31/1/15826962.pdf [Accessed 21st April 2014] – Hypovolemic Shock http://www.nlm.nih.gov/medlineplus/ency/article/000167.htm [Accessed 18th April 2014] – Principles of monitoring postoperative patients http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/principles-of-monitoring-postoperative-patients/5059272.article [Accessed 18th April 2014] Journals – Paul Froom, Tayser Mahameed, Rosa Havis, Mira Barak. 2001. Effect of Urgent Clinician Notification of Low Haemoglobin Values. [ONLINE] Available at: http://www.clinchem.org/content/47/1/63.full. [Accessed 18 April 14].

Academic Voice Essay Example | Topics and Well Written Essays - 1500 words

Academic Voice - Essay Example Hence, it is critical that each student's "academic voice" come across in their writings. Voice can be defined as the way in which an argument is presented, supported, evaluated and conclusions drawn from it for practical applications (Demetriou, Goalen & Rudduck, 2000). This begins with the way in which a topic is introduced, and then the structure of the student's interpretation of the topic and accompanying supportive data to justify their point of view. It is important to distinguish academic voice from paraphrasing and direct quoting of other authors, which is used as the evidence to support the writer's conclusions (Brearly, 2000). It is clear that academic voice is essential to the concept of analyzing other writer's non-fiction text. This paper will critically review the use of academic voice with regard to mature age students taking psychology courses. Firstly, academic voice will be more fully described. Secondly, how academic voice can be used will be outlined, with reference to mature aged psychology students. Finally, a conclusion shall synthesize the main points of the paper to demonstrate the important benefits of cultivating academic voice and the contributions of mature aged students to the discipline of psychology. Describing Academic Voice Voice can be classified into three general forms; 1) audible voice, as in how much a reader will "hear" the text; 2) dramatic voice, to determine what type of writer is implied by the text; and 3) one's own voice, which is the relationship of the text to the actual writer of the text (Eisner, 1998). It is evident that the written word is more likely to be heard when the writer's syntax, rhythms and word-choices are characteristic of their own speech patterns. Textual cues, for example, simple sentences that are not wordy, and those which communicate a sense of mental activity, will draw the reader's attention to the audibility of the material. A dramatic element of a text can be cultivated from the former audible voice. As to a writer's own voice, it is comprised of three key elements; there is a distinctive recognizable tone; the impression of actually "having a voice" or "having the authority to speak"; and the "authentic voice" which is the resonance or meaningful relationships b etween the text and the actual writer of the material, in contrast to the implied author (Demetriou et al., 2000). So that a writer who is aware of the persona or image of themselves that is projected in their writing will be able to practice promoting and muting this voice, depending on the context of their composition.In general, new writers who are inexperienced are not aware that they can create their own persona within their writings (Demetriou et al., 2000). Often, due to their lack of experience new writers will use an inappropriate voice, for example using lengthy sentences comprised of jingoism in an attempt to portray themselves as knowing more about a topic than what they actually do. Sometimes, their writings may be overly casual, which is usually completely inappropriate for academic writing, and subsequently their text is not taken seriously by the reader, and so respect and authority is not fostered by their compositions. By way of learning about academic voice a stud ent writer can develops an understanding of the different types of voice, becoming aware of their own voice and of techniques that can be used to change their voice.Undergraduate writers

Report assignment Essay Example | Topics and Well Written Essays - 1750 words

Report assignment - Essay Example Finally, some recommendations will be presented towards the end of the report. 2. Can IS Save the Public Services a. Topic Overview The topic of the lecture was quite interesting and catches the attention of listener instantly. Moreover the facts and examples given during the course of presentation were closely connected to the public interest. Generic conclusions were drawn about various aspects of the public Information Systems towards the end of the lecture. The lecture was formatted as a combination of presentation with background audio of the presenter. The topic actually talks about the development of Information systems in public domain and the value they deliver to the public. The lecturer has also pointed out some important methods for decision maker to ensure attainment of perceived value from public Information Systems. b. Level and Amount of Information The topic of the presentation was generic in nature and therefore amount and level of information can be questioned. The re were several aspects of the public information systems that could be discussed but were not covered in the presentation. This gives a feel of incompleteness and deficiency of the information on the given topic. The issue further highlighted the knowledge gape and lack of preparations. Even the lecturer did not clearly mention the scope of his presentation in the beginning. There logical development of the ideas was not of high standard and it seems that topic was beefed up with material from here and there to make a point. The speaker initially talked about the area where information systems are implemented in public sector but the list of these sectors was not comprehensive and only pointed out some major areas. Then speaker straightway jumped to the discussion on how these systems were outsourced and what problems were faced by the commissioning authority and the outsourced company. Here the speaker concluded that the bidding process is not a correct procedure for outsourcing i nformation systems development in public sector. The bidders try to bid at lowest rate to win the bid, later he find it hard to fulfill the Service Level Agreements (SLAs) and the either he quits or public could not get the value out of the system it was conceived with. This was followed by an appropriate example of a private firm EDS who suffered a more than12 billion lose on this account. An interesting comparison was drawn on how much the information system differs depending on the organizational structure of the department commissioning these systems. (Chris, 2010) c. Organization of Information There is enough room for improvement in the organization of information and we can note many inaccuracies in the presentation. On a slide with the title of â€Å"Can we look abroad for help† there was no discussion on external bidders for the development of information systems. Some slide looked a little crowded and packet. It was quite difficult for the audience to read the data at these slides and to focus on what the speaker was talking about. Moreover, reading text was not helpful in getting to the point what the lecturer was trying to deliver. Often reading the text at the slide resulted in mismatch of the point being talked about. d. Presentation Skills Beyond the contents of the lecture, the presentation and delivery of the contents was not professionally elevated. In the opening of the lecture there were few unrecognizable voices and audience could see the first slide of the presentation

Enhancing the Ability to Think Strategically Research Paper

Enhancing the Ability to Think Strategically - Research Paper Example The article aimed at creating awareness on the development of strategic thinking and developing a model that would enhance critical thinking among adult learners. The authors acknowledged the essentiality of strategic thinking. They pointed out the existence of little knowledge regarding this issue. . Casey and Goldman (2011) suggested a model that would enhance strategic thinking. Their model incorporates iterative, interactive, as well as dynamic learning methods with individual factors. Additionally the model explains how organizational factors and job experiences can be used to enhance strategic thinking. The model that the authors developed was based on the theoretical framework, which asserts that development of strategic thinking is elicited by individual factors and experiences in addition to organization factors. According to Casey and Goldman (2011), manipulating the above aspects can lead to development of critical thinking. Casey and Goldman (2010) concluded, â€Å"Devel oping the ability to think strategically is one of the most needed yet least understood areas of management.† Moreover, they established that critical thinking is crucial for individual at the different positions in an organization. Strengths and Weaknesses The major strength of the article is the strong evidence on which the authors have based their arguments.

Critically Assess the Personality (or Psychological) Traits Approach Essay

Critically Assess the Personality (or Psychological) Traits Approach to Explaining Entrepreneurship - Essay Example There is a positive link associating the environment and prevailing situation, and the characteristics needed in entrepreneurship, because personalities or characteristics of an individual are linked with the environment (Littunen, 2000). Therefore, based on this idea, experiences and further changes in the person’s life are crucial to the understanding of personality and entrepreneurship as well. In this paper, the proponent critically assesses the personality (or psychological) traits approach to explaining entrepreneurship. Entrepreneurs and the development of their personality traits Personality is defined as an individual’s pattern of behaviours that differentiate him or her from the other, creating certain uniqueness on that person (Feldman, 2003). There are varying psychological approaches in understanding personality and from psychoanalytic perspective, each personality is a significant effect of unconscious forces. These unconscious forces are integral parts of individual’s personality that could potentially determine behaviour. However, aside from this approach, there are still varying theories aiming to identify or understand what personality is all about and that includes the idea of understanding the interplay between the individual and environment (Feldman, 2003). It is important to understand that entrepreneurship is specifically an activity that is created in a business environment where an entrepreneur has the ability or even a chance to develop personal traits in the process in order to be successful in conducting or running an enterprise. In other words, there is a great possible reason to believe that creativity for instance can be learned along the process in conducting or doing a business because it could substantially promise an individual on how to successfully obtain his or her objectives. Moreover, it is possible to obtain the fact that it is not necessary to carry certain personality traits that successful busines s persons posses prior to venturing into business just to be successful. After all, business could be a series of trial and error in which along the process, an individual may find an opportunity to develop special skills or even personalities that could lead him or her to success in business. In the study of Littunen (2000), entrepreneurship was found to have an effect on the personality characteristics of the entrepreneur. On this ground, there is a significant reason to use individual’s characteristics in explaining what entrepreneurship is all about. After all, entrepreneurship could potentially develop certain characteristics and this would mean there is something powerful force about it that could substantially change a person. In great important detail, entrepreneurship enhances a person’s potential in the enterprise. In other words, entrepreneurship is a potential training ground for an entrepreneur to enhance more specific character or personality traits. This specifically proves that personality can be acquired aside from the fact that some theories potentially suggest that it could be innate at some point (Feldman, 2003). Although it was strongly argued that personality is innate based on the basic understanding on the twins’ personalities, there are substantial studies which can also prove that it can be learned through a person’s experience (Jacoby and Youngson, 2004). The following are specific examples

Latin American religion Essay Example | Topics and Well Written Essays - 750 words

Latin American religion - Essay Example African based religions in Central America include Santeria, Vondoo, Condomble, and others. The development of these religion dates back to the time when the Africans started arriving in Central American states.This was during the era of slave trade when they were brought to work in sugar plantation of the colonialist. There religion developed from a mixture of African culture of the slave who had settled in the sates. The early development of these religions was based on the need to have the Africans united in the foreign land. These realigns were based on the principle of truth, justice, righteousness, harmony, order and reciprocity. They were based on the need to have self sustainable and the notion of being self empowered in the foreign land. They had a sense of individual and communal appeal. The growth of these religions in Latin America could have followed amore direct root since most of them were prohibited. The prohibition of these religions made them stronger. They grew to be some of the most important sycretic religion in Latin America.Due to the prohibition of the practice of these religions, they did not make a nationals appeal but remained practice mainly by the individual African community that has started them. With time they came to be indentified with the Africans an identity that remains up to date. In light of this the national suppressing of these religions was different rand therefore they remained active in the country where they were more practiced. For example, Voodoo survived the religious assault in Cuba, Brazil, Dominic Republic and other part of Central America where it is practiced to date. Condobmle survived only in Brazil where it is practices up do date. Even up to date, there religions have remained racialized according to the community that started practicing them early. It was due to repression of these religion which made them stay limited to the African groups although there have been some degree of acceptance of the religion in the region. The process of nationalisation and acceptance of these religions have taken along time due to the confinement of the religion to the practicing communities alone. Judaism Judaism is the religion that has been spread to all parents of the world by the Jew. It is the main religion that has been carried out from Middle East to the whole world by the Jews. The coming of the religion in Latin America is associated with the coming of Jews in the region. They date back to the time when Christopher Columbus and his voyage reached America in 1492. There were around seven Jews who sailed with Columbus on the voyage. When the came to American they stated practising their religion which they have been carrying on with them to all parts of the world. They spread to Latin America where they established their religion in areas where they occupying. Like in other parts of the world where the Jews settled they have been able to keep their religion Jews has emerged to be one of the accepted religion in Central America although it has remained to be loyal to the Jews alone. It has remained exclusive practiced by Jews whoa re still living in Latin America. Judaism has been shown to be one of the religion that developed along tradition African religions in America having developed since 15th century to the 21st century and was likewise repressed and lacked a nationwide appeal for a long time. The process of nationalization of the Jewish religion has been slows like the other region. This has been based on the fact that Jews has reamed conservatively as a Jews religion alone and has been identified with the Jewish community alone. However it has remained to be one of the major religions in the region. Judaism was able to survive the spread of the catholic religion which was brought by the Spanish who discovered the land. Islam Islam has been one of the growing religions in the world in the recent past. It has been growing in number since it arrived in the region. Islam came

Research proposal Essay Example | Topics and Well Written Essays - 1250 words - 4

Research proposal - Essay Example The Kingdom is ranked number five in the globe in terms of fiscal freedom with highly secure earnings that have resulted from its stable currency. Further, the economy of the Kingdom is remarkably open to trade and boasts of the lowest mean weighted tariff in the whole MENA area. In order to boost trade further, port handling fees were reduced by the government by half in early 2008. When conducting business with the Arabs, it is likely to meet hard but polite bargaining from people who are experts at it, therefore, one has to be very confident in regards to the contents of contractual agreements (Elashmawi, 2001, p.  180). In the event that there are gaps, the Arabs are good at finding and exploiting them, however, in most of the cases, the Arab businesspersons meet their obligations completely and the experience of doing business with them can be enjoyable and approachable, with the creation of long-lasting trust. Parenthetically, it is rare to find Arabs saying a direct no and this requires that one pays attention and observes in a careful manner (Cullen & Parboteeah, 2014, p.  561). The possible gains of opening and operating a business are numerous but the endeavour is not for the fair hearted. One needs to remember that he or she is not a citizen of the Kingdom and when it reaches a time that he or she has to leave and sell the accumulated interests, t he individual may not have the same amount of time as his or her partner. The key purpose of this study is to amass information concerning the advantages and disadvantages of starting a new business in Saudi Arabia. The study’s objective will also entail proving a detailed review of the activities and requirements that should be met before one starts a new business in Saudi Arabia. The study will dwell especially in the following sub-objectives: The results of this study will be of importance to

International Issues in Accounting and Audit Essay

International Issues in Accounting and Audit - Essay Example Considering the growing complexity of accounting work, many countries have adopted IFRS as their basis for financial reporting as it is expected that IFRS can significantly improve the quality of information on corporate finance. Although there are numerous potential advantages associated with a common set of global reporting standards, it is difficult to implement IFRS in a way that the benefits of a harmonised reporting system could be achieved. This paper will critically explore and discuss the potential benefits as well as negative impacts/limitations of adopting the IFRS in the United Kingdom. International Financial Reporting Standards, commonly abbreviated as IFRS, are designed as a common global reporting framework for businesses so as to make company accounts well understandable and comparable despite cross-border barriers. The growing international shareholding and trade activities make it necessary to establish a common global language for business affairs with regard to accounting and reporting. Such a common global framework is also particularly important for firms that have a presence in several countries. Today the IFRSs increasingly replace different national accounting standards as multinational corporations wish to keep their accounts easily understandable and comparable across the globe. IFRS are authorised on the ground of historical cost paradigm with the exception of IAS 29 and IFRIC 7, which are authorised on the ground of constant purchasing power paradigm (Legardere, 2007). Although IFRS was initially introduced as a framework to harmonise accounting practices and procedures across the European Union, this concept has progressively become attractive around the world due to the increased value of harmonisation. IFRS are sometimes referred to as the original name of International Accounting Standards (IAS). The International Accounting Standards Committee (IASC) issued IAS over the period 1973-2001. On 1st April 2001, the new International Accounting Standards Boards (IASB) undertook the responsibility for setting international accounting standards from the IASC (Value based management.net, n.d.).  

Channel Tunnel Project Essay Example for Free

Channel Tunnel Project Essay Channel Tunnel project, which aimed to create a fixed connection between Britain and France, is one of the largest private funded projects in the world. It required the use of newest technology and great management skills in order to deal with unexpected changes. Also the cooperation of two countries’ governments, several constructors, banks and other agencies are needed to make this project run smoothly. This essay divided the whole project into 4 steps in analyzing: conceive, develop, execute and finish. Further, it demonstrates the key advantages and disadvantages of Chunnel project including project scheduling, risk management, people management, cross-culture communication and so on with critical thinking. In addition, recommendations are provided due to the improvement in these procedures. Background The channel tunnel is one of the longest undersea rail tunnels in the world. It has an overall length of 50.5-kilometre and links Folkestone in the UK and Calais in the France. (Anderson, 1994) The proposal of building a fixed link across the English Channel was firstly created as early as 1802 by an engineer in France but it was shelved due to security and political reasons. In 1957, Louis Armand formed the Channel Tunnel Study Group and then presents a design of railway tunnel, bored of submerged, comprising a twin rail tunnel with a service tunnel to the government in 1960. (eurotunnelgroup.com) However, the British minister cancelled the project in 1975 due to financial problems and oil crisis. The project started again until the British and French government reached an agreement, which is finding private promoters for the construction without public funding in 1984. Finally, after negotiate with governments, banks and shareholders, constructions began in 1987 and completed in 19 94. The American Society of Civil Engineers recognizes Channel Tunnel as one of the Seven Wonders of the Modern World. (Reynolds, 1996) Phase 1: Conceive From a project management perspective, the whole project can be divided into 4 stages which are conceive, develop, execute and finish. During conceive phase, it is necessary to focus on the project’s overall strategy. It considers the projects goal, potential problems and opportunities, possible solutions and the links of projects to other projects. Also it should be clarified projects’ basic assumptions. In 1981, the British and French governments are agreed to launch the project. Four plans including Eurobridge, Euroroute, Channel Expressway and Channel Tunnel were submitted to the government and Channel Tunnel Group/ France–Manche (CTG/FM) won the bid eventually. After that, an map of organizational structure had been designed: Source: channel tunnel project overview The picture above reveals the structure of all participants. Eurotunnel is an international company originally formed by CTG/FM. It is the owner and operator of the whole project. And it provided the construction contract to TML. From 1985- 86, Eurotunnel was controlled by CTG/FM and banks. Each of them holds 50% of it. Later on, Eurotunnel became independent company and then transferred to its shareholders and banks. A 55 years contract had been reached between Eurotunnel and the government of Britain and France based on the proposal submitted. The Construction Contract between Eurotunnel and TML sets out the Eurotunnel is also linked to the banks by a loan agreement and to national railways by a usage agreement. Furthermore, governments hired several experts to build an agency called IGC (Intergovernmental Commission) to ensure the project is under control. IGC was permitted for demanding changes in the process of project to keep it â€Å"healthy and safety†. During the stage of planning, the total cost of the project was 5.5 billion dollars and the whole project would be private financed without any government aids. On the consideration of CTG/FM owned an agreement, which gave group the sole right of Channel operation during 55 years, over 200 banks around the world offered loan to the project. (Genus, 1997) However, for a project this large, the lack of scope makes to resource planning, budgeting and cost calculating very difficult, thus it would be a challenge to use ROI (return on investment) to provide accurate data. Because ROI only gives results based on assumptions from TML Schedule management plays an important role in the first stage as well. Several milestones were built including (Fairweather, 1994): 1. 1974, idea of tunnel gathered, but abandoned 2. 1978, British and French discussions continued 3. 1985, British and French government asked for bids 4. 1986, The Treaty of Canterbury was signed allowing the project to proceed and CTG/FM won the contract 5. 1987, Channel tunnel project started 6. 1994, the project complete The schedule was planned to build 3 tunnels, two rail tunnels and one service tunnel allows mixed traffic at short headway (3 minutes between trains) and high speed (100 to 160 km/h) of national trains and its shuttles. These special Shuttles allow rail transportation of cars from one country to another. This made designer to illustrated 12 tunneling faces worked by 11 boring machines. A very complex schedule was made in logistics management and WBS development (work breakdown structure) due to high requirements of activity arrangements and activity duration estimate. Quality and risk management is another significant part of preparation stage. Management team needs to evaluate potential risks of technical, commercial, political, and financial aspects because if risks are identified early enough, an effective response strategy can be made. A risk impact matrix can be made in analyzing process

Minireview of A Study Essay Example for Free

Minireview of A Study Essay Synaptic transmission in vertebrate neuromuscular junctions forms the basis of this study. The communication between neurons in the nervous system occurs largely due to neurotransmitter release at the synapses. Messages on the various significant nervous system functions are coordinated through the synaptic junctions and the release of neurotransmitters. Ryanodine receptors are found in the somata of the Purkinje cells, basket cells and pre-synaptic terminals of specific synapses and terminals of basket cells. Calcium in the extracellular fluid triggers the neurotransmitter release. Now it is understood that pre-synaptic stores could participate in this same function. Ryanodine-sensitive stores of calcium also play a role. The quantum is the amount of spontaneous signals occurring in the absence of pre-synaptic action potentials and is equivalent to the release of one neurotransmitter vesicle (Katz, 1969). The action potentials are called miniature currents. For central synapses in the brain, large miniature currents are believed to arise from the release of many neurotransmitter or presynaptic vesicles and in the range of several quanta (Bekkers, 1994). Yoshida’s study (1994) revealed that these multivesicular miniature events could actually be tetrodotoxin-resistant action potentials in the pre-synaptic terminals. Other researchers have tried to explain the phenomenon from another angle, using the presence of intracellular calcium stores in the pre-synaptic terminals. Nakanishi et al localized inositol triphosphate receptors in the neural tissue of the developing and adult mouse brain (1991). These were immunolocalised in the pre-synaptic terminals of the deep cerebellar nuclei and the retina of the eyes. Narita’s studies (1998, 2000) revealed the action of ryanodine-sensitive calcium stores at the frog neuromuscular junctions. It was discovered that agents which influence the ryanodine-sensitive Calcium stores also increased the intracellular Calcium in the pre-synaptic cells and regulated acetyl choline release during high frequency stimulation. Mothet et al (1998) studied the action potentials at the pre-synaptic terminals of the buccal ganglia in Aplysia. They indicated that ryanodine inhibited while the pre-synaptic injection of Cyclic ADP Ribose augmented the action potential evoked release of acetyl choline at synapses. Studies also showed that caffeine with or without ryanodine modifies Calcium stores at the pre-synaptic terminals in autonomic ganglia (Peng, 1996; Smith et al, 1996) and in photoreceptors (Krizaj, 1999). Studies on hippocampal pyramidal cells have shown that Caffeine or thapsigargin influences the frequency of miniature IPSCs. Making an assumption, from prior studies described above, that spontaneous Calcium release from pre-synaptic Calcium stores may provide the synchronisation mechanism that causes multivesicular miniature IPSCs and the fact that such a hypothesis has not been tested systematically previously, the authors have taken up this topic for their study on cerebellar interneuron Purkinje cells. This Study   Methods Experiments were conducted on the sagittal cerebellar slices of decapitated rats aged 10-14 days of age. During the experimental recordings, the slices were perfused in saline containing prescribed concentrations of NaCl, KCl, Na H2PO4, NaHCO3, CaCl2, MgCl2 and glucose with 95:5 mixture of oxygen and carbon dioxide. Experiments were done at room temperature. For tight-seal whole-cell recordings, pipettes filled with a solution of appropriate concentrations of CsCl, MgCl2, HEPESCs, BAPTA-Cs (Molecular Probes, Eugene, Oregon), CaCl2, Na-GTP and Na-ATP and of pH 7.3 were used. Capacitance cancellation and series resistance compensation had been done. Kynurenic acid had been added to the extracellular solution to block the inotropic gluatamate receptors. TTX was present in the solution for all recordings. The calcium free solutions were prepared by leaving out Calcium and adding EGTA Na. Membrane potential was maintained at -60mV and the current was filtered at 1.5-2 kHz. Sampling was done continuously with brief interruptions. Detection and analysis were done using the IGOR-Pro programming environment. In experiments needing a Calcium channel blocker, cytochrome was added to the external solution. The toxin was prepared while the ryanodine was purchased. Testing the Calcium The Calcium in the basket cells were tested using the Two-photon laser scanning Fluorescence microscopy. For studying the action potential-evoked calcium increases, bicuculline was added to the external solution and the calcium sensitive probe Oregon Green was put into the pipettes. Scans were done and pulses were applied at the end of each 8th scan. This was repeated every minute in external solution which contained saline in order to get a baseline. The external solution was then changed to the solution containing ryanodine and recording proceeded for another 15 minutes. Another set of recordings were done with external solution not having calcium but having EGTA Na. The internal solution also had EGTA and Cs instead of K as the main cation. The responses in Spontaneous Calcium transients also were recorded using molecular probes in the external solution. A pseudo line scan was also done. For immunocytochemistry, a rabbit polyclonal anti-serum was raised to the 16 amino-acids found in all mammals. A C terminal cysteine enabled conjugation to haemocyanin. The conjugated peptide was used to immunize rabbits. Then the ELISA confirmed the specificity. The sarcoplasmic and endoplasmic reticulum microsomes derived from the skeletal muscle, cardiac tissue, whole brain and cerebellum were used for immunoblot analysis. Effects of external Calcium concentration. Large amplitude miniature IPSCs in cerebellar Purkinje cells were found sensitive to extracellular Calcium. With calcium free solution, the mIPSC frequency fell suddenly to half the control level. Continued exposure to the low level of external calcium caused the frequency of mIPSC to continue declining but at a slower rate. On washing after this, the frequency recovered and reached its initial level. The amplitude of the mIPSCs on the other hand showed a steady decline all through and no recovery on washing. With high levels of Calcium, the frequency of the mIPSCs increased rapidly and significantly. The change in amplitude varied from no response to a minimal increase. The inference was that Calcium strongly influenced mIPSCs in the Purkinje cells though frequency and amplitude were differently affected. The rapid change in frequency was interpreted as the reaction of intracellular Calcium to external Calcium changes. The slow change in amplitude was considered due to the extracellular influence on the pre-synaptic stores. The prolonged extracellular calcium removal could have caused selective elimination of large amplitude miniature IPSCs. Repeating with a calcium-free solution, many large amplitude miniature IPSCs were seen again. Then there was a sudden drop and then the amplitudes reduced to become concurrent with the control and the IPSCs were also less. The reduction seen when external Calcium was removed was not due to post-synaptic modifications. On returning to the calcium-rich solution, a slight recovery of both amplitude and frequency occurred. Paired Student’s t-tests indicate significant changes in mean amplitude and frequency between mIPSCs recorded during a 3-min control period and after 15–18 min in Calcium-free external solution. 6 sham experiments were also conducted by keeping the slices in Calcium containing external solution all throughout and these showed no obvious change. The time course of decay of the IPSCs was slower in calcium-free external solution when compared to depolarization-induced calcium transients. Effects of elevated intracellular Calcium Elevated intracellular Calcium in the Purkinje cells caused a speedy frequency reduction and a slow increase in amplitude. This sudden fall could not be explained by the intracellular calcium as BAPTA buffered the Calcium in the cells and could not have caused the IPSCs. Effect of the axons in large amplitude miniature IPSCs The immediate slow changes in the amplitude of IPSCs on withdrawal of external calcium for 3 minutes could not be attributed to the delayed removal of external calcium from pre-synaptic release sites. The effect was also not due to local Calcium influx caused by the TTX insensitive axonal depolarization. For the latter test, external Cd,   a non-selective channel blocker, was used. It reduced the action potential-evoked pre-synaptic Calcium transients seen in the axons and pre-synaptic terminals of cerebellar interneurons. The slow changes in amplitude were therefore not connected to rundown or altered post-synaptic receptors or delayed extracellular calcium removal. The only remaining explanation was that multivesicular release under the pre-synaptic calcium stores could have caused the changes in amplitude. The lack of recovery after external Calcium restoration could be due to the slow store refilling of intracellular Calcium when action potentials and subsequent calcium influx are blocked. Rise Time Kinetics The multi-vesicular release also could not completely explain the slow changes in amplitude. Rise time of IPSCs as a function of amplitude was studied after extended external calcium removal. In 6 of the 8 cells tested, the rise time was heterogenous in nature where two subpopulations were concerned. Slower decay kinetics was also noted. A faster rise time was seen in the proximal dendrites and soma. Faster IPSCs were more sensitive to external calcium removal than slow ones and these IPSCs arose at somatic synapses. The origin being multivesicular, synchronisation time must have been in the range of submillisecond. Some IPSCs had slower rise time and decays and were less sensitive to external calcium removal. These IPSCs could be arising from dendrites and could be having synchronisation of 1-4ms. Ryanodine receptors The two photon laser illumination was used to focus on the ryanodine receptors stained with a high-affinity Calcium-sensitive dye, Oregon Green BAPTA-1. Transient rises of Calcium in the stained ryanodine receptors in response to short trains of action potentials were measured. The fluorescence rises were noted. Ryanodine-sensitive Calcium stores are associated with the large amplitude mIPSCs. In the experiment Ryanodine in large concentrations of 100 ÃŽ ¼M blocked the receptors. The response recorded showed that Ryanodine reduced the mean amplitude and frequency of mIPSCs simultaneously. The responses to muscimol were not affected by ryanodine and the researchers assumed that ryanodine had no post synaptic effect. Axonal spots with calcium stores were identified in pre-synaptic terminals by recording responses to short action potentials. The intracellular Calcium fluctuations in response to differing concentrations of external calcium to which small concentrations of ryanodine were added was checked. Repeated scanning in the presence of TTX was done. Spontaneous calcium transients were noted before and after addition of ryanodine. Bright spots of fluorescence were noted at the pre-synaptic terminals. This signified the presence and increase of Calcium at the pre-synaptic terminals. Experiments were then done with small concentrations of Ryanodine 10 ÃŽ ¼M. Large amplitude mIPSCs were recorded. High frequency bursts and amplitudes of the responses were greatly increased. The bursts could reflect the response at multivesicular and monovesicular sites. The histogram comparing the amplitudes in the control and after ryanodine was added showed a significant difference. The spontaneous Calcium transients occur at basket cell axons and their frequency was increased by small concentrations of ryanodine.

Autocad Vs Microstation: Summary and Evaluation

Autocad Vs Microstation: Summary and Evaluation Patricia Ferreras Table of Contents (Jump to) What is CAD? AutoCAD and MicroStation History Research 2D Design Features 3D Design Features Interoperability Conclusion Bibliography What is CAD? CAD is an abbreviation of Computer Aided Design, and refers to software used to create detailed, precise drawings and technical illustrations. CAD software is capable of creating two-dimensional (2D) or three-dimensional (3D) models. (WhatIs.com, 2011) AutoCAD and MicroStation History: AutoCAD was introduced in 1982 as a desktop application. Since 2010, it has evolved into a mobile web and cloud based application, currently marketed as AutoCAD 360. (Wikipedia, 2014) MicroStation was introduced early in 1987 with the capacity to write to design files with the extension â€Å".DGN†. In its early days, it had simple modification abilities, and it was capable of displaying each element in their intermediate states during placement. MicroStation V8i (SELECTseries 2)- July 2010 added integrated point cloud support. (Bentley, 2014) Research The scope of my research is to compare the two leaders software packages in design, both of them are used by a wide range of professionals, mainly in the fileds of Engineering, Architecture and Industrial Design. Different people have different needs or preferences, but I want to keep my research as objective as possible, that is why I going to focus is three key aspects of the software, 2D, 3D and interoperability. 2D Design Features: The comparison is based in the latest versions of each program, and on the available functions and tools for managing 2D designs that a CAD software provides. (Chief, 2012) AutoCAD 2013 MicroStation V8i In 2D Designing, what makes users happy are the features and tools that AutoCAD provides, such as: The Sketch tool which allows 2D Drafts to be intuitively drawn A customizable tool palette, color palette and command log Tape Measure Tool, text Box and Snap to grid functionalities, From 3D models generates 2D Drawings Even though MicroStation provides many useful tools, it is lacking some key features for 2D Designing. Its available features include: An advanced sketch tool Color palette, tool palettes and command logs, all of which are customizable From 3D Models, could generate 2D Drawings 3D Design Features: These features include Simulation, 3D Modeling and animation using features provided by the CAD software. (Chief, 2012) (enggcyclopedia, 2012) AutoCAD 2013 MicroStation V8i AutoCAD 2013 include the following features and tools needed for the 3D Modeling, Rendering and Animation: Has parametric Modeling Tools Material changes as they occur, so it could be viewed in real time Extrude 3D Models from 2D Drawings Photorealistic models could be created. Basic animation projects are enable through its animation features AutoCAD is recognized as a business-oriented design tool, and is regarded as following industry standards. MicroStation provides more of a thorough platform for 3D Modeling and Animation. It is more advanced than AutoCAD in some respects: Parametric modeling tools and features Real time modifications can be previewed as they are implemented Microstation can â€Å"extrude† 3D Models from 2D Drawings with 3D geometric surfaces Photorealistic models can be achieved 3D Printing is supported MicroStation claims to respect its users by providing them with a CAD environment built to cater for all their needs. Interoperability: This factor relates to collaboration functionality with other CAD Applications, the ability for more than one designer to work simultaneously on one platform, cloud features, and a number of other functions. (Chief, 2012) (Alvarez, 2006) AutoCAD 2013 MicroStation V8i AutoCAD 2013’s full-featured user-interface and interoperability features include the following: Support for readable and writable file formats such as: DWG, PDF, 3DS, DWF The Autodesk Cloud Feature, Autodesk 360 allows designers on the CAD Software Workspace to work away from the office. It provides each user with roughly 3 GB of space, and this figure can be increased to cater for file sharing. Integration of Google Mapping The users felt that the re-design introduced with Land Development was very different from the previous applications such as CivilCAD and Softdesk. MicroStation is an application with total integration of other applications within Bentley or external applications that develop in a MicroStation environment . It wins the war of interoperability. The main features include the following: It supports readable and writeable file formats including: Sketchup, DWF, Revit, PDF,DWG An AutoCAD interoperability function which allow designers to work with all of Autodesk’s CAD Versions Geo-location is supported by providing designers with coordinates for actual real-life buildings. It allows integration of Google Maps, and allows for sharing and networking between designers. Designer’s work is protected from intellectual theft via a digital signature feature The users find quite easy to use the different applications of MicroStation, is very similar design. Conclusion Which one is better? Well, from a personal point of view, AutoCAD is a clear winner when it comes to 2D Design. This is possibly because it was the first CAD software that I learned how to use, and the one that I have used more often. But I am not the only one that thinks this: many professionals that use AutoCAD agreed that â€Å"AutoCAD still trumps the MicroStation with its advanced 2D Drafting capabilities† (Chief, 2012) When it comes to 3D support, I have to give this to MicroStation. I lost count of how many coffees I had while the computer was rendering a 3D Design. It takes practically forever, so the best thing to do was to let the machine to do the magic and take a break. (Alvarez, 2006) In conclusion, both CAD tools provide features which classify them as advanced drafting tools. These tools can be used by CAD designers to draw and design both 2D and 3D Designs, independent of their complexity. (Prakoso, 2011) In summary, I would regard AutoCAD as a better drafting tool, but MicroStation as a better CAD platform. Bibliography History of MicroStation MicroStation Wiki MicroStation Be Communities by Bentley. 2014. History of MicroStation MicroStation Wiki MicroStation Be Communities by Bentley. [ONLINE] Available at: http://communities.bentley.com/products/microstation/w/microstation__wiki/3164.history-of-microstation.aspx. [Accessed 10 March 2014]. Autodesk Company. 2014. Autodesk Company. [ONLINE] Available at: http://usa.autodesk.com/company/. [Accessed 10 March 2014]. AutoCAD Wikipedia, the free encyclopedia. 2014. AutoCAD Wikipedia, the free encyclopedia. [ONLINE] Available at: http://en.wikipedia.org/wiki/AutoCAD. [Accessed 15 March 2014]. BE Magazine En Espanol Volume 1-Issue 12. 2014. BE Magazine En Espanol Volume 1-Issue 12. [ONLINE] Available at: http://www.nxtbook.com/fx/books/bemagazine/vol1issue1spanmexico/index.php?startpage=12. [Accessed 15 March 2014]. MicroStation ® vs. AutoCAD ® which is better. 2014. MicroStation ® vs. AutoCAD ® which is better. [ONLINE] Available at: http://www.indiacadworks.com/blog/microstation-vs-autocad-comparing-features/. [Accessed 15 March 2014]. Whats the Difference Between AutoCAD and Other 3D programs?. 2014. Whats the Difference Between AutoCAD and Other 3D programs?. [ONLINE] Available at: http://animation.about.com/od/faqs/f/Whats-The-Difference-Between-Autocad-And-Other-3d-Programs.htm. [Accessed 15 March 2014]. Microstation or Revit..what to choose? | Forum | Archinect. 2014. Microstation or Revit..what to choose? | Forum | Archinect. [ONLINE] Available at: http://archinect.com/forum/thread/96142/microstation-or-revit-what-to-choose. [Accessed 18 March 2014]. AutoCAD versus MicroStation, which one is the best? | CAD Notes. 2014. AutoCAD versus MicroStation, which one is the best? | CAD Notes. [ONLINE] Available at: http://www.cad-notes.com/autocad-versus-microstation-which-one-is-the-best/. [Accessed 21 March 2014]. . 2014. . [ONLINE] Available at: http://www.google.ie/url?sa=trct=jq=esrc=ssource=webcd=6ved=0CF0QFjAFurl=http%3A%2F%2Fcad-software.findthebest.com%2Fcompare%2F5-19%2FAutoCAD-vs-MicroStation-V8iei=So4sU5j-MqWI7AaL5YGgBgusg=AFQjCNHRN8j20Fq52oVzAW6c2-7ihTQpNQbvm=bv.62922401,d.ZGU. [Accessed 21 March 2014]. Reducing Childhood Obesity: Health Promotion or CBT Reducing Childhood Obesity: Health Promotion or CBT NuRS21010 Understanding Evidence-Based Nursing Practice Concept Terms Boolean Operator Hits Population: Childhood Childhood, young people, children, child, youth. (Childhood obesity or young people or children or child or your ) and health promotion or cognitive behavioural therapy 38 Intervention: health promotion Health, promotion, (Childhood obesity or young people or children or child or your ) and health promotion or cognitive behavioural therapy 21 Comparison: Cognitive Behavioural Therapy CBT, behavioural, behavioural (Childhood obesity or young people or children or child or your ) and health promotion or (cognitive behavioural therapy or CBT ) 17 Outcome: obesity Obese, weight gain. (Childhood or young people or children or child or youth ) and ( obesity or obese or weight gain) and health promotion or (cognitive behavioural therapy or CBT ) 11 Which is more effective in reducing childhood obesity health promotion or Cognitive behavioural therapy? Concept Terms Truncate Hits Population: Childhood Childhood, young people, children, child, youth. Child* obesity health promotion or cognitive behavioural therapy 26 Intervention: Nurse led health promotion Health, promotion, Child* obesity and health promotion and cognitive behavioural therapy 15 Comparison: Cognitive Behavioural Therapy CBT, behavioural, behavioural Child* obesity health promotion or cognitive behaviour* tharap? 10 The first part of my essay will be based on the evaluation on my question this will include looking at the strengths, weaknesses and how I could improve it if I were to do it again. I wanted to research the question: which is more effective in reducing childhood obesity, health promotion or Cognitive behavioural therapy? As I find the topic childhood obesity really fascinating especially with the current national epidemic of childhood obesity. This made me realise that it’s a concerning health issue so I wanted to explore the possible interventions which were available for those suffering from childhood obesity. To do this I compared one of the most common interventions (health promotion) to one of the emerging interventions being used to treat childhood obesity (cognitive behavioural therapy). I used the CINHAL database for my literature search as it provides indexing of the top nursing and allied health literature (CINHAL, 2013) and offers information relevant to my question. When researching I used truncation I decided to truncate the terms in my research question as I wanted to collect the information which was relevant to my question rather than irrelevant data, as it did not correlate to my question. This worked as each time I truncated I was able to gather data which related to my research question so this was beneficial mechanism when gathering relevant data. A research mechanism which I used was the Boolean operator to help me find appropriate literature. Boolean operators utilise the terms: â€Å"and†, â€Å"or† and â€Å"not† to restrict, increase, or narrow searches depending on Boolean logic, which describes how Boolean operators manipulates large sets of data (Barker et al 2011).Boolean operators link keywords and phrases this informs the search engine how to interpret the search, which helps identify the results the researcher is looking for (Barker et al 2011). By utilizing the Boolean operator it helped narrow my search and provided me with the literature which was relevant to my research question. Because at first when I researched I got a lot of hits but a majority if the literature was irrelevant and therefore not required, but by using the boolean operator it allowed me to access specific literature for my research question. I think I could have improved my research question by making my research question more specific for instance instead of childhood obesity which is a very large age group I could have narrowed it down to teenagers. As this will give me a sense of direction when looking for supporting literature as it’s a specific age group this can be supported by Sackett (2000) who sates that by asking a precise question you can look for specific knowledge for chosen research topic. Whereas with my current question I have a lot to cover as it looks at childhood obesity which is a broad age group, which makes it difficult gathering supporting literature. Another weakness is that although I gathered literature for my research question a majority of it was applicable to health promotion interventions in comparison to cognitive behavioural therapy in relation to childhood obesity. So to alter this I think I would have compared health promotional techniques to non-health promotion health techniques. This will ensure I get a balance of supporting literature between the comparisons, as there was little literature for cognitive behavioural therapy. This part of the essay will critically appraise intervention for ineffective airway clearance in asthmatic children: a controlled and randomised clinical trial (Lima et al, 2013). The CASP tool (Guyatt et al 1993) will be used to achieve this. 1. Was the question clear? The population that was studied was 42 asthmatic children age 2. Was this a randomised controlled trial? The study used a randomised clinical trial (RCT). A RCT is where partakers are randomly allotted to one or more control groups this is determined by the number of interventions (Parahoo, 2006). Randomisation means allocating applicants to experimental or control groups at random so that partakers have an equal likelihood of being placed in either group (Lang, 1997). This eradicates selection bias and offers equilibrium amid recognised and unidentified confounding factors to make a control group similar to the treatment group (Akbong, 2005). The method was apt for the question being researched as Machin Fayers, (2010) states that RCT’s are the principal mode for defining the comparative efficacy and safety of substitute medical devices, interventions or treatments. This method is apt for the research as the question aimed to analyse the effectiveness of an intervention for the nursing diagnosis of ineffective airway clearance in asthmatic children. The study used this method to verify the effect of asthmatic of an intervention for asthmatic children. Lawrence et al (2010) RCTs are the finest for trials determining the impact of health interventions, they’re very robust and systematic for critiquing the efficiency of health interventions. Though there is a risk of bias when there are errors in the strategy and organisation of a trial (Akobeng, 2005). 3.Were participants allocated to intervention group and control groups? The partakers were aptly allocated to intervention and control groups. As participants were allocated to groups via generating an algorithm of random numbers through the use of the R software (Lima et al, 2013). The inclusion criteria in the study were asthma identified by a doctor, based on assessment and physical existence defining features and linked factors termed in the NANDA international taxonomy age 4. Were participants and staff blind to participants study group? The team member who did the randomisation did not partake in the interventions or the outcome evaluation. This shows that the study used blinding which is vital as there is a threat in RCTs exploring the benefits of one intervention over an alternative as it can impact outcomes, causing influenced results. Blinding trials reduces bias, blinding refers to the exercise of stopping partakers, health professionals, and those gathering and examining data from knowing who is in the experimental group and who is in the control group, to avert them from being influenced by such knowledge (Day, 2000). Studies show that by blinding patients and health professionals avoids bias. Trials which didn’t blind bore more estimates of treatment effects than trials in which authors conveyed blinding (odds ratios overstated, by 17%) (Schulz Grimes, 2002). 5. Were all participants accounted in conclusion? All the participants in the study group were followed up for its conclusion. The participants in the control group did not get the option to be in the intervention group or vice versa. 6 .Were participants in all groups followed up and data collection in the same way? All the participants were followed up in the study. The effect of the intervention was evaluated at a single moment, due to the obstruction of secretion as it reversed quickly and linked to working with other professionals (Lima et al, 2013). 7. Did the study have enough participants to minimise the chance of play? The study used chi-squared test for power calculation. The test aims to test the hypothesis of no association between two or multiple groups, criteria and population (West, 2008). The chi test found P=0.061, statically significance was assumed at P 8. What is the main result? The study found an improvement in obstructive symptoms in those who took the intervention offered, with great alterations in the displays of choking and adventitious breath sounds. The generalisations may be limited as children in the intervention group show higher values for age and weight. The group also consisted of children under the age of 36 months thus likely to have asthma attacks (Lima et al, 2013). This may question the validity of the results found. The study also found there was little research in this topic making it challenging when trying to compare findings with other research (Lima et al, 2013). The study uses a small sample as there are only 42 participants in the study, so not really representative. Akobeng, (2005) argues that when a study uses a small sample of participants in it can be difficult identify the real variances of results found from both the intervention and control group. The study highlights the need for research on airway clearance techniques to as sess the effectiveness of its use. The findings suggest studies to offer planned interventions during hospitalization to determine the link between the intervention and a decreased in the duration of hospital stay (Lima et al, 2013). 9. How precise are these results? The study used Mann–Whitney test uses the findings of the t-test to identify variances amid two groups of habitually distributed population (Burns Grove, 2005). The Mann Whitney test found that after the intervention, the intervention group showed greater improvement than the control group for the indicators of choking (16.83 vs. 26.17, P = 0.007) and adventitious breath sounds (16.4 vs. 26.6, P = 0.005). This illustrates that the detected variance between the groups is doubtful to have happened by chance hence the null hypothesises rejected due to no variance and the other hypothesis as there is an actual variance in the intervention group is taken into account (Akobeng, 2005). 10. Were all vital outcomes considered so the results can be applied? The participants in the study are classified as asthmatic it doesn’t specify the type of asthma they have. Knowing they type of asthma they had i.e. chronic or acute asthma is beneficial as will illustrate if there is a different effect on a patient with certain type of asthma. For instance Schechter (2007) found that airway clearance therapy has little or no effect on acute asthma, so techniques used in this study may not be applicable for those with acute asthma. Airway clearance techniques requires training in order for patient or carers to carry it out correctly, this may be an issue for some as they may not have the funding or money for training. In relation to parents and carers airway clearance techniques may be a barrier for them when implementing it to their child. As airway clearance techniques require equipment and considerable amount of time (Walsh et al, 2011) to carry out in order to ensure that it is carried out correctly and effectively on child. This can be an issue for parents and carers especially if they don’t have the time due to other issues such as work or taking care of other children. According Pryor (2009) to policy makers and health care professionals in the UK, are less likely to utilise the intervention of airway clearance in asthma patients due to the uncertainty of the effectiveness of its usage in asthma patients this is also because of little research available on this topic. The study itself also mentions the lack of research available on airway clearance Walsh et al, (2011) techniques for asthma (Lima et al, 2013). Also found although airway clearance techniques have progressed over the years there is little research to illustrate the effectiveness of airway clearance techniques amid the child population who have asthma (Walsh et al, 2011). Reference List Akobeng AK. Evidence-based child health. 1. Principles of evidence-based medicine. Arch Dis Child 2005;90:837–40 Barker D., Barker M., Pinard , K., (2011). London : Cengage Learning. Blaikie N. (2009). Designing Social Research. 2nd ed. UK: Polity Press. CINHAL (2013). CINHAL Database (online). Available at:http://www.ebscohost.com/nursing/products/cinahl-databases/cinahl-complete>. Accessed at 19th November 2013. Burns N. Grove S.K, (2005). The practise of nursing research: conduct, critique and utilisation. 5th ed. USA: Elsevier Saunders. Chia KS. Randomisation: magical cure for bias. Ann Acad Med Singapore 2000;29:563–4. Day SJ, Altman DG. Blinding in clinical trials and other studies. BMJ 2000;321:504. Guyatt GH, Sackett DL, and Cook DJ (1993).Users’ guides to the medical literature. II. How to use an article about therapy or prevention. JAMA 1993; 270 (21): 2598-2601 and JAMA 1994; 271(1): 59-63 Lawrence M. Friedman, Furberg C.D, DeMets D (2010). Fundamentals of Clinical Trials (online). Available at: http://books.google.co.uk/books?id=pIx-0LvD6agCpg=PA97dq=advantages+of+randomised+controlled+trialshl=ensa=Xei=ACbLUtvWBdG0hAf094EIredir_esc=y#v=onepageq=advantages%20of%20randomised%20controlled%20trialsf=false> Acessed at 6th January 2014. Lang TA, Secic M. How to report statistics in medicine. Philadelphia: American College of Physicians, 1997. Lima L.H.O, Lopes M.V.O, Falcà £o R.T.S, Freitas R.M.R, Oliveira TF, da Costa M.C.C (2013). Intervention for ineffective airway clearance in asthmatic children: A controlled and randomized clinical trial. International Journal of Nursing Practice 2013; 19: 88–94 Machin D Fayers P, (2010). Randomized Clinical Trials: Design, Practice and Reporting (online). Available at:http://books.google.co.uk/books?id=l6oxPO9riPYCprintsec=frontcoverdq=randomised+clinical+trialhl=ensa=Xei=wSPLUuiqNNSKhQem_YCgDgredir_esc=y#v=onepageq=randomised%20clinical%20trialf=false >. Accessed at 6th January 2014. NANDA, (2012).Defining NANDA (online). Available at :http://www.nanda.org/nanda-international-taxonomy-licensing.html>. Accessed at 6th January 2014. Olbricht G Wong Y,(2008). Power and Sample Size Calculation (online). Available at: http://www.scribd.com/doc/195151500/Power-and-Sample-Size-Calculation >. Accessed at 6th January 2014. Parahoo K. (2006) Nursing research : principles, process and issues 2 nd ed. Basingstoke: Palgrave. Pryor J.A. (2009).Physiotherapy for airway clearance in adults (pdf). Available at: http://www.ersj.org.uk/content/14/6/1418.full.pdf >Accessed at: 3rd January 2014. Sackett D., Straus S., Richardson S., Rosenberg W., Haynes B (2000). Evidence-Based Medicine: How to Practice and Teach EBM. London : BMJ Publishing Group. Schulz KF. Assessing allocation concealment and blinding in randomised controlled trials: why bother? Evid Based Nurs 2000;5:36–7. Schulz KF, Chalmers I, Hayes RJ, et al. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995;273:408–12. Schechter M S.(2007) Airway Clearance Applications in Infants and Children (pdf). Available at: http://www.assobrafir.com.br/imagens_up/artigos/Airway_Clearance_Applications_in_Infants_and_Children.pdf> Accessed at 27th December 2013. Walsh B.K, Hood K, Merritt G. (2011). Paediatric airway maintenance and clearance in the acute care setting: how to stay out of trouble (online). Available at: http://www.ncbi.nlm.nih.gov/pubmed/21944689>. Accessed at 6th January 2014. West M.D (2008). Use of the Chi-Square Statistic (pdf) .Available at: http://ocw.jhsph.edu/courses/fundepiii/PDFs/Lecture17.pdf> Accessed at 6th January 2014.

Essay --

Jack Breheny February 14, 2014 Research Paper Dred Scott was one of many famous African Americans who, along with others, helped abolish slavery in the United States of America. He did this questioning by how he could be kept as a slave and treated like a slave when he lived in slave free territory. Just his little bit of questioning added up to the big amount of things that helped to abolish slavery. Dred Scott was born into slavery sometime in 1803 in South Hampton County, Virginia, but his hometown was St. Louis, Missouri. His birth name was Sam Scott, but he adopted his older brother’s name, Dred, when he died at a very young age. Dred’s parents were slaves. He and his family belonged to Peter Blow and his family. Dred started his first job, to take care of the Blow children who weren’t much younger than him, when he was four. In addition to Dred being a slave, he was employed as a farmhand, stevedore, craftsman, and general handyman. Dred moved around a lot from Alabama, Illinois, and eventually relocated to St. Louis, Missouri. When Dred was 15 in 1818, his family moved to Alabama with the Blows. His owner, Peter Blow, had six children so Dred’s job was to keep track of the children. Dred never learned to read or write so if there were any type of signs on the way to Alabama or anywhere they most likely made no sense to him at all. Sometime in 1820, Dred’s future wife, Harriett Robinson, was born into slavery. Ten years later, in around 1830, Dred moved with the Blows to St. Louis, Missouri and worked at the Jefferson hotel. His owner, Peter Blow, had no luck finding any riches or success in farming so he decided to use what money he had left to buy the Jefferson Hotel, in St. Louis, which was the slave ... ...to transfer ownership of the Scotts to Taylor Blow, Peter Blow’s son and childhood friend of Dred. On May 26, 1857 Dred and Harriet were given their freedom by Taylor Blow. After Dred and his family were freed, they were interviewed and pictures of them were published in Frank Leslie’s Illustrated Newspaper on June 27, 1840. As a free family Dred Scott worked at Barnum’s Hotel in St. Louis as a porter. Dred also delivered laundry that Harriet took in working as a free laundress for the people that they lived around. On September 17, 1858 Dred Scott died of tuberculosis. He only lived as a free man for one and a half years. He is buried in St. Louis in the Blow family plot in Calvary Cemetery. Harriet lived on and is believed to have died in 1870. Dred Scott like many other African Americans helped abolish slavery forever in the United States of America.

The Adventures of Huckleberry Finn Essay -- Essays Papers

HUCKLEBERRY FINN The novel that I have most enjoyed ever reading was The Adventures of Huckleberry Finn by Mark Twain. Mark Twain’s The Adventures of Huckleberry Finn is a novel about a young boy’s coming of age in Missouri during the middle 1800’s. The main character, Huckleberry Finn, spends a lot of time in the novel floating down the Mississippi River on a raft with a runaway slave named Jim. Before he does so, however, Huck spends some time in the town of St. Petersburg where a number of people attempt to influence him. Huckleberry Finn is considered an American character for many reasons. Throughout the novel Huckleberry shows stereotypical traits of what is expected, sometimes anyway, of the ideal American character. Even before the novel begins, Huckleberry Finn has led a life of absolute freedom. Americans are known throughout the world to have more freedom then anybody else. His drunken and often missing father has never paid much attention to him, his mother is dead and so, when the novel begins, he is not used to following any rules. Huck, a good old-fashioned American character is just like the stereotype of American characters, by not following the rules. In the beginning of the book Huck lives with the Widow Douglas and her sister, Miss Watson. Both women are old and are really incapable of raising a rebellious boy like Huckleberry Finn. They attempt to make Huckleberry into what they believe will be a better boy. Specifically, they attempt, as Hu...